BPM in Healthcare

Healthcare is a core focus area across countriesadd to the complexity, the patient might be
all over the world. Providing and improvinginvolved in more than one healthcare process at a
healthcare facilities to the population rankstime.
amongst the topmost agenda for Governments.Following this procedure customized to individual
However, healthcare industry has grown onpatient's cure plan and variations is a humungous
beyond the realms of it being solely a stateexercise, and requires much more beyond access
function, especially true for fast-developingto patient records and data.
countries such as India. While in the developedUsing BPM's interactive interface, process could be
countries private healthcare has long existed, Indiaquickly designed/modeled and changed as per the
was relatively slow to start off, withrequirements. These processes are designed as
post-reforms scenario witnessing a rapid growthpet the defined workflow with stakeholders for
of large-scale private healthcare providers.every stage of the workflow. Built-in rules
In spite of thriving healthcare industries, whetherembedded in BPM engine provide alerts and
they exist in developed or developing nations, ITreminders if a drug is recommended that has
has only had a limited role to play in healthcarepotential negative interactions within the
companies. As opposed to other industries suchprescribed cure process. Similarly, time-bound
as banking, finance, insurance, manufacturing andactions, if not completed on time, could be raised
defense, among several other verticals, that haveas alarms. Process stakeholder (usually a senior
witnessed paradigm shift in way the business isdoctor) can immediately determine the
done, healthcare has had to contend with quick-fixbottlenecks hindering the process, and accordingly
solutions that never really went beyond recordingremodel and redistribute work so as not to
information digitally and managing records. Theimpact the overall procedural effectiveness. This is
reason given is that healthcare is an extremelyrequired because important resources like doctors
complex industry to really benefit from large-scalecould be allocated to more than one process. In
enterprise grade solutions; and that the enterpriseaddition, processes users can provide their
solutions cannot go beyond automating thecomments for particular stage of treatment.
administrative and financial functions.Since everyone can view changes immediately,
Recent times have seen advent of solutions suchthe information is immediately communicated in an
as Electronic Medical Records Systems, Healthcareunambiguous manner to everyone. Detailed
Information Systems, Practice Managementanalytics enable process stakeholders to evolve a
Systems and Clinical Decision Support Systems.more efficient and effective process in future.
However, all these systems are still focusedTherefore, healthcare organisations can greatly
towards micromanaging individual functions. Thebenefit from such a system, which has a
emergence of Business Process Management ascomprehensive and relevant rules engine at its
an approach to automate, centralise and manageheart. Such as system not only helps making
healthcare processes is ringing in unheardtimely and informed decisions but also enables
operational efficiencies, sweeping productivityeffective collaboration and extensive analytics.
gains, greater quality healthcare to patients, andThe power of BPM lies in its ability to be used
adherence to mandatory compliance regulations.effectively by hospital staff having no knowledge
Challenges in Healthcareof coding. Process designing is as simple as
Process automation has been viewed with a lot ofdragging and dropping elements on the screen.
skepticism in the healthcare industry, especially forAlso, no customization of code for re-designed
the clinical and operational processes, whichprocesses is required. Simulation provides process
directly deal with patient care. However, BPMowners flexibility to analyse the real-life situation
goes beyond mere automation of processes andbeforehand.
can provide robust platform for gains across allOperations: A Healthcare organisation's health
categories of healthcare processes, be it clinical,(read topline/bottomline) is a direct measure of
operation, financial, administrative or humannumber of patients successfully treated in the
resource. Before describing how BPM actually helpshortest possible time. This depends largely to
companies in these areas, a quick look at thestreamlined operations, which involve timely and
challenges puts forth the pain points of theaccurate action for allocating wards to patients,
healthcare industry:o Ensure clinical excellenceshifting patients to different wards, ensuring
& improved quality of patient care: Amidstoptimal supply of medicines and equipments, ideal
rising number of patients, increased complicationsusage of surgical and high-cost equipments,
and limited resources, providing the bestmaintaining operation theatres ready for
healthcare becomes a daunting task. Each patient'santicipated cases, ensuring clear and low-cost
problems are unique, and developing andcommunication, among several other similar tasks.
maintaining clinical excellence by adhering to bestBPM manages all these functions under clearly
practices while catering to distinct individualdefined processes, which weave together with
treatment requirements for every patient is theother processes to ensure maximum productivity
biggest challenge for healthcare providers.oand efficiency.
Decrease cost of operations & administration:Administration: Administration is responsible for
As hospitals grow to become large enterprises,keeping the organisations in good health. BPM
managing functions of their operations,provides comprehensive capabilities for large
administration and finance departments inhealthcare enterprises to keep the infrastructure
themselves become extremely difficult torunning smoothly in order to enable organisations
manage. With individual solution for each of theseto provide healthcare in most effective manner.
functions, it becomes cost-and-resource intensive,Finance: Finance is the lifeblood of any
replete with data redundancies. However,organisations, and is no different for Healthcare
managing them under one umbrella brings its ownorganisations too. BPM provides immediate and
set of challenges.o Comprehensive managementpervasive benefits across all the Finance functions
capabilities: Every organisation strives hard tosuch as accounts payable, accounts receivable,
provide complete visibility and control in theiraudits, budget administration, payroll, risk
processes to process stakeholders. Problems andmanagement, billing, tax calculations, contract
bottlenecks often remain hidden due toadministration, cash flow administration, financial
unavailability of tracking information, often leadingreports, etc.
to uninformed, and at time, costly decisions orResearch and development: Research and
indecisions.o Ensure adherence to regulatorydevelopment is a critical but cost-intensive area
compliance norms: Healthcare industry is one offor companies in Health industry, especially
the foremost industry that has to abide withPharmaceutical companies. BPM helps define
stringiest of compliance regulations such asprocesses for developing new drug molecules,
HIPAA, OSHA and CLIA. Failing to comply withbetter operating techniques, employing new
these regulations could obliterate small players astechnology in prevalent procedures, improving
well as behemoths. Compliance is an intensive andeffectiveness of existing drugs and medicines with
constant exercise that involves extensivelesser side effects, etc., by providing
documentation to demonstrate compliance tocomprehensive and immediate access to data
stipulated norms. Without an automated andfrom various sources, analysis of extensive tests,
centralized system, managing compliancedocumenting results for posterity, and shortening
becomes nothing short of a nightmare for theresearch time. With BPM, R&D witnesses
organisations.o Leverage existing investments:shortened cycle times and better resource
Healthcare companies usually have disconnectedutilization.
IT systems working in individual departments.BPM Benefits
Companies, big or small, always look to extendThe benefits, which healthcare and pharmaceutical
the value of their investment in their legacycompanies obtain, are both tangible and intangible.
healthcare systems. The enterprise-grade solutionOn one hand, lower costs, improved efficiency,
must not only be able to bind together distinctenhanced productivity, and bulging bottom line
legacy systems to coherently work togethermake for good numbers; while on the other hand,
under one hood but also provide functionalitieshelps conforming to compliance, fostering
such as SOA support and Web-based access,innovation, employing best practices, mitigating
monitoring, and administration.o Acquire &risks and achieving higher credibility.
retain quality staff: Talented professionals,Some of the major benefits are as follows:
especially doctors, are a rare commodity. EquallyHighly improved patient care: BPM makes
critical is the good quality support staff. Amidsthealthcare companies agile in achieving their goal
rising competition, retaining talent is one areaof providing best healthcare at the least cost and
companies are always struggling to cope with.in minimum time to patients. With streamlined
Companies, while striving to provide bestprocesses - spread across the enterprise and
healthcare (quick and appropriate diagnosis,working towards the single goal - results in
accurate cure, no erroneous prescriptions, minimalpatients getting increased individual focus and
side effects in least time and cost, also have tofaster cure.
walk the tightrope of not overburdening theirLower Costs & improved bottomline: With
doctors and staff. Without streamlined processesBPM affecting all the aspects of functioning of
for cure and treatment, Companies are alwaysHealthcare companies, weaving them seamlessly
struggling to balance the oft-conflictingunder one umbrella, enables cutting costs from
requirements.every single activity. With proven implementation
Addressing such a diverse set of requirements,methodologies like Breakthrough Methodology, the
with the fulcrum being people care makes BPMbottomline benefits can be rapidly obtained.
for healthcare a unique and complex system. BPMCompliance: Ensuring compliance with
must enable healthcare providers during all theever-evolving regulations is a vital function for the
phases namely diagnostics, treatment, and postglobal companies operating in different business
treatment.environments across the world. BPM helps
How BPM Helps Healthcare Organisationscompanies conform to compliance needs and
With healthcare organisations becoming giantemploy best practices, without sacrificing their
enterprises, they demand constant increase incorporate policies. Also, with compliance-solution in
efficiency and productivity, while minimizing theplace, companies build effective risk assessment,
cost. BPM helps achieve healthcare organisations,management and mitigation capabilities.
big or small, achieve these by managing andDiversification: The rapid growth of Healthcare
impacting all the functional areas, which mainlyindustry has resulted in pure Healthcare providers
involve clinical/medical, operations, administrationgoing beyond providing mere services and
and finance. While clinical function is unique to theindividualized care, and diversify into allied Life
healthcare industry, administration and finance areSciences domains such as biotechnology,
similar to these functions in other industries.bioinformatics, genetic engineering and molecular
Operations also involve distinct needs for healthmedicine, among others. Having a BPM in place
providers.enables such organisations to effectively manage
Clinical/Medical procedures: Often touted as highlynew ventures by providing complete visibility and
complex to handle, clinical procedures form thetight monitoring for new processes while
core of what a healthcare organisation offers. It'sleveraging existing investments in business.
not just about a standard set of instructions toIn addition to these, there are multiple other
be strictly followed for curing a patient; rather itequally important benefits such as retaining talent,
involves closely monitoring and making criticalleveraging existing investments and drastic
decisions at each step of the documentedimprovements in quality and time-to-market.
procedure, carefully analyzing the repercussions ofBPM, therefore, is much more than a mere fad
prescription/ treatment at each step, anticipatefor the Healthcare and Pharmaceutical industry. To
drug interactions, derive inferences from patients'the organisations prepared to adopt it
medical history, choosing best alternative for curewhole-heartedly, it brings tangible and measurable
among many to provide best quality andbenefits; thereby ensuring companies can set off
cost-effective healthcare to patients, while directlyon a high growth path.
impacting the bottom line of the organisation. To