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

The Power of (Executable) Process (Models)


Well, this is an actual, simplified workflow definition of a patient encounter. Here we have a set of screens. The screens are popping up automatically. A nurse, in the red role, is going to collect some vitals information, enter that into a screen, either by touching things or using speech recognition. Then there is a sequence of screens to well, “Are you on any new meds recently? Should I take any off the list? How about allergies, what are you allergic to?”

Then down here in the blue role, we have a physician may conduct several steps, such as doing an exam and then making an assessment and ordering some treatment, such as a prescription that’ll be sent someplace. Then there’s cycle of steps here in the green role (naturally) in which you try to get the money from the insurance company.

Someone who understands the patient encounter can model that patient encounter, can create a description of it, a workflow definition. This can be executed by the workflow engine putting the right screens in front of the right person so that they don’t have to click a lot. A lot of folks complain about “click-arrhea,” my analogy to diarrhea, too much clicking. Plus, it can accomplish things automatically in the background, saving a lot of time and, of course, it’s consistent because it’s a computer.


The really cool thing from the point of view of meta workflow, the workflow of workflow, big workflow, is while that engine is working, it is generating immense amounts of timestamped data. Up here at the top, we see that 85% of the time, the nurse, and I’m going to bring up my little cursor here, 85% of the time, the nurse chooses to go collect meds and allergies through the template but 15% of the time, she goes over and uses speech recognition to generate a note. Then down here, it converges. You can use this information along with the time of eight minutes between vitals in the note to spot bottlenecks and go and ask the nurse, “Well, why did you take so long and why did you do it this way?” She can explain and you can then change and improve the workflow. Okay.

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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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