National Enrolment Service (NES) Overview October 2015 – June 2016.

Slides:



Advertisements
Similar presentations
ASYCUDA Overview … a summary of the objectives of ASYCUDA implementation projects and features of the software for the Customs computer system.
Advertisements

System Implementation and Support
Develop an Information Strategy Plan
State of Indiana Business One Stop (BOS) Program Roadmap Updated June 6, 2013 RFI ATTACHMENT D.
CareCentrix Direct Training.
IGrafx – General Terms of Use. Trial Software Licenses For test purposes only Not for normal business use Training based on the trial software is also.
Albany ePAY online overview
Review the Effectiveness of Timetabling/Register Amendment Procedures Maureen Patton.
Click a NOTUS Suite- product for a short description NOTUS REGIONAL NOTUS Regional helps regions perform the tasks related to the reimbursement of providers.
July 11 - September FFIEC Central Data Repository Bank Enrollment.
GAI Proprietary Information
Project Update : Claims/Clinical Linkage Project MHDO Board of Directors June 6, 2013.
Georgia Medicaid EHR Incentive Program: Attestations, Documentation and Monitoring Presentation to: Eligible Professionals and Eligible Hospitals Presented.
Lecture 2b: Software Project Management CSCI102 - Introduction to Information Technology B ITCS905 - Fundamentals of Information Technology.
Online Access Request Process June 20, 2007 University of Michigan Administrative Information Services Online Access Request Process Amie Robison Presented.
Our Focus On Benefits Realisation >> Delivering Accelerated and Sustainable Business Benefits An introduction to our Project Definition & Benefits Templates.
1 Data Strategy Overview Keith Wilson Session 15.
Electronic EDI e-EDI. The EDI has been in use since 1999 using a paper-based system and computerized spreadsheets to collect and manage EDI data. Over.
LOGO MIRJANA SEKULOVSKA, PhD, DEPUTY MINISTER OF INFORMATION SOCIETY Republic of Macedonia Ministry of Information Society.
Release & Deployment ITIL Version 3
June 12, 2015 ICD-10 Update for Maine Child Health Improvement Partnership (ME CHIP)
© 2010 Plexent – All rights reserved. 1 Change –The addition, modification or removal of approved, supported or baselined CIs Request for Change –Record.
Challenges Faced in Developing Audit Plans and Programs 21 st March, 2013.
Solution Overview for NIPDEC- CDAP July 15, 2005.
Series 1: Meaningful Use for Behavioral Health Providers From the CIHS Video Series “Ten Minutes at a Time” Module 2: The Role of the Certified Complete.
Introduction to ISO New and modified requirements.
© 2003 East Collaborative e ast COLLABORATIVE ® eC SoftwareProducts TrackeCHealth.
The Auditing Process: Lessons Learned Florida’s Medicaid EHR Incentive Program July 23, 2015.
- 1 - Roadmap to Re-aligning the Customer Master with Oracle's TCA Northern California OAUG March 7, 2005.
James Aiello PricewaterhouseCoopers Africa Utility Week 06 International Good Practice in Procurement.
1 Patient Access Management Leveraging Best Practices.
National Infrastructure Tina Yule Technical Assurance Co-ordinator 21 st Century Government Unit.
CHILDREN, YOUTH AND WOMEN’S HEALTH SERVICE New Executive Leadership Team 15 December 2004 Ms Heather Gray Chief Executive.
Technology Planning. Primary Elements Stakeholders Leadership team Needs assessment Technology components Work plan Budget Policies Evaluation.
Children Youth & Women’s Health Service Functional Audit Project July 2005.
Longitudinal Coordination of Care (LCC) Pilots Proposal CCITI NY 01/27/2014.
Certification and Accreditation CS Phase-1: Definition Atif Sultanuddin Raja Chawat Raja Chawat.
How Can NRCS Clients Use the Conservation Client Gateway
Calculating Quality Reporting Service – an introduction Chris Brown CQRS Design, Build and Test Project Manager 05 September 2012.
NES Implementation Update PSAAP 30 April 2015 Andrew Inder Page 1.
U.S. Department of Agriculture eGovernment Program July 15, 2003 eAuthentication Initiative Pre-Implementation Status eGovernment Program.
Incident Management PCCYFS June 27, 2007 Incident Management for the Office of Children, Youth and Families.
FQHC Look-Alike Registration for Implementation of Electronic Information Systems June 16, 2010 Twyla Adams, MHS, Branch Chief Anil Bommakanti, Consultant.
1 Local Readiness Team Lead Kick-Off Meeting May 16, 2007.
October 14,  Benefit Year Earnings (BYE): Root Causes Identified:  Agency Causes  Failure to properly investigate earnings in a timely manner.
OLDC Version 3.0 October 18, How to Connect (Telephone Conference) The Deployment Teleconference consists of a telephone conference and a Bridgit.
Unit 8.2: Effective Implementation Planning HIT Implementation Planning for Quality and Safety Component 12/Unit 81 Health IT Workforce Curriculum Version.
United Nations Oslo City Group on Energy Statistics OG7, Helsinki, Finland October 2012 ESCM Chapter 8: Data Quality and Meta Data 1.
Request for Service (RFS) Process and Metrics Update June 24, 2008.
CTRP User Call May 1, 2013 Gene Kraus CTRP Program Director.
Operational and Postimplementation
1 Efficient- Flexible- Cost Effective. 2 The key is to ensure that your clients have a positive experience remotely irrespective of the process you wish.
U.S. Department of Agriculture eGovernment Program Smart Choice Pre-Select Phase Transition September 2002.
Installation and Maintenance of Health IT Systems Unit 8a Troubleshooting; Maintenance and Upgrades; and Interaction with Vendors, Developers, and Users.
ESSB 6656 Overview and Scope of the Select Committee on Quality Improvement in State Hospitals April 29, 2016 Kevin Black, Senate Committee Services Andy.
Provider Information Request (PIR) Staff Data Collection.
SUPPORTING PEOPLE PROVIDER FORUMS An overview of Supporting People’s new approach to Performance Monitoring and Quality Assurance.
Care Act policy principles: – We will meet our duties – We will promote a whole family approach – We will act fairly – We will be clear and open – We will.
IIS Project and Contact Management Systems (CMS): An Efficient Comprehensive Management Approach to IIS Recruitment, Training and EHR Integration IIS Community.
V April 2016 Training Guide 1 NOTE: All screen shots from Communicare indicate PCEHR. Any reference to the PCEHR or the My Health Record within this.
Joint Contracting and Accreditation Process Nottingham City Council and NHS Nottingham City CCG.
Welcome. Contents: 1.Organization’s Policies & Procedure 2.Internal Controls 3.Manager’s Financial Role 4.Procurement Process 5.Monthly Financial Report.
Clinical Decision Support Implementation Victoria Ferguson, COO - Program Manager Christopher Taylor, CIO – Business Owner Monica Kaileh, CMIO – Steering.
1 Peralta Community Colleges District January 27, 2009.
NATE Blue Button Directory Detailed overview
How Can NRCS Clients Use the Conservation Client Gateway
Description of Revision
ProZorro : Innovations in Digital Ex-Ante Monitoring Tools for Public Procurement in Ukraine Eliza Niewiadomska
Gainful Employment Financial Aid - Subject Matter Experts Karen Britt Statler Brandi J. Massey Curriculum - Subject Matter Experts Sonya Bartley Kristina.
Project Certification Planning Phase August 27, 2014
Presentation transcript:

National Enrolment Service (NES) Overview October 2015 – June 2016

Introduction IT – Key Enabler of more integrated health service provision. What is the National Enrolment Service (NES) ? How NES will help PHOs and General Practice What your PHOs role is with NES implementation NES Components NES is Not……

IT Development - Key Enabler of More Integrated Primary Care Services The Primary Health Care sector is facing the twin challenges of managing day to day acute demand and ensuring appropriate services are allocated to the management of high needs patients. The critical elements in overcoming this challenge is a continued focus on integration, clinically led performance improvement and the move toward more modern models of care. IT infrastructure and development has a key role in supporting the adoption of more modern models of care and improving sector integration. A number of IT initiatives are beginning to be implemented from 1 July 2015, these are seen to be key enablers of integrated primary health services; providing accurate, timely and integrated health service provision. The NES is a new IT initiative that will enable PHOs and General Practice to achieve more accurate, integrated, real time information on patient enrolment, eligibility, and identity.

What is the National Enrolment Service? (NES) ‘The NES will be a single source of truth for all national enrolment data.’ What this means…… NES will provide the capability to support practices by assisting in patient identification. NES will integrate directly with the Practice Management Systems via a secure web-based service that links to Ministry of Health national identity and enrolment systems, providing relevant data for payment and reporting purposes. Enrolment and identity data will be updated in NES on a daily basis, allowing a real time view of national enrolment data.

How NES will help PHOs and General Practice A monthly ‘snapshot’ of the NES data will produce information on identity, and enrolment to allow for CBF payment allocation on a monthly basis. The current quarterly process is inefficient, processes are duplicated and prone to error. ………This leads to inaccuracies in the allocation of funding and creates a financial risk for practices and PHOs. NES will see the end of the inefficient retrospective quarterly submission of enrolment registers, allowing CBF funding to be more accurately allocated on a monthly basis to PHOs.

In Summary the Benefits of NES are: A centralised register with real time patient enrolment status enabling more timely payment calculation for enrolled patients, Single source of truth for enrolment data to ensure accuracy of Capitation Based Funding calculations, Validated NHI and up to date patient demographics, supporting accurate identification of patients and clinical safety, Validated addresses using e-SAM service, supporting accurate Geocoding and assignment of deprivation-based funding,

NES Benefits….. Processing and payment cycle reduced from 3 months to 1 month Amended enrolment business rules, due to real time enrolment and more timely funding of patients Web services integration with PMSs, creating a seamless experience for the user when interacting with national services

What your PHOs role is with NES implementation. PHOs will need to provide comprehensive support to each of their general practices to assist with the preparation for NES over the six month transition period. There are 5 Important steps for NES Set Up…… 1) Data Cleansing up until 1 January this includes; - HPI Organisation IDs (both at PHO and General Practice level) - missing or incorrect NHIs by practice - Success and failure reports within NES Note: PHOs will receive these reports securely. It will be encouraged that PHOs use these reports to support individual practices to clean their data before NES is used for payment and reporting purposes. Instructions will be sent along with these reports on what specific action needs to be undertaken for each.

What your PHOs role is with NES implementation. NES Set up….. 2) All practices will need their PMS version to be upgraded with the capability to integrate with NES web services, including Enrolment and Identity. Practices will be notified by their software vendors when this is ready for installation, along with release notes. 3) Practices need to have access to Connected Health if they do not already. PHOs will need to undertake a stocktake of their practices to establish which are not signed up to Connected Health. 4) All Practices are required to have an HPI Organisation ID for NES. This will be checked during the HPI mapping process. In cases where new codes are required: a) Requests for HPI Org Ids - b) If PHOs contract directly with Individual Providers - CBF payment separate to practices, a unique identifier within NES is required. Health Provider Index Common Person Number (CPNs). These are assigned to all health practitioners via Registration Authority (RA).

What your PHOs role is with NES Implementation. NES Set up…. 5) Users in a practice need to be set up with their own user name and password as well as the appropriate level of training. Note : More information on this will be provided closer to the roll out. It is strongly encouraged that PHOs ensure these 5 important steps are carried out over the next 6 months, to ensure an effective transition to NES. As a PHO Champion, you will act as a consistent point of liaison and communication for this new service.

Health Identity. Practice PMS systems will now allow users to access and maintain patient information directly in the NHI system. National identifiers for patients and providers are fundamental to national solutions, including enrolment. High quality NHI and HPI data supports efficient and accurate payment to practices for population-funded activity. These will allow new efficiencies for practices – instead of having to look up or phone the contact centre, users will be able to directly search, update and add new patients in the NHI through their PMS. The roll-out of NES functionality will be carried out in tranches to ensure PHOs have enough time to adequately train staff so that all users feel comfortable before the active transition to NES. The Ministry will be releasing training material and providing support to PHOs on an ongoing basis during this phase.

Next steps The current quarterly process will continue until adequate testing has been done to confirm we have achieved specific quality targets for use and accuracy. We are beginning data cleansing and will plan production testing to validate NES functionality and workflow in parallel with current CBF register processing. Note that acceptance for final cutover/go-live July 2016 will be in conjunction with agreement from PSAAP and consultation with PHOs.