N4HC - Nesp 4 Health Care

Negentis Solutions

Inspired to

Lean Management philosophy

The specialization of NESP dedicated to Health Care

N4HC – The Project

AN ADVANCED MODEL OF

PLANNING&CONTROL SYSTEM

BASED ON INDUSTRIAL ACCOUNTING

PRINCIPLES AND INSTRUMENTS

ABLE TO PREVENT

ANOMALIES AND GAPS FROM SET-UP

BUDGET OBJECTIVES

N4HC – Key Features

N4HC – Concept Core

TOTAL INTEGRATION OF ALL THE MAIN COMPONENTS OF

HEALTH AUTHORITIES ACCOUNTING SYSTEMS IN AN ORGANIC, SELF-

POWERING AND SEAMLESS ACTIVITIES’

PROCESS FLOW SUPPORTED BY

CUSTOM APPLICATIONS

From a centralized control of

accounting management and ex-post analysis of

data

To a decentralized system managing&

integrating operational activities of each department in a seamless flow

Detailled data collection

prompt detection of gaps from defined objectives

progressive removal of Muda and Kaizen

N4HC – A driver of a Change

BUILT ON TOP OF NESP FRAMEWORK ENTERPRISE INFORMATION SYSTEM

REAL-TIME INTEROPERABILITY END-TO-END INTEGRATION OF BUSINESS

PROCESSES, APPLICATIONS AND SYSTEMS INTELLIGENCE FOR AUTOMATING

OPERATIONS AND OPTIMIZING DECISIONS

A SUITE OF INTEGRATED MODULES, SPECIALIZED AND INTEROPERABLE

(RE)CONFIGURATION OF

NETCENTRIC PROCESS ORIENTED SOLUTIONS IN AN AGILE, FLEXIBLE AND COST-EFFECTIVE WAY

N4HC – The Architecture

N 4HC USES NESP FEATURES TO

INTEGRATE DATA FROM MANY DIFFERENT

HEALTHCARE SUBSYSTEMS WHICH

FEED ALL THE PLANNING&CONTROL

COMPONENTS (BUDGETING, REPORTING,

MANAGEMENT- ACCOUNTING, STOCK-

ACCOUNT, FORECAST..)

N4HC – Data Integration from Healthcare Subsystems

N4HC – BoM Bill Of Material 1/3

• BoM IS THE HEART OF PLANNING&CONTROL SYSTEM

• IT IS THE MATRIX WHICH ASSOCIATES ACTIVITIES TO THE RELATED COSTS OF PRODUCTION FACTORS

• BoM ALLOWS A CLOSE TO REAL CALCULATION OF HEALTHCARE SERVICES’ COSTS

• BoM IS FILLED-IN BY DECENTRALIZED UNITS OF THE ACCOUNTING MANAGEMENT SYSTEM IN ORDER TO REPORT REAL COSTS OF ACTIVITIES

• IT FEEDS BUDGETING AND MANAGEMENT ACCOUNTING

• IT ALLOWS BUDGET SIMULATION SCENARIOS

• BoM IS SUPPORTED BY A USER-FRIENDLY REPORTING SYSTEM WITH CONFIGURABLE DASHBOARDS

WITH THE BoM IS NOW POSSIBLE TO ACCURATELY CALCULATE THE REAL COST OF A SURGERY FROM THE BEGINNING TO THE FOLLOW-UP

BoM ASSOCIATES TO THE ACTIVITIES OF THE SURGERY ALL THE RELATED FACTORS OF PRODUCTION

N4HC – BoM Bill Of Material 2/3

FOLLOWING LEAN MANAGEMENT CONCEPT OF DECENTRALIZATION, BOM IS FILLED-IN BY DEPARTMENTS UNITS (CDR) TO OBTAIN A MORE ACCURATE CALCULATION OF COSTS FOR EACH UNIT

THE WHOLE CONTROL OF THE PROCESS IS ANYWAY OF PLANNING&CONTROL OPERATORS WHICH SUPERVISE OPERATIONS

MONITORING&CONTROL OF BoM CREATION IS SUPPORTED BY DASHBOARDS

N4HC – BoM Bill Of Material 3/3

• To prepare the budget BoM costs in the budget drive to a close–to-real forecasts and minimize gaps from set up objectives

• To take Make or Buy decisions depending on where they are made (internally or by an external provider

• To take benchmarking decisions (qualitative and not merely quantitative evaluation of different BoMs within the same department )

• To Make ROI evaluations (simulation of different scenario by changing the combination of factors or activities in the same BoM

N 4 HC – BoM : a strategic instrument

N4HC – BoM and performance evaluation

PROCESS MONITORING& CONTROL IS PERFORMED BY NESP BAM (BUSINESS ACTIVITY MONITORING) MODULE

NESP BAM OFFERS USER-FRIENDLY AND CONFIGURABLE DASHBOARDS TO MONITOR& CONTROL OPERATIONS TO DETECT ANOMALIES ALSO USING KPIS

DASHBOARDS REPORT THE “AS IS” SITUATION TO RE-ENGINEER PROCESSES TO REACH THE “TO BE” SCENARIO

N4HC – A case of success

ASF WAS AWARDED WITH THE FORUM PA PRIZE:

”MENO CARTA, PIÙ VALORE”

IN 2011

IT WAS THANKS TO THE ADOPTION OF THE BOM

THE INNOVATIVE MODULE DESIGNED BY NEGENTIS

N4HC – Acknowledments

N 4 HC is compliant with:

The Lean Management philosophy

HL7 (Health Level Seven International): A standard for the exchange, integration, sharing, and retrieval of electronic health information that supports clinical practice and the management, delivery and evaluation of health services

RFC (eToscana Compliance): A standard for the interoperability among different protocols through which local authorities have to exchange information and documents

N4HC – Standards&Compliance