The healthcare process encompasses the practices and methods both individually and within the healthcare industry that support services that aid the diagnosis, treatment, and recovery of patients. It consists of well-crafted administrative tasks that assist in managing the patient journey and ensuring healthcare workers have access to the right resources, departments, and reports needed to provide quality care. Everyday processes include emergency department activities, inpatient care, patient transfers to generalist or specialist departments, prescription adherence programs, patient journey reports, and hospital administration. Routine care delivery – patient admissions, medical testing, charting, the efficiency of care, and billing administration – are coordinated and maintained by healthcare compliance officers (HCOs) that oversee regulatory and compliance frameworks.
Guided workflows, like quality improvement, are used by healthcare management teams to support systems that hold critical patient data, ensuring the seamless flow of information to critical stakeholders. This includes provider staff, hospital physicians, nurses, billing agents, front desk workers, and clinical therapists. Quality improvement programs help collect and analyze data to minimize waste and improve health care outcomes.
The healthcare process is upheld by the organizational structure of healthcare departments and led by operational managers that facilitate a general framework for maintaining patient health. Healthcare managers design and oversee administrative workflows that support staffing, medical resources, communication channels, and health care delivery. Healthcare managers aid in tracking patient data by monitoring outcome measures such as mortality rates, safety, and readmissions to ensure quality healthcare at reduced costs.
The healthcare system consists of processes that support positive patient health outcomes. These include:
Data management is critical to ensuring an efficient healthcare process. Healthcare consists of many stages with multiple moving parts, generating data that must be efficiently processed. Patient data is held in numerous different formats, forms, and reports, making the approval of health treatments overly complex and time-consuming. Healthcare organizations utilize process management to help organize information dissemination throughout connected computer systems for optimized data sharing. Providers and other health care workers can benefit from better information flows and access to essential health data, creating patient-centric delivery models that enhance medical care and treatment plans.
The healthcare industry can use process mapping to understand system complexities and areas for improvement better. The framework involved in process mapping consists of defining methods for analysis, data collection, and diverse opinion input. The analyses are electronically disseminated to critical actors responsible for managing and administering healthcare initiatives. Healthcare organizations can benefit from evidence-based recommendations within the analysis by improving patient journeys, diagnostic testing, outpatient monitoring, safety protocols, and organizational workflows.
Process mining can also improve healthcare by using data maintained by health care systems, like event logs, to produce algorithms that can advance the understanding of activity schedules, resource usage, and performance levels compared to model expectations. Healthcare organizations can use insights derived from the algorithms to enhance surgical procedures, manage chronic disease, and enable personalized treatment.
A well-designed healthcare process will yield benefits such as: