Process-Aware Analysis of Treatment Paths in Heart Failure Patients: A Case Study

Process mining in healthcare presents a range of challenges when working with different types of data within the healthcare domain. There is high diversity considering the variety of data collected from healthcare processes: operational processes given by claims data, a collection of events during surgery, data related to pre-operative and post-operative care, and high-level data collections based on regular ambulant visits with no apparent events. In this case study, a data set from the last category is analyzed. We apply process-mining techniques on sparse patient heart failure data and investigate whether an information gain towards several research questions is achievable. Here, available data are transformed into an event log format, and process discovery and conformance checking are applied. Additionally, patients are split into different cohorts based on comorbidities, such as diabetes and chronic kidney disease, and multiple statistics are compared between the cohorts. Conclusively, we apply decision mining to determine whether a patient will have a cardiovascular outcome and whether a patient will die.

Grouping Local Process Models

In recent years, process mining emerged as a proven technology to analyze and improve operational processes. An expanding range of organizations using process mining in their daily operation brings a broader spectrum of processes to be analyzed. Some of these processes are highly unstructured, making it difficult for traditional process discovery approaches to discover a start-to-end model describing the entire process. Therefore, the subdiscipline of Local Process Model (LPM) discovery tries to build a set of LPMs, i.e., smaller models that explain sub-behaviors of the process. However, like other pattern mining approaches, LPM discovery algorithms also face the problems of model explosion and model repetition, i.e., the algorithms may create hundreds if not thousands of models, and subsets of them are close in structure or behavior. This work proposes a three-step pipeline for grouping similar LPMs using various process model similarity measures. We demonstrate the usefulness of grouping through a real-life case study, and analyze the impact of different measures, the gravity of repetition in the discovered LPMs, and how it improves after grouping on multiple real event logs.

Process Modeling and Conformance Checking in Healthcare: A COVID-19 Case Study

The discipline of process mining has a solid track record of successful applications to the healthcare domain. Within such research space, we conducted a case study related to the Intensive Care Unit (ICU) ward of the Uniklinik Aachen hospital in Germany. The aim of this work is twofold: developing a normative model representing the clinical guidelines for the treatment of COVID-19 patients, and analyzing the adherence of the observed behavior (recorded in the information system of the hospital) to such guidelines. We show that, through conformance checking techniques, it is possible to analyze the care process for COVID-19 patients, highlighting the main deviations from the clinical guidelines. The results provide physicians with useful indications for improving the process and ensuring service quality and patient satisfaction. We share the resulting model as an open-source BPMN file.