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

Barry, What Does An EHR Workflow System "Do"?

Simultaneous processes take place as physicians and staff naturally and seamlessly interact with the program.

As an example, when physicians order vaccines from inside the exam room, the system simultaneously displays the tasks involved in completing the order on the office view screen prompting the appropriate staff members to respond wherever they may be.

While the physicians are finishing in the exam room, the nurses are already preparing to give vaccines. Not only that, the system is automatically queuing up the desired authorization forms and education materials as workplan steps. Before physicians walk out of the exam room, nurses can be ready to complete the necessary paperwork and administer the shots. Precious minutes are shaved off of the time that the exam room is occupied. Patients spend less time in the waiting room and less time in the exam room. The efficiencies yield happier patients and higher revenues.

There is no other system that has this sort of workflow. Because of this simultaneous processing, we are able to improve overall efficiency—and make the workday fly by—and end on time!

 

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  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?

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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

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