1. M ODELING AND M ONITORING V ARIABILITY IN H OSPITAL T REATMENTS – A S CENARIO USING CMMN Nico Herzberg, Kathrin Kirchner, and Mathias Weske September 8, 2014

2. ProHealth 2012 Nico Herzberg2 Modeling and Monitoring Variability in Hospital Treatments - A Scenario using CMMN Design Execution Configuration Evaluation Process Model and Process Event Monitoring Points Connect PEMPs to Data Sources Collect Monitoring Data Analyze Monitoring Results Kathrin Kirchner, Nico Herzberg, Andreas Rogge-Solti, Mathias Weske. Embedding Conformance Checking in a Process Intelligence System in Hospital Environments. In Process Support and Knowledge Representation in Health Care., Springer Berlin Heidelberg, 2013 BPMN Enabling Process Monitoring Traceability, Conformance Checking

3. Motivation Transferability and adoption of a clinical pathway is not supported Required flexibility cannot be expressed in BPMN models  More flexibility while not losing process monitoring capabilities Nico Herzberg3 Modeling and Monitoring Variability in Hospital Treatments - A Scenario using CMMN

4. Scenario (I/II) Nico Herzberg4 Modeling and Monitoring Variability in Hospital Treatments - A Scenario using CMMN

5. Scenario (II/II) Nico Herzberg5 Modeling and Monitoring Variability in Hospital Treatments - A Scenario using CMMN Questionnaire sent to all 14 liver transplantation centers in Germany 10 of them answered Results (example): CT is done by all centers MRI is done by 5 of 10

6. Case Modeling (I/II) Case Management Model and Notation 1.0 Nico Herzberg6 Modeling and Monitoring Variability in Hospital Treatments - A Scenario using CMMN Case Plan Model Stages Milestone and Task Task with SentriesEvent ListenerCase/Process Task

7. Case Modeling (II/II) Nico Herzberg7 Modeling and Monitoring Variability in Hospital Treatments - A Scenario using CMMN Case Modeling (II/II) Nico Herzberg7 Modeling and Monitoring Variability in Hospital Treatments - A Scenario using CMMN

8. Node Life Cycles Nico Herzberg8 Modeling and Monitoring Variability in Hospital Treatments - A Scenario using CMMN

9. Connection to PEMP Nico Herzberg9 Modeling and Monitoring Variability in Hospital Treatments - A Scenario using CMMN

10. Monitoring: Configuration Nico Herzberg10 Modeling and Monitoring Variability in Hospital Treatments - A Scenario using CMMN

11. Monitoring: Execution Nico Herzberg11 Modeling and Monitoring Variability in Hospital Treatments - A Scenario using CMMN

12. Monitoring: Application Nico Herzberg12 Modeling and Monitoring Variability in Hospital Treatments - A Scenario using CMMN

13. Discussion (I/II) Modeling a general process valid for several hospitals Yes, it is possible Expressing mandatory tasks in one hospital is difficult  expert knowledge required Explicit modeling of roles not supported Role assignment to cases and human tasks Not expressed explicitly in the model Nico Herzberg13 Modeling and Monitoring Variability in Hospital Treatments - A Scenario using CMMN

14. Discussion (II/II) Explicit modeling of locations not supported Could be expressed by structuring, e.g. stages How to deal with complexity? Structuring How to use case plan models? CMMN + hospital specific best practices CMMN as template  adoption by each hospital CMMN as inspiration for a more concrete model Nico Herzberg14 Modeling and Monitoring Variability in Hospital Treatments - A Scenario using CMMN

15. Future Work Is CMMN the right choice for modeling clinical pathways? How to deal with the weaknesses? Extensions required? Evaluation of CMMN in hospitals Best practices for using CMMN in healthcare Nico Herzberg15 Modeling and Monitoring Variability in Hospital Treatments - A Scenario using CMMN

16. Conclusion Nico Herzberg16 Modeling and Monitoring Variability in Hospital Treatments - A Scenario using CMMN Design Execution Configuration Evaluation Process Model and Process Event Monitoring Points Connect PEMPs to Data Sources Collect Monitoring Data Analyze Monitoring Results CMMN Enabling Process Monitoring Traceability

17. Presentation Creation