Department of Health Library Services ePublications - Historical Collection
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To apply preservation treatments, including digitisation, to a high value and vulnerable Historical collection of items held in the Darwin and Alice Springs libraries so that the items may be accessed without causing further damage to the original items and provide accessibility for stakeholders.
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Please note: this document is part of the Historical Collection and the information contained within may be out of date.
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Northern Territory Department of Health Library Services Historical Collection
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Your guide to news on Information Manage
Systems Technology Projects.
ORI ONS September & October 1997 - Edition No. 14
Special Information Bulletin for reporting on the Information Management and Information Systems Technology Projects
I N S I I > E
Coordinated Care Trials ... Pg 3 & 4 Clinical Initiatives ...•..•... Pg 5 Hospital Updates ...•...••..•....•... Pg 6 Australian Allied Health
Classification Systems -Version 1 ..•... Pg 7 HIMMA 18'h National Conference ...•.... Pg 8 Education ... Pg 9 & 10 OOS DACS VACS QACS ... Pg 10 Coding Updates ... Pg 11 CCTIS Operational Reporting
Update ...•... Pg 12 Marketing ...•... Pg 12
FRONT COVER:
Jewel Bennett, Information Privacy Officer, Peter Plummer, CEO of
Territory Health Services and Justine McCarthy, Information
Privacy Education Officer.
The official Launch of the Territory Health Services Information Privacy Code of Conduct took place on Friday 14
November. The Code is a public statement of our policy and our commitment to the strictest standards of privacy and confidentiality. It provides
clear guidelines on what is acceptable and what is not when dealing with the sensitive and privileged information held
byTHS.
For more information contact, JEWEL BENNETT, INFORMATION PRIVACY OFFICER -TELEPHONE 89 992 592.
COORDINATED CARE TRIALS
Where are we at? Jenny Cleary, Project Manager gives an update of the project. ... ... Page 3
CLINICAL INITIATIVES
Updates on Discharge Summaries, Morbidity Coding Audits, National Quality Indicators and Episodes of Care ...
Page 5HOSPITAL UPDATES
Tennant Creek Hospital, Katherine Hospital and Alice Springs Hospital give an update of what's been happening in these smaller
hospitals ... ... ... ... ... Page 6
AUSTRALIAN ALLIED HEALTH CLASSIFICATION SYSTEM -
VERSION ONE
A description of the development of a standard activity classification ... .... Page 7
HIMMA 18TH NATIONAL CONFERENCE
Janine Cassidy reports on the National
Conference ... .. ... ... .... Page 8 )
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COORDINATED CARE TRIALS
WHERE ARE WE AT?
BACKGROUND
As readers will be aware, THS has been developing Coordinated Care Trials for the Tiwi islands and the remote western area of the Katherine District. Both trials have been intensively developed over the past six months or so, following the Commonwealth's approval to go ahead.
The three major concepts to be uniquely combined in each trial are:
( The formation of a flexible funding pool consisting ofTHS and Commonwealth funding
2. Use of the flexible funding pool by an area health board to purchase health services for the trial population
3. Coordination of care, based on newly developed standard care plans which are soon to be installed in the computer information system, for the whole population
PROGRESS ON THE TIWI TRIAL
The "live" phase is set to commence around the end on November and will involve phasing in of care coordination and purchasing.
Most services for the Tiwi will remain as is for a (_ iile which will enable the Tiwi Health Board to get
a feel for the breadth and depth of their task.
The Tiwi Health Board has completed its training needs analysis, and has commenced a six month intensive training period, involving one to three day workshops on a monthly basis. These workshops are focusing on health and culture; health of the Tiwi people; health services and health management. THS staff are providing most of the training, under the coordination of the Tiwi Training Authority. The Tiwi Health Board has already targeted improvements in environmental health, nutrition and mental health as areas for which its leadership will be crucial.
The Tiwi trial project team, chaired by Brian Lynch and consisting of Darwin Rural management team members, Tiwi Health Board representation, Operations North Executive members and project staff, meet weekly to implement the enormous but exciting changes.
The consent process, whereby all Tiwi residents will be invited to release their health information for purposes of the trial, is underway. A video has been produced, directed by Bernard Tipiloura to enable information sharing about the trial. Local health staff aided by Liz McDonald, Tiwi Trial project officer
ar~
carrying out this lengthy task. '
PROGRESS ON THE KA THERINE WEST TRIAL
The agreement between THS and the Commonwealth to develop this trial was signed in early November 1997. The development has been proceeding, albeit on a shoe-string budget since Minister Wooldridge gave his approval for the trial in June 1997.
The Katherine West Remote Health Board is chaired by Helen Morris, Senior AHW at Daguragu and has become a very strong advocate for improved health services in the area. The Board's employed
administrator is Marion Scrymgour who was seconded from the Commonwealth Office of Aboriginal and Torres Strait Islander Health Services (OATSIHS) to THS for a six month period to help us to get the Katherine Trial to the first post.
The Katherine project team meets fortnightly, chaired by Lesley Kemmis and consisting of Katherine District Management team members, the Katherine West Remote Health Board Executive and project staff.
PROGRESS ON STANDARD CARE PLAN DEVELOPMENT
The Guidelines, Standards and Audit Team (GSAT) has developed Standard Care Plans for the population, based on the following groupings :
• Infant
• Young children
• School-aged children
• Pregnant women
• Adult women
• Adult men
• Elderly and disabled Continued next page
---·
Continued from previous page
There are also near completed Standard Care Plans for specific prevalent conditions, including :
• Renal disease
• Diabetes
• Hypertension
• Heart disease (rheumatic and ischaemic)
• Cigarette smoking
• Ear disease
• Chest problems
• Malnutrition and diarrhoea in children
• Anaemia
• Hepatitis B
• Scabies
The Standard Care Plans will be field tested, upgraded and improved, in an ongoing manner through the live phase of the trials, based on monitoring of their acceptability and implementation.
PROGRESS OF THE INFORMATION SYSTEM The Barunga Test System has been enhanced to meet the needs of the trials and with the enhancements, is now known as CCTIS (Coordinated Care Trials Information System). The hardware and "office"
software ( cc:Mail, Windows, etc) has been installed on the Tiwi Islands and staff training well underway. Not surprisingly, Tiwi health staff have embraced the computer age with enthusiasm. Care Plans will be installed as soon as the initial field-testing is done.
PROGRESS ON INFORMATION REPORTING The trials bring a host of new information reporting needs, some of which have been well identified and others which will emerge more clearly over the first few months of the trials. The Druid project, to develop and implement a data repository which can generate information amalgamated from the various feeder information systems (Caresys, CCTIS, Pharmacy, PIPs, PATS etc), is proceeding to enable data
management. It is expected to meet data management needs of the Health Boards, THS service providers, the evaluation team and the trials' funding bodies.
The CCTIS will have its own reporting capacity, to enable local health staff to generate reports on their activity and the health of the community, for local use by Councils, schools, housing associations, and for health centre planning and programs. These reporting capacities are currently being built into the system.
PROGRESS ON EV ALDA TION
The local evaluation team for both trials consists of a collaboration between the Menzies School of Health Research and Northern Territory University, with Peter d' Abbs and Gary Robinson providing leadership.
While the evaluation team is external to the trial implementation, it will work closely with THS and the Health Boards to ensure a comprehensive and locally useful evaluation.
PROGRESS ON FORMATION OF THE FLEXIBLE FUNDING POOL
THS contributions to the Tiwi funding pool will amount to some $2M per year for community care (Health Centre budgets, proportions of District and Public Health Unit programs budgets) and about $2.5M per year for hospital (in-patient, out-patient and renal dialysis) services. Work has commenced to identify the equivalent sums for the Katherine West Trial.
Payments will be made to the Boards on a monthly cashflow basis, for the Community Care part of the pool and the Commonwealth contributions, which amount to about $1.lM. The hospital contribution will be made annually, as monthly costs for a specific population of patients fluctuate widely (the highest cost month for Tiwi patients over the last year was about twice as high as the lowest cost month). In the event of trial populations incurring fewer hospital costs over the year than historically identified, the relevant Health Board will receive the savings to add to the funding pool. In the event of the trial population requiring more hospital services than before, THS will meet the extra demand at no greater cost to the Health Board.
KEY THS STAFF FOR THE TRIALS
0
Whereas until recently the trial development was driven by a central management team, the two trials are now firmly under the control of the appropriate District teams. Rose Rhodes, as Operations North Regional Director, is the key sponsor of the trials within THS.
Lesley Kemmis and Brian Lynch chair their respective trial management teams. Bubbles Segall in Kalkaringi and Liz McDonald in Darwin are the key contact people for the Katherine West and Tiwi trials
respectively. Both trials are supported by Jenny Cleary as Project Manager, based in Casuarina Plaza. Dr DD Devanesen is responsible for THS support for Health Boards.
For more information, please call:
JENNY CLEARY - PROJECT MANAGER,
COORDINATED CARE TRIALS TELEPHONE 89 227037
·1---
CLINICAL INITIATIVES
CLINICAL DATA COLLECTIONS
REVIEW OF DISCHARGE SUMMARIES, PRACTICES AND DOCUMENTATION
The project to develop a formal implementation strategy for all THS hospitals to progress the implementation of the Policy on Written
Communications for Inpatient and Outpatient Separations from Northern Territory Hospitals isdrawing to a close. The project officers have interviewed approximately 100 people involved in written communications throughout the Northern Territory.
( A draft report with negotiable recommendations has been circulated to all key stakeholders.
Written comments have been sought by mid November. A final draft report will be completed by the end of November. This report will then be presented to the THS Casemix Clinical &
Resource Management Project ( CCRMP) SteeringCommittee.
EPISODES OF CARE CLASSIFICATIONS SYSTEM
Communications have continued with various groups involved with episodes of care
classifications, especially unqualified neonates.
(__
These groups from all hospitals have been:
• Patient Services
• Health Information Management
• Epidemiology
• Hospital Budgeting Model
• Hospital Information Management
• CNCs Birthing Suite
• Maternity
• Ward Clerks
• Coders
• Nursing Staff
Work continues in the areas of Unqualified Neonates and Rehabilitation Classifications. This includes meeting with key people to encourage
correct classification, coding and payment for each patient episode. Audits will be carried out on files of discharged patients in the area of Inpatient Rehabilitation
.Reference charts/posters will be designed to assist nursing staff and ward clerks when recording patient data for all classifications.
These will include definitions and business rules for each classification.
The Episodes of Care Classification Policy and
Procedures to be implemented in Territory Health Services Hospitals is presently under review andany changes recommended will be presented to the
Casemix Clinical & Technical Reference Group atDecember meeting or early 1998.
NATIONAL QUALITY INDICATORS AND OUTCOMES MEASURES
The poster for Wound Classifications will be available for distribution shortly. These will be sent to all THS Operating Theatres to assist surgeons in documentation of wound classifications.
A report has been produced by Coopers
&Lybrand Consultants on the Development of Agreed Set of National Access Performance Indicators for:
• Elective Surgery
• Emergency Departments
• Outpatient Services.
Appropriate indicators for these areas have been recommended from the identification of two main issues that needed addressing and these are:
• Inappropriate waiting times across elective surgery, emergency departments and outpatient services
• Promotion of efficient resource utilisation.
It
will be necessary for all key stakeholders in THS to be involved in the review of this report and assess the implications for the NT.
KERRY HANRAHAN - CASEMIX CLINICAL PROJECT MANAGER - TELEPHONE: 89228258
•
!f[ATHERINE ~OSPITAL
MICHELLE PHILLIPS -BUSINESS MANAGER - TELEPHONE 89624257
Well the comings and goings at Katherine Hospital have continued over the last few weeks. The latest events to have occurred have been the temporary appointment of a new Patient Services Manager to fill the role previously filled by Jacqui Fox followed by Julie Neander (who has left this area for Patient Travel). The new face in this position is actually a well known face from Tennant Creek - Pam Hall. Pam will still be spending a few days in Tennant Creek each month until such time as a replacement is found for her down there. We are very grateful to Vera and the folks in Tennant for releasing Pam to us.
The next loss for the Hospital (although only temporary at this stage - we hope!!) is the secondment of our Project Officer Jacqui Fox to Darwin for six weeks. Jacqui has accepted the challenge of the position normally occupied by Judy Mackay for this period. We are all hoping that good things will come of this secondment and that Jacqui will gain some inside knowledge which she will be able to share with Katherine Hospital!
Activity levels at Katherine Hospital have been up for the first quarter creating plenty of work for everybody. We are currently operating with a full complement of Medical Officers which is good news, latest recruits in this area are Sharon Junge from the USA and "Boats" from South Africa.
The Emergency and Appointment Booking Modules are now part of the daily routine here in Katherine and apart from the odd hiccup seem to be running smoothly.
'cirENNANT (!IREEK~OSPITAL
VERA McMAHON, BUSINESS MANAGER, TENNANT CREEK HOSPITAL -TELEPHONE 89 624257 Vera reports that Tennant Creek has been busy with the Revenue Optimisation Project. A recommendation has been written and submitted for another Clerical Assistant to cover the extra work load for the Booking Policy and Schedule of Charges procedures. Jean McMillan will be in Tennant Creek in November to look at issues and concerns of the implementation of the Booking Policy and Schedule of Charges. Jean will also assist in the identification of resourcing issues for the hospital.
Kay Cook and Mary Taylor will be presenting education sessions at the Tennant Creek Hospital in November to a wide cross-section of staff.
Vera advised that Pam Hall has been seconded to the Patient Services Manager's position in Katherine for a couple of months and will continue to give support to both Tennant Creek for coding for November and December.
Tina Heroit has been extended in the project position whilst Pam is in Katherine.
An experienced Coder is coming to live in Tennant Creek in December and may be willing to offer her services to other centres on a temporary basis.
J\LICE ~PRINGS ~OSPITAL
CHRIS BURROWS, BUSINESS MANAGER, ALICE SPRINGS HOSPITAL- TELEPHONE 89 517598
Chris Burrows, Business Manager advises that there has been a lot of effort put into the Revenue Optimisation Project by all involved, particularly Rose Murphy, Barb Alexander and the OPD team, Isobel Heinrich and her team in Admissions. Jan Robbins and Jean McMillan will be in Alice Springs to look at issues and concerns of the implementation of the Booking Policy new charging arrangements. They will also assist in the identification of resourcing issues for the hospital. Stephen Moo will be in Alice Springs to present sessions to a variety of staff in relation to the revenue optimisation policy and schedule of charging.
Chris reports that ASH ICD9 coding has been completed to September 1997 and the first quarter's Casemix report should be available mid November.
Australian Ame~ Beat
C{assif ication S~stem
.. \Crsion One ..
With project funds from the Commonwealth Department of Health and Family Services members of ten Allied Health professions (AHPs) have developed a standard activity classification system. The National Allied Health Refereil9e Standards Project also created a minimum national allied health data set.
This project has sought by the National Allied Health Casemix Committee to replace misleading terminology used to describe health workforce activities in the
70's and 80's. It proposes more acceptable descriptors of what and how service delivery is provided. The National Centre for Classification in Health (NCCH) were involved in defining the structure of the
discipline specific interventions and have under taken to incorporate the outcomes in the future revisions and updates of any procedural classification system.
l
his system is a major achievement for AHPs and offers:
• A common language to communicate key aspects of the business of AHPs to in-house senior management and government agencies;
• A standardised system for AHPs to compare their clinical practices
• A rich database for research into allied health activities, interventions and outcomes
.• A chance to benchmark services across organisations using Australian data The activity classification is depicted as follows:
ALLIED HEALTH ACTIVITY
CLINICAL CARE (CC) CLIN SERV MANAGEMENT (CSM) TEACHING & TRAIN RESEARCH
(_
Individual Pat Attrib (IPA) Non·lnd Pat Attrib (NIPA) Adminhhation Under Graduate TravelStall Post Graduate
Statistics other
other other
Anance
Travel Travel Own Dhcipine other Dlsclplne
Planning
Quality Management
Representation/consuttation
Protes~onal development
Travel
Meettngs
other
For further information contact Jenny Woodhouse, AHP representative for Casemix Clinical and Technical Reference Group on telephone 89 992891 or fax 89 992955.
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THE HEALTH INFORMATION MANAGEMENT ASSOCIATION OF AUSTRALIA
held their 18th Annual Conference at the National Convention Centre in Canberra from 22
to 24 October 1997.
Northern Territory representatives at the Conference were Elizabeth Moss from Epidemiology, Jenny Coccetti from Business Information Management and myself - Janine Cassidy from ASH.
The program was excellent, many thanks to the efforts of Elizabeth Moss. The
program included plenary and concurrent sessions.
On the first day, I attended a site visit at the Australian Institute of Health and Welfare where the National Health Information Knowledgebase (NHIK) was introduced. The NHIK is an internet-based electronic storage site for Australian national health metadata. You can find the NHIK on the Institutes homepage at http://www.aihw.gov.au. In the afternoon, I attended the Rural Health Information Special Interest Group where ideas were discussed for recruiting and retaining Health Information Managers to rural and remote health areas
On the second day, the theme of the sessions was Health Information Management and Development - the key words being data warehousing and data modelling! I attended a session where Berni Walden from Cardinal, spoke about objective management of patient information. I also attended a session presented by Fiona Carine from South Australian Health Commission who spoke about 'Creating an Enterprise Patient Master Index (PMI) to Support Development of a Multi-site Electronic Patient Record'. The session also covered areas of when, current SA PMis were reviewed, it appeared that, there were many ways to register a patient and equipment. Laboratory animals had also been registered on some PMis! (I do not think we are that bad in the Territory).
The final day included a lively session on Patient Access to Medical Records and Privacy, where Senator Belinda Neal, Secretary General of Royal Australian College of General Practitioners (RACGP) and the ACT Commissioner for Health Complaints aired their views. The session on Aspects of Quality, pricked my conscience about the recent lack of Quality Management projects in my area. There was a session on the latest ideas for Coding and Classification Systems. The day finished with the latest report on ICD-10-AM Implementation. Unfortunately there had not been enough time for Coopers & Lybrand to analyse <lat
..from the Dual Coding Study. This study was design to examine the impact ICD-10-AM will have on AN- DRGs. Preliminary findings to date have shown there would not be a great problem for ICD-9-CM coders to convert to ICD-10-AM - perhaps a three month period of adjustment where coding throughput would slow down until coders became accustomed to the new system! Coopers and Lybrands report should be available for the NCCH Conference in Adelaide in November.
The 19th HIMAA Conference will be held in Brisbane next year.
JANINE CASSIDY,
HEALTH INFORMATION MANAGER - TELEPHONE 89 517866
Congratulations to Andrea Morrison on passing the Accredited Clinical Coder examination.
The NT now has two accredited Clinical Coders working in the Health Service Area ! ! ! !
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September and October were very busy months for education of many of the Casemix projects.
THE NINTH CASEMIX CONFERENCE IN AUSTRALIA
In early September, the Ninth Casemix Conference in Australia was held in Brisbane . The theme of this year's conference was Quality, Continuity and Cost-Effectiveness and the program was designed to allow delegates a wide selection of many interesting sessions.
Carol Beaver, Director Planning and Financing, gave several presentations, these included:
( • A Study on Ambulatory Care Pathway in the Northern Territory
• Casemix-Based Funding of NT Public Hospitals Adjusting for Severity and Socio-Economic Variations
Yuejen Zhao, Econometrician from Planning and Financing, presented at one of the sessions:
• Preliminary Study on Estimating Inpatient Fractions of Medical Cost Centres for the NT Hospital Funding Model (Generation 2)
Dr Dale Fisher, Chairman, Casemix Clinical and Technical Reference Group, in conjunction with several other panel members presented a session on :
• Beyond Casemix : Issues of Isolation, Multiple Morbidities and Chronic Care
I have a Casemix Conference Proceedings Manual which details all of the above papers. Please contact me if you would like any further information.
( .HP PATIENT BOOKING MODULE
I facilitated the AHP Patient Booking Module workshop held in September. The workshop achieved its objectives by providing the 'big picture' of data collection and related information for a Booking Module for AHPs. There was a great amount of input from all participants and an action plan was developed for follow up discussions and actions.
HBM WORKSHOP
Ongoing preparations for the HBM Workshop to be held on 27 and 28 November 1997 have been keeping many of us very busy. The HBM workshop will include:
• Reflection from previous workshops and what has been achieved
• What is the HBM really all about?
• Comparisons of the HBM (NT) to other states
• Ambulatory Care Classifications
• Medicare Health Agreement (renegotiation)
• Special Interest Groups
---11
AMBULATORY CARE CLASSIFICATION WORKSHOP
An Ambulatory Care Classification workshop was held in October and was
presented by Dr Terri Jackson who is a Senior Research Fellow at the Health Economics Unit, Monash University. For further information see below or
contact Karen Marchant on 89 992950.
Continued from previous pageCOORDINATED CARE TRIAL INFORMATION SYSTEM (CCTIS) OPERATIONAL REPORTS PROJECT
I facilitated the CCTIS Operational Reports Project workshop in late October. The aim of the workshop was to identify key stakeholder' s requirements for future operational reports.
Participants at the workshop included Community Doctors, representatives from
Community Councils, project staff, IT staff and business analysts.
The workshop achieved its aim by gaining information to proceed in designing and
developing reports that suit the needs of the key stakeholders.
PATIENT CLASSIFICATION POLICY AND SCHEDULE OF CHARGES
A new Territory Health Services Patient Classification Policy and Schedule of Charges has become effective from 5 November 1997.
This policy is to ensure accurate identification and classification of all patients with regard to their status under Medicare, or their
compensable status, that determines the source of entitlement and /or payment for the
accommodation, treatment and/or care a person receives.
Benefits resulting from the implementation of this policy will include a streamlined referral and booking process as direct referrals will be booked with then nominated specialist, using a
newly upgraded computerised Outpatient Appointments Booking System.
Information packages have now been distributed with different packages being developed for GPs, Hospital personnel, DMOs and Staff Specialists.
Education presentations commenced from 3 November for Doctors, Nurses, Patient Service Managers and Patient Services Staff. These presentations will be delivered to all NT Hospitals.
Please contact me if you wish to discuss any of the above articles or any future workshops.
KAY COOK, EDUCATION AND MARKETING COORDINATOR - TELEPHONE
89 992729 0
005 0
DAC5 VAC5 QAC5 005 DAC5 VAC5 QAC5
An Ambulatory Care Classification Workshop was held on Friday 24 October, organised by Margaret Foley of the Acute & Specialist Care Branch, and conducted by Dr Terri Jackson to inform THS in its journey toward an Outpatient Classification Policy.
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The Workshop covered the development of outpatient classification for occasions of service reminding some of us of the simplicity of the original attempts, to the current different classification systems and how they work.
The controversies in outpatient classification is evidenced in the trade-offs reflected in each system and it was clear at the end of the day that no outpatient classification system is perfect for all uses in all settings.
Q
A
The next stage of moving this forward will be the Hospital Budgeting Workshop on November 27 and 28.
C
For further information about the HBM workshop, please contact KAREN MARCHANT on 89 992950.
005 DAC5 VAC5 QAC5 005 DAC5 VAC5
5 QAC5
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CODING NEWS FROM ALICE SPRINGS At last the Coding is up-to-date and back on track in Alice Springs Hospital. We have even recommenced the Clinical Specialists Discharge Summary Audits, with Dr Lucas (Medical Physician) and Dr Jones (Orthopaedic Surgeon) particularly keen to re-start audits of their Unit's records.
UPDATE
In October, I attended The Health Information Management Association of Australia (HIMAA) 18th Conference (see article on page ... for HIMAA Conference information). I am also hoping to attend the National Centre for Classification in Health (NCCH) Conference in Adelaide. This is the Conference where the latest information on ICD-9-CM and ICD-10-AM can be found including the Coopers and Lybrand report on the Impact of ICD-10-AM on AN-DRGs.
There will be a meeting of State and Territory 'ICD-10-AM Implementation coordinators' to examine at what stage each State and Territory is at for:
(
• Information Technology changes
• Coder and Clinician Education and Support
• Selection of AN-DRG Versions.
It
is a shame that all the Northern Territory Coders cannot attend this Conference as it will provide an opportunity to observe and have hands-on use of ICD-10-AM (and hopefully relieve their fears about how it will impact their work).
Itis an excellent opportunity to network with other coders to discuss and find solutions to current coding problems.
JANINE CASSIDY,
HEALTH INFORMATION MANAGER - TELEPHONE 89 517866
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( I
In the next edition of Horizons, a comprehensive article describing the Information Privacy Code of Conduct will be featured. Information on this can be obtained by contacting JEWEL BENNET, INFORMATION PRIVACY OFFICER - TELEPHONE 89 992592
- - J
KAY COOK -EDUCATION AND MARKETING COORDINATOR-TELEPHONE 89 992749
---111
COORDINATED CARE TRIAL INFORMATION
SYSTEM
(CCTI S)
OPERATIONAL REPORTING UPDATE
On Friday 31 October 1997 a workshop was held to develop CCTIS Operational Reports.
Initial Operational Reporting requirements were obtained from
consultationwith key stakeholders in the Katherine region
involved with the Barunga Test System. From theserecommendations a set of 'draft reports' were compiled with
further refinement required to develop a set of operational reports that met the specific requirements of Community Councils, Health Centre Staff and Clinicians.
The Workshop's aim was to deliver a set of operational reports that would meet the operational reporting requirements of both Coordinated Care Trial Sites.
We are pleased to report that after much discussion the team
involved in the workshop were able to deliver the goods and a setof Monthly and Quarterly Reports along with a few additional reports were developed. These Operational Reporting
requirements were documented and delivered to the Application Project Team for the necessary programming to occur.
The Program Coding Team have a huge job ahead of them in meeting all the programming requirements for the next version of CCTIS, due for completion in January 1998.
And finally, to all those who participated in the development of these reports, a big 'Thank You' for your involvement, but that's not all, your ongoing support during the trial period to refine these reports will be encouraged.
HEATHER MOYLE, RESEARCH AND STATISTICS OFFICER,
BUSINESS INFORMATION MANAGEMENT - TELEPHONE
89 992834
HORIZONS BULLETIN PRODUCED BY:
BUSINESS INFORMATION MANAGEMENT BRANCH HEALTH HOUSE, MITCHELL STREET DARWIN DIRECTOR
EDITOR/PUBLISHER DESKTOP PUBLISHING ENQUIRIES
PRINTED NEXT EDITION
STEPHEN MOO KAY COOK MICHELLE FIDOCK STEPHEN Moo 89992847 OR KAY COOK 89992749 GOVERNMENT PRINTER OF THE NT NOV/DEC 1997 -EDITION No. 15
SCHEDULE OF CHARGES UNDER THE PATIENT CLASSIFICATION POLICY A new Territory Health Services Patient Classification Policy and Schedule of Charges has become effective from 5 November 1997. This policy is to ensure accurate identification and classification of all patients with regard to their status under Medicare, or their compensable status, that determines the source of entitlement and/or payment for the accommodation, treatment and/or care a person receives.
Signage and posters are being developed to be placed in strategic positions at each hospital to capture the attention of patients who may be required to pay 'fee for service'. An example of patients who may be required to pay are ineligible patients.
'An ineligible person is one who is not eligible under Medicare. This relates primarily to overseas
residents from countries that do not have reciprocal rights with Australia for provision of medical services. An ineligible person is responsible for all charges raised by the doctor and or the hospital'.
To promote this policy further, brochures providing information of patient's classification and fee for service will be distributed to all NT Hospitals, low-budget accommodation houses and backpacker hostels.
Media advertising will also occur.
KAY COOK, EDUCATION AND MARKETING COORDINATOR - TELEPHONE 89 992749
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