Transform Healthcare Operations with NewgenOne BPM Platform

Enhancing Healthcare Operations

Optimizing business processes in healthcare is vital for improving patient outcomes, boosting operational efficiency, and ensuring regulatory compliance. NewgenOne BPM (Business Process Management) Platform provides a powerful solution for healthcare organizations, including Payers (Health Plans), Providers (Health Systems), and Pharma (Life Sciences & Medical Devices), to meet these goals effectively.

Streamlining Healthcare Workflows with NewgenOne BPM

NewgenOne BPM Platform offers a comprehensive approach to transforming inefficient and fragmented healthcare processes. By breaking down complex workflows, standardizing procedures, and implementing automation, healthcare organizations can realize substantial improvements.

Key Benefits of NewgenOne BPM in Healthcare:

Order Fulfillment and Inventory Management:

  • Payers (Health Plans): Efficiently manage member enrollments, claims processing, and provider network management.
  • Providers (Health Systems): Streamline patient scheduling, medical records management, and inventory tracking for medical supplies.
  • Pharma (Life Sciences & Medical Devices): Optimize supply chain management from raw material procurement to the distribution of finished products.

Customer Service and Patient Care:

  • Enhance patient engagement with automated appointment reminders, follow-up notifications, and personalized communication.
  • Improve claims adjudication processes and reduce turnaround times for patient queries and service requests.

Compliance and Regulatory Adherence:

Ensure adherence to healthcare regulations such as HIPAA, GDPR, and FDA guidelines through automated compliance checks and audit trails.

Implementing NewgenOne BPM: A Step-by-Step Approach

Step 1: Understand and Map Current Processes

Identify Key Processes: Determine critical workflows such as claims processing, patient onboarding, and clinical trials management.

Process Mapping: Use NewgenOne’s advanced BPM tools like flowcharts and BPMN (Business Process Model and Notation) to visualize current workflows.

Step 2: Assess Process Performance

Data Collection: Gather data on current performance metrics like cycle time, throughput, and quality.

Identify Bottlenecks: Use analytics to pinpoint inefficiencies and areas needing improvement.

Step 3: Design and Implement Improvements

Redesign Workflows: Create streamlined processes that eliminate redundancies and enhance efficiency.

Automation: Implement robotic process automation (RPA) for repetitive tasks such as data entry, billing, and reporting.

Integration: Seamlessly integrate with existing EHR/EMR systems, CRM platforms, and other healthcare IT solutions.

Step 4: Monitor and Continuously Improve

  • KPIs and Metrics: Establish key performance indicators to track process effectiveness.
  • Continuous Feedback: Utilize dashboards and reports to monitor real-time performance and make data-driven decisions for continuous improvement.

Real-World Application: Healthcare Workflow Example

Workflow: Optimizing Claims Processing

Step 1: Process Identification (Days 1-3)

Responsible: Process Owner (PO)

Goal: Identify the current claims processing workflow.

Action: Review existing claims processing steps, consult with stakeholders to identify pain points.

Step 2: Process Mapping (Days 4-7)

Responsible: Business Analyst (BA)

Goal: Create a visual representation of the current claims process.

Action: Develop a BPMN diagram, validate with stakeholders.

Step 3: As-Is Analysis (Days 8-10)

Responsible: Process Improvement Team (PIT)

Goal: Analyze inefficiencies in the current process.

Action: Identify bottlenecks and areas for improvement, document findings.

Step 4: To-Be Process Design (Days 11-14)

Responsible: BA

Goal: Design an optimized claims processing workflow.

Action: Create a new process map focusing on efficiency and automation.

Step 5: Process Simulation (Days 15-17)

Responsible: BA

Goal: Test the new process using simulation tools.

Action: Identify potential issues and further refine the process.

Step 6: Process Execution (Days 18-21)

Responsible: PO and stakeholders

Goal: Implement the new claims processing workflow.

Action: Train staff, update IT systems, and execute the new process.

Step 7: Monitoring and Control (Days 22-28)

Responsible: PO and stakeholders

Goal: Ensure the new process is effective.

Action: Monitor KPIs, adjust as necessary.

Step 8: Continuous Improvement (Ongoing)

Responsible: PO and stakeholders

Goal: Maintain and enhance the optimized process.

Action: Conduct regular reviews, encourage feedback, and pursue further optimization opportunities.

Conclusion

The NewgenOne BPM Platform empowers healthcare organizations to transform their business processes, enhancing efficiency, productivity, and patient satisfaction. By following a structured approach to process improvement and leveraging advanced BPM tools, healthcare organizations can achieve significant operational improvements and drive better healthcare outcomes.

About GHIT Digital

GHIT Digital is a domain-focused, future-ready, boutique IT Services & Digital Transformation firm. We are a Minority and Women Owned (MWOB) small business from New Jersey, USA. Diversity, Inclusion, and Growth is our mantra. Team GHIT works on strategic IT projects for Government (G), HealthCare (H), Insurance (I), and Technology (T) clients, thus the brand GHIT. We are nimble, scalable, and sell & deliver with Platform Partners & Delivery Partners. Our niche capabilities include Agile Project Management, Infrastructure Services, Data Services, Cloud-native Data and Apps Implementation, Integration, Migration, Security & Optimization.

Contact Us

MonMass, Inc. (the legal name of GHIT Digital) will work on your strategic IT projects or consulting requirements (NAICS codes 541511 / 541512 / 541330 / 541618). Feel free to call 201.792.8924 or 646.734.6482 or write to me at Monika@GHIT.digital for a no-obligation discovery conversation. You are welcome to share your RFPs/RPQs for us to review and respond on time.

Monika Vashishtha, MBA, ITIL, PMP

President & COO

https://ghit.digital | Monika@GHIT.digital