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An ontological model of the practice transformation process.

Arun Sen1, Atish P Sinha2

  • 1Department of Information and Operations Management - Mays Business School, Texas A&M University and Texas A&M Regional Extension Center in RCHI-Texas A&M Health Sciences Center, College Station, TX 77843, USA.

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Summary

Transforming practices into patient-centered medical homes is complex and lacks methodology. This study introduces a novel ontological model to understand and guide practice transformation, addressing challenges like change fatigue.

Keywords:
Key process areaOntologyPatient-centered medical homeProcess modelingStandardization

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Area of Science:

  • Healthcare Management
  • Health Informatics
  • Process Engineering

Background:

  • Patient-centered medical home (PCMH) transformation is challenging, often lacking a methodological basis.
  • Current transformation processes are ad hoc, leading to change fatigue and neglecting process maintenance.
  • Certification agencies like the National Committee for Quality Assurance receive transformation information, but ongoing process development is overlooked.

Purpose of the Study:

  • To address the complexities of practice transformation for patient-centered medical homes.
  • To present a robust ontological model for understanding the practice transformation process.
  • To define key process areas and activities essential for successful transformation and knowledge diffusion.

Main Methods:

  • Adopted the Methontology approach for building the ontological model.
  • Identified key process areas for PCMH certification through literature review.
  • Developed the ontology using expert-validated activities and precedence relationships, incorporating process maturity concepts.
  • Implemented a prototype using Protégé.

Main Results:

  • Developed the first ontological model for practice transformation.
  • The ontology captures expert knowledge of the transformation process.
  • The model provides a framework for understanding key process areas and activities.
  • A prototype demonstrates the ontology's implementation.

Conclusions:

  • The proposed ontological model offers a methodological basis for practice transformation into patient-centered medical homes.
  • This research provides a structured understanding of the transformation process, potentially mitigating change fatigue.
  • The ontology can facilitate knowledge diffusion among healthcare stakeholders, improving future transformations.