Workflow modeling languages allow for the specification of executable business processes. They, however, typically do not provide any guidance for the adaptation of workflow models, i.e. they do not offer any methods or tools explaining and highlighting which adaptations of the models are feasible and which are not. Therefore, an approach to identify so-called configurable elements of a workflow modeling language and to add configuration opportunities to workflow models is presented in this paper. Configurable elements are the elements of a workflow model that can be modified such that the behavior represented by the model is restricted. More precisely, a configurable element can be either set to enabled, to blocked, or to hidden. To ensure that such configurations lead only to desirable models, our approach allows for imposing so-called requirements on the model's configuration. They have to be fulfilled by any configuration, and limit therefore the freedom of configuration choices. The identification of configurable elements within the workflow modeling language of YAWL and the derivation of the new "configurable YAWL" language provide a concrete example for a rather generic approach. A transformation of configured models into lawful YAWL models demonstrates its applicability.

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Hospitals and health care institutions are facing the challenge of improving the quality of their services while reducing their costs. The current study presents the application of operations management practices in a dermatology oncology outpatient clinic specialized in skin cancer treatment. An interesting alternative considered by the clinic is the implementation of a one-stop-shop concept for the treatment of new patients diagnosed with basal cell carcinoma. This alternative proposes a significant improvement in the average waiting time that a patient spends between the diagnosis and treatment. This study is focused on the identification of factors that influence the average throughput time of patients treated in the clinic from the logistic perspective. A two-phase approach was followed to achieve the goals stated in this study. The first phase included an integrated approach for the deterministic analysis of the capacity using a demand-supply model for the hospital processes, while the second phase involved the development of a simulation model to include variability to the activities involved in the process and to evaluate different scenarios. Results showed that by managing three factors: the admission rule, resources allocation and capacity planning in the dermato-oncology unit throughput times for treatments of new patients can be decreased with more than 90 %, even with the same resource level. Finally, a pilot study with 16 patients was also conducted to evaluate the impact of implementing the one stop shop concept from a clinical perspective. Patients turned out to be satisfied with the fast diagnosis and treatment.

Geer, van der, S.; Frunt, M.; Romero, H.L.; Dellaert, N.P.; Jansen -Vullers, M.H.; Demeyere, T.B.J.; Neumann, H.A.M.; Krekels, G.A.M. Published in:Journal of the European Academy of Dermatology and Venereology DOI:10.1111/j. 1468-3083.2011.04184.x Published: 01/01/2012 Document VersionPublisher's PDF, also known as Version of Record (includes final page, issue and volume numbers)Please check the document version of this publication:• A submitted manuscript is the author's version of the article upon submission and before peer-review. There can be important differences between the submitted version and the official published version of record. People interested in the research are advised to contact the author for the final version of the publication, or visit the DOI to the publisher's website.• The final author version and the galley proof are versions of the publication after peer review.• The final published version features the final layout of the paper including the volume, issue and page numbers. Link to publication Citation for published version (APA):Geer, van der, S., Frunt, M., Romero, H. L., Dellaert, N. P., Jansen-Vullers, M. H., Demeyere, T. B. J., ... Krekels, G. A. M. (2012). One-stop-shop treatment for basal cell carcinoma, part of a new disease management strategy. Journal of the European Academy of Dermatology and Venereology, 26(9), 1154-1157. DOI: 10.1111/j.1468-3083.2011 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal ? Take down policyIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.

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