Healthcare

Superior Patient Care. And, driving costs down. At the heart of any healthcare organization is a focus on clinical excellence through process improvement internally and across its partners. In order to make critical decisions for your patients and your operations, you need dynamic access to reliable patient information. And, the demands on your operations only build with every patient.

To effectively manage critical processes, providers must not only be able to quickly access this information but also link specific processes to the underlying disparate systems and deliver performance metrics. With metrics in place, process efficiencies can be maximized to reduce medical errors, facilitate claims submissions and processing, and improve clinical outcomes.

BPM Opportunity

Healthcare providers are increasingly looking to BPM not only as a solution to specific, immediate process improvement objectives, but as a platform that gives them the ability to tackle diverse process improvement initiatives and realize the following benefits:

  • Increase quality of service delivery.
    Economically streamline the end-to-end patient management process and enable the provider’s employees to make decisions based on process coaches and best practices.
  • Improve revenue cycle management initiatives.
    Automatic work routing and notifications across groups, networks, and external partners reduces the time, errors and complexity of executing processes such as claims processing.
  • Extend value of core healthcare systems.
    Leverage existing applications and legacy healthcare systems by filling in the gaps with more efficient Web-based forms, interfaces and reporting.
  • Ensure that the process that is documented — is the process that is executed.
    Process models that actually run the process provide consistency, adherence to standards such as HL7 and audit trails to ensure compliance with regulations like HIPAA, etc.
  • Decrease overall administration costs.
    By automating and controlling how processes are managed, costs are reduced and productivity is significantly improved.