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Tailoring Software Process
Capability/Maturity
Models for Telemedicine Systems
GQS – Software Quality Group
INCoD – National Institute of Science and Technology for Digital Convergence



                                             Christiane Gresse von Wangenheim
                                                          Aldo von Wangenheim
                                                              Jean C. R. Hauck
                                                              Fergal McCaffery
                                                                 Luigi Buglione
UFSC                         At a glance


                                                   Federal University of Santa Catarina
                                                   Florianópolis/Brazil [http://www.ufsc.br]

                                                   • 48 Master courses
                                                   • 38 PhD courses
                                                   • 62 Undergraduate courses
                                                   • EUR 268 million annual budget
                                                   • 25,737 Undergraduate students
                                                   • 8,543 Graduate students
                                                   • 34,280 Students
[http://www.youtube.com/watch?v=V6E1Z5DEuvk]


        INCoD is a reference institute for excellence in research, validation
        and dissemination to support digital convergence. [http://www.incod.ufsc.br]


       The Software Quality Group focuses on scientific research, development and
       transfer of SE models, methods and tools. [http://www.gqs.ufsc.br]
STT - Santa Catarina State Integrated
UFSC                        Telemedicine and Telehealth Network

                                                  Several modalities:

                                                       Radiology

                                                       Cardiology

                                                       Dermatology


                                                  State-wide service with more than
                                                  2 million exams realized




                                               http://www.youtube.com/watch?v=3ZqG-
https://www.telemedicina.ufsc.br/rctm/                  T2_QBI&feature=plcp
Engineering   At a glance




                            www.eng.it
                            www.eng.it
DKIT                  At a glance

                                                 Dundalk Institute of
                                                 Technology is a 90 acre
                                                 campus situated between
                                                 Dublin and Belfast (each
                                                 approximately 50 miles
                                                 away).
                                                 The Institute consists of 4
                                                 Schools:
                                                 1. Business & Humanities
                                                 2. Informatics & Creative
                                                 Arts
The Regulated Software Research Group which is   3. Engineering
part of LERO (the Irish Software Engineering     4. Health & Science
Research Centre) is part of the School of
Informatics & Creative Media
Agenda

• Introduction
             Telemedicine
             Store and Forward                              I PERSONALLY
•   Motivation                                              DO NOT USE
            Quality Challenge                               AGENDAS FOR
•   SPCMMs                                                  TALKS WITH
            Software Process Capability/Maturity Models
                                                            LESS THAN 1H
•   Research Method
            Steps
                                                            DURATION –
•   Quality Characteristics                                 but that’s a
                                                            personal opinion
            Asynchronous Store-and-Forward Telemedicine Systems
• SPCMM for ASFTS
             Capability/Maturity Dimension
             Process Dimension
• Conclusions & Next Steps
• Questions
Introduction          Telemedicine


Telemedicine event can be:
  Synchronous (real time): requires the presence of both parties at the
  same time and a communication link between them that allows a real-
  time interaction to take place
  Asynchronous (store-and-forward) : involves acquiring medical data and
  transmits this data to a medical specialist for assessment offline.




                                                  Timeline
Introduction           Telemedicine


Telemedicine event can be:
  Synchronous (real time): requires the presence of both parties at the
  same time and a communication link between them that allows a real-
  time interaction to take place
  Asynchronous (store-and-forward) : involves acquiring medical data
  and transmits this data to a medical specialist for assessment offline.




                                                    Timeline

                    Jean Carlo R. Hauck                                     8
Introduction              Telemedicine (store-and-forward)


A typical Workflow of asynchronous Telemedicine:


                            2. Data sent                                 3. Specialist
                            electronically                               analyses the
                                                                         examination
 1. A patient is
 examined




                                   Telemedicine Server

 5. Requesting physician provides a
 diagnosis and continues the patient’s
 treatment.                                               4. Findings become
                                                          available
Introduction           Telemedicine (store-and-forward)


                                             NAO
A typical Workflow of asynchronous Telemedicine:    ESTA MEIO
                                                REDUNDANTE ESSE
                                                SLIDE COM O
                         2. Data sent                       3. Specialist
                         electronically         ANTERIOR?? analyses the
                                                                       examination
 1. A patient is
 examined                                           EU SUGIRO DE
                                                    INCLUIR UM SLIDE
                                                    SOBRE O STT PARA
                                                    MOSTRAR QUE
                                                    SABEMOS DO QUE
                                    Telemedicine Server
                                                    ESTAMOS FALANDO-
 5. Requesting physician provides a                 talvez ja no inicio – veja o
 diagnosis and continues the patient’s              slide que inclui…
 treatment.                                             4. Findings become
                                                        available
Motivation                 Quality Challenge

Telemedicine has the potential to solve diverse problems in modern
health care

Its quality remains a challenge considering their potential impact on
human health:
   Does a radiologist at a central medical center, receive images with the proper
   resolution to effectively provide a correct examination result?
   Are the patient’s data and information protected against access of non-authorized
   persons?
   Will there be no erroneous mix ups of examination results to patients?
SPCMMs                Software Process Capability/Maturity Models




Capability/maturity models are well established in practice as a
successful means for improving software intensive organizations


Variety of software process capability/maturity models has been
developed for different domains/sectors etc. in recent years


Process capability/maturity models are repositories of “Best Practices”
software engineering knowledge
SPCMMs   Software Process Capability/Maturity Models




                                 [Adapted from (ISO/IEC, 2003)]
SPCMMs                        Software Process Capability/Maturity Models




Indicate the ability to achieve
business objectives, in relation
to process attributes associated
with processes of each maturity
level




                                                           [Adapted from (ISO/IEC, 2003)]
SPCMMs   Software Process Capability/Maturity Models




                                            set of processes to acquire,
                                            supply, develop, operate,
                                            evolve and support software -
                                            grouped into categories of
                                            related activities




                                 [Adapted from (ISO/IEC, 2003)]
SPCMMs                         Software Process Capability/Maturity Models




Process dimension:
“what is done”
Capability/maturity dimension:
“how well a process is done”




                                                         [Adapted from (ISO/IEC, 2003)]
Research Method   Steps




                          AQUI FALTA
                          UM ULTIMO
                          STEP:
                          PROPOSAL
                          OF SPCMM
Quality Characteristics   Asynchronous Store-and-Forward Telemedicine Systems
SPCMM for ASFTS      Proposing a SPCMM


The LEGO Approach



              1. MCM Repository
               1. MCM Repository        2. Process Architecture
                                         2. Process Architecture




              3. Mappings &
               3. Mappings &                 4. Appraisal Method
                                              4. Appraisal Method
               Comparisons
                Comparisons



                                   Source: Buglione L., Gresse von Wangenheim C., Hauck J.C.R., Mc Caffery F.,
                                   The LEGO Maturity & Capability Model Approach, Proceedings of 5WCSQ, 5th
                                   World Congress on Software Quality, Shanghai (China), Oct 31- Nov 4 2011
SPCMM for ASFTS                                  Proposing a SPCMM


TRIM method




 Source: Hauck J.C.R., Gresse von Wangenheim C., McCaffery F., Buglione L., Proposing an ISO/IEC 15504-2 Compliant Method for Process Capability/Maturity Models
 Customization, PROFES – 12th International Conference on Product Focused Software. Development and Process Improvement, Italy, 2011
SPCMM for ASFTS     Capability/Maturity Dimension


 Capability Levels – ISO/IEC 15504-2 “as is”




 Maturity Levels – ISO/IEC 15504-2 “as is”
SPCMM for ASFTS   Process Dimension
Conclusions          Final words and next steps

                                        TOO MUCH WORDS –
Based on identified quality characteristics we propose a software
                                        CAN YOU REDUCE
process capability/maturity model for the development and OF
                                        THE AMOUNT
maintenance of ASFTSs
                                        TEXT?
SPCMM-ASFTS is based on ISO/IEC 15504 and its process dimension
is developed by extending ISO/IEC 12207 through several processes
related to quality characteristics considered essential and/or important
in the context of ASFTSs
This model has the potential to guide the development and evaluation
of high-quality ASFTSs by indicating and prioritizing relevant non-
functional requirements and indicating processes relevant to mature the
development of ASFTSs
A step forward to provide a better understanding of the development of
ASFTSs potentially contributing to the improvement of the quality of
such systems as a basis for an improvement of telemedicine services
Questions?              Our Contact Data




   Jean Carlo R. Hauck
   jeanhauck@gmail.com
   jeanhauck@incod.ufsc.br



C. Gresse von          Aldo von                  Fergal                       Luigi
Wangenheim            Wangenheim                McCaffery                   Buglione
    UFSC                 UFSC                     DKIT                 Engineering.IT/ETS
gresse@inf.ufsc.br   awangenh@inf.ufsc.br   fergal.mccaffery@dkit.ie    luigi.buglione@eng.it

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Tailoring Software Process Capability/Maturity Models for Telemedicine Systems

  • 1. Tailoring Software Process Capability/Maturity Models for Telemedicine Systems GQS – Software Quality Group INCoD – National Institute of Science and Technology for Digital Convergence Christiane Gresse von Wangenheim Aldo von Wangenheim Jean C. R. Hauck Fergal McCaffery Luigi Buglione
  • 2. UFSC At a glance Federal University of Santa Catarina Florianópolis/Brazil [http://www.ufsc.br] • 48 Master courses • 38 PhD courses • 62 Undergraduate courses • EUR 268 million annual budget • 25,737 Undergraduate students • 8,543 Graduate students • 34,280 Students [http://www.youtube.com/watch?v=V6E1Z5DEuvk] INCoD is a reference institute for excellence in research, validation and dissemination to support digital convergence. [http://www.incod.ufsc.br] The Software Quality Group focuses on scientific research, development and transfer of SE models, methods and tools. [http://www.gqs.ufsc.br]
  • 3. STT - Santa Catarina State Integrated UFSC Telemedicine and Telehealth Network Several modalities: Radiology Cardiology Dermatology State-wide service with more than 2 million exams realized http://www.youtube.com/watch?v=3ZqG- https://www.telemedicina.ufsc.br/rctm/ T2_QBI&feature=plcp
  • 4. Engineering At a glance www.eng.it www.eng.it
  • 5. DKIT At a glance Dundalk Institute of Technology is a 90 acre campus situated between Dublin and Belfast (each approximately 50 miles away). The Institute consists of 4 Schools: 1. Business & Humanities 2. Informatics & Creative Arts The Regulated Software Research Group which is 3. Engineering part of LERO (the Irish Software Engineering 4. Health & Science Research Centre) is part of the School of Informatics & Creative Media
  • 6. Agenda • Introduction Telemedicine Store and Forward I PERSONALLY • Motivation DO NOT USE Quality Challenge AGENDAS FOR • SPCMMs TALKS WITH Software Process Capability/Maturity Models LESS THAN 1H • Research Method Steps DURATION – • Quality Characteristics but that’s a personal opinion Asynchronous Store-and-Forward Telemedicine Systems • SPCMM for ASFTS Capability/Maturity Dimension Process Dimension • Conclusions & Next Steps • Questions
  • 7. Introduction Telemedicine Telemedicine event can be: Synchronous (real time): requires the presence of both parties at the same time and a communication link between them that allows a real- time interaction to take place Asynchronous (store-and-forward) : involves acquiring medical data and transmits this data to a medical specialist for assessment offline. Timeline
  • 8. Introduction Telemedicine Telemedicine event can be: Synchronous (real time): requires the presence of both parties at the same time and a communication link between them that allows a real- time interaction to take place Asynchronous (store-and-forward) : involves acquiring medical data and transmits this data to a medical specialist for assessment offline. Timeline Jean Carlo R. Hauck 8
  • 9. Introduction Telemedicine (store-and-forward) A typical Workflow of asynchronous Telemedicine: 2. Data sent 3. Specialist electronically analyses the examination 1. A patient is examined Telemedicine Server 5. Requesting physician provides a diagnosis and continues the patient’s treatment. 4. Findings become available
  • 10. Introduction Telemedicine (store-and-forward) NAO A typical Workflow of asynchronous Telemedicine: ESTA MEIO REDUNDANTE ESSE SLIDE COM O 2. Data sent 3. Specialist electronically ANTERIOR?? analyses the examination 1. A patient is examined EU SUGIRO DE INCLUIR UM SLIDE SOBRE O STT PARA MOSTRAR QUE SABEMOS DO QUE Telemedicine Server ESTAMOS FALANDO- 5. Requesting physician provides a talvez ja no inicio – veja o diagnosis and continues the patient’s slide que inclui… treatment. 4. Findings become available
  • 11. Motivation Quality Challenge Telemedicine has the potential to solve diverse problems in modern health care Its quality remains a challenge considering their potential impact on human health: Does a radiologist at a central medical center, receive images with the proper resolution to effectively provide a correct examination result? Are the patient’s data and information protected against access of non-authorized persons? Will there be no erroneous mix ups of examination results to patients?
  • 12. SPCMMs Software Process Capability/Maturity Models Capability/maturity models are well established in practice as a successful means for improving software intensive organizations Variety of software process capability/maturity models has been developed for different domains/sectors etc. in recent years Process capability/maturity models are repositories of “Best Practices” software engineering knowledge
  • 13. SPCMMs Software Process Capability/Maturity Models [Adapted from (ISO/IEC, 2003)]
  • 14. SPCMMs Software Process Capability/Maturity Models Indicate the ability to achieve business objectives, in relation to process attributes associated with processes of each maturity level [Adapted from (ISO/IEC, 2003)]
  • 15. SPCMMs Software Process Capability/Maturity Models set of processes to acquire, supply, develop, operate, evolve and support software - grouped into categories of related activities [Adapted from (ISO/IEC, 2003)]
  • 16. SPCMMs Software Process Capability/Maturity Models Process dimension: “what is done” Capability/maturity dimension: “how well a process is done” [Adapted from (ISO/IEC, 2003)]
  • 17. Research Method Steps AQUI FALTA UM ULTIMO STEP: PROPOSAL OF SPCMM
  • 18. Quality Characteristics Asynchronous Store-and-Forward Telemedicine Systems
  • 19. SPCMM for ASFTS Proposing a SPCMM The LEGO Approach 1. MCM Repository 1. MCM Repository 2. Process Architecture 2. Process Architecture 3. Mappings & 3. Mappings & 4. Appraisal Method 4. Appraisal Method Comparisons Comparisons Source: Buglione L., Gresse von Wangenheim C., Hauck J.C.R., Mc Caffery F., The LEGO Maturity & Capability Model Approach, Proceedings of 5WCSQ, 5th World Congress on Software Quality, Shanghai (China), Oct 31- Nov 4 2011
  • 20. SPCMM for ASFTS Proposing a SPCMM TRIM method Source: Hauck J.C.R., Gresse von Wangenheim C., McCaffery F., Buglione L., Proposing an ISO/IEC 15504-2 Compliant Method for Process Capability/Maturity Models Customization, PROFES – 12th International Conference on Product Focused Software. Development and Process Improvement, Italy, 2011
  • 21. SPCMM for ASFTS Capability/Maturity Dimension Capability Levels – ISO/IEC 15504-2 “as is” Maturity Levels – ISO/IEC 15504-2 “as is”
  • 22. SPCMM for ASFTS Process Dimension
  • 23. Conclusions Final words and next steps TOO MUCH WORDS – Based on identified quality characteristics we propose a software CAN YOU REDUCE process capability/maturity model for the development and OF THE AMOUNT maintenance of ASFTSs TEXT? SPCMM-ASFTS is based on ISO/IEC 15504 and its process dimension is developed by extending ISO/IEC 12207 through several processes related to quality characteristics considered essential and/or important in the context of ASFTSs This model has the potential to guide the development and evaluation of high-quality ASFTSs by indicating and prioritizing relevant non- functional requirements and indicating processes relevant to mature the development of ASFTSs A step forward to provide a better understanding of the development of ASFTSs potentially contributing to the improvement of the quality of such systems as a basis for an improvement of telemedicine services
  • 24. Questions? Our Contact Data Jean Carlo R. Hauck jeanhauck@gmail.com jeanhauck@incod.ufsc.br C. Gresse von Aldo von Fergal Luigi Wangenheim Wangenheim McCaffery Buglione UFSC UFSC DKIT Engineering.IT/ETS gresse@inf.ufsc.br awangenh@inf.ufsc.br fergal.mccaffery@dkit.ie luigi.buglione@eng.it