Showing papers by "Laura Maruster published in 2020"

Tracing frequent users of regional care services using emergency medical services data: a networked approach

Abstract: Objectives This study shows how a networked approach relying on ‘real-world’ emergency medical services (EMS) records might contribute to tracing frequent users of care services on a regional scale. Their tracing is considered of importance for policy-makers and clinicians, since they represent a considerable workload and use of scarce resources. While existing approaches for data collection on frequent users tend to limit scope to individual or associated care providers, the proposed approach exploits the role of EMS as the network’s ‘ferryman’ overseeing and recording patient calls made to an entire network of care providers. Design A retrospective study was performed analysing 2012–2017 EMS calls in the province of Drenthe, the Netherlands. Using EMS data, benefits of the networked approach versus existing approaches are assessed by quantifying the number of frequent users and their associated calls for various categories of care providers. Main categories considered are hospitals, nursing homes and EMS. Setting EMS in the province of Drenthe, the Netherlands, serving a population of 491 867. Participants Analyses are based on secondary patient data from EMS records, entailing 212 967 transports and 126 758 patients, over 6 years (2012–2017). Results Use of the networked approach for analysing calls made to hospitals in Drenthe resulted in a 20% average increase of frequent users traced. Extending the analysis by including hospitals outside Drenthe increased ascertainment by 28%. Extending to all categories of care providers, inside Drenthe, and subsequently, irrespective of their location, resulted in an average increase of 132% and 152% of frequent users identified, respectively. Conclusions Many frequent users of care services are network users relying on multiple regional care providers, possibly representing inefficient use of scarce resources. Network users are effectively and efficiently traced by using EMS records offering high coverage of calls made to regional care providers.

Tailoring the Engineering Design Process Through Data and Process Mining

Abstract: Engineering changes (ECs) are new product development activities addressing external or internal challenges, such as market demand, governmental regulations, and competitive reasons. The corresponding EC processes, although perceived as standard, can be very complex and inefficient. There seem to be significant differences between what is the “officially” documented and the executed process. To better understand this complexity, we propose a data-driven approach, based on advanced text analytics and process and data mining techniques. Our approach sets the first steps toward an automatic analysis, extracting detailed events from an unstructured event log, which is necessary for an in-depth understanding of the EC process. The results show that the predictive accuracy associated with certain EC types is high, which assures the method applicability. The contribution of this article is threefold: 1) a detailed model representation of the actual EC process is developed, revealing problematic process steps (such as bottleneck departments); 2) homogeneous, complexity-based EC types are determined (ranging from “standard” to “complex” processes); and 3) process characteristics serving as predictors for EC types are identified (e.g., the sequence of initial process steps determines a “complex” process). The proposed approach facilitates process and product innovation, and efficient design process management in future projects.