Marcello Sarini

Key challenges for enabling agile BPM with social software

Business Process Management is called agile when it is able to react quickly and adequately to internal and external events. Agile Business Process Management requires putting the life cycle of business processes on a new paradigm. It is advocated in this paper that social software allows us to satisfy the key requirements for enabling agile BPM by applying the four features of social software: weak ties, social production, egalitarianism and mutual service provision. Organizational and semantic integration and responsiveness (of the business processes engineering, execution and management activities) have been identified as the main requirements for implementing an agile BPM life cycle. Social software may be used in the BPM life cycle in several manners and using numerous approaches. This paper presents seven among them and then analyzes the ‘support’ effects between those approaches and the underlying social software features, and the three requirements for Agile BPM. Copyright

When once is not enough: the role of redundancy in a hospital ward setting

The paper discusses the role of redundancy in hospital ward work on the basis of a field study that focuses on the use of paper artifacts supporting healthcare and its coordination. On the basis of literature and direct observations, we identified different kinds of redundancy, i.e. redundancy of effort, functions and data. Hence, we analyzed how these different forms of redundancy may affect each other and the coordination inside hospital wards. Redundancy plays a positive or negative role depending on various circumstances. This twofold nature defines different requirements for a technology to support healthcare and ward work by preserving practices linked to paper-based artifacts and by unobtrusively augmenting them with computational capabilities.

Leveraging Coordinative Conventions to Promote Collaboration Awareness

The paper discusses the conventions used by medical practitioners to improve their collaboration mediated by Clinical Records. The case study focuses on the coordinative conventions identified in two wards of an Italian hospital and highlights their role and importance in the definition of the requirements of any system supportive of collaborative work practices. These requirements are expressed in terms of the provision of artifact-mediated information that promotes collaboration awareness. The study identified several kinds of Awareness Promoting Information (API): the paper discusses how they can be conveyed both in the web of documental artifacts constituting a Clinical Record and in its computer-based counterpart, the Electronic Patient Record (EPR). The paper ends with the implications for the design of EPRs and for their integration with Hospital Information Systems in light of the findings.

Providing awareness through situated process maps: the hospital care case

Clinical Pathways (CPs) are artifacts that clinicians are increasingly introducing in their practices in order to deal with health problems in the most effective, efficient and agreed way. As a result of an observational study at a Neonatology Intensive Care Unit, we found that most CPs are still paper-based. Although perceived useful even on paper, the physicians advocated a system integrating CPs with the clinical record. Based on their requirements, we present a proposal on how to conceive a computational system that can promote awareness in order to achieve better coordination and committed inclusion of pathways in daily clinical practice.

Social Support and Adherence to Treatment in Hypertensive Patients: A Meta-Analysis

BackgroundIt is important to examine factors associated with patient adherence to hypertension control strategies.PurposeA meta-analysis was conducted to examine whether social support was related to adherence to healthy lifestyle and treatment medication in hypertensive patients.MethodsJournal articles were searched in medical (CINAHL, MEDLINE), psychological (PsycINFO, PsycARTICLES), and educational (ERIC) electronic databases; in reference lists of selected papers; and in the reference list of a previous review.ResultsFindings of a set of meta-analyses indicated that (a) structural social support was not significantly related to overall adherence, (b) functional social support was significantly and positively related to overall adherence, (c) these findings were further confirmed in meta-analyses conducted on specific types of adherence, and (d) most results were characterized by heterogeneity across studies that was partially explained by moderator analyses.ConclusionsFunctional social support, but not structural social support, was associated with adherence in hypertensive patients.

CASMAS: supporting collaboration in pervasive environments

The paper proposes a model to design collaboration supports in pervasive environments through the notion of community. As in human communities, the degree of participation of a member can dynamically change in relation both to her physical location and to her position in the logical space of the applications the community uses to cooperate. The paper shows how this approach is able to make pervasive environments reactive to user behavior on the basis of a semantically rich context representation

Workflow Management Social Systems: A New Socio-psychological Perspective on Process Management

The paper presents a study about one of the most successful cases of social software: Wikipedia. In particular we focused on the investigation of some socio-psychological aspects related to the use of the Italian Wikipedia. In our study, we considered Wikipedia active users classified into three different roles: registered users, administrators, and bureaucrats in order to discuss our findings with respect to these different groups of users. Workflow Management Systems are applications designed to support the definition and execution of business processes. Since we consider that social aspects are relevant in the accomplishment and coordination of activities managed by such technologies, we advocate for a new class of Workflow Management Systems, i.e., Workflow Management Social Systems. These systems should emphasize the social nature of workflow management. For this reason, we propose to consider some of the relevant psychological aspects we identified in our study, interpreted in the light of some relevant socio-psychological theories, for the design of this socially enriched workflow technology.

WWW in the Small

The web technology is increasingly used by communities of various kinds to support their memory and the interactions among their members. In these cases the WWW can be viewed as a web of local spaces (Web in the small), each characterized by local structure and semantics. The local space can be used to provide the community members with adaptive functionalities to enhance their navigations and to promote new forms of interaction among them. The realization and management of these functionalities are sustainable since they do not require more knowledge and effort than the ones the community generates and spends to survive. The paper presents a technology, the LAW system, which is a step towards a view of the Web in the small and complements more traditional technologies supporting the current acceptation of the World Wide Web (Web in the large). The LAW system is informed by an agent based model where space and its topology are first class concepts.

A Type A and Type D Combined Personality Typology in Essential Hypertension and Acute Coronary Syndrome Patients: Associations with Demographic, Psychological, Clinical, and Lifestyle Indicators.

Many studies have focused on Type A and Type D personality types in the context of cardiovascular diseases (CVDs), but nothing is known about how these personality types combine to create new profiles. The present study aimed to develop a typology of Type A and Type D personality in two groups of patients affected by and at risk for coronary disease. The study involved 711 patients: 51.6% with acute coronary syndrome, 48.4% with essential hypertension (mean age = 56.4 years; SD = 9.7 years; 70.7% men). Cluster analysis was applied. External variables, such as socio-demographic, psychological, lifestyle, and clinical parameters, were assessed. Six groups, each with its own unique combined personality profile scores, were identified: Type D, Type A-Negatively Affected, Not Type A-Negatively Affected, Socially Inhibited-Positively Affected, Not Socially Inhibited, and Not Type A-Not Type D. The Type A-Negatively Affected cluster and, to a lesser extent, the Type D cluster, displayed the worst profile: namely higher total cardiovascular risk index, physical inactivity, higher anxiety and depression, and lower self-esteem, optimism, and health status. Identifying combined personality profiles is important in clinical research and practice in cardiovascular diseases. Practical implications are discussed.

A longitudinal study on the information needs and preferences of patients after an acute coronary syndrome

BackgroundResearch has shown that the provision of pertinent health information to patients with cardiovascular disease is associated with better adherence to medical prescriptions, behavioral changes, and enhanced perception of control over the disease. Yet there is no clear knowledge on how to improve information pertinence. Identifying and meeting the information needs of patients and their preferences for sources of information is pivotal to developing patient-led services. This prospective, observational study was aimed at exploring the information needs and perceived relevance of different information sources for patients during the twenty-four months following an acute coronary syndrome.MethodsTwo hundred and seventeen newly diagnosed patients with acute coronary syndrome were enrolled in the study. The patients were primarily men (83.41 %) with a mean age of 57.28 years (range 35–75; SD = 7.98). Patients’ needs for information and the perceived relevance of information sources were evaluated between 2 and 8 weeks after hospitalization (baseline) and during three follow-ups at 6, 12 and 24 months after baseline. Repeated measures ANOVA, Bonferroni post hoc tests and Cochran’s Q Test were performed to test differences in variables of interest over time.ResultsResults showed a reduction in information needs, but this decrease was significant only for topics related to daily activities, behavioral habits, risk and complication. At baseline, the primary sources of information were specialists and general practitioners, followed by family members and information leaflets given by physicians. Relevance of other sources changed differently over time.ConclusionThe present longitudinal study is an original contribution to the investigation of changes in information needs and preferences for sources of information among patients who are diagnosed with acute coronary syndrome. One of the main results of this study is that information on self-disease management is perceived as a minor theme for patients even two years after the event. Knowledge on how patients’ information needs and perceived relevance of information sources change over time could enhance the quality of chronic disease management, leading health-care systems to move toward more patient-tailored care.