Transcript Solution Details

Solution Overview for NIPDECCDAP
July 15, 2005
Agenda
Background
Solution Overview
Solution Details
Review of Implementation Phases
Background
Health Care in Trinidad & Tobago
Multiple levels, regions, and stakeholders
National Health
Care Administration
RHAs
Primary
Health Care
NIPDEC
Doctors
Ministry of Health
Pharmacists
Patients
Chronic Disease Assistance
A complex balance of risk and responsibility
Patient
Doctor
Pharmacist
NIPDEC
Needs & Challenges
Patient records
management
Patient history
Prescriptions
Prescription details
Claim settlement
Compliance with
Pharmacy Laws
Personal medical
history
Approved drug
lists & drug profiles
Patient history
Inventory
management
Claim submission
Drug lists and
profiles
Access to
information and
benefits
Rapid service
Convenient
locations
Meeting Needs
Different users have different needs: not all users are “technical”!
For patients
 solution must be virtually foolproof
 must be durable enough to stand up to normal use
 must not introduce risk of losing data or use components
that cannot withstand every-day handling
For pharmacists
 equipment must be easy to use
 must not require specialized technical skills to
install, maintain, and use on a day-to-day basis
 must be reliable and available at all business hours
Meeting Needs
For NIPDEC administrators
 the central database must securely store information from all
parties (in case of loss, theft or failure at any other point)
 must be easy to produce regular reports for a range of different
uses
 must be able extract information with little or no specialized
training
 must meet future needs with little additional expense
For future
 system must be expandable to include doctors, suppliers, etc.
 must be able to grow to include other national health administration
bodies
The Solution
Solution Vision
Smart Cards
E-Prescription
Point of Sale
Terminals
Tracking software
Solution Overview
Augment existing
inventory system
Link into existing
accounting system and
automate payment
process
Solution Details
Creates new connections
between:
• Primary health care level
and national health
administration
• Patients, pharmacies and
NIPDEC
• Inventory and accounting
systems
• Payments and dispensing
activities
Solution Details: Patients
•Patients will be issued a smart
card
•Prescriptions will be obtained
as usual from doctors
Patients
•Prescriptions will be entered
on smart cards
Health Card
Solution Details: Pharmacies
When smart card is read on
POS terminal:
Health Card
• Patient information is updated
at NIPDEC for more complete
view of patient
• NIPDEC can confirm
medications were dispensed
by the pharmacy
• Amounts dispensed are
recorded at NIPDEC for
settlement of payments
Nipdec Administration
Patient records
Solution Details: NIPDEC
Daily updates into
inventory management
system allows NIPDEC to:
--easily predict reorder
points
Keep track of pharmacy
stock for automatic
reordering
Inventory management
system
--plan deliveries before
stock is depleted at
pharmacies
--confirm delivery
acceptance at pharmacies
Solution Details: NIPDEC
As dispensed prescriptions
are reported by
pharmacies via the
terminals, NIPDEC can:
Accounting System
--automate payments to
pharmacies
--begin to build national
patient database
--begin analysing cost
patterns and drug use
patterns to predict cash
flow and ordering needs for
the future
Patient Data
Completing, verifying and
coordinating payments
Implementation
Software & network
preparation
Envisioning
Work with users at all
levels to identify top
priorities for software
Planning
Work with users at all
levels to develop
specifications
Development
Customize and test
software
Develop deployment plans
Deployment
Maintenance &
Support
Install hardware and
software
Communications
& Information
Governance & Change
management
Develop governance
structure
Define roles and
responsibilities
Interview patients and
potential system users to
identify key information
needs
Identify key metrics and
performance measures
Plan internal and external
communications and
prepare materials
Develop training priorities and
plans
Develop processes for
managing and troubleshooting
Roll out communications
campaign
Train staff as needed
Provide ongoing backups, Monitor user take-up and
usage levels
troubleshooting, and
maintenance services
Collect feedback at all
levels
Monitor key metrics and
performance measures
and refine as needed
Software & network
preparation
Envisioning
Communications
& Information
Work with users at all
levels to identify top
priorities for software
Governance & Change
management
Develop governance
structure
Define roles and
responsibilities
Who is involved?
Technical team will consult with NIPDEC IT staff to:
• Confirm software and hardware needs and establish contact points and
regular communications schedule
• Ensure all understand how solution is to integrate with existing systems
Management consultants will work with NIPDEC business analysts, accounts
staff, administrators to:
•Ensure everyone involved understands the objectives and knows their role
• identify communication needs, strategies, and processes to keep all
informed
Software & network
preparation
Planning
Work with users at all
levels to develop
specifications
Communications
& Information
Interview patients and
potential system users to
identify key information
needs
Governance & Change
management
Identify key metrics and
performance measures
Who is involved?
Technical team will work with NIPDEC IT staff and system users to:
• Define functional requirements for the software and overall solution
• Develop a prototype for initial user testing
Management consultants will work with NIPDEC business analysts, accounts
staff, administrators to:
• Identify processes which may need to change
• Select performance measures and targets to be able to track how system
meets needs
Software & network
preparation
Development
Customize and test
software
Develop deployment plans
Communications
& Information
Plan internal and external
communications and
prepare materials
Governance & Change
management
Develop training priorities and
plans
Develop processes for
managing and troubleshooting
Who is involved?
Technical team will:
• develop software to create patient cards; process prescriptions; route and
summarize claims and inventory movements
• develop software to allow data to be searched and to create reports for
accounting and other administrative uses
Management consultants will work with NIPDEC staff and pharmacy board to:
• develop enrolment documentation and processes for the public
• develop how-to information for pharmacists
• develop communication materials to educate patients
Software & network
preparation
Deployment
Install hardware and
software
Communications
& Information
Roll out communications
campaign
Governance & Change
management
Train staff as needed
Who is involved?
Technical teams will work with NIPDEC IT staff to:
• test applications in the NIPDEC environment and ensure stability
• resolve any defects and deploy terminals to pharmacies
• train system administrators and operations staff to manage and run the new
components
Management consultants will work with NIPDEC staff and pharmacy board to:
• Ensure the public and pharmacy users understand the services and benefits
• enroll patients and train pharmacists on using terminals
Software & network
preparation
Maintenance &
Support
Communications
& Information
Provide ongoing backups, Monitor user take-up and
usage levels
troubleshooting, and
maintenance services
Collect feedback at all
levels
Governance & Change
management
Monitor key metrics and
performance measures
and refine as needed
Who is involved?
Technical team will conduct phased handover to NIPDEC operations and
administrative staff
Management consultants will perform follow-up review to ensure reporting
and information generated by the system is meeting needs
Planning for next phase can begin based on experience from first phase