Framework, strategy and evaluation of health care processes with RFID

The working environment in health care organizations is characterized by its demand for highly dynamic process and labor management in which (a) medical personnel are generally associated with several disparate types of tasks, (b) service location and service personnel change frequently, (c) highly uncertain environment where emergency issues could arise at any time, and (d) the stakes are high since invaluable human lives are involved. There is an urgent need from both researchers and health care organizations to develop reasonable management strategies for maintaining a good balance between efficient management and superior medical service quality. We discuss the potential for real-time health care coordination and effective medical process and labor management enabled by RFID item-level tracking/tracing identification technology. We explore the uniqueness of instance-level process mining and its application in health care environment. We then propose an adaptive learning framework that supports real-time health care coordination and analyze its benefits compared to traditional routine process and labor management. We find that while RFID-enabled real-time medical process and labor management provides marginal improvement for premium medical service providers, it generates appreciable improvement both in terms of efficiency and service quality for public health care institutions where availability of necessary resources such as medical staff and equipment are highly constrained.

[1]  Alexander L. Wolf,et al.  Software process validation: quantitatively measuring the correspondence of a process to a model , 1999, TSEM.

[2]  W. Hersh,et al.  Health care information technology: progress and barriers. , 2004, JAMA.

[3]  Marc Berg,et al.  Considerations for sociotechnical design: experiences with an electronic patient record in a clinical context , 1998, Int. J. Medical Informatics.

[4]  James Cornford,et al.  Computer Systems Development: History, organization and implementation , 1990 .

[5]  Seth J. Seidman,et al.  Electromagnetic compatibility of pacemakers and implantable cardiac defibrillators exposed to RFID readers , 2007, Int. J. Radio Freq. Identif. Technol. Appl..

[6]  Selwyn Piramuthu,et al.  Protocols for RFID tag/reader authentication , 2007, Decis. Support Syst..

[7]  Selwyn Piramuthu,et al.  Lightweight Cryptographic Authentication in Passive RFID-Tagged Systems , 2008, IEEE Transactions on Systems, Man, and Cybernetics, Part C (Applications and Reviews).

[8]  Tony Yu-Ju Tu,et al.  Identifying RFID-embedded objects in pervasive healthcare applications , 2009, Decis. Support Syst..

[9]  Enid Mumford,et al.  Computer systems in work design--the ETHICS method : effective technical and human implementation of computer systems , 1979 .

[10]  Wei Zhou,et al.  RFID and item-level information visibility , 2009, Eur. J. Oper. Res..

[11]  Alexander L. Wolf,et al.  Discovering models of software processes from event-based data , 1998, TSEM.

[12]  David F. Lobach,et al.  Medical data mining: knowledge discovery in a clinical data warehouse , 1997, AMIA.

[13]  San-Yih Hwang,et al.  A process-mining framework for the detection of healthcare fraud and abuse , 2006, Expert Syst. Appl..

[14]  Marc Berg,et al.  Patient care information systems and health care work: a sociotechnical approach , 1999, Int. J. Medical Informatics.

[15]  Elske Ammenwerth,et al.  Evaluation of health information systems - problems and challenges , 2003, Int. J. Medical Informatics.

[16]  Tony Yu-Ju Tu,et al.  RFID-enabled item-level retail pricing , 2009, Decis. Support Syst..

[17]  Dimitrios Gunopulos,et al.  Mining Process Models from Workflow Logs , 1998, EDBT.

[18]  R. Van der Togt,et al.  Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment. , 2008, JAMA.

[19]  Joshua W. Guag,et al.  In vitro tests reveal sample radiofrequency identification readers inducing clinically significant electromagnetic interference to implantable pacemakers and implantable cardioverter-defibrillators. , 2010, Heart rhythm.