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Healthcare Insurance System and Process Inventory

Six Sigma – iSixSigma Forums Industries Healthcare Healthcare Insurance System and Process Inventory

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  • #254068

    Suzanne Adele
    Participant

    Hello process experts!
    Looking for your thoughts and perspectives around creating a comprehensive business process inventory, including systems and touch points in the Health Insurance Provider space. Please provide an example collection plan if available. I am looking for a baseline…Thanks!

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    #254415

    grazman
    Participant

    My suggestions:
    -either start from a top level view of the company’s processes and then break each down (you might have to go 3-4 levels to get to the actual work). Level 1 processes can be as broad as “create demand”, “satisfy demand”, “run the business” level activities… then Level 2 processes would break each one of these down into more detail (and level 3 would break down the level 2 processes).
    -talk to a vendor of systems in this space and let them try to sell you a comprehensive solution–and ask them for the process inventory you’re looking for.

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    #255387

    Suzanne Adele
    Participant

    Thanks so much! I like the recommendation of speaking with a vendor and asking for the process list. I did that a number of years ago in the financial services space and found it to be very helpful.
    Again thanks for your time and recommendation.
    Kind regards,
    Suzanne

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    #255406

    Strayer
    Participant

    A word of caution. If your organization has insufficient process maturity this will be a misleading exercise in futility. By maturity, I mean that the process is well defined, repeatable, and managed, including fact-based rules for handling exceptions.

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