IS-HEART presentation June 5th: Dynamic Clinical Checklist Support Systems

Also see the online agenda item for this session.

Speakers: Lonneke Vermeulen (TU/e – IS) and Ashley De Bie Dekker (Catharina Ziekenhuis Eindhoven)
Title: The first pilot study of DCCSS Tracebook, from idea to results

Abstract: Atul Gawandas’ Checklist Manifesto made the medical world realize the high potential of clinical safety checklists in reducing medical errors and improving patient safety. As the current computerized checklist support systems were too static, the Brainbridge II program (a collaboration between the Eindhoven University of Technology, Zhejiang University, Philips Research and Catharina Hospital Eindhoven) developed a system that can individualize checklists based on information from the patient’s medical record while also considering the context of the clinical workflows. By the end of last year (2014) the first pilot study of the Dynamic Clinical Checklist Support System (DCCSS) Tracebook took place in the hospital. In this presentation we will guide you from the beginning of this project to the results of the first pilot study.

After a short introduction of the Tracebook system, we will describe how we developed these dynamic checklists, which research design we followed and how the pilot study was set up. We will conclude with the promising results from the study and afterwards there is time for discussion.

IS-HEART session on Simulation in Healthcare

Speaker: Geovanny Correa Cevallos (master thesis student in Operations Management and Logistics)

Title: Computer simulation applied to interventions in healthcare: Literature Review

Abstract: When ethical principles and financial convenience enter in the game, it is necessary to have a tool to evaluate possible changes in policies and norms.  The use of computer simulation is being proved very useful in this matter in the context of healthcare. The purpose of this presentation will be to show the results of the literature review after going through some basic concepts about simulation, intervention research, what are the available methods, and which of those fit better with the purpose of applying computer simulation in evaluating healthcare systems. At the end, the methodology proposed by Sobolev et al. (2012) is presented as a reference to conduct such type of simulation. Furthermore it will be mentioned a chance for improvement in the implementation of this method given the automatic translation method suggested by Eshuis & Van Gorp (2014)

When/where: April 24th, 2015, in K16 (see agenda).

IS-HEART session by Stan Lamers

The 2nd IS-HEART session of Feb. 2015 will be scheduled in week 4 instead of week 3.

Title: Physician Order Alert Assessment Support using Data Mining Techniques.

Where: K16
When: 27/02/2015, 12:30-13:30
Also see the online agenda item.

Everybody Welome!

Abstract: During the last four decades there has been a major increase in the number of automatic reporting systems for adverse drug events (ADEs)in the healthcare setting. Computerized prescription alerts can assist in avoiding ADEs but research has indicated that one important example of an ADE is the situation where a medical specialist fails to adequately assess computerized prescription alerts. These computerized prescription alerts can be shown to a physician when for example there is a problem with the dosage of a prescribed medicine or an interaction with other medicines is found. Hospital Pharmacist Drs. P.A.G. De Klaver indicates that Maxima Medical Center’s Pharmacy has to deal with 500-800 prescription alerts on an average day, which is considered to be too high and time consuming. The alert system that is currently in use at the hospital is emphasizing the breadth of coverage instead of clinical relevance or severity of the event, which leads to low clinician acceptance of drug alerts. Many alerts can cause alert fatigue; a state in which the user becomes less responsive to alerts in general.
The aim of this research project is to find data mining techniques to create models that can support processing of prescription alerts at the Maxima Medical Center in Veldhoven. This research will not focus on all ADEs but only on drug-drug interaction effects and their alerts because those alerts are considered to be the most time consuming for pharmacy personnel.

In this presentation, an overview of recent work on improving healthcare alerts systems is given and the overall research proposal is clarified.

IS-HEART session: presentation by Wintjes, T.H.M.

Also see the agenda item in our online calendar.

Presentation by Tijmen Wintjes on his bachelor end project entitled “Improving the financial understanding of microtreatments in Mohs Micrographic Surgery”.

Presentation title: Our healthcare reimbursement system and how it affects the financials of innovative care processes.

Presentation abstract: In this talk, we have a look reimbursement of care within hospital and clinics. Who are the important parties within this process? What are their responsibilities? We then consider how our knowledge helps us to understand ways of working in healthcare. As a case study we consider the Mohs Micrographic Surgery process in the MohsA clinic. We will come to argue that the current systematic has a very significant financial impact on the ‘real’ price of the surgery. In our considerations we discuss one of the most valuable information systems in the healthcare business operated by DBC-onderhoud.

IS-HEART sessions are organized every first and third Friday of the month. Sometimes, extra sessions are organized or sessions are moved for example to the fourth week of the month. Such exceptions are scheduled as separate events in the IS agenda.

IS-HEART session: presentation by Ivo Canjels (Philips)

Also see the agenda item in our online calendar.

Ivo Canjels is Product architect at Philips Medical Systems. He has had previous positions at IBM and Sagantec.  In his talk, Ivo will describe the Philips Healthsuite Digital Platform with a focus on Interventional X-Ray technologies.  In a preparation meeting, some opportunities for collaboration were already identified (e.g., on TraceBook but also on mining large repositories of data from Philips devices.) The purpose of this session is to identify the top collaboration opportunities and make concrete agreements afterwards.

IS-HEART sessions are organized every first and third Friday of the month. Sometimes, extra sessions are organized or sessions are moved for example to the fourth week of the month. Such exceptions are scheduled as separate events in the IS agenda.

IS-HEART talk on Datawarehousing by Patrick Lubbers

Title: Building a Translational DWH @ AVL

Abtract: Presentatie betreft het proces en uitdagingen die er zijn om data uit verschillende klinische informatiesystemen samen te brengen binnen 1 DWH. Waarom willen we dit? Welke methodiek passen we toe? Dieper ingaan op de uitdagingen van semantiek van data, de problematiek bij het vergelijken van data, het modelleren van data objecten, het opzetten van de technische architectuur, het opzetten van een data governance beleid (“wie mag wat zien”), wat hebben we op dit moment gerealiseerd en waar willen we in de toekomst naar toe.
When/where: Fri Oct. 3rd, Paviljoen K16

IS-HEART Talk on Lean Management by Pieter Dat

On Friday, September 5th 2014, Pieter Dat will present the results of his second master thesis. Pieter has completed his first master thesis in our TU/e IS group (see previous post). Last month, he has completed his second master on Care Management, at Erasmus University Rotterdam. In his second thesis, Pieter has investigated Lean Management at the Maxima Medisch Centrum.

As usual, the IS-HEART session is organized in Paviljoen K16, from 12:30 to 13:30.

Further information:

Abstract master thesis (EUR): evidence in Lean Management (“Lean capacity planning and accessibility of healthcare services:
Development of a continuous improvement culture or application of instruments and tools”)

Research question and objective:
Lean Management is characterised by a continuous improvement culture within an organisation and has resulted in improvements of business processes in several industries. A differentiation in the theory of Lean Management can be made between an organisational and an operational perspective. Lean Management is increasingly applied in the healthcare domain. In the Máxima Medisch Centrum (MMC, Eindhoven / Veldhoven) employees working at the operational level use instruments and tools to apply Lean Management. The central scientific research question is formulated as: “How can Lean Management tools and instruments contribute to continuous process improvement in the Máxima Medisch Centrum?” This research project aimed at analysing how the use of instruments and tools leads to (the development of) continuous improvement in the organisation.

Research design and research methodologies:
The research consisted of case studies at two outpatient departments in the Máxima Medisch Centrum. Four research methodologies are applied, in a triangular approach: 1) semi-structured questionnaire, 2) data analysis of Key Performance Indicators (KPI’s), 3) document analysis and 4) semi-structured interviews.

Results and conclusion:
The master thesis project lead to insights in the current maturity of the application of Lean Management in the Máxima Medisch Centrum. Recommendations, regarding the applicability and prerequisites, are drawn for further development of a continuous improvement culture in the hospital.

IS-HEART Presentation by Juby Joseph Ninan

Title: Integrating simulation and enactment models: a reality check

See Agenda Item


As organizations grow larger and the complexity of their business processes increases, it becomes important to use information systems that can use software tools to control, coordinate, execute and monitor their processes. There are different vendors that offer such business process management software and services to automate a company’s business processes, enhance their visibility and control, and provide support for continuous improvement. Business process simulation plays an important role for analyzing processes for continuous improvement. Here simulation is used to study the dynamic behavior of processes over time, thereby showing how the performance of processes or resources can be influenced by changes in the system or environment.

Business Process Simulation is usually used to support strategic decision making in companies, where the objective is to move the organization towards achieving its long term goals. Here simulation helps to understand how a particular decision affects long term behavior of the process. However, these kinds of simulation experiments are not useful to support management or operational decision making, where short term behavior of processes is to be analyzed.

For short term simulations, we can use information readily made available from the business process management system itself, without the need for additional modeling. The BPMS will have knowledge of the process structure definition, the current state of the process instances and the history records of the process execution, all of which can be used to run short- term simulation experiments. The process structure definition will contain information about the control flow and the data flow. The current state of process instances can be used to load the initial state of the simulation model, and analyzing history records may give us simulation relevant properties such as arrival rate of instances, execution time of activities, etc.

This thesis is an attempt to explore the current simulation capabilities in the BPM Suite jBPM (whose core is a light weight, extensible workflow engine that allows execution of business processes using the BPMN 2.0 specification) and also investigate whether such short term simulation experiments can be supported by the tool.

IS-HEART talk: Improving patient engagement through Personal Health Records (by KPMG)

On April 4th, KPMG will present on PHRs. This presentation is part of the IS-HEART series.

Speaker: René Pingen

Title: Improving patient engagement through Personal Health Records


Investments in healthcare are focused on the short period of time that a patient meets his caregiver. How can eHealth tools such as Personal Health Records help to increase patient engagement in order to shift the focus from care to personal health? This will help improving quality of life and reduce the costs of healthcare.

Details see Agenda Item