Talosnation

Getting your patients set up at your healthcare place is about more than just jotting down their details. It's about making them feel comfortable and cared for from the get-go.

Before, all we did was gather basic information, check insurance, and manually input it all, which was a hassle and prone to mistakes. Plus, it lacked the personal touch people need when they're feeling vulnerable.

That's where patient onboarding comes in. It's like an upgraded version. Instead of just checking boxes, we're making the process smoother and more welcoming. Now, there are digital services to help, but there's still room for improvement.

We're talking about linking everything up seamlessly, so there's less back-and-forth. Think of it like upgrading from paper forms to online ones, but even better. We're using clever software bots to streamline the process, leaving your team free to focus on what really matters: taking care of the patients.

Let's look at how the current digital patient onboarding process works. We'll break it down step by step to see where the issues are, where we can automate tasks, and where your team can step in to help out.

health-care-rpa

1. Registration

Let's start with your patient registration. Your patients share their personal details like their name, address, and contact info, along with their ID card, insurance info, and medical history. They can do this online through forms, or via chat on platforms like WhatsApp or email, or even over the phone, or in person at the healthcare spot.

Complications:

  1. Data Accuracy: Sometimes, patients might give you the wrong or incomplete info, which can mess up their medical records. Back when we used paper forms, this was a big problem because people's handwriting could be hard to read, leading to mistakes. Even though we've switched to digital forms to avoid messy handwriting, we still have to deal with accuracy issues.
     
  2. Data Security: When we collect sensitive personal and medical details online or through chat, there's a risk of security breaches if we don't have strong encryption in place. That's why we need to be super cautious and use top-notch data security measures. Unfortunately, RPA can't help with this part—it's all about having the right security solutions in play.
     
  3. Communication Challenges: Different communication channels (online forms, chat, phone, in-person) may lead to miscommunication or misunderstanding between patients and registration staff.
     
  4. Technological Barriers: Some folks, especially older or less tech-savvy patients, might struggle with online forms or chat systems.
     
  5. Language and Accessibility: Language barriers or accessibility problems can slow down the registration process, especially in chat-based communication where instant translation services might not be easily accessible.

2. Verification:

Your team swings into action, checking documents, verifying details, and making sure everything's in order. They'll also confirm your patient's insurance eligibility and see when the patient is available for an appointment. This might mean reaching out to insurance companies, double-checking IDs, and making sure all the paperwork is filled out correctly.

Complications:

  1. Time Consumption: One big issue I've noticed is how long it takes to verify insurance details, considering the sheer number of insurance providers and their different plans. It can eat up a lot of time, especially if there are mistakes or outdated info. Plus, the more patients you have, the more staff you'll need to handle all this.
     
  2. Communication Delays: Sometimes, getting in touch with insurance providers or other important folks can slow down the verification process. This can mess up appointment scheduling, which is especially tough in urgent situations.
     
  3. Accuracy Concerns: Keeping all the paperwork perfect and making sure insurance eligibility is right without any slip-ups can be tough, especially if you're dealing with loads of documents every hour.
     
  4. Complexity: Handling different types of insurance plans and understanding what they cover can make the verification process even more complicated. This not only takes more time but also makes it easier to make mistakes.

3. Appointment Booking

After all the details are checked and confirmed, your staff sets up appointments for the patient, considering their availability and your healthcare provider's schedule. This means picking the right type of appointment, like a consultation or a procedure, and making sure everything lines up with different departments or specialists if needed. The tricky part comes in when your team or the system has to talk to lots of departments, leading to back-and-forth communication to schedule the appointment.

Complications:

  1. Communication Hurdles: In a healthcare center, there are tons of services, from surgeries to tests. Imagine that your employee has to talk to all these departments to schedule multiple appointments for one patient. And the more patients you have, the crazier it gets. Coordinating appointments with different departments or specialists means lots of back-and-forth, which can really slow things down.
     
  2. Scheduling Conflicts: Balancing patient availability with your healthcare provider's schedule can be tough, especially when you have urgent or high-priority appointments to fit in.
     
  3. System Integration Issues: If your scheduling platforms and departmental calendars don't work well together or aren't integrated properly, it can really mess up the booking process.

4. Medical History Review

Now, your healthcare provider needs to go over the patient's medical history, checking past diagnoses, treatments, medications, and allergies. This gives them a clear picture of your patient's health and any possible risks for the treatment ahead. Sometimes, it's easier to have patients fill out an online form with all this info rather than sifting through a bunch of documents.

Complications:

  1. Data Consolidation: Going through multiple documents to grasp your patient's medical history can eat up time and lead to mistakes. Some online solutions have tackled this by creating forms that ask patients a bunch of questions, making it easier for your doctors to understand their health. It's not perfect, but it's a step forward.
     
  2. Incomplete Information: Your patients might not give you all the details needed for a complete medical history, leaving gaps in understanding their health and treatment needs. While many countries are adopting centralized health info systems for healthcare providers we can use to fill in the gaps, it still means sorting through a ton of data.

5. Assessment

Depending on your patient's condition, initial assessments like physical exams or tests may be done. This gives your healthcare providers more info to figure out the diagnosis and treatment plan.

Complications:

  1. Resource Availability: Whether physical exams or tests can happen depends on what resources and equipment the healthcare facility has. This can vary a lot from place to place. Remember step 3(Appointment Booking)? Our employee has to go back and forth to find a slot that works for both and book an appointment within your facility or with another if you don't have the equipment which makes it even more complicated.
     
  2. Patient Cooperation: Some patients might be more willing than others to do exams or tests, which affects how much info we can gather for diagnosis and treatment planning. This comes back to step 4 (consent). It's best to have your employees handle it to make sure the patient understands why each step is important.

6. Consent

After booking the appointment, your patient will need to sign a consent form for the treatment. This form allows you to look at their medical records and any other documents needed for the procedure or treatment. Before signing, your healthcare staff will make sure the patient understands the procedure and any risks involved.

Complications:

  1. Understanding and Communication: Making sure your patients grasp the treatment procedure and risks before they sign the consent form is crucial. This takes clear communication and education. Since it's important to approach this with empathy and a personal touch, it's best to have your doctors and nurses handle it.
     
  2. Documentation Accuracy: Making sure consent forms are filled out correctly and signed by the patient adds another layer of complexity to the process, especially if there are lots of documents to handle. Doing this on a large scale is really tough, even though it's super important.

7. Treatment Planning

After your doctor checks the medical history and does the initial assessment, your healthcare team will come up with a treatment plan for your patient. They'll consider what the patient needs, their medical history, and the results of the assessment. This could mean giving meds, suggesting lifestyle tweaks, or setting up more appointments to keep an eye on things.

Complications:

  1. Complexity of Conditions: Making personalized treatment plans means thinking about lots of stuff, like your patient's medical history, how serious their condition is, and what treatment choices you have. This task is best left in the hands of your trained professionals who can tailor the plan to meet the individual needs of each patient.
     
  2. Patient Compliance: Getting your patients to stick to their treatments and advice can be tough, especially for long-term conditions. We gotta keep following up to make sure they're sticking to your plan and not going off track.

8. Education

Education is crucial for making your patients feel comfortable and empowered. They need to understand their condition, treatment options, medications, and any lifestyle changes necessary for their health. Your healthcare providers should take the time to explain the treatment plan, answer questions, and offer resources for support and further information. This helps patients feel more confident and involved in their care.

Complications:

  1. Patient Understanding: Ensuring that your patients fully comprehend their condition, treatment options, and lifestyle changes may require tailored educational approaches based on individual learning styles and literacy levels. This process would be better suited for your human employee to proceed with empathy.
     
  2. Time Constraints: Educating your patients within limited time frames during appointments can be challenging, necessitating efficient communication strategies and the provision of supplementary resources.

9. Follow-up

You schedule follow-up visits or additional treatments as required to keep the care going smoothly. This way, your healthcare team can keep an eye on how the patient's doing, tweak treatment plans if needed, and deal with any new or ongoing health issues.

Complications:

  1. Appointment Scheduling: Sorting out follow-up visits or more treatments can run into scheduling issues or delays in communication. This step is crucial to keep tabs on whether your patient is sticking to their meds and the plan properly. Once again, a time-consuming step.
     
  2. Patient Compliance: Making sure your patients show up for follow-up appointments and stick to their treatment plans can be tough. It affects how well their care works over time. When it comes to compliance, leading with empathy is key.

10. Billing and Payment

Your billing team handles things like processing insurance claims, checking coverage, and getting any payments from the patient. This makes sure the patient pays what they owe and our healthcare place gets paid for the services provided.

Complications:

  1. Insurance Processing: Dealing with insurance claims and making sure coverage is good can get tricky, especially with all the different plans and rules which is something better to have an automated system for.
     
  2. Payment Collection: Getting payments from your patients can hit some bumps, like if they're tight on money or there's a disagreement about the bill being right. Again, an automated system would make fewer errors which would mean fewer disputes.

11. Integration with Electronic Health Records (EHR)

In the end, all the info gathered during onboarding gets put into your patient's electronic health record. This way, your healthcare providers can easily find stuff like demographics, medical history, treatment plans, and meds. It helps them see the big picture of the patient's health and what care they need.

Complications:

  1. Data Integration: Making sure your patient's info flows smoothly into your electronic health records (EHR) means the different systems and data formats have to work together. Since we don't want any errors creeping in, automating the system can help prevent human tiredness from messing things up.
     
  2. Data Security: Keeping your patient data safe in EHR systems is super important. We need strong security measures in place to stop unauthorized access or breaches, and we gotta follow all the rules and regs about data protection.

 

Now that we understand the process and its challenges, let's explore how RPA can streamline operations in the next section.Let's dive into how an RPA bot fits into this equation.health-care-rpa1

1. Registration

  • Data Accuracy: When you find yourself repeatedly moving data between applications or fields throughout the day, it can start feeling pretty routine. But let's face it, humans aren't great at these repetitive tasks. That's where our RPA bots shine—they tackle these tasks on a larger scale, cutting down on errors along the way.
     
  • Communication Challenges: Our bots can play a role in improving your communication by streamlining processes across different channels. For instance, RPA can help you by automatically transferring data from one channel to another, reducing the chances of errors or misunderstandings. However, it's important to note that while RPA can assist in automating your tasks, it may not entirely eliminate miscommunication issues, as human interaction and interpretation are still vital in some cases.

2. Verification

  • Time Consumption: Our RPA bots can automate your verification process by accessing insurance databases and cross-referencing your patient information, significantly reducing the time required for manual checks.
     
  • Communication Delays: By integrating with communication platforms and APIs, RPA can facilitate real-time communication with insurance providers, minimizing delays in verifying coverage.
     
  • Accuracy Concerns: RPA can perform data validation checks and reconcile discrepancies automatically, ensuring that all information is accurate before proceeding to the next step.
     
  • Complexity: Our RPA bots excel at remembering things like predefined templates. Just teach them how each insurance plan appears and specify the criteria for extracting the required information. They'll handle it for you, no matter how intricate each plan may be.

3. Appointment Booking

  • Communication Hurdles: Our RPA bots can automate appointment scheduling for you by accessing and updating shared calendars in real time, reducing the need for manual coordination and minimizing communication errors.
     
  • Scheduling Conflicts: RPA can analyze scheduling conflicts and recommend alternative appointment times based on predefined criteria, ensuring optimal utilization of resources and minimizing delays.
     
  • System Integration Issues: RPA can bridge the gap between disparate scheduling platforms by acting as a middleware layer, facilitating seamless data exchange and synchronization between systems.

4. Medical History Review

  • Data Consolidation: Considering what was mentioned earlier, opting for an online form for patients to fill out their data is preferable to sifting through hundreds of documents. However, even online forms can become cumbersome to read through, especially if they're extensive. That's where our RPA bot steps in, efficiently consolidating all the information into a single document for your doctor's convenience.
     
  • Incomplete Information: In situations where there are gaps or missing info in data extracted from your online form, our RPA bots can step in without any need for human intervention. They can either ping your patient for more details or extract the data from patient records using predefined criteria. This makes the whole process seamless and hassle-free.

5. Assessment

  • Resource Availability: Just like we discussed for appointment scheduling, our RPA bot can cross-check your employee calendars and find a time that works for everyone involved. This makes scheduling appointments a breeze and ensures everyone's availability is taken into account.
     
  • Patient Cooperation: Our RPA bot can send out automated reminders and educational materials to your patients ahead of assessments. This helps encourage compliance and gives them helpful information to ease any worries or misunderstandings they might have. For older patients who might not be comfortable with online forms of communication, our RPA bots can automatically remind your employees to give them a call before their appointments, ensuring they receive the necessary reminders in a way that suits them best.

6. Consent

  • Documentation Accuracy: While it's ideal for your employees to handle obtaining consent from patients, our RPA bots can validate consent forms in real time. They'll flag any missing or incorrect information for review, ensuring all documents are accurate and complete. This way, both our bots and your employees can focus on what they do best.

7. Treatment Planning

  • Patient Compliance: While it is better to let your doctors decide the best course of treatment for each patient, our RPA bot can support patient compliance by sending automated reminders for medication adherence, lifestyle modifications, and follow-up appointments. It can also monitor patient responses and engagement levels, flagging any deviations from the treatment plan for proactive intervention.

8. Education

  • For this step, it's best to have one of our employees take over. Since it involves important communication where human touch and empathy are crucial, having a person handle it ensures that patients feel properly supported and understood.

9. Follow-up

  • Appointment Scheduling: Once again, our RPA bot can take the lead here. By setting parameters for when follow-ups should be scheduled for each case, our bot can automatically handle the task for you without requiring any intervention from your employees. It streamlines the process and ensures follow-ups are scheduled efficiently.

10. Billing and Payment

  • Insurance Processing: Our RPA bot can streamline insurance processing by automating claims submission, adjudication, and payment reconciliation processes. It can extract relevant data from patient records and populate insurance claim forms automatically, reducing manual data entry errors and accelerating reimbursement cycles.
     
  • Payment Collection: Our RPA bots can facilitate payment collection by sending automated payment reminders and invoices to your patients, offering flexible payment options and assistance with financial planning if necessary. It can also integrate with your payment processing systems to track payment status and flag overdue accounts for follow-up actions.

11.  Integration with Electronic Health Records (EHR)

  • Data Integration: Our RPA bots excel at seamlessly integrating with EHR systems. They automate tasks like data migration, transformation, and synchronization, ensuring consistency and integrity across different systems. By enforcing data validation rules and error-handling mechanisms, they maintain the accuracy of the information. Like in the first step, our bots are particularly adept at data extraction and entry tasks, outperforming humans in efficiency and accuracy.

So, there you have it – RPA to your rescue! By harnessing the power of automation, we can streamline your Patient Onboarding process, slash processing times, and free up your valuable time and resources for more strategic tasks.

While these areas give us a good idea of how RPA can boost efficiency and productivity, there might be even more opportunities when we zoom in and look at the finer details. Since all company's processes are unique, we can't give specific advice until we take a closer look at each one. If you're curious to learn more, don't hesitate to reach out to us at https://www.talosnation.com/contact or drop us a message on LinkedIn. We're always here to chat and help out!