Variance Analysis in Task-Time Matrix Clinical Pathways

Hui Yan1, Uzay Kaymak2, Pieter Van Gorp3, Lei Ji4, Xudong Lu1, Choo Chiap Chiau5, Hendriks H.M. Korsten6, Huilong Duan1

  • 1Zhejiang University
  • 2Eindhoven Techniche University
  • 3Eindhoven University of Technology
  • 4Chinese PLA General Hospital
  • 5Philips China
  • 6Catharina Ziekenhuis

Details

16:40 - 16:50 | Fri 17 Feb | Salon 5 | FrC1.5

Session: Fr1.3: Health Informatics (Disease Management)

Abstract

Clinical pathways are popular healthcare management tools to standardise care and ensure quality. Measuring pathway conformance and analysing variances gives valuable feedback in the context of care improvement trajectories. The Business Process Model and Notation (BPMN) language and Task-Time matrices are popular ways to model clinical pathways. A key step in variance analysis involves the computation of optimal alignments between the pathway model and patient-specific traces. This paper presents for this step a new algorithm which reduces the time for finding deviations from hours to minutes. A case study on variance analysis is undertaken, where a clinical pathway from the practice and a large set of patients data from an EMR database are used. The results demonstrate that automated variance analysis between BPMN Task-Time models and real-life EMR data is feasible. We also provide meaningful insights for further improvement.