Productivity improvement in the healthcare industry

Productivity improvement in the healthcare industry

Back in 1999 Peter Drucker wrote “  . .The most valuable asset of a 21st century institution, whether business or non-business, will be its knowledge workers and their productivity”.

Today, looking back at the evolution of EMR software over the past ten years there’s very little in most of the current systems that addresses productivity issues.

Of course, all of the vendors in this market space claim that their products “save time and money” but this provides little incentive to a business owner to commit to monthly payments over 3-5 years to achieve ‘benefits’ that may or may not occur.

Whereas the current financial incentives to achieve “meaningful use” of EMR software touch on productivity issues, the core problem of the uniqueness of patient presentations and the need for unstructured services delivery has, until recently, not been addressed.

Civerex Systems pioneered in the use of BPM (Business Process Management) software to develop best practices templates capable of guiding patients along ‘care pathways’.  Our customers’ experience was about the same as BPM Software users in other industries in that implementing best practices provides staff efficiency improvement and patient throughput increases except that as the number of care options increases it becomes difficult for process mappers to anticipate all possible eventualities.

Adaptive case management or ACM changes all of this in that software based on ACM principles is highly supportive of ad-hoc interventions.

After much discussion over a period of several months, Civerex developers decided to align all of the Civerex Software Products with ACM/BPM principles (healthcare, manufacturing and law enforcement).

CiverPsych 7.0 and CiverMed 7.0 are the first Healthcare Products in the industry to accommodate ad-hoc and best practice processing at a single user interface comprising nothing more than a single split screen with a calendar on the right and a to-do list on the left.  Fixed tasks such as appointments and meetings appear on the calendar, floating time tasks appear on the left.  This particular configuration models the way people work.  They attend to their fixed time appointments and then micro-schedule floating time tasks in between appointments.

Staff productivity increases for three reasons 1) use of a simplified user interface allows providers to focus on patients instead of keyboards 2) an automated scheduler eliminates the need for staff to worry what the next step is, who should perform it, how, where, and when and 3) ad-hoc interventions can be initiated at any time to accommodate exceptions.

With CiverPsych 7.0 and CiverMed 7.0 ‘orders’ continue to post automatically to user Orders InTrays except that users are now able skip tasks, perform tasks in a different sequence, or add tasks that are not part of a patient best practice template.

The benefits from putting the focus on staff productivity, increased patient throughput, decreased clinical and administrative errors and improved compliance with internal and external rules and regulations far outweigh the benefits from acquiring traditional EMR Software for the purpose of qualifying for “meaningful use” financial incentives.  According to various studies, the most notable of which is the European community Impact Study, the ROI for a traditional the HR is typically in the range of 6 to 13 years whereas users of software that is based on ACM and BPM are likely to see an ROI of 12 to 18 months at agencies that have twenty or more providers.

If you would like more information on an ACM/BPM, either in the form of a PowerPoint presentation on productivity issues in the area of clinical, administrative or clinical/administrative operations or the white paper highlighting one organization’s experience with ACM/BPM Software, please call or write to:

Civerex Systems Inc

800 59 5355


Management consultant and process control engineer (MSc EE) with a focus on bridging the gap between operations and strategy in the areas of critical infrastructure protection, connect-the-dots law enforcement investigations, healthcare services delivery, job shop manufacturing and b2b/b2c/b2d transactions. (C) 2010-2018 Karl Walter Keirstead, P. Eng. All rights reserved. The opinions expressed here are those of the author, and are not connected with Jay-Kell Technologies Inc, Civerex Systems Inc. (Canada), Civerex Systems Inc. (USA) or CvX Productions.
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