The present disclosure relates generally to information processing. More specifically, the present disclosure relates to applying tacit knowledge to iteratively refine service-delivery datasets to improve decision-making and outcomes.
In a service-delivery environment, datasets are typically large, interrelated and dynamic sets of data that are used over long periods of time (e.g., weeks, months, or years) to deliver services and to support other processes. An example of a service-delivery dataset is a collection of patient records and related public health/safety records that are used in the delivery of health and social services.
Embodiments are directed to a method, system, and computer program product for applying tacit knowledge to iteratively refine datasets in a coordinated care delivery system. The method includes determining, via a computer processor, that a data element in a dataset is potentially in non-conformance with other data in the dataset. The potential non-conformance is determined based on a discrepancy in a pattern noted in the dataset with respect to the data element, the dataset spanning multiple knowledge domains. The method also includes annotating a data structure containing the data element to indicate the potential non-conformance, and providing, via a user interface of the computer processor, a plurality of users with access to the data structure. The users collectively include domain experts for each of the multiple knowledge domains.
Additional features and advantages are realized through the techniques of the invention. Other embodiments and aspects of the invention are described in detail herein and are considered a part of the claimed invention. For a better understanding of the invention with the advantages and the features, refer to the description and to the drawings.
The subject matter which is regarded as embodiments is particularly pointed out and distinctly claimed in the claims at the conclusion of the specification. The foregoing and other features and advantages of the embodiments are apparent from the following detailed description taken in conjunction with the accompanying drawings in which:
Embodiments include providing coordinated care delivery through the application of tacit knowledge to iteratively refine service-delivery datasets in a service-delivery environment. The refinement of the service-delivery datasets can improve decision-making and outcomes. These datasets are often accessed, updated, and viewed by domain experts across multiple different knowledge domains. For example, considering a group that facilitates social and health care services for members of a community, the domain experts may include individuals having knowledge in the medical field, social care, education, and law enforcement, to name a few. A given subject of a dataset, e.g., a patient, can be associated with a vast amount of information from many different data sources. The exemplary coordinated care delivery described herein enables individuals having domain expertise across a multitude of different knowledge domains to collaborate on the refinement of particular datasets when it is determined that any data in the datasets is incorrect, missing, or otherwise is believed to lack conformance with other data in the dataset. The coordinated care delivery processes provide an interface in which domain experts can input, view, update, and refine data in a dataset.
It is understood in advance that although this disclosure includes a detailed description on cloud computing, implementation of the teachings recited herein are not limited to a cloud computing environment. Rather, embodiments of the present invention are capable of being implemented in conjunction with any other type of computing environment now known or later developed.
Cloud computing is a model of service delivery for enabling convenient, on-demand network access to a shared pool of configurable computing resources (e.g. networks, network bandwidth, servers, processing, memory, storage, applications, virtual machines, and services) that can be rapidly provisioned and released with minimal management effort or interaction with a provider of the service. This cloud model may include at least five characteristics, at least three service models, and at least four deployment models.
Characteristics are as follows:
On-demand self-service: a cloud consumer can unilaterally provision computing capabilities, such as server time and network storage, as needed automatically without requiring human interaction with the service's provider.
Broad network access: capabilities are available over a network and accessed through standard mechanisms that promote use by heterogeneous thin or thick client platforms (e.g., mobile phones, laptops, and PDAs).
Resource pooling: the provider's computing resources are pooled to serve multiple consumers using a multi-tenant model, with different physical and virtual resources dynamically assigned and reassigned according to demand. There is a sense of location independence in that the consumer generally has no control or knowledge over the exact location of the provided resources but may be able to specify location at a higher level of abstraction (e.g., country, state, or datacenter).
Rapid elasticity: capabilities can be rapidly and elastically provisioned, in some cases automatically, to quickly scale out and rapidly released to quickly scale in. To the consumer, the capabilities available for provisioning often appear to be unlimited and can be purchased in any quantity at any time.
Measured service: cloud systems automatically control and optimize resource use by leveraging a metering capability at some level of abstraction appropriate to the type of service (e.g., storage, processing, bandwidth, and active user accounts). Resource usage can be monitored, controlled, and reported providing transparency for both the provider and consumer of the utilized service.
Service Models are as follows:
Software as a Service (SaaS): the capability provided to the consumer is to use the provider's applications running on a cloud infrastructure. The applications are accessible from various client devices through a thin client interface such as a web browser (e.g., web-based e-mail). The consumer does not manage or control the underlying cloud infrastructure including network, servers, operating systems, storage, or even individual application capabilities, with the possible exception of limited user-specific application configuration settings.
Platform as a Service (PaaS): the capability provided to the consumer is to deploy onto the cloud infrastructure consumer-created or acquired applications created using programming languages and tools supported by the provider. The consumer does not manage or control the underlying cloud infrastructure including networks, servers, operating systems, or storage, but has control over the deployed applications and possibly application hosting environment configurations.
Infrastructure as a Service (IaaS): the capability provided to the consumer is to provision processing, storage, networks, and other fundamental computing resources where the consumer is able to deploy and run arbitrary software, which can include operating systems and applications. The consumer does not manage or control the underlying cloud infrastructure but has control over operating systems, storage, deployed applications, and possibly limited control of select networking components (e.g., host firewalls).
Deployment Models are as follows:
Private cloud: the cloud infrastructure is operated solely for an organization. It may be managed by the organization or a third party and may exist on-premises or off-premises.
Community cloud: the cloud infrastructure is shared by several organizations and supports a specific community that has shared concerns (e.g., mission, security requirements, policy, and compliance considerations). It may be managed by the organizations or a third party and may exist on-premises or off-premises.
Public cloud: the cloud infrastructure is made available to the general public or a large industry group and is owned by an organization selling cloud services.
Hybrid cloud: the cloud infrastructure is a composition of two or more clouds (private, community, or public) that remain unique entities but are bound together by standardized or proprietary technology that enables data and application portability (e.g., cloud bursting for load-balancing between clouds).
A cloud computing environment is service oriented with a focus on statelessness, low coupling, modularity, and semantic interoperability. At the heart of cloud computing is an infrastructure comprising a network of interconnected nodes.
Referring now to
Referring now to
Hardware and software layer 60 includes hardware and software components. Examples of hardware components include: mainframes 61; RISC (Reduced Instruction Set Computer) architecture based servers 62; servers 63; blade servers 64; storage devices 65; and networks and networking components 66. In some embodiments, software components include network application server software 67 and database software 68.
Virtualization layer 70 provides an abstraction layer from which the following examples of virtual entities may be provided: virtual servers 71; virtual storage 72; virtual networks 73, including virtual private networks; virtual applications and operating systems 74; and virtual clients 75.
In one example, management layer 80 may provide the functions described below. Resource provisioning 81 provides dynamic procurement of computing resources and other resources that are utilized to perform tasks within the cloud computing environment. Metering and Pricing 82 provide cost tracking as resources are utilized within the cloud computing environment, and billing or invoicing for consumption of these resources. In one example, these resources may comprise application software licenses. Security provides identity verification for cloud consumers and tasks, as well as protection for data and other resources. User portal 83 provides access to the cloud computing environment for consumers and system administrators. Service level management 84 provides cloud computing resource allocation and management such that required service levels are met. Service Level Agreement (SLA) planning and fulfillment 85 provide pre-arrangement for, and procurement of, cloud computing resources for which a future requirement is anticipated in accordance with an SLA.
Workloads layer 90 provides examples of functionality for which the cloud computing environment may be utilized. Examples of workloads and functions which may be provided from this layer include: mapping and navigation 91; software development and lifecycle management 92; virtual classroom education delivery 93; data analytics processing 94; transaction processing 95; and coordinated care delivery 96.
Turning now to
The system 300 of
The user devices 304 (e.g., computing devices 54) may be used by domain experts who are tasked with facilitating the care of an individual and/or household. The domain experts may be professionals who are educated and/or skilled in providing various tasks that are associated with the care. Using the health and social care example above, the domain experts operating the user devices 304 may include physicians, nurses, social workers, public safety officers, and educators. Each of the user devices 304 may be implemented as personal computers (e.g., desktop, laptop) or may be portable devices (e.g., smart phones, tablet computers, personal digital assistants, etc.). The user devices 304 access the host system computer 306 to view, and in some embodiments provide input to, a data structure developed for a particular subject (e.g., an individual and/or household) via a user interface.
The host system computer 306 may be implemented as a high-speed computer processing device capable of handling the volume of activities conducted between the user devices 304 and the storage devices 302. The host system computer 306 may be operated by an entity that provides the coordinated care delivery as a service to others. For example, the host system computer 306 may execute one or more applications to coordinate with the storage devices 302, as well as the user devices 304, to generate data structures f or the datasets and provide an interactive view of the data structures to the domain experts via, e.g., the user devices 304. A storage device 310, which stores the data structures, domain expert information, and applications (e.g., coordinated care delivery 96), is accessible by the host system computer 306 for facilitating the coordinated care delivery described herein.
The storage device 310, as well as storage devices 302, may be implemented using a variety of devices for storing electronic information. It is understood that the storage device 310 may implemented using memory contained in the host system computer 306 or it may be a separate physical device, as illustrated in
The networks 308 may be any type of known networks including, but not limited to, a wide area network (WAN), a local area network (LAN), a global network (e.g. Internet), a virtual private network (VPN), and an intranet. The networks 308 may be implemented using wireless networks or any kind of physical network implementation known in the art, e.g., using cellular, satellite, and/or terrestrial network technologies. The networks 106 may also include short range wireless networks utilizing, e.g., BLUETOOTH™ and WI-FI™ technologies and protocols.
While the system 300 of
Turning now to
In block 402, it is determined that a data element in a dataset under review is potentially in non-conformance with other data in the dataset. The potential non-conformance may be determined based on a discrepancy in a pattern noted in the dataset with respect to the data element. A user interface screen 500A is shown in
In block 404, the data structure containing the data element is annotated to indicate the potential non-conformance. As shown in
In block 406, users are provided, via a user interface, access to the data structure. As indicated above, the users collectively include domain experts for each of the multiple knowledge domains. In an embodiment, the access may be provided by a login procedure, such that a domain expert views the data structure upon logging into the user interface via a user device 304. In another embodiment, the access may be provided through active notifications, as will be described further herein.
In block 408, one or more domain experts who have reviewed the data that triggered the potential non-conformance may input a proposed course of action, which is mapped to the data element in the data structure via the application. As shown in
The proposed course of action can also be computer-generated based on analysis of the dataset in view of the potential non-conforming data element. In an embodiment, the data structure is annotated (e.g., window 504) to indicate the portion of the other data in the dataset that provides supporting evidence of non-conformance, as well as information that can facilitate an appropriate action to take (e.g., using the symptoms in window 504 in conjunction with the case worker-associated next home visit information to suggest the collection of more information during that meeting). Thus, the application may be configured to generate the proposed course of action in response to the supporting evidence and associated information in the dataset.
In block 410, results of implementing the course of action are entered via the data structure. For example, as shown in
As indicated above with respect to block 406, the access to the user interface and data structure may be provided through active notifications. In an embodiment, the application may determine, from the data element and contextual information associated with the other data in the dataset, at least one knowledge domain that is associated with the data element. Using the example of
As indicated above, service-delivery datasets are used over long periods of time, to support a variety of practices and processes. Because of this, and because those interacting with them are experienced users, they will have an understanding of likely future use cases. For example, in the delivery of social care, there are a variety of use cases, such as home visits by a social worker, or regular visits by child protection workers, that may be associated with a particular service-delivery dataset.
Experienced users can leverage their knowledge of these use cases to suggest ways of resolving concerns in the service-delivery dataset. They may, for example, wish to indicate that during the next home visit, a social worker collect a particular type of information, or that during the next child protection meeting, certain questions be asked. Thus, in an embodiment, rather than identifying a non-conformance in a data element, the process may be configured to identify and address any concerns expressed by a domain expert. Indicating concerns within the service-delivery dataset may be implemented similar to the non-conformance processes above, e.g., by annotating the dataset so that the requested action resulting from the concern is made available to all who view that data and execute related workflows.
In addition, while the data structures of
Courses of action that can be taken via the application may include sending an explicit request (e.g., email, SMS, voice) to a particular person, compute the importance or priority of resolving the non-conformance based on collective inputs from multiple domain experts, and identify the severity of the non-conformance and prioritize courses of action based on the severity.
In addition, system-wide evaluation and processing of the non-conformance processing described above can be implemented. For example, if a number of data elements from a particular dataset have associated non-conformances, there may be issues with their source (e.g., a form may be poorly designed causing individuals to enter erroneous information). If a number of data elements in a given dataset have associated non-conformances, the system can notify an administrator that the dataset may have issues. If data items that have associated non-conformances are used as input to an analytic engine for producing derived data, the derived data can be annotated as having a non-conformance. The system can also track the domain experts and corresponding actions implemented by the domain experts to determine which of them are more adept at associating non-conformances with data elements.
Technical effects and benefits include coordinated care delivery. The coordinated care delivery enables individuals having domain expertise across a multitude of different knowledge domains (a given individual possibly only having expertise in a single domain) to collaborate on the refinement of particular datasets when it is determined that any data in the datasets is incorrect, missing, or otherwise is believed to lack conformance with other data in the dataset. The coordinated care delivery processes provide an interface in which domain experts can input, view, update, and refine data in a dataset.
The present invention may be a system, a method, and/or a computer program product. The computer program product may include a computer readable storage medium (or media) having computer readable program instructions thereon for causing a processor to carry out aspects of the present invention.
The computer readable storage medium can be a tangible device that can retain and store instructions for use by an instruction execution device. The computer readable storage medium may be, for example, but is not limited to, an electronic storage device, a magnetic storage device, an optical storage device, an electromagnetic storage device, a semiconductor storage device, or any suitable combination of the foregoing. A non-exhaustive list of more specific examples of the computer readable storage medium includes the following: a portable computer diskette, a hard disk, a random access memory (RAM), a read-only memory (ROM), an erasable programmable read-only memory (EPROM or Flash memory), a static random access memory (SRAM), a portable compact disc read-only memory (CD-ROM), a digital versatile disk (DVD), a memory stick, a floppy disk, a mechanically encoded device such as punch-cards or raised structures in a groove having instructions recorded thereon, and any suitable combination of the foregoing. A computer readable storage medium, as used herein, is not to be construed as being transitory signals per se, such as radio waves or other freely propagating electromagnetic waves, electromagnetic waves propagating through a waveguide or other transmission media (e.g., light pulses passing through a fiber-optic cable), or electrical signals transmitted through a wire.
Computer readable program instructions described herein can be downloaded to respective computing/processing devices from a computer readable storage medium or to an external computer or external storage device via a network, for example, the Internet, a local area network, a wide area network and/or a wireless network. The network may comprise copper transmission cables, optical transmission fibers, wireless transmission, routers, firewalls, switches, gateway computers and/or edge servers. A network adapter card or network interface in each computing/processing device receives computer readable program instructions from the network and forwards the computer readable program instructions for storage in a computer readable storage medium within the respective computing/processing device.
Computer readable program instructions for carrying out operations of the present invention may be assembler instructions, instruction-set-architecture (ISA) instructions, machine instructions, machine dependent instructions, microcode, firmware instructions, state-setting data, or either source code or object code written in any combination of one or more programming languages, including an object oriented programming language such as Smalltalk, C++ or the like, and conventional procedural programming languages, such as the “C” programming language or similar programming languages. The computer readable program instructions may execute entirely on the user's computer, partly on the user's computer, as a stand-alone software package, partly on the user's computer and partly on a remote computer or entirely on the remote computer or server. In the latter scenario, the remote computer may be connected to the user's computer through any type of network, including a local area network (LAN) or a wide area network (WAN), or the connection may be made to an external computer (for example, through the Internet using an Internet Service Provider). In some embodiments, electronic circuitry including, for example, programmable logic circuitry, field-programmable gate arrays (FPGA), or programmable logic arrays (PLA) may execute the computer readable program instructions by utilizing state information of the computer readable program instructions to personalize the electronic circuitry, in order to perform aspects of the present invention.
Aspects of the present invention are described herein with reference to flowchart illustrations and/or block diagrams of methods, apparatus (systems), and computer program products according to embodiments of the invention. It will be understood that each block of the flowchart illustrations and/or block diagrams, and combinations of blocks in the flowchart illustrations and/or block diagrams, can be implemented by computer readable program instructions.
These computer readable program instructions may be provided to a processor of a general purpose computer, special purpose computer, or other programmable data processing apparatus to produce a machine, such that the instructions, which execute via the processor of the computer or other programmable data processing apparatus, create means for implementing the functions/acts specified in the flowchart and/or block diagram block or blocks. These computer readable program instructions may also be stored in a computer readable storage medium that can direct a computer, a programmable data processing apparatus, and/or other devices to function in a particular manner, such that the computer readable storage medium having instructions stored therein comprises an article of manufacture including instructions which implement aspects of the function/act specified in the flowchart and/or block diagram block or blocks.
The computer readable program instructions may also be loaded onto a computer, other programmable data processing apparatus, or other device to cause a series of operational steps to be performed on the computer, other programmable apparatus or other device to produce a computer implemented process, such that the instructions which execute on the computer, other programmable apparatus, or other device implement the functions/acts specified in the flowchart and/or block diagram block or blocks.
The flowchart and block diagrams in the Figures illustrate the architecture, functionality, and operation of possible implementations of systems, methods, and computer program products according to various embodiments of the present invention. In this regard, each block in the flowchart or block diagrams may represent a module, segment, or portion of instructions, which comprises one or more executable instructions for implementing the specified logical function(s). In some alternative implementations, the functions noted in the block may occur out of the order noted in the figures. For example, two blocks shown in succession may, in fact, be executed substantially concurrently, or the blocks may sometimes be executed in the reverse order, depending upon the functionality involved. It will also be noted that each block of the block diagrams and/or flowchart illustration, and combinations of blocks in the block diagrams and/or flowchart illustration, can be implemented by special purpose hardware-based systems that perform the specified functions or acts or carry out combinations of special purpose hardware and computer instructions.
The descriptions of the various embodiments of the present invention have been presented for purposes of illustration, but are not intended to be exhaustive or limited to the embodiments disclosed. Many modifications and variations will be apparent to those of ordinary skill in the art without departing from the scope and spirit of the described embodiments. The terminology used herein was chosen to best explain the principles of the embodiments, the practical application or technical improvement over technologies found in the marketplace, or to enable others of ordinary skill in the art to understand the embodiments disclosed herein.