SIDRID - Simple Driven Ideas

Our Domain Expertise include...

Medical Claims Consultancy

SIDRID is the premier company in Ghana with expertise and advanced knowledge in the development and management of electronic claims processing systems and operations for medical health insurance, especially the development of DRG and grouper based systems.

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Hospital Health Information System

The development of a purpose driven and data centered Health Information System dubbed SmartClinic gives SIDRID immense experience in the hospital systems space. Additionally, the company has and continues to consult for various vendors of other health information systems in the country.

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Data Analytics and Intelligence Gathering

Smart, is our philosophy behind the development of all our products and services. Our attention to data quality, structure and atomicity ensures that every system developed has the capabilities of processing data and churning out actionable intelligence for decision making.

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CLAIMit

A comprehensive claims management solution in use by the Ghana NHIS.

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ActionAid Time Use Diary

The digital mobile survey tool developed for ActionAid's POWER project

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CASP

A World Bank sponsored claims system for lower level health facilities for the purposes of claims generation and submission.

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the project	Client: National Health Insurance Authority, Ghana
the challenge	The operational bottleneck that had to be resolved were the need to: Digitize all paper claims by providing a context specific system for claims generation at various health provider levels. Such as Hospitals, Pharmacies, Labs, CHPS Compounds, etc. make it is easy and convenient for electronic claims to be submitted in a smart way. allow for submitted claims to be processed at greater speeds and efficiency. feed intelligence through data analytics and reporting into the whole claims management cycle for better future outcomes. communicate reports on claims to external stakeholders in a much interactive and useful way.
the solutions	To design, develop and implement a comprehensive end to end claims management solution which will comprise of a number of well integrated sub-systems meant to iron out the identified bottlenecks at various stages of the claims processing cycle. The solution was to be backed by strong research and context tuning. Smartclaims, an already existing successful claims management system, was leveraged as the backbone of the solution.
the strategy	The following systems were developed to address the challenges identified.These systems implement a DRG base concept for billing of health services and a fee-for-service concept for billing medicines. Claims Generation System: to be used at the health provider end for claims generation, validation and submission. It implements all necessary NHIS specific protocols necessary for claims generation. Provider setup system: to be used in setting up and approving a health provider prior to submission of claims to CLAIM-it Submission System: aggregates all claims submissions across the country for easy monitoring and reporting. It also runs claims submission rules to ensure that all files submitted are in the right state and structure. Receiving System: allows for the running of reports on claims such as antibiotics utilization, services and medicines utilization, and claims submission reports. It is also responsible for the running of approved pre-vetting rules prior to claims vetting. Vetting System: allows for claims to be vetted efficiently and in a timely fashion. To achieve this, the system provides the necessary features for automatic vetting of claims and intelligent system assisted human vetting. Reports Portal: is a claims reports portal for external stakeholders such as directors and administrators of health who have supervisory roles over health facilities. Operational Website: an official website for the communication of claimit related news and updates to health providers and other interested stakeholders. Visit claimit.nhia.gov.gh to know more about CLAIM-it and how to enjoy it's immense benefits.

the project	ActionAid Time Use Diary Client: On Our Radar
the challenge	The major challenges identified had to do with the need to collect both qualitative and quantitative data from respondents of ActionAid's Promoting Opportunities for Women's Empowerment and Rights (POWER) project. Some details of the challenge include: Conversion of a paper based research tool into an interactive mobile app survey. Collection of time use information and analysis of same in a much more intuitive way Enforcement of data integrity and consistency Availability of pre-processed data in various file formats suitable for data analysis using third party tools like SPSS, Stata, etc.
the solutions	The development of a front end mobile application with a management and operational backend was identified as the solution to address the identified challenges. The front-end mobile application implements all necessary data quality and integrity checks, while ensuring that data is collected in a much easier, interactive and intuitive manner in line with the objectives of the POWER Project. The backend web application system allows for the setting up of surveys, users and collection targets. It is equipped with a dashboard for the purposes of monitoring and evaluation of the project's data and indicators. It was designed to be highly interactive while maintaining simplicity in UX and data access.
the strategy	The general approach to the development and deployment was to develop solutions that are both accessible on the cloud as well as off the internet but with the capability of synching and transferring data and updates which the cloud is available and with the permission of the user. Due to the number of countries in use and the unique demography of each country, the look and feel of the application was designed to reflect that need where necessary. The mobile app is available on the Google Play Store with users in Ghana, Rwanda and Bangladesh.

the project	Claims Accounting for Service Providers (CASP) Client: World Bank
the challenge	The need to collect claims utilization data from lower health facilities like CHPS Compounds, health centres and maternity homes in an electronic and well structured format coupled with the need to collect, manage and monitor household level health information was the challenge that needed to be resolved in order for the Bank to achieve its goals in a project it was running with the Ghana Health Service(GHS). Majority of lower health providers processed and submitted their monthly claims in paper format. This was difficult and expensive to manage and analyze. This challenge was coupled with inefficient and in most cases difficult claims submission options which turn out to be resource draining for lower health facilities who generate relatively little capital on their claims.
the solutions	The development of a medical claims accounting and reporting application that was light enough to be used at lower levels of care but efficient enough for the management of claims and health delivery at those levels was identified as the viable solution. The application doesn't depend on the internet for its core operations and hence very usable in areas with limited to no access to internet connectivity as is the case for most CHPS Compounds throughout the country.
the strategy	The Claims Accounting for Service Providers (CASP) was developed to act as a medical claims accounting system targeted at first level health providers towards the achievement of Universal Health Coverage. It had features to track progress of CHPS, maternity homes and health centres, as well as monitoring of the health status of entire households. The core strategy was to provide a solution that is simple but strong enough to scale to all health provider sites at the very basic level of care.

Our Domain Expertise include...

Medical Claims Consultancy

SIDRID is the premier company in Ghana with expertise and advanced knowledge in the development and management of electronic claims processing systems and operations for medical health insurance, especially the development of DRG and grouper based systems.

Hospital Health Information System

The development of a purpose driven and data centered Health Information System dubbed SmartClinic gives SIDRID immense experience in the hospital systems space. Additionally, the company has and continues to consult for various vendors of other health information systems in the country.

Data Analytics and Intelligence Gathering

Smart, is our philosophy behind the development of all our products and services. Our attention to data quality, structure and atomicity ensures that every system developed has the capabilities of processing data and churning out actionable intelligence for decision making.

Our Recent Projects

CLAIMit

ActionAid Time Use Diary

CASP

get in touch with us today, let's talk, and do great things together

the project

the challenge

the solutions

the strategy

the project

ActionAid Time Use Diary

the challenge

the solutions

the strategy

the project

Claims Accounting for Service Providers (CASP)

the challenge

the solutions

the strategy