At AHIP Institute Workflow Tech and Process Automation Were Well Represented

This is one of two short trip reports for last week’s America’s Health Insurance Plans (AHIP) Institute in Nashville. The other trip report focuses on a specific product and vendor attending AHIP Institute.

Wednesday and Thursday last week I wandered around the AHIP exhibit floor asking pointed questions about workflow and workflow technology. What I found reminded me of the Connections TV series:

“the entire gestalt of the modern world is the result of a web of interconnected events, each one consisting of a person or group acting for reasons of their own motivations (e.g., profit, curiosity, religious) with no concept of the final, modern result to which the actions of either them or their contemporaries would lead. The interplay of the results of these isolated events is what drives history and innovation”

I strongly feel there is a similar gestalt, right now, regarding use of workflow tech in health IT. A friend of mine compares it to supersaturated fluid. Health IT conversation is supersaturated with discussion of “workflow.” I believe this discussion is starting to crystalize around opportunities for workflow tech to better manage healthcare’s “Workflow Problem.” Also check out my 10 part series on the coming intersection between health plan IT and Business Process Management.

In this blog post I’ll summarize what I found, archive some of my favorite tweets, and consider where we (ragtag band of workflowistas) need to go next.

Before I got to the AHIP Institute, I did what I usually do before a conference with a substantial concentration of health IT exhibitors. I looked at every exhibitor website, searching for the following phrases.

  • health insurance workflow
  • “Business Process Management” OR BPM
  • “workflow management system”
  • “workflow engine”
  • “process orchestration” OR “workflow orchestration”
  • workflow “patient experience” OR “patient engagement” OR “customer experience” OR “customer engagement”
  • “customizable workflow” OR “customizable workflows”
  • workflow interoperability
  • workflow “patient experience” OR “patient engagement” OR “customer experience” OR “customer engagement”
  • “health plan” workflow

The first thing that struck me, when I started walking the exhibit hall, was that, compared to HIMSS15, there was much more mention of workflow tech related terms. I didn’t formally quantity this, but I’d guestimate between five times as much but possibly as high as a magnitude.

  • Rules-based processing
  • Industrial style process model
  • Robotic process automation
  • Workflow automation
  • (and similar)

I stopped at booths mentioning anything similar to the above phrases. I expressed interest and asked for elaboration. And, in some cases, I shot what I call a One-Minute Interview. I captured the video using Google Glass, uploaded to YouTube, and tweeted on the #AHIPinstitute hashtag, almost on the spot.

In the following video Marcia talks about “robotic” claims processing tasks. These are routine tasks that are ideal for automating. Just prior to the video she mentioned taking the percent of claims that are completely accomplished without any manual human intervention from 70 percent to 97 percent in one health plan. What a great example of using process-aware health IT to dramatically reduce work for humans, and in doing so, freeing those humans to perform even more important work requiring creative problem solving. Good job Marcia!

The following video is interesting because it highlights how important workflow, and depictions of workflow, are becoming for marketing purposes. (In this vein, check out my Marketing Workflow Is An Incredible Opportunity To Differentiate Health IT Products, And You!) In the video, you will be walked through a classic swim-lane-based process model for physician credentialing.

I often point out that workflow management system technology is literally decades old in other industries, but is only now diffusing into healthcare. Claims processing is probably the major exception to my general statement. For example, Healthsuite has been at it for 30 years! Certain backroom functions, such as insurance and human resources, are among the most similar to other industries. So it makes sense that true workflow automation is more advanced in health insurance than other areas of healthcare and health IT. I knew this intellectually. But it was still something it actually see evidence of this at AHIP Institute.

One idea that really struck me was this. Health insurance is a reservoir, on the payer side, of workflow technology and expertise I’ve been evangelizing for on the health IT provider side. I believe health payer IT and health provider IT will inevitable merge over the next 10 years. This merge will require not just syntactic (message transport) and semantic (message translation) interoperability, but workflow interoperability) (sometimes called pragmatic interoperability).

Might health insurance IT be a major path for diffusion of workflow technology into health IT?! Interestingly, some of the care management IT architectures (determining what the software *can* do, but not what it may currently be configured or used for) I saw were more sophisticated than what I saw on the health IT provider side at recent HIMSS conferences.

However, not all was the completely rosy, when it came workflow technology at the AHIP institute. As I noted in this tweet, some vendors were actually privately bemoaning their own lack of classic workflow management functionality, such as triggers and alerts.

…or this tweet, about health plan IT vendors being reluctant to intrude into EHR areas of responsibility.

That sums up my general observations about the AHIP Institute. For more specific, see my other AHIP Institute trip report. Oh, just one more tweet! :)

I like the giant golden halo effect.

P.S. Oh yes! I just remembered! I promised workflowistas some thoughts on where we need to go next. It’s pretty much the same Healthcare Workflow Triple Aim I always expound upon.

  • Educate about the importance of healthcare workflow and workflow technology.
  • Find and highlight health workflow IT people, companies, and success stories.
  • Recruit the best workflow minds and technology into healthcare and health IT.
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Appian Modern BPM Application Platform Expands Healthcare Footprint at Health Plan, Insurance, Payer Conference

This is one of two short trip reports for last week’s America’s Health Insurance Plans (AHIP) Institute in Nashville (my other trip report). Check out my 10 part series on the coming intersection between health plan IT and Business Process Management.

I was a guest of Appian, developer of a Business Process Management-based application platform, at AHIP Institute last week. As announced during HIMSS15 in Chicago, I’m working with Appian to educate healthcare and health IT about modern BPM-based low-code application platforms. (Also see my five-part series on BPM in healthcare.) Appian is a particularly good choice, because they’ve create a plethora of white papers, blog posts, Youtube videos, and related resources about every aspect of modern BPM, including the current reigning high tech quadrivium: Social, Mobile, Analytics, and Cloud (SMAC).

I set up work space kitty-corner from the Appian booth, so I got to watch the steady stream of attendees stop by. Here’s an overhead shot, from my drone, with arrows pointing to the Appian booth and my temporary working area.


Meanwhile, online, @Appian was one of the top Twitter accounts. :)

I shot three interviews with Appian booth staff (with Google Glass).

In the following interview Christina Fisher (@CFisherAppian) in three minutes gives us a high-level explanation of using a modern low-code BPM application platform.

Health plan applications should

  • be simple not only to use,
  • but simple to build as well,
  • span the enterprise,
  • and integrate with existing systems
  • for credentialing,
  • contracting, and
  • claims processing,
  • utilization management, and
  • member outreach.

I love the notion, implicit in this interview, of tackling interoperability via use of workflow tech to integrate legacy enterprise systems!

In the following video, Chris O’Connell (public sector, including healthcare, at Appian) actually demos LittleBits, a hardware prototyping system for teaching kids (and adults!) about Science, Technology, Engineering, and Medicine (STEM). Pulsing lights! Screaming buzzers! Constellations of LittleBits that look like process models! :) Chris then talks about how both LittleBits and Appian empower non-programmers to build and modify their own interactive smart solutions.

Starting about 4:20 Chris addresses similarities between LittleBits and Appian.

  • Like LittleBits, Appian has discrete prebuilt (software) components,
  • Prebuilt components are combined to create applications
  • For example, document management components “snap” together quickly and easily.
  • Appian puts the power in the hands of the (non-programmer) builder
  • Empowering mental creativity and agile software change

But this last video is the pièce de résistance from the AHIP Institute. Doug, an Appian engineer, demos not just an health plan provider management app built with Appian, but also pops open the hood to show us *how* the app was made: WITHOUT HAVING TO WRITE ANY CODE.

The importance of non-programmers being able to draw fully-functional, web and cross-mobile device, social media-integrated, cloud-based health and payer IT systems, with lots of adaptors to integrate with backend enterprise systems, cannot be overestimated. It is, in my mind, The Third Way, of health IT software development. Instead of buy prepackaged software and adapting your workflows to the software… Instead of spending way too much money hiring programmers to write applications from scratch that fit your workflows… The Third Way is to use a modern BPM application platform, to quickly create, then modify when needed, native-mobile, cloud-based, social media-oriented process-aware SMAC applications. (SMAC stands for Social, Mobile, Analytics, and Cloud.)

Regardless of whether you are a funded start-up, or an large organization seeking to adapt to new regulatory and consumer-driven health payer and provider economies… create your own applications, the new-fashioned way, and own your workflows.

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Appian “BPM for Healthcare” AHIP Institute Provider Management Demo

Please watch the best use of Google Glass I’ve found yet: recording a booth visit! In this case, to the Appian booth (1316) at the AHIP Institute. Stop by for your own demo. Tell them Chuck sent you. Please!

In this case, Doug, a sales engineer at Appian, explains, while demoing, how to create an awesome health plan mobile provider membership app… WITHOUT HAVING TO WRITE ANY COMPUTER CODE! Sorry, I had to all caps that… This is exactly what I am taking about when I blow the workflow technology horn, AKA modern BPM application platform. (BPM stands for Business Process Management).

I’ll keep this blog post short. Except to say, if you are a health IT app developer, PREPARE TO BE WOWED! :) (Read more about what I have to say about Appian here and here.)

Be sure to increase your video resolution to the max, because you’ll want to pause it at various points, to more closely examine the application designer screens.

P.S. Here’s the Appian “BPM for Healthcare” data sheet.

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Modern BPM Application Platforms Are The LittleBits Of The Enterprise World (I Just Realized!)

Sometimes you don’t know why you like something; you just do! I’ve often wondered why I’m so fascinated by workflow. I loved Cheaper By The Dozen when I was a kid (workflow efficiency experts). In college I loved anything involving sequences of symbols (organic chem!). And so I love the whole “low-code” style of snapping together software, so well illustrated by modern BPM application platforms.

I also love LittleBits. They’re collections of small, compatible, electromechanical gadgets that can be snapped together into, well, workflows! Actually, the analogy only just struck me. Sometimes you don’t know why you like something, until you realize the underlying similarity with all the other stuff you like! :)

LittleBits are so cool. You can make robots, automatic pet feeders, buzzers that scream when you open the fridge (ha!). You can control them from across the room lots of ways (sound, IR, wireless) and they can even talks to clouds! In fact, as modern Business Process Management (BPM) application platforms are increasingly used to manage the Internet Of Things, I’m just waiting … Who will be the first BPM vender to add LittleBits to its portfolio of software adapters and drag-and-droppable visual programming icons?!

P.S. The National Maker Faire is in just a few days, here in DC. I’ll be there, walking around with my heavily modded LittleBits carrying case… modded so my pet project, Mr. RIMP, has a seat of honor, peering out at an exciting Maker Movement world!

P.S. I’m always trying to connect with Makers in the health IT community. Checkout all my #HIMSSmakers tweets during the HIMSS15 conference. This week I’m at the AHIP Institute conference in Nashville. I’ll be hanging around the Appian booth (1316). Stop by!

P.S.S. Here’s Chris from Appian demoing and riffing on the LittleBits/BPM connection!

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10 Reasons Health Plans Should Double-Down on Modern Business Process Management

(Get my whitepaper! Why Process-Aware BPM is Key to Health Plan IT Agility, Integration, and Transparency!)

The following is a special series of related blog posts about the virtues of modern Business Process Management for solving current pressing health plan and payer IT problems. I’ll be the AHIP Institute in Nashville over June 3-5. (If you’re not attending, AHIP stands for American Health Insurance Plans.)

10 Reasons Health Plans Should Double-Down on Modern Business Process Management

I’ve just completed a project. I looked at every AHIP Institute exhibitor website. I searched for a wide variety of synonyms for workflow technology (BPM, workflow engines, process orchestration, that sort of thing). Guess what? I found it. Health insurance is relatively advanced in adopting process-aware technologies. But the funny thing is that you really don’t hear about it much. I think there are a couple reasons.

First of all, BPM is often the secret sauce that makes health plan processes and workflows agile, integrated, transparent, and engaging. Second of all, because BPM is still a technically ‘geeky’ IT topic, it’s not often trotted out for marketing purposes. As a healthcare workflow geek, I’m trying to change this. Hence my series of blog posts.

For the rest of this series, I’ll list benefits of applying modern BPM technology to traditional health plan and payer IT. To put it most succinctly (but to be unpacked in later posts):

“Orchestrating information and business processes across critical back-end systems to ensure both health plan providers and members have smooth, seamless experiences in their dealings with their insurer is the key to success in today’s customer-driven health insurance market.” (@cfisherappian)

I’ll be (mostly) hanging around the Appian booth (1316). Stop be, say hi, and talk shop about healthcare workflow!

P.S. I really mean it, when I say stop by so we can talk healthcare workflow shop! :)

Posted in healthcare-BPM, healthplan-bpm | Leave a comment