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Immigration New Zealand INZ Health Project update

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Presentation on theme: "Immigration New Zealand INZ Health Project update"— Presentation transcript:

1 Immigration New Zealand INZ Health Project update
March 2015 Immigration New Zealand INZ Health Project update

2 Rollout - Global Panel Physician Network, eMedical, policy change and organisational change

3 eMedical - Staged deployment
Stage One – 24 November 2014 ‘soft’ launch eMedical is enabled for INZ and extended to six countries, supported by seven INZ offices offshore. Stage Two – 31 January 2015 – eMedical offshore eMedical extended to all existing offshore eMedical-enabled countries (except Australia). This brought a total of 128 countries onto eMedical, to capture 80 per cent of INZ’s offshore medical examinations electronically. Stage Three – 30 March 2015 – eMedical onshore eMedical extended to New Zealand’s new panel physician network. Expected to be deployed in at least 145 clinics (medical and radiology). Future eMedical deployment Future deployment is still to be developed, but will be supported by all three eMedical participant agencies. INZ will focus on South Pacific deployment in Samoa and Tonga initially.

4 eMedical - Stage One countries
Cambodia, Singapore, South Africa, Thailand, United Arab Emirates, Vietnam

5 eMedical - Stage Two countries
Afghanistan, Albania, Algeria, Argentina, Armenia, Austria, Bahrain, Bangladesh, Belarus, Belgium, Bermuda, Bhutan, Bosnia and Herzegovina, Botswana, Brazil, Brunei, Bulgaria, Burundi, Cameroon, Canada, Chile, China, Colombia, Costa Rica, Croatia, Czech Republic, Denmark, Dominican Republic, Ecuador, Egypt, El Salvador, Estonia, Ethiopia, Fiji, Finland, France, Georgia, Germany, Ghana, Greece, Guatemala, Guinea, Guyana, Haiti, Honduras, Hong Kong, Hungary, India, Indonesia, Iran, Iraq, Ireland, Israel, Italy, Jamaica, Japan, Jordan, Kazakhstan, Kenya, Kosovo, Kuwait, Latvia, Lebanon, Lithuania, Macau, Macedonia, Malawi, Malaysia, Maldives, Mauritius, Mexico, Moldova, Mongolia, Morocco, Myanmar, Nepal, Netherlands, New Caledonia, Nicaragua, Nigeria, Norway, Oman, Pakistan, Panama, Papua New Guinea, Paraguay, Peru, Philippines, Poland, Portugal, Qatar, Romania, Russia, Saudi Arabia, Senegal, Serbia, Slovakia, Solomon Islands, South Korea, Spain, Sri Lanka, Sweden, Switzerland, Syria, Tahiti, Taiwan, Tanzania, Trinidad and Tobago, Tunisia, Turkey, Uganda, Ukraine, United Kingdom, Uruguay, USA, Uzbekistan, Vanuatu, Venezuela, Zambia and Zimbabwe

6 Australia and New Zealand become eMedical-enabled for INZ.
eMedical - Stage Three countries Australia and New Zealand become eMedical-enabled for INZ. All other remaining countries will be included in eMedical if they are enabled by INZ’s partner agencies in Australia and Canada prior to 30 March 2015. If not, clinics will be advised to directly submit their paper-based medicals to INZ following completion – enabling centralised management of health processing and digitisation.

7 eMedical - Additional information
Where a panel clinic has been selected offshore, this clinic will support INZ visa applicants and those of our partner agency in Australia (Department of Immigration and Border Protection). In countries where an eMedical-enabled panel network has been established, all applicants must have their INZ medical examinations completed through eMedical. Some countries where INZ did not have a panel physician network have now been eMedical-enabled, meaning that panel physicians are now required to complete medical examinations. Where you hear a clinic is continuing to complete paper-based medicals in these locations please advise INZ. All countries completing INZ medical examinations using eMedical will use the same version of eMedical – i.e. physicians in Canada will complete INZ medicals using INZ’s eMedical settings in all instances.

8 eMedical - Policy changes
Minor policy change was deployed in Stage One (24 November 2014). Changes are reflected in eMedical and in the new version of INZ’s paper-based medical certificates. Most changes were to amend or remove questions that were asked in the previous version of the medical forms, and to bring INZ into alignment with our eMedical partner agencies in Australia and Canada, where this made sense to do so. Changes were discussed with members of the medical community and internal policy and legal staff to ensure INZ continue to comply with the objective of our health policy: A4.1 Objective The objectives of Health instructions are to: protect public health in New Zealand; and ensure that people entering New Zealand do not impose excessive costs and demands on New Zealand's health and special education services; and where applicable, ensure that applicants for entry to New Zealand are able to undertake the functions for which they have been granted entry.

9 eMedical - Organisational changes
INZ’s new health processing model includes eMedical as the primary interface for panel physicians, and is supported by an internal platform called the Immigration Health System. Because health processes are now digitised through these platforms, clearance and triage of health information can be managed more effectively and quickly. Where manual intervention is required this is now managed centrally. Engagement with INZ should remain with immigration officers or through the Immigration Contact Centre. Where issues need to be raised and managed we have provisioned additional support and monitoring in the Immigration Contact Centre Phone numbers: (LIAINZ), or if the caller is within Auckland

10 Health process changes in New Zealand

11 Health Process Changes in New Zealand
Changes to New Zealand’s onshore panel physician network will be deployed at the same time eMedical is deployed onshore – from 30 March 2015. Onshore clinics not selected for the panel physician network will have a three month period to continue completing paper-based medical certificates – this transition period will enable unsuccessful clinics an opportunity to review and amend their business if necessary. INZ expect at least 145 medical and radiology clinics to join our onshore panel physician network. This contrasts with Australia’s coverage of 36 clinics onshore, and Canada’s 106. The network enables full geographic coverage except in nine small towns where additional support for either a medical or radiology clinic will be sought in the next month.

12 Health Process Changes in New Zealand
Clinics appointed to the INZ panel physician network onshore will be required to sign and comply with contract, with the following provision: Payment for the Services (medical or radiological examinations on behalf of INZ) is your responsibility, with fees recovered by you directly from the visa applicant. You must charge INZ visa applicants a reasonable fee for the Services. You must also clearly publish a list of all your fees for the Services at your clinic, and on any website you maintain. Clinics will also be audited onshore by INZ personnel. Audits will include a review of fees. Feedback on excess fees or allegations of poor practice following the changes will be gratefully received by INZ.

13 Requests for Information

14 INZ Health Project - new high-level process
Australia’s Department of Immigration and Border Protection (DIBP) Prepare an INZ visa application eMedical Case Attachments e.g. INZ 1160, X-ray images Supply medical information (~120,000pa) Client finds INZ Panel Physician (PP) PP Submits Medical Exam Data via eMedical eMedical Case Data e.g. Client identity data and examination results Business to Business Gateway (B2B) [Commercial In Confidence]

15 INZ Health Project - new high-level process
eMedical health case received Manual Intervention and Assessment by Health Assessment Team (HAT) Medical Assessors Automatic Assessment ~60-80% of health cases expected to be considered Acceptable Standard of Health (ASH) ASH ASH With Conditions Not ASH Health Status Assessment Outcome INZ staff member (internal user) Staff involved in assessing the corresponding INZ visa application will be able to access the health case outcome and related information [Commercial In Confidence]

16 Key Principles - Code of Patient Rights
A number of key principles can be stated, based on the duty of care and the duty to provide information affirmed in Rights 4(1) and 6(1) of the Code of Patients' Rights. At the time any test is proposed, patients have a right to be told by their doctor why the test is recommended, and when and how they will be informed of the results. If a doctor or medical centre has a standard practice of not notifying normal test results, patients must be informed and their consent obtained to non-notification in such circumstances.

17 Key Principles - Code of Patient Rights
It must be made clear to patients that they are entitled to be notified of all test results, and that even if they agree to be notified only of abnormal results, they are welcome to call the medical centre and check whether their results have been received and what they are. In the absence of any other arrangement being made, when results are received by a medical centre, the patient must be informed. This is especially important if the results raise a clinical concern and need follow-up. A doctor is responsible for having an efficient system for identifying and following up overdue test results

18 Automated email content
THIS IS AN AUTOMATED MESSAGE - PLEASE DO NOT REPLY You have received this message because you have recently undertaken a health examination as a requirement for your New Zealand visa application, and you advised at that time that you wanted your health examination results sent to you at this address.  Your health examination has now been completed and submitted to Immigration New Zealand (INZ). If you wish to receive a copy of your health examination results you will need to contact the panel clinic where your examination was completed and request this information. It is recommended that you submit your visa application to INZ within three months of receiving this . If you do not, you may be required to provide new medical information to INZ. Your health examination results will not be assessed by INZ until your visa application is received. Your health examination results show no abnormal or significant findings. This does not necessarily mean that you have an acceptable standard of health for the purposes of your visa application. INZ will contact you, however, if it has any concerns and requires further information about your health.

19 Automated email content (continued)
Any queries you may have about your health examination results should be directed to the panel clinic where your examination was completed. Otherwise, for queries about your visa application please contact the INZ Contact Centre. You can keep your health examination results for your future reference. If you have an immigration adviser or lawyer, or person not requiring licensing assisting you with your visa application, you may wish to share your health examination results with them.  Alternative message Your health examination has now been completed. To receive a copy of your health examination results you will need to contact the panel clinic where your examination was completed and request this information.

20 Clarification - requests for information
Immigration Contact Centre has clarified with the INZ Health Project that medical information requested must be managed through a process to support the provisions of the Privacy Act 1993. This means medical results requested by a representative (LIAs, or those exempt from licensing) will need to be referred to a Privacy Team to be handled – with the intention of eliminating risk associated with providing incorrect information, or information to an incorrect or inappropriate party. Because this process may otherwise take some time, the INZ Health Project has introduced a quick print function in late January which can allow a full health case and supporting information to be produced with a single click of a button. The intention is that this will enable INZ’s Privacy Team to respond more promptly to requests for health information by applicants or their representatives.

21 Further information: Additional information can be found on the INZ website here: And here: To submit information relating to panel physician performance: For any other issues please contact the Immigration Contact Centre’s dedicated Immigration Adviser mechanisms: Phone numbers: (LIAINZ), or if the caller is within Auckland


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