Healthcare providers need to manage incidents such as errors or disputes to improve patient care while protecting the business if escalations occur. Advanced case management provides enhanced service and risk management throughout the lifecycle of a case.
Management needs better tools to meet Key Performance Indicators (KPIs) for case handling. Outcomes are the driving force for cases; therefore, tools to drive optimal outcomes are needed. In addition, workers in all areas of the business, faced with fewer and fewer resources, need better tools to support the way they work. Often this requires the input and management of paper-based documents such as written orders, charts, patient histories, lab reports, faxes, and so on, in addition to electronic information to provide an allencompassing view of the case. Advanced case management supports worker efficiency and effectiveness to help control
costs for these activities as well as improve decision-making.
Core case management is based on IBM ECM capabilities including unified content and process management.
Advanced case management scenarios can include rules, business event processing, work management, collaboration and activity monitoring. BPM customers – from starting points such as FileNet BPM, WebSphere Process Server and Lombardi Teamworks – can extend their implementations to support advanced case management.
Lotus real-time collaboration, social software capabilities, and managed activities enhance the case process and provide tools for the case worker to leverage enterprise knowledge and experience – in context. It also allows case interaction directly from office productivity tools such as Microsoft Office or Lotus Symphony.
Content Analytics helps organizations discover and leverage content to derive unexpected business insights, take action, and share with other users and systems.
Business analytics software from Cognos and SPSS provides a full spectrum of business intelligence and performance management capabilities – from real-time activity monitoring to reporting, analysis and dashboards to predictive analytics – to help case workers analyze information and improve case outcomes.
Rules can be authored and abstracted using the WebSphere ILOG Business Rule Management Systems, automating and improving integral decisions such as eligibility, pricing and assignment.