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Modeling Clinical Workflows with BPMN 2.0: Analytic Level Tasks and Gateways
Jerome Carter, MD  July 6, 2016

Well, we have reached the final installment of the introductory BPMN modeling tutorial.  While this series has focused on BPMN, the underlying goal was looking at clinical work modeling challenges.  With this in mind, only BPMN elements most helpful in modeling clinical work have been used. 

Send and Receive tasks make their first appearance in Level 2 BPMN 2.0.  Send tasks make it possible to create explicit messages within a process flow and attach conditions; something events cannot do.  Send tasks may have boundary events (e.g., an error), which is not possible with message events.  In clinical settings, this comes in handy.    The definition of what constitutes an error within a process is up to the modeler.   There are many times when a communication MUST happen, and one needs a way to react if the message is not sent.  For example, one could have a Send task that represents STAT lab results, and failure to send the results (for whatever reason) would result in an error.    In executable BPMN 2.0, a Send task is equated with an automated action (e.g., web service).   (More...)

Modeling Clinical Workflows with BPMN 2.0: Analytic Level Events
Jerome Carter, MD  June 28, 2016

Modeling Clinical Workflows with BPMN 2.0: Ordering a Medication
Jerome Carter, MD   April 18, 2016

Modeling Clinical Workflows with BPMN 2.0: A Closer Look at Events and Subprocesses
Jerome Carter, MD   March 28, 2016

Modeling Clinical Workflows with BPMN 2.0: Tasks, Roles, and Data
Jerome Carter, MD   March 21, 2016

Modeling Clinical Workflows with BPMN 2.0: Terminology and Symbols
Jerome Carter, MD   March 14, 2016

Modeling Clinical Workflows with BPMN 2.0: An Overview of BPMN
Jerome Carter, MD    March 7, 2016 

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Bridging the Gap: Bringing BPM to Clinical Care
Jerome  Carter, MD  June 20, 2016

For the last few weeks, I have been writing less and planning more. As plans work out, new plans are required, and lately, it seems about every three months I have to stop and recalibrate. The plan for the next six-month cycle includes two BPM/workflow tutorials and the outline for a book on clinical process management. For the tutorials and the book, I have been experimenting with BPMN modeling and investigating BPM products, which means contacting companies, looking closely at product offerings, reviewing product-focused tutorials, and similar activities. Wrangling BPM to fit clinical care is proving to be an interesting challenge.

When creating clinical process models, one of the first things that jumps out is how decision-making in clinical care differs radically from most business domains. Clinical professionals are expected to review data and make decisions, and while there may be protocols, is it rare that clinical judgment may not override them. Of course, there are many parallels between healthcare and other business domains—all have registration, accounts, billing, inventory—and in my experience, modeling for these types of processes differs very little across domains. However, EHR systems are targeted at clinical professionals, and their processes and activities have much less in common with typical business processes. (More...)

Achieving Task and Workflow Interoperability in Healthcare, V
Charles Webster, MD, MSIE, MSIS  December 13, 2015

Achieving Task and Workflow Interoperability in Healthcare, IV
Charles Webster, MD, MSIE, MSIS  December 13, 2015

Achieving Task and Workflow Interoperability in Healthcare, III
Charles Webster, MD, MSIE, MSIS  December 6, 2015

Achieving Task and Workflow Interoperability in Healthcare, II
Charles Webster, MD, MSIE, MSIS, November 29, 2015

Achieving Task and Workflow Interoperability in Healthcare: All Together Now!
Charles Webster, MD, MSIE, MSIS, November 22, 2015

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