Can we plan for the future instead of obsolescence, please

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2. Hi Everybody. My name is Jill Marcus and I�m a Senior Policy Analyst for the Casemix Policy Unit, NSW Department of Health. I�ve spent the best part of the last 5 years learning about Sub-Acute and Non-Acute patient casemix data, how we deal with data for SNAP costing and funding processes and trying to find better ways to do it. Hi Everybody. My name is Jill Marcus and I�m a Senior Policy Analyst for the Casemix Policy Unit, NSW Department of Health. I�ve spent the best part of the last 5 years learning about Sub-Acute and Non-Acute patient casemix data, how we deal with data for SNAP costing and funding processes and trying to find better ways to do it.

3. Hi Everybody. My name is Jill Marcus and I�m a Senior Policy Analyst for the Casemix Policy Unit, NSW Department of Health. I�ve spent the best part of the last 5 years learning about Sub-Acute and Non-Acute patient casemix data, how we deal with data for SNAP costing and funding processes and trying to find better ways to do it. Hi Everybody. My name is Jill Marcus and I�m a Senior Policy Analyst for the Casemix Policy Unit, NSW Department of Health. I�ve spent the best part of the last 5 years learning about Sub-Acute and Non-Acute patient casemix data, how we deal with data for SNAP costing and funding processes and trying to find better ways to do it.

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5. It seemed like a good idea at the time� Entrenched & moribund data collection Expensive dependency on third party vendors It�s the 21st Century, it should be easier!

6. It was a great idea� Change is good Update of the technology used Buzzwords: robust, flexible, intuitive

7. From SNAPshot to Synaptix Sub-Acute & Non-Acute Patient casemix and activity data Road to Damascus Catharsis � change Reliability, veracity and simplicity

9. In the beginning�� Need for SNAP Casemix classification Australian National Sub-Acute & Non-Acute Patient (AN-SNAP) Classification Temporary system, SNAPshot In the beginning, the need for a SNAP classification was identified and agreed. Hence the AN-SNAP classification system. And SNAPshotIn the beginning, the need for a SNAP classification was identified and agreed. Hence the AN-SNAP classification system. And SNAPshot

10. SNAP Casemix Classification DRG - Focus on Acute patient activity Inadequate tools for classification of sub and non-acute care Poor analysis of drivers and benchmarks Patient & goal of intervention 5 case types � Palliative care, rehabilitation, psycho-geriatric, GEM and maintenance

11. Still using SNAPshot Temporary system Used by most sites still

12. Why Change? Review of Information and Operational needs (SPAG) Main issues Information technology Quality and reliability Duplication of effort

13. How can we make it happen? Options analysis completed Do nothing Modify enterprise systems Develop new system Business Requirements created and sent to vendors Proposals submitted

14. What do we want? Key System Elements Interoperability Single database with application deployed via Citrix or the web; Ongoing system development and metadata management Reports

15. Expected Benefits / Goals Improve data quality Extract patient information from PAS Reduce manual data entry burden on staff Be easy to use Ownership of the statewide data collection tool Superior Security and auditing Maintaining and upgrading managed internally

16. Evolution and change Why Synaptix

17. Metadata Modeller Traditional applications use program code to define what�s in it, how it works and what comes out Costly and time consuming Metadata - the agent of change Structured around groups, threads, archetypes and domain values Data items, reports and rules are saved as bits of information

18. How it works Sorry Browser interface reads the subject model Determines the behavior of the application Subject matter free - clinical knowledge embedded in the model No need to enhance or modify the application. Reduces the cost, quick and easy to implement.

19. And so on�� Focus of the tool / application is on SNAP casemix data SNAPshot to broad a tool creating conflicting priorities in product development Improve the profile of SNAP data and SNAP Funding Models Forces improvement in the quality of the data and its use We use the technology available to improve the user�s experience We can expand and transform when requirements change

20. And so on�� Core business requirements The business need triggers change in the system not the other way around No need for big bucks or even big brains to change Peace and tranquility achieved Well, almost

21. Synaptix Demonstration Short break to swap to my laptop. Thank you for your patience.