ProExtra 2 - Improving Health in a Constrained World

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

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ProExtra 2 - Improving Health in a Constrained World

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

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