Idea: Voucher scheme management
Content
Summary
OpenIMIS should have a feature that allows the government to use the product only for cash payments and in-kind payments.
OpenIMIS should get a function in which a "stock management" of vouchers is possible. In simple terms, this means that it must be possible to trace which vouchers were issued to which person on which day. It should also be possible to trace the redemption of vouchers.
Overview
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Function | Voucher scheme management |
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Prioritisation
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Source
This was the idea mentioned during interviews with various stakeholders in February 2021.
Github: 
GitHub - openimis/client-fe_js
Child Pages
Comments
Need support of “rights” in openIMIS and voucher will add rights to existing policy. Therefore the stock could be deduced.
For the case of the Chèque Santé programme in Cameroon, a few challenges have come up when comparing the SOPs with openIMIS functionalities:
Stock management: as openIMIS does not have the capacity to manage the sale and tracking of vouchers, the idea is to use the software “Odoo”, and eventually integrate it with openIMIS.
Enrollment: when a voucher is sold, it is not necessarily sold directly to the beneficiary, but often to local organizations or community leaders who then distribute them to expectant mothers. This means that the enrollment of the beneficiary is not done when the voucher is sold, but when the expectant mother comes for her first visit to the health facility. Therefore, the health facilities need to manage both the enrollment process as well as the claims process. One request from the government was that when a beneficiary shows her voucher number for the first time, openIMIS should recognize if it is a valid number or not. This will only be able to work once openIMIS and Odoo are connected. The process in this first phase will then be as follows: the woman comes to the health facility with her voucher, provides her personal information which is recorded under “insuree” and the voucher number will be her insurance number. We will remove the need to enter a payment for the policy to become valid. Using both enrollment and claims functionalities is not an issue on the online web version. The challenge is that stable internet connection at the HF cannot be guaranteed and therefore the mobile apps are preferred. However, there are two separate apps for enrollment and claims and the difficulty will be to ensure they are synchronized.
Flat fee service bundle: the CS is designed in the form of a slip, with 7 individual vouchers that each represent one type of service “bundle” (4 ante natal consultations, 1 delivery, 1 post natal consultation for the mother, 1 post natal consultation for the baby). Certain types of complications are also covered by the scheme but not represented with a voucher. This needs to be configured within openIMIS (with limits and ceilings). This is where the idea of flat fee service bundles becomes important. Indeed, each service bundle (represented by a voucher) includes a set amount of medical services and items that can be covered under that bundle. Whether or not the HF performs all of the services or prescribes all of the possible drugs, it is still reimbursed the same flat fee. This is something not only used in voucher schemes but also other type of schemes. There is an interest from the government to track the consumption of the individual medical services and items used for each patient in the claim, even though it does not affect the price. This is something that does not exist in openIMIS at the moment.