Patient Activity Reporting Service

PARS will provide an information system that provides practices with monthly reports on referrals and diagnostic procedures based on the clinical letters and emails arriving at practices.  PARS will also provide costing data.  The reports will be published within a week of month end. The reports will also provide some projected activity and costs.  A list of these reports is provided.

The first reports, listed below, will be available within 9 weeks of the start of the project.  They will be sent to PbC goups and practices. A whole group report is sent to the PCT.

Referral tables will be per practice

Financial tables will be for the whole group.

PARS will provide data for the PCT to validate SUS data.

PARS will provide data that allows the PCT to challenge provider costs within the time limits.

PARS will develop system that will extract the cause, need and outcome of each referral.  PARS will create tables of Patients’ Unmet Needs and Doctors’ Educational Needs, or suggested new pathways.    These reports will be standardised and available within 6 months of the start of the project, although ad hoc “manual” reports would be available within 3 months of starting.

PARS will be registered under the Data Protection Act.  It will accede to NHS regulation on patient confidentiality and the owning clinicians are subject to GMC regulation and good practice guidelines.

Suitable indemnity insurance will be in place.

The intellectual property rights of the service and systems developed remain with Drs Bulger and McMinn.

 

Referral Reports using data from letters and reports at GP Practices

Referral Detail Listing                           
Waiting Time Analysis                             
Episode of Care Waiting Time
Contract Waiting Time Report
Referral Exception Report                        
Hospital Services Accruals                  
Hospital Services Accruals by Provider
Claim costs over limit (list of expensive patients)                         
Analysis of Referral Costs By Treatment
Patient Referral Costs Audit Trail              
Analysis of Referral Costs By Provider      
Analysis of Referral Costs By Contract            
Analysis of Treatments - By Provider           
Analysis of Treatments - Summary                 
Analysis of Treatments (& Attendance Type) - Summary     
Analysis of Attendance Type (& Treatment) - Summary      
Current Year Commitments                          
Future Year Commitments                           
Treatment Referral Costs Audit Trail              
Referral Detail Listing                           
Waiting Time Analysis                             
Episode of Care Waiting Time
Contract Waiting Time Report
Referral Exception Report                        
Hospital Services Accruals                  
Hospital Services Accruals by HCHS
                         
Money Reports
The following reports are automatically generated once referral data is inputted; with shadow PCT contract data for each provider  put onto the system once a year (Provider, HRGs and Costs and expected budget). The system produces a report (Payment Remittance advice) which, under PBC, would validate PCT data confirming that the PBC group agrees to PCT payment of the provider invoice.  This report informs the PCT that the practice would have seen a letter confirming the procedures or outpatient attendance.   The PCT would have this some two months in advance of expected payment dates.
Shadow Payment Remittance Advice                 
Purchase of Hospital Services Expenditure      
Analysis of Proportion of Staff Costs (we could input PBC costs here)           
Analysis of Public Sector Debtors and Creditor  
Analysis of Private Sector Debtors and Creditors  
Analysis of Other Current Assets                
PCT (Responsible) Account - 9902               
PBC Account - 9901         
Analysis of Other Current Liabilities          
Nominal Ledger Audit Trail                     
Nominal Batch Print - Any
Analysis of Community Nursing Costs 
Shadow Payment Remittance
Analysis of Management Costs                    
Income & Expenditure Account            
Savings Account (PBC)             
Balance Sheet (PBS)
Trial Balance (With Budgets)      
List of every shadow invoice ever entered   
Detailed Savings History             
Unpaid Invoice List                    
Detailed Waiting List                        
Waiting List Cost Report                    
Patient Costs Report                                                                  
Patient Costs Summary                                                           
Analysis of Referrals                                                          
Analysis of Referral Costs By Treatment          
 
  
Dr Gerard Bulger FRCGP
Dr Mary McMinn MRCP
 
Copyright Gerry Bulge & Mary McMinn