OpenIMIS Workshop
January 23rd and 24th, 2019
Test Scenario
1. For Enrollment Assistant
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This openIMIS testing workshop has been designed to introduce the master version of openIMIS to various users of the system and to collect their feedback on its functionality and applicability for their day to day work managing the social health insurance system of Nepal. The workshop is designed to be used as a platform to brainstorm openIMIS based solutions for implementation challenges at all levels.
Objectives
The objectives of the workshop conducted on 23-24 January in Pokhara, Nepal were to:
Introduce all users of Nepal IMIS to openIMIS - the concept, the software, and the community of practice
Disseminate information on latest releases of openIMIS master version
Create user groups for testing the functionalities of the master version
Introduce users to the openIMIS community tools - wiki, Jira issue queue, Read the docs
Initiate testing and documentation
Participants
The participants of the workshop should have a working knowledge of openIMIS. Ideally, participants should be a mix of enrollment assistants (community based insurance personnel), enrolment officers (sub-national level insurance operator staff), health service providers, claim reviewers, and administration personnel.
The list of participants from the workshop conducted on 23-24 January in Pokhara, Nepal Pokhara is presented below:
Role | Number |
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HIB IT Team | 3 |
GIZ openIMIS team | 3 |
Claim Review Team | 4 |
Enrollment Assistants | 2 |
Enrollment Officers | 2 |
Claim Administrators | 2 |
Registration Clerks | 2 |
Province Co-Ordinator | 1 |
Schedule
Day 1: January 23, 2019 | ||
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S.N | Time | Activity |
1 | 10:00 – 10:30 | Registration |
2 | 10:30 – 11:00 | Welcome and objectives of the workshop |
3 | 11:00 – 11:15 | Description of session plans |
Tea Break | ||
4 | 11:30 – 12:00 | openIMIS Introduction Download Presentation |
5 | 12:00 – 13:30 | New features in openIMIS |
Lunch Break | ||
6 | 14:15 – 15:00 | Testing methodology and scenarios |
7 | 15:00 – 16:30 | Practical Session
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8 | 16:30 – 17:30 | Defining roles and responsibilities for testing. Clarification |
Day 2: January 24, 2019 | ||
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S.N | Time | Activity |
1 | 10:00 – 10:15 | Recap of day 1 |
2 | 10:15 – 10:30 | Introduction to community tools: JIRA, Confluence |
3 | 10:30 – 11:15 | Using JIRA |
Tea Break | ||
4 | 11:45 – 13:00 | Practice session |
Lunch Break | ||
5 | 14:00 – 15:00 | Collection of observations on new version, and collection of new feature requests (Group Work) |
6 | 15:00 – 16:00 | Interactions with Executive Director |
7 | 16:00-16:30 | Wrap up |
Test Scenarios
Some guiding testing scenarios were created by the facilitation team to help ease the participants into testing the new system. Additionally, an excel file was created to help everyone log their issues (attached). Some participants have also shown interest in entering the issues directly into JIRA, but to ease the process in the beginning, until everyone was confident in JIRA, we introduced a simple excel file to track test cases and issues arising from them.
Some of the sample testing scenarios are presented below.
For Enrollment Assistants
Enrollment App
When in online mode, capture the photos and Membership no and send it to openIMIS Server.
When in offline mode, capture the photos and Membership no. and send it to phone storage device.
Again, connect to the network to be in online mode and send the locally stored photos to the server.
When in online mode, see the statistics of photos that were sent by you from statistics button from menu. Verify the photos send with the given no. in selected date range
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Enquire App
When in online mode enquire the details of members by entering the membership no.
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For Enrollment
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Officers
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Add family into the
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insurance scheme
Add the family with 5 family members into the system. Also, add the product and contribution.
Add the family with 7 family members into the system. Also, add the product and contribution.
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Modify family details
Edit the date of birth and photos of any member of the family.
Add 1 family member into the family with 5 family members. Also add contribution amount of Rs 425
Move members for 1 family to another
Change the head of the family
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Renew existing policy
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Search for members
Search members with Membership No.
034813133XXXXXXXXX,
001591634XXXXXXXXX,
050199295XXXXXXXXX,
018493230XXXXXXXXX
Search member with name: Search
Ram Prasad Regmi of Gandaki RuralMr. XXX XXXXX of XXXXXXX Municipality
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Claim Administrator
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Claim Entry
Enter 10 claims including following conditions. While entering claim use both the Health Facility Claim from Claim menu and from Membership profile
Enter claim for OPD
Enter claim for IPD >40,000
Enter claim for Emergency case
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Claim Submission
Submit single claim
Submit multiple claims
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Claim Overview Report
Select the report for submitted, valuated and rejected claim separately from 23rd January, 2019
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Claim Reviewer
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Review
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Claims
Review claims with value >1,000
Valuate the reviewed claims
Reject or reduce quantity with explanation of any item from the claim
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Valuate Claim
Directly valuate claim <1,000 without review
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Claim Overview Report
Select the report for submitted, valuated and rejected claim separately from 23rd January, 2019
View file | ||
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