The length of stay (LOS) is an important indicator of the efficiency of hospital management. Reduction in the number of inpatient days results in decreased risk of infection and medication side effects, improvement in the quality of treatment, and increased hospital profit with more efficient bed management. The purpose of this study was to determine which factors are associated with length of hospital stay, based on electronic health records, in order to manage hospital stay more efficiently. Research subjects were retrieved from a database of patients admitted to a tertiary general university hospital in South Korea between January and December 2013. Patients were analyzed according to the following three categories: descriptive and exploratory analysis, process pattern analysis using process mining techniques, and statistical analysis and prediction of LOS. Overall, 55% (25,228) of inpatients were discharged within 4 days. The department of rehabilitation medicine (RH) had the highest average LOS at 15.9 days. Of all the conditions diagnosed over 250 times, diagnoses of I63.8 (cerebral infarction, middle cerebral artery), I63.9 (infarction of middle cerebral artery territory) and I21.9 (myocardial infarction) were associated with the longest average hospital stay and high standard deviation. Patients with these conditions were also more likely to be transferred to the RH department for rehabilitation. A range of variables, such as transfer, discharge delay time, operation frequency, frequency of diagnosis, severity, bed grade, and insurance type was significantly correlated with the LOS. Accurate understanding of the factors associating with the LOS and progressive improvements in processing and monitoring may allow more efficient management of the LOS of inpatients.

In healthcare management, waiting time for consultation is an important measure that has strong associations with patient’s satisfaction (i.e., the longer patients wait for consultation, the less satisfied they are). To this end, it is required to optimize medical scheduling for clinicians. A typical approach for deriving the optimized schedules is to perform experiments using discrete event simulation. The existing work has developed how to build a simulation model based on process mining techniques. However, applying this method for outpatient processes straightforwardly, in particular medical scheduling, is challenging: 1) The collected data from Electronic Health Record system requires a series of processes to acquire simulation parameters from the raw data; 2) Even if the derived simulation model fully reflects the reality, there is no systematic approach to deriving effective improvements for simulation analysis, i.e., experimental scenarios. To overcome these challenges, this paper proposes a novel decision support framework for a clinician’s schedule using simulation analysis. In the proposed framework, a data-driven simulation model is constructed based on process mining analysis, which includes process discovery, patient arrival rate analysis, and service time analysis. Also, a series of steps to derive the optimal improvement method from the simulation analysis is included in the framework. To demonstrate the usefulness of our approach, we present the case study results with real-world data in a hospital.

Background and objective: Recently, Electronic Health Records (EHR) are increasingly being converted to Common Data Models (CDMs), a database schema designed to provide standardized vocabularies to facilitate collaborative observational research. To date, however, rare attempts exist to leverage CDM data for healthcare process mining, a technique to derive process-related knowledge (e.g., process model) from event logs. This paper presents a method to extract, construct, and analyze event logs from the Observational Medical Outcomes Partnership (OMOP) CDM for process mining and demonstrates CDM-based healthcare process mining with several real-life study cases while answering frequently posed questions in process mining, in the CDM environment. Methods: We propose a method to extract, construct, and analyze event logs from the OMOP CDM for process types including inpatient, outpatient, emergency room processes, and patient journey. Using the proposed method, we extract the retrospective data of several surgical procedure cases (i.e., Total Laparoscopic Hysterectomy (TLH), Total Hip Replacement (THR), Coronary Bypass (CB), Transcatheter Aortic Valve Implantation (TAVI), Pancreaticoduodenectomy (PD)) from the CDM of a Korean tertiary hospital. Patient data are extracted for each of the operations and analyzed using several process mining techniques. Results: Using process mining, the clinical pathways, outpatient process models, emergency room process models, and patient journeys are demonstrated using the extracted logs. The result shows CDM’s usability as a novel and valuable data source for healthcare process analysis, yet with a few considerations. We found that CDM should be complemented by different internal and external data sources to address the administrative and operational aspects of healthcare processes, particularly for outpatient and ER process analyses. Conclusion: To the best of our knowledge, we are the first to exploit CDM for healthcare process mining. Specifically, we provide a step-by-step guidance by demonstrating process analysis from locating relevant CDM tables to visualizing results using process mining tools. The proposed method can be widely applicable across different institutions. This work can contribute to bringing a process mining perspective to the existing CDM users in the changing Hospital Information Systems (HIS) environment and also to facilitating CDM-based studies in the process mining research community.

Interests in manufacturing process management and analysis are increasing, but it is difficult to conduct process analysis due to the increase of manufacturing data. Therefore, we suggest a manufacturing data analysis system that collects event logs from so-called big data and analyzes the collected logs with process mining. There are two kinds of big data generated from manufacturing processes, structured data and unstructured data. Usually, manufacturing process analysis is conducted by using only structured data, however the proposed system uses both structured and unstructured data for enhancing the process analysis results. The system automatically discovers a process model and conducts various performance analysis on the manufacturing processes.