The register of health facilities contains all health facilities contracted and/or eligible for submitting of claims by/to the health insurance scheme. Health Facility administration is restricted to users with the system role of Scheme Administrator or with a role including an access to Administration/Health Facilities.

Pre-conditions

A health facility may only be added if the management of the scheme administration contracts it or if eligibility of submitting of claims can be derived from the legislation. It may thereafter be edited; however, approval of the management of the scheme administration is required for a change of the pricelists associated with the health facility. Deletion of a health facility normally will occur when a Health Facility stops its activity or the contract with the health facility with the scheme administration is cancelled.

Navigation

Open

Img. 59 Navigation Health Facilities

All functionality for use with the administration of health facilities can be found under the main menu Administration, sub menu Health Facilities.

Clicking on the sub menu Health Facilities re-directs the current user to the Health Facilities Control Page.

Open

Img. 60 Health Facilities Control Page

Health Facilities Control Page

The Health Facilities Control Page is the central point for all health facilities administration. By having access to this page, it is possible to add, edit, delete and search. The page is divided into four panels (Img. 63)

Search Panel

The Search Panel allows a user to select specific criteria to minimise the search results. In the case of health facilities the following search options are available which can be used alone or in combination with each other.

Code

Type in the beginning of; or the full Code; to search for health facilities with a Code, which starts with or matches completely, the typed text.

Name

Type in the beginning of; or the full Name; to search for health facilities with a Name, which starts with or matches completely, the typed text.

Fax

Type in the beginning of; or the full Fax to search for health facilities with a Fax, which starts with or matches completely, the typed number.

Level

Select the Level; from the list of levels of health facilities (Dispensary, Health Centre, Hospital) by clicking on the arrow on the right of the selector, to select health facilities of a specific level of service.

Phone Number

Type in the beginning of; or the full Phone Number to search for health facilities with a Phone Number, which starts with or matches completely, the typed number.

Email

Type in the beginning of; or the full Email to search for health facilities with an Email which starts with or matches completely, the typed text.

Legal Form

Select the Legal Form; from the list of legal forms (Government, District organization, Private Organisation, Charity) by clicking on the arrow on the right of the selector, to select health facilities of a specific legal form.

Region

Select the Region; from the list of districts by clicking on the arrow on the right of the selector to select health facilities from a specific region. Note: The list will only be filled with the regions assigned to the current logged in user. If this is only one then this region will be automatically selected.

District

Select the District; from the list of districts by clicking on the arrow on the right of the selector to select health facilities from a specific district. Note: The list will only be filled with the districts that belong to the selected region and that are assigned to the current logged in user. If this is only one then the district will be automatically selected.

Care Type

Select the Care Type from the list of types (In-patient, Out-patient, Both) of provided health care by clicking on the arrow on the right of the selector, to select health facilities with a specific type.

Historical

Click on Historical to see historical records matching the selected criteria. Historical records are displayed in the result with a line through the middle of the text (strikethrough) to clearly define them from current records (Img. 61)

Search button

Once the criteria have been entered, use the search button to filter the records, the results will appear in the Result Panel.

Result Panel

The result panel displays a list of all health facilities found, matching the selected Criteria in the search panel. The currently selected record is highlighted with light grey (Img. 62). The rightmost record contains a hyperlink which if clicked, re-directs the user to the actual record for detailed viewing if it is a historical record or editing if it is the current record.

A maximum of 10 records are displayed at one time( can be changed Img. 41), further records can be viewed by navigating through the pages using the page selector at the bottom of the result Panel (Img. 42)

Button Panel

With exception of the Cancel button, which re-directs to the Home Page, and the Add button which re-directs to the health facility page, the button panel (the buttons Edit and Delete) is used in conjunction with the current selected record (highlighted with blue). The user should select first a record by clicking on any position of the record except the leftmost hyperlink, and then click on the button.

Information Panel

The Information Panel is used to display messages back to the user. Messages will occur once a health facility has been added, updated or deleted or if there was an error at any time during the process of these actions.

Health Facility Page

Data Entry

Code

Enter the code for the health facility. Mandatory, 8 characters.

Name

Enter the name for the health facility. Mandatory, 100 characters maximum.

Legal Form

Select the legal form of the health facility from the list (Government, District organization, Private Organisation, Charity), by clicking on the arrow on the right hand side of the lookup. Mandatory.

Level

Select a level from the list levels (Dispensary, Health Centre, Hospital), by clicking on the arrow on the right hand side of the lookup. Mandatory.

Sub Level

Select a sub-level from the list sub-levels (No Sublevel, Integrated, Reference), by clicking on the arrow on the right hand side of the lookup. Mandatory.

Address

Enter the address of the health facility. Mandatory, 100 characters maximum.

Region

Select the Region; from the list of regions by clicking on the arrow on the right of the selector to enter the region in which the health facility is located. Note: The list will only be filled with the regions assigned to the current logged in user. If this is only one then this region will be automatically selected. Mandatory.

District

Select the district; from the list of districts by clicking on the arrow on the right of the selector to enter the district in which the health facility is located. Note: The list will only be filled with the districts assigned to the selected region and to districts assigned to the currently logged in user. If this is only one then the district will be automatically selected. Mandatory.

Phone Number

Enter the phone number for the health facility. 50 characters maximum.

Fax

Enter the fax number for the health facility. 50 characters maximum.

Email

Enter the email for the health facility. 50 characters maximum.

Care Type

Select the type of health care provided by the health facility from the list (In-patient, Out-patient, Both), by clicking on the arrow on the right hand side of the lookup. Mandatory.

Price Lists (Medical Services)

Select the health facilities price lists (for medical services) from the list by clicking on the arrow on the right hand side of the lookup. The pricelist contains the list of medical services and their prices agreed between the health facility (or corresponding group of health facilities) and the scheme administration which can be invoiced by the health facility and remunerated by the scheme administration. Note: The list will only be filled with the pricelists associated with the previously selected district, regional and nationwide pricelists assigned to the current logged in user.

Price Lists (Medical Items)

Select the health facilities price lists (medical items) from the list by clicking on the arrow on the right hand side of the lookup. The pricelist contains the list of medical items and their prices agreed between the health facility (or corresponding group of health facilities) and the scheme administration which can be invoiced by the health facility and remunerated by the scheme administration. Note: The list will only be filled with the pricelists associated with the previously selected district, regional and nationwide pricelists assigned to the current logged in user.

Account Code

Enter the account code (Identification for the accounting software), which will be used in reports on remuneration to be received by the health facility. 25 characters maximum.

Region, District, Municipality, Village, Catchment grid

Check the locations that define the catchment area of the health facility. Specify the percentage of the population of a village that belong to the catchment area in the catchment column. Default is 100%.

Saving

Once all mandatory data is entered, clicking on the Save button will save the record. The user will be re-directed back to the Health Facility Control Page, with the newly saved record displayed and selected in the result panel. A message confirming that the health facility has been saved will appear on the Information Panel.

Mandatory data

If mandatory data is not entered at the time the user clicks the Save button, a message will appear in the Information Panel, and the data field will take the focus (by an asterisk on the right of the corresponding data field).

Cancel

By clicking on the Cancel button, the user will be re-directed to the Health Facilities Control Page.

Adding a Health Facility

Click on the Add button to re-direct to the Health Facility Page.

When the page opens all entry fields are empty. See the Health Facility Page for information on the data entry and mandatory fields.

Editing a Health Facility

Double click on the line to be re-directed to the Health Facility Page.

The page will open with the current information loaded into the data entry fields. See the Health Facility Page for information on the data entry and mandatory fields

Deleting a Health Facility

Click on the Delete button to delete the currently selected record.

Before deleting a confirmation popup (Img. 64) is displayed, which requires the user to confirm if the action should really be carried out?

When a health facility is deleted, all records retaining to the deleted health facility will still be available by selecting historical records.