Improving care pathways through BPM and telemedicine: an Italian study

IF 4.5 3区 管理学 Q1 BUSINESS
Claudio Rocco, Gianvito Mitrano, Angelo Corallo, Pierpaolo Pontrandolfo, Davide Guerri
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引用次数: 0

Abstract

Purpose

The future increase of chronic diseases in the world requires new challenges in the health domain to improve patients' care from the point of view of the organizational processes, clinical pathways and technological solutions of digital health. For this reason, the present paper aims to focus on the study and application of well-known clinical practices and efficient organizational approaches through an innovative model (TALIsMAn) to support new care process redesign and digitalization for chronic patients.

Design/methodology/approach

In addition to specific clinical models employed to manage chronic conditions such as the Population Health Management and Chronic Care Model, we introduce a Business Process Management methodology implementation supported by a set of e-health technologies, in order to manage Care Pathways (CPs) digitalization and procedures improvement.

Findings

This study shows that telemedicine services with advanced devices and technologies are not enough to provide significant changes in the healthcare sector if other key aspects such as health processes, organizational systems, interactions between actors and responsibilities are not considered and improved. Therefore, new clinical models and organizational approaches are necessary together with a deep technological change, otherwise, theoretical benefits given by telemedicine services, which often employ advanced Information and Communication Technology (ICT) systems and devices, may not be translated into effective enhancements. They are obtained not only through the implementation of single telemedicine services, but integrating them in a wider digital ecosystem, where clinicians are supported in different clinical steps they have to perform.

Originality/value

The present work defines a novel methodological framework based on organizational, clinical and technological innovation, in order to redesign the territorial care for people with chronic diseases. This innovative ecosystem applied in the Italian research project TALIsMAn is based on the concept of a continuum of care and digitalization of CPs supported by Business Process Management System and telemedicine services. The main goal is to organize the different socio-medical activities in a unique and integrated IT system that should be sustainable, scalable and replicable.

通过 BPM 和远程医疗改进护理路径:一项意大利研究
目的未来全球慢性疾病的增加要求在健康领域提出新的挑战,以便从组织流程、临床路径和数字健康技术解决方案的角度改善对患者的护理。为此,本文旨在通过一种创新模式(TALIsMAn),重点研究和应用众所周知的临床实践和高效的组织方法,以支持慢性病患者新护理流程的重新设计和数字化。设计/方法/途径除了用于管理慢性病的特定临床模式(如人口健康管理和慢性病护理模式)外,我们还引入了一种业务流程管理方法,在一套电子医疗技术的支持下实施,以管理护理路径(CPs)的数字化和程序改进。研究结果这项研究表明,如果不考虑和改进医疗流程、组织系统、参与者之间的互动和责任等其他关键方面,那么采用先进设备和技术的远程医疗服务不足以为医疗保健行业带来重大变革。因此,新的临床模式和组织方法与深入的技术变革缺一不可,否则,远程医疗服务(通常采用先进的信息和通信技术(ICT)系统和设备)所带来的理论上的好处可能无法转化为有效的改进。这些益处不仅可以通过实施单一的远程医疗服务获得,还可以将其整合到更广泛的数字生态系统中,为临床医生必须执行的不同临床步骤提供支持。在意大利研究项目 TALIsMAn 中应用的这一创新生态系统基于持续护理概念,以及由业务流程管理系统和远程医疗服务支持的 CPs 数字化。其主要目标是在一个独特的综合信息技术系统中组织不同的社会医疗活动,该系统应具有可持续性、可扩展性和可复制性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
8.60
自引率
9.80%
发文量
58
期刊介绍: Business processes are a fundamental building block of organizational success. Even though effectively managing business process is a key activity for business prosperity, there remain considerable gaps in understanding how to drive efficiency through a process approach. Building a clear and deep understanding of the range process, how they function, and how to manage them is the major challenge facing modern business. Business Process Management Journal (BPMJ) examines how a variety of business processes intrinsic to organizational efficiency and effectiveness are integrated and managed for competitive success. BPMJ builds a deep appreciation of how to manage business processes effectively by disseminating best practice. Coverage includes: BPM in eBusiness, eCommerce and eGovernment Web-based enterprise application integration eBPM, ERP, CRM, ASP & SCM Knowledge management and learning organization Methodologies, techniques and tools of business process modeling, analysis and design Techniques of moving from one-shot business process re-engineering to continuous improvement Best practices in BPM Performance management Tools and techniques of change management BPM case studies.
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