Abstract
Chronic diseases, cross-sectoral treatment chains, variations in lengths of stay and a multitude of treatment options along the treatment chain with significant economic and social impacts characterize the domain of psychological and psychosomatic treatment. This kind of treatment sector is facing major challenges like evaluating the treatments by economic criteria whilst ensuring at the same time a certain quality level, to facilitate coordinated cross-sectoral cooperation and to promote systematic exchange of knowledge. On the basis of analyses of structured interviews with different stakeholders of the psychological and psychosomatic sector, we designed a framework for the evolutionary development of Clinical Pathways. This framework covers a novel organizational paradigm derived from managerial theories and adapted for cooperative health care provision. Evolutionary reference models should serve as a means of organizational learning and should provide potential for improving both the quality of medical treatment and the cost-benefit ratio. The evolutionary approach contains a permanent generation of organizational experiences from daily care and using them for evaluation and improvement of standardized treatment modalities. Beyond the framework of evolutionary Clinical Pathways we discuss necessary adjustments of conventional modeling approaches applied within the health care sector.
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Notes
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On the basis of etymological and philosophical thoughts on the term experience (Hammel 1997) we define the term organizational experience as follows: An organization gains experiences by drawing a conclusion from the perception and interpretation of real-world-phenomena. (For a more detailed description and definition, we refer to Esswein and Lehrmann (2009).)
References
AWMF, ÄZQ (2001) Das Leitlinien-Manual von AWMF und ÄZQ. Z Arztl Fortbild Qual 95(Suppl 1):1–84
Bögel S, Schlieter H, Esswein W (2011) Compliance check of health care process models. In: Proceeding AMCIS 2011, paper 357
Burwitz M, Schlieter H, Esswein W (2011) Modellgestütztes Management in Krankenhausinformationssystemen am Beispiel der Klinischen Prozesssteuerung. Tagungsband Inform. 2011, Nr. 192
Burwitz M, Schlieter H, Esswein W (2013) Modeling clinical pathways – design and application of a domain-specific modeling language. In: Wirtsch. Proc. 2013, paper 83
Davies I, Green P, Rosemann M et al (2006) How do practitioners use conceptual modeling in practice? Data Knowl Eng 58:358–380
De Bleser L, Depreitere R, De Waele K et al (2006) Defining pathways. J Nurs Manag 14:553–563. doi:10.1111/j.1365-2934.2006.00702.x
Esswein W, Lehrmann S (2009) Erfahrungsbasierte Prozessverbesserung. ERP Manag 5:44–46
Esswein W, Lehrmann S (2012) Maturity model for reference modeling. In: Proceedings of the IADIS MCCSIS: 10-18
Fettke P (2009) Ansätze der Informationsmodellierung und ihre betriebswirtschaftliche Bedeutung: Eine Untersuchung der Modellierungspraxis in Deutschland. Zfbf – Schmalenbachs Z Für Betriebswirtschaftliche Forsch 61:550–580
Hammel W (1997) Was ist Erfahrung? Verlag Dr. Kovac, Hamburg
Hevner AR (2007) The three cycle view of design science research. Scand J Inf Syst 19:87–92
Hevner AR, March ST, Park J, Ram S (2004) Design science in information systems research. Manag Inf Syst Q 28:75–106
Jacobs B, Oberhoff C, Stausberg J (2007) Ableitung von Klinischen Pfaden aus evidenzbasierten Leitlinien am Beispiel der Behandlung des Mammakarzinoms der Frau. GMS Med Inform Biom Epidemiol 2007;3(2):Doc09
Juhrisch M, Schlieter H, Gunnar D (2011) Konzeptuelle Modellierung im klinischen Umfeld. HMD Prax Wirtsch 281:99–109
Juhrisch M, Schlieter H, Dietz G (2012) Information systems engineering in healthcare – an evaluation of the state of the art of operational process design. Int J Organ Des Eng 2:420–444. doi:10.1504/IJODE.2012.051444
Lehrmann S, Schlieter H, Esswein W (2010) Referenzmodelle. Wisu Wirtsch 39:371–375
Schlieter H (2012) Ableitung von Klinischen Pfaden aus Medizinischen Leitlinien – Ein Modellbasierter Ansatz. Univ.-Dis., Dresden
Schlieter H, Esswein W (2010) From Clinical practice guideline to clinical pathway – issues of reference model-based approach. In: Camarinha-Matos LM, Boucher X, Afsarmanesh H (eds) Collaborative networks in sustainability. World 11th IFIP WG 55 working conference on virtual enterprises. Springer, St. Etienne, France, pp 251–258
Schlieter H, Esswein W (2011) Reference modelling in health care – state of the art and proposal for the construction of a reference model. J Enterp Model Inf Syst Archit 6:36–49
Thomas O (2006) Understanding the term reference model in information systems research: history, literature analysis and explanation. Bus Process Manag Workshop 3812:484–496
Vom Brocke J (2003) Referenzmodellierung: Gestaltung und Verteilung von Konstruktionsprozessen, 1st edn. Logos, Berlin
Vom Brocke J, Buddendick C (2004) Konstruktionstechniken für Referenzmodellierung – Systematisierung, Sprachgestaltung und Werkzeugunterstützung. In: Delfmann P, Becker J (eds) Referenzmodellierung Grundlagen Tech. Domänenbezogene Anwend, 1st edn. Physica, Heidelberg, p 19
Weber B, Reichert M, Rinderle-Ma S, Wild W (2009) Providing integrated life cycle support in process-aware information systems. Int J Coop Inf Syst 18:115–165
Wollersheim H, Burgers J, Grol R (2005) Clinical guidelines to improve patient care. Neth J Med 63:188–192
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Lehrmann, S., Schlieter, H., Burwitz, M. (2015). Conceptual Modeling for Cooperation-Based Evolution of Medical Treatment. In: Gurtner, S., Soyez, K. (eds) Challenges and Opportunities in Health Care Management. Springer, Cham. https://doi.org/10.1007/978-3-319-12178-9_2
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