Solution Overview for NIPDEC- CDAP July 15, 2005.

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



Develop governance structure

Define roles and responsibilities

Work with users at all levels to identify top priorities for software


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



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


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



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


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



Roll out communications campaign

Train staff as neededInstall hardware and software


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




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

Solution Overview for NIPDEC- CDAP July 15, 2005.

Documents

Transcript of Solution Overview for NIPDEC- CDAP July 15, 2005.