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Clinical decision support, medical knowledge representation and workflow technology  A seminar in clinical informatics – a subfield of biomedical informatics Vojtech Huser MD PhD RetroGuide
Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object],http:// www.linkedin.com/in/vojtechhuser
General research interest ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://clinicalinformatics.stanford.edu/scci_seminars   http://en.wikipedia.org/wiki/Clinical_informatics informatician (vs. informaticist)
1/3: Clinical informatics
Biomedical Informatics ,[object Object],[object Object],[object Object],[object Object]
Spectrum of fields
Clinical Informatics
Key CI journals ,[object Object],[object Object],[object Object],[object Object]
 
CI diagram
Browse the article
2/3: Knowledge representation in medicine (sub-topic within clinical informatics)
Medicine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Knowledge representation ,[object Object],[object Object],[object Object],[object Object]
Three KR domains ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1. Medical terminologies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
2. Facts ,[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical data Additional terminologies
3. Knowledge in Clinical Guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examples ,[object Object],[object Object]
Executable Guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tu (1999)
Arden Syntax ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
browse MLM file
GLIF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Wang, (1999, 2004) Boxwala, (2004)
 
GLIF  guideline (task-network  model) Wang, (1999, 2004) Boxwala, (2004)
End of part 1 and 2
Transition slide ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3/3: Workflow Technology (WT) (overview and my research)
Publications http://healthcareworkflow.wordpress.com
Automating Workflow ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Minimum components language editor execution engine
eComm (worklist handler)
Examples of WT use in healthcare Bed management Infections control (MRSA) J. Emanuele and L. Koetter, " Workflow Opportunities and Challenges in Healthcare ," in 2007 BPM & Workflow Handbook, 2007. L. Koetter, " MRSA infection control with workflow technology ," Spring AMIA Conference, Orlando, FL, 2007. R. Hess, " The Chester County Hospital: Case Study ," in 2007 Excellence in Practice: Moving the Goalposts., 2007.
Stroke guideline (WfMS) Quaglini, Panzarasa, et al. (2000,2001,2003,2007)
GLIF  guideline (task-network  model) Wang, (1999, 2004) Boxwala, (2004)
Examples of workflow editors and engines http://healthcareworkflow.wordpress.com
 
http://healthcareworkflow.wordpress.com
 
WT software components ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interesting analyses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Workflow mining ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://healthcareworkflow.wordpress.com
3/3: Application of WT  (my research)
HL Scenario
 
 
 
 
 
Clinical Guidelines Quality Improvement measures
RetroGuide (RG):  key concepts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Application areas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reports generated by RetroGuide
1. Summary report  (population)
2. Detailed report (execution trace)
3. Individual patient view
More RetroGuide information
RetroGuide Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WT, guidelines, RetroGuide ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical informatics context ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examples
RetroGuide
 
 
http://healthcareworkflow.wordpress.com
Examples using Marshfield Clinic Data
 
 
Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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CIBM

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  1. Title: Use of workflow technology to model clinical processes Abstract: Workflow technology (WT) represents an emerging class of software products which enable advanced modeling, execution and analysis of processes. WT has been shown to deliver efficiency and management improvements to many industries. Graphical nature of workflow process definitions enables non-IT experts to better understand or even directly modify processes programmed within their information systems. The key topics covered by the seminar will be: (1) general overview of WT and its applications in healthcare; (2) relationship of WT to previous efforts to represent executable clinical guidelines and other related forms of medical knowledge in medical research and healthcare quality improvement); and (3) use of process-based query paradigm to analyze Electronic Health Record (EHR) data as a preparatory step to deployment of WT in healthcare Picture: http://www.marshfieldclinic.org/birc/pages/default.aspx?page=InvestigatorDetails&id=956 CV: Also that link Or bigger version: Attached Short bio: Dr. Huser is a researcher in clinical informatics affiliated with Biomedical Informatics Research Center at Marshfield clinic and School of Medicine and Public Health, University of Wisconsin-Madison. His research interests are: medical knowledge representation, workflow technology, executable clinical guidelines, medical decision support systems and quality improvement in healthcare. Dr. Huser did his MD studies at Palacky University, Czech republic, Europe. His PhD work at the University of Utah (School of Medicine, Department of Biomedical Informatics) focused on workflow technology and retrospective analysis of EHR data in the domains of decision support, quality improvement and medical research. During his PhD work, Dr. Huser worked extensively with numerous informatics systems at Intermountain Healthcare in Salt Lake City, UT and now at Marshfield Clinic, Marshfield, WI.