The IT system for the National Health Fund is an integrated solution used both at the central office, and at individual provincial branches of the Fund. It supports processes related to strategic planning, current operating activities, and controlling in an institution that is the main administrator of public health care funds in Poland.
About solutions
Over 511 thousand medical personnel
Over 38 million patients
Over 126 thousand suppliers of medical services
Over 12 thousand pharmacies
Key components of the NHF IT system
Central Insured Register (CWU – Centralny Wykaz Ubezpieczonych), providing support for E100 series documents for the insured, and for handling persons insured in other EU countries
IT System for Prevention Monitoring (SIMP) with the registration of screening for breast cancer, cervical cancer, and circulatory system diseases and dispatching of examination invitations to patients in Poland
System for Monitoring Therapeutic Programs (SMPT) that allows the certification and monitoring of more than 40 drug programs in accordance with the notice of the Ministry of Health
Central system of verification of the POZ declaration on the basis of lists from the provincial branches of NFZ including the validation of declaration data, verification of the Central List of Insured and the uniqueness in the whole country
System for European Health Insurance Card support
System for spa treatment management with the settlements
System for handling reporting for the Ministry of Health, the Ministry of Finance, and local government units
Suite of ERP class solutions supporting NHF administration processes, including budgeting and controlling, cost and financial management, and HR management subsystems
Functionality
The system used by NHF to support the Fund’s main statutory tasks, including:
keeping a record of periods of eligibility to receive health care benefits (merging data from various health funds)
keeping a record of premiums paid
data preparation for the health insurance verification system EWUŚ
coordinating cooperation within the framework of the European Union, including managing health
insurance certification documents
keeping a record of delivered services and issued medicines informing persons eligible to receive health care benefits about services they have received that had been financed by the Fund
keeping a record of service providers
keeping a record of offerings
preparing a pricelist for services, and organizing a bidding procedure
preparing, monitoring and settling agreements with service providers, and medicine reimbursement
budget planning and controlling
managing settlements
keeping a record of balance and off-balance accounts
settling the Fund’s operating costs
keeping internal administrative records (such as purchases and sales, employment, fixed assets, payroll, etc.)
analyzing the Fund’s expenditures and revenues
analyzing and optimizing spending by health care service group
analyzing spending on medicines reimbursed with regard to out-patient services
forecasting the health condition of all the insured
providing statistical information required by the Fund’s central office and other central bodies, including the Ministry of Health
managing health care programs
Contact
If you are interested in our systems for the clinic or have another medical facility, email us. We will respond and advise the best solution.
Almost 10,000 children have been born under the pilot program offering coordinated care for pregnant women (KOC), which has been launched by the National Health Fund (NFZ). The program was implemented by selected healthcare providers from July 1, 2016 to June 30, 2017, and there is a possibility to extend it until September 30, 2017. The project is supported by the IT Monitoring Preventive Program (SIMP), developed by Asseco Poland.
Technology facilitates breakthroughs in medicine. It also offers solutions that assist medical facilities to operate more efficiently and to provide optimum therapy to their patients. Polish health care market is huge, and the digital revolution in this area is only a matter of time. In order to meet patients’ expectations and expand the possible uses of existing solutions, Asseco Poland – market leader in solutions for the medical sector – and Microsoft strenghten their cooperation in the field of telemedicine. The agreement was signed during the Microsoft for Health Care – Digital Transformation in Health Care conference, which is the first event of its kind in Poland, presenting the capabilities of cloud computing and dedicated health care solutions in Poland.
