Due to the large number of medical licenses granted, the BPS wants to deepen the controls and this is one way to do it.
” We had a program and a working basis, a product of the era in which it was built, in the 90s and the welfare logic at the time was the BPS system and was a heavy and very little flexible “, he acknowledged in an interview with El Pais BPS director, Rosario Oiz.
So, in 2013 the organization called for bids to have a computer system that is adequate to the new reality of BPS “to develop the attention mainly of people with rare diseases and congenital malformations”, in addition to other aspects of health benefits paid for medical certifications said Oiz. “But he wanted that was also a system that was not only flexible when requesting information, but also compatible with what you are doing the Agesic in what is history (electronics),” he said.
A five companies bidding were presented and was awarded IBM with MHC Argentina. The total amount of integrated management of the services provided by the Health Benefits Administration, the BPS software solution amounted to US $ 2.1 million.
Oiz He said the new system “certainly” will be more efficient to BPS in the care of people with rare diseases or birth defects.
“These people we serve have complicated health problems, it is important to know which require medication, which treatment do and know how to respond quickly. When we get the fit with the clinical history in its effector (health care provider) simultaneously, will be able to provide better quality of health. That goes on improving the expenditure made, “he said the director of the agency.
But also,” we hope this interacts with certifications labor and motherhood. This serves as a control and as a form of power, in the best way possible, to the benefit or not give it if the person does not belong, “he said.
In 2014, the BPS paid US $ 149 million for sickness benefits and complement accidents. The beneficiaries were 441,736 workers. In 2013, payment was US $ 123.5 million for 429,572 beneficiaries. The increase, then, was 20.3% in just one year. Since 2010, the figures for subsidies have increased exponentially.
“I do not know if (the new system) will impact the amount of benefits,” said Oiz.
“Where this system can make a difference? We think two things. One, at the time because if this is in line with good disclosure, we will make what today is done with pieces of paper, be made online and the delay times in which we get the information that a person is certified to be in real time. The other thing that this will help us He is in control, the audit, “said
.
he recalled that” installed Integrated Health created the National System of National Labor Certification System, we no longer BPS certify the disease and break time, that makes the physician. The physician is the one best placed to identify what is the condition of a person and required rest time “.
Instead what it does do the BPS “is not operating control abuses by means of a frequency and a repetition of certifications that do not conform to the disease being diagnosed. With this program, which will have improved information, with the possibility of combining with the clinical history, we will be able to better controls in less time, “said Oiz.
” That certainly will impact not so much to lower (the number of certificates), but better detect irregularities, “summed up.
software.
“We looked for a system that suits the client’s needs. It is a comprehensive management system that goes far beyond an electronic medical record. IBM began to search the world that it was best to take Uruguay. We decided to present in this case, a regional product, installed in over 100 hospitals in the region, which is of Argentine capital and we had excellent references, “he told El Pais in charge of the Health Sector of IBM Uruguay Alicia Rossi.
“The developed system of economic and financial management of each service to be performed first. Then the BPS lets you know in real time how they will operate each of the actions or processes, or medical X, or service that they are carrying out, “he said.
” In this way, lets you know the amounts of each of the features that gives, then that it can afford and incorporate it into your budget. What is the problem at the public level? Public companies or public providers are not aware of how much it costs each service makes volume to justify the need for the annual budget. That information is missing and lacking in many places, “said Rossi.
The system of Argentina MHC company” is accompanied with services from IBM for adoption “the same, he said. Besides,” is accompanied by the formation of workers BPS and transfer information to them. Allowed to make independent development, not having to use all the time IBM consultants, “Rossi said.” The project is a year of implementation. It started in March this year and have not had any lag in the schedule “so it is estimated to be implemented” in late February, early March next year, “he said.
single language, statistics and traceability
The head of the Health Sector of IBM of Uruguay, Alicia Rossi told El Pais that the computer system for management of the health area of BPS “is based on international health standards” and so implies that “all providers that link, speak the same medical language”.
In turn, “the system records all activities, use of laboratory, paraclinical, traceability of care, share information with others. Provides all health care data that already brings designed, plus all that BPS wants to incorporate, according to their specific situation, “he said. It also features a” server that allows what we say in different words “can unify explained Rossi . So if someone enters the system the same thing with different words such as “headache, headache, migraine, the server connects everything and identified to be one,” he added, saying that “allows all the information to be audited “.
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