Intelligent Information Management, 2011, 3, 56-63
doi:10.4236/iim.2011.32007 Published Online March 2011 (http://www.SciRP.org/journal/iim)
Copyright © 2011 SciRes. IIM
The BP-M* Methodology for Process Analysis in the
Health Sector
Antonio Di Leva, Salvatore Femiano
Dipartimento di Informatica, Università di Torino, Torino, Italy
E-mail: dileva/femiano@di.unito.it
Received January 12, 2011; revised January 28, 2011; accepted March 1, 2011
Abstract
In this paper we present the main phases of the BP-M* methodology and its application to a care pathway for
patients in the Oncology Division of a large hospital, to evaluate pros and cons of different drug administra-
tion modalities and the impact of these modalities to the organizational process. BP-M* has been developed
for the manufacturing sector but the relevance of business modeling, analysis and reorganization is not re-
stricted to a specific sector. The aim of this work is to show its application to a real life study of a complex
process in the health sector.
Keywords: Methodology for Business Process Analysis, Process Simulation and Reengineering, Care Path-
way
1. Introduction
This paper presents a methodology, called BP-M* (Busi-
ness Process Methodology*), which is a practical approach
for the modeling, the quantitative analysis and the reengi-
neering of business processes. It will be illustrated by
means of the patient’s care pathway in the Oncology Divi-
sion of the largest hospital in Torino (Italy), the Azienda
Ospedaliera San Giovanni Battista.
The management of an integrated care department in
modern hospitals is not a simple task. Managers have to:
• develop care pathways,
• identify participants and roles in the care process,
• streamline activities, follow progress and respond to
actions and events along the care pathways,
• evaluate efficiency and effectiveness of the care
process.
For an Oncology Division, the relevant process is the
chemotherapy administration. Chemotherapy is the use
of extremely powerful drugs to destroy cancer cells;
therefore it requires a very careful monitoring of patient
conditions during drug infusion. The overall process is
very complex and requires coordination among several
doctors, nurses, pharmacists, laboratory and clerical per-
sonnel, and the patient.
Therefore we need methods that allow a precise defi-
nition of the patient care process and provide qualitative
and quantitative information about the process, e.g. [1,2]:
• the optimal type and number of resources (staff,
rooms, beds, etc.),
• existing anomalies in the process (such as bottle-
necks, long waiting times,…),
• suggestions to improve efficiency, i.e., how to use
resources in a better way, how to decrease patient
length of stay in the department (cycle time),
• type of problems if something new happens (e.g. the
workload increases).
In the literature, there is a strong support for the
analysis and reengineering of healthcare organizations.
Enterprise methodologies originally developed for manu-
facturing processes are now used to improve the opera-
tions and competitiveness of hospitals [3,4].
Both qualitative (e.g. SWOT - Strengths, Weaknesses,
Opportunities and Threats) and quantitative (e.g. process
evaluation based on discrete event simulation) analysis
have been exploited in real life applications [5,6,7].
This paper is structured as follows. The second section
presents the BP-M* methodology. The third section il-
lustrates the case study, which aims to improve the effi-
ciency and to optimize the resources management of the
target organization. Finally the fourth section presents
some preliminary conclusions of our analysis.
2. The BP-M* Methodology
BP-M* is based on M*-COMPLEX, a general-purpose