1. Benefits of Open Exeter – Home Oxygen Service (HOS) Case Study
Challenges faced by Cheshire & Merseyside Health Economy in 2006
Home Oxygen Order Forms (HOOFs), Acknowledgements, and Supplier’s Invoice Reports managed individually by 15 PCTs in Cheshire & Merseyside
PCTs checked accuracy of supplier’s invoice data manually
Supplier assigned patients to wrong PCTs
Supplier’s data not always accurate
PCTs undertook data cleansing exercises but changes not always corrected by supplier
All PCTs required to ensure that payments made on their behalf by PPD were accurate
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2. Benefits of Open Exeter – Home Oxygen Service (HOS) Case Study
July 2007
CHA HOS Team comprised 3.5 WTE
By July 2007 CHA HOS Team managed HOOFs, Acknowledgements, and Invoice Reports for 6 Cheshire & Merseyside PCTs in North West region (approximately 4,200 HOS patients)
All HOOFs checked for accuracy against information held on Exeter system before entering onto Cheshire West Oracle HOOF system
All checks conducted manually - Open Exeter HOS system not developed yet
Manual reconciliation + validation of invoices time consuming and labour intensive
Despite problems CHA HOS team reconciled + validated the supplier’s invoice data and claimed approved credits on behalf of 6 PCTs in Cheshire & Merseyside
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3. Benefits of Open Exeter – Home Oxygen Service (HOS) Case Study
October 2007
Open Exeter (HOS) System launched nationally
Dedicated development team committed to continually improving functionality
Workshops to promote Open Exeter Home Oxygen Service (HOS) system held in October 2007
Operational Benefits
New system was easy to use and saved time
Enabled PCTs/Shared Service Agencies to upload supplier’s patient identifiable invoice data onto Exeter system
Exeter system checked supplier’s patient information for accuracy and produced a series of reports that supported the data cleansing process and the development of effective clinical assessment and follow up services
The aim is to adopt a consistent approach across Cheshire & Merseyside and encourage all 8 PCTs to use the Open Exeter HOS System
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4. Benefits of Open Exeter – Home Oxygen Service (HOS) Case Study
November Results
CHA team using Open Exeter HOS system to support the reconciliation + validation process for 6 PCTs in Cheshire & Merseyside
CHA produce monthly reports and provide supplier with accurate patient data
Overall Benefits
Open Exeter HOS system has supported the validation + reconciliation process by
Identifying a significant number of deceased patients
Producing reports that enable supplier to update records and remove equipment no longer required by patients
Producing reports that identify patients with multiple cost categories
Saving administrative time at PCTs
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5. Benefits of Open Exeter – Home Oxygen Service (HOS) Case Study
Next Steps
If you have not already registered for the HOS Service on Open Exeter, contact your PCT Data Controller and Register – details are located on
Read the Open Exeter HOS User Notes to find out how to use the system – located on
Make sure your team members use NHS Mail for sending/receiving patient identifiable data – go to to Register.
Contacts
For more information on how Open Exeter can help your organisation, please contact :
Viv Smith
HOS Lead for Open Exeter and HOS Lead for Cheshire & Merseyside PCTs
Western Cheshire PCT T M E
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