Hospital Information Systems Optimization

This assignment delves into the challenges of managing vast amounts of data and personnel within a hospital setting. It emphasizes the need for efficient process support using concepts like business process management (BPM), business process development, and business process layering. The focus is on identifying key information management features in hospital processes, analyzing their impact on tool layers, and defining criteria for high-quality Maroondah Hospital Information Systems.

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CASE STUDY OF BPM
Business Process management: Case Study Analysis
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Executive Summary
It important for any hospital to keep track of all of the patients’ communication with the
institution but the systems usually gives importance to documentation of manual healthcare
procedures. This is done to fulfil the compliance and regulatory needs rather than giving the best
quality of care to patients. For having a better patient care standards in this era of changing best
practices, ageing population, rising expenses, data explosion and payment reforms, it is no longer
possible to depend on manual procedures (Szelągowski, 2014).
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Table of Contents
Executive Summary...............................................................................................................................2
Part 1......................................................................................................................................................4
Introduction..................................................................................................................................4
Level 1 BPM notation. This is an AS-IS diagram.......................................................................4
Use of BPM in the Maroondah hospital.......................................................................................5
BPM.............................................................................................................................................6
Conclusion...................................................................................................................................8
Part 2 Report..........................................................................................................................................9
Executive summary......................................................................................................................9
Introduction..................................................................................................................................9
The healthcare organisation, its structure and culture and how these impact on their processes
and process re-design projects.....................................................................................................9
Business process layers..............................................................................................................10
Interlayer relations.....................................................................................................................13
Recommendation.......................................................................................................................13
References............................................................................................................................................15
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Part 1
Introduction
Looking at the given case study the major issue is that the health care procedures have to be
automated in all the possible manners. Due to this, the business process management systems
come into picture to this. This means that the workflow integration, regulations and analytics
have been highly contributory for improvement of the efficiency, quality, and the flexibility of
the processes of the Maroondah hospital. This report shows how BPM technologies can be
utilised with the given Maroondah hospital for improvement of compliance, quality of care and
success.
Level 1 BPM notation. This is an AS-IS diagram
The General Medical Process (AS-IS)
The procedure initiates with the receptionist who registers a patient at the front desk and gives an
appointment for the initial checkups (Miers, 2006). This check up is performed by the Doctor
Who then tells the further course of action. In case the person is needed to be admitted then that
England's for admission are made else the patient is guided it to the next step. Similarly if the
patient is to be assisted by some other doctor then also a reference is made. It depends on the
condition of the patient and this one is admitted them the necessary procedures are undertaken
and before discharge all the tests are carried out. All this requires the proper planning and
appointments because for the therapy, test, any surgery, doctor’s checkups and all the procedure
is there is importance of appointments. In case the person comes in an emergent situation then
there is a separate doctor and separate team for diagnosis so that the procedure can be undertaken
and there is no hindrance. But once the patient is admitted, and then the necessary therapies and
steps are undertaken in a planned manner.
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Source: (Self-Powered Wireless Sensor Networks for Remote Patient Monitoring in Hospitals,
2006)
Use of BPM in the Maroondah hospital
In this case study it is clearly seen that the rise in population is an increase in demand of
Maroondah hospital has made earlier procedures to be redundant. The major issue which would
be analysed in this report is that on the external and internal interactions of this Maroondah
hospital have to be centralised. There is a need for ensuring punctuality and huge collaboration
among different units which are working with an inside the Maroondah hospital.
It is important for Maroondah hospital to fulfil the high dependability standards for ensuring
compliance with the industrial tools and it's on best practices for avoidance of any mishaps. The
process improvement and automation can be the basis for resolving inefficiency and for reducing
the expenses whereas process intelligence can be utilised for improving the decision making and
quality of patient care (Ahn, Park and Kim, 2013).
It is important for Maroondah hospital to integrate BPM with the line of business so that an
efficient situation can be created which would allow the Maroondah hospital s workers to focus
on the patient. This integration would be useful for the healthcare workers for using the
procedures which are modelled for reflecting the guidelines and decisional rolls and there will be
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full access to the patient’s details by their electronic reports. Resolving this issue, BPM can be
utilised for managing the procedure is in date as all over the different aspects of patient care and
linking the right individual with the right work and details at the right time along with the
capacity to speedily change according to the changing needs. The workflow cannot be seen as an
afterthought but it can be observed how workflow can leave the rest for accomplishing the
strategic objectives for both – the patient care metrics and costs (Kim, Kim and Moon, 2016).
The workflows are part of the planning phase and it is always important to think in advance how
workflow can be best leveraged.
By the use of BPM, the effective communication and patient care quality or not anymore
conflicting aims of the Maroondah hospital. My application of BPM in the Maroondah hospital,
the following can be achieved:
 Enforcing standard procedures and protocols for reduction of adverse events and for
improvement of safety of patients.
 Automating non value-added activities like scheduling of the notification so that the
healthcare workers can utilise their time towards focusing on the patient care.
 Monitoring, protecting and improving the care procedures when the patient care is in
progress and not once the patient has already been discharged.
 Predicting and avoiding Resource bottlenecks before their occurrence.
 Automating the alerts for time sensitive situations, on the basis of key signals of analytics
and monitoring.
 Reducing the waste in the procedures with respect to meeting time, excessive inventory and
resources.
 Capturing quality and compliance matrix for reduction of regulatory documents and
paperwork.
BPM
BPM has grown from its initiation in the workflow and integration for becoming an array of
technologies to make the business procedures better. When the BPM is integrated into
industrial applications then it is it released for providing Administration and monitoring of the
business procedures in the informational respect. The utilities and capacities of BPM in
Maroondah hospital would be many however a few major ones have been explained below:
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 Process modelling: it would help the procedure in the Kind of graphs, flowcharts and other
images which can have quick details of the patient. It would involve both the automated
and human tasks. Modelling in Maroondah hospital would involve optimisation approaches
and analysis like the procedure simulation wearing any task happens in assimilated one time
setting for identifying the bottlenecks, identifying the needed resources and wearing what–if
scenarios before moving the same to the active production environment.
 Structured process application: It runs the predefined procedure is model for all the
Maroondah hospital, with very less variations. The individuals, who are on roll, are assigned
with the human tasks and all other systems okay communicated by the automated scripts
which are run for getting out automated processes. These automated Tasks would involve the
laying down of procedure manuals, guidelines for my instructions from a checklist and
standard steps which would be the key to the standardisation of Maroondah hospital
procedure. This would also keep report of metrics that would reflect the documents at
hearings to the standards. These registers have to be highly integrated with the Maroondah
hospital s Information Systems along with the communication with sensors and tools for
automating the procedure of capturing vital statistics of the patient.
 Dynamic procedure application: it is also known as the goal oriented case management as it
permits any contributed to make task for a particular case. These procedures can be utilised
for the outpatient situations which are very critical. In these situations the actions that
specific time our highly relying on the current situation (A Storage and a Research Model of
Medical Imaging in a Hospital Information System, 2016). It might be difficult for define
take me the whole of the care procedures in advance, yet the case can be made by the
individual and different activities can be chosen as the case progresses. Here in the tasks
might not take place in a particular order however they would be there on the check list of
tasks to be carried out. Even though there is structuring needed for every case still the cases
have a folder which have various unstructured documents which can be useful for the
procedure. Generally, the aim of structured communication and documentation procedure is
to give better quality better safety and efficiency by standardising and increasing automation.
On the contrary, the current unstructured procedures would be used in a flexible manner and
supportive way however would not be used for control of the human knowledge book. Even
though the aims of structured and unstructured procedures or not conflicting still they seem
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to be highly different for the tools which are utilised for designing from executing and
monitoring (Schaffer and Kachalia, 2012).
Business rules follow these have to be incorporated in all the processes, whether structured or
dynamic. This business rules are useful for enforcing the best practices. These rules might
assess a complex set of situations and provide with the most suitable decision for the next
activity. Then the process is carried on the basis of the decision by change in the participants,
escalation of the case for Quick attention or for triggering the automatic activities.
 Process intelligence: the procedure intelligence gathers data regarding procedures as they
happen, then assesses and shows that information to keep track of the KPIs.
Conclusion
It is important to include the structure procedures and the dynamic case management so that the
high-value can be added to those procedures. The integration of process automation, guidelines,
rules, people and analytics can make the care quality to be better along with the achievement of
regulatory compliances and managerial effectiveness.
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Part 2 Report
Executive summary
Since the healthcare industry is rapidly evolving, this requires tools which have to be maintained.
The areas which need to be improved in terms of processing are
 Claim processing: it is a complicated task which includes compliance and reporting that and
it also needs smooth flow of data (Ratnaningtyas and Surendro, 2013). BPM technology can
make this process easier by streamlining all the linked activities. The claims and patient's
requests can be managed in a quick way and can be monitored at each step so that the
tracking and prioritising of claims is possible.
 Big data, it means there is a huge amount of data which is accessible by the firms by
proliferation of web pages. It is expressed in way of velocity, variety and volume. The
electronic health records are useful for making the huge amount of healthcare data to be
shareable and accessible. By use of BPM, the healthcare organisations are their information
and improve its way of being utilised.
 Software applications: by BPM, the gap can be filled which occurred by use of multiple
software applications, when the routine healthcare procedures are undertaken.
Introduction
The procedures that Maroondah hospital has were most likely built and found in the periods of
50s, 60s, 70s, perchance even the 80s too. However they’re not appropriate for the complication
that is seen nowadays. Patients have long-standing lives and they’re existing with lots of constant
diseases. Thus, the type of care they need includes large patient-care teams to take care of them.
The fundamental procedures in Maroondah hospital s - and in healthcare in general - have not in
fact adjusted to the complication needed now to deal with the requirements of the patients.
The healthcare organisation, its structure and culture and how these impact on their
processes and process re-design projects
The healthcare may be similar to different industries also; still there are some technologies which
have to be introduced so that the processes of this industry become more. For this it was
important to break down the whole of the life cycle of the medical documents from beginning to
the end, and know about the key steps which were needed. Once the process is understood, it is
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important to go to the subsequent level by leveraging BPM. For this it was important to break
down the whole of the life cycle of the medical documents from beginning to the end, and know
about the key steps which were needed. Once the process is understood, it is important to go to
the subsequent level by leveraging BPM. This means, wherever possible, the right information
has to be attached with the appropriate policies of the business and appropriate messaging
with the right alerts for the right time at each step. When there had been no systems, there had
been manual health records to check the procedure and progress of the treatment.
Business process layers
Source: (Tavana, Ghapanchi and Talaei-Khoei, 2010)
 Domain layer: In the domain there are two concepts utilised which are- tasks and object
types. An object that is the picture of the checks which have similar characteristics. For
instance: cases for the patient, outcomes of the laboratory. The task is any Guideline for the
machinery of human activity without any start or any end. The task can also be known as the
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duty which comes out from the goals and policies of the enterprise. Example of this would be
nursing, treatment procedures and admission procedure of the patient.
Source: (Tavana, Ghapanchi and Talaei-Khoei, 2010)
Source: (Tavana, Ghapanchi and Talaei-Khoei, 2010)
 Logical tool layer: Around the application elements which might be installed and changed in
the software items of operational plans. Within this layer, there is description of the way in
which information is recorded and the way it is communicated. Application elements might
have a local database system for recording the data and these are managed by application
programs which the software to write. This software to be installed in various physical data
processing units.
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Source: (Tavana, Ghapanchi and Talaei-Khoei, 2010)
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 Physical tool layer: it is a group of physical data processing elements such as the switches,
PCs, servers, routers etc. The set of these connections physical networking based on the
Internet protocol is logical and physical network.
Source: (Tavana, Ghapanchi and Talaei-Khoei, 2010)
Interlayer relations
The inter layer relations our connections amongst different kinds of layers. The figure shows
how these layers are interconnected and the links and relationships are as below information
regarding the objects has to be logically reported in any database system.
Information regarding the tax has to be transferred and communicated through interfaces.
The carrying out of a task or any component of a task is giving and support through any
application elements.
The application elements are installed on any physical data processing tools.
Recommendation
It is recommended that the healthcare organisation which has been given in the case study
focuses on the ways of streamlining the processes so that high-quality care can be delivered and
the cost can be reduced simultaneously (Verner, 2004). It is important to know that healthcare
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procedures are highly complicated and this involves the managerial and clinical tasks with huge
amount of data and huge number of patients and employees. Therefore it is important to have
population among barriers organisational units and medical studies. In this kind of situation, it is
important to have optimum process support. This can be achieved by matching concept of
business process, business process development and Business process layering by use of the
most suitable software and technical advancements.
It is also important that the next steps should be concentrating on the below aspects:
 What features of the business process on the domain there are important for managing
information and how these can be defined?
 Looking at the business procedures, how their magical and physical tool layers get impacted?
 How can there be high quality of Maroondah hospital Information Systems and what would
be the semantic criteria thereof?
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References
A Storage and a Research Model of Medical Imaging in a Hospital Information System.
(2016). International Journal of Science and Research (IJSR), 5(5), pp.420-423.
Ahn, H., Park, C. and Kim, K. (2013). A BPM Activity-Performer Correspondence Analysis
Method. Journal of Korean Society for Internet Information, 14(4), pp.63-72.
Kim, H., Kim, S. and Moon, J. (2016). A Study on the Causal Relationship on the Information
System to Compare Hotel Information System with Hospital Information System in
Korea. International Journal of Software Engineering and Its Applications, 10(8), pp.173-184.
Miers, D. (2006). Best practice (BPM). Queue, 4(2), p.40.
Ratnaningtyas, D. and Surendro, K. (2013). Information Quality Improvement Model on
Hospital Information System Using Six Sigma. Procedia Technology, 9, pp.1166-1172.
Schaffer, A. and Kachalia, A. (2012). The Medical Liability System: Essential Information for
the Hospitalist. Hospital Medicine Clinics, 1(2), pp.e276-e287.
Self-Powered Wireless Sensor Networks for Remote Patient Monitoring in Hospitals. (2006).
Molecular Diversity Preservation International.
Szelągowski, M. (2014). The consequences of dynamic BPM. e-mentor, 2014(56 (4), pp.61-68.
Tavana, M., Ghapanchi, A. and Talaei-Khoei, A. (2010). Healthcare informatics and analytics.
Verner, L. (2004). BPM: The Promise and the Challenge. Queue, 2(1), p.82.
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Appendix
Business process layers
Source: (Tavana, Ghapanchi and Talaei-Khoei, 2010)
Source: (Tavana, Ghapanchi and Talaei-Khoei, 2010)
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Source: (Tavana, Ghapanchi and Talaei-Khoei, 2010)
Source: (Tavana, Ghapanchi and Talaei-Khoei, 2010)
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Source: (Tavana, Ghapanchi and Talaei-Khoei, 2010)
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