fred a. cummins agile enterprise design - · pdf filethe procedures and activities required...
TRANSCRIPT
![Page 1: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/1.jpg)
Fred A. Cummins
Agile Enterprise Design
![Page 2: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/2.jpg)
This presentation is about a new modeling language that will transform care management
It is based on the Case Management Model and Notation (CMMN) specification proposed by the following organizations:
Agile Enterprise Design Sword-CiboodleCommitment Tibco SoftwareComputas UnisysCordys VisumpointSINTEF
July 13, 2011SOA in Healthcare Conference 2
![Page 3: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/3.jpg)
� The procedures and activities required for an individual patient are unpredictable
� Care requires expert planning, collaboration, decisions and professional judgment
� Treatment options, best practices and restrictions change over time.
� Work must be supported by well-defined and responsive services
July 13, 2011SOA in Healthcare Conference 3
![Page 4: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/4.jpg)
� Everybody is connected through the Internet
� Expectations associated with use of Health IT (e.g., “Meaningful use”) are very high
� Patient records are (or soon will be) electronically captured, exchanged and accessed
� The costs of computing, communications and data storage are negligible
� Demand to reduce the cost of health care is heightened
July 13, 2011SOA in Healthcare Conference 4
![Page 5: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/5.jpg)
� Participants can have rapid access to current and historical information, anytime, anywhere
� Policies and best practices can guide decisions
� Participants can be alerted to relevant changes in circumstances
� Alarms can be raised if actions are not timely
� Records can be immediately updated for analysis, collaboration, accountability and guidance
� Provide consistency, repeatability, and ultimately quality in support of care management
July 13, 2011SOA in Healthcare Conference 5
![Page 6: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/6.jpg)
� A case management modeling language is under development at the Object Management Group*
� A model will define treatment planning elements and guidance for improved care management
� Case management modeling will change the way we think about automation, collaboration and knowledge work.
July 13, 2011SOA in Healthcare Conference 6
* The Object Management Group is a not-for-profit standards body founded in 1989
![Page 7: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/7.jpg)
July 13, 2011SOA in Healthcare Conference 7
Manage operations- Tasks- Events- Planning- Decisions- Collaborations- Record-keeping
Plan
Patient
Case Management System
ExternalEvents
Objective &Requirements
TreatmentTeam
Case Type
Model
Applications
SupportingServicesCase File
(patient records)
![Page 8: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/8.jpg)
July 13, 2011SOA in Healthcare Conference 8
Completed PlannedNow
Case Plan (Execution)Pallet
Planable Elements Graphics for illustration only
![Page 9: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/9.jpg)
� Tasks◦ Participant activity
◦ Collaboration
◦ Engage a service
◦ Perform a computation
� Events◦ External events
◦ Change in the case
◦ Time expired
� Decisions◦ Plan alternatives
◦ Authorizations
� Plan fragments
July 13, 2011SOA in Healthcare Conference 9
![Page 10: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/10.jpg)
July 13, 2011SOA in Healthcare Conference 10
Now
Case Plan Pallet
![Page 11: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/11.jpg)
� Patient monitoring event
� Activity overdue
� Test results available
� Collaboration activity initiation
July 13, 2011SOA in Healthcare Conference 11
![Page 12: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/12.jpg)
July 13, 2011SOA in Healthcare Conference 12
Completed PlannedNow
Case Plan (Execution)Pallet
Fragment
Fragment containing a task pattern
![Page 13: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/13.jpg)
� Specific actions or decisions
� Access to patient-specific details
� Timely information and analysis
� Support for collaboration/consultation
July 13, 2011SOA in Healthcare Conference 13
![Page 14: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/14.jpg)
In the context of the patient’s health record
� Contraindications and precautions
� Medication interactions
� Side effects and adverse reactions
� Allergies
� Prior authorization
July 13, 2011SOA in Healthcare Conference 14
![Page 15: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/15.jpg)
� Considering◦ Health record facts
◦ Participant observations
� Identify alternatives◦ Modeled alternatives
◦ Filtered alternatives
◦ Rule-generated alternatives
� Identify costs and risks
July 13, 2011SOA in Healthcare Conference 15
![Page 16: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/16.jpg)
� Make better informed decisions
� Improve collaboration and timeliness of actions
� Improve record keeping & accountability
� Reduce errors and oversights
� Ensure policy compliance
� Provide guidance and reusable patterns
� Evolve best practices
� Leverage participant creativity and empower teams
July 13, 2011SOA in Healthcare Conference 16
![Page 17: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/17.jpg)
� Some existing products have limited capabilities
� Three initial submissions to OMG RFP
� Reconciliation of submissions under study
� Revised submission(s) in November
� Potential implementations in 2012
July 13, 2011SOA in Healthcare Conference 17
![Page 18: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/18.jpg)
� Runtime planning
� Plan fragments
� Role and context specific pallet
� BPMN extension/integration
July 13, 2011SOA in Healthcare Conference 18
![Page 20: Fred A. Cummins Agile Enterprise Design - · PDF fileThe procedures and activities required for an individual patient are unpredictable Care requires expert planning, collaboration,](https://reader035.vdocument.in/reader035/viewer/2022062908/5ab8ad557f8b9ab62f8ce203/html5/thumbnails/20.jpg)
July 13, 2011SOA in Healthcare Conference 20