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

Healthcare Needs Business Process Management: 600 Billion Dollars Worth

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I strongly believe, and I have been arguing for over a decade, with increasing success, that healthcare needs business process management. Why?

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The IOM, Institute of Medicine, estimates that the U.S. wastes more than $765 billion a year, one-third of the total $2.5-plus trillion healthcare economy.

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What’s causing this waste? Unnecessary services, medical errors, uncoordinated care, excessive variation, fraud, there’s a great variety here, such a variety. What do all of these have in common? They all have in common, workflow. They are complicated workflows, complicated processes, complicated series of steps consuming resources and achieving goals or maybe in some cases, not achieving goals. If we modeled more of those and we executed those models and we generated the big data necessary to improve those workflows, we could go a long way to reduce the amount of waste in healthcare.

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I interviewed the world’s expert on workflow technology. He’s Wil van der Aalst. He’s in the Netherlands. He’s written over 200 papers, chapters, three or four books and about 20 or 30 of his articles are about healthcare. He’s very interested in healthcare and he estimates back-of-the-envelope calculation, mind you, that the U.S. could save as much as $600 billion if we fully adopted process-aware information technology, which is what the academics call, business process management. I think it’s worth reading this quote, “We, the BPM researchers, have a particular interest in healthcare because processes are much more chaotic than in other industries and potential savings are enormous. Healthcare is very challenging, very challenging and therefore there a very interesting application domain.”

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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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