Matrix Of Online, Smir And Other PRACSYS Reports

REPORT NAME

DESCRIPTION AND PURPOSE

WHEN PRODUCED

WHERE PRODUCED

AVAILABLE TO

ONLINE

View Work on Hand and Excel macro (page 1)

This is an online screen specifically designed to collate and detail summary statistics for individual users, showing their workload performance for the previous week.

Screen displays differ for each user, based on the type of work they do.  Managers can view team statistics and are able to download data into an Excel spreadsheet.

Updated every Monday (or monthly for some functions). No historical record of data is stored.

'VWRK' function under the General Facilities application.

Available to all users.

Team Managers are able to also view team statistics, as well as their own individual data.

View Work on Hand (page 2)

This function provides users with an online capacity to selectively refine claim searches, to show statistics relating to claim and liability status'.  It supports a TCM focus and caters to the needs of Claims Managers and the claims they have on hand/had in the past.

Users are able to collate lists of specific claims on the basis of Customer/Cost Centre, date of receipt of claim, liability status, risk type and/or 'active/non active' status.

This means they can not only compile lists of all their current outstanding claims work (eg undetermined type 2 claims), but can also look for trends with their claims by compiling historical data.

In addition to user specific screen displays, a Team Manager is able to compile their own lists relating to their team (eg all the current undetermined claims).  Claims Services Managers are also able to look at either team by team or State listings.

Updated as changes entered onto PRACSYS.

There are currently some difficulties with using both the Claims Services and Team Manager screens.  At this time, the functionality has been temporarily removed.

'VWRK' function under the General Facilities application.

Use Function key F9 to select this facility.

Available to all users.

More specific screens available for Team Managers and a State perspective available for Claims Services Managers.

Diaries

This is an online screen providing users with information about how many diaries they have on hand.  Split into categories, diary types are displayed on the first screen a user logs into.

There are separate 'View Diary Statistics' summaries available for both Team and Claims Services Managers.  These summaries provide more concise and detailed information for use by middle management, with the inclusion of diary types within a category.

These provide managers with a more appropriate view of not only current workloads on a team by team basis, but also detail online statistics of invoices and incapacity not yet determined.

User's screens are updated as soon as a diary is generated.

Team and Claims Services Managers statistics screens are updated every Monday.

From the Application Menu.

'VDS' function under the General Facilities application.

Available to all users.

Available to Team and Claims Services Managers.

Claim Goals

These are online targets for individual claims to indicate how claim management performance is progressing.

This is based on comparing the actual cost and length of time for rehabilitation, invoices and incapacity against set goal figures.  Ideally, the goals should only be read against 'Type 2' claims.

Always available and updated periodically following review of figures against current trends and claim performance.

Readily accessible from the 'VCLS' screen (page 3), from either within the Claims Management Menu, standard configured command list or the Search/List Claim zoom function.

Also from 'VGLS' under the Claims Management Menu.

Available to all users.

File Location

File location reports can be selected through an online process, which allows users to locally print a list of not only their own files, but also files for other locations.

It should be noted that file location reports for users are not connected with the Claims Management role, but relate to listing all files held against a user's individual location.

If a print request is made for files held in file bays, the report will not print locally, rather, due to its extensive size, will print at ISG.

Available as required and automatically updated as changes occur to file locations.

'RFLR' function under the General Facilities application.

Available to all users.

View Summary Data

This is a screen that enables online collation of data to do with injury profiles, claim risk type or rehabilitation.  It is not only useful for external purposes, but also as a means of monitoring costs and gauging trends to do with types of claims.

Only one area of information is able to be used at a time, with primary selection of data based on Customer and a set period of time (eg over a whole financial year).

Available as required, but updated every Monday.

'VSD' function under the Reporting application.

All users can access this, but the facility has primarily been set up to cater for Account and National Business Managers.

SMIR

Medical Payments to Service Providers > $5000 (regular ad hoc)

This report details all payments over $5000, listed by service provider.  As a State by State report, it is used to try and pinpoint/alert managers to unusually high costs and potential overservicing.

Produced fortnightly and issued via Email.

ISG

Distributed to CSMs from the QA Group.

Once-off Incapacity Payments > $2000 (regular ad hoc)

This is an incapacity report detailing all one-off payments greater than $2000 made in the previous 4 weeks.  It pinpoints potential major errors associated with large payments to claimants and is issued on a State by State basis.

Produced fortnightly and issued via Email.

ISG

Distributed to CSMs from the QA Group.

Diaries on Hand (regular ad hoc)

This is a general report detailing a complete list of diaries users have on hand, on a State by State basis.

The Business Services Unit highlight any users who no longer work in the State office and alert the Claims Services Manager to any diary totals that may be impacting on the user's workloads.

Produced fortnightly and issued via Email.

ISG

Distributed to CSMs from the QA Group.

EIS

Executive Information System (SMPM 1)

SMPM1 screens:

Maintain Targets - Allows you to enter target amounts for program expenditure.

Actual/Target Cost - Compares figures for the selected year with target expenditure for that year and amounts for the previous financial year (graph or table).

Actual/Target Cost Long Term - Compares program expenditure amounts and targets across a number of financial years (graph or table).

Every month (or the first weekend following the end of the month).

ISG

Available to selected users (primarily State office based) who have a PowerMac.

Executive Information System (SMPM 1)

SMPM 1 screens:

Actual/Target Cost by Financial Group - Compares program expenditure amounts and targets for Incapacity, Medical, Rehabilitation and Other financial groups (graph or table).

Medical Cost - Displays program expenditure and payment numbers for the Medical financial group, divided into a number of categories (table only).

Rehabilitation Cost - Displays program expenditure and payment numbers for the Rehabilitation financial group, divided into a number of categories (table only).

Other Cost - Displays program expenditure and payment numbers for the Other financial group, divided into a number of categories (table only).

Every month (or the first weekend following the end of the month).

ISG

Available to selected users (primarily State office based) who have a PowerMac.

Executive Information System (Claims)

Claim Numbers screens:

Claim Numbers - Displays the number of open and reopened claims at the end of each month (graph or table).

Every month (or the first weekend following the end of the month).

ISG

Available to selected users (primarily State office based) who have a PowerMac.

Executive Information System (Claims)

Claim Numbers screens:

Undetermined Claims - Displays the number of compliant claims undetermined at the end of each month of a selected financial year, showing time lags since the date the claims were received (graph or table).

Initial Liability Determination- Displays the number of claims accepted or rejected during the month (graph or table).

Claim Determination - Displays the number of determined claims for each month of a selected financial year, showing time lags between the date the claims were received and the date of determination (graph or table).

New Claims - Displays the number of claims received in the month, showing how many are compliant and non compliant (graph or table).

Claim Incidence for Insured Employees - Shows the number of claims with a date of injury in the selected year, expressed as a percentage of the overall number of insured employees covered by Comcare Australia (graph or table).

Every month (or the first weekend following the end of the month).

ISG

Available to selected users (primarily State office based) who have a PowerMac.

AD HOC

All Open Claims

A list in Excel format of all open claims for each State office.  May have been superseded by EIS.

Every fortnight.

ISG

Distributed to CSMs through the QA Group.

Undetermined Claims

A list in Excel format of all undetermined and open non-compliant claims for each State office.  May have been superseded by EIS.

Every fortnight.

ISG

Distributed to CSMs through the QA Group.

Open Active Return to Work Plans

A list in Excel format of all open Return to Work Plans for each State office.

Every fortnight.

ISG

Distributed to CSMs through the QA Group.

Rejected Claims

A summary report which is sent to Ben Abolins showing rejected claims for a given month.  This information is added to the SMPM Workbook, but may have been superseded by EIS.

Every month.

ISG

Distributed via Ben Abolins through SMPMs.

Cheque Run

A list of all cheques issued during a week.

Every week, following the weekly payrun.

ISG

Available to the Fraud Management Officer, currently Joseph Barclay (QLD office).

CSL/Filtron/NT Govt

A report on payments made and claims determined for QWL Ltd.

Every month.

ISG

Available to Peter Wurfel.

HPA RUN & ISG BATCH

Customer Structures

This report lists the existing Cost Centre hierarchy of a selected Customer, primarily for use in restructuring Cost Centres (eg Merge/Split function).

Different Cost Centre views showing different hierarchy structures can be printed, although the report defaults to the current Premium structure.

On request by user (usually National Business Managers).

HPA

Distributed to relevant State office, direct from HPA.

Pre-move Claims

This report lists all open claims for selected Cost Centres, and is used by Customers to identify which claims are moving to a new Cost Centre structure.

On request by user (usually National Business Managers).

HPA

Distributed to relevant State office, direct from HPA.

Post-move Claims

This report lists claims, showing where they have been moved to after the Merge/Split Cost Centres function in the Policy Management application has been used.

On request by user (usually National Business Managers).

HPA

Distributed to relevant State office, direct from HPA.

Reportable Claims

This report lists all determined claims which are 'active' (ie open or re-opened), with an injury date after 01/07/1993, and that have no incident report linked to the claim.

It lists claims that have had incapacity recorded against them, or where the claim involves a death.

Every month.

ISG

The report is part of a batch cycle and is produced direct to State local printers.

10 Day

This is a report listing claims where no Return to Work Plan has been received where there has been 10 days incapacity.

Every month, and by request from a user.

HPA or locally

If HPA produced, returned to ISG and distributed to all CSMs and Rehab Advisers in NSW and ACT.

Outcomes of Closed RTWPs

This is a report of Return to Work Plans which have been closed, with details of key performance indicators included.

Every month, and by request from a user.

HPA or locally

If HPA produced, returned to ISG and distributed to all CSMs and Rehab Advisers in NSW and ACT.

Open Active RTWPs

This report details all active and open Return to Work Plans.

Every month, and by request from a user.

HPA or locally

If HPA produced, returned to ISG and distributed to all CSMs and Rehab Advisers in NSW and ACT.

Open Inactive RTWPs

This report lists all Return to Work Plans which have expired, but still remain open.

Every month, and by request from a user.

HPA or locally

If HPA produced, returned to ISG and distributed to all CSMs and Rehab Advisers in NSW and ACT.

RTWP Durability

This report details all Return to Work Plans which were closed 3 months prior to the report, and provides information regarding the durability of that rehabilitation (ie whether or not it has been successful, whether the employee has remained at work, etc).

Every month, and by request from a user.

HPA or locally

If HPA produced, returned to ISG and distributed to all CSMs and Rehab Advisers in NSW and ACT.

Rehab not Required

This report shows a list of claims where rehabilitation has been deemed as 'not required', but the claim has still exceeded certain incapacity duration and/or costs.

Every month, and by request from a user.

HPA or locally

If HPA produced, returned to ISG and distributed to all CSMs and Rehab Advisers in NSW and ACT.

Approved Provider Performance

This report provides a listing, by rehabilitation provider, of all their Return to Work Plans that are open and closed.

The intent of the report is to indicate the performance of the provider.

Quarterly, and by request from a user.

HPA or locally

If HPA produced, returned to ISG and distributed to all CSMs and Rehab Advisers in NSW and ACT.

RTWPs Received

Once a specific period is selected, this report shows a list of all Return to Work Plans that were received for that period.

Quarterly, and by request from a user.

HPA or locally

If HPA produced, returned to ISG and distributed to all CSMs and Rehab Advisers in NSW and ACT.

Injury Profile Report

This report lists, by injury group (11 general injury categories), all Return to Work Plans which have been closed.

Every six months.

HPA or locally

If HPA produced, returned to ISG and distributed to all CSMs and Rehab Advisers in NSW and ACT.

Outstanding Recovery Accounts

This is a summary report that details the status of outstanding recovery accounts at the end of a given month.  It is broken down by State, recovery reason and status, and also provides a summary total of all recovery accounts within a reason code.

Every month.

HPA

Returned to ISG and distributed to all CSMs.

Recovery Account Activity

This report summarises the types of actual recoveries made during a given month.  A total is printed at the end of the report which relates to recovery accounts closed during the month that are still closed at the end of that month.  When a recovery account is closed and reopened during the month, the recovery account is not included on this report.

Every month.

HPA

Returned to ISG and distributed to all CSMs.

Recovery Accounts Non-Activity

This report details each recovery account with a status of 'Inactive' or 'Deferred', that had no activity carried out at the end of a given month.

Being broken down by payee name, the report lists the recovery account amount and the amount outstanding.  A summary total is produced by each payee and a net total for all payees is displayed.

Every month.

HPA

Returned to ISG and distributed to all CSMs.

EDT Weekly Summary Report

This report prints a summary of EDT (Electronic Data Transfer) Incident Requests processed during the week together with progressive totals of Accepted and Rejected requests processed.

It also reports on current outstanding requests yet to be replied to the Customer.

Every week.

ISG

OH&S every Monday

Unlinked Notification Report

This report provides information on all Notifications where no link has yet been made to an Incident Report.

Notifications will continue to be printed on the report until they are either linked to an Incident Report or they become than 12 months old.

The report is distributed together with the Unlinked Claims Report.

Every month or online by request.

ISG

To OH&S Managers.

Unlinked Claims Report

This report provides information on all claims which are yet to be linked to an Incident Report.

Every month or online by request.

ISG

To OH&S Managers.

SMPMs

State Management Performance Measures

These are indicators to gauge how a particular State is performing.

Based on 'open' and 're-opened' claims, they provide trends, on a State by State basis, of a complete year's statistics prior to the month of issue of the measures.

SMPMs are presented in two ways.

A Workbook Excel spreadsheet is compiled which provides raw data for comparison purposes.

Alternatively, by accessing the Apple Menu, an SMPM Package, showing more graphical data display, is provided.

Every month.

ISG

Workbook data is distributed to Ben Abolins, who compiles the Workbook and then Emails it to State Managers.

The SMPM package is compiled by ISG and is remotely updated on relevant State servers.

State, National Business and Claims Services Managers may then access the data via their Apple Menu.

RESOURCES POLICY & FIN SERVICES GROUP

Program Expenditure

This suite of reports monitor the expenditure of the various categories of claim related costs, such as incapacity, medicals, rehabilitation, common law, lump sums and so on.  Comparisons are then provided against the previous financial year.

Every month.

From the General Ledger, and produced by the Financial Services Group.

State Managers.

Administrative Costs

This suite of reports provide data on how each State office are performing against their respective budgets.

Every month.

From the General Ledger, and produced by the Financial Services Group.

State Managers.

Cash Flow/Unallocated Reserves

These reports provides data on the cash flow for Comcare Australia, including surplus/deficit details, and listings of all unallocated reserves.

Every month.

From the General Ledger, and produced by the Financial Services Group.

State Managers.

Business Revenue and Third Party

This suite of reports relates to both sales (eg Claims management services, rehabilitation and OH&S products and services, etc) and Third Party revenue.

It not only lists revenue but also allocation of this money to national projects, State/CC/BC pools and programs.

Every month.

From the General Ledger, and produced by the Financial Services Group.

State Managers.