Aligning Interdisciplinary Healthcare Team Behavior with Workflow Execution: An Example of a Radical Prostatectomy Workflow

Wilk, S., O'Sullivan, D., Kezadri-Hamiaz, M., Kuziemsky, C., Rosu, D., Michalowski, W. & Fung-Kee-Fung, M. (2016). Aligning Interdisciplinary Healthcare Team Behavior with Workflow Execution: An Example of a Radical Prostatectomy Workflow. 2016 IEEE 29th International Symposium on Computer-Based Medical Systems (CBMS), doi: 10.1109/CBMS.2016.62

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Operationalizing care delivery through an interdisciplinary healthcare team (IHT) requires knowledge about the overall structure of an IHT and the behavioral rules that "control" the dynamics of this structure interpreted as team and clinical leadership maintenance and task allocation. While progress has been made in understanding IHT structure, there is less work on the behavioral aspects of an IHT associated with its dynamics. In this paper we fill this void by extending our Team and Workflow Management Framework (TWMF) with a set of rules to operationalize IHT behavior in terms of clinical leadership, coordination of workflow execution over multiple days as part of continuity of care, and management of tasks, including urgent ones that prevent planned workflow execution. We briefly describe a proof-of-concept implementation of extended TWMF in the form of a computer system for supporting cooperative execution of clinical workflows by an IHT. The system is built on top of an existing business workflow execution engine and employs behavioral rules to control the IHT behavior. We also illustrate the operations of TWMF in a case study where an IHT is executing a workflow for the management of post-operative inpatient recovery after radical prostatectomy.

Item Type: Article
Additional Information: © 2016 IEEE. Personal use of this material is permitted. Permission from IEEE must be obtained for all other uses, in any current or future media, including reprinting/republishing this material for advertising or promotional purposes, creating new collective works, for resale or redistribution to servers or lists, or reuse of any copyrighted component of this work in other works.
Uncontrolled Keywords: healthcare team; clinical workflow execution; radical prostatectomy; computer-supported cooperative work
Subjects: Q Science > QA Mathematics > QA75 Electronic computers. Computer science
Divisions: School of Informatics > Department of Computing

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