Healthcare and Business Process Notation: Getting to Healthcare Workflow Portability with BPMN An Industry Workshop. Tuesday, December 6, 2016 - 8:30 aM - 5:00 PM

 | Introduction | Program | Registration | Hotel | Special Events |


8:30 am - 8:45 am Welcome and Introductions
Ken Rubin -  Director, Standards and Interoperability, VHA Office of Knowledge Based Systems and OMG Healthcare Domain Task Force Co-Chair
8:45 am - 9:30 am Interoperable Healthcare Workflows: A Vision for the Industry (Keynote)
Dr. Shane McNamee, MD, US Department of Veterans Affairs                                          VIEW PDF

From both a patient and provider perspective, healthcare delivery is disconnected, inefficient and greatly dissatisfying process. Healthcare processes can be inconsistent, unreliable, are organizationally specific, challenging to document, and near impossible to share consistently and repeatably. The emergence of Business Process Modeling Notation (BPMN) as a dominant standard offers a tremendous hope in stabilizing health care processes to support both patients and providers as organizations strive toward improved efficacy and high reliability.

The intelligent implementation of portable workflows and processes promises improvements of the four major areas of quality: efficacy, efficiency, access, and satisfaction. As the industry rushes headlong into this space, clear guidance through interoperable standards is necessary to support portability of patients, healthcare plans and pathways. Well-crafted standards will help deliver true patient centered both within and between health care organizations, and needs a community of practice and engaged practitioners to identify gaps and evolve this work en route to open, interoperable health processes. This talk will articulate a tangible and achievable future-state of healthcare process interoperability and highlight critical challenges to that vision.

Shane McNamee M.D. serves as the Director of Development for the Health Solutions Management office in the VHA. He is the Clinical Lead for VA's Enterprise Health Management Platform, an effort to modernize that organization's electronic heath record. Dr. McNamee is a Polytrauma Rehabilitation Physician specializing in recovery of Traumatic Brain Injury (TBI), particularly focused on complex combat wounds and effective transition of the most severely combat wounded. In informatics, Dr. McNamee's priorities include health data interoperability, user centered design (such as decreasing cognitive burden), and business process re-engineering. Dr. McNamee graduated as a Presidential Scholar from the Medical College of Ohio and completed residency in Physical Medicine & Rehabilitation at the Virginia Commonwealth University. He is published in the fields of TBI, complex neurologic injuries, post combat care and Polytrauma.

9:30 am - 10:15 am The Business Case: Industry and Healthcare Case Studies
BPMN Supports the Development of Health Enterprise Architecture                                                    VIEW PDF
Wendy Ryan, Senior Business Process Architect and BPMN Modeler, VHA Business Archtecture

The Business Process Model and Notation (BPMN) utilizes a diverse array of symbols to convey business concepts. In the arena of Enterprise Architecture (EA), business concepts are used to both summarize operational context to executives and provide operational logic to system architects. By analyzing and tracking the independent BPMN elements, business architects can construct re-usable roles, activities, business rules, events, and data. VHA Business Architecture will demonstrate how standardizing terminology across BPMN elements and harnessing EA principles have been applied to the VHA's Community Care Program.

The Usage of BPMN for Obamacare

Lloyd Dugan, Chief Architect for Business Process Management, Inc.

Using BPMN to Operationalize Clinical Knowledge                                                                             VIEW PDF

Rob Reynolds, EVP of Engineering, HarmonIQ Health Systems

Integrating Clinical Information Modeling with BPMN
Ali Bahrami, PhD, Medico System
Keith Butler, PhD, PI for AHRQ workflow research

10:15 am - 10:30 am Morning Refreshment Break
10:30 am - 11:15 am The Business Case: Healthcare Case Studies
BPMN: A Specific Class of Knowledge Artifact Within a Clinical Decision Support Architecture          VIEW PDF
Emory Fry, MD, Chief Executive Officer, Cognitive Medical Systems, Inc.                
Jerry Goodnough, Chief Architect, Cognitive Medical Systems, Inc.                                   

Decision making is often a complex endeavor involving a variety of activities, considerations, and cognitive processes. The thought process that results in even a simple healthcare decision may include pattern matching, forecasting, arithmetic, and planning. The technical representation of such entities is similarly varied and complex. This "lightning talk" provides a brief overview of Cognitive Medical System's Clinical Optimization and Reasoning Architecture (CORA) and how BPMN is used to implement domain process knowledge - either as a standalone artifact or in combination with other artifacts better suited to represent the cognitive task(s) at hand.

Modelling the Cognitive Side of Care Processes. Case Study: The Treatment of Atrial Fibrillation       VIEW PDF
Dr. Davide Sottaro, Mayo Clinic

Patients diagnosed with Atrial Fibrillation need urgent care. As physicians make a number of critical decisions regarding the timeliness, setting, strategies and course of care, they can benefit from timely, pertinent cognition support, delivered by a novel class of context-aware, knowledge driven applications. To this end, we present our proposed modelling approach, based on the combined application of CMMN, BPMN, DMN and other healthcare-specific terminology, ontology and data modelling standards.

Modeling cancer treatment processes in BPMN and HL7 FHIR                                                              VIEW PDF
Lee Surprenant, Software Engineer, IBM jStart 

IBM is working with the National Comprehensive Cancer Network (NCCN) to help them represent their cancer treatment guidelines and chemotherapy order templates in a more machine-processable format. For their clinical practice guidelines, we selected the BPMN 2.0 interchange format. For their chemotherapy order templates, we selected HL7 FHIR and the new 'PlanDefinition' resource. In this talk, Lee will describe these formats and explain how we intend to use them together to provide a catalog of connected knowledge artifacts from the world's leader in defining and advancing high-quality, high-value cancer care.

11:15 am  - Noon Technical Tour of OMG Business Standards:  Business Process Management Notation (BPMN), Case Management Notation (CMN), Decision Model and Notation (DMN)
Denis Gagné - CEO and CTO, Trisotech and Chair, OMG BPMN Interchange Working Group                    VIEW PDF

Presented by one of the foremost experts in BPM standards, this session will introduce the three leading business modeling standards produced by the Object Management Group (OMG) in recent years. This fast-paced session will introduce the core concepts, differentiation and business value of the Business Process Model and Notation (BPMN), the Case Management Model and Notation (CMMN) and the Decision Model Notation (DMN). Explained and demonstrated will be both general methods and best practices, as well as the specific roles and usage of these dominant business modeling notations in the context of business improvement, innovation and transformation.
Noon - 1:00 pm Lunch
1:00 pm - 2:30 pm Workshop Breakout Sessions
                                                                                                                                                     VIEW NOTES

The community will divide into 2-3 smaller working groups to discuss key topics identified earlier in the day. Candidates include:
- Exploring health industry needs and potential gaps in BPMN and complementary standards
- Identifying obstacles to adoption
- Exploring how to best traverse the machine-human boundary
- Best Practices and Strategies for BPMN and Clinical Decision Support
- What is necessary for achieve "true" process interoperability

2:30 pm - 3:00 pm Afternoon Refreshment Break
3:00 pm - 4:30 pm Workshop Breakout Sessions (continued)
The community will divide into 2-3 smaller working groups to discuss key topics identified earlier in the day. Candidates include:
- Exploring health industry needs and potential gaps in BPMN and complementary standards
- Identifying obstacles to adoption
- Exploring how to best traverse the machine-human boundary
- Best Practices and Strategies for BPMN and Clinical Decision Support                                                VIEW NOTES
- What is necessary for achieve "true" process interoperability
4:30 pm - 5:00 pm  Community Outbrief and Next Steps  
agenda subject to change

NOTE: If you register for the Technical Meeting Week, you do not have to pay the additional fee(s) to attend this or any of the special events. If you register only for special events, the special fees apply.

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Last updated on 01/16/2017 by Meg


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