Transforming Healthcare Operations: A Comprehensive Patient Management System
Client: Specialty Pharmacy Solutions
Project Date: 2024 - 2026
Executive Summary
Specialty Pharmacy Solutions partnered with us to design and implement a sophisticated patient management system. This comprehensive solution automated complex workflows, integrated critical patient data, and streamlined medication delivery, providing a flexible framework to adapt to evolving healthcare needs while significantly enhancing operational efficiency and patient care.
The Challenge
Our client, Specialty Pharmacy Solutions, faced significant challenges managing complex patient journeys, from insurance eligibility to medication distribution. Their existing processes relied heavily on manual intervention, leading to potential delays, inconsistencies, and a lack of real-time visibility into patient treatment states and coverage. This manual approach hindered their ability to scale operations efficiently and respond dynamically to unique patient case considerations, impacting both operational costs and patient satisfaction.
Our Solution
- We developed a bespoke, large-scale patient management system encompassing insurance eligibility verification, comprehensive medication management, and streamlined healthcare delivery.
- Integrated Workflows: Designing a dynamic system with both automated synchronous processes and manual asynchronous interventions to track patient treatment states, coverage, and medication support.
- Logical Pathway Definition: Establishing clear business, data, and data relation pathways to manage the flow and transformation of patient information.
- Third-Party API Integration: Seamlessly connecting with external APIs (e.g., for additional data gathering or management by appropriate parties) to enrich patient records and automate data exchange.
- Robust Backend Development: Implementing critical resources including databases, data tables, schemas, triggers, views, headless authentication mechanisms, job scripts, and algorithmic matching for patient records.
- Parallel Deployment: Commissioning the system to operate in parallel with existing manual processes, allowing for continuous learning and refinement based on real-world scenarios and unique case considerations.
Technologies & Tools
Results & Impact
- Streamlined complex patient management workflows, reducing manual effort and potential errors.
- Enhanced real-time visibility into patient treatment states, insurance coverage, and medication status.
- Improved data accuracy and consistency through automated data flows and algorithmic matching.
- Enabled scalable operations, supporting the client’s growth in servicing new clinics and patients.
- Provided a flexible system architecture capable of adapting to unforeseen case considerations and evolving business requirements.
- Facilitated more efficient medication distribution and patient support, leading to improved patient outcomes.
Client Testimonial
Our data analytics capabilities have been significantly enhanced by Korrelate to provide comprehensive stakeholder reporting and insights. Through detailed analytics and performance metrics, we now have a deeper understanding of our web application's impact on stakeholder businesses. This has led to improved visibility into our business growth patterns, geographic expansion trajectories, and market penetration rates across different regions. Korrelate helped us transform our legacy web application data and API architecture. This includes modernizing our data design with optimized APIs that now pull from carefully structured database views instead of direct tables, improving both performance and maintainability. We've also implemented comprehensive transactional data tracking across the web application with detailed audit trails and performance monitoring. Our cloud infrastructure, previously constrained by VM-based architecture with scaling and security limitations, has been upgraded by Korrelate with enhanced network security protocols and infrastructure to achieve full HIPAA compliance and maintain robust data protection. Our CI/CD process has been revolutionized from a manual system requiring extensive weekly team involvement to an automated deployment pipeline by Korrelate. This enables efficient script-based promotion from UAT to production environments with minimal manual intervention. We have also established perfect parity between UAT and production environments through synchronized configuration management and deployment processes.
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