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Healthcare process modularization using design structure matrix
Affiliation:1. Office of Clinical Epidemiology, Analytics and kNowledge (OCEAN), Tan Tock Seng Hospital, Singapore;2. School of Management and Economics, Beijing Institute of Technology, Beijing, China;3. School of Mechanical & Aerospace Engineering, Nanyang Technological University, Singapore 639798, Singapore;1. School of ME, Shanghai Jiao Tong University, Shanghai 200240, China;2. School of MAE, Nanyang Technological University, Singapore 639798, Singapore;1. Department of Civil Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur 50603, Malaysia;2. Institute Ocean and Earth Sciences (IOES), University of Malaya, Kuala Lumpur 50603, Malaysia;1. ETH Zurich, Future Cities Laboratory, Singapore-ETH Centre, 1 CREATE Way, CREATE Tower, 138602 Singapore, Singapore;2. EPFL, Applied Computing and Mechanics Laboratory, CH-1015 Lausanne, Switzerland;3. ETH Zurich, Future Resilient System, Singapore-ETH Centre, 1 CREATE Way, CREATE Tower, 138602 Singapore, Singapore;4. Department of Economics and Business, University of Catania, Corso Italia, 55, 95129 Catania, Italy
Abstract:The healthcare industry is confronted with the challenge of offering customized services while in the meantime to control increasing healthcare costs. Modularization is an important approach to reduce healthcare costs and improve patient-centered services via decreasing process complexity and enhancing flexibility through configuring pre-identified service modules. Recognizing the importance of modularity for healthcare services, this paper introduces Design Structure Matrix (DSM) as a technique for healthcare process modularization. A DSM-based modularization and sequencing algorithm is developed to allocate healthcare activities to service modules using Genetic Algorithm (GA) and arrange sequences of services both within and across service modules to support modular clinical pathway design. The proposed algorithm is implemented with a case study, the results of which have demonstrated the feasibility and applicability of the proposed DSM-based modularization method for healthcare process design.
Keywords:Healthcare service  Process design  Modularization  Design Structure Matrix  Genetic algorithm
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