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Workflow & Business Process Automation Opportunities in the Healthcare Market


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Wouter Koelewijn, Y Soft Vice President and Managing Director of Y Soft Scanning Division, talked about opportunities in workflow and business process automation for healthcare market in USA.

YSoft SafeQ is a leading print management and document capture solution currently uses by more than 14 000 companies in more than 100 countries.

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Workflow & Business Process Automation Opportunities in the Healthcare Market

  1. 1. Workflow & Business Process Automation Opportunities in the Healthcare Market Wouter Koelewijn Senior Vice President, Managing Director, Y Soft Scanning Division
  2. 2. Agenda • Healthcare in the U.S. • Industry changes that make healthcare ripe for workflow adoption • Healthcare concerns and Opportunities • Sample workflows • Importance of ease-of-use
  3. 3. Size of Healthcare 3.2Trillion Dollars (USD) vs 3.5Trillion Dollars (USD) Source: Plunkett Research
  4. 4. Healthcare in the U.S. 50.80%, 51% 23.00%, 23% 13.10%, 13% 9.80%, 10% 2.70%, 3% 0.60%, 0% Number of Healthcare Establishments (by size) 0-4 Employees 5-9 Employees 10-19 Employees 20-99 Employees 100-499 Employees 500+ Employees Total: 620,965 establishments. Source U.S. Census
  5. 5. Types of Healthcare Organizations Classification Role Hospitals (0.60%) Provide inpatient and outpatient services. Hospitals provide an efficient way for doctors to use facilities, equipment, and services that are too expensive to buy for a private practice. Outpatient Surgical Centers (2.7%) Also known as ambulatory surgical centers (ASCs), doctors use these facilities to perform a variety of surgical procedures that do not require a patient to stay overnight in a hospital. Nursing Homes and Long-term Care (9.8%) Provide skilled nursing services for recovery from chronic or acute medical conditions, mental health and substance abuse facilities, and the remaining facilities focus on various types of independent living, community care, and assisted living arrangements. Healthcare Practitioners (13%) Diagnose, treat, and prevent illnesses; includes a broad mix of practitioners, such as medical doctors, a wide range of medical specialists, dentists, chiropractors, optometrists, and more. Home Healthcare Services (23%) Treat patients with a short-term need for care after leaving a hospital or nursing home, as well as patients who require long term. Healthcare Services and Products (50.8%) The healthcare industry incorporates several sectors that are dedicated to providing services and products that are under the supervision of licensed professionals. Examples of these services include: • Optometry • Music therapy • Occupational therapy • Speech therapy • Homeopathy • Chiropractic • Acupuncture
  6. 6. Hospitals (US) Source InfoTrends • 3,600 organizations operating 6,500 hospitals with a combined income of $800 billion. • 75% of the 6,500 U.S. hospitals are non-profits affiliated with churches, charities, or local governments. • Occupancy rate for licensed beds is 70% and length of patient stay is 5 days. • Average in patient bill is $10,000. Although hospitals treat patients, their largest customers are managed care companies.
  7. 7. Outpatient / Ambulatory Care Source InfoTrends; The Advisory Board Company • 3,500 companies manage and operate 5,000 centers. • Combined annual revenues are $18 billion. • Major firms include: o Tenet Healthcare/United Surgical Partners Int’l o AmSurg o HCA
  8. 8. Changes in Healthcare Source: The Advisory Board Company • Employer-backed healthcare still rules • Affordable Care Act has now insured 10 million previously uninsured individuals • Creation of private and public exchanges – Healthcare becomes like retail – Customers have options – Healthcare must compete/innovate • On price • On services (do it yourself: apps, wearables)
  9. 9. EMR An electronic medical record (EMR) is a digital version of a paper chart that contains all of a patient’s medical history from one practice. An EMR is more beneficial than paper records because it allows providers to: • Track data over time • Identify patients who are due for preventive visits and screenings • Monitor how patients measure up to certain parameters, such as vaccinations and blood pressure readings • Improve overall quality of care in a practice The information stored in EMRs is not easily shared with providers outside of a practice. A patient’s record might even have to be printed out and delivered by mail to specialists and other members of the care team.
  10. 10. EHR Source: The Advisory Board Company • Electronic health records (EHRs) do all those things—and more. EHRs focus on the total health of the patient—going beyond standard clinical data collected in the provider’s office and inclusive of a broader view on a patient’s care. • The information moves with the patient—to the specialist, the hospital, the nursing home, the next state or even across the country. • A patient can log on to his own record and see the trend of the lab results over the last year, which can help motivate him to take his medications and keep up with the lifestyle changes that have improved the numbers. So, yes, the difference between “electronic medical records” and “electronic health records” is just one word. But in that word there is a world of difference.
  11. 11. Admitting Application Assessment / Diagnostics Assessment Tool Billing / Charge Sheet Certification / Recertification Checklist Clinical Pathway Communication Consent Consult Continuing Education History & Physical Immunization Lab Tests Nurses Notes Operations Order Sheet Patient Education Patient Instructions/Admitting Patient Instructions/Discharge Patient Safety Physicians Order Plan of Care Progress Notes Questionnaire Record Referral Report Requisition Scheduling Survey Susceptibility Report Testing Transfer Waiver
  12. 12. Lab tests: blood sample forms Consent (HIPAA embedded) Consent Note: VA requires participants to sign a separate Minimal Risk Consent (e.g., blood draws, data collection, leftover specimens, interviews, surveys, behavioral interventions.) Note: VA requires participants to sign a separate HIPAA Minimal Risk Consent - MRI for researc Sample consent - Blood draws only (HIPAA included) Sample consent - Data collection only (HIPAA included) Sample consent - Use of leftover specimens only (HIPAA included) Short Form Consent Process & Templates Somatic Cell Donation for Stem Cell Research (HIPAA included) Sample consent language for particular situations: Parent or Legally Authorized Representative Permission Assent – under 18 Assent – adults (18+) unable to provide consent i.e., LAR provides consent Oral Consent Script Letter of Agreement - for research in cooperation with other organizations IND Forms and Instructions: FDA 1571 Investigational New Drug Application FDA 1572 Statement of Investigator Instructions for completing FDA forms 1571 and 1572 SIR Self-Assessment Form - IND SIR Self-Assessment Form - IDE
  13. 13. EMR-EHR vs Other forms & documents EMR-EHR Other forms & documents
  14. 14. Healthcare Concerns Related to Print & Scan Services • Reducing Costs – to remain competitive, faster processes i.e. invoicing, less physical storage, better use for this space could be a new clinic or more beds • Document Security – while patients are willing to share sensitive information in order to get faster, collaborative care, they are more concerned about the security. HIPPA compliance. • Sustainability – paper reduction, tightly related to costs but also about the environment, speed to access data
  15. 15. Scan Workflow Opportunities • Paperless Practice ’working without paper’ the term ‘Paper-light’ describes the real situation. • Inevitably all practices will have to continue to manage paper documents at some level, both received by and sent from the practice, thus working entirely without paper is impossible. • There are, however, areas of general practice business historically reliant on paper workflows that can be operated more usefully, efficiently and safely by employing information technologies.
  16. 16. Workflow Opportunities • All types of documents in healthcare– New and Archived – Biggest driver is improving ability to search and share1 • Standardized & Centralized Documents • Reduced Reliance on Fax – Using mobile devices, e-signatures 1. AIIM Market Intelligence: Paper-Free Progress – Measuring Outcomes
  17. 17. Workflows Capture Process Deliver Specialized healthcare software
  18. 18. One-Click Scanning
  19. 19. One-Click Scanning
  20. 20. Pre-defined Workflows & Data Entry
  21. 21. Summary • Tremendous opportunity to help healthcare organizers – Reduce costs – Increase document security while still providing faster care and adhering to HIPAA compliance – Meet sustainability goals with paper-less processes
  22. 22. Thank you – Q&A Wouter Koelewijn Senior Vice President, Managing Director, Y Soft Scanning Division