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

How Do You Manage "But we're special" Pushback Most BPM Theory Get's From Clinical Care Teams



Another question that we got via the chat states, “How would you manage the ‘But we’re special,’ pushback,” most BPM theory gets from clinical care teams? Chuck, do you see that type of pushback?



[I answered each of these questions to the best of my ability, extemporaneously , with in extreme time constraints. Each deserves at least a complete blog post…what a great idea!]

Yeah. Yes, I do and I think … and again, you only have enough time to cover what you can cover and I think I was pretty organized and spoke pretty quickly but if you go back to … I think, can you put me back on the [third slide] slides?

Okay, the fifth one down, Adaptive Case Management Global Excellence Awards. I’m actually a judge on that. You saw the quote from Wil van der Aalst, in which he said that healthcare is more chaotic and more unstructured. Within the business process management community, there has been a similar reaction to overly rigid process models and part of the tribe of rebels, they’re into something they call adaptive case management.

These systems, they come out of the business process management community but they very much diminish emphasis on that network diagram that says this has to happen and this has to happen. In fact, what they do is they represent very high level goals, like this case is 25% done or we have obtained the signature. It doesn’t say how to get the signature. Anybody can get the signature but what they do emphasis is visibility.

Visibility: here are the set of goals. Anybody can accomplish it based on certain constraints. I mean you have to have the authority and so forth. Then everybody sees as the case moves along, what’s being accomplished and then people jump in more dynamically.

What these systems emphasize and represent is *what* needs to be done, not *how* it needs to be done. There are some very interesting adaptive case management systems that I think would be great to show to those folks who look at a traditional BPM system and look at that workflow and say, “Well, we can’t imagine ourselves fitting ourselves into such a rigid structured workflow.”

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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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