POW! HIT! People & Organizations improving Workflow w/Health Info Tech
POW! HIT! People & Organizations improving Workflow w/Health Info Tech

@EHRworkflow Blog

The is a "sidekick" blog to my main blog EHR Workflow Management Systems at ChuckWebster.com. There I publish long, complicated, thoughtful blogs thousands of words in length. Here? Not so much. It's mostly for snippets of content too big for a tweet but too small to grace the main deck of the mothership.

If you're looking for my POW! HIT! Profiles, they're here (explanation and most recent) and here (alphabetical index). POW! HIT! stands for People and Organizations improving Workflow in Healthcare with Information Technology (or Ideas and Technology, depending on context). However, I'll write or post content relevant to POW! HIT! on this and the mother blog. Thanks for stopping by. Please leave a comment!

Chuck Webster MD MSIE MSIS

With degrees in Accountancy, Industrial Engineering, Computational Linguistics, Artificial Intelligence, and Medicine, Dr. Webster can see around corners. He designed the first undergraduate program in Medical Informatics, was CMIO for an EHR vendor, and wrote the first three winning applications for the HIMSS Davies Award for EHR Ambulatory Excellence. Chuck opines about healthcare workflow and related and unrelated topics from @wareFLO (#HIMSS13 Top Tweeter) and DMV: the District, Maryland, and Virginia.

My main blog is EHR Workflow Management Systems at ChuckWebster.com. Some posts are 5000 words or more! Here is for larger than a tweet, but smaller than a novella.

Hajo Reijers of Perceptive SW on Healthcare BPM 2: What's the State of BPM in Healthcare?

2. You’ve authored, or co-authored, over 150 papers, reports, chapters, etc., plus two books. Roughly speaking, how many are directly about healthcare? How would you characterize the current state of the art, regarding relevance of process-aware, BPM-style technology to healthcare and its information management problems?

I would say that 10% of my work is related to healthcare and that this ratio is increasing. The healthcare domain is probably the most underdeveloped area with respect to the use of process-aware technologies. I simply cannot think of a domain that is more functionally oriented, which is an enormous obstacle for the uptake of BPM. I am mildly positive that this situation will improve, though. You can see the influence and positive experiences with clinical pathways, which bring a process focus to the work floor. For example, in China each hospital is required by law to implement IT systems that support healthcare professionals in adhering to clinical pathways. Also, given the enormous pressure on healthcare institutes to reduce costs, handle more patients, and improve safety, I think it is inevitable that process-aware technologies will become widely adopted. It's a pity that it takes so much time and that the current focus is purely on records.

Question 3 (What Excites You About Perceptive SW?) and Hajo Reijers' answer will be published very soon.

Follow @EHRworkflow to be sure not to miss it.

Feel free to catch up on earlier portions of this interview with Hajo Reijers of Perceptive Software:

 

 

 

 

 

 

Hajo Reijers of Perceptive SW on Healthcare BPM 1: How to Combine Research and Business?

1. Splitting your time between academia (TU/e) and industry (Perceptive Software) do you ever feel pulled in multiple directions? How are you integrating and synthesizing across roles and subjects? Unexpected advantages?

Yes, the difference of pace in these domains is what it makes it a bit challenging sometimes. Industrial issues need to be solved yesterday, but an academic puzzle may easily span months. What I try to do is to find a balance between working on what is urgent and what is important. For example, we are looking into a new style of process modeling and need to know how usable it is. So, I am having a lightweight workshop next week with a handful of professional modelers within Perceptive Software, which gives me some tentative insights. Concurrently, I am setting up a much more rigorous experimental comparison that involves a hundred modelers, but will run in a couple of months .

Unexpected advantages? Well, I found out that in industry people seem to take you more seriously when you have an academic affiliation. But that advantage is almost completely negated by those academics who take me less seriously because I do practical stuff!

Question 2 (What's the State of BPM in Healthcare?) and Hajo Reijers' answer will be published very soon.

Follow @EHRworkflow to be sure not to miss it.

Feel free to catch up on earlier portions of this interview with Hajo Reijers of Perceptive Software:

 

  • Hajo Reijers of Perceptive SW on Healthcare BPM: Intro to Interview Series
  • Hajo Reijers of Perceptive SW on Healthcare BPM 1: How to Combine Research and Business?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 2: What's the State of BPM in Healthcare?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 3: What Excites You About Perceptive SW?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 4: What Will Make Process Mining Successful?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 5: What Will Make BPM Successful in Healthcare?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 6: Why is European/Dutch BPM So Advanced?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 7: What is Are Some Kinds Process Tech?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 8: May I Give You a Tour of the Smithsonian?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 9: Twitter's Fun, But Is It Useful?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 10: Give Us A Tweet, Guv!

 

 

 

 

 

Hajo Reijers of Perceptive SW on Healthcare BPM: Intro to Interview Series

From Prof Hajo Reijers’ personal home page:

“I am a full professor in the AIS group of the Department of Mathematics and Computer Science of Eindhoven University of Technology (TU/e) as well as head of Business Process Management (BPM) Research at Perceptive Software…. My research and teaching focus on process-aware information systems, business process improvement, and process modeling. I am closely cooperating with companies from the services and healthcare domains”

If you read this blog, EHR Workflow Management Systems, or follow me on Twitter at @EHRworkflow, you know how delighted I feel to engage Professor Reijers (Hajo!) in this interview. The good professor is also on Twitter… twitter-profile2 Question 1 (How to Combine Research and Business?) and Hajo Reijers' answer will be published very soon.

Follow @EHRworkflow to be sure not to miss it.

Feel free to catch up on earlier portions of this interview with Hajo Reijers of Perceptive Software: (Oops! No links yet!)

  • Hajo Reijers of Perceptive SW on Healthcare BPM: Intro to Interview Series
  • Hajo Reijers of Perceptive SW on Healthcare BPM 1: How to Combine Research and Business?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 2: What's the State of BPM in Healthcare?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 3: What Excites You About Perceptive SW?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 4: What Will Make Process Mining Successful?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 5: What Will Make BPM Successful in Healthcare?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 6: Why is European/Dutch BPM So Advanced?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 7: What is Are Some Kinds Process Tech?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 8: May I Give You a Tour of the Smithsonian?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 9: Twitter's Fun, But Is It Useful?
  • Hajo Reijers of Perceptive SW on Healthcare BPM 10: Give Us A Tweet, Guv!

 

 

Dr. Nick of Nuance on Clinical NLP 9: Privacy vs Learning NLP Algorithms?

Much of the success of the automated language processing that we take for granted today (for example, in Google and Apple products) is due to access to lots of annotated free text, called "treebanks" ("tree" for syntax tree). However, HIPAA requirements make sharing marked-up clinical text problematic.

9. As Nuance moves from speech recognition to natural language processing, how will you deal with [privacy issues]?

We take this issue very seriously. As the largest provider of medical transcription in the world, we have a good understanding of the issues and the importance of securing the data and ensuring patient confidentiality. I don’t have specific answers relative to how we handle this but our development and engineering teams have incorporated these concerns into our discussions and designs as we move this technology forward.

End of Interview.

What a great written interview! (Dr. Nick's answers, not my questions.) We got into the weeds at the end, though. Please watch the video to compensate. If only to hear Holly's "bark-on". On one hand there are lots of marketing-oriented white papers about clinical natural language processing. On the other hand there are lots of arcane academic papers about computational linguistics and medicine. Dr. Nick drove the ball right down the middle. People like Dr. Nick -- clinician, programmer, journalist, entrepreneur, social media personality, and Golden Lab owner -- are valuable bridges between communities who need to work together to digitize medicine.

Feel free to catch up on earlier portions of this interview with Dr. Nick of Nuance:

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