Transcript Slide 1

nGMS and PMS Learning
Exchange Programme
Information and IM&T –
The GMS Payments Project
January and February 2003
Agenda
• Background and Context
• The Contract – IT Implications
– Funding
– Ownership
– Minimum Functionality Specification and Business
Case Guidance
– Service Level Agreements
• The GMS Payments Project
– NHAIS Payments – The Exeter System
– QMAS (National QOF Management & Payments
System)
– Legacy systems and GMS compliance
– Suppliers
– Training
• PMS
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Background
• GMS Payments Project is part of NPfIT
• Scope:
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Changes to GP systems
Changes to payment systems
Implementation of national QOF system
Training and support for new and changed
systems
• Project Board (chaired by Chris Town)
and working groups
• Project Team of NPfIT and NHSIA
people
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Context - NPfIT Aim
To deliver a 21st century health service
through the efficient use of information
technology
• Improve quality and convenience of care by
ensuring that those who receive care have the
right information, at the right time.
• Implement projects vital to the NHS
modernisation programme using IT to directly
improve the patient experience and clinical
care.
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Funding for GP Computer Systems
• £20m released to PCTs 05/11/03
• In addition to £50m in existing baselines
• Full £70m (ave. £8,000 per practice pa)
should be allocated for GP IT before
claiming additional funding
• 13 SHA s submitted claims for additional
funding by 19/12/03
• Deadline extended to 31/12/03
• Claims being assessed to ensure equity
and validity
• Practices must not be denied funding for
core items (DH paper available)
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Ownership of Systems & Transition
Arrangements
4.30 as new money is spent on providing new systems and upgrading
existing systems, PCO ownership of the asset and the responsibility of
the PCO to provide the full supporting service, including maintenance,
future upgrades, paying for running costs of the new integrated
systems and training, will be established at the same time.
• Still under discussion with BMA/NHS
Confederation
• Status quo until there is agreement and
guidance is issued
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Minimum Functionality Specification &
Business Case Guidance
4.41 Work is continuing to develop a minimum functionality
specification for practice systems that defines the information
requirements to deliver integrated care and meets the requirements
of the new GMS contract.
• GPC guidance list :
– Core items which should normally be fully funded
– Non-core items which may be optional (? GP
contribution expected ?)
– Items that will be funded centrally e.g. e-booking
• DH has similar list which will be used to assess
PCT additional funding claims
• Draft guidance available on how PCTs and
practices should prepare “business cases” (4.34)
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Service Level Agreements
4.30
IM&T services will be delivered to the practice based on a Service
Level Agreement setting out in detail the responsibilities of the system
suppliers.
4.33
These will be based on a national template, allow local enhancements
and additions to support future developments, and ensure that practices will
receive higher quality IM&T services whilst preserving choice.
4.38
…. a national template SLA will be developed to support the
development of future primary care IT systems providing practices with
assurances on training, maintenance and support.
• Draft template SLA developed with Scotland
• Recent input from PCTs
• To be discussed with:
– GPC and NHS Confederation
– Local Service Providers
– Suppliers
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NHAIS (Exeter) Changes
2003/4
• Quality preparation payment (Oct 2003)
• Uplift to SFA (Oct 2003)
• Seniority payments (Dec 2003)
2004/5 (from April 2003)
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Quality preparation payment (last one)
Global sum
Minimum Practice Income Guarantee
Quality and Outcomes Framework Aspiration
Other payments
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National Quality and
Outcomes Framework
Management and Analysis
Sub-System
QMAS
QMAS – Principles
• Not patient based data
• Single national system ensures:
– High trust and transparent
– Changes to QOF scheme can be supported
– Payments calculated on a consistent basis for all
practices
– Single feed to NHAIS payment system
– Practice and PCT access to same information based
on access rights
– Reduced dependence on individual suppliers
– Value for money
• Pre-populated with IAU data
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QMAS – Inputs and Outputs
Automated
GP Practice
“Manual”
Achievement data
from clinical system
BACS Payment
Other achievement
data – web interface
QMAS Central
Server
NHAIS
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Confirm Achievement
PCT
Payment
Agency
QMAS – Single Information Source
GP Practice
QMAS Central
Server
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PCT
QMAS Implementation Timeline
From
Jan/Feb
GP System
Certified
GP System
Commissioned
GP System
Installed
Practice on
Grey List
Submit 1st
Adhoc Report
QMAS
Implemented
Practice on
White List
QMAS CBT
issued
Grey List
Implemented
GP QMAS
Logon
Report
Loaded
CBT, User IDs &
passwords issued
Aug 2004
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GP Systems & 3rd Party Applications
• GP systems
– Only QOF pay components tested &
certified i.e. interface with QMAS
– Suppliers should deliver added value for
practices (drill down and clinical audit) – not
tested.
– Will not calculate payments
• 3rd Party Applications
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Will not calculate payments
Can help review and clean data
Will not be procured nationally
May form part of a GPSS integrated solution
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Read Codes, Queries and Data
Extraction
• DOH GMS contract web site contains:
– Logical query specification
– Business rules
– Exception reporting
• PCTs and practices should not develop
local codes and queries for GMS
payments
• National specifications for suppliers to
extract data from clinical systems to
support QMAS
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Training & Implementation Support
• NHSIA train NHAIS users
• QMAS CBT training for all users by QMAS supplier
• Option for classroom training for PCTs
– Global Sum payments etc
– Annual Achievement processes
• Implementation managed through QMAS supplier
and GP system suppliers
• PCT and practice pilots of QMAS before national
roll out
• QMAS link may be installed in practice systems
before activation
• Tracking database monitoring
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Legacy Systems & GMS Compliance
• Compliance = ability of GP system to
upload QOF data to QMAS
• Practices with non-compliant systems =
manual input
Click on link above to show
details of practices by
Supplier and System
Click on link above to show
details of practices by PCT
and SHA and Region
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PMS Practices
• IT support via QMAS will be provided for PMS
practices (using the national quality and
outcomes framework) to a later timescale
Click on link above to show details of practices by PCT and
SHA and Region
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Practical Steps (nGMS and PMS)
• Make good use of the Quality Information
Preparation Payment (QUIP DES) and
Quality Preparation Payment funding
• Set up and maintain disease registers in
line with good practice guidance
• Improve recording of clinical data using
preferred clinical codes for the quality and
outcomes framework
• Review exception reporting
• Improve sharing of clinical data both inside
and outside primary care
Questions ?