Ticketing system and groupers version control in Nordic Cooperation process. Maisa Lukander Nordic Casemix Center
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1 Ticketing system and groupers version control in Nordic Cooperation process Maisa Lukander Nordic Casemix Center
2 Mangement Nordic Casemic Center Steering comittee (Owners) Board (Owners) Communication Owners: Norway Sweden Denmark Iceland Finland Participating partners: Estonia Latvia Expert Group; Development, All partners Nordic Casemix Centre 2
3 Nordic Co-operation Mission: Nordic Casemix Centre develops and maintains as a Nordic co-operation common Nordic Casemix systems to improve quality and efficiency in healthcare. It supports Casemix development to improve quality and efficiency of healthcare. Vision: The Nordic Casemix work is up to date and built on common Nordic goals and the Nordic area collaborates actively in the work. The systems are transparent and used by all countries. It supports healthcare benchmarking and analyses, promotes knowledge and understanding about content and use of Nordic Casemix systems. Values of Nordic Casemix Centre: Open availability of all material including definition tables of NordDRG Openness, trust and mutual respect between all the participants High quality and effectiveness of the work Nordic Casemix Centre 3
4 Changing environment Casemix systems have to: Be able to analysis and research use of Casemix Rapid action to satisfy user needs (owners) Be aware of the changes on national level, organization, reimbursement needs and health care systems To be able to work for these strategic goals the Casemix work must have Sufficient, accomplished and motivated attitude in the cooperation Controlled and stable finances Modern and adequate technology Good management Confidence of stakeholders Nordic Casemix Centre 4
5 Strategic statements Nordic Casemix association promotes of knowledge, understanding and feasibility on Casemix. The Association works in close collaboration with decision makers, health care experts and other stakeholders by ensuring that the system is broadly used and well known in participating countries. Nordic Casemix co-operation has no active goals to expand NordDRG system to new countries. Grouper development maintenance process is developed continuously to assure deliveries of good quality. With continuous development of working process with modern tools this is possible without major increase in resource use. Nordic Casemix development has strong relation to primary classifications and their development. It follows the latest international and Nordic work on health care classifications and participates in classification development actively The NordDRG definition tables and the NordDRG Manual are public to allow different software producers to develop competing grouper programs Nordic Casemix Centre 5
6 Strategy: With continuous development of working process with modern tools, Grouper development maintenance process works without major increase in resource use. Management of grouping process and definition tables works with modern tools NordDRG Forum based on ticketing system and version control are essential A steered maintenance process is a key to assure delivery in time and the sufficient quality of the end product Tasks: NordDRG updating and maintenance processes and principles has yearly evaluation and improvement NordDRG Update Process Timetable is in active use and process is in time every year Ticketing system and version control is adapted and in use to improve efficiency, productivity and quality Development project started 2013 and it continues Nordic Casemix Centre 6
7 Nordic Casemix Center s ongoing development projects 1. Forum reform- ( ) Replacement of the old Forum with more modern ticketing system 2. NDMS-project(NordDRG Maintenance System) ( )to test the Danish Vags-system in Nordic operational environment instead the FoxPro based old system 3. Version control project ( ) be more effected with the grouper versions development Nordic Casemix Centre 7
8 New Forum Nordic Casemix Centre 8
9 Forum reform Ticketing system Installed new NordDRG forum 2013 Transparent and real-time documentation between national organizations and Nordcase System running: Basic setup done and system in daily use Structure and terminology planned and defined Old Forum Cases have been transferred to new Forum Nordic Casemix Centre 9
10 Access to the Forum
11 Main interface Nordic Casemix Centre 11
12 List of Issues (case, tasks, development iniatives, communications, meetings) Nordic Casemix Centre 12
13 Roles and user rights Manager: NordDRG Forum administrators Nordic Casemix Centre- ADMIN rights Developers: NordDRG Forum users Board and Expert Group members- limited with user rights Post messages, edit own messages, view calendar, documents and gantt chart, manage and view files, edit, view and add issues, comment news, view and edit wiki pages Others: Viewing only Nordic Casemix Centre 13
14 Forum software The new Forum is an open source software called RedMine ( The Redmine runs on Red Hat Linux operating system. The NordDRG Redmine is configured to use relational database (PostgreSQL) as persistence layer to store the data inserted through the Redmine users interface Nordic Casemix Centre 14
15 Forum s current situation and future needs Update proposals for NordDRG 2015 managed by using this new Forum Automatic notification from system regarding updates of issues to experts All old cases ( ) transferred to new system (History) ongoing; still oldest cases in process Expert Group members have log in access to new Forum Future: Education and training (autumn 2014) User s manual Evaluation and development plan of the system (2014) Cases linkage to Version Control system and NDMS (2015) Nordic Casemix Centre 15
16 NordDRG Maintenance System - See I m still smiling after all these years project Nordic Casemix Centre 16
17 NDMS (NordDRG Maintenance System) project Project started 2013 and continues Testing period Partner SSI (Statens Serum Institute, Denmark) that has developed the Vags system to maintain the DRG definition tables Done by Rehfeld partners A/S Nordic Casemix Centre 17
18 NDMS project s goals Be able to replace the existing FoxPro based NDMS tool with the VAGS based tool. No more support for the old software. Approach has been tested during and after this testing period it is decided if the old FoxPro system can be replaced with the new one Produce and publish the NordDRG manuals for all national versions using VAGS by end of the year 2014 Result of the project is, that the table maintenance process becomes more effective and transparent and the manuals can be produced automatically Nordic Casemix Centre 18
19 Version Controll- Why? Nordic Casemix Centre 19
20 Version controll (Wikipedia) is the management of changes to documents, programs, and other information stored as computer files. It is most commonly used in software development, where a team of people may be changing the same files Nordic Casemix Centre 20
21 Version Control development goals Check that all decided changes are done Link to the Forum cases Used in co-operation between Nordic Casemix Center, national organisations and suppliers Check that no other changes occur Promote knowledge that all the 8 different grouper versions are in the control and process Version control is linked to Forum case-system and to NDMS- This is a reason, why this project is dependent of these 2 previously presented projects Nordic Casemix Centre 21
22 Git version control software have been preliminary tested in Nordic Casemix Essentially a version control system (or a revision control system) is software that has the ability to manage and track changes that occur to any document that is in a given project.. Center Nordic Casemix Centre 22
23 Why version controll is important for us? Groupers are produced to; Common version (maintenance), Sweden, Norway, Denmark, Iceland, Finland (owners), Estonia and Latvia (supporting partners) Each year 16 versions of groupers are produced. This is the reason why version control between groupers and changes is so important Each country have their own DRG grouper each year because National basic classifications (ICD, Interventions) National versions are linked together and linked codes have identical properties Logic (DRG rules) may vary between the countries Common changes and national changes Nordic Casemix Centre 23
24 9. Production versions (8) of the groupers ready and tested 8. Tecnical definitions and descriptions 10.Certification and manuals 7. Expert group Decision making Testing approval 6. Changes of primary codes; Their cause for the grouper changes Year clock DRG Groupers for Testing, changes, acceptance by national bodies 1.Proposals for changes major/minor 2. Discussion Expert group Decision making 3. Tecnical definitions and descriptions 4. Planning versions of the groupers (8)ready Nordic Casemix Centre 24
25 So. Thank you!
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Digital Asset Manager, Digital Curator. Cultural Informatics, Cultural/ Art ICT Manager
Role title Digital Cultural Asset Manager Also known as Relevant professions Summary statement Mission Digital Asset Manager, Digital Curator Cultural Informatics, Cultural/ Art ICT Manager Deals with