1 / 19

Susan Dunn, Manager, ABF Workstreams Michael McDaid , Non Admitted Project Manager NSW ABF Taskforce May 2013

Non-Admitted Patient Level data Collection in NSW. Susan Dunn, Manager, ABF Workstreams Michael McDaid , Non Admitted Project Manager NSW ABF Taskforce May 2013. Current Environment in NSW . Mismatch between activity and costing (can’t cost if you can’t count them)

nardo
Download Presentation

Susan Dunn, Manager, ABF Workstreams Michael McDaid , Non Admitted Project Manager NSW ABF Taskforce May 2013

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Non-Admitted Patient Level data Collection in NSW Susan Dunn, Manager, ABF Workstreams Michael McDaid, Non Admitted Project Manager NSW ABF Taskforce May 2013

  2. Current Environment in NSW • Mismatch between activity and costing (can’t cost if you can’t count them) • OOS to SE – relationship unclear (not transparent – LHD unable to unbundle) • Outdated policy directives and business rules • Obstacles to collection of patient level data: • Patient level data not required before – underinvestment • missing data due to lack of resources or reluctance to impact clinician time • lack of system extracts • many small clinical ‘off the shelf’ systems

  3. Coverage - NAPOOS • Risks Payment from Administrator is at Risk 37% 6%

  4. Current Data Collection Coverage $2 Billion State Data Respositiory (WebNAP) Unknown Unknown Known Unknown Known Systems not in WebNAP (eg ISOH) Patient Level Data 37%

  5. Motivation to improve Non Admitted data • IHPA Non admitted Commandments (or is that Compendium!) • NWAUs at Service Event levels • Tier 2 clinic based on service unit • As System manager NSW is working blind • Minimal patient level data • Inability to run Non admitted costing • Interpretation of Guidelines • Struggle between classification guidance and policy decisions • Use of PHE • OOS to SE algorithm

  6. Key Challenge Service Event Concept Alien to clinicians Issue with immaturity of Tier 2 Clinic classification Complex/non Complex

  7. Key Challenge OOS to SE bundling Service Event 20.47 Rehabilitation Service Type 90 –Rehabilitation Provider type 13 – Medical Surgical Specialist Service Event 20.47 Rehabilitation Both receive NWAU = 0.0688

  8. Project Approach

  9. Project Approach - Communication • Aim: coverage and consistency • Senior Executive support • Demonstrated extent of issue at LHD level • Engage with key working groups • ABF Non Admitted Working Group (NAWG) members • NAPP PCG • Workshops aimed at NAP Coordinators, IT & ABF staff • LHD Roadshows to Executive, Clinical Managers, Data Managers, Clinicians

  10. Project Approach- Roadshow & Workshop Content • General Non admitted & ABF Education • Review of updated Policy, Business rules etc • Explanation of Tier 2 classification and linkage • Engage clinicians, technical and admin staff via a redesign process to identify and prioritise NA issues at the LHD • to identify LHD specific issues • to design solutions solutions and quick wins • building of a local implementation plan, risk register and business case

  11. Summary - Roadshow and Workshop Follow Up • Ministry’s role to be visible and available throughout the change process • Coordination of state-wide initiatives • Ongoing communication and guidance • follow up video conferences and visits • NAP project emails • all issues logged • solutions sheets with recommendations • Enabling of implementation plans • Populate a state plan

  12. Challenges arising from Roadshows and Workshops

  13. Challenges 5 Themes 150 issues logged during consultation • Data Collection • Data Extraction • Data Reporting • Resources • Change Management

  14. Solutions

  15. Possible Solutions • Exploring innovative methods of data collection • Bar code solutions, eMR • Extract Development • Review Core, constant, divergent systems • State co-ordination and negotiation • Train Local builders • State wide ABF Management tools to make reported data transparent and meaningful (eg SE unbundling) • Focused communication and ongoing education • Business Process Redesign

  16. Home Delivered Services • Patient level for each patient administrated service • Unwilling to put this burden of data collection onto clinical staff • Met with Renal Network, Renal Dialysis Network and individual stakeholders to out line issue and to discuss proposed solution • Gained support and commitment to work with the solution • Design phase has now commenced on a reporting solution based on prescription, census and leave option

  17. Evaluation Phase 1

  18. “Good day, topics flowed well. Very interactive” “Face to face opportunity to discuss NAP issues is much appreciated” “I now understand what I need to do, but I don’t know how to cost it” “It would be preferable to have a Statewide extract approach ” “more information on Community Health” “We need more sessions like this one” “Susan spoke to Fast”

  19. Questions?

More Related