View
3
Download
0
Category
Preview:
Citation preview
Process Mining in Healthcare:a New Zealand Case Study • The patient’s journey through the healthcare system
can significantly affect their experience• Improving the patient journey requiresunderstanding how it is unfolding
• To do this we cannot rely on planned pathways, ashealthcare is chaotic and complex
• We need a way to look back and understand what isactually happening
• And to be able to do this in an automated andscalable way in the setting of large hospitals
• Looking at clinical “events” recorded in hospital IT systems.• And automatically generating “pathways” from these events.• This is exactly what a technology called process mining lets us do.
• We extracted anonymised event data (1048 cases, 6000 events)from Waitemata DHB IT systems (Jul 2015 - July 2018).
• The events for all patients were manually combined into a singlelog of events.
• Events included discharge from SCBU, community visits, paediatricoutpatient visits, ED presentations, and paediatric readmissions.
• The events were fed into a process mining software (Disco³)• This generated the actual pathway that those events represented• This actual pathway was then analysed and compared to theexpected pathway
• This allowed us to identify discrepancies• It also let us gauge what was happening in a complex environmentat a glance.
Improving thePatient Journey
1.Pa
edia
tric
and
New
born
Serv
ices
,Wai
tem
ata
Dis
tric
tHea
lthBo
ard,
Auc
klan
d,N
ewZe
alan
d;2.
MBC
hB(O
tago
),BE
(Sof
twar
e)(A
uckl
and)
.
Dr. Jutta van den Boom¹Dr. Sumedh Kanade²
This was theexpected pathway.
This is the actualpathway - generatedby the process miningsoftware.
• Process mining can yield useful insights into the actualpatient journey unfolding in complex healthcare settings.
• It allows checking for conformance with expectedguidelines, discovery of inefficiencies such as bottlenecks,as well as enabling high-level exploration of what ishappening.
• However, for process mining to be a practical tool forcontinuous improvement, the extraction of events from ITsystems needs to happen in an automated way.
• Manually assembling the event log is very time-consuming• Process-aware information systems (PAIS) are ITsystems that can automate the generation of event logs.
• PAIS may be worth considering if process mining feels likethe right fit for your hospital.
3.D
isco
byFl
uxic
on(h
ttps
://flu
xico
n.co
m/d
isco
)4.
This
post
erha
sbe
ende
sign
edus
ing
reso
urce
sfr
omFr
eepi
k.co
m
Recommended