An Empirical Study into Governance Requirements for Autonomic E-Health Clinical Care Path Systems

Mr. Philip Miseldine, Prof. Azzelarabe Taleb-Bendiab

2005

Abstract

Information technology has been widely recognized as a key building block to the Government modernization agenda for the NHS, and a vital component to assisting continuous improvement in clinical practice, patient safety and standard of care. Medicine is far from a static field, and this is especially true for research into the prevention and treatment of breast cancer, which is thankfully ever changing and advancing towards more comprehensive care and therapy for the condition. With such a fluid and fluctuating set of requirements, software that aids in the delivery and prognosis of therapy faces real challenges in its design so that it can adapt successfully as and when required to new requirements in the field. This paper will discuss the challenges that designers of such software must solve, and highlights the issues facing current state-of-the-art solutions in the domain of breast cancer prognosis. The paper then introduces the notion of system self-governance to produce a rigid yet highly dynamic system that is evaluated through a case study involving several leading UK cancer hospitals. The paper concludes with analysis of how the principals introduced in the paper can be applied to the wider domain of eHealthcare.

References

  1. AdjuvantOnline. (2005). Http://www.Adjuvantonline.Com/.
  2. Christie Hospital. (2005). Http://www.Christie.Nhs.Uk.
  3. D. England, A. Taleb-Bendiab, P. Miseldine, M. Randles, & Murphy, K. (2005, February 2005). Integrating best practice and evidence based decision support for breast cancer care. Paper presented at the Multi-disciplinary Workshop on Healthcare Information Services and Future ICTs, UCL.
  4. Feder, G., Eccles, et. al. (1999). Clinical guidelines: Using clinical guidelines. BMJ(318), 728-730.
  5. Ferraiolo, D., Cugini, J., & Kuhn, D. (1995, December 1995). Role-based access control (rbac): Features and motivation. Paper presented at the 11th Annual Computer Security Application Conference, New Orleans, LA.
  6. Finproject. (2005). Http://www.Finprog.Org/.
  7. Fox, J., & Das, S. (2000). Safe and sound: Artificial intelligence in hazardous applications. American Association for Artificial Intelligence.
  8. Health, D. o. (1999). Strategic priorities in cancer research and development. In C. W. Group (Ed.) (pp. 58): Department of Health.
  9. Hiller, M. (1998). Software fault tolerance techniques from a real time systems point of view: An overview: Chalmers University of Technology, Sweden.
  10. Lampic, C., Essen, L. v., Peterson, V., Larsson, G., & Sjoden, P. (1996). Anxiety and depression in hospitalized patients with cancer: Agreement in patient-staff dyads. Cancer Nursing, 19(6), 419-428.
  11. Laws, A., Allen, M., & Taleb-Bendiab, A. (2002). Normative services for self-adaptive software to support dependable enterprise systems. Paper presented at the 4th International Conference On Enterprise Information Systems, Cludad Real, Spain.
  12. Linda McCartney Cancer Research Centre. (2005). Http://www.Linda-mccartneycentre.Org.Uk/.
  13. Lupu, E. C., & Sloman, M. (1999). Conflicts in policy-based distributed systems management. Software Engineering, 25(6), 852-869.
  14. M. Randles, A. T.-B., P. Miseldine, A. Laws. (2005, April 2005). Adjustable deliberation of self-managing systems. Paper presented at the 12th IEEE International Conference on the Engineering of Computer-Based Systems (ECBS), Greenbelt, MD, USA.
  15. Miseldine, P. (http://www.cms.livjm.ac.uk/2nrich/deliverables.asp). Neptune application development guide.
  16. Miseldine, P., & Taleb-Bendiab, A. (2005, June 2005). Rainbow: An approach to facilitate restorative functionality within distributed autonomic systems. Paper presented at the PGNET 05, Liverpool.
  17. National Institute for Clincial Excellence. (2005). Http://www.Nice.Nhs.Uk/.
  18. Nauer, P., & Randell, B. (1969). Software engineering - report on a conference sponsored by the nato scientific committee. Garmisch.
  19. NCO. (2004). Revolutionizing health care through information technology. In N. C. Office (Ed.): President's Information Technology Advisory Committee.
  20. OpenClinician. (2005). Http://www.Openclinical.Org/prj_oncodoc.Html.
  21. Overhage, J. M., Zhou, X. H., & McDonald, C. J. (1997). A randomized trial of corollary orders to prevent errors of omission. JAMIA, 4(5), 354-375.
  22. Ryutov, T., & Neuman, C. (2000, January 2000). Representation and evaluation of security policies for distributed system services. Paper presented at the DARPA Informatioon Survivability Conference and Exposition, Hilton Head, South Carolina.
  23. Sackett, D. L., Rosenberg, W. M. C., Gray, J. A. M., Haynes, R. B., & Richardson, W. S. (1996). Evidence based medicine: What it is and what it isn't. BMJ, 312(7023), 71-72.
  24. Shiffman, R. N. (1997). Representation of clinical practice guidelines in conventional decision tables. JAMIA, 4(5), 382-393.
  25. Starren, J., Hripcsak, G., Jordan, D., & Allen, B. (1994). Encoding a post-operative coronary artery by-pass surgery care plan in the arden syntax. Comput. Biol. Med., 24(5), 411- 417.
  26. Sterritt, R. (2002). Towards autonomic computing: Effective event management: IEEE Computer Society.
  27. Woo, T., & Lam, S. (1993, March 1998). Designing a distributed authorisation service. Paper presented at the INFOCOM 7889, San Francisco.
Download


Paper Citation


in Harvard Style

Miseldine M. and Taleb-Bendiab P. (2005). An Empirical Study into Governance Requirements for Autonomic E-Health Clinical Care Path Systems . In Proceedings of the 1st International Workshop on Requirements Engineering for Information Systems in Digital Economy - Volume 1: REISDE, (ICETE 2005) ISBN 972-8865-37-6, pages 89-100. DOI: 10.5220/0001423600890100


in Bibtex Style

@conference{reisde05,
author={Mr. Philip Miseldine and Prof. Azzelarabe Taleb-Bendiab},
title={An Empirical Study into Governance Requirements for Autonomic E-Health Clinical Care Path Systems},
booktitle={Proceedings of the 1st International Workshop on Requirements Engineering for Information Systems in Digital Economy - Volume 1: REISDE, (ICETE 2005)},
year={2005},
pages={89-100},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0001423600890100},
isbn={972-8865-37-6},
}


in EndNote Style

TY - CONF
JO - Proceedings of the 1st International Workshop on Requirements Engineering for Information Systems in Digital Economy - Volume 1: REISDE, (ICETE 2005)
TI - An Empirical Study into Governance Requirements for Autonomic E-Health Clinical Care Path Systems
SN - 972-8865-37-6
AU - Miseldine M.
AU - Taleb-Bendiab P.
PY - 2005
SP - 89
EP - 100
DO - 10.5220/0001423600890100