Abstract
Variations that exist in the treatment of patients (with similar symptoms) across different hospitals do substantially impact the quality and costs of healthcare. Consequently, it is important to understand the similarities and differences between the practices across different hospitals. This paper presents a case study on the application of process mining techniques to measure and quantify the differences in the treatment of patients presenting with chest pain symptoms across four South Australian hospitals. Our case study focuses on cross-organisational benchmarking of processes and their performance. Techniques such as clustering, process discovery, performance analysis, and scientific workflows were applied to facilitate such comparative analyses. Lessons learned in overcoming unique challenges in cross-organisational process mining, such as ensuring population comparability, data granularity comparability, and experimental repeatability are also presented.
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References
Lowthian, J.A., Curtis, A.J., Jolley, D.J., Stoelwinder, J.U., McNeil, J.J., Cameron, P.A.: Demand at the emergency department front door: 10-year trends in presentations. The Medical Journal of Australia 196(2), 128–132 (2012)
Odden, M., Coxson, P., Moran, A., Lightwood, J., Goldman, L., Bibbins-Domingo, K.: The impact of the aging population on coronary heart disease in the United States. The American Journal of Medicine 124(9), 827–833 (2011)
Runciman, W.B., Hunt, T.D., Hannaford, N.A., Hibbert, P.D., Westbrook, J.I., Coiera, E.W., Day, R.O., Hindmarsh, D.M., McGlynn, E.A., Braithwaite, J.: CareTrack: Assessing the appropriateness of health care delivery in Australia. The Medical Journal of Australia 197(2), 100–105 (2012)
van der Aalst, W., et al.: Process mining manifesto. In: Daniel, F., Barkaoui, K., Dustdar, S. (eds.) BPM Workshops 2011, Part I. LNBIP, vol. 99, pp. 169–194. Springer, Heidelberg (2012)
Partington, A., Wynn, M.T., Suriadi, S., Ouyang, C., Karnon, J.: Process mining for clinical processes: A comparative analysis of four Australian hospitals. Technical Report 66728, Queensland University of Technology (2013), http://eprints.qut.edu.au/66728 (last accessed March 4, 2014)
World Health Organization: International statistical classification of disease and related health problems - Tenth Revision (ICD-10), Geneva (1992)
Eck, M.: Timestamps Within Healthcare Process Mining Logs. Master’s thesis, Eindhoven University of Technology, Eindhoven (2013)
Weijters, A.J.M.M., van der Aalst, W.M.P., Medeiros, A.K.A.: Process mining with the heuristic miner-algorithm. Technical report, Eindhoven University of Technology (2006)
van der Aalst, W.M.P.: Decomposing process mining problems using passages. In: Haddad, S., Pomello, L. (eds.) PETRI NETS 2012. LNCS, vol. 7347, pp. 72–91. Springer, Heidelberg (2012)
Günther, C.W., van der Aalst, W.M.P.: Fuzzy mining- adaptive process simplification based on multi-perspective metrics. In: Alonso, G., Dadam, P., Rosemann, M. (eds.) BPM 2007. LNCS, vol. 4714, pp. 328–343. Springer, Heidelberg (2007)
Adriansyah, A., van Dongen, B., van der Aalst, W.M.P.: Conformance Checking using Cost-Based Fitness Analysis. In: EDOC, pp. 55–64. IEEE (2011)
Witten, I., Frank, E., Hall, M.A.: Data Mining: Practical Machine Learning Tools and Techniques. Morgan Kaufmann (2011)
Quinlan, J.R.: C4.5: programs for machine learning. Morgan Kaufmann Publishers Inc., San Francisco (1993)
Webster, C.: EHR business process management: From process mining to process improvement to process usability. In: HSPI, Las Vegas, USA (2012)
Mans, R.S., van der Aalst, W.M.P., Vanwersch, R.J.B., Moleman, A.J.: Process Mining in Healthcare: Data challenges when answering frequently posed questions. In: Lenz, R., Miksch, S., Peleg, M., Reichert, M., Riaño, D., ten Teije, A. (eds.) ProHealth 2012 and KR4HC 2012. LNCS, vol. 7738, pp. 140–153. Springer, Heidelberg (2013)
Mans, R., Schonenberg, H., Leonardi, G., Panzarasa, S., Cavallini, A., Quaglini, S., van der Aalst, W.M.P.: Process mining techniques: An application to stroke care. In: MIE. Stud. in Health Tech. and Inf., vol. 136, pp. 573–578. IOS Press (2008)
Rebuge, A., Ferreira, D.: Business process analysis in healthcare environments: A methodology based on process mining. Inf. Syst. 37(2), 99–116 (2012)
Perimal-Lewis, L., Qin, S., Thompson, C., Hakendorf, P.: Gaining Insight from Patient Journey Data using a Process-Oriented Analysis Approach. In: HIKM 2012. CRPIT, vol. 129, pp. 59–66. ACS (2012)
Poelmans, J., Dedene, G., Verheyden, G., Van der Mussele, H., Viaene, S., Peters, E.: Combining Business Process and Data Discovery Techniques for Analyzing and Improving Integrated Care Pathways. In: Perner, P. (ed.) ICDM 2010. LNCS, vol. 6171, pp. 505–517. Springer, Heidelberg (2010)
Blum, T., Padoy, N., Feußner, H., Navab, N.: Workflow mining for visualisation and analysis of surgeries. J. of Comp. Assist. Rad. and Surgery 3(5), 379–386 (2008)
Binder, M., et al.: On Analyzing Process Compliance in Skin Cancer Treatment: An Experience Report from the Evidence-Based Medical Compliance Cluster (EBMC2). In: Ralyté, J., Franch, X., Brinkkemper, S., Wrycza, S. (eds.) CAiSE 2012. LNCS, vol. 7328, pp. 398–413. Springer, Heidelberg (2012)
McGregor, C., Catley, C., James, A.: A Process Mining Driven Framework for Clinical Guideline Improvement in Critical Care. In: LEMEDS, pp. 35–46 (2011)
Lang, M., Bürkle, T., Laumann, S., Prokosch, H.: Process Mining for Clinical Workflows: Challenges and Current Limitations. In: MIE. Stud. in Health Tech. and Inf., vol. 136, pp. 229–234. IOS Press (2008)
Bose, R.P.J.C., van der Aalst, W.M.P.: Analysis of patient treatment procedures. In: Daniel, F., Barkaoui, K., Dustdar, S. (eds.) BPM Workshops 2011, Part I. LNBIP, vol. 99, pp. 165–166. Springer, Heidelberg (2012)
Mendling, J.: Metrics for Business Process Models - Empirical Foundations of Verification, Error Prediction, and Guidelines for Correctness. LNBIP, vol. 6. Springer (2008)
Dijkman, R., Dumas, M., van Dongen, B., Kaarik, R., Mendling, J.: Similarity of business process models: metrics and evaluation. Inf. Sys. 36(2), 498–516 (2011)
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Suriadi, S., Mans, R.S., Wynn, M.T., Partington, A., Karnon, J. (2014). Measuring Patient Flow Variations: A Cross-Organisational Process Mining Approach. In: Ouyang, C., Jung, JY. (eds) Asia Pacific Business Process Management. AP-BPM 2014. Lecture Notes in Business Information Processing, vol 181. Springer, Cham. https://doi.org/10.1007/978-3-319-08222-6_4
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DOI: https://doi.org/10.1007/978-3-319-08222-6_4
Publisher Name: Springer, Cham
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