LENMED AIR 2019.pdf

Growing complexity of healthcare regulation WHY THIS IS IMPORTANT TO LENMED RISKS AND OPPORTUNITIES Healthcare regulation impacts on Lenmed’s ability to provide quality services, develop new facilities and invest in skills development. South Africa is heavily regulated through legislation that includes the National Health Act, 61 of 2003 (being amended), the Occupational Health and Safety Act, 85 of 1993, the Labour Relations Act, 66 of 1995, the Broad-Based Black Economic Empowerment Act, 53 of 2013 (B-BBEE Act), Protection of Personal Information Act, 4 of 2013 (POPI), the Pharmacy Act, 53 of 1974, and various environmental laws. Non-compliance may lead to penalties or withdrawal of operating licences. Poorly designed regulations can prevent efficient healthcare and dissuade new investment. The Competition Commission’s protracted investigation into private healthcare is delaying sector planning. OUR RESPONSE Lenmed constantly reviews medical scheme Prescribed Minimum Benefits (PMBs). We engage with South African national and provincial health authorities through all available channels to find the best possible outcomes for South African residents and our stakeholders. Technology WHY THIS IS IMPORTANT TO LENMED RISKS AND OPPORTUNITIES Accurate and comprehensive data on patients has become a top priority. Data must be harnessed to drive more efficient service, clinical and financial operations. Migrating to new systems can disrupt current operations and financial controls, leading to reputation and financial losses. However, integrating all patient information into a single, appropriately accessible system enables Lenmed to improve collaboration between physicians, reduce laboratory testing duplication and lower patient risk through a rounded and timely view of patient profiles. Our mobile app system is intended to be leveraged to extend our outreach to patients, solicit feedback and enhance the hospital experience. OUR RESPONSE In 2016, Lenmed commenced installing a SAP Enterprise Resource Planning (ERP) system to channel all data streams through a world-class management platform. SAP technology has now been implemented in all but one of our hospitals. In the months to come, we will be implementing a business intelligence tool that integrates with SAP. This tool will allow us to gain meaningful data from the ERP system and enhance our business. Lenmed’s membership of the National Health Network (NHN) enables access to a collective repository of patient data. We have engaged actuaries to analyse this database to learn from anomalies, billing comparisons and benchmarks. LENMED ANNUAL INTEGRATED REPORT 2019 33