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. If you want to find out more about YSoft SafeQ, contact us at www.ysoft.com/contact-us or schedule your Live Demo at www.ysoft.com/demo.

1. Workflow & Business Process
Automation Opportunities in the
Healthcare Market
Wouter Koelewijn
Senior Vice President, Managing Director,
Y Soft Scanning Division

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. Size of Healthcare
3.2Trillion Dollars
(USD)
vs
3.5Trillion Dollars
(USD)
Source: Plunkett Research

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. 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. 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. 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. 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. 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. 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.

12. 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

13. 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

14. EMR-EHR vs Other forms &
documents
EMR-EHR Other forms & documents

15. 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

16. 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.

17. 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

18. Workflows
Capture Process Deliver
Specialized healthcare software

21. One-Click Scanning

22. One-Click Scanning

23. Pre-defined Workflows & Data Entry

24. 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

25. Thank you – Q&A
Wouter.Koelewijn@ysoft.com
Wouter Koelewijn
Senior Vice President, Managing Director,
Y Soft Scanning Division