Using Enterprise Ontology for Improving the National Health System - Demonstrated in the Case of a Pharmacy and an Emergency Department

David Dias, Carlos Mendes, Miguel Mira da Silva

Abstract

The global healthcare spending has constantly increased in the last decades, and there is data showing inefficiency in resource consumption that is not reflected in healthcare improvement. The need to introduce new ways to do the same thing at a lower cost is rational. To address this, we propose a method based on Design Engineering Methodology for Organizations (DEMO) to find non value-added transactions that must be redesigned to simplify processes. This methodology was chosen as a basis for our solution because it provides a better understanding of the dynamics of an organization, and allows a good alignment between the enterprise design and operation. A demonstration was accomplished within an Emergency Medical Service and a Pharmacy, making it possible to find transactions that can be improved or automated. Evaluation was carried out by means of interviews, the Four Principles from Österle et al., and the Moody and Shanks Quality Framework. Results prove that the method yields an adequate and clear process view and is reliable when it comes to improving healthcare operational processes.

References

  1. Burgess, N. and Radnor, Z. J. (2010) 'How is lean being applied to health? Classifying approaches to lean implementation in the NHS', The 14th Annual International Research Society for Public Management (IRSPM) Conference, Berne.
  2. Christensen, C. M., Grossman, J. H. and Hwang, J. (2009) The Innovator's Prescription - A disruptive solution for Health Care, New York: McGraw Hill.
  3. Dias, D., Lapão, L., Silva, M. and Helfert, M. (2012) 'Using Enterprise Ontology for Improving Emergency Management in Hospitals', 24th European Medical Informatics Conference, Pisa. Accepted in 2012.
  4. Dias, D., Xie, S. and Silva, M. (2012) 'Using Enterprise Ontology Methodology to Assess the Quality of Information Exchange', 18th Americas Conference on Information Systems, Seattle. Accepted in 2012.
  5. Dietz, J. (2006) Enterprise Ontology - Theory and Methodology, Delft: Springer.
  6. Dietz, J. and Hoogervorst, J. (2008) 'Enterprise Ontology in Enterprise Engineering', ACM Symposium on Applied Computing, New York, 572-579.
  7. Fillingham, D. (2007) 'Can lean save lives?78, Leadership in Health Services, UK, 231-241.
  8. García-Porres, J; et al. (2008) 'Lean six sigma applied to a process innovation in a mexican health institute's imaging department', 30th Annual International IEEE EMBS Conference, 20-24 August, pp. 5125-5128.
  9. Habing, N. et al. (2001) 'Activity patterns in healthcare - indentifyinf building blocks for the CPR', ACM
  10. SIGGROUP Bulletin, vol. 22, August.
  11. Henriques, M., Tribolet, J. and Hoogervorst, J. (2010) 'Enterprise Governance and DEMO: a reference method to guide enterprise (re)design and operation with DEMO', CAPSI, Viana do Castelo.
  12. Henver, A. et al. (2004) 'Design Science in Information Systems Research', MIS Quartely, vol. 28, no. 1, pp. 75-105.
  13. Hines, P., Holweg, M. and Rich, N. (2004) 'Learning to evolve: A review of contemporary lean thinking', International Journal of Operations and Production Management, vol. 24, no. 10, pp. 994-1011.
  14. Kaplan, R. and Porter, M. (2011) 'How to solve the cost crisis in health care', Harvard Business Review, September.
  15. Kotter, J. (1996) Leading Change: Why Transformation Efforts Fail, Boston: Harvard Business School Press.
  16. Laudon, K. and Laudon, J. (2010) Management Information Systems, New Jersey: Pearson.
  17. Lifvergren, S. et al. (2010) 'Lessons from Sweden's first large-scale implementation of Six Sigma in healthcare', Springer, pp. 117-128.
  18. Maij, E. et al. (2000) 'A process view of medical practice by modeling communicative acts', Methods of Information in Medicine, pp. 56-62.
  19. Maij, E. et al. (2002) 'Use cases and DEMO: aligning functional feautures of ICT-infrastructure to business processes', International Journal of Medical Informatics, pp. 179-191.
  20. Medeiros, D. et al. (2008) 'Improving patient flow in a hospital emergency department', Winter Simulation Conference, Austin, 1526-1531.
  21. Mendes, C., Ferreira, J. and Silva, M. (2011) 'Comparing Service Using DEMO', Paris.
  22. Mendes, C., Ferreira, J. and Silva, M. (2012) 'Identifying Services from a Service Provider and Customer Perspectives', Communications in Computer and Information Science, Springer. Accepted in 2012.
  23. Mintzberg, H. (1994) 'The rise and fall of strategic planning', New York.
  24. Moody, D. and Shanks, G. (2003) 'Improving the Quality of Data Models: Empirical Validation of a Quality Management Framework', Information Systems, vol. 28, pp. 619-650.
  25. OECD (2012), http://stats.oecd.org/ [Feb 2012].
  26. Österle, H. et al. (2011) 'Memorandum on DesignOriented Information Systems Research', European Journal on Information Systems, vol. 20, pp. 7-10.
  27. Pries-Heje, J., Baskerville, R. and Venable, J. (2004) Strategies for Design Science Research Evaluation, 16th European Conference on Information Systems, pp. 255-266.
  28. Radnor, Z. (2010) 'Transferring Lean in to Government', Journal of Manufacturing and Technology Management, vol. 21, pp. 411-428.
  29. Reijswoud, V., Mulder, H. and Dietz, J. (1999) 'Communicative Action Based Business Process and Information Systems Modelling with DEMO', International Journal of Information Systems.
  30. Walshe, K. and Smith, J. (2010) Healthcare Management, Berkshire: Open University Press.
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Paper Citation


in Harvard Style

Dias D., Mendes C. and Mira da Silva M. (2012). Using Enterprise Ontology for Improving the National Health System - Demonstrated in the Case of a Pharmacy and an Emergency Department . In Proceedings of the International Conference on Knowledge Engineering and Ontology Development - Volume 1: SSEO, (IC3K 2012) ISBN 978-989-8565-30-3, pages 441-451. DOI: 10.5220/0004133004410451


in Bibtex Style

@conference{sseo12,
author={David Dias and Carlos Mendes and Miguel Mira da Silva},
title={Using Enterprise Ontology for Improving the National Health System - Demonstrated in the Case of a Pharmacy and an Emergency Department},
booktitle={Proceedings of the International Conference on Knowledge Engineering and Ontology Development - Volume 1: SSEO, (IC3K 2012)},
year={2012},
pages={441-451},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0004133004410451},
isbn={978-989-8565-30-3},
}


in EndNote Style

TY - CONF
JO - Proceedings of the International Conference on Knowledge Engineering and Ontology Development - Volume 1: SSEO, (IC3K 2012)
TI - Using Enterprise Ontology for Improving the National Health System - Demonstrated in the Case of a Pharmacy and an Emergency Department
SN - 978-989-8565-30-3
AU - Dias D.
AU - Mendes C.
AU - Mira da Silva M.
PY - 2012
SP - 441
EP - 451
DO - 10.5220/0004133004410451