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Cuban Journal of Medical Informatics 2016:8(1)46-63

ORIGINAL ARTICLE

Component for decision-making in health. A social network

analysis approach from process mining

Component to decision making in health. A social network analysis

approach from process mining

Jose Felipe Ramirez Perez,IITeresa Rodriguez Rodriguez,IIDaniel Olivera Fajardo,II

Maylevis Morejon ValdesIV.

I Engineer in Computer Science. Master in Computer Science. University of Informatics

Sciences, Center for Medical Informatics, Havana, Cuba. E-mail: jframirez@uci.cu

II Degree in Psychology. Titular teacher. PhD in Psychological Sciences. Dr. Gustavo

Aldereguia Lima Hospital, Cienfuegos, Cuba. E-mail: teresa.rodrí guez@gal.sld.cu

III Doctor of Medicine. 2nd grade Specialist in General Surgery. Assistant Professor. Dr.
Gustavo Aldereguia Lima Hospital, Cienfuegos, Cuba. E-mail: dof@gal.sld.cu

IV Computer Science Engineer. University of Informatics Sciences, Center for Medical

Informatics, Havana, Cuba. E-mail:mmvaldes@uci.cu

SUMMARY

Most computer systems today generate traces. These traces reveal the actions that are
executed in these systems. Process Mining aims to discover, monitor and improve the real
processes of organizations through the extraction of knowledge from these traces, after
applying a set of transformations to organize, structure and clean the information. However,
this is not possible if these computer systems and their organizations do not have their actions
with a process-based approach. The use of these technologies allows saving resources,
reducing costs, optimizing tasks, improving productivity, reducing waiting times, among many
other actions. In the health sector it is an immediate need in terms of providing greater patient
safety and improving the quality of life. The objective of this research is to present a
component for decision-making in the selection of surgical work teams in a System of

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Hospital information that allows increasing the effectiveness of operations performed on

patients. The method used is the Social Network Analysis approach from Process Mining. As a
result, a component is expected to support decision-making by heads of surgical services,
based on the professional performance of healthcare personnel, in order to provide greater
comfort for the patient.

Keywords:social network analysis, process mining, hospital information system,

decision making, teamwork.

ABSTRACT

Most computer systems today generate traces. These traces show the actions that are executed
in those systems. Process Mining aims to discover, to monitor and to improve real processes of
organizations through knowledge extraction of these traces, after applying a set of
transformations to organize, to structure and to clear this information. However, this is not
possible if these computer systems and its organizations do not have their actions with a
process-based approach. The use of these technologies allows saving resources, to reduce
costs, to optimize tasks, to improve productivity, to reduce wait times, among many other
actions. In the health sector there is an immediate need in terms of providing greater patient
safety and to improve quality of life. The objective of this research is to present a component
for decision making in selection surgical teams work in a Hospital Information System that it
allows to increase the effectiveness of operations performed to the patients. The method used
is a Social Network Analysis approach from the Process Mining As a result it expected a
component to support decision making by managers surgical and psychological personnel
starting from the professional performance of health care personnel in function of providing
greater comfort to the patient.

Keywords:events logs, hospital information system, process mining, social network

analysis, decision making.

INTRODUCTION

Worldwide, health organizations, such as hospitals and specialized medical care centers, are
increasing their efforts to reduce costs and increase productivity, specifically in highly
developed countries where the demand for hospital services is increasing.1,2,3,4

In this context, the prolonged medical care due to the aging of the population, the increase
in costs associated with the care of chronic diseases, the novel but expensive state-of-the-art
treatments, as well as the increase in healthcare personnel are important factors.5

Furthermore, problems are the complex processes that are carried out, which take excessive
time to execute, the need to offer a quality service to the patient regardless of the diverse and
changing range

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of diagnoses and treatments, as well as patient care processes from the large number of
medical disciplines, each of which presents different characteristics.

That is why health organizations need tools or mechanisms that enable them to monitor,
control and improve the processes of medical care for the patient, in order to provide greater
safety and quality of the service provided.6

Information and Communication Technologies (ICT) offer mechanisms to increase the

effectiveness and efficiency of medical care,7which allow you to support your business
processes, making it possible to analyze them, optimize them and, above all, reduce costs and
waiting times for patients, thus increasing the quality of medical care.

Health organizations have been modernizing with the application of ICT, allowing them to
advance in the provision of quality services. However, the considerable volume of data
derived from care processes must be analyzed, with the Process-Based Approach being the
mechanism that today provides the greatest advantages.8.9

The Process-Based Approach (ISO 9001, 2008) is a basic and fundamental management
principle for obtaining results. It assumes that "a result is achieved more efficiently when
activities and resources are managed as a process".

However, these process-oriented information systems that are being implemented

and becoming fundamental in all organizations,10
they require explicit modeling of business processes, which is not trivial since extensive
knowledge of them is needed to model them with sufficient accuracy; That is why these
process models usually end up representing how the process should be carried out rather
than how it is actually being carried out, constituting one of the main strengths of process
management.

The benefit of applying this type of technology in the health sector includes cost reduction
and more efficient execution of processes.elevenWorkflow Management Systems (WMS)
represent a class of software products that support and carry out

carry out advanced modeling and execution of processes, no matter how complex they may be.
12.13

Business Process Management (BPM) is the pioneer and leading technology in this area.14It
constitutes a set of methods, tools and technologies used to design, represent, analyze and
control business processes, combining information technologies with process and governance
methodologies. It is a collaboration between business people and technologists to promote
effective, agile and transparent business processes.fifteen

To assist in the optimization of the BPM life cycle, it is necessary to have a specific
technology that is focused on the process and not on the data like most traditional
approaches,16That is why information systems have vigorously resumed the
implementation of mechanisms to record the actual execution of processes, such as event
records, trace records or logs.17

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Process Mining is a relatively young research discipline. Its analysis focuses on discovering,
monitoring and improving the real processes of an organization through the extraction of
knowledge from event logs, trace records or logs,18also making it possible to understand how
the processes in the system are actually executed.3

Its application in the health sector constitutes a modern and recommendable approach,
providing excellent and interesting results, being applied in various areas such as
emergencies,19surgery,10intensive care,twentyoncology and gynecology23and urology,3among
others.

The objective of this research is to present a component for decision-making in the

formation of surgical work teams in a Hospital Information System that allows increasing
the effectiveness of operations performed on patients.

DEVELOPMENT

I. DECISION MAKING

Decision making refers to the set of operations that comprise from the moment a situation is
detected that makes decision making necessary until it is adopted and executed.twenty-one
Herrera and others22They present a standard procedure for decision-making, which consists
of the following activities:

1. Define the decision-making problem.

2. Analyze the problem and the information.
3. Identify alternative solutions.
4. Establish criteria or experts by which they can be evaluated.
5. Evaluate alternatives and select the best.

Today it is very difficult to analyze through traditional means all the elements that influence
correct decision-making for the selection of a surgical work team, due to the large amount of
existing information and because said analysis goes from taking into account the evaluations
of the practical performance of the specialists in the operations in which they have intervened
to the mere behavior that determines how well one person gets along with another. This
without forgetting that the Head of the Surgical Service must be a person with vast experience
who knows all of his staff in such a way that he can make the most accurate decisions
possible.

Surgical departments currently tend to superspecialize their staff by anatomical region; the
perfection of this activity, the need to work more and more in highly integrated teams and the
insertion of psychologists in the services with a view to characterizing their staff and pre-
establishing teams by affinity are elements that are added to this, already complex, process of
decisions.

In the study of computer systems that select personnel worldwide, specifically in health, which
gave rise to the development of this research, dissimilar unresolved problems related to
decision-making and other aspects discussed here are addressed, among them can be
mention:

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- They are action-oriented systems and not process-oriented.

- Only the information associated with the operations carried out on the patients is
managed, so it is not capable of providing information that facilitates decision-making by
the Head of Service in the formation of the surgical work teams.

- The degree of complexity or the anatomical region of the current surgical intervention is
not taken into account, based on the efficient selection of the surgical work team that best
suits the clinical-operative picture.
- Given the arrival of a patient to undergo surgery, it is not analysed, who are the specialists
who have performed this type of intervention on the greatest number of occasions, nor who
are the specialists who most coincide with each other operating satisfactorily.

- The professional performance of the available personnel is not taken into account
according to the degree of complexity of the new operation and super-specialization
profile.
- The system's only precondition for selecting the personnel to carry out an operation is
their physical availability at the time of the intervention.
- The processes that are currently carried out by the Surgical Intervention Evaluation
Committee, which allows the evaluation of surgical personnel, are not taken into account.

These elements are resolved in the present investigation, providing tools that
enable correct decision-making.

II. MANAGEMENT BY BUSINESS PROCESSES

Most Business Intelligence (BI) tools use event data to support decision making, but they only
focus on the data and not the end-to-end process.

A business process is a structured set of activities, designed to produce a given output or

achieve an objective. The processes describe how the work is carried out in the company and
are characterized by being observable, measurable, improvable and repetitive. Structurally, a
business process is made up of a set of activities. Thus, the activity, as a basic element, through
relationships or dependencies with other activities forms the structure of a business process.23

Business Process Management (BPM) has received considerable attention from business
administrators and researchers in the field of informatics for several years. This is because
business people are interested in improving their company's operations, increasing customer
satisfaction, reducing costs, and establishing new products and services at a low price.13

In turn, computer scientists want to investigate the structural properties of processes and
make abstractions of reality to find deficiencies that enable them to provide robustness and
scalability to the information systems they develop.13

There is also a Business Process Modeling Notation (BPMN). Its main objective is to provide a
graphic standard notation easily understandable by all business users. With BPMN you can
create various types of diagrams. It has been remarkably successful and as a consequence of
this success, a large number of tools have been appearing that support this specification.24

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Finally, a Business Process Management System (BPMS) is generic software that uses explicit
process models to analyze operational processes. In general, these models are disconnected
from the data of real events and therefore the results can be unreliable since they are based
on an idealized model and not on the observed facts.14

III. PROCESS MINING

Process Mining seeks above all to bridge the gap between BPM and BI by combining event
data and process models.25,26,27,28

It is a research discipline that lies between computational intelligence and data mining, on the
one hand, and process modeling and analysis, on the other.elevenIt allows extracting hidden and
useful information from trace records stored by information systems. Its application helps
identify bottlenecks, anticipate problems, record policy violations, recommend
countermeasures, and simplify processes to improve business performance.29.30

There are currently three types of process mining:26

- Discovery: to the analysis of an event log and the production of a model, without using
any previous information to discover the real processes, only based on the execution
samples of the event logs.
- Conformity check: the comparison of events from the event log with activities from the
process model. It is used to check if the model is equivalent to the information that is stored
in the event log, in order to detect deviations, bottlenecks and inconsistencies, widely used
in audits.

- Extension: by improving the existing process model using the information about the actual
process stored in the event log.

Process Mining (Fig.1) (Fig.2), for its operation, is structured around 3 basic concepts;
Process, Process Instance and Activity.

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- The Process was treated in the previous section as Business Process. It is a structured
set of activities, designed to produce a given output or achieve an objective. Example:
Patient Care Process.
- The individual execution of a defined process is called a Process Instance. Example:
Attend Patient Juan, Attend Patient Pedro, etc.
- Each of the actions that comprise a process is called an Activity. Example: Admit Patient,
Consult Patient, etc.

IV. SOCIAL NETWORK ANALYSIS

Social Network Analysis (ARS) is an approach to the study of human social interactions. The ARS
provides a collection of methods, techniques, and tools for sociometric purposes to analyze
social networks.31

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In analytical terms, a social network is a social structure made up of a finite set of actors
and configured around a series of relationships between them.32

One way to represent a social network is through a graph where the actors or nodes can be
people or groups of these (companies, organizations and countries) while the links or edges
are the relationships that are manifested between the actors (love, power, family kinship, and
rivalry).

As part of Process Mining, there is Social Network Mining, which offers approaches and tools
that combine the concepts of workflow management with ARS, allowing the inference of social
interaction networks.33

The Mining of Social Networks is part of the discovery of processes since by analyzing the event
record, the process model is obtained, which in this case is a social network, as part of the
application of the organizational perspective.

In order to infer relationships between resources from event records, it is necessary to use
some form of measurement that allows defining the strength of the relationships established
between individuals. This is called a metric. Here are the main ones:33

- Causality-based metrics: analyze for individual cases how work moves between resources.
Examples: subcontracting (one resource subcontracts another if for every 2 tasks performed
by it, the other performs at least one) and work transfer (resources will be related if tasks are
transferred from one to another).

- Metrics based on common cases: it is assumed that if individuals work together on the
same cases then they will have a stronger relationship than individuals who rarely work
together.
- Metrics based on activities in common: it is assumed that individuals who do similar activities
have a stronger connection than people who do completely different things.

- Metrics based on types of special events: they consider that not all events are the same,
determining hierarchical relationships.

MATERIALS AND METHODS

The materials and methods used are described below:

- Description of the study: The study carried out is of a descriptive observational type in
health organizations and institutions. It was carried out in a period of one year from
September 2014 to August 2015 and applied at the Dr. Gustavo Aldereguía Lima Provincial
Hospital in Cienfuegos, Cuba. To carry out the research and implementation of the
component presented here, the theme was observed and described in such a scenario, with
which a sample of 60 health professionals was used, divided into 25 specialists and residents
of general surgery, 15 specialists and residents in anesthesiology and 20 nursing specialists.

- Analysis of the development of the theme worldwide: After carrying out an in-depth
documentary analysis and interviews with health specialists, it can be concluded that there is
extensive literature on the importance of forming teams

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work to improve performance at a general level and especially in the health sector. However,
there are no computer systems that support decision-making in the formation of teams in the
health sector.

In Cuba there are no reports that define specific actions aimed at forming work teams. It is
known by reference to psychology professionals in Cuba, that in the 80's and 90's of the last
century there was an important boom in the selection of personnel for some medical
specialties. Batteries of tests previously selected by health psychology professionals were
applied and later they were applied to doctors who aspired to some medical specialties. An
example of this is the selection of intensive care specialists. This work began at the Hermanos
Ameijeiras Hospital in Havana, and was later applied by regulations in the rest of the Cuban
hospitals where intensive care doctors were trained.

- Procedure carried out: The development of the research was essentially composed of 3
phases, the study of the main theoretical references, the development of the computer
component and its validation, in all of them the link with the Aldereguía Lima Hospital, its
specialists and sample was essential. employee. They cooperated at all times, both in the
interviews conducted and in the questionnaires applied to adjust the core theoretical
aspects of the research as well as the computer component itself.

- Ethical considerations: The authors of this research undertake at all times to keep the data of
the patients used to test the application anonymous, as well as to provide security to the
developed component in such a way that sensitive information of patients, healthcare
specialists is never endangered. and institutional.

- Main technologies:

ProM: It is an open source framework developed to support a wide variety of Process Mining
techniques. As an academic platform this framework is at the forefront of Process Mining
research. It makes it easy to develop and test new algorithms, although certain levels of
Process Mining knowledge are required to use it.3. 4

XESame: It is an XES format mapper, which provides a generic way to extract event records
from a data source. This is designed to be easy to use.35

PostgreSQL: It is an object-oriented relational Database Management System. It is the most

advanced open source database manager today, supporting almost all the syntax. It has a wide
set of links with programming languages (C, C++, Java, perl, python, among others).36

Java: It is an object-oriented programming language developed by Sun Microsystems. It is easy

to learn, object-oriented, distributed, interpreted, robust, secure, portable, high-performance,
multitasking, and dynamic. Its applications are reliable and it has great functionality thanks to
the large number of existing libraries.37

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Scientific methods:38

- The interview: Through its application to surgical personnel, all the necessary information was
obtained regarding how personnel selection processes are carried out today and how they
should be carried out according to world trends. A development guide was used for this, to
ensure that the fundamental aspects were described correctly.

- Historical-logical method: It was used to investigate the emergence and development of

computer systems that select personnel, that work with Social Network Analysis, that
implement process management and that use Process Mining. This made it possible to better
understand the object of study based on the proposed solution.

- Documentary analysis: For the study of the theoretical referents of the investigation.
Books and scientific articles were consulted in digital format.

- The survey: Through its application to specialists and residents of surgery, specialists and
residents of anesthesiology, and nurses, quantitative measurements of the qualitative and
quantitative elements addressed that constitute the input data to the component were
obtained.

- The Iadov technique: It was used to validate and obtain user feedback on the level of
satisfaction with the development of the component

V. COMPONENT FOR HEALTH DECISION-MAKING WITH A SOCIAL NETWORK

ANALYSIS APPROACH FROM PROCESS MINING

In order for it to be carried out with quality and coherence, the patient care process necessarily
influences the selection activity of surgical work teams (Fig. 3). This is because it is impossible to
form a work team if it is not analyzed how the surgical interventions performed to date have
behaved, who are the specialists who have performed the greatest number of surgical
interventions of a certain type, what is their evaluation of the surgical activity based on the
demonstrated performance and above all who are the people who work together get along
better and have better results.

Everything seen above roughly and theoretically encompasses the contents discussed in
previous sections such as Business Process Management, Mining of

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Processes and Analysis of Social Networks, as well as the component proposal for decision-
making to be addressed in this section.

The Patient Care process begins with the Admission of the Patient, the Appointment of the
Patient for Consultation and the Carrying out of the Consultation, generic activities carried out
at any level of health care and in any medical specialty. Subsequently, a set of activities typical
of surgery services are carried out, such as the Completion of the Surgical Intervention
Request, the Completion of the Operative Act and the Completion of the Operative Evaluation.

The Execution of the Surgical Intervention Request includes activities such as the
Anesthesiology Evaluation, which is where the anesthesiologist determines if the patient
meets all the physical and mental conditions to be operated. Subsequently, the aspects of the
Surgical Intervention Request document are filled out, such as the data of the operation, the
diagnosis made to the patient, the surgical procedure to be performed, as well as the surgical
staff to operate it, made up of surgeons, anesthesiologists, assistants and nurses. .

The next activity is to Perform the Operative Act from which the Operative Note is generated,
which contains the preoperative and postoperative diagnoses, the preoperative and
postoperative surgical procedure, the observations made in said act, as well as the members
of the work team.

Finally, the Operative Evaluation is carried out, which is carried out by an evaluation team made
up of surgeons and anesthesiologists. For the evaluation, the data recorded during the entire
process of Patient Care are aided, such as the Request for Surgical Intervention, the Operative
Note, the Histological Report of the Biopsies (if tissue was extracted for biopsy) and the
Necropsy Report ( if the patient died). The evaluation will be composed of letters from A to E,
which reflect the veracity of the diagnosis given and the justification of the procedure
performed, followed by numbers from 1 to 3 that show the magnitude of the operation, criteria
assumed by the medical community.39

Once the Perform Operative Evaluation activity is completed, the Patient Care process is
considered finished, assuming that, as occurs in most cases, the patient is operated on
successfully and is discharged. However, the patient may be involved again in the Consult
Patient process, either due to a new surgical intervention, care follow-up or surgical
complications.

The component for its operation starts from the execution of a new instance of the Patient Care
process. From the patient in question, the complexity of the operation to be performed and the
anatomical region to be operated on are obtained. Then an algorithm is implemented that goes
through all the instances of execution that said process has in the Information System
implemented in the care unit based on the criteria obtained, such action is not computationally
expensive nor does it take a long time because said data is pre-existing. -processed at the time
of consultation. Figure 4 shows an image of the developed component. The analysis to be
carried out is as follows:

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- Healthcare personnel who specialize in the anatomical region to be operated on.

- Healthcare personnel with the largest number of operations performed in the anatomical
region to be operated whose evaluation has been satisfactory and has been of the complexity
of the operation to be performed.
- Care personnel who coincide on a greater number of occasions, who have operated
on the anatomical region to be operated on, who have been of the complexity of the
operation to be performed and who have also performed satisfactory operations
together.

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- Care staff who, even though they have never worked together up to now, operate on the
anatomical region and have excellent evaluations.

In Figure 4, the size of the node means that the care staff is more apt to operate the larger the
node. The size of the relationship means that the bond between both people is stronger as the
thickness is greater. The color of the node responds to the role it occupies in the organization:
surgeon, nurse, anesthesiologist or assistant. All of this is represented dynamically from the
algorithms implemented as part of the theory of Social Network Analysis, giving a greater or
lesser size to the node and thickness to the edge based on the applied filters and its
subsequent analysis with the data contained in the system.

The buttons below the search criteria make it possible to see the social network formed taking
into account the defined search criteria, suggest a team by the component itself from which it
is considered the best team to carry out the intervention according to the data contained in
the system and Select suggested equipment to operate.

SAW. ANALYSIS AND DISCUSSION OF RESULTS

Once the Component for decision-making in Health has been presented with a Social Networks
Analysis approach from Process Mining, it can be concluded that it will support decision-
making in the formation of surgical work teams, facilitating the work of the personnel.
administrative management of surgery services, which will increase the effectiveness of
operations performed on patients based on the analysis of hospital processes and subsequent
inference of interaction networks between professionals, thus favoring quality service
provision.

Next, we proceed to analyze and discuss the results produced by it. For this, the component
was validated at the Dr. Gustavo Aldereguía Lima Hospital in Cienfuegos with a satisfaction
technique, a survey of health and computer specialists, as well as software tests.

- Validation of satisfaction through the IADOV technique: It is applied to obtain the degree of
customer satisfaction. The criteria used are based on the relationships established between
three closed questions within the applied questionnaire and whose existence is unknown to
those involved. To obtain the results of the application of the technique, it is necessary to
know the satisfaction scale, as well as the formula to determine group satisfaction.40

Below is the VA IADOV Logical Table, where the triangulation of the direct questions is
carried out:

Once the Group Satisfaction Index has been calculated, as shown below, satisfaction of the
component is determined by the 15 health specialists surveyed. The group satisfaction index
fluctuates between +1 and -1. Values between -1 and -0.5 indicate dissatisfaction; those
between -0.49 and +0.49 show contradiction and those between 0.5 and 1 indicate that there is
satisfaction. Therefore, after applying the technique, in which the group satisfaction index
yielded a result of 0.76, it is indicated that there is satisfaction with the developed component.

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- Results of the survey carried out on Health specialists: A survey was carried out on 17
Health specialists with the aim of evaluating the proposed solution. In this survey, the
specialist is asked to evaluate a set of statements related to the purpose of the developed
component, on a scale of 0 to 5, from least to most important. 100% considered, in all the
options, highly important -between 4 and 5- the use of the computer component.

- Results of the survey applied to computer specialists: A survey was carried out on 23
computer specialists with the aim of evaluating the proposed solution. In this survey, the
specialist is asked to evaluate a set of statements related to technological aspects of the
developed component, on a scale of 0 to 5, from least to most important. 100% considered, in
all the options, highly important -between 4 and 5- the use of the computer component.

Results of the load and stress tests carried out on the application: A load and stress test was
carried out on the component, which aims to see the level of response of the system when
several requests are made concurrently. To carry out the test, we used

Apache JMeter, which is a program specialized in performing load and stress tests. For the test,
50 concurrent users were configured, a computer with a Core Duo processor at 2.00GHz speed
and 2 GB of RAM was used. The test returned the following result:

Figure 5 shows the result of the test carried out, as can be seen for a concurrence of 27 users,
2100 requests were made, the minimum response times were 15ms and the maximum time
was 6641ms. 90% of the pages responded in 3688ms, which yields a performance of 19.3s for
each request made to the system. This shows that the response time of the system regarding
the level of concurrency is optimal.

- Analysis of the impact and economic feasibility of the proposal:

The correct application of the computer component has a positive impact on compliance
with the policies established in the country. Carrying out an analysis of the

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guidelines of the economic policy, the impact of the proposal is highlighted in the guideline
145 of chapter VI Social Policy, which establishes: "Achieve a better use and exploitation of the
labor force and existing capacities". The developed component selects the work teams
according to their capabilities based on the complexity of the operation and the anatomical
region to be operated on the patient.

The fundamental contribution from the economic point of view is given in the saving of time,
paper and assistance personnel at the time of making a decision. From a practical point of view,
it is the development of a computer component using Social Network Analysis techniques,
which, based on the management of information related to the professional performance of
healthcare personnel, allows support for clinical-administrative decision-making in the selection
of surgical work teams in Health, this enables better medical care, safety and quality of life of
the patient.

CONCLUSIONS

After completing the investigation, the following conclusions can be reached:

A result is achieved more efficiently when activities and resources are managed as a process.
That is why business process management is today a widely used practice worldwide, for
providing competitive advantages to organizations such as cost reduction, increased
productivity and transparency, agility and effectiveness of their operations. The use of Process
Mining in the health sector is a modern and recommendable approach. Its application in
various areas proves this, in order to improve medical care processes, really discover the
processes that are carried out on a daily basis, detect and correct anomalies, monitor
deviations, save resources, discover bottlenecks, anticipate problems. , among many other
aspects. All the activity that is carried out on a daily basis is carried out by people who by nature
tend to form groups, either by specialty, tastes, interests or goals. Social Network Analysis is
therefore a recommended approach to infer social interaction networks that make it possible
to improve work and increase productivity in an organization. It also offers mechanisms to
determine leaders, trends and

behaviors, in a highly interconnected and increasingly complex society. The component for
decision-making in the formation of surgical work teams in a Hospital Information System with
a Social Network Analysis approach from Process Mining was presented and described, which
will allow increasing the effectiveness of the operations carried out at patients from the
analysis of hospital processes and subsequent inference of interaction networks between
professionals, thus favoring a provision of quality services.

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frameworks and an approach for healthcare process-development. In KS Soliman, editor,
Information Management in Modern Enterprise: Issues and

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Received: November 16, 2015. Approved:

May 6, 2016.

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