Medical expertise center in Geneva with a team of more than 30 healthcare professionals and managers. The core business activity of the client is to provide high-quality medical expertise services in the field of health insurance to companies and individual clients. Expertise center annually processes more than 800 expertise requests from about 40 corporate clients, helping to make the right decision within the complex and multi-component medical context and provide comprehensive reports with thorough professional information in each specific case.
Each request processed by an expertise center comprises numerous operations: data collection and categorization, file management, document exchange, analysis of vast quantities of heterogeneous information, communication with other parties, billing and storage. Processing of all these versatile data (paper documents and emails, audio and video files, images and web content) often results in inefficiency when handled manually or by general purpose software. Performing those complex but fixed-sequence procedures not only takes up much of doctor’s time, but creates error-prone environment, what is unacceptable in medical expertise.
Long life-cycle of expertise requests and medical information sensitivity, as well as the Data Protection compliance standards necessitate high level of data structuration, secure transfer, storage and retrieval. Existing workflow management solutions could neither meet the specific needs, nor take into account peculiarities of collaboration between Swiss health insurance companies and medical expertise centers. Plus, it was important to take into account the human factor and individual working preferences, providing the user with a 360-degree view of each request.
Within the scope of this Medical Workflow Automation solution for expertise center, Spritecs applied its workflow engine created to serve as the basis for workflow management solutions. This engine is designed to manage modeled business processes moving tasks between essential milestones, facilitate the flow of data related to each request and organize users’ interaction with and within the system according to their corporate authority level. A transparent and intuitive interface is used for all-level communication between the user and the system. Customizable dashboards of adaptive MWA allow the experts and clients to better adjust the system to their individual working patterns.
Analysis of client’s requirements as well as user-behavior modeling helped us define the scope of functional modules to be developed for expertise center. The whole MWA system architecture and each module in particular allow easy system improvement, scale-up and adoption of new features.