We are synchronising patient details recorded at the practice with those held by the National Health Index (NHI) A comparison is automatically triggered when leaving the patient’s detail screen and at the time a patient arrives and leaves for their appointments. If a difference is detected, there is an opportunity to update either the practice or NHI system. This can also be triggered by clicking on Check NHI
Patients will be enrolled electronically with the National Enrolment Service. The date of each consultation will be sent to this service. This will take place for eligible patients when they “Leave”. If a connection cannot be established, the message will be stored and sent later. This will replace the Patient Register uploads/downloads for Capitation after high levels of accuracy and reliability are established. Until notified, continue to submit quarterly registers.
When you arrive a Patient in the appointment screen we will retrieve the patient’s record from the NHI database and compare the details against that held in MyPractice.
When you leave a Patient in the appointment screen
If no NHI is present, you will be presented with a “Search and match screen”
When this screen opens, you may see a list of potential matches
When ‘Finding patients on the NHI’, we will check for possible duplicate records within MyPractice.
Add as much patient information to the NHI as is available. The minimum information required is:
Validated and a physical address; not a P O BoxAddress
Validation refers to Geocoding using e-Sam in MyPractice. If the address cannot be validated, under Additional Information, state the appropriate reason
Once all the information is entered, click on the [Add] button.
The label for information that does not match and can be updated is highlighted in red. Additional information stored on the NHI but not retained in MyPractice is displayed with a yellow background Information retrieved from the NHI system is displayed on the right (Green background) Information stored in MyPractice is displayed on the left (Purple background) Related information is updated together e.g. Name (separated by black lines)
For patients that are eligible for public funds, have an enrolment date and currently regular in your patient details screen
To manually end an enrolment (stop updates), remove their enrolment date, and enter a reason selected from the drop-down list. This will send the new date to NES and the expiry date will be updated in the scheme. To re-enrol the patient, enter the new date in the enrolment date field.
While leaving the Patients details screen (F11), we will retrieve the patient’s record from the NHI database and compare the details against that held in MyPractice. (See Find your patient on the NHI and Compare and Update in below)
In Patients details screen (F11) when you click ‘NES: Update Schemes’ we will update schemes for CSC cards, High User cards and e-enrolment from the NES system.
In Patients details screen (F11) when you click ‘NES: Update Preferences’ we will update survey preferences (see below) from the NES system.
Enter the date last seen then press NES: Update Last Encounter Date
This function will present a screen for changing the enrolment date or terminating enrolment. The Reason for dis-enrolment can be selected at this point.
Removing the enrolment date will also present these options.
In MyPractice, Survey preferences can be seen in ‘Notes and Preferences’ tab of Patients details screen (F11).
This is where patients may opt off these surveys.
Contact details (email and mobile numbers) are sent from the contacts list in the patient details screen.
In the Practice settings, nominate a staff member to receive notifications from the NES.
Notifications are received and displayed in the task manager for that staff member. The practice may wish to contact and re-enrol expired enrolments for FLS. The enrolment status is updated where appropriate (e.g. expiry date is applied to transferred enrolments).
Although not possible in all instances, it is now possible to check the eligibility for one-third of the population via the NHI/HUI.
The records for all those people born between 1949 and 2006 were matched between the Ministry of Health and the Dept of Internal Affairs. For the
1,754,980 million people who were confirmed as being born in New Zealand between these dates the NHI records were updated to show them as a New
Zealand Citizen by birth.
The attachment below shows the two places (Via Medtech and the HUI) where the citizen details can be found.
If practices are able to confirm eligibility via these screens, there is no requirement to seek further evidence of eligibility from the patient. A short note on
the enrolment form, by the eligibility question, stating “NHI confirms patient is NZ citizen by birth via DIA Data share” will suffice.