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An Application of Business Process Method to the Clinical Efficiency of Hospital

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Abstract

The concept of Total Quality Management (TQM) has come to be applied in healthcare over the last few years. The process management category in the Baldrige Health Care Criteria for Performance Excellence model is designed to evaluate the quality of medical services. However, a systematic approach for implementation support is necessary to achieve excellence in the healthcare business process. The Architecture of Integrated Information Systems (ARIS) is a business process architecture developed by IDS Scheer AG and has been applied in a variety of industrial application. It starts with a business strategy to identify the core and support processes, and encompasses the whole life-cycle range, from business process design to information system deployment, which is compatible with the concept of healthcare performance excellence criteria. In this research, we apply the basic ARIS framework to optimize the clinical processes of an emergency department in a mid-size hospital with 300 clinical beds while considering the characteristics of the healthcare organization. Implementation of the case is described, and 16 months of clinical data are then collected, which are used to study the performance and feasibility of the method. The experience gleaned in this case study can be used a reference for mid-size hospitals with similar business models.

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References

  1. Baldrige National Quality Program. Health Care Criteria for Performance Excellence. http://www.quality.nist.gov/HealthCare_Criteria.htm

  2. Griffith, J. R., and White, K. R., The revolution in hospital management. J. Health Manag. 50:170–189, 2005.

    Google Scholar 

  3. Greiling, M., and Hofstetter, J., Patientenbehandlungspfade optimieren—Prozeβmanagement im Krankenhaus. Bauman Fachverlag, Kulmbach, 2002.

    Google Scholar 

  4. Greiling, M., Hessel, M., and Berger, K., Pfadmanagement im Krankenhaus—Führen mit Kennzahlensystemen. Kohlhammer-Verlag, Stuttgart, 2004.

    Google Scholar 

  5. Aguilar-Savén, R. S., Business process modeling: Review and framework. Int. J. Prod. Econ. 90:129–149, 2004.

    Article  Google Scholar 

  6. Davenport, T. H., and Short, J., The new industrial engineering: Information technology and business process redesign. Sloan Manage. Rev. 31:11–27, 1990.

    Google Scholar 

  7. Gunasekaran, A., and Kobu, B., Modeling and analysis of business process reengineering. Int. J. Prod. Res. 40:2521–2546, 2002.

    Article  MATH  Google Scholar 

  8. Kettinger, W. J., Teng, J. T. C., and Guha, S., Business process change: A study of methodologies, techniques, and tools. MIS Q. 21:55–80, 1997.

    Article  Google Scholar 

  9. Silvestro, R., and Westley, C., Challenging the paradigm of the process enterprise: A case-study analysis of BPR implementation. Omega. 30:215–225, 2002.

    Article  Google Scholar 

  10. Kolker, A., Process modelling of emergency department patient flow: Effect of patient length of stay on ED diversion. J. Med. Syst. 32:389–401, 2008.

    Article  Google Scholar 

  11. Kolker, A., Process modelling of ICU patient flow: Effect of daily load levelling of elective surgeries on ICU diversion. J. Med. Syst. 33:27–40, 2009.

    Article  Google Scholar 

  12. Huq, Z., and Martin, T. N., The recovery of BPR implementation through an ERP approach: A hospital case study. Bus. Process Manage. J. 12:576–587, 2006.

    Article  Google Scholar 

  13. Vissers, J. M. H., Health care management modeling a process perspective. Healthc. Manage. Sci. 1:77–85, 1998.

    Article  Google Scholar 

  14. Becker, J., Kugeler, M., and Roseman, M., Prozessmanagement—Ein Leitfaden zur prozessorientierten Organisationsgestaltung, 5th edition. Springer, Berlin, 2005.

    Google Scholar 

  15. Scheer, A.-W., Jost, W., and Wagner, K., Von Prozessmodellen zu lauffähigen Anwendungen-ARIS in der Praxis. Springer, Berlin, 2005.

    Book  Google Scholar 

  16. Scheer, A.-W., and Hoffmann, M., From business process model to application system: Developing an information system with the House of Business Engineering (HOBE). Lect. Notes Comput. Sci. 1626:2–9, 1999.

    Article  Google Scholar 

  17. Scheer, A. W., and Nüttgens, M., ARIS architecture and reference models for business process management. Lect. Notes Comput. Sci. 1806:366–379, 2000.

    Google Scholar 

  18. Yin, R. K., Case study research: Design and methods, 2nd edition. Sage, Thousand Oaks, 1994.

    Google Scholar 

  19. Cavaye, A. L. M., Case study research: A multi-faced research approach for IS. Inf. Syst. J. 6:227–242, 1996.

    Article  Google Scholar 

  20. Österle, H., and Winter, R., Business engineering, 2nd edition. Springer, Berlin, 2003.

    Google Scholar 

  21. Stapleton, L., Modes of reasoning in theories of the social impact of advanced technology: A critique of ERP systems in healthcare. Annu. Rev. Control. 30:243–253, 2006.

    Article  Google Scholar 

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Acknowledgement

The authors are grateful for the support of the En Chu Kong Hospital, Taiwan, for the research project Medical Technology Research Plan (ECK 930006).

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Correspondence to Jun-Der Leu.

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Leu, JD., Huang, YT. An Application of Business Process Method to the Clinical Efficiency of Hospital. J Med Syst 35, 409–421 (2011). https://doi.org/10.1007/s10916-009-9376-4

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  • DOI: https://doi.org/10.1007/s10916-009-9376-4

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