COVID19: Integrating Predictive Models, Clinical Quality Measures, Knowledge Models with BPM+ Models

Recorded June 25, 2020 as part of the Clinical Pathways Integration Showcase of the BPM+ Health e-Workshop by Object Management Group (OMG).

Presented by: Dr. John Svirbely, MD, Chief Medical Informatics Officer (CMIO), Trisotech Denis Gagné, Chief Executive Officer (CEO), Trisotech

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PHQ-9 Automatable Guidelines


Assuring high-quality care and best-practice support across VA facilities and community care providers necessitates compliance with good industry clinical practices. The challenge is that Clinical Practice Guidelines are authored in natural language, using different approaches and styles, and are often ambiguous or incomplete. The result is that different readers have differing interpretations of what is being communicated, leading to difficulty in implementation, inconsistencies, and poor or erroneous adoption.

The BPM+ family of standards addresses these concerns through the use of formal expression languages, allowing for the visual capture/depiction of activities of care workflows and the logic of clinical decisions using intuitive and unambiguous visual notations. The result are clinical guidelines (also referenced as “shareable clinical pathways”) that are more effectively authored, consumed, and implemented than their natural language counterparts. Moreover, these artifacts can be directly consumed by systems in both simulation or production, reducing ambiguities and interpretive errors.

By: Steve Hasley and Denis Gagné

A shareable clinical pathway for anemia management


While anemia is a common condition, it can be challenging to address because of its multifactorial and complex nature. As a result, diagnosis and management for some patients may be suboptimal. According to the Royal Society of Medicine, anemia is in many cases poorly assessed or not investigated and there are currently no defined national guidelines on management pathways.

A shareable clinical pathway is a visual model that is both human readable and machine automatable. Such a standardized process can improve the efficiency and quality of anemia treatments through improved workflows and better clinical decisions. Automation allows routine tasks to be handled effectively, leaving more time to address complex cases, while the visual representation enables the transparency needed for all stakeholders to understand what has happened and why.

By: John Svirbely, CMIO and Denis Gagné, CEO & CTO, Trisotech

implementation of clinical decision Support CDS using Decision model and notation DMN

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Trisotech the Disruptor!


Trisotech is disrupting the Healthcare Information Technology Market by empowering the development of visual shareable clinical guidelines and pathways to tear down the wall that exists between clinicians and informaticians. To enable this disruption, Trisotech offers clinicians a simple to use modeling environment where workflows and decision logics are visually created by the Subject Matter Experts (SME) themselves. This puts clinicians squarely at the heart of the solution.

OMG Field Guide to Sharable Clinical Pathways

DMN Decisions Execution Scenarios

Introducing the Field Guide to Shareable Clinical Pathways

Clinical Guide Lines are the knowledge sources of modern evidence-based medicine and Clinical Decision Support (CDS) systems. But what if the clinical guideline document could not only be consumable by practitioners but by computers systems as well? The same document, offering clear interpretation and course of actions to both care providers and the computer systems supporting them.

This is the vision being pursued by a new community of practice within the Object Management Group (OMG) Health Domain Taskforce. The group has already produced a first version of a “Field Guide” aimed at organizations producing, consuming and deploying such “Sharable Clinical Guide Lines.”

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