Software AG Case Studies Medical Service Innovation Through Process Integration

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	Medical Service Innovation Through Process Integration Software AG

Medical Service Innovation Through Process Integration

Software AG

Technology Category	Application Infrastructure & Middleware - API Integration & Management Application Infrastructure & Middleware - Data Exchange & Integration
Applicable Industries	Healthcare & Hospitals
Applicable Functions	Logistics & Transportation Quality Assurance
Use Cases	Predictive Maintenance Remote Asset Management Remote Patient Monitoring
Services	System Integration Software Design & Engineering Services
Challenge	The Health Maintenance Organization (HMO) was facing growing challenges in internal communication and knowledge management due to its rapid growth and innovation-backed success. Siloed applications and a lack of end-to-end process management and control made oversight difficult and put data integrity at risk. For instance, provider fee-payment systems had become so complex to maintain that it took extra manpower and time to process charges to members and payments to providers. The organization needed to make patient medical records quickly and readily available, increase auditing and monitoring of transaction and data movement, improve back-end IT systems and process efficiency, and open 25 years of custom legacy applications and data to all platforms, including a new digital business platform. Read More
About Customer	The customer is a Health Maintenance Organization (HMO) founded in the 1940s. It is the most advanced healthcare service organization in its country, serving more than 2 million people. The company operates about 300 medical clinics throughout the country, as well as 20 medical diagnostic and therapeutic centers, 100 pharmacies and several hospitals. It is the fastest-growing HMO in its country, facilitating 80 percent of the health services for its members through independent nurses, doctors and other health services professionals. As a result, digital service demand has grown dramatically—with 1.5 million members online and 500,000 using mobile apps. Read More
Solution	In late 2013, the organization embarked on a journey to unify all of its existing investments in a managed and controlled process landscape. It used the webMethods Integration Platform to create a service-oriented architecture and implemented Business Process Management (BPM) capabilities based on webMethods. The organization used webMethods to model and analyze business processes and KPIs, and then integrate them. This allowed the HMO to use webMethods BPMS to execute and monitor processes, a rules engine to enable flexibility, ApplinX to connect and expose legacy systems, as well as webMethods Insight to monitor services. The organization replaced its 20-year-old UNIX® system with a new eligibility system. It launched an innovative Children’s World service, connecting patients and family doctors over streaming video. And it seamlessly aligned surgery and consultant practices with new Ministry of Health regulations. Read More Log in to view content
Contents

Technology Category

Application Infrastructure & Middleware - API Integration & Management

Application Infrastructure & Middleware - Data Exchange & Integration

Applicable Industries

Healthcare & Hospitals

Applicable Functions

Logistics & Transportation

Quality Assurance

Use Cases

Predictive Maintenance

Remote Asset Management

Remote Patient Monitoring

Services

System Integration

Software Design & Engineering Services

Challenge

The Health Maintenance Organization (HMO) was facing growing challenges in internal communication and knowledge management due to its rapid growth and innovation-backed success. Siloed applications and a lack of end-to-end process management and control made oversight difficult and put data integrity at risk. For instance, provider fee-payment systems had become so complex to maintain that it took extra manpower and time to process charges to members and payments to providers. The organization needed to make patient medical records quickly and readily available, increase auditing and monitoring of transaction and data movement, improve back-end IT systems and process efficiency, and open 25 years of custom legacy applications and data to all platforms, including a new digital business platform.

About Customer

The customer is a Health Maintenance Organization (HMO) founded in the 1940s. It is the most advanced healthcare service organization in its country, serving more than 2 million people. The company operates about 300 medical clinics throughout the country, as well as 20 medical diagnostic and therapeutic centers, 100 pharmacies and several hospitals. It is the fastest-growing HMO in its country, facilitating 80 percent of the health services for its members through independent nurses, doctors and other health services professionals. As a result, digital service demand has grown dramatically—with 1.5 million members online and 500,000 using mobile apps.

Solution

In late 2013, the organization embarked on a journey to unify all of its existing investments in a managed and controlled process landscape. It used the webMethods Integration Platform to create a service-oriented architecture and implemented Business Process Management (BPM) capabilities based on webMethods. The organization used webMethods to model and analyze business processes and KPIs, and then integrate them. This allowed the HMO to use webMethods BPMS to execute and monitor processes, a rules engine to enable flexibility, ApplinX to connect and expose legacy systems, as well as webMethods Insight to monitor services. The organization replaced its 20-year-old UNIX® system with a new eligibility system. It launched an innovative Children’s World service, connecting patients and family doctors over streaming video. And it seamlessly aligned surgery and consultant practices with new Ministry of Health regulations.

Impact #1	Removed legacy system constraints
Impact #2	Enabled real-time, life-saving services innovations
Impact #3	Made member medical records instantly available to doctors

Impact #1

Removed legacy system constraints

Impact #2

Enabled real-time, life-saving services innovations

Impact #3

Made member medical records instantly available to doctors

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Overview

Medical Service Innovation Through Process Integration

Operational Impact