![]() ![]() Making Smarter Decisions with Reliable Tools The company relies on BPM to implement new automated processes while remaining flexible enough to update them as regulations warrant. Massachusetts health insurance provider Fallon Community Health Plan adopted BPM technology to ensure compliance with state and federal healthcare regulations – and was the first healthcare insurance exchange in the state ready to go live when the Affordable Care Act launched in October 2013. BPM technology can automate many standard processes, like patient enrollment and insurance claim appeals. ![]() Hospital stays for each area decreased, and the readmission rate was reduced to less than 1%.Ĭoordinating the number of processes inherent in delivering healthcare, while managing the amount of information produced, requires targeted Business Process Management. In four years, the project yielded margins and savings of more than $2 million. ![]() The goal was to improve patient care by requiring fewer and/or shorter hospital visits, fewer tests, and less medication. Healthcare is becoming increasingly complex and competitive, but when the principles of Project Management and Business Process Management (BPM) are implemented, providers can do a better job delivering quality care to patients.įor example, Sparrow Hospital in Lansing, Michigan, applied Project Management principles to disease-specific care (DSC) practices, including pediatric and adult asthma, and chronic obstructive pulmonary disease (COPD). Project Management and Business Process Management in Healthcare By instituting the problem-solving methods of continuous improvement, each of the issues that prevented the goal from being achieved was solved, and 1.4 million became the standard. Although the goal of one plant was to fill 1.4 million vials per week, actual fill rates ranged from 700 to 1.2 million.
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