SlideShare une entreprise Scribd logo
1  sur  7
e-HOM : Healthcare Operations Map
              A Service Management Business Process Model

                                                    Patient
                                     Patient Interface Management Process

Access to          Admissions       Scheduling         EMPI              EHR
                                                                                     Discharge
                                                                                     Planning




                                                                                                    Information management processes
Care

Delivery of           Patient
                   Identification
                                    Safety/Meds
                                    Management
                                                    Orders/Results   Clinical Data
                                                                                      Medical
                                                                                      Records
Care                                   Clinical
                                                     Emergency         Specialty
                                    Documentation

Diagnostic
                   Pharmacy          Radiology         Lab           Cardiology         PACS
Services

Accounting         Material
                  Management
                                     Financials
                                       AP/GL
                                                       Cost
                                                    Accounting
                                                                         HR
                                                                       Payroll
                                                                                     Billing, AR,
                                                                                     Collections
For Care


                                            Information Technology
                                                                                                                                       1
Layers correspond with
      Business             eHOM horizontals
     Management

       Delivery
       Of Care


 Accounting for Care



Business Support Systems




  TOM processes are captured
  in “FAB” area of eHOM
  Operations




                                       eHOM maps the
                                       NGOSS Business    Business
                                                        Support
                                       View             Systems




                                                                    2
eHOM - the Enhanced Healthcare Operations Map

                                     Business of Healthcare

Managing the Business of Healthcare                 Managing the Delivery of Care
 Strategy &     Infrastructure     Services          Operations      Access to        Accounting   Financials &
 Commit         Lifecycle          Lifecycle         Support &       Care             For Care     Billing &
                Management         Management        Readiness                                     Collections
Marketing & Offer Management                         Patient Relationship Management (PRM)



Service Development & Management                     Service Management & Operations



Resource Development & Management                    Scheduling & Staffing



Supply Chain Development & Management                Supplier/Partner Relationship Management




 Enterprise Management
  Strategic & Enterprise         Enterprise Risk           Enterprise Effectiveness    Knowledge & Research
  Planning                       Management                Management                  Management

    Financial & Asset            Stakeholder & External    Regulatory and               Human Resources
    Management                   Relations Management     Compliance Management         Management

                                                                                                                  3
Level 2 Managing the Delivery of Care Processes

Managing the Delivery of Care
 Operations Support Access to Care                         Accounting for                     Financials, Billing
 & Readiness                                               Care                               & Collections
 Patient Relationship                                    Patient Interface Management

 Management                       Selling
                                                              Dispute
                                                              Problem        Patient                 Billing &
      PRM
      CRM               Marketing            Order                           QoS / SLA              Collections
                                            Social          Management
                                                              Handling
    Support &           Fulfillment         Handling                        Management              Management
                                            Media
    Readiness           Response
                                                                Retention & Loyalty

 Service Management &
                                    Services
                                    Service                   Service         Service                Service &
                                                                                                 Coding & Revenue
     SM&O   Operations            Configuration             Management
                                                             Problem          Quality             Specific Instance
                                                                                                    Assurance
    Support &                     & Activation              Management      Management                Rating
    Readiness

 Resource Management &                 Resource              Resource        Resource
                                       Resource
                                      Scheduling              Trouble       Performance
     RM&O  Operations                 Provisioning          Management      Management
    Support &
    Readiness                                        Resource Data Collection & Processing

Supplier/Partner Relationship            S/P                S/P Problem         S/P                S/P Settlements
             Management               Requisition           Reporting &     Performance                & Billing
      S/PRM
                                      Management            Management      Management              Management
    Support &
    Readiness                                        Supplier/ Partner Interface Management
                                                      Supplier/Partner


                                                                                                                      4
Level 2 Managing the Delivery of Care Processes

 Managing the Business of Healthcare
 Strategy & Commit                      Infrastructure                              Services
                                        Lifecycle                                   Lifecycle
                                        Management                                  Management
Marketing & Offer Management                                                        Services & Offer Services Marketing
                                                                                     Development      Communications
                                                                                                       Communications
      Market        Services & Offer       Marketing           Services & Offer      & Retirement       & Promotion
    Strategy &     Portfolio Planning
                   Portfolio Planning      Capability         Capability Delivery
                                                                 Capability
      Policy                                Delivery             Delivery               Sales & Marketing
                                                                                             Sales Development
                                                                                        Effectiveness

Service Development & Management
              Service                                    Service                                  Service
             Strategy &                                 Capability                             Development &
              Planning                                   Delivery                               Retirement


Resource Development & Management
             Resource                                   Resource                                 Resource
             Strategy &                                 Capability                             Development &
              Planning                                   Delivery                               Retirement


Supply Chain Development & Management                                                          Supply Chain
            Supply Chain                           Supply Chain                                Development
             Strategy &                             Capability                                  & Change
              Planning                               Delivery                                  Management


                                                                                                                          5
eHOM Information Architecture
Market / Sales
  Market Strategy & Plan    Marketing Campaign      Contact/Lead/Prospect

     Market Segment             Competitors             Sales Statistic            Marketing Channel


Access to Care
       Registration             Scheduling                   EHR

       Admissions                  EMPI              Discharge Planning


Patient
                                                                                 Applied Patient Billing
  Patient Medical Record       Patient Order           Patient Problem                                     Patient Bill Collection
                                                                                 Rate

    Patient Interaction       Patient Statistic          Patient SLA                   Patient Bill         Patient Bill Inquiry


Care Services
 Safety/Medication Mgmt    Clinical Documentation         Pharmacy                        Labs               Operating Room

     Orders/Results        Emergency Department           Radiology                    Cardiology                  PACS


Resource
        Resource            Resource Scheduling     Resource Performance        Resource Strategy & Plan

  Resource Specification   Resource Configuration      Resource Usage              Resource Trouble


Supplier / Partner                                                                  S/P Performance               S/P Bill
     Supplier/Partner          S/P Interaction            S/P Order
                                                                                      S/P Problem             S/P Bill Inquiry
        S/P Plan               S/P Services                S/P SLA                    S/P Statistic            S/P Payment

Enterprise
  Revenue Assurance        Materials Management          Supply Chain              Financials AP/GL           Cost Accounting

           HR                     Payroll                         6
                                                    Billing & Collections, AR     Business Intelligence          Budgeting
Corporate & Institutional             Care Delivery                          Insurance Management and            Care Analysis                     Corporate and Institutional
Administration                                                               Billing                                                               Administration




Finance and Accounting                Electronic Patient Record              Practice Management Solutions       Clinical Data Warehousing         Call Center Management

Human Resources                       Enterprise Resource Scheduling         Eligibility Verification            Master Patient Index              Personal Health Information Systems

Executive Information Systems         Medical Imaging Systems                Referral Management                 Controlled Medical Vocabularies   Patient Medical Services

Medical Device and Materials          Laboratory Systems                     Insurance Billing and EDI Integration Outcomes Analysis               Marketing/sales
Management
                                      Pharmacy Management Systems            Patient Billing and Collections     Risk Pool Management              Benefits Management
Purchasing and Procurement
                                      OR/ER Information Systems              Claims Administration and           Utilization Review                Enrollment and Patient Support
Facility and Infrastructure Support                                          Adjudication
                                      Medical Specialty Software                                                 Provider/Facility Profiling
Back-office Automation                                                       Claims Coding and Audit Systems
                                      Dictation/voice Recognition Packages                                       Decision Support Systems
Desk Office Systems/Desktop                                                  Billing Compliance
Management                            Wireless/Computer-Aided                                                    Research Management
                                      Documentation tools                    Physician Credentialing

                                      Telemedicine

Contenu connexe

Tendances

Business Process Management PowerPoint Presentation Slides
Business Process Management PowerPoint Presentation Slides Business Process Management PowerPoint Presentation Slides
Business Process Management PowerPoint Presentation Slides SlideTeam
 
Introduction to Enterprise Resource Planning
Introduction to Enterprise Resource PlanningIntroduction to Enterprise Resource Planning
Introduction to Enterprise Resource Planningcommandeleven
 
management information systems
management information systemsmanagement information systems
management information systemsNisha Choudhary
 
Telecommunication Business Process - eTOM Flows
Telecommunication Business Process - eTOM FlowsTelecommunication Business Process - eTOM Flows
Telecommunication Business Process - eTOM FlowsRobert Bratulic
 
Enterprise Systems
Enterprise SystemsEnterprise Systems
Enterprise SystemsMarlon Dumas
 
Enterprise architecture for telecom sector
Enterprise architecture for telecom sectorEnterprise architecture for telecom sector
Enterprise architecture for telecom sectorSoham Pablo
 
Growing a BPM Center of Excellence
Growing a BPM Center of ExcellenceGrowing a BPM Center of Excellence
Growing a BPM Center of ExcellenceMichael zur Muehlen
 
Accounting information system
Accounting information systemAccounting information system
Accounting information systemVivek K. Singh
 
EFFECTIVE IT GOVERNANCE presentation
EFFECTIVE IT GOVERNANCE presentationEFFECTIVE IT GOVERNANCE presentation
EFFECTIVE IT GOVERNANCE presentationS L
 
Business Process Management 101 Training
Business Process Management 101 TrainingBusiness Process Management 101 Training
Business Process Management 101 TrainingFranco Pang
 
Business process modelling and e tom telecom
Business process modelling and e tom telecomBusiness process modelling and e tom telecom
Business process modelling and e tom telecomKate Koltunova
 
eTOM and ITIL engagements
eTOM and ITIL engagementseTOM and ITIL engagements
eTOM and ITIL engagementsAhmed Selim
 

Tendances (20)

Business Process Management PowerPoint Presentation Slides
Business Process Management PowerPoint Presentation Slides Business Process Management PowerPoint Presentation Slides
Business Process Management PowerPoint Presentation Slides
 
Introduction to Enterprise Resource Planning
Introduction to Enterprise Resource PlanningIntroduction to Enterprise Resource Planning
Introduction to Enterprise Resource Planning
 
management information systems
management information systemsmanagement information systems
management information systems
 
Telecommunication Business Process - eTOM Flows
Telecommunication Business Process - eTOM FlowsTelecommunication Business Process - eTOM Flows
Telecommunication Business Process - eTOM Flows
 
HOW INFORMATION SYSTEM IS EFFECT ON AN ORGANIZATION
HOW INFORMATION SYSTEM IS EFFECT ON AN ORGANIZATIONHOW INFORMATION SYSTEM IS EFFECT ON AN ORGANIZATION
HOW INFORMATION SYSTEM IS EFFECT ON AN ORGANIZATION
 
erp ppt
erp ppterp ppt
erp ppt
 
Enterprise Systems
Enterprise SystemsEnterprise Systems
Enterprise Systems
 
Etom
EtomEtom
Etom
 
Enterprise architecture for telecom sector
Enterprise architecture for telecom sectorEnterprise architecture for telecom sector
Enterprise architecture for telecom sector
 
Growing a BPM Center of Excellence
Growing a BPM Center of ExcellenceGrowing a BPM Center of Excellence
Growing a BPM Center of Excellence
 
Mis lecture ppt
Mis lecture pptMis lecture ppt
Mis lecture ppt
 
Accounting information system
Accounting information systemAccounting information system
Accounting information system
 
EFFECTIVE IT GOVERNANCE presentation
EFFECTIVE IT GOVERNANCE presentationEFFECTIVE IT GOVERNANCE presentation
EFFECTIVE IT GOVERNANCE presentation
 
Business Process Management 101 Training
Business Process Management 101 TrainingBusiness Process Management 101 Training
Business Process Management 101 Training
 
IT Service management for non-IT managers (CEO and others)
IT Service management for non-IT managers (CEO and others)IT Service management for non-IT managers (CEO and others)
IT Service management for non-IT managers (CEO and others)
 
Managing the digital firm
Managing the digital firmManaging the digital firm
Managing the digital firm
 
I tlecture2
I tlecture2I tlecture2
I tlecture2
 
Evolution of ERP Systems
Evolution of ERP SystemsEvolution of ERP Systems
Evolution of ERP Systems
 
Business process modelling and e tom telecom
Business process modelling and e tom telecomBusiness process modelling and e tom telecom
Business process modelling and e tom telecom
 
eTOM and ITIL engagements
eTOM and ITIL engagementseTOM and ITIL engagements
eTOM and ITIL engagements
 

En vedette

leanIX - Networking Event Hamburg 22.2.2013
leanIX - Networking Event Hamburg 22.2.2013leanIX - Networking Event Hamburg 22.2.2013
leanIX - Networking Event Hamburg 22.2.2013LeanIX GmbH
 
IT Portfolio Management mit LeanIX (Webinar, Deutsch)
IT Portfolio Management mit LeanIX (Webinar, Deutsch)IT Portfolio Management mit LeanIX (Webinar, Deutsch)
IT Portfolio Management mit LeanIX (Webinar, Deutsch)LeanIX GmbH
 
20110505 doag bpm_workshop_2
20110505 doag bpm_workshop_220110505 doag bpm_workshop_2
20110505 doag bpm_workshop_2Jens Hündling
 
eTOM framework as key component of process reengineering during implementatio...
eTOM framework as key component of process reengineering during implementatio...eTOM framework as key component of process reengineering during implementatio...
eTOM framework as key component of process reengineering during implementatio...Comarch
 
Introduction of Service Assurance Domain
Introduction of Service Assurance DomainIntroduction of Service Assurance Domain
Introduction of Service Assurance DomainShilpin Pvt. Ltd.
 
Applying eTOM (enhanced Telecom Operations Map) Framework to Non-Telecommunic...
Applying eTOM (enhanced Telecom Operations Map) Framework to Non-Telecommunic...Applying eTOM (enhanced Telecom Operations Map) Framework to Non-Telecommunic...
Applying eTOM (enhanced Telecom Operations Map) Framework to Non-Telecommunic...Alan McSweeney
 
Telecom OSS/BSS Overview
Telecom OSS/BSS OverviewTelecom OSS/BSS Overview
Telecom OSS/BSS Overviewmagidg
 

En vedette (8)

leanIX - Networking Event Hamburg 22.2.2013
leanIX - Networking Event Hamburg 22.2.2013leanIX - Networking Event Hamburg 22.2.2013
leanIX - Networking Event Hamburg 22.2.2013
 
IT Portfolio Management mit LeanIX (Webinar, Deutsch)
IT Portfolio Management mit LeanIX (Webinar, Deutsch)IT Portfolio Management mit LeanIX (Webinar, Deutsch)
IT Portfolio Management mit LeanIX (Webinar, Deutsch)
 
20110505 doag bpm_workshop_2
20110505 doag bpm_workshop_220110505 doag bpm_workshop_2
20110505 doag bpm_workshop_2
 
eTOM framework as key component of process reengineering during implementatio...
eTOM framework as key component of process reengineering during implementatio...eTOM framework as key component of process reengineering during implementatio...
eTOM framework as key component of process reengineering during implementatio...
 
Introduction of Service Assurance Domain
Introduction of Service Assurance DomainIntroduction of Service Assurance Domain
Introduction of Service Assurance Domain
 
Applying eTOM (enhanced Telecom Operations Map) Framework to Non-Telecommunic...
Applying eTOM (enhanced Telecom Operations Map) Framework to Non-Telecommunic...Applying eTOM (enhanced Telecom Operations Map) Framework to Non-Telecommunic...
Applying eTOM (enhanced Telecom Operations Map) Framework to Non-Telecommunic...
 
Telecom OSS/BSS Overview
Telecom OSS/BSS OverviewTelecom OSS/BSS Overview
Telecom OSS/BSS Overview
 
SlideShare 101
SlideShare 101SlideShare 101
SlideShare 101
 

Similaire à eHOM (enhanced Hospital Operations Map)

Selling to mid market pharmaceuticals
Selling to mid market pharmaceuticalsSelling to mid market pharmaceuticals
Selling to mid market pharmaceuticalsMerit Solutions
 
IAPsolutions' corporate presentation
IAPsolutions' corporate presentationIAPsolutions' corporate presentation
IAPsolutions' corporate presentationIAPsolutions
 
IAPsolutions Corporate Presentation
IAPsolutions Corporate PresentationIAPsolutions Corporate Presentation
IAPsolutions Corporate PresentationIAPsolutions
 
Computer System Validation Then and Now — Learning Management in the Cloud
Computer System Validation Then and Now — Learning Management in the CloudComputer System Validation Then and Now — Learning Management in the Cloud
Computer System Validation Then and Now — Learning Management in the CloudInstitute of Validation Technology
 
10 steps to_4_g_service_assurance
10 steps to_4_g_service_assurance10 steps to_4_g_service_assurance
10 steps to_4_g_service_assuranceTelecosm
 
Social Worker of India | Social Activist | Punjab - Arvind Khanna
Social Worker of India | Social Activist | Punjab - Arvind KhannaSocial Worker of India | Social Activist | Punjab - Arvind Khanna
Social Worker of India | Social Activist | Punjab - Arvind KhannaArvind Dhuri
 
Enterprise asset-management
Enterprise asset-managementEnterprise asset-management
Enterprise asset-managementNupur Jain
 
Introduction to the BPM Lifecycle
Introduction to the BPM LifecycleIntroduction to the BPM Lifecycle
Introduction to the BPM LifecycleMichael zur Muehlen
 
EOH Analytics Offering
EOH Analytics OfferingEOH Analytics Offering
EOH Analytics Offeringalliekhan
 

Similaire à eHOM (enhanced Hospital Operations Map) (20)

Selling to mid market pharmaceuticals
Selling to mid market pharmaceuticalsSelling to mid market pharmaceuticals
Selling to mid market pharmaceuticals
 
IAPsolutions' corporate presentation
IAPsolutions' corporate presentationIAPsolutions' corporate presentation
IAPsolutions' corporate presentation
 
Riskpro healthcare industry manoj
Riskpro healthcare industry manojRiskpro healthcare industry manoj
Riskpro healthcare industry manoj
 
Riskpro Healthcare Industry Manoj
Riskpro Healthcare Industry ManojRiskpro Healthcare Industry Manoj
Riskpro Healthcare Industry Manoj
 
IAPsolutions Corporate Presentation
IAPsolutions Corporate PresentationIAPsolutions Corporate Presentation
IAPsolutions Corporate Presentation
 
Computer System Validation Then and Now — Learning Management in the Cloud
Computer System Validation Then and Now — Learning Management in the CloudComputer System Validation Then and Now — Learning Management in the Cloud
Computer System Validation Then and Now — Learning Management in the Cloud
 
TripleTree eDiscovery
TripleTree  eDiscoveryTripleTree  eDiscovery
TripleTree eDiscovery
 
Solu healthcare 02 (2)
Solu healthcare 02 (2)Solu healthcare 02 (2)
Solu healthcare 02 (2)
 
NYDHA
NYDHANYDHA
NYDHA
 
10 steps to_4_g_service_assurance
10 steps to_4_g_service_assurance10 steps to_4_g_service_assurance
10 steps to_4_g_service_assurance
 
Riskpro healthcare industry 2013
Riskpro healthcare industry 2013Riskpro healthcare industry 2013
Riskpro healthcare industry 2013
 
Riskpro Healthcare Industry Manoj
Riskpro Healthcare Industry ManojRiskpro Healthcare Industry Manoj
Riskpro Healthcare Industry Manoj
 
Riskpro healthcare industry 2013
Riskpro healthcare industry 2013Riskpro healthcare industry 2013
Riskpro healthcare industry 2013
 
Riskpro healthcare industry 2013
Riskpro healthcare industry 2013Riskpro healthcare industry 2013
Riskpro healthcare industry 2013
 
Social Worker of India | Social Activist | Punjab - Arvind Khanna
Social Worker of India | Social Activist | Punjab - Arvind KhannaSocial Worker of India | Social Activist | Punjab - Arvind Khanna
Social Worker of India | Social Activist | Punjab - Arvind Khanna
 
Enterprise asset-management
Enterprise asset-managementEnterprise asset-management
Enterprise asset-management
 
Introduction to the BPM Lifecycle
Introduction to the BPM LifecycleIntroduction to the BPM Lifecycle
Introduction to the BPM Lifecycle
 
JOSÉ BASÍLIO SIMÕES - Presidente da ISA – Intelligent Sensing Anywhere
JOSÉ BASÍLIO SIMÕES - Presidente da ISA – Intelligent Sensing AnywhereJOSÉ BASÍLIO SIMÕES - Presidente da ISA – Intelligent Sensing Anywhere
JOSÉ BASÍLIO SIMÕES - Presidente da ISA – Intelligent Sensing Anywhere
 
Riskpro healthcare industry 2013
Riskpro healthcare industry 2013Riskpro healthcare industry 2013
Riskpro healthcare industry 2013
 
EOH Analytics Offering
EOH Analytics OfferingEOH Analytics Offering
EOH Analytics Offering
 

Plus de IBM Global Healthcare Consumerism Leader

What Healthcare Providers Must Know About Consumerism, Access, & Engagement
What Healthcare Providers Must Know About Consumerism, Access, & EngagementWhat Healthcare Providers Must Know About Consumerism, Access, & Engagement
What Healthcare Providers Must Know About Consumerism, Access, & EngagementIBM Global Healthcare Consumerism Leader
 

Plus de IBM Global Healthcare Consumerism Leader (20)

OnStar for Healthcare - Imagine a World.pdf
OnStar for Healthcare - Imagine a World.pdfOnStar for Healthcare - Imagine a World.pdf
OnStar for Healthcare - Imagine a World.pdf
 
Retail Healthcare's New Business Model
Retail Healthcare's New Business ModelRetail Healthcare's New Business Model
Retail Healthcare's New Business Model
 
UX/UI For Digital Patient Access & Engagement
UX/UI For Digital Patient Access & EngagementUX/UI For Digital Patient Access & Engagement
UX/UI For Digital Patient Access & Engagement
 
HealthCare Consumerism & Access Should Fit In Your Pocket
HealthCare Consumerism & Access Should Fit In Your Pocket HealthCare Consumerism & Access Should Fit In Your Pocket
HealthCare Consumerism & Access Should Fit In Your Pocket
 
Payer aco and pop health strategy
Payer aco and pop health strategyPayer aco and pop health strategy
Payer aco and pop health strategy
 
What Healthcare Providers Must Know About Consumerism, Access, & Engagement
What Healthcare Providers Must Know About Consumerism, Access, & EngagementWhat Healthcare Providers Must Know About Consumerism, Access, & Engagement
What Healthcare Providers Must Know About Consumerism, Access, & Engagement
 
Healthcare consumerism imagine a world
Healthcare consumerism   imagine a worldHealthcare consumerism   imagine a world
Healthcare consumerism imagine a world
 
Healthcare Consumerism, Access & Engagement white paper
Healthcare Consumerism, Access & Engagement white paper Healthcare Consumerism, Access & Engagement white paper
Healthcare Consumerism, Access & Engagement white paper
 
Patient access ROI's
Patient access ROI'sPatient access ROI's
Patient access ROI's
 
Recasting patient access
Recasting patient accessRecasting patient access
Recasting patient access
 
Discharge Portal Mockup
Discharge Portal MockupDischarge Portal Mockup
Discharge Portal Mockup
 
Create the Ultimate Patient Experience
Create the Ultimate Patient ExperienceCreate the Ultimate Patient Experience
Create the Ultimate Patient Experience
 
How To Stop Losing Patients
How To Stop Losing PatientsHow To Stop Losing Patients
How To Stop Losing Patients
 
How to Manage Population Health Management
How to Manage Population Health Management How to Manage Population Health Management
How to Manage Population Health Management
 
Patient expectation gap
Patient expectation gapPatient expectation gap
Patient expectation gap
 
Innovatively disrputing the patient experience
Innovatively disrputing the patient experienceInnovatively disrputing the patient experience
Innovatively disrputing the patient experience
 
What do 95% of hospitals have in common?
What do 95% of hospitals have in common?What do 95% of hospitals have in common?
What do 95% of hospitals have in common?
 
Payer Accountable Care & Population Health Strategy
Payer Accountable Care & Population Health StrategyPayer Accountable Care & Population Health Strategy
Payer Accountable Care & Population Health Strategy
 
Step Aside HCAHPs: Questions They Forgot to Ask
Step Aside HCAHPs: Questions They Forgot to AskStep Aside HCAHPs: Questions They Forgot to Ask
Step Aside HCAHPs: Questions They Forgot to Ask
 
What is the Total Quality of a Patient's Encounter
What is the Total Quality of a Patient's EncounterWhat is the Total Quality of a Patient's Encounter
What is the Total Quality of a Patient's Encounter
 

eHOM (enhanced Hospital Operations Map)

  • 1. e-HOM : Healthcare Operations Map A Service Management Business Process Model Patient Patient Interface Management Process Access to Admissions Scheduling EMPI EHR Discharge Planning Information management processes Care Delivery of Patient Identification Safety/Meds Management Orders/Results Clinical Data Medical Records Care Clinical Emergency Specialty Documentation Diagnostic Pharmacy Radiology Lab Cardiology PACS Services Accounting Material Management Financials AP/GL Cost Accounting HR Payroll Billing, AR, Collections For Care Information Technology 1
  • 2. Layers correspond with Business eHOM horizontals Management Delivery Of Care Accounting for Care Business Support Systems TOM processes are captured in “FAB” area of eHOM Operations eHOM maps the NGOSS Business Business Support View Systems 2
  • 3. eHOM - the Enhanced Healthcare Operations Map Business of Healthcare Managing the Business of Healthcare Managing the Delivery of Care Strategy & Infrastructure Services Operations Access to Accounting Financials & Commit Lifecycle Lifecycle Support & Care For Care Billing & Management Management Readiness Collections Marketing & Offer Management Patient Relationship Management (PRM) Service Development & Management Service Management & Operations Resource Development & Management Scheduling & Staffing Supply Chain Development & Management Supplier/Partner Relationship Management Enterprise Management Strategic & Enterprise Enterprise Risk Enterprise Effectiveness Knowledge & Research Planning Management Management Management Financial & Asset Stakeholder & External Regulatory and Human Resources Management Relations Management Compliance Management Management 3
  • 4. Level 2 Managing the Delivery of Care Processes Managing the Delivery of Care Operations Support Access to Care Accounting for Financials, Billing & Readiness Care & Collections Patient Relationship Patient Interface Management Management Selling Dispute Problem Patient Billing & PRM CRM Marketing Order QoS / SLA Collections Social Management Handling Support & Fulfillment Handling Management Management Media Readiness Response Retention & Loyalty Service Management & Services Service Service Service Service & Coding & Revenue SM&O Operations Configuration Management Problem Quality Specific Instance Assurance Support & & Activation Management Management Rating Readiness Resource Management & Resource Resource Resource Resource Scheduling Trouble Performance RM&O Operations Provisioning Management Management Support & Readiness Resource Data Collection & Processing Supplier/Partner Relationship S/P S/P Problem S/P S/P Settlements Management Requisition Reporting & Performance & Billing S/PRM Management Management Management Management Support & Readiness Supplier/ Partner Interface Management Supplier/Partner 4
  • 5. Level 2 Managing the Delivery of Care Processes Managing the Business of Healthcare Strategy & Commit Infrastructure Services Lifecycle Lifecycle Management Management Marketing & Offer Management Services & Offer Services Marketing Development Communications Communications Market Services & Offer Marketing Services & Offer & Retirement & Promotion Strategy & Portfolio Planning Portfolio Planning Capability Capability Delivery Capability Policy Delivery Delivery Sales & Marketing Sales Development Effectiveness Service Development & Management Service Service Service Strategy & Capability Development & Planning Delivery Retirement Resource Development & Management Resource Resource Resource Strategy & Capability Development & Planning Delivery Retirement Supply Chain Development & Management Supply Chain Supply Chain Supply Chain Development Strategy & Capability & Change Planning Delivery Management 5
  • 6. eHOM Information Architecture Market / Sales Market Strategy & Plan Marketing Campaign Contact/Lead/Prospect Market Segment Competitors Sales Statistic Marketing Channel Access to Care Registration Scheduling EHR Admissions EMPI Discharge Planning Patient Applied Patient Billing Patient Medical Record Patient Order Patient Problem Patient Bill Collection Rate Patient Interaction Patient Statistic Patient SLA Patient Bill Patient Bill Inquiry Care Services Safety/Medication Mgmt Clinical Documentation Pharmacy Labs Operating Room Orders/Results Emergency Department Radiology Cardiology PACS Resource Resource Resource Scheduling Resource Performance Resource Strategy & Plan Resource Specification Resource Configuration Resource Usage Resource Trouble Supplier / Partner S/P Performance S/P Bill Supplier/Partner S/P Interaction S/P Order S/P Problem S/P Bill Inquiry S/P Plan S/P Services S/P SLA S/P Statistic S/P Payment Enterprise Revenue Assurance Materials Management Supply Chain Financials AP/GL Cost Accounting HR Payroll 6 Billing & Collections, AR Business Intelligence Budgeting
  • 7. Corporate & Institutional Care Delivery Insurance Management and Care Analysis Corporate and Institutional Administration Billing Administration Finance and Accounting Electronic Patient Record Practice Management Solutions Clinical Data Warehousing Call Center Management Human Resources Enterprise Resource Scheduling Eligibility Verification Master Patient Index Personal Health Information Systems Executive Information Systems Medical Imaging Systems Referral Management Controlled Medical Vocabularies Patient Medical Services Medical Device and Materials Laboratory Systems Insurance Billing and EDI Integration Outcomes Analysis Marketing/sales Management Pharmacy Management Systems Patient Billing and Collections Risk Pool Management Benefits Management Purchasing and Procurement OR/ER Information Systems Claims Administration and Utilization Review Enrollment and Patient Support Facility and Infrastructure Support Adjudication Medical Specialty Software Provider/Facility Profiling Back-office Automation Claims Coding and Audit Systems Dictation/voice Recognition Packages Decision Support Systems Desk Office Systems/Desktop Billing Compliance Management Wireless/Computer-Aided Research Management Documentation tools Physician Credentialing Telemedicine