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All content in this area was uploaded by Peggy Richter on Jun 18, 2019
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Content uploaded by Peggy Richter
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All content in this area was uploaded by Peggy Richter on Jun 05, 2019
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ECIS 2019 Track: Health Information Technology and IS for Healthcare
BRINGING CARE QUALITY TO LIFE:
TOWARDS QUALITY INDICATOR-DRIVEN PATHWAY
MODELLING FOR INTEGRATED CARE NETWORKS
Peggy Richter
Tec hn is ch e Universität Dresden, Germany
Contact: peggy.richter2@tu-dresden.de
ManuscriptID: 1396
The research group Care4Saxony
is funded by the European Social
Fund (ESF) and the Free State of
Saxony.
information systems experts
Visit HeLiCT:
•Extending existing
pathway modelling
language BPMN4CP by a
quality perspective
•Methodological support
for development and
implementation of care
pathways in a
comprehensive network
of care providers
•Demonstration and
evaluation of the
artefact (method)
Results
•Integrated care as an approach for ensuring and improving the quality of care,
patient satisfaction and system efficiency, especially against the background of an
increasing prevalence of chronically ill and multimorbid patients
•Currently there is no commonly used, comprehensive approach for the quality
management in integrated care settings
Method
Background and Motivation
•Classification framework for process quality in integrated care settings (àRQ1)
•Health care need: staying healthy, getting better, living with illness/
disability, end-of-life care
•Quality goal: effectiveness, safety, patient-centeredness, continuity
•Levels of analysis: micro, meso, macro
•Domain ontology preparing method development/ language extension (àRQ2)
•There are quality indicators available, but their implementation in the care process has deficits
•Integrated care pathways as essential tool for the provision of integrated care (process-oriented view)
Outlook
Objective
To utilise care pathways
for quality management
in integrated care
RQ1: How can process-
relevant quality
indicators for health care
networks be identified
and classified?
RQ2: What are the
relevant concepts for the
integration of quality
indicators in care
pathway process models?
Evaluate in application domain
-Integrated stroke care
-Integrated cancer care
Design Science Research
Design Cycle
Environment
Application domain
(Healthcare domain)
-People: health care
providers, patients, …
-Organisational systems:
care facilities, care
networks, …
-Tech nical systems: hospital
information systems, …
-Problems & opportunities:
quality goals/ guidelines
not systematically
translated into care
pathways; missing
methodological and
technological support for
integration of quality
indicators in care
processes, …
Field testing
of method;
application
support
Requirements
for method
development
Knowledge Base
Foundations
-Scientific theories and
methods:
conceptualisation of
health care quality (esp.
process quality),
conceptualisation of
integrated care,
performance-, process-
and indicator modelling
-Experiences & expertise,
artefacts & processes:
state-of-the-art of
application domain (e. g.
existing care pathways,
clinical quality indicator
development methods;
medical guidelines as basis
for quality and pathway
specifications)
Relevance
Cycle
Grounding
Additions to
knowledge
base
Rigor
Cycle
DSR framework according to Hevner et al. (2004) and Hevner (2007)
Conceptual foundations
(addressed in the RIP paper):
-Process quality framework
(RQ1)
-Domain ontology (RQ2)
Build design artefact
(Overall research project):
Quality indicator-based
development and monitoring
method for care pathways
References
Hevner, A. R. (2007) “A Three Cycle View of Design Science
Research.” Scandinavian Journal of Information Systems 19
(2), 87–92.
Hevner, A. R., March, S. T., Park, J. and Ram, S. (2004).
“Design science in information systems research.”
Management Information Systems Quarterly 28 (1), 75–106.
Icon made by Freepik from www.flaticon.com
Figures: Network figure from Albreht
et al. (2017), p. 80; Icons made by
Freepik from www.flaHcon.com