Process Modeling

Instruction:

1. Read the video script and answer:

1. Create Process Model for (A) Patient admission and (B) Patient discharge.

1. Use the symbols in the box below for process modelling.

XOR Gateway AND Gateway

Video Script:

Ken is scheduled to go for surgery. On admission day, he takes a queue number and is soon called to Admission Officer Lucy’s counter. Lucy explains that there are only 4 small steps for his admission. First, Ken needs to pass Lucy his original identity card and doctor’s documents. Next, Lucy will give Ken an Agreement for Hospital Services to sign. This is an estimated cost of his hospital stay excluding the doctor’s fee. Two estimates will be given based on the statistical records of hospital bills from previous admissions. The 50th percentile estimate shows the amount half of all patients would eventually pay more, and half of patients would pay less. However, the 80th percentile estimate shows the amount that just 1 in 5 patients would end up paying more. Ken can use it as a guide to gauge how much he needs to pay when his bill arrives during discharge! Ken isn’t too sure about that, he has insurance so surely he doesn’t have to worry about paying these bills! Lucy tells him that’s not true. While his insurance might cover all his costs, Ken still has to pay all his bills during discharge. Ken is surprised! Not to worry though, Lucy says the hospital will make a claim on his behalf and Ken can get his money back when the insurance company reimburses the hospital in about 4 to 6 weeks. Lucy then presents Ken with his payment options: Self-Paying, Medisave Other health insurance or Company Insurance or Local Health Shield. Each of these has diffrent processes. Choosing Medisave will require him to fill up the Medisave authorization form. However, if he choses the use other options, he has to fill up the non-utilisation form. If Ken wants to use a company or other health insurance, he will need to provide a Letter of Guarantee during admission, otherwise he needs to pay a full deposit during admission. Ken decides to use his local health shield and he fills up the Claim Form for Medisave Approved Integrated Plan. Ken also pays the deposit and is almost done! Lastly, Ken will be assigned his hospital room! Lucy explains that as room availability changes based on on-going discharges and sudden emergency patients, she can only find out if his preferred room type is available at the time of admission. If his choice is not available, Ken will be provided an alternative and transferred to his ideal room when possible. After a succesful operation, Ken is ready to be discharge! As Lucy has told him that the waiting time for his doctor’s approval to discharge is about 2 hours, Ken kept a book handy while the staff does all the work to prepare the bill, medication and documentation. After making his payment during discharge, Ken goes home and looks forward to a full recovery!

A.PATIENT ADMISSION PROCESS MODEL

1. PATIENT DISCHARGE PROCESS MODEL