Case Study 5 - Project Management Health Payment Systems

Sector: Health

Client Type: Health Authority

Challenge/Opportunity

A person going into aged residential care who wants to keep their home may not be able to pay for all the cost of their care. They can apply for an interest-free Residential Care Loan which accrues unpaid fees as a debt secured by a residential property until it is sold. 

At the time of this project, the system for managing this loans process transferred from Work and Income to Ministry of Health. An existing loan ledger on a simple database needed a significant upgrade and integration with an enterprise health payments system to meet legal and financial requirements.

Value Delivered

Hague provided value by:

•         Undertaking structured problem definition

•     Completing full stakeholder engagement to understand legal and financial requirements

•     Applied knowledge of credit and finance to identify viable solutions

•     Scoped a project

•     Developed business process design

•     Wrote functional specifications

•     Drafted policies and processes

•     Managed project to implement a solution

Hague’s Approach

Hague completed a comprehensive desk-based analysis of the problem, investigated a range of options, developed a shortlist of options in collaboration with subject matter experts and key business partners of the client. Developed a structured approach to the whole project, managed the process, policy and system elements of the project to completion. 

The project approach included extensive design, build and testing of integration with Health payments systems: Client Claims Processing System (CCPS) and Contract Management System (CMS).  The health payments systems upgrade work was completed on time and on budget and met all quality criteria.

Outcome/Result

Completed on time and below budget. The system has worked effectively for many years since. At the time the solution was implemented the loan ledger was about NZ$100 million. It is now much larger.