NSW Implementation 2008 PPM User Conference David Perabo, Clinical Costing Manager State Based Build

NSW ImplementationNSW Implementation

2008 PPM User Conference2008 PPM User Conference

David Perabo, David Perabo, Clinical Costing ManagerClinical Costing Manager

State Based BuildState Based Build

Slide 2 PowerHealth Solutions 2008 Conference

AgendaAgenda

1.1.History History

2.2.ProcessProcess

3.3.MethodologyMethodology

4.4.StandardisationStandardisation

5.5.QuestionsQuestions


NSW Area Health Services


HistoryHistory

1990’s1990’s TrendstarTrendstar

20002000 Statewide Solution startedStatewide Solution started

20012001 Development of Statewide Development of Statewide Tender (Bearing Point)Tender (Bearing Point)

20022002 Tender Revised (Fujitsu)Tender Revised (Fujitsu)

20032003 3 AHS’s proceed alone3 AHS’s proceed alone

20062006 Tender Revised Tender Revised (Deliottes)(Deliottes)


HistoryHistory

2007 2007

SWAHS release Statewide PCS SWAHS release Statewide PCS RFT RFT

Clinical Costing Standards Clinical Costing Standards DevelopmentDevelopment

State Based Build DevelopmentState Based Build Development


Critical Issues

Lack of commitment to Clinical Costing

Delays in Hardware Procurement

Development of a State Based Build MDS

Understanding of PPM Modules General Ledger Set-upETVLPatient Cost AllocationReport Layer Build


ETVL / Extract MDS

Data Junction mappingsHow to maintain Data Integrity across an AHS

Does the Area use an area-wide MRN?

What Validation Rules to apply

Link and Loading RulesLinking timelines (hours/days)Create NAPOOS for unlinked records


ETVL / Extract MDS

Need to develop SBB extracts to standardise ETVL

Different Source Information Systems

No uniform dataset/extract

Survey of all AHS revealedSurvey of all AHS revealedLack of State-wide Clinical System standards, Lack of State-wide Clinical System standards, with the exception of PAS and Pharmacywith the exception of PAS and Pharmacy

Information management naming conventionsInformation management naming conventions

HIE & Data management standards and business HIE & Data management standards and business practicespractices

Some Areas lack clinical feeder system capability Some Areas lack clinical feeder system capability to support detailed patient level costingto support detailed patient level costing

Confusion about the impacts of eMR on information Confusion about the impacts of eMR on information availability.availability.


General Ledger

Issues less complex due to existing SCOA standards, however:

GL processing required to meet multiple reporting requirements

Cost Centre Definitions

Account Code Definitions

Allocation Statistics

Reclass Rules


State Based COA Setup

AccAcc_Code Desc Account Rollup 1

Account Rollup 2 Cost Input Cost Output 1 Cost Output 2

% Fixed

E 15000Payments to VMOs

Payments to VMOs

Payments to VMO's

Payments to VMOs

Payments to VMOs

Payments to VMOs 100

E 15010Payments to VMOs - FFS

Payments to VMOs - FFS

Payments to VMO's



Payments to VMOs - FFS 100

E 15020Payments to VMOs - Rural

Payments to VMOs - Rural

Payments to VMO's



Payments to VMOs - Rural 100

E 15030Payments to VMOs - Sess

Payments to VMOs - Sess

Payments to VMO's



Payments to VMOs - Sess 100

E 21000 Drugs DrugsGoods and Services Drugs Drugs Drugs 100

E 21010Drugs - Medical Gases

Drugs - Medical Gases

Goods and Services



Drugs - Medical Gases 100

E 21020 Drugs DrugsGoods and Services Drugs Drugs Drugs 100

E 22000Med & Surg Supplies

Med & Surg Supplies

Goods and Services

Med & Surg Supplies

Med & Surg Supplies

Med & Surg Supplies 100

E 22010 Imaging ImagingGoods and Services Imaging Imaging Imaging 100

E 22020 Imaging ImagingGoods and Services Imaging Imaging Imaging 100

E 22030 Pathology PathologyGoods and Services Pathology Pathology Pathology 100

E 22040 Prostheses ProsthesesGoods and Services Prostheses Prostheses Prostheses 100

E 22050 Special Services Special ServicesGoods and Services Special Services Special Services Special Services 100


General Ledger

There was a lack of consistency in the sourcing of financial data used in costing:

Some AHS extract financial data from the Health Information Exchange (HIE) into costing softwareSome AHS extract financial data from Oracle into costing softwareSome AHS extract financial data from Oracle into Excel for upload into cost modelling software

The State Based Build project will establish a State-wide standard for the extraction of financial data, from the NSW data warehouse used as the source of financial data.


General Ledger - Reclass Rules

Program Fractions

Creation NHEC reporting entities

S&W adjustments

Cost Offsets/Exclusions

Source feeder system account

rollups

Teaching & Research


Patient Cost Allocation

Service Code DefinitionDefinition of service codes used for Patient Care Areas

Weight selection for Service CodesArea Mapping – Cost Output weight selection

PPM ImplementationPPM Implementation

David Perabo, David Perabo, Clinical Costing ManagerClinical Costing Manager

Rural Health IssuesRural Health Issues

2008 PPM User Conference2008 PPM User Conference


Greater Western AHS


Additional Complexities

Small Facilities many Multi-Purpose Services

Absence of Source Feeder Systems

Cost Centres providing multi-purpose functions


Questions

David PeraboDavid PeraboClinical Costing ManagerClinical Costing Manager

Documents

NSW Implementation 2008 PPM User Conference David Perabo, Clinical Costing Manager State Based Build