Questions and Answers
Health Risk Management System – RAF/2012/00009
- Question
Increase in claims 8-9%?
Answer
Indicative if increase in number as well as rand value.
- Question
How many users or workstation?
Answer
100 (with the recruiting process due to transformation) the number can be over 100.
- Question
The three aspects needed in the system?
Answer
Intelligence protocols and support
- Question
When is the case captured in the system?
Answer
The case will be captured immediately after an accident, i.e. at the hospital before merits are determined.
- Question
Is there an existing map to can share e.g. architectural or infrastructure?
Answer
- Hub of processes – Vodacom
- Connectivity to all systems
- Health risk management system will reside within the cloud.
- Question
Is it an outright purchase?
Answer
The service provider must propose the best solution.
- Question
If it is not oracle, but vine interface?
Answer
Service provider’s system must use ORACLE/MSSQL back end.
- Question
Is training for all users?
Answer
Train the trainer
- Question
How long is the support?
Answer
How long is the support?
Answer
Three years, may be extended, but will be reviewed yearly.
- Question
What is the total number of active undertakings?
Answer
6000 active undertakings
- Question
What about the old processes of undertakings?
Answer
The RAF will start with current undertakings and new admissions will be captured at that stage.
- Question
What will happen to inactive undertakings?
Answer
RAF will buy reinsurance, though a process will follow where case managers will determine the status of all issued undertakings:
- To decrease the number of dormant undertakings
- Limit period of undertakings
- Question
How will the 6000 undertakings be captured or will there be a manual and electronic process?
Answer
A bit difficult to answer, can service providers propose, Though, this will be done in phases.
- Question
What about independent data analysis?
Answer
Need a system with automation.
- Question
Will there be interaction between the system and the medical aids?
Answer
Initiating will be from the hospital; medical aid won’t or cannot manage the RAF undertaking.
- Question
Will protocols of medical aids be accepted?
Answer
Yes, the protocols of medical aids will be accepted.
- Question
Will the successful service provider work with business analyst (RAF)?
Answer
Yes
- Question
Will RAF consider using SAP/
Answer
- The RAF needs a health system
- The RAF does no need to start a new system
- The RAF needs a tried and tested health system.
1 | Page