Patient Journey Modelling

Healthcare facilities across Canada are under increasing pressure to report on and improve a patient’s journey through the health care system. Simply implementing computing tools to manage healthcare information without an integrated way to plan and manage the changing work practices is proving to be of little benefit to these healthcare facilities or their staff.

Proposing new ways to model the patient’s journey and providing healthcare organizations with structured tools and techniques to support organizational change for quality improvement is a research focus for Professor Carolyn McGregor, Canada Research Chair in Health Informatics and Associate Professor Jennifer Percival.

Patient Journey Modelling techniques (PaJMa) can be applied to analyze the patient’s journey within a single healthcare organization or their journey through multiple healthcare organizations (e.g. from a community clinic to a regional hospital back to community based home care).



MikeMcCabeTestimonial from Providence Care

The experience of learning about and working with the PaJMa methodology has been quite rewarding on many levels. Applying Dr. McGregor and Dr. Percival's research models in "real life" has been a boon to the implementation of the electronic patient record project.

Mike McCabe, Project Manager/Team Leader
ePatient Record Project
Providence Health Care Centre, Kingston, ON


Research Publications

Steadman, A., McGregor C., Percival, J., James, A., (2012), “Using PaJMa to Enable Comparative Assessment of Health Care Processes within Canadian Neonatal Intensive Care Units”, Advances in Health Informatics Conference (AHIC 2012), CDROM 7 pages, ** AWARDED BEST STUDENT PAPER **

McGregor, C., Steadman, A., Percival, J., James., A., (2012) “A Method for Modeling Health Informatics Capacity in Patient Journeys Supported by Interprofessional Teams”, 2012, proceedings of the 45th Hawaii International Conference on Systems Sciences, HICSS’45, Maui, Hawaii, pp 2790-99

McGregor, C., Catley, C., James, (2011) “A Process Mining Driven Framework for Clinical Guideline Improvement in Critical Care”, Learning from Medical Data Streams 13th Conference on Artificial Intelligence in Medicine (LEMEDS), pp 35-46

MacDougall, C., McGregor, C., Percival, J., (2010), “The Fusion of Clinical Guidelines with Technology: Trends & Challenges”, Electronic Journal of Health Informatics, 5(2): e14, pp 1-10

Percival J., Catley C., McGregor C., James A., (2009), “A Design for Modelling the Impact of Information and Communication Technologies on Information Flows in Neonatal Intensive Care Units”, special volume of Studies in Computational Intelligence, (Springer) on Intelligent Patient Management, S. McClean et al. (Eds.), Springer-Verlag Berlin Heidelberg 2009, pp147-169

Catley, C, McGregor, C, Percival J, Curry, J. M., James, A, (2008) Multi-dimensional Knowledge Translation: Enabling Health Informatics Capacity Audits Using Patient Journey Models. 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC08)

McGregor, C., Percival, J., Curry, J., Foster, D., Anstey, E., and D. Churchill (2008) “A Structured Approach to Requirements Gathering Creation Using PaJMa Models” 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC08)

McGregor, C. (2006), "A Framework for the Design of Web Service Based Clinical Management Systems to support Inter and Intra Organizational Patient Journeys", International Journal of Healthcare Information Systems and Informatics, vol. 2, no. 2, pp 21-35, ISSN 1555 3396

Curry, J., McGregor, C., Tracy, S., (2006), "Incorporating Balanced Scorecards into the Patient Journey Modelling Process", Health Informatics Conference, Sydney, Australia, CDROM, 7 pages

Curry, J., McGregor, C., Tracy, S., (2006), "A Communication Tool to Improve the Patient Journey Modeling Process", The 28th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC06), New York, August 30 - September, 3, pp 4726-4730

Curry, J., McGregor, C., (2005), "The Current State of Patient Journey Redesign in Australia", Health Informatics Conference, Melbourne, Australia, 9 pages CDROM, ISBN 0 9751013 5 8