Information Technology has been adapted by almost all industries including healthcare. Healthcare Industry is depended on IT for internet, computing systems, streamline business processes, clinical trial management, communication systems, healthcare information systems and many such health care applications.
Summary
Information Technology has been constantly evolving itself to cater the needs to core industries including healthcare. IT started with simple management of computer systems in organizations which advanced to network administration, healthcare application and now advance Hi-Tech gadgets that makes life easier for doctors, nurses and patients.
IT has added enormous business values to healthcare industry that leads to benefits such as faster patient throughput, advanced diagnosis, streamlined processes that reduces manpower requirement, provides accurate prediction, and patient information management for years. IT has become a Save our Souls (SOS) for patients by enabling cases to be virtually diagnosed and operated from overseas.
Over the years IT has offered many innovative solutions to healthcare industry. This whitepaper aims to articulate latest trend of Business Process Automation using BPM tools in healthcare industry.
The Tech Capsule:
Enormous power is hidden under this capsule known as “Technology”. Over the years healthcare industry has tasted few of its solutions. One of the major solutions is “Information Management System” (IMS). With the implementation of various application based on IMS, patient record management, healthcare research and trial information is stored in a well defined format.
Hospitals are spending quantum money in implementing technology as they are well convinced about the success of these systems. Many hospitals including Apollo hospitals, Wockhardt and Fortis have been the pioneers of this initiative.
A decade after the Y2K, Technology has yet another powerful solution that helps manage the industry intellectual information in a structured format, streamline business processes and builds a transparent business enterprise through reporting and charting. This solution is known as “Business Process Management” (BPM)
Business Process Management in Healthcare
Companies that have used BPM tools have noted significant advantage in terms of cost savings, time and return on investments. BPM tools are a powerful way of executing business processes seamlessly and help companies outperform in their core business.
Business Process Management [BPM] does not represent any specific application or software, BPM is a concept that deals with methods, processes, applications and tools that help manage business processes efficiently and enable a complete transparent business process execution. Accordingly BPM could be defined as an effective way of managing business processes within team, department, company and enterprise wide with prime goal of increasing efficiency, innovation and customer satisfaction which is achieved using BPM tools for automating, improvement and optimization of business processes such as process based application including workflow engine, content management including document management and content management systems, collaborative tools such as discussions, forums and team sites and business intelligence and analytics through reports and dashboards.
The companies transforming from manual process to processes using BPM tools have identified many advantages. Three best advantages among them are: Firstly, streamline of existing business processes to build a transparent execution in a well defined manner. Secondly, Ability of the enterprise to be responsive to any changes adapted in a cost effective manner through simulation aiding constant optimization of the business process. Thirdly, achieve faster and better Return on Investment [ROI] for the enterprise.
BPM has become vital part of the Healthcare industry. People Process, Place and Products are so closely interlinked with each other that without efficient steering using BPM tools, healthcare IT systems will fall apart and ultimately fail
Hospitals deploy BPM system to improve their quality of services offered to patients by streamlining supporting processes from patient information management to vendors dealing with pharmaceutical products and medicines.
Clinical Research Organizations (CRO) use this newly emerging BPM (Business Process Management) enabled solutions to manage, optimize and automate the clinical trial processes across the studies.
Medical Representatives and Organizations (MR) use BPM tools such as Customer Relationship Management (CRM) to manage relationship with their customers, send newsletters and automate relationship management
Drug Manufacturing Companies have been using BPM systems to automate business processes between departments, and manage their unstructured information using Workflow and Document Management Systems [WDMS]
What is BPM?
Business Process Management is a proactive way of managing business processes in a department or enterprise wide to increase efficiency, productivity, innovation, customer satisfaction by automating, improving or optimizing business processes. It is used to create, enhance, monitor, analyze, control and optimize operational business processes by utilizing people, process, and technology.
Business Process Management can be used to distribute work within an organization to different work groups, where specialized processing can take place. Process Management routes data, referenced by process instances, to designated people or activities, where predefined rules are applied and actions are performed based on specified conditions.
• BPM tools help resolve many IT issues such as central management of data, increasing transparency in execution, flexibility for easy adaptability to business needs, easy integration of other applications within the enterprise through Service Oriented Architecture [SOA]. BPM enables to have a common platform for communication between all IT applications within the enterprise.
• BPM helps enterprise to add value to the services offered to customers through competitive differentiation with other vendors
• BPM enables enterprise to reduce overall cost in execution of business operations
• Tight integration of all team, departments, companies and enterprise globally through BPM
• BPM helps build and optimize business processes
Once BPM systems are implemented at production level, it can deliver detailed view of business performance, this helps organization to optimize their business processes and achieve better cost savings.
Business Process Management is implemented by breaking large and complicated processes into small sub processes each of which has a state/activity. A state/activity represents a particular stage where an action needs to be performed by a person or a team. Based on the intelligent decisions made at the stage the process is routed to another stage. A close monitoring of these states/activity using BPM reporting tools, helps enterprise analyze the performance of a process at each level. Constant improvisation through innovation and simulation enables achievement of ultimate success that is in the form of tangible and intangible benefits. The entire process includes content, documents, collaborative tools and business intelligence tools.
Components of BPM
A BPM suite consists of four vital components that help in gaining an advantage:
• Business Process and Rules [BPR] – An interface for modeling and executing business process and rules including workflows using BPM tools such as Microsoft Visio, Workflow Designers and Process Engines. BPM tools help simulate business processes and improve them at each stage of the process.
• Enterprise Content Management [ECM] – A system that helps manage enterprise level documents in a central storage system in a well structured format using BPM tools for scanning, indexing, document management and archiving. Documents such as images and other intellectual information are digitized and stored into the ECM with industry compliance and security.
• Collaboration Tools [CT] — A platform enabling communication and collaboration between team, departments, company and enterprise through intranet email and messaging system, discussion forums, dynamic workspace and team sites.
• Business Intelligence [BI] — BI tools generate transparent reporting of the productivity of the enterprise. This BPM tool enables improving efficiency of processes and achieves desirable ROI. BOM tools such as dynamic reporting and dashboards help real-time monitor of business processes, identify trends and opportunities for optimization of business processes.
Business Values
BPM technology for healthcare solutions will enable you to achieve the following:
• Enhanced R&D productivity
• Reduction in time-to-market for new drug/device and improvement in supply chain efficiencies
• Accurate diagnostics and quality treatments
• Accurate reimbursements
• Cost-effective and efficient operations
Benefits
BPM in the Healthcare Industry can create focused, effective, and sustained practice that can enable companies to implement systems that will make them more successful, efficient, and profitable to achieve the following benefits:
• Measurable Return of Investment
• Increased Efficiency
• Process agility through continuous improvement
• Ease of Use
• Better Reporting
• Improved Management Insight
• Ensure Critical Failure Avoidance
• Best of Breed Product Mix
• More Effective Departmental Communication
• Integrated Systems across the Corporation
• Secure Data Shared with the Right Users when they need it
• Faster Product Approval from Regulatory Agencies
• Elimination or minimization of regulatory risks
• Enforcement of best practices
Case Study
1. Charge Master Tracking Process:
o Problem:
In order to correctly bill a patient, it is important to maintain all bills and expenses incurred during a patients stay in the hospital. This process was paper driven. There was no clear visibility or escalations in bill approvals with patients.
o Solution:
Using BPM tools, a process is implemented whereby request for charging is done through a charge number initiation
This process included alerts and escalations that enabled transparency in billing and approvals between hospitals and patients
2. Incident Reporting Process
o Problem
Incidents within the hospitals with regards to patient care needs to be reported immediately. The existing process which was manual involved manual form filling and researching of such incidents which were cumbersome and time consuming.
o Solution
A web based Electronic form implemented using BPM tools enabled instant submission of such incidents which were routed through responsible authorities.
Proper notifications were implemented
This helped risk management, audit reporting as well as evaluating such incidents and finding ways to overcome it.
3. Approval Process
o Problem
There are many such approval processes in admin and purchase department which were paper based and consumed noticeable time for authority approvals and response.
No alerts and escalations were available
o Solution
A workflow that automated these processes has brought in signification reduction in time taken for authority approvals.
Due to alerts and escalations, proper actions were taken by next in line authorities in case of negligence.
Return on Investment
Our ROI calculator has estimated a saving of USD 2, 84, 375 during the first year itself in a company that converts its paper based processing system into a Business Process System. The figures are estimated based on 50 user concurrent license BPM system for a pharmaceutical based company with its business processes functional over a decade.
About SoluSoft
SoluSoft is a software and services company that provides business process solutions to 2000 companies. SoluSoft has offices in the US and India and partners in a number of countries worldwide. The customer driven solutions they provide enable businesses to unlock new levels of information integration, allow collaborative governance, and provide knowledge-based decision making to achieve new levels of performance.
SoluSoft Inc. SoluSoft Technologies Pvt. Ltd.
300, Willow Street South A-704/705, Shapath IV,
North Andover, MA 01845 S.G. Highway,
Ahmedabad-380051, Gujarat, India.
Tel: (978) 681-6600
Fax: (978) 688-4884 Tel: (91) 79-30073211/12
http://www.solu-soft.com http://tech.solusofttech.com
About Author
Mr. Royson Rajan- Vice President
Vice President, SoluSoft Technologies Pvt Ltd with over six years computer graphics software experience including Application development, Imaging system, business process automation. His responsibility included Business management, Project management, and Project leadership, Architecture, Design and Development. He initiates and leads projects from business requirements through post implementation and support. His major achievements includes product architecture, product development, project implementation, project planning, scheduling, organizational and analytical skills, as well as, professionalism when interfacing to all levels of users and organizations.












