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Clinical decision support, medical knowledge representation and workflow technology were discussed. Key points include: 1) Clinical informatics uses knowledge representation methods like terminologies, facts, and clinical guidelines to model medical knowledge. 2) Workflow technology can automate healthcare processes and clinical pathways using editors, engines and worklist handlers. 3) The presenter's research uses a tool called RetroGuide that applies workflow concepts to retrospectively analyze patient data using temporal modeling, helping improve care quality.
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- 1. Clinical decision support, medical knowledge representation and workflow technology A seminar in clinical informatics – a subfield of biomedical informatics Vojtech Huser MD PhD RetroGuide
- 10. CI diagram
- 12. 2/3: Knowledge representation in medicine (sub-topic within clinical informatics)
- 21. Clinical data Additional terminologies
- 26. browse MLM file
- 29. GLIF guideline (task-network model) Wang, (1999, 2004) Boxwala, (2004)
- 30. End of part 1 and 2
- 32. 3/3: Workflow Technology (WT) (overview and my research)
- 37. Minimum components language editor execution engine
- 39. Examples of WT use in healthcare Bed management Infections control (MRSA) J. Emanuele and L. Koetter, " Workflow Opportunities and Challenges in Healthcare ," in 2007 BPM & Workflow Handbook, 2007. L. Koetter, " MRSA infection control with workflow technology ," Spring AMIA Conference, Orlando, FL, 2007. R. Hess, " The Chester County Hospital: Case Study ," in 2007 Excellence in Practice: Moving the Goalposts., 2007.
- 40. Stroke guideline (WfMS) Quaglini, Panzarasa, et al. (2000,2001,2003,2007)
- 41. GLIF guideline (task-network model) Wang, (1999, 2004) Boxwala, (2004)
- 42. Examples of workflow editors and engines http://healthcareworkflow.wordpress.com
- 49. 3/3: Application of WT (my research)
- 50. HL Scenario
- 56. Clinical Guidelines Quality Improvement measures
- 59. Reports generated by RetroGuide
- 60. 1. Summary report (population)
- 61. 2. Detailed report (execution trace)
- 62. 3. Individual patient view
- 67. Examples
- 68. RetroGuide
- 72. Examples using Marshfield Clinic Data
Editor's Notes
- Title: Use of workflow technology to model clinical processes Abstract: Workflow technology (WT) represents an emerging class of software products which enable advanced modeling, execution and analysis of processes. WT has been shown to deliver efficiency and management improvements to many industries. Graphical nature of workflow process definitions enables non-IT experts to better understand or even directly modify processes programmed within their information systems. The key topics covered by the seminar will be: (1) general overview of WT and its applications in healthcare; (2) relationship of WT to previous efforts to represent executable clinical guidelines and other related forms of medical knowledge in medical research and healthcare quality improvement); and (3) use of process-based query paradigm to analyze Electronic Health Record (EHR) data as a preparatory step to deployment of WT in healthcare Picture: http://www.marshfieldclinic.org/birc/pages/default.aspx?page=InvestigatorDetails&id=956 CV: Also that link Or bigger version: Attached Short bio: Dr. Huser is a researcher in clinical informatics affiliated with Biomedical Informatics Research Center at Marshfield clinic and School of Medicine and Public Health, University of Wisconsin-Madison. His research interests are: medical knowledge representation, workflow technology, executable clinical guidelines, medical decision support systems and quality improvement in healthcare. Dr. Huser did his MD studies at Palacky University, Czech republic, Europe. His PhD work at the University of Utah (School of Medicine, Department of Biomedical Informatics) focused on workflow technology and retrospective analysis of EHR data in the domains of decision support, quality improvement and medical research. During his PhD work, Dr. Huser worked extensively with numerous informatics systems at Intermountain Healthcare in Salt Lake City, UT and now at Marshfield Clinic, Marshfield, WI.