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

EHRs & HIT Efficiency, Effectiveness, User Satisfaction Problems & BPM


All right. Slight change of gear, if you’re in health IT, you know that doctors are complaining about EHR usability. Here are some example headlines: satisfaction is falling. Usability is a bigger issue. We need more user-friendly EHR’s. We’ve got a long way to go and editorials that vendors must solve the usability issues. Guess what?


…These usability issues of EHR is just the tip of the iceberg… Both EHR’s and non-EHR health IT systems have massive problems with effectiveness, efficiency and user satisfaction.


Both EHR’s and non-EHR health IT systems have massive problems with effectiveness, efficiency and user satisfaction. 


What’s so interesting about those three qualities is they are the International Standards Organization’s definition of usability. “Usable products and services are effective, efficient and they make their users, whether they’re someone clicking on a screen or a patient someplace, happy.”


Compare the definition of usability to a definition of business process management. “It is a systematic approach to making an organization’s workflow more effective, more efficient and more capable of adapting to an ever-changing environment.” 


Effectiveness, effective, efficiency, efficient, user satisfaction, I would argue that the single biggest problem with user dissatisfaction with current health IT systems is that they are not capable of adapting and customizing workflow to their local preferences and needs and to do so overtime, to change as the regulatory environment as the business needs change.

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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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