Business Workflow Automation Software

What Does a Workflow Management System Do?

Workflow Automation software executes computer-driven flows (processes) of human and system tasks, documents, and information across work activities in accordance with flow paths based on business decisions. Workflow Management software also ensures processes – both internally across organizational boundaries, and externally for Customer/Client interactions – are optimized, repeatable and auditable while still being quick and easy to change.

While Robotic Process Automation (RPA) has been making inroads in automating tasks within processes, Workflow Automation software is far more powerful than RPA. However, the two are both compatible and synergistic. RPA bots can automate individual tasks within a business process, but they typically can’t connect those tasks together. Good workflow engines allow RPA tasks to be included as part of a process.

Workflow Design software and Workflow Process software are being effectively used in practically every industry, frequently serving as standard operating procedures software. Digital Workflow software can be especially effective and valuable in two industries: Healthcare and Financial Services.

Using Trisotech’s workflow management software, healthcare organizations can develop evidence-based workflow and decision models that are human-readable, machine automatable, and embeddable in most medical encounter systems. While healthcare organizations can and do create their own automatable models, Trisotech also provides pre-built models including nearly 1,000 free customizable care pathways, clinical guidelines, and healthcare decision calculators in the BPM+ Health standard. This way, Trisotech’s process management software enables practitioners to stay updated, accelerate solution adoption and ensure greater consistency in care execution. Additionally, the comprehensive visual models offered by the Workflow Design software are readable by IT, providers and business people, serving as a guideline specification, the guideline logic, the guideline documentation, and the automation code for the workflow engine – all in a single visual artifact!

Moving to evidence-based practices is very desirable but also often difficult for healthcare organizations. Subject matter experts (SMEs) and clinicians constantly work with IT to translate large volumes of regulatory, new medication and procedure information into organizational policy. This is a consistent and expensive requirement for SMEs using their existing, often antiquated systems to keep information up to date. Trisotech’s Workflow Design software and Workflow Automation software solutions allow healthcare organizations to easily define and deploy evidence-based best practices that offer a consolidated view of the interactions and multiple touchpoints with patients, care pathways, and workflows at the point of care.

Back-office tasks such as pre-authorization, medical necessity determinations and off-label drug prescription approvals have a huge bearing on patient experiences. They are also time-consuming, expensive and highly manual activities. Utilizing Workflow Process software for these types of activities expedites decisions for waiting patients, allows for services to be rendered sooner, and increases ROI. Using Trisotech’s digital workflows paves the way for improving both the perceived and real quality measurements for any healthcare organization.

Healthcare Payers and Insurers are also leveraging Trisotech’s process management software to automate processes like claims processing and pre-authorization determinations, leading to more efficient decision making and significant cost savings. Trisotech’s Automated Workflow software can ensure the correct information is collected at the outset, help pay claims rapidly and organize case management for disputed or confusing exception claims. The workflow software also helps payers keep complete records in case of an audit. Health plan members benefit from a better experience as they can access the care they need with minimal delays and without surprises at the time of claim payments or billing.

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Technology replacement is also very important because most organizations have their knowledge, policies and procedures embedded in large complex programs maintained by IT programming staffs. Today, “old school” practices like SMEs maintaining Excel spreadsheets for policies and rules (regulatory and organizational) that then must be “translated” by IT into traditional programming languages and proprietary rules systems are giving way to visual models incorporating standardized “decision services.” Using Trisotech’s Digital Enterprise Suite, modern workflows and decision services can be built and maintained by SMEs and turned into automated business processes by clicking a single button. This, in turn, frees up IT resources to work on centralizing, consolidating and making available additional more current technologies across organizational silos.

Challenges

Primary challenges the financial industry is facing today include rapid and often massive regulatory changes, privacy, security, and fraud prevention, surpassing or keeping up with the competition by exceeding customer expectations, and replacing old technologies with emerging technologies. Trisotech’s workflow software is already recognized as the reference implementation for many international standards such as BPMN, CMMN, and DMN. In the financial industry Trisotech is rapidly taking a leadership position with its implementation of the Mortgage Industry Standards Maintenance Organization (MISMO) standard and support of other standards like the Financial Industry Business Ontology (FIBO), common database connections and multiple AI techniques.

For Fintech organizations, Trisotech’s Workflow Design software and Workflow Automation software accelerate digital transformation by providing the ability to easily define, deploy and maintain improved decision-making and workflows supported by artificial intelligence and machine learning in a graphical environment. While Trisotech’s Digital Enterprise Suite is being used by customers for everything from retail credit card processing to insurance claims processing, one area, underwriting, has been of particularly high value to customers.

Underwriting is the process by which an institution takes on financial risk – typically associated with insurance, loans or investments. Underwriting means assessing the degree of risk for each applicant prior to assuming that risk. That assessment allows organizations to set fair borrowing rates for loans, establish appropriate premiums to cover the cost of insuring policyholders, and creating a market for securities by pricing investment risk.

Underwriters evaluate loans, particularly mortgages, to determine the likelihood that a borrower will pay as promised and that enough collateral is available in the event of default. In the case of insurance, underwriters seek to assess a policyholder’s financial strength, health and other factors and to spread the potential risk among as many people as possible. Underwriting securities determines the underlying value of the company compared to the risk of funding its capital acquisition events such as IPOs. All of these activities lend themselves to digital workflow software solutions.

For example, mortgage loan origination. By utilizing Trisotech’s Workflow Design software, customers are able to build standard operating procedures software for loan origination that encompass the organization’s specific underwriting policies. These workflows can be created and maintained by underwriting experts while complex mathematical models, AI and privacy and security requirements are taken care of by IT personnel. Trisotech provides for all of this in a single common visual model understandable by both the business people and the IT personnel while still maintaining separation of concerns through granular permissions. Once the visual model is complete, a single button click can automate the workflow and make it available to Trisotech’s workflow engine part of the Workflow Process software.

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The unique capabilities of Trisotech’s Automated Workflow software are rooted in its ability to simplify the complex process of digital transformation for all. In order to streamline their processes and decisions, enterprises must first know what those processes and decisions are. Discovering and validating them is the responsibility of business leadership not solely IT. Thus, a must-do activity of digital transformation is rendering organizational workflows and business decision logic into international standards-based visual diagrams and documents. Then, they can be shared by business people and technical people and automated directly from those visual diagrams.

Trisotech calls this process Business Services Automation. The Trisotech offering includes visual Workflow Design software and visual Workflow Automation software.