Converting clinical pathways to bpm+ standards: A case study in stable ischemic heart disease

Junghoon Chae; Byung Hoon Park; Makoto Jones; Merry Ward; Jonathan Nebeker

doi:10.1109/CBMS49503.2020.00092

Converting clinical pathways to bpm+ standards: A case study in stable ischemic heart disease

Junghoon Chae
, Byung Hoon Park
, Makoto Jones
, Merry Ward
, Jonathan Nebeker

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

2 Scopus citations

Abstract

Clinical pathways (CPs) are structured healthcare plans designed to implement evidence-based clinical guidelines, medical algorithms, and protocols. In recent years, a community called BPM+ Health has worked to establish a shareable and computer-consumable representation of CP, leveraging standard notations. These notations, collectively referred to as BPM+, include the Business Process Management and Notation (BPMN), Case Management Model and Notation (CMMN), and Decision Model and Notation (DMN), which aim to support clinical management and standardized communication between different stakeholders. However, the adaptation of these notations for the existing guidelines has largely been left unexplored. This paper introduces procedural steps and criteria considerations to apply components of BPM+ notations to reconstruct a guideline for Stable Ischemic Heart Disease. This paper describes how each of the three different notations is mapped to a medical guideline and discusses the advantages and limitations of representing CPs with BPM+ as compared with paper-based medical guidelines.

Original language	English
Title of host publication	Proceedings - 2020 IEEE 33rd International Symposium on Computer-Based Medical Systems, CBMS 2020
Editors	Alba Garcia Seco de Herrera, Alejandro Rodriguez Gonzalez, KC Santosh, Zelalem Temesgen, Bridget Kane, Paolo Soda
Publisher	Institute of Electrical and Electronics Engineers Inc.
Pages	453-456
Number of pages	4
ISBN (Electronic)	9781728194295
DOIs	https://doi.org/10.1109/CBMS49503.2020.00092
State	Published - Jul 2020
Event	33rd IEEE International Symposium on Computer-Based Medical Systems, CBMS 2020 - Virtual, Online, United States Duration: Jul 28 2020 → Jul 30 2020

Publication series

Name	Proceedings - IEEE Symposium on Computer-Based Medical Systems
Volume	2020-July
ISSN (Print)	1063-7125

Conference

Conference	33rd IEEE International Symposium on Computer-Based Medical Systems, CBMS 2020
Country/Territory	United States
City	Virtual, Online
Period	07/28/20 → 07/30/20

Funding

This work is sponsored by the US Department of Veterans Affairs.

Keywords

BPM+
BPMN
CMMN
Clinical pathway
DMN

Access to Document

10.1109/CBMS49503.2020.00092

Cite this

Chae, J., Park, B. H., Jones, M., Ward, M., & Nebeker, J. (2020). Converting clinical pathways to bpm+ standards: A case study in stable ischemic heart disease. In A. G. S. de Herrera, A. Rodriguez Gonzalez, KC. Santosh, Z. Temesgen, B. Kane, & P. Soda (Eds.), Proceedings - 2020 IEEE 33rd International Symposium on Computer-Based Medical Systems, CBMS 2020 (pp. 453-456). Article 9182842 (Proceedings - IEEE Symposium on Computer-Based Medical Systems; Vol. 2020-July). Institute of Electrical and Electronics Engineers Inc.. https://doi.org/10.1109/CBMS49503.2020.00092

Chae, Junghoon ; Park, Byung Hoon ; Jones, Makoto et al. / Converting clinical pathways to bpm+ standards : A case study in stable ischemic heart disease. Proceedings - 2020 IEEE 33rd International Symposium on Computer-Based Medical Systems, CBMS 2020. editor / Alba Garcia Seco de Herrera ; Alejandro Rodriguez Gonzalez ; KC Santosh ; Zelalem Temesgen ; Bridget Kane ; Paolo Soda. Institute of Electrical and Electronics Engineers Inc., 2020. pp. 453-456 (Proceedings - IEEE Symposium on Computer-Based Medical Systems).

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title = "Converting clinical pathways to bpm+ standards: A case study in stable ischemic heart disease",

abstract = "Clinical pathways (CPs) are structured healthcare plans designed to implement evidence-based clinical guidelines, medical algorithms, and protocols. In recent years, a community called BPM+ Health has worked to establish a shareable and computer-consumable representation of CP, leveraging standard notations. These notations, collectively referred to as BPM+, include the Business Process Management and Notation (BPMN), Case Management Model and Notation (CMMN), and Decision Model and Notation (DMN), which aim to support clinical management and standardized communication between different stakeholders. However, the adaptation of these notations for the existing guidelines has largely been left unexplored. This paper introduces procedural steps and criteria considerations to apply components of BPM+ notations to reconstruct a guideline for Stable Ischemic Heart Disease. This paper describes how each of the three different notations is mapped to a medical guideline and discusses the advantages and limitations of representing CPs with BPM+ as compared with paper-based medical guidelines.",

keywords = "BPM+, BPMN, CMMN, Clinical pathway, DMN",

author = "Junghoon Chae and Park, \{Byung Hoon\} and Makoto Jones and Merry Ward and Jonathan Nebeker",

note = "Publisher Copyright: {\textcopyright} 2020 IEEE.; 33rd IEEE International Symposium on Computer-Based Medical Systems, CBMS 2020 ; Conference date: 28-07-2020 Through 30-07-2020",

year = "2020",

month = jul,

doi = "10.1109/CBMS49503.2020.00092",

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series = "Proceedings - IEEE Symposium on Computer-Based Medical Systems",

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Chae, J , Park, BH, Jones, M, Ward, M & Nebeker, J 2020, Converting clinical pathways to bpm+ standards: A case study in stable ischemic heart disease. in AGS de Herrera, A Rodriguez Gonzalez, KC Santosh, Z Temesgen, B Kane & P Soda (eds), Proceedings - 2020 IEEE 33rd International Symposium on Computer-Based Medical Systems, CBMS 2020., 9182842, Proceedings - IEEE Symposium on Computer-Based Medical Systems, vol. 2020-July, Institute of Electrical and Electronics Engineers Inc., pp. 453-456, 33rd IEEE International Symposium on Computer-Based Medical Systems, CBMS 2020, Virtual, Online, United States, 07/28/20. https://doi.org/10.1109/CBMS49503.2020.00092

Converting clinical pathways to bpm+ standards: A case study in stable ischemic heart disease. / Chae, Junghoon ; Park, Byung Hoon; Jones, Makoto et al.
Proceedings - 2020 IEEE 33rd International Symposium on Computer-Based Medical Systems, CBMS 2020. ed. / Alba Garcia Seco de Herrera; Alejandro Rodriguez Gonzalez; KC Santosh; Zelalem Temesgen; Bridget Kane; Paolo Soda. Institute of Electrical and Electronics Engineers Inc., 2020. p. 453-456 9182842 (Proceedings - IEEE Symposium on Computer-Based Medical Systems; Vol. 2020-July).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

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T2 - 33rd IEEE International Symposium on Computer-Based Medical Systems, CBMS 2020

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AU - Park, Byung Hoon

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AU - Ward, Merry

AU - Nebeker, Jonathan

PY - 2020/7

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N2 - Clinical pathways (CPs) are structured healthcare plans designed to implement evidence-based clinical guidelines, medical algorithms, and protocols. In recent years, a community called BPM+ Health has worked to establish a shareable and computer-consumable representation of CP, leveraging standard notations. These notations, collectively referred to as BPM+, include the Business Process Management and Notation (BPMN), Case Management Model and Notation (CMMN), and Decision Model and Notation (DMN), which aim to support clinical management and standardized communication between different stakeholders. However, the adaptation of these notations for the existing guidelines has largely been left unexplored. This paper introduces procedural steps and criteria considerations to apply components of BPM+ notations to reconstruct a guideline for Stable Ischemic Heart Disease. This paper describes how each of the three different notations is mapped to a medical guideline and discusses the advantages and limitations of representing CPs with BPM+ as compared with paper-based medical guidelines.

AB - Clinical pathways (CPs) are structured healthcare plans designed to implement evidence-based clinical guidelines, medical algorithms, and protocols. In recent years, a community called BPM+ Health has worked to establish a shareable and computer-consumable representation of CP, leveraging standard notations. These notations, collectively referred to as BPM+, include the Business Process Management and Notation (BPMN), Case Management Model and Notation (CMMN), and Decision Model and Notation (DMN), which aim to support clinical management and standardized communication between different stakeholders. However, the adaptation of these notations for the existing guidelines has largely been left unexplored. This paper introduces procedural steps and criteria considerations to apply components of BPM+ notations to reconstruct a guideline for Stable Ischemic Heart Disease. This paper describes how each of the three different notations is mapped to a medical guideline and discusses the advantages and limitations of representing CPs with BPM+ as compared with paper-based medical guidelines.

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KW - DMN

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M3 - Conference contribution

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BT - Proceedings - 2020 IEEE 33rd International Symposium on Computer-Based Medical Systems, CBMS 2020

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A2 - Kane, Bridget

A2 - Soda, Paolo

PB - Institute of Electrical and Electronics Engineers Inc.

Y2 - 28 July 2020 through 30 July 2020

ER -

Chae J , Park BH, Jones M, Ward M, Nebeker J. Converting clinical pathways to bpm+ standards: A case study in stable ischemic heart disease. In de Herrera AGS, Rodriguez Gonzalez A, Santosh KC, Temesgen Z, Kane B, Soda P, editors, Proceedings - 2020 IEEE 33rd International Symposium on Computer-Based Medical Systems, CBMS 2020. Institute of Electrical and Electronics Engineers Inc. 2020. p. 453-456. 9182842. (Proceedings - IEEE Symposium on Computer-Based Medical Systems). doi: 10.1109/CBMS49503.2020.00092

Converting clinical pathways to bpm+ standards: A case study in stable ischemic heart disease

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Keywords

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