solution overview for nipdec- cdap july 15, 2005
TRANSCRIPT
Solution Overview for NIPDEC-CDAP
July 15, 2005
AgendaAgenda
BackgroundSolution OverviewSolution DetailsReview of Implementation Phases
BackgroundBackground
Health Care in Trinidad & TobagoHealth Care in Trinidad & Tobago
Multiple levels, regions, and stakeholders
Patients
Pharmacists
RHAs
Doctors
NIPDEC Ministry of Health
Primary Primary Health Health CareCare
National Health National Health Care Care AdministrationAdministration
Chronic Disease AssistanceChronic Disease Assistance
A complex balance of risk and responsibility
Patient
Pharmacist
NIPDEC
Doctor
Patient records management
Claim settlement
Approved drug lists & drug profiles
Patient history
Inventory management
Patient history
Prescription details
Compliance with Pharmacy Laws
Claim submission
Drug lists and profiles
Prescriptions
Personal medical history
Access to information and benefits
Rapid service
Convenient locations
Needs & ChallengesNeeds & Challenges
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
Meeting NeedsMeeting Needs
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 NeedsMeeting 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 SolutionThe Solution
Solution VisionSolution Vision
E-PrescriptionE-PrescriptionSmart CardsSmart Cards
Tracking softwareTracking software
Point of Sale Point of Sale TerminalsTerminals
Solution OverviewSolution Overview
Augment existing Augment existing inventory systeminventory system
Link into existing Link into existing accounting system and accounting system and automate payment automate payment processprocess
Solution DetailsSolution Details
Creates new Creates new connections between:connections between:
• Primary health care Primary health care level and national level and national health administrationhealth administration
• Patients, pharmacies Patients, pharmacies and NIPDECand NIPDEC
• Inventory and Inventory and accounting systemsaccounting systems
• Payments and Payments and dispensing activitiesdispensing activities
Solution Details: PatientsSolution Details: Patients
•Patients will be issued a Patients will be issued a smart cardsmart card
•Prescriptions will be Prescriptions will be obtained as usual from obtained as usual from doctorsdoctors
•Prescriptions will be Prescriptions will be entered on smart cardsentered on smart cards
Patients
Health Card
Solution Details: PharmaciesSolution Details: Pharmacies
When smart card is read When smart card is read on POS terminal:on POS terminal:
• Patient information is Patient information is updated at NIPDEC for updated at NIPDEC for more complete view of more complete view of patientpatient
• NIPDEC can confirm NIPDEC can confirm medications were medications were dispensed by the dispensed by the pharmacypharmacy
• Amounts dispensed are Amounts dispensed are recorded at NIPDEC for recorded at NIPDEC for settlement of paymentssettlement of payments
Health Card
Nipdec Administration
Patient records
Solution Details: NIPDECSolution Details: NIPDEC
Daily updates into Daily updates into inventory management inventory management system allows NIPDEC system allows NIPDEC to: to:
--easily predict reorder --easily predict reorder pointspoints
Keep track of pharmacy Keep track of pharmacy stock for automatic stock for automatic reorderingreordering
--plan deliveries before --plan deliveries before stock is depleted at stock is depleted at pharmaciespharmacies
--confirm delivery --confirm delivery acceptance at acceptance at pharmaciespharmacies
Inventory management system
Solution Details: NIPDECSolution Details: NIPDEC
Accounting System
As dispensed As dispensed prescriptions are prescriptions are reported by pharmacies reported by pharmacies via the terminals, via the terminals, NIPDEC can: NIPDEC can:
--automate payments to --automate payments to pharmaciespharmacies
--begin to build national --begin to build national patient databasepatient database
--begin analysing cost --begin analysing cost patterns and drug use patterns and drug use patterns to predict cash patterns to predict cash flow and ordering needs flow and ordering needs for the futurefor the future
Completing, verifying and coordinating payments
Patient Data
ImplementationImplementation
Envisioning
Planning
Development
Deployment
Maintenance & Support
Software & network preparation
Communications & Information
Governance & Change management
Develop governance structure
Define roles and responsibilities
Identify key metrics and performance measures
Plan internal and external communications and prepare materials
Roll out communications campaign
Monitor user take-up and usage levels
Collect feedback at all levels
Develop training priorities and plansDevelop processes for managing and troubleshooting
Monitor key metrics and performance measures and refine as needed
Customize and test software
Develop deployment plans
Train staff as needed
Work with users at all levels to develop specifications
Work with users at all levels to identify top priorities for software
Install hardware and software
Provide ongoing backups, troubleshooting, and maintenance services
Interview patients and potential system users to identify key information needs
Envisioning
Communications & Information
Governance & Change management
Develop governance structure
Define roles and responsibilities
Work with users at all levels to identify top priorities for software
Software & network preparation
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
Planning
Communications & Information
Governance & Change management
Identify key metrics and performance measures
Work with users at all levels to develop specifications
Interview patients and potential system users to identify key information needs
Software & network preparation
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
Development
Communications & Information
Governance & Change management
Plan internal and external communications and prepare materials
Develop training priorities and plansDevelop processes for managing and troubleshooting
Customize and test software
Develop deployment plans
Software & network preparation
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
Deployment
Communications & Information
Governance & Change management
Roll out communications campaign
Train staff as neededInstall hardware and software
Software & network preparation
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
Maintenance & Support
Monitor user take-up and usage levels
Collect feedback at all levels
Monitor key metrics and performance measures and refine as needed
Provide ongoing backups, troubleshooting, and maintenance services
Communications & Information
Governance & Change management
Software & network preparation
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