Professional Documents
Culture Documents
-
To reduce To reduce To maintain
To reduce To increase
patent external competitive Sales
financial risk sales
infringement dependence advantage volume
lawsuit risk AND
OR
+
-
+
+
-
OR
OR
-
+
-
margin
AND AND
-
-
To reduce
Strong R & D Develop a Sufficient Acquire a
capability technology competitor
costs -
funds
+ Increased
++
competition
Healthy
+
High R&D
expenditure balance sheet ++ Economic
Low cost
+ Slowdown
financing
• Information systems
• Organizations
• Conceptual Modeling
• Goal Modeling
• BIM Motivations
• Related Frameworks
• BIM Metamodel
• BIM Concepts
• BIM Tool
• Preview of Reasoning
• Business intelligence (BI) is the ability for an organization to take all its
capabilities and convert them into knowledge, ultimately, getting the right
information to the right people, at the right time, via the right channel. [Source:
wikipedia]
• This produces large amounts of information which can lead to the development
of new opportunities for the organization.
• When these opportunities have been identified and a strategy has been
effectively implemented, they can provide an organization with a competitive
advantage in the market, and stability in the long run (within its industry).
• Tools generally read data that have been previously stored, often, though not
necessarily, in a data warehouse or data mart. [Source: wikipedia]
Pentaho.com
HighJump.com
• “BI software tops the list of technology spending priorities for companies in
2009, according to a Gartner survey of more than 1,500 CIOs worldwide released
in January. That priority remains, even though IT budgets are expected to be
essentially flat in 2009. Market researcher Forrester Research (FORR) expects the
BI market to generate more than $12 billion in revenue in 2014, vs. $8.5 billion in
2008.”
Consolidate,
Simplify, Define
BIM
© M. Salnitri -- OIS 2016-17
BIM Overview
Indicator Influence
Situation Task Entity Refines Measures
+target : float +strength [0..1] : StrengthLabel
+and : Boolean
+threshold : float +pursue [0..1] : PursuitLabel
+currentValue : float
Have a Stay
worldwide competitive
presence
© M. Salnitri -- OIS 2016-17
Task, Indicator, and Entity
• Tasks are processes or sets of actions
– We collect evidence for/against the execution of tasks
Total sales
Legend
Goal
Refinement To increase
Sales sales
AND volume
AND
OR
-
Domain OR
Assumption
To open sales To offer
channels promotions
Process Gross
+
-
margin
-
-
Indicator
To reduce
costs -
Achieves
Evaluates Increased
competition
Situation ++ Economic
Low cost
Slowdown
financing
© M. Salnitri -- OIS 2016-17
Less Simple Version
To reduce To maintain Total sales
risks revenue growth
+ AND
+ -
+
-
To reduce To reduce To maintain
To reduce To increase
patent external competitive Sales
financial risk sales
infringement dependence advantage volume
lawsuit risk AND
OR
+
-
+
+
-
OR
OR
-
+
-
margin
AND AND
-
To reduce
Strong R & D Develop a Sufficient Acquire a
capability technology competitor
costs -
funds
+ Increased
++
competition
Healthy
+
High R&D
expenditure balance sheet ++ Economic
Low cost
+ Slowdown
financing
-
+ Yearly
Refinement Yearly
+
Strong
+
Acquire costs
sales
economic other
AND OR Stay +
growth competitive companies
Influence
+
Provide
+
+P State-of-the-
Have a Range of Weaker
art transaction
+
+ worldwide Services US Dollar
systems
Task presence
Handle +
-
transaction Offer Offer
+P
Measures International
entry Offer Offer branded
errors charge credit international conversion
Situation Credit card cards cards currency cards costs
(External) International transaction
Development
Make Translate
Situation International Collect
Collect agreements revenue and
(Internal) development Subscription
Interest with other credit costs across
program fee
card companies currencies
© M. Salnitri -- OIS 2016-17
BIM Meta-properties
• http://www.cs.utoronto.ca/~jm/bim/
A vendor
BIM BI
platform
Business
Intelligence
Solution
RVHS
– 24,100 admissions
– 23,900 surgeries
– 3,700 births
– over 189,000 clinic visits
• Business Need
– RVHS generates/collects a wealth of data which contain revealing facts about the
quality and efficiency of RVHS’s processes, utilization of resources and
outcomes.
– RVHS aims to gain insights into operating performance in order to improve
efficiencies and the quality of patient care.
– Managers need timely access to synchronized data from all levels.
– The BI system needs to provide an integrated repository of data from disparate
sources organized to meet the needs of business and clinical users.
– The BI system must provide a data access interface that will enable business
users and to access information on their own.
Non
Physician Clinical
Physician
Initial Special Decision Disposition Patient
Arrival Triage Registration Initial
Assessment Consult Unit Decision Left ED
Assessment
(PIA) (CDU)
(NPIA)
Who
Metric outperforming target Metric within 25% of target Metric underperforming target by more than 25%
Dart • 38 Indicator
Area ER 4/14/2011 7 Days 30 Days Targets
Discharges • General description
Manager
Admits and
Indicators . . . .
• Organization's Context
Percent of Acute Inpatients Discharges by 11:00 29.8 % 23.9 % 16.3 % 16.5 %
Number of ALC Patients Currently in Hospital 36.0 33.0 33.0 28
<responsible
Number
•
of Patients Past Expected
Measurement
for> Date of Discharge 136.0 137.0 138.0 30
Emergency Department • Data Mart and Navigability . . . .
• Performance Parameters
Number ED Registrations (Avg Registrations in ED with no constraints)
Why
151 163 157 136
AGIO
<evaluate>
90th percentile LOS for NonAdm pts w/minor or uncomplicated conditions <measure>
3.5 4.3 4.1 4.6
Pay for Results . . . .
96.6 % 92.6 %
Requirement
93.3 % 92.0 %
Non-admitted CTAS I-III<=8hrs (%)
Graph
patients
Non-admitted CTAS IV-V<=4hrs (%) 90.6 % 84.8 % 86.3 % 84.0 %
(ID 7)
• Extrapolate:
– Actor Map
– Goals/Strategy Map
– Indicator Map
– Process and Workflow Map
– Resource Map
Indicators
patients
LOS = Length of Stay
(ID ABS-5) Level care of IP
ED = Emergency Department Time
<evaluate> patients
CTAS = Canadian Triage and Acuity Scale <influence> <influence>
Location (ID ABS-4)
<evaluate>
Goal Dimension Level care of Improve the level care Improve the level care
ED patients of ED patients <influence> ….
of IP patients
? (ID ABS-3)
<influence>
Positive Negative Indicator <influence> ….
Indicator Indicator Type not <influence> <influence> <influence>
<influence> <influence>
defined ….
[GOAL NOT [GOAL NOT DEFINED] Reduce the LOS_ED of Reduce the Reduce the
DEFINED] the total the percentage of ED patients in the percentage of percentage of ED
Time number of patient patient visits classified as Emergency Department admitted ED patients LWBS patients
visits CTAS I / II / III / IV / V Time
Location <evaluate> <evaluate> Location
? Time
CTAS Time <evaluate> Patient
<evaluate> Percentage of
Total ED Visits Time Location
Location Provider ED LWBS
(ID 1) Percentage of CTAS
? patients
CTAS Location ED Visits (ID 7)
<influence> Admitted
Percentage of CTAS
(ID 8) Provider
Emergency <influence> Average
Department LOS_ED - all Time
Visits CTAS I / dispositions
II / III / IV / V (ID 9) Location
(ID 2-6) LOS Hours
<evaluate> Average
LOS Hours Time LOS_ED for CTAS
Provider admitted
Time Provider Location
Reduce the LOS_ED of patients
Location Reduce the LOS_ED of <evaluate> (ID 14)
<evaluate> CTAS ED admitted patients
ED non-admitted patients Provider
CTAS Percentage of
Percentage of admitted
non-admitted <evaluate> Time patients with
patients with LOS_ED
LOS_ED Location equals or less
equals or less CTAS than <a
than <a Average specified time> <influence> <influence> <influence>
specified time> <influence> <influence> <influence> LOS_ED for in hours
in hours non-admitted <ID ABS-2>
<ID ABS-1> patients
(ID 10)
Reduce the LOS_ED of ED Reduce the LOS_ED of Reduce the LOS_ED Reduce the LOS_ED Reduce the LOS_ED
Reduce the LOS_ED of
CTAS I-II non-admitted ED CTAS IV-V non- of ED CTAS I-II of ED CTAS III of ED CTAS IV-V
ED CTAS III non-admitted
patients to equals or less admitted patients to equals admitted patients to admitted patients to admitted patients to
patients to equals or less
than 7 hours or less than 4 hours equals or less than 8 equals or less than 8 equals or less than 8
than 7 hours
hours hours hours
<evaluate>
Time <evaluate> <evaluate> <evaluate> <evaluate>
Provider Time
Provider Time <evaluate> Time
Location Time Provider
Location Provider Location Location Provider
Time
CTAS Percentage of CTAS Location
ED CTAS I-II CTAS Location Provider CTAS
Percentage of CTAS
non-admitted ED CTAS III Percentage of Percentage of CTAS Percentage of
patients with non-admitted ED CTAS IV-V ED CTAS I-II ED CTAS IV-V
LOS equals or non-admitted admitted Percentage of admitted
patients with ED CTAS III
less than 7 LOS equals or patients with patients with patients with
hours LOS equals or LOS equals or admitted LOS equals or
less than 7 patients with
(ID 11) hours less than 4 less than 8 less than 8
LOS equals or
© M. Salnitri -- OIS 2016-17 (ID 12) hours hours hours
(ID 13) (ID 15) less than 8 (ID 17)
hours
(ID 16)
Actor Map Hospital
AND
Senior Middle AND
Management Management
Team Team
(SMT) Floor Manager
Emergency
Management Performance Department
Information Staff Manager
Evaluation
System Clinical Service Team (ED Manager)
Team Clinician (PES)
(MIS)
AND
AND
Infection Control
Practitioner Therapist Unit Clerk
(ICP)
Support Service
AND
Registered
Practical Nurse
(RPN)
Occupational
Physician Therapist
(MD) (OT)
Physiotherapist
(PT)
Nurse
© M. Salnitri -- OIS 2016-17
Registered Nurse
(RN)
Practitioner
(NP)
Emergency Department Process + Indicators
LEGEND
Control
Task Information Flow
Negative Node
Indicator
START/
END
point
LOS_ED
<measure>
Time to PIA
<measure> Transfer
Note: Ambulance
of Care <measure>
arrive and Patient
<measure>
Walki-in sub- Waiting for Time to get
processes are <produce>
Consultant a Bed
hided due to <measure> <measure>
space constrains Transfer of Care <measure> <measure>
DateTime
DO both
paths IF
Ambulance Physician Decisio
Triage join in Consult Seen
STA Arrive = Registrat Initial n/
Assessm one ant By Depa Left
RT True ELSE ion Assessm Disposit END
ent path Request Consult rt ED
DO ent ion To
ant
Registration Admit
<produce> <produce> <produce> <produce> <produce> <produce> <produce>
path only <produce>
Provider Consultant Consultant
Triage Service AdmitDecision Er Left ER
InitialAsses Called Arrived
DateTime DateTime DateTime DateTime DateTime
DateTime DateTime DateTime
5) % of CTAS 4 0
avgTot
6) % of CTAS 5 1 4 7 10 13 16 19 22
7) % Left Without Being Seen
Level 8) % of Visits Admitted Admissions#(since#12AM):#5 #Wai*ng#for#Consult:#8#
9) AVG LOS All dispositions Provider Wai*ng#for#bed:#2 #Wai*ng#for#DI:#3#
10) AVG LOS Non admitted patients ED#White#Board
Name
11) % of CTAS 1-2 Non Admitted patients with LOS <= 7 hours
Code CTAS
12) % of CTAS 3 Non Admitted patients with LOS <= 7 hours ED#DART:#Aug$24,$2011
13) % of CTAS 4-5 Non Admitted patients with LOS <= 7 hours Group
14) AVG LOS Admitted patients
Description 15) % of CTAS 1-2 Admitted patients with LOS <= 8 hours
16) % of CTAS 3 Admitted patients with LOS <= 8 hours
17) % of CTAS 4-5 Admitted patients with LOS <= 8 hours
Dashboard (hourly):
a) AVG Time to Physician Initial Assessment
b) AVG Waiting time for a Bed
© M. Salnitri --
© M. Salnitri -- OISOIS 2016-17
2016-17 Slide 42