07 Oct 2024

Solutions

Transforming healthcare finance: The impact of Generative AI on healthcare


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Johnny Chiang, 1FSS Health Finance Executive and participant at Synapxe’s GenAIus Challenge.

Johnny Chiang, 1FSS Health Finance Executive and participant at Synapxe’s GenAIus Challenge. (Photo credit: Maybeth Cheong, 1FSS)

GenAIus Challenge workshops empower healthcare professionals to create innovative Generative AI (GenAI) solutions to solve daily work challenges and ultimately enhance the patient journey.

As part of a call-for-innovation programme, these ideation workshops welcome both clinical and non-clinical submissions, where shortlisted use cases could lead to the development of real-world solutions for public healthcare institutions (PHIs) and their backend offices.

Johnny Chiang, a Senior Finance Executive at 1FSS, recently participated in a workshop and shared his experience exploring non-clinical use cases for GenAI to impact public healthcare’s finance shared service operations.

Johnny Chiang, 1FSS Health Finance Executive and colleagues at Synapxe GenAIus Challenge workshop.

Johnny Chiang, 1FSS Health Finance Executive and colleagues at Synapxe GenAIus Challenge workshop.

What use case did your team explore?

At 1FSS, part of our role is to handle bill requests for Singapore’s public healthcare institutions. When a patient has visited a healthcare institution and a service has been provided, a bill would be triggered and 1FSS’s role is to ensure that the payment has been received. 1FSS also receives many enquiries from patients on payment matters. These enquiries are via emails or phone calls and they can be as simple as how or where to make payment. More complex enquires include how to tap on their MediShield insurance or how to request for MediFund support.

One use case that we explored was to handle email enquiries. We would like a GenAI tool to scan our emails, read and analyse the enquiries, generate responses and be able to respond to patients automatically. If GenAI is unable to generate a response, the solution would be to suggest where to redirect the enquiry to. For example, a patient might have requested for a hospital discharge summary from the healthcare institution’s Medical Records Office (MRO). The envisaged GenAI tool would then suggest that this email be routed to a MRO for further action.

How would the use of GenAI in healthcare benefit the public?

The potential benefit of the use of GenAI is to achieve faster turnaround time when handling the patient enquiries. When patients’ enquiries are addressed faster, patient satisfaction will be higher, and it enhances the overall patient experience.

Benefits to you and your team?

With GenAI, we could potentially automate the more straightforward enquiries, reduce manpower required to manage this function and redeploy the manpower to perform other more value-adding work.



How about benefits of GenAI to public healthcare institutions?

Better cash flow, fewer complaints! If we can get things done faster and more accurately, the potential benefits will be felt a long way down the road. With stronger financial management, we can recover outstanding payments for PHIs faster. This will ultimately prevent financial loss from unpaid services and strengthen their financial standing.

What insights did you gain from the GenAIus Challenge workshop?

It was useful for me to hear from other PHIs and the problem statements they were trying to solve, like how to streamline pharmacy operations or appointment scheduling. One group brought up a good point about taking into consideration language proficiency, especially when we are trying to get GenAI to read emails. We should also take into consideration the emotional aspect because there might be times when a patient’s email might get quite emotional, and we need to be sensitive with our reply to that.

Likewise, I hope it was useful for the other groups to hear about our use cases. When we talk about healthcare, people do not relate to the backend finance part easily. The focus is mostly related to medical-related negligence, inpatient issues, or other clinical issues. I think our use cases were quite unique compared to the others that were shared.

Johnny Chiang, 1FSS Health Finance Executive and colleagues at Synapxe GenAIus Challenge workshop.

Johnny Chiang, 1FSS Health Finance Executive and colleagues at Synapxe GenAIus Challenge workshop.

What else did you find useful about the workshop?

The workshop was conducted in a very interactive way. Participants get to brainstorm and leverage on the sharing from other use cases. Everyone was given the opportunity to share feedback, critiques and even suggested more challenging scenarios for teams to think about. Such workshops allow us to gain a better understanding of how the healthcare industry can adapt GenAI to help us in our daily operations.

How should we approach the development of GenAI in healthcare?

Kaizen is a Japanese term meaning “Change for the Better” or “Continuous Improvement”. This Kaizen Philosophy is a core principle in process improvement. It encourages small, incremental improvements over time and involves all employees in any improvement process.

Looking at GenAI holistically, it is something new and trendy. However, I am mindful that AI does not take over human judgement completely. One wish is to ensure that there would always be a capability for humans to override AI decisions when a need arises. Another wish is for tech companies to price AI at a more reasonable level instead of seeing this as a huge, revenue-generating tool.

Part of my role as a process improvement executive is to troubleshoot digital initiatives and discuss with users how to turn ideas into reality. If we can align and adopt similar AI initiatives, we can improve the efficiency of how we work and ultimately enhance patient care and satisfaction for the public healthcare.


1FSS Pte Ltd is a member of MOH Holdings Pte Ltd, the holding company of Singapore's public healthcare clusters. Being a captive shared service team, 1FSS supports a suite of finance services for Singapore's entire public healthcare system, including public hospitals, polyclinics and community hospitals, so that our public healthcare institutions can focus on their core mission of providing healthcare services.

Find out more about 1FSS here.

Find out more about the GenAIus Challenge here.

 

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