Patterns for modeling process variability in a healthcare context

• Published in: Business process management journal Vol. 30; no. 1; pp. 1 - 27
• Main Authors: Kirchner, Kathrin, Laue, Ralf, Edwards, Kasper, Lantow, Birger
• Format: Journal Article
• Language: English
• Published: Bradford Emerald Publishing Limited 05.02.2024; Emerald Group Publishing Limited
• Subjects: Annotations; Business process engineering; Communication; Diagnosis; Health care; Health services; Hospitals; Information systems; Languages; Liver transplants; Medical personnel; Modelling; Physicians; Subject specialists; Training; Variability; Visualization; Healthcare; Business process modeling; Medical treatment process; Medical guideline; Variability; Business process pattern
• ISSN: 1463-7154; 1758-4116
• DOI: 10.1108/BPMJ-10-2022-0500

PurposeMedical diagnosis and treatment processes exhibit a high degree of variability, as during the process execution, healthcare professionals can decide on additional steps, change the execution order or skip a task. Process models can help to document and to discuss such processes. However, depicting variability in graphical process models using standardized languages, such as Business Process Model and Notation (BPMN), can lead to large and complicated diagrams that medical staff who do not have formal training in modeling languages have difficulty understanding. This study proposes a pattern-based process visualization that medical doctors can understand without extensive training. The process descriptions using this pattern-based visualization can later be transformed into formal business process models in languages such as BPMN.Design/methodology/approachThe authors derived patterns for expressing variability in healthcare processes from the literature and medical guidelines. Then, the authors evaluated and revised these patterns based on interviews with physicians in a Danish hospital.FindingsA set of business process variability patterns was proposed to express situations with variability in hospital treatment and diagnosis processes. The interviewed medical doctors could translate the patterns into their daily work practice, and the patterns were used to model a hospital process.Practical implicationsWhen communicating with medical personnel, the patterns can be used as building blocks for documenting and discussing variable processes.Originality/valueThe patterns can reduce complexity in process visualization. This study provides the first validation of these patterns in a hospital.