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Healthcare Business Process Management

Healthcare Information Systems (HIS) and Electronic Health Records (EHRs) track every detail of a patient’s interactions with health care providers. However, these systems are often focused on documenting what happens in manual health care processes—in order to meet regulatory and compliance requirements—rather than providing the highest quality patient care. To improve patient care standards in a time of aging populations, increasing costs, payment reform, rapidly changing best practices, and a data explosion, it’s no longer feasible to rely on manual processes; Health care processes must be automated wherever possible.

To this end, Business Process Management (BPM) systems—which include workflow, integration, rules, and analytics—have made significant contributions to improving the quality, efficiency, and flexibility of HIS, and are now seen as essential.

The U.S. healthcare industry is experiencing change unlike any other time in modern history. The rising costs of care and those associated with new regulatory requirements are straining health systems’ bottom lines.

At the same time, in the shift toward value-based care, patient expectations are changing. Patients are starting to exert their power as consumers by making more demands on the healthcare provider-patient relationship. They want higher standards of care, more information about their treatment, more involvement in decisions about their care, and transparency of cost and performance data to help inform their care choices.

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