BPM Working in Healthcare

-- Your Challenges

Today, healthcare organizations live in an extremely competitive, ever-changing industry. Efficient management of core processes is essential for all healthcare professionals – payers, HMOs, hospitals, provider groups, or pharmaceutical companies. Consumers are more demanding. Regulations are tighter. Costs continue to rise. Government reimbursement is constrained. Gaps exist between people, back-end systems, and critical processes and initiatives.

Healthcare as a whole can benefit from improved process management that goes beyond simply accessing patient data and provides visibility and control across the patient’s health status – including provider details, insurance plans, services, scheduling, and so on. The primary challenge is that a patient lifecycle is not linear. Patients can be involved in multiple concurrent processes and operations must be flexible enough to accommodate these unique requirements and circumstances.

Other process-centric demands include:

 • 
Deploy efficient, cost-effective processes to maintain the highest standards of patient care and grow business to generate more profit
 • 
Provide process-driven access to disparate information from multiple sources to enhance business negotiations with reference labs, drugs suppliers and others
 • 
Make better and faster decisions to keep the hospital financially and operationally healthy
 • 
Simplify insurance claims processing, ensuring that missing information and redundant
paperwork are eliminated
 • 
Provide visibility into all necessary, reliable documentation so second- or third-level billings
are not overlooked
 • 
Improve administrative processing tasks
 • 
Tighten up procedures and audit trails to ensure regulatory (HIPAA) and legal compliance  issues are covered
 • 
Improve the exchange of patient information between physicians and caregivers



-- Our Solutions

We understand the unique needs of healthcare organizations and how they can better succeed with efficient process execution. Proven, enterprise-level BPM platform—e-Work—is the foundation that enables companies to design and deploy processes that increase output and manage resources in an unprecedented manner. BPM technology and proven expertise is helping organizations around the world achieve regulatory compliance, reduce risks, enhance customer service, retain and acquire customers, tie together silo processes and systems, and do more with less.

The e-Work BPM platform provides an open, standards-based framework by which designers and implementers can easily integrate external applications or application components. With easy-to-use tools for modeling, designing, managing, and changing processes, business users own, maintain and optimize their processes. And, the platform provides all the components needed to support a continuous process improvement cycle using BPM. Finally, the approach offers rapid design and deployment with complete control over continuous improvements based on insight into how the business is running.