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  • Hospitals, healthcare facilities, and medical care

    Hospitals, healthcare facilities, and medical care

    Efficient healthcare provision through digitalized processes and future-proof IT

    Digitalization movement in the healthcare sector

    Germany’s Hospital Future Act (KHZG) has laid the foundation for enhancing digitalization in the healthcare sector. In mid-February 2022, the first results of the “digital radar”, which measures digital readiness according to the requirements of the KHZG for hospitals, were published. These results show that the degree to which different institutions have completed their path towards digitalization varies and that different priorities are set. Deploying modern IT systems can simplify processes and administration work, guarantee efficient management, and drive progress as well as development on the path to digital readiness.

    Current challenges in SAP S/4HANA projects in hospitals (with IS-H)

     

    Current challenges for transformation projects in the healthcare sector arise from the shortage of specialists, which is particularly noticeable in specialist departments and IT. This shortage of resources poses hurdles for the staffing of the project, which must compensate for the lack of availability.

    Furthermore, the option of "system conversion" is not available as a transformation path with IS-H/i.s.h.med. Due to statutory maintenance, the IS-H system requires continuous changes and the necessary double maintenance of the project systems requires short project runtimes.

    Another challenge arises from the lack of healthcare-specific content for SAP S/4HANA. For this reason, outdated processes often serve as the starting point.

    It is also important to get all stakeholders on board. IS-H/i.s.h.med users should be affected as little as possible by the introduction of SAP S/4HANA. For this reason, the IS-H-relevant configurations and master data in the new SAP S/4HANA must basically correspond to those of the previous SAP ERP.

    Data migration to SAP S/4HANA is particularly challenging, as access to historical data must be guaranteed for MDK processes and disputes with health insurance companies. The data migration is therefore very extensive and is not a standard case. Furthermore, a close link between IS-H and IS-H-relevant ERP data is necessary.

    As an SAP focus partner for the healthcare sector, Scheer GmbH can provide targeted support to raise the maturity level of digitization to the next level of certification as quickly as possible.

    Scheer awarded as SAP Partner of the Year 2024 in the areas of Healthcare & Higher Education 

     

    As part of the Diamant initiative, SAP evaluates the performance of its partners according to several criteria in various categories. At this year's SAP Partner Info Day, Scheer GmbH was honored for the second time in a row with the Diamant Award as Partner of the Year 2024 in the areas of Healthcare & Higher Education. Scheer was also nominated as a focus partner in the Healthcare & Higher Education sales area. The process experts impressed with the successful and sustainable implementation of countless SAP projects, their in-depth process expertise and the continuous training of their employees.

    Our service portfolio

    Our process and digitalization experts consult and support on topics ranging from digital solutions for your resource management with SAP S/4HANA, integrated and modern cloud solutions for procurement and travel management to the support and operation of your IT-systems, whilst always taking highest security standards for sensitive health and corporate data into account.

    SAP S/4HANA Logo

    Efficient resource processes

    • Commercial accounting
    • Budget management
    • Purchasing and future-proof procurement
    • Human resources
    • Facility management
    • Business analytics

    SAP Logos

    Forward-thinking cloud solutions

    • Integrated and future-proof procurement with SAP Ariba
    • Modern travel management and high-end mobile user experience with SAP Concur
    • Modern, efficient HR – from recruiting to personnel administration – with SAP SuccessFactors

    SAP Logos

    Hosting and support for your systems

    • SAP as the core for digital healthcare

      SAP is the digital core for digitized healthcare, enabling healthcare facilities of all kinds to provide their processes and services in a data-driven and automated manner while remaining audit-proof and compliant with data protection regulations.

      With SAP, you can digitize business processes in accounting, purchasing and procurement, human resources and building management for intelligent resource management at your healthcare facility: from recruiting to personnel planning to billing or from purchase requisitions to goods and invoice receipt to payment or the building management of your facilities and branches and much more on the basis of SAP S/4HANA. Together with your experts and the users of your healthcare facility's business processes, our consultants develop a sensible strategy, a roadmap, to manage the path to digitalization.

      Using preliminary studies or analyses, we find the right transformation scenario for the switch to SAP S/4HANA, examine processes, harmonize and optimize them and support you in the targeted switch, the transformation to SAP S/4HANA - of course with the appropriate operating model; whether in the greenfield, brownfield or bluefield approach, whether using a waterfall model or agile methodology.

       

      Reasons for an SAP-first strategy with regard to the migration to SAP S/4HANA

      SAP-first strategy: Exemplary approach
       

      In this approach with the use of the SAP standard adapter, for example supplemented by the GITG switch, customers benefit from a proven and standardized procedure.

      Do you use i.s.h.med? Then you can continue to use this solution for the time being: The creation of a dual system landscape with an SAP S/4HANA system, in which finance and controlling and materials management processes are already running, and an "old" ECC system with the integrated i.s.h.med solution and familiar functionality. Real-time communication via IDoc ensures the required data exchange.

      Or do you want to avoid duplicate maintenance costs and prefer to set up an optimal system landscape to be equipped for the future? In this case, we recommend using a hybrid landscape: a new SAP S/4HANA in on-premises operation, combined with the SAP Patient Accounting module as a cloud solution to manage patient billing and payment processing.

      These reasons support an S/4HANA-first strategy:

      • SAP grants favorable contract conditions through a "contract conversion", taking into account the old contracts for 2023.
      • In October 2022, SAP announced the end of support for IS-H ("Industry Solution HealthCare"), the industry solution with functionalities for patient and billing management, in 2027 and stated that the previous functionalities in IS-H for patient management and billing would have to be mapped via the HIS of other software manufacturers in future.
      • In addition to the SAP S/4HANA transformation, the challenge now is to find a successor for IS-H.
      • IS-H is very closely linked to the i.s.h.med hospital information system from Oracle Cerner used by many hospitals, effectively forming a complete HIS; this solution is operated on SAP ERP. Oracle Cerner will also discontinue support for the HIS, but will allow maintenance to be extended until 2035 under certain conditions. The Oracle RKT tool integrated in IS-H with feedback to the accounting system for reporting open invoices has also been discontinued.

      Various HIS providers presented possible solutions and their development status at the DSAG Congress in May 2024: The first solutions for the German market will be available at the end of 2024/beginning of 2025. According to the DSAG spokesperson

      Hospitals and clinics are now facing the challenge of introducing a new HIS system alongside parallel projects such as the KHZG. This means high investment costs, ensuring resource availability, a fundamental decision in favor of a cloud strategy or an existing on-premises solution and a well-considered approach to the SAP S/4HANA transformation.

      No matter which path you choose: We support you in your project plans with our many years of experience in SAP implementation and transformation projects coupled with our certification as an SAP Gold Partner, as a proven expert in process optimization and process harmonization and, above all, as an SAP focus partner in the healthcare sector.

    • Digitalize your procurement processes with SAP Ariba

      The SAP Ariba platform is digitally transforming complete procurement processes for simple, intelligent, rule-compliant purchasing in healthcare. Catalog-based purchasing processes are getting smarter for requesters, buyers, and approvers – with increased transparency and control along with lower costs and risks. Standardized processes reduce maverick buying, that is, procurement outside of the established channels. The Ariba Network adds a dynamic digital marketplace for buyers and suppliers as a collaborative, intelligent business network, enabling healthcare facilities to manage the entire purchasing process – from external sourcing to invoice settlement – and control their expenses, to identify new potential for savings, and set up a resilient supply chain.

      Scheer is a long-standing partner for implementing SAP Ariba in public sector institutions and has extensive experience with digitalizing integrated procurement processes. Through numerous successfully executed implementation projects in public sector institutions, medical research facilities, and pharmaceuticals and chemicals companies, we have profound knowledge of the special demands involved in procuring the necessary materials – and we bring this experience to the table to realize your customer-specific requirements for modern procurement management. We’ll give you and your healthcare facilities effective, reliable support for the modernization and digitalization of your purchasing organization, to generate capacities and reliability for your core business.

    • Forward-looking travel management with SAP Concur

      The many individual trips by employees of your facilities will be optimized with SAP Concur for intelligent travel management in digitalized healthcare. The entire process is supported efficiently and transparently: travel planning, booking, approval, and accounting. Simply and even on the go, with the app for business travelers and managers, which improves compliance by integrating internal travel expense guidelines, such as federal and state travel expense regulations. Extensive content from a variety of sources, convenient search options, and a wide range of booking options give digitalized healthcare and its travelers a perfect travel experience, while at the same time cutting costs through the SAP Concur Partner Network (which includes business travel agents). Simplify trip planning and expense accounting for your employees and ensure that all their business travel goes smoothly.

    • Digital, audit-compliant HR with SAP SuccessFactors

      In addition to SAP SuccessFactors, we also provide consulting on the implementation of SAP HXM components. We can handle application support and operations for your SAP HXM solution as well – including at our own data center.

      We support nearly every module of SAP’s Human Capital Management solution in our products. Our experts have been trained in the core functions for payroll accounting (PY), time management (PT), personnel administration (PA), and organizational management (OM), as well as in ESS/MSS, the self-services this on premise HXM solution offers for your employees.

      Do you want to modernize your company's HR activities with SAP SuccessFactors? As a cloud solution, SAP SuccessFactors adapts flexibly to your needs. SAP SuccessFactors optimizes interaction between healthcare facilities and their workforces by focusing on the employee experience. Recruiting employees and retaining existing staff are enormous challenges for public sector institutions. SAP SuccessFactors provides powerful cloud-based solutions for core HR functions plus payroll accounting, talent management (including applicant management, onboarding, and learning), employee experience management (including employee feedback and target agreements), and self services (such as time recording).

      We'll support you in deciding which modules of this HR solution are the best fit for your IT landscape. You can decide whether to implement SAP SuccessFactors from a functional, technical, and commercial perspective.

      If you’re not convinced by the responsiveness and flexibility of the SAP SuccessFactors cloud solution, we can also advise you on enhancements and support for your SAP HXM solution.

    Your expert

    Ein Portrait von Scheer Mitarbeiter Dr. Guido Ehmer

    Dr. Guido Ehmer

    Expert Public, Healthcare, Utilities & Higher Education