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1.
J Biomed Inform ; 130: 104083, 2022 06.
Article in English | MEDLINE | ID: mdl-35504544

ABSTRACT

The focus of this paper is on how data quality can affect business process discovery in real complex environments, which is a major factor determining the success in any data-driven Business Process Management project. Many real-life event logs, especially healthcare ones, can suffer from several data quality issues, some of which cannot be solved by pre-processing or data cleaning techniques, leading to inaccurate results. We take an innovative Process Mining (PM) approach, termed Interactive Process Discovery (IPD), which combines domain knowledge with available data. This approach can overcome the limitations of noisy and incomplete event logs by putting "humans in the loop", leading to improved business process modelling. This is particularly valuable in healthcare, where physicians have a tacit domain knowledge not available in the event log, and, thus, difficult to elicit. We conducted a two-step approach based on a controlled experiment and a case study in an Italian hospital. At each step, we compared IPD with traditional PM techniques to assess the extent to which domain knowledge helps to improve the accuracy of process models. The case study tests the effectiveness of IPD to uncover knowledge-intensive processes extracted from noisy real-life event logs. The evaluation has been carried out by exploiting a real dataset of an Italian hospital, involving the medical staff. IPD can produce an accurate process model that is fully compliant with the clinical guidelines by addressing data quality issues. Accurate and reliable process models can support healthcare organizations in detecting process-related issues and in taking decisions related to capacity planning and process re-design.


Subject(s)
Data Accuracy , Delivery of Health Care , Commerce , Hospitals , Humans
2.
Article in English | MEDLINE | ID: mdl-32131516

ABSTRACT

Process mining has been successfully applied in the healthcare domain and has helped touncover various insights for improving healthcare processes. While the benefits of process miningare widely acknowledged, many people rightfully have concerns about irresponsible uses of personaldata. Healthcare information systems contain highly sensitive information and healthcare regulationsoften require protection of data privacy. The need to comply with strict privacy requirements mayresult in a decreased data utility for analysis. Until recently, data privacy issues did not get muchattention in the process mining community; however, several privacy-preserving data transformationtechniques have been proposed in the data mining community. Many similarities between datamining and process mining exist, but there are key differences that make privacy-preserving datamining techniques unsuitable to anonymise process data (without adaptations). In this article, weanalyse data privacy and utility requirements for healthcare process data and assess the suitabilityof privacy-preserving data transformation methods to anonymise healthcare data. We demonstratehow some of these anonymisation methods affect various process mining results using three publiclyavailable healthcare event logs. We describe a framework for privacy-preserving process mining thatcan support healthcare process mining analyses. We also advocate the recording of privacy metadatato capture information about privacy-preserving transformations performed on an event log.


Subject(s)
Algorithms , Data Mining , Privacy , Data Mining/ethics , Data Mining/methods , Delivery of Health Care , Humans , Organizations
3.
Softw Syst Model ; 17(2): 599-631, 2018.
Article in English | MEDLINE | ID: mdl-29706859

ABSTRACT

Considerable amounts of data, including process events, are collected and stored by organisations nowadays. Discovering a process model from such event data and verification of the quality of discovered models are important steps in process mining. Many discovery techniques have been proposed, but none of them combines scalability with strong quality guarantees. We would like such techniques to handle billions of events or thousands of activities, to produce sound models (without deadlocks and other anomalies), and to guarantee that the underlying process can be rediscovered when sufficient information is available. In this paper, we introduce a framework for process discovery that ensures these properties while passing over the log only once and introduce three algorithms using the framework. To measure the quality of discovered models for such large logs, we introduce a model-model and model-log comparison framework that applies a divide-and-conquer strategy to measure recall, fitness, and precision. We experimentally show that these discovery and measuring techniques sacrifice little compared to other algorithms, while gaining the ability to cope with event logs of 100,000,000 traces and processes of 10,000 activities on a standard computer.

4.
Inf Syst ; 54: 209-234, 2015 Dec.
Article in English | MEDLINE | ID: mdl-26635430

ABSTRACT

In recent years, monitoring the compliance of business processes with relevant regulations, constraints, and rules during runtime has evolved as major concern in literature and practice. Monitoring not only refers to continuously observing possible compliance violations, but also includes the ability to provide fine-grained feedback and to predict possible compliance violations in the future. The body of literature on business process compliance is large and approaches specifically addressing process monitoring are hard to identify. Moreover, proper means for the systematic comparison of these approaches are missing. Hence, it is unclear which approaches are suitable for particular scenarios. The goal of this paper is to define a framework for Compliance Monitoring Functionalities (CMF) that enables the systematic comparison of existing and new approaches for monitoring compliance rules over business processes during runtime. To define the scope of the framework, at first, related areas are identified and discussed. The CMFs are harvested based on a systematic literature review and five selected case studies. The appropriateness of the selection of CMFs is demonstrated in two ways: (a) a systematic comparison with pattern-based compliance approaches and (b) a classification of existing compliance monitoring approaches using the CMFs. Moreover, the application of the CMFs is showcased using three existing tools that are applied to two realistic data sets. Overall, the CMF framework provides powerful means to position existing and future compliance monitoring approaches.

5.
IEEE Trans Neural Netw Learn Syst ; 25(1): 154-71, 2014 Jan.
Article in English | MEDLINE | ID: mdl-24806651

ABSTRACT

Although most business processes change over time, contemporary process mining techniques tend to analyze these processes as if they are in a steady state. Processes may change suddenly or gradually. The drift may be periodic (e.g., because of seasonal influences) or one-of-a-kind (e.g., the effects of new legislation). For the process management, it is crucial to discover and understand such concept drifts in processes. This paper presents a generic framework and specific techniques to detect when a process changes and to localize the parts of the process that have changed. Different features are proposed to characterize relationships among activities. These features are used to discover differences between successive populations. The approach has been implemented as a plug-in of the ProM process mining framework and has been evaluated using both simulated event data exhibiting controlled concept drifts and real-life event data from a Dutch municipality.

7.
J Am Med Inform Assoc ; 14(6): 781-7, 2007.
Article in English | MEDLINE | ID: mdl-17712087

ABSTRACT

OBJECTIVES: Languages used to specify computer-interpretable guidelines (CIGs) differ in their approaches to addressing particular modeling challenges. The main goals of this article are: (1) to examine the expressive power of CIG modeling languages, and (2) to define the differences, from the control-flow perspective, between process languages in workflow management systems and modeling languages used to design clinical guidelines. DESIGN: The pattern-based analysis was applied to guideline modeling languages Asbru, EON, GLIF, and PROforma. We focused on control-flow and left other perspectives out of consideration. MEASUREMENTS: We evaluated the selected CIG modeling languages and identified their degree of support of 43 control-flow patterns. We used a set of explicitly defined evaluation criteria to determine whether each pattern is supported directly, indirectly, or not at all. RESULTS: PROforma offers direct support for 22 of 43 patterns, Asbru 20, GLIF 17, and EON 11. All four directly support basic control-flow patterns, cancellation patterns, and some advance branching and synchronization patterns. None support multiple instances patterns. They offer varying levels of support for synchronizing merge patterns and state-based patterns. Some support a few scenarios not covered by the 43 control-flow patterns. CONCLUSION: CIG modeling languages are remarkably close to traditional workflow languages from the control-flow perspective, but cover many fewer workflow patterns. CIG languages offer some flexibility that supports modeling of complex decisions and provide ways for modeling some decisions not covered by workflow management systems. Workflow management systems may be suitable for clinical guideline applications.


Subject(s)
Practice Guidelines as Topic , Programming Languages , Decision Support Systems, Clinical , Software
8.
J Biomed Inform ; 40(5): 486-99, 2007 Oct.
Article in English | MEDLINE | ID: mdl-17258510

ABSTRACT

The management of chronic and out-patients is a complex process which requires the cooperation of different agents belonging to several organizational units. Patients have to move to different locations to access the necessary services and to communicate their health status data. From their point of view there should be only one organization (Virtual Health-Care Organization) which provides both virtual and face-to-face encounters. In this paper we propose the Serviceflow Management System as a solution to handle these information and the communication requirements. The system consists of: (a) the model of the care process represented as a Serviceflow and developed using the Workflow Management System YAWL; (b) an organizational ontology representing the VHCO; and (c) agreements and commitments between the parties defined in a contract (represented as an XML document). On the basis of a general architecture we present an implementation in the area of Diabetes management.


Subject(s)
Delivery of Health Care/organization & administration , Expert Systems , Internet , Management Information Systems , Models, Organizational , Telemedicine/methods , Telemedicine/organization & administration , Delivery of Health Care/methods , Italy , User-Computer Interface
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