Digital Themes

Healthcare Process

What is the healthcare process?

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:

  • Prevention: The healthcare system is involved with creating and implementing health campaigns that educate patients on the value of preventive actions such as ceasing tobacco, decreasing sugary drinks, staying active, etc. Television segments, social media posts, and online videos contribute to disseminating educational information that increases awareness of health information. Additionally, the healthcare system offers preventive care that is economical to customers as well as payers.
  • Patient engagement: Healthcare organizations keep patients up to date on health status and are proactive in monitoring illness by administering excellent patient-provider communication, consistent email and mobile follow-ups, and easy access to health tests and reports. Providers use remote monitoring devices to enable daily care routines that inform patients about disease progression or chronic illness.
  • Diagnostics: Providers follow clinical guidelines directed by healthcare managers and administrative protocols to test for medical indicators of early-stage disease, general illness, and symptom progression. Better health depends on correct diagnostics and quick procedural actions that inhibit progressive conditions.
  • Treatment: Treatment is facilitated by healthcare networks that share patient data on connected platforms, guiding the patient through complex care routines that can be performed in clinical offices or at home. inform patients about.
  • End-of-life plans: Healthcare organizations provide specialty care plans throughout a patient’s life. Patients who are at the end of life prioritize treatments that do not accelerate unavoidable ailments due to old age. Holistic therapies can be administered to consider best practices to ease the end-of-life process.


How do healthcare organizations leverage data and process tools to create an efficient healthcare process?

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:

  • Improved access to care: Health care providers can utilize management tools to offer patients virtual appointments or provide communication channels for quick health updates. Patient journeys are monitored by administrative services that alert patients to health reports, billing, and medical follow-ups.
  • Organized workflows: Workflows are maintained by health service delivery systems that provide the resources, people, and institutions to help patients maintain good health. Healthcare managers drive the successful implementation of workflows that support appointment coordination, prescription adherence, surgical procedures, and patient engagement.
  • Regulatory compliance: The efficiency and quality of health services are maintained by healthcare compliance officers (HCOs) that monitor a healthcare organization’s institutional practices and ensure compliance with government laws and regulations. Compliance programs facilitate reports that handle complaints, identify risks, enforce accountability, and produce solutions.
  • Data-driven care: Healthcare organizations that utilize data collection methods to manage preventative care, monitor diagnostic testing, organize emergency department services, and reduce medical errors have better care outcomes. Healthcare managers can easily oversee the complexity of healthcare systems and processes with data-driven insights from machine learning applications. 
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