Identification of Prerequisites for the Deployment of Business Process Management Practices in Iran’s Hospitals
business to identify, model, deploy, execute, manage, monitor, and improve its processes in a standardized manner. This research aimed to identify the prerequisites for the deployment of this approach in Iran’s Hospitals.
Methods: The present research was a qualitative cross-sectional study which was conducted
using the content analysis method in 2017. Sampling was performed using the purposive
sampling method and continued until data saturation. The participants were 18 men and
5 women. The data were collected through semi-structured interviews. Data analysis was
performed using the content analysis method.
Results: After analyzing the contents of the interviews, we classified the prerequisites for
the deployment of BPM practices into six themes and 14 subthemes: Process Engineering,
Flexible Treatment Guidelines and Procedures, Flexible Organizational Rules, Learning
Organization, Smart Electronic Filing, and Access Control Systems.
Conclusion: According to the experts interviewed, decision-makers have to carefully
address the prerequisites such as legal and cultural requirements and the limitations such as
budgetary constraints before initiating the deployment of BPM systems. Overall, it appears
that the localization and deployment of this approach, as much as it is currently possible, can benefit the Iranian healthcare systems as well as Iranian patients.
Keywords: Process, Quality Improvement, Healthcare, Business Process Management
Yarmohammadian MH, Ebrahimipour H,
Doosty F. Improvement of hospital processes through business process management in Qaem Teaching Hospital: A work in progress. Journal of education and health promotion. 2014;3:111. doi: 10.4103/2277-9531.145902.
Yarmohammadian MH, Ebrahimipour H, Doosty F. Developing” an integrated business process management and lean” model for
improving quality of services in teaching hospitals. International Journal of Health System and Disaster Management. 2013;1(4):229. doi: 10.4103/2347-9019.130743.
Doosty F Y, Mohammad H,, Ebrahimipour H. Introduction to Business Process Management Approach in Health Organizations. Health Information Management. 2012;9(7)87-99. Persian.
Yarmohammadian M, Khosravizadeh O, Alirezaei S, Doosty F. Impact of Business Process Model on Improving the Discharge Process in Teaching Hospital of Ghaem, Mashhad. Journal of Health Administration. 2015;18(61):47-56.
Gabryelczyk R, Jurczuk A, Roztocki N, editors. Business process management in transition economies: current research landscape and future opportunities. Proceedings of the 22th Americas Conference on Information Systems (AMCIS); 2016.
Lenz R, Reichert M. IT support for healthcare processes–premises, challenges, perspectives. Data & Knowledge Engineering. 2007;61(1):39-58.
Kohlbacher M. The effects of process orientation: a literature review. Business Process Management Journal. 2010;16(1):135-52. doi: 10.1108/14637151011017985.
Braubach L, Pokahr A, Jander K, Lamersdorf W, Burmeister B. Go4flex: Goal-oriented process
modelling. Intelligent Distributed Computing IV: Springer; 2010. p. 77-87.doi: 10.1007/978-3- 642-15211-5_9.
Sun Y, Su J, editors. Computing degree of parallelism for BPMN processes. International Conference on Service-Oriented Computing;
: Springer.doi: 10.1007/978-3-642-25535-9_1
Jeston J. Business process management. Abingdon:
Routledge; 2014. doi: 10.4324/9780203081327.
Zur Muehlen M, Shapiro R. Business process analytics. Handbook on Business Process Management 2. New York: Springer; 2010. p.
Dumas M, La Rosa M, Mendling J, Reijers HA. Fundamentals of business process management. New York: Springer; 2013.
Lim ET, Pan SL, Tan CW. Managing user acceptance towards enterprise resource planning (ERP) systems–understanding the dissonance between user expectations and managerial
policies. European Journal of Information Systems. 2005;14(2):135-49. doi: 10.1057/palgrave. ejis.3000531.
Fox J, Dunlop R, editors. Careflow: theory and practice. International Conference on Business Process Management; 2007: Springer.
Müller R, Rogge-Solti A, editors. BPMN for healthcare processes. Proceedings of the 3rd Central-European Workshop on Services and their Composition (ZEUS 2011), Karlsruhe, Germany; 2011.
Mukkamala RR. A Formal Model For Declarative Workflows. København: IT University of Copenhagen; 2012.
El-Hassan O, Fiadeiro JL, Heckel R, editors. Managing socio-technical interactions in healthcare systems. International Conference on Business Process Management; 2007: Springer.
Godin G, Belanger-Gravel A, Eccles M, Grimshaw J. Healthcare professionals’ intentions and behaviours: a systematic review of studies based on social cognitive theories. Implementation
science : IS. 2008;3:36. doi: 10.1186/1748-5908-3-36.
Mans RS, Schonenberg M, Song M, van der Aalst WM, Bakker PJ, editors. Application of process mining in healthcare–a case study in a
dutch hospital. International joint conference on biomedical engineering systems and technologies; 2008: Springer.doi: 10.1007/978-3- 540-92219-3_32.
Ghattas J, Soffer P, Peleg M. Improving business process decision making based on past experience. Decision Support Systems. 2014;59:93-107. doi: 10.1016/j.dss.2013.10.009.
Schnipper JL, Gandhi TK, Wald JS, Grant RW, Poon EG, Volk LA, et al. Design and implementation of a web-based patient portal linked to an electronic health record designed to improve medication safety: the Patient Gateway medications module. Inform Prim Care. 2008;16(2):147-55. doi: 10.14236/jhi.v16i2.686.
Gooch P, Roudsari A. Computerization of workflows, guidelines, and care pathways: a review of implementation challenges for processoriented health information systems. J Am Med
Inform Assoc. 2011;18(6):738-48. doi: 10.1136/ amiajnl-2010-000033.
Chen P. Goal-oriented business process monitoring: An approach based on user requirement notation combined with business
intelligence and web services: Carleton University; 2008.
Alhaqbani B, Fidge C, editors. Access control requirements for processing electronic health records. International Conference on Business Process Management; 2007: Springer.
Gajanayake R, Iannella R, Sahama T. Privacy oriented access control for electronic healt records. Electronic Journal of Health Informatics. 2014;8(2):15.
Bahga A, Madisetti VK. A cloud-based approach for interoperable electronic health records (EHRs). IEEE journal of biomedical and health
informatics. 2013;17(5):894-906. doi: 10.1109/ JBHI.2013.2257818.
Li M, Yu S, Ren K, Lou W. Securing personal health records in cloud computing: Patientcentric and fine-grained data access control in
multi-owner settings. International conference on security and privacy in communication systems 2010:89-106. doi: 10.1007/978-3-642-16161-2_6.
Ammon Rv. Event-driven business process management. Encyclopedia of Database Systems. 2009:1068-71.
AlShathry O. Business process management: a maturity assessment of Saudi Arabian organizations. Business Process Management Journal. 2016;22(3):507-21. doi: 10.1108/bpmj-07-
Rohani S, Zaree Ravasan A. Critical Success Factors for the Implementation of Business Process Management Systems. Informatic Health Management. 2015;3(12):53-76.
Kalhori A, Haji-Heidari N. Factors Influencing Business Process Management Implementation Case Study: Petrochemical Commerce Corporation. Quarterly Journal of Management and Development Process. 2012;25(2):149-77.
Rezaie K, Tadayoun S, Ostadi B, Aghdasi M. Critical Success Factors in implementation of Process Management and a Framework for Assessment of organization Readiness. Industrial Management Journal. 2009;1(3):37-52.
Santos H, Alves C, Santos G, Santana A. Identifying strategies for managing critical success factors of BPM initiatives in Brazilian Public Organisation. Trilhas Tecnicas. 2014;1(1).
Soltani Delgosha M, Shafiee A. Identification and extraction of the components of business process management governance using the
Meta-synthesis method. Journal of Management Sciences of Iran. 2013;8(30):127-46.
Haji sadeghi B NB, Ranjbar M. Measuring Scale Preparing for the implementation of a business process management system at Tehran Regional Electricity Company. Quarterly Journal of Improvement Management Studies. 2010;183-201.
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