Healthcare Business Process Management, Adaptive Case Management & Process-Aware EHR & Health IT Systems

Health IT

Workflow Complexity: Complicated data and simple workflow is complicated. Simple data and complicated workflow is complicated. Healthcare's complicated data and complicated workflow is hypercomplicated.

No Cost Competition: In other industries, companies are forced to adopt technology to optimize workflow to minimize cost while maximizing flexibility.

Regulatory Environment: EHR and HIT vendors are stretched thin addressing Meaningful Use requirements.

Screens vs. Workflow: It’s easier to appreciate EHR screens (layout of data and controls over space) than workflow functionality (sequences of events over time).

Threat to Revenue Streams: Switching to new platforms is risky and threatens current revenue streams.

Billing Over Clinical Emphasis: As long as the right codes are generated to maximize revenue, nothing else matters.

Skeuomorphism: Misguided attempts to model EHR user interfaces on paper medical record forms.

Workflow Stereotypes: Workflow management systems and business process management once emphasized automating human users out of processes. Not true now!

Not Invented Here-ism: Most academic and commercial BPM activity occurs outside the US.

Paradigm Shifts: You stick with a paradigm unless you’re forced to change. Health IT picked a document-based, instead of workflow-based, paradigm.

*Top Ten Reasons EHR-BPM Tech Is Not (Yet) Widely Deployed in Healthcare

Blog Posts

A Multi-Specialty EHR Workflow System: 10 Questions For Barry Hayut, Xcite Health

Details
Friday, 24 October 2014 11:10

Just in time for the Medical Group Management Association Annual Conference in Las Vegas, here is one of my increasingly infamous 10 question in-the-weeds interviews! This time about a remarkable multi-specialty EHR workflow system. It used to be named EncounterPRO, under which name it won the first three ambulatory EHR HIMSS Davies Awards. This EHR workflow system is now called XciteEHR and my interview is with Barry Hayut, of Xcite Health. By the way, Xcite is hosting a free webinar, featuring me! I'll talk about the difference between traditional EHRs and EHR workflow systems on November 5th at 12 Noon EST. Since I'm co-presenting with a pediatrician, the workflows will be pediatric. However, since a workflow system can execute different workflows (which is sort of the point!) my portion of the webinar is relevant to any specialist who wants their own specialty workflows reflected in workflows of an EHR. (Current XciteEHR workflow definitions cover Pediatrics, Family Medicine, Internal Medicine and Obstetrics/Gynecology.)

 

xcite-ad-webinar-landscape-multi-specialty

 

As a side note, this is a special interview for me because I was involved with the early design and implementation of this particular EHR workflow system. I expect many MGMA attendees may remember EncounterPRO (originally developed by JMJ Technologies) and will find this interview of special interest. Creating and customizing EHR workflows for our customers, when I was EncounterPRO CMIO, really drove home the importance of true workflow technology at the point of care. Some of the older posts on this blog, EHR Workflow Management Systems, are still about EncounterPRO. (If some of the following links don't work, I probably haven't published them yet! By the end of MGMA14 they should all be live! Keep clicking!)

  1. A Multi-Specialty EHR Workflow System: 10 Questions For Barry Hayut, Xcite Health
  2. How did you end up in the primary care specialties EHR workflow system business?
  3. Could you discuss Meaningful Use 2 and why it’s important to be MU2 certified?
  4. Do you also sell a Practice Management system?
  5. What's the difference between EHR workflow systems and mere EHR systems?
  6. Would you share your workflow, writer, editor, publicist analogy?
  7. What does a true EHR workflow system *do* for physicians?
  8. Would you show us the XciteEHR Office View and explain its functions?
  9. What physician specialty practice areas does the XciteEHR cover?
  10. How will you educate the world about true EHR workflow systems?
  11. Thoughts, Barry? About EHRs, workflow, and physician happiness?

Starting Sunday, I'll publish a series of blog posts about EHR workflow from my interview with Barry, and tweet his answers to my questions. On the MGMA conference #MGMA14 hashtag, so stay tuned! The very best way to make sure you don't miss any of this interview is to follow @XciteHealth and me (@wareFLO) on Twitter.

P.S. By the way, Barry, congratulations on making the XciteEHR is a Complete MU2-certified EHR! You must be mighty proud of your certificate!

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BPM Solutions

Process Orchestration Engine (AKA workflow engine) to drive the progression of work in structured and unstructured processes or cases

Model-Driven Composition environment for designing processes and their supporting activities and process artifacts

Content Interaction Management supporting e progression of work, especially cases, based on changes in the content itself (documents, images and audio)

Human Interaction Management enables people to naturally interact with processes they're involved in

Connected Processes and Resources they control, such as people, systems, data, event streams, goals and key performance indicators (KPIs)

Continuous Analytics monitor activity progress, and analyze activities and changes in and around processes

On-Demand Analytics to provide decision support using predictive analytics and optimization

Business Rule Management systems guide and implement process agility and ensure compliance

Management and Administration monitor and adjust technical aspects of BPM platform

Process Component Registry/Repository for process component leverage and reuse

Cloud-Based Deployment of about features and functions across desktop platforms and mobile devices

Social Media Compatible external and/or similar internal activity streams integrated with workflows

*Adapted from Gartner

@wareFLO

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