At the system-of-systems (SoS) level, care coordination is the organization of all activities, both clinical and extra-clinical, among the individual patient and providers involved in the patient's care to facilitate the appropriate delivery of healthcare services. In this part, we expanded upon a system-of systems engineering (SoSE) formalization and simulation modeling methodology for a more in-depth application of discrete event systems specification (DEVS) coordination pathways to reengineer healthcare service systems.

Chapter Contents:

• 5.1 Introduction
• 5.2 Overview of DEVS methodology for coordination modeling
• 5.3 Healthcare as a learning collaborative system of systems
• 5.4 Care coordination
• 5.5 Pathways-based care coordination
• 5.5.1 Coordination of cross-system transactions
• 5.5.2 Pathways as coordination models
• 5.5.3 Atomic pathways models
• 5.5.4 Coupled pathways models
• 5.6 Quality of service measurement
• 5.6.1 Porter's integrated practice unit
• 5.6.2 Formal representation for care delivery value chain
• 5.6.3 Pathways-based outcome measurement
• 5.7 Pathways-based cost measurement for value-based purchasing
• 5.8 Alternative component configurations
• 5.9 Example:coordinated HIV–AIDS care system model
• 5.10 Pathways-based learning system implementation
• 5.11 Activity-based credit assignment applied to HIV–AIDS example
• 5.12 Relations to current research
• 5.13 Summary
• References

Inspec keywords: discrete event systems; discrete event simulation; large-scale systems; patient care; health care

Other keywords: clinical activities; SoS; extra-clinical activities; SoSE; DEVS; healthcare service systems; patient care; system-of-systems engineering; discrete event systems specification

Subjects: Simulation, modelling and identification; Systems theory applications in biology and medicine