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Software AG > 实例探究 > Medical Service Innovation Through Process Integration
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Medical Service Innovation Through Process Integration

技术
  • 应用基础设施与中间件 - API 集成与管理
  • 应用基础设施与中间件 - 数据交换与集成
适用行业
  • 医疗保健和医院
适用功能
  • 物流运输
  • 质量保证
用例
  • 预测性维护
  • 远程资产管理
  • 远程病人监护
服务
  • 系统集成
  • 软件设计与工程服务
挑战
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.
关于客户
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.
解决方案
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.
运营影响
  • Removed legacy system constraints
  • Enabled real-time, life-saving services innovations
  • Made member medical records instantly available to doctors

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