Obstructive sleep apnoea: Improving healthcare services by combining process modelling and population analysis

Leo, Carlo Giacomo; Mincarone, Pierpaolo; Bodini, Alessandro; Sedile, Raffaella; Guarino, Roberto; Tumolo, Maria Rosaria; Malorgio, Roberto; Quitadamo, Matteo; Sabato, Eugenio; Viegi, Giovanni; Insalaco, Giuseppe; Sabina, Saverio

doi:10.1016/j.ijmedinf.2019.04.013

Cited by 4 publications

(1 citation statement)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…UML-based process models have previously been used in health care to depict an existing situation. One example involves the description of population analysis and proposed measures as a secondary method for outputting research on obstructive sleep apnea [10]. Another such example was for describing a specific method of caring for and treating pediatric asthma patients or to describe health care processes within a hospital [11].…”

Section: Discussionmentioning

confidence: 99%

Improving Implementation of an Electronic Prescription System for COVID-19 Vaccination in the Czech Republic: Process Modeling Approach

2023

View full text Add to dashboard Cite

Background It is very difficult to find a consensus that will be accepted by most players when creating health care legislation. The Czech electronic prescription system was launched in 2011 and new functions were introduced in 2018. To ensure that these functions will not conflict with any other existing law, a process modeling tool based on the patent “Method and system for automated requirements modeling” was used successfully in the Czech Republic for the first time. Objective The aim of this project was to develop another successful application of process modeling to add COVID-19 vaccination records to the existing electronic prescription system. Methods The method employed was based on the mathematical theory of hierarchical state diagrams and process models. In the first step, sketches that record the results of informal discussions, interviews, meetings, and workshops were prepared. Subsequently, the architecture containing the main participants and their high-level interactions was drafted. Finally, detailed process diagrams were drawn. Each semiresult was discussed with all involved team members and stakeholders to incorporate all comments. By repeating this procedure, individual topics were gradually resolved and the areas of discussion were narrowed down until reaching complete agreement. Results This method proved to be faster, clearer, and significantly simpler than other methods. Owing to the use of graphic tools and symbols, the risk of errors, inaccuracies, and misunderstandings was significantly reduced. The outcome was used as an annex to the bill in the legislative process. One of the main benefits of this approach is gaining a higher level of understanding for all parties involved (ie, legislators, the medical community, patient organizations, and information technology professionals). The process architecture model in a form of a graphic scheme has proven to be a valuable communication platform and facilitated negotiation between stakeholders. Moreover, this model helped to avoid several inconsistencies that appeared during workshops and discussions. Our method worked successfully even when participants were from different knowledge areas. Conclusions The vaccination record process model was drafted in 3 weeks and it took a total of 2 months to pass the bill. In comparison, the initial introduction of the electronic prescription system using conventional legislative methods took over 1 year, involving immediate creation of a text with legislative intent, followed by paragraph-by-section wording of the legislation that was commented on directly. These steps are repeated over and over, as any change in any part of the text has to be checked and rechecked within the entire document. Compared with conventional methods, we have shown that using our method for the process of modification of legislation related to such a complex issue as the integration of COVID-19 vaccination into an electronic prescription model significantly simplifies the preparation of a legislative standard.

show abstract

Section: Discussionmentioning

confidence: 99%

Improving Implementation of an Electronic Prescription System for COVID-19 Vaccination in the Czech Republic: Process Modeling Approach

2023

View full text Add to dashboard Cite

show abstract

A process modelling approach to assess the impact of teledermatology deployment onto the skin tumor care pathway

Duong

Lamé

Zehou³

et al. 2021

International Journal of Medical Informatics

View full text Add to dashboard Cite

Using process model to define the legislative framework of electronic prescription in the Czech Republic

Berger,

Bruthans,

Vojtěch

et al. 2024

Health Informatics J

View full text Add to dashboard Cite

Defining legislation for electronic prescription systems (EPS) is inherently challenging due to conflicting interests and requirements. The study aimed to develop a comprehensive EPS within the Czech healthcare framework, integrating legislative, process, and technical aspects to ensure security, user acceptability, and compliance with health regulations. A process modeling tool based on hierarchical state machines was employed to create a detailed process architecture for the EPS. Key participants, scenarios, and state transitions were identified and incorporated into a process model using the Craft.CASE based on the BORM methodology. The final process architecture model facilitated interdisciplinary communication and consensus-building among stakeholders, including healthcare professionals, IT specialists, and legislators. The model served as a foundation for the legislative framework and was included in the explanatory memorandum for the draft amendment to the Pharmaceuticals Act. The use of hierarchical state machines and process modeling tools in developing healthcare legislation effectively reduced misunderstandings and ensured precise implementation. This method can be applied to other complex legislative and system design projects, enhancing stakeholder communication and project success.

show abstract

Obstructive sleep apnoea: Improving healthcare services by combining process modelling and population analysis

Cited by 4 publications

References 36 publications

Improving Implementation of an Electronic Prescription System for COVID-19 Vaccination in the Czech Republic: Process Modeling Approach

Improving Implementation of an Electronic Prescription System for COVID-19 Vaccination in the Czech Republic: Process Modeling Approach

A process modelling approach to assess the impact of teledermatology deployment onto the skin tumor care pathway

Using process model to define the legislative framework of electronic prescription in the Czech Republic

Contact Info

Product

Resources

About