The SUSESO Electronic Administrative Procedure (PAE) project was developed by Tecnova with the purpose of improving the quality of care and response to the community that attends this institution as the last instance of processing their unpaid medical licenses.
Prior to the system implementation, the response times incurred by SUSESO were approximately four months for each procedure. Given the above, and as a goal of the project, it was defined to lower the times to resolve the procedures to thirty days.
Main Achievements
By digitizing the processes, the immediate benefit was a significant decrease in the use of paper. In addition, processes were accelerated thanks to the fact that routine tasks such as assigning activities, controlling activity deadlines and sharing information between different participants were transformed into almost instantaneous and online tasks. A radical improvement was also achieved in the control and monitoring of active requests.
An additional benefit achieved in the project for SUSESO users is the functionality to track procedures online. In this way, the community saves time and money in this type of action. The impact of the PAE project is tangible and of great help in economic terms for the users who have had to reach this instance.
Through continuous improvement in process automation, during 2022 it was achieved that claims take only 30 days, instead of the 120 days that it took before having the PAE system. On the other hand, during 2022 SUSESO processed 200,000 claims. Prior to the existence of the system, the volume of annual claims processed was around 50,000.
Acknowledgments
The implementation of the system is aligned with the Digital Transformation Law promoting the State of Chile, and is based on the pillars of Don’s Wait for Attention, Zero Paper and Unique Digital Identity. The PAE system is the first project completed in this context, which is a source of great pride for SUSESO and Tecnova.
Additionally, this project was recognized in 2019 by the Chilean Department of the Treasury and the Inter-American Development Bank, in the seminar “The end of the eternal process”. More information in the press release https://bit.ly/2Fc9wyr
Finally, it is highlighted that the PAE system was one of the three projects recognized worldwide at the Oracle Open World event in September 2019, also distinguishing Tecnova as an implementing company. You can also see the press release of this project on the Oracle site at the following link.
Project Administrative Information
At the end of the project, Mutual de Seguridad, a private institution focused on the prevention of risks and treatment of occupational accidents, hires Tecnova to integrate its systems with the PAE system. More information about this project with the Mutual de Seguridad can be reviewed in the Mutual Integra Case.