With the uptake of business process modeling in practice, the demand grows for guidelines that lead organizations to consistent and integrated collections of process models. The notion of a business process architecture has been explicitly proposed to address this issue. This paper provides an overview and comparison of the prevailing approaches to design such a business process architecture. Furthermore, it includes an evaluation of the usability and actual use of the identified approaches through our interaction with a large group of practitioners. Our findings suggest that practitioners heavily rely on a mix of guidelines instead of embracing any single approach wholeheartedly.

Abstract.In an investigation into the process of process modeling, we examined how modeling behavior relates to the quality of the process model that emerges from that. Specifically, we considered whether (i) a modeler's structured modeling style, (ii) the frequency of moving existing objects over the modeling canvas, and (iii) the overall modeling speed is in any way connected to the ease with which the resulting process model can be understood. In this paper, we describe the exploratory study to build these three conjectures, clarify the experimental set-up and infrastructure that was used to collect data, and explain the used metrics for the various concepts to test the conjectures empirically. We discuss various implications for research and practice from the conjectures, all of which were confirmed by the experiment.

Building on the similarities between software programs and workflow processes, this paper proposes a heuristic that offers guidance for the creation and evaluation of process designs in administrative settings. Designers can use this heuristic to select from several alternatives the process design that is strongly cohesive and weakly coupled. It is argued that such a design will result in fewer errors during information exchanges and in more understandable activity descriptions. The paper includes an application of the heuristic in an industrial workflow setting, which supports its feasibility and practical value. The paper also presents the freely available CoCoFlow tool that implements the heuristic and its associated metrics. #

Study objectiveTo assess the association of patient and organisational factors with emergency department length of stay (ED-LOS) in elderly ED patients (226565 years old) and in younger patients (<65 years old).MethodsA retrospective cohort study of internal medicine patients visiting the emergency department between September 1st 2010 and August 31st 2011 was performed. All emergency department visits by internal medicine patients 226565 years old and a random sample of internal medicine patients <65 years old were included. Organisational factors were defined as non-medical factors. ED-LOS is defined as the time between ED arrival and ED discharge or admission. Prolonged ED-LOS is defined as ≥75th percentile of ED-LOS in the study population, which was 208 minutes.ResultsData on 1782 emergency department visits by elderly patients and 597 emergency department visits by younger patients were analysed. Prolonged ED-LOS in elderly patients was associated with three organisational factors: >1 consultation during the emergency department visit (odds ratio (OR) 3.2, 95% confidence interval (CI) 2.3–4.3), a higher number of diagnostic tests (OR 1.2, 95% CI 1.16–1.33) and evaluation by a medical student or non-trainee resident compared with a medical specialist (OR 4.2, 95% CI 2.0–8.8 and OR 2.3, 95% CI 1.4–3.9). In younger patients, prolonged ED-LOS was associated with >1 consultation (OR 2.6, 95% CI 1.4–4.6). Factors associated with shorter ED-LOS were arrival during nights or weekends as well as a high urgency level in elderly patients and self-referral in younger patients.ConclusionOrganisational factors, such as a higher number of consultations and tests in the emergency department and a lower seniority of the physician, were the main aspects associated with prolonged ED-LOS in elderly patients. Optimisation of the organisation and coordination of emergency care is important to accommodate the needs of the continuously growing number of elderly patients in a better way.

Abstract. Business process modeling is an important corporate activity, but the understanding of what constitutes good process models is still rather limited. In this paper, we turn to the cognitive dimensions framework and identify the understanding of the structural relationship between any pair of model elements as a hard mental operation. Based on the weakest-link metaphor, we introduce the cross-connectivity metric that measures the strength of the links between process model elements. The definition of this new metric builds on the hypothesis that process models are easier understood and contain less errors if they have a high cross-connectivity. We undertake a thorough empirical evaluation to test this hypothesis and present the findings. The good performance of this novel metric underlines the importance of cognitive research for advancing the field of process model measurement.