ProExtra 2 - Improving Health in a Constrained World

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Malvin Leong …

Malvin Leong
ProCare Health
www.procare.co.nz
(P28, 1/10/09, Skellerup Room, 4.00)

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  • 1. ProExtra 2.0 – Improving Health In A Constrained World Malvin Leong Software Development Manager ProCare Health 1 October 2009
  • 2. Agenda
    • Introduction to ProCare Health
    • History of ProExtra
    • ProExtra 2.0 Solution and Outcomes
    • Technical Solution and Architecture
    • Future of ProExtra
    • Summary
  • 3.  
  • 4. Introduction to ProCare Health
    • One of the largest Primary Health Organisation(PHO) in New Zealand
    • ProCare Network Auckland ProCare Network Manukau ProCare Network North
    • Auckland, Counties Manukau and Waitemata DHBs
    Enrolled Population Over 660,000 (50% of Aucklanders)
    • General Practices
    • 519 GPs
    • 450 Practice Nurses
    • Other Contractors
    • Pharmacy
    • Radiology
    • Allied Health Prof.
  • 5.  
  • 6. HISTORY OF PROEXTRA
    • Electronic tool to manage a suite of episodic clinical programmes funded from Services to Improve Access (SIA)
    • Introduced in 2005 for High Needs patients in PNM, with limited funds shared across all practices for all services
  • 7. HISTORY OF PROEXTRA
      • ProExtra Services include: Beta-Blocker Initiation, Echocardiogram , Electrocardiogram , Mental Health, Medication Packaging, Pneumococcal Vaccination, Sexual Health Under 22, Spirometry and Vasectomy
    • Services are delivered via vouchers issued by general practitioners
  • 8. HISTORY OF PROEXTRA
    • Known limitations include:
      • ProCare was unable to proactively manage the demand for ProExtra services.
      • General practitioners were unable to monitor their utilisation of the services in a timely manner.
      • Service providers including general practitioners established service provision contracts manually, resulting in a slower uptake of new services.
  • 9.  
  • 10. PROEXTRA 2.0 SOLUTION - LAUNCHPAD Real-time business rules validation Virtual budget allocation Real-time budget monitoring Real-time access to external systems or data sources
  • 11. PROEXTRA 2.0 SOLUTION – SERVICE PAGE Online service provision contract Preapproved voucher request
  • 12. PROEXTRA 2.0 SOLUTION – VOUCHER List of service providers via external data source Preapproved voucher
  • 13. PROEXTRA 2.0 SOLUTION
    • Extensible Framework For New Services
      • Form Builder
  • 14. PROEXTRA 2.0 OUTCOMES
    • Significant Behavioural Change (p < 0.00001)
    April 2008 April 2009
  • 15. PROEXTRA 2.0 OUTCOMES
    • Improved Budget Management
  • 16. PROEXTRA 2.0 OUTCOMES
    • Improving Targeting of Services
  • 17. PROEXTRA 2.0 OUTCOMES
    • Potential To Improve Value of Services and Health Outcomes
      • Service allocation decisions to be made by general practitioners, at the level closest to the patients
  • 18.  
  • 19. PROEXTRA 2.0 TECHNICAL SOLUTION
  • 20. PROEXTRA 2.0 TECHNICAL ARCHITECTURE
  • 21.  
  • 22. FUTURE OF PROEXTRA
    • Funding from multiple sources
    • Budget allocation at the practice, service, general practitioner or even the individual patient level
    • Patient co-payment for services
    • Integration with other online tools
    • Incorporate new developments in user interface and multimedia technologies
  • 23.  
  • 24. PROEXTRA 2.0 - SUMMARY
    • Electronic tool to manage the demand of services with limited funding at the most effective level, the level closest to patients
      • General practitioners make clinical decisions with real-time patient, programme and budget information
      • Improved programme financial viability
      • Created significant behavioural changes, potentially improving population health outcomes
  • 25. Q & A Malvin Leong Software Development Manager ProCare Health [email_address] +64 9 375 7814 +64 21 222 1404