Health Care Operations: The Benefits of Effective Health Care Organization

Jasmine Lee
Jasmine Lee  |  March 22, 2019

Optimizing operations management is necessary for any organization in any industry.

“Operations management” concerns the planning and organizing of the administrative, financial and operational processes of a company to better direct and utilize internal resources.

In the health care industry, people’s lives are at stake. Effective health care operations management goes beyond improving productivity and earning more money. Health care operations strategies and software facilitate the efficient provision and delivery of health care services to patients and communities to ultimately save and improve lives.

Why health care operations management matters

Both the health care industry and health care software space are incredibly diverse in terms of provision of care and communities served, which makes health care operations management a beast unto itself. Proper operations management is vital.

The products or services that a company offers impact the way it should conduct operations management.

In health care practices and facilities, operations management is responsible for facility oversight, staff functionality and delivery of the best care possible.

Some examples of health care operations include patient case management, coordination of care within and without a practice, financial management and medical practice human resources.

On G2 Crowd, software categories existing under the health care operations software umbrella include:

G2 health care operations categories

As you can see, the patient case management software, overall patient experience software and clinical communication and collaboration software categories aren’t yet on the list. This is to help streamline the buyer’s research experience — the “health care operations” category includes only the solutions that streamline workflows, ease back-and-forth interaction between facility and third-party providers, or automate daily responsibilities.

The role of HIPAA

Lest we forget the Health Insurance Portability and Accountability Act (HIPPA) and its indelible role in anything medical, let’s briefly discuss the role it plays in the consideration, deployment and implementation of health care operations software.

HIPAA established the rules, expectations and framework that determined the appropriate and legal storage and dissemination of private, personal health information. After HIPAA was passed in 1996, its effect was felt across the entire health care spectrum. Most of the time, the patient had the authority to specify which provider could use their health information and which aspects could be disclosed. I say “most of the time” because HIPAA didn’t apply in scenarios when prohibiting access to personal health information would result in a negative delivery of care. The act listed such scenarios, which aligned with some necessary health care operations.


How operations management is leveraged in health care

Health care operations takes a variety of forms. As mentioned above, health care operations spans the spectrum of administration to care delivery. Below are example areas that benefit from operations management.

Healthcare operations examples

  • Clinical care management — The health care industry is a service industry, so it makes sense when organizations make a concerted effort to standardize protocol to improve performance. Improving clinical care management can result in reduced readmissions and improved patient-provider relationships.
  • Risk management — Medical practices improve when providers mitigate and optimally manage risk. Examples of risk in a health care setting range from patient or staff injuries to ballooning costs of expensive services. Hospitals can leverage predictive analytics technology to cut down on extravagant or extraneous costs while striving for improved patient satisfaction.
  • Financial management — Health care operations management deals with reducing and optimizing costs in a medical organization. Medical practices and hospitals have many issues controlling costs. Cost issues can come from unnecessary treatments or medication prescriptions, treating uninsured patients, or budget reductions that directly impact the technology, equipment and salary resources of medical staff.

What is operational excellence in health care?

“Operational excellence” is a term that comes up when you talk about effective and efficient health care operations.

Health care providers are devoting more time and resources toward improving clinical operations. When operational excellence is chased, businesses see financial benefits and increases in staff productivity. Clinical operational excellence generally starts at the top (for instance, with demands from stakeholders), but depends on the mindset and behaviors of staff at every organizational level.  

Operational excellence leads health care organizations to reach and sustain competitive advantage within their industry. By creating and maintaining operational excellence, medical staff are primed to productively respond to sudden changes in administration without compromising their organization’s end goals. At the end of the day, clinical excellence directly translates to providing patients with a comprehensive and satisfying experience.

When practices, hospitals and clinics achieve operational excellence, any change in process can result in increased operational efficiency, reduction of clinical variability and maintained or even improved care quality. That means facilities and medical professionals can keep up with industry and technological trends, ensuring modernized practices that can provide the best care for patients, regardless of diagnosis, medical needs or the availability of clinical services.


Reduce inefficiencies with health care operations solutions

Innovation of health care technology drives industry trends that require evolving and adapting of set health care processes, protocols, regulation and strategies. Health care operations management is an area that undergoes change whenever patient and industry expectations change.

No matter what health care operations software your facility chooses to implement, it will help you address and resolve inefficiencies that are preventing your medical staff from doing what they are trained to do: care for the patient.

  • Data capture — Capturing and reporting on facility and patient data is difficult. Electronic health records and clinical communication software help a little, but if your practice isn’t interoperable, you’re stuck with disparate sources of data needing to be reconciled. Effective data capture supports compliance and auditing, drives key business decisions and prepares your organization for any crises.
  • Reduction of clinical variability — Clinical variability affects the delivery of care and ensures accurate inventory levels, supply costs and workflows. When clinical variability is reduced, every aspect of a medical organization will benefit. These benefits will affect both staff and patients positively.
  • Productive EOC — Environment of care (EOC) in health care is made up of three elements: the physical space and layout of the health care facility, the equipment used to support delivery of care and building operations, and the human beings that make up activity within the facility. All three elements contribute to a positive patient experience, from pre-visit to treatment to post-visit.

What administrative, financial, or organizational solutions have you implemented in your health care practice?

Myriad health care software exist that can help your clinic, practice, or hospital run at its most optimal and efficient. Head to our overall health care software category to check out alternatives to the current tools you utilize.

Jasmine Lee
Author

Jasmine Lee

Jasmine is a Senior Research Specialist at G2 Crowd. She used to own the e-commerce and team collaboration spaces, but now she avidly researches as much as she can about the rapidly evolving and head-spinningly varied vertical industry spaces. She's passionate and hyperbolic about most things, but especially regarding the things that have anything to do with pop culture, fandom, gifs, and the wining and dining scene of Chicago.