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Know our Network - Coggle Diagram
Know our Network
1
Establish what data we want from providers
what do we have today
what do we want in future
talk to all areas
david mulcahy / noreen quinlan / sinead proos / Kevin Wren / Aine MC - people that use the data out of hospitals
muhammad ran sessions that went well - this piece of work finishes this out
Cross Collabaration - Trish Lynch product owner - off we go and get it done
Setting that procedures take place (theatre etc)
Incomplete Data / Auto Rejected
3
Enable Avondhu to report on the data
Gap Analysis
Which are reportable within snowflake and which are not
do we need new fields
Prioritisation - CX wants access data
2
Digital First approach - create a means to collect this information
initially comes from claim form
talk to likes BONS who are in middle of digital changes
claim form data via API is where we should be going
OP claim FORM
MVS at the hospital
Talking to providers - what is coming down the road digitally
3 ways sending today - claim form paper post / electronic claim form (Claim sure) / API
Blake involved from
4
Leveraging FP - contract with providers
what we want
understand our need
understanding capacity
Understanding Controls
How do we stop paying for capacity that is not contracted
5
ICD 10
data not comparable to international standards
at a disadvantage from OFWA perspective (Milimans report)
Resources - Lets make some Suggestions
Claims Forecast Model