Counties Manukau DHB – Richard Small (28 August 2015)

To whom it may concern,

I am writing in my role as Service Manager, Medicine Services, including Cancer Services for CMDHB. My operational responsibility spans a range of service areas including Cancer, Respiratory, Haematology, Palliative Care (including advance care planning) Stroke/Neurology and health psychology services within the DHB.

In June, 2013 Counties Manukau DHB contracted Enigma to deliver a software solution to aid with the tracking of care delivered to patients within Middlemore’s Lung Cancer stream. A primary goal was to increase visibility of patients’ progress towards diagnosis and treatment in order to optimally perform against the Faster Cancer Treatment indicators.

Enigma performed the business analysis work and drafted up requirements specifications for the service, then delivered the software as a hosted service against fixed, quoted costings. They have been exemplary to work with; delivering their solution within agreed timeframes and budgets, being professional at all times.

Delivery of the software service into our clinical operation was smooth, with strong adoption achieved within the clinical users, key users now viewing this system as a ‘must have’ for their daily work. Since go-live, all of our patients with lung cancer have been tracked using this solution.

We have found Enigma to be both responsive and proactive during all phases of work; from providing insightful recommendations during the solution design, asking probative questions when trying to understand our user’s normal work-flow, through to making recommendations for additional enhancement and further improvements in response to user’s feedback.

This system has been an excellent first step in the DHB’s wider approach to deliver Faster Cancer Treatment to our patients. The Lung Cancer system has now been adopted across all tumour streams within CMDHB; it has been rebranded CanTrack.

In taking this next step, Enigma has proven that their platform is capable of flexible-scale and simple adaption to suit these other streams. Their proposed pricing to expand their service from one tumour stream to eleven showed willingness and a desire to work collaboratively with our DHB; their pricing was obviously proposed at an acceptable level for us to want to expand our use of their system.

Enigma have offered a ‘risk-shared’ approach for this expansion with a degree of the modification costs required to fit-out the service for other streams being carried by them. This is a true software- as-a-service style of operation, allowing us to reduce our capital expenditure and to work with fixed, known operational costs.

I strongly recommend the team at Enigma for their detail orientated work, professionalism, proactive approach and strong focus on service delivery.

Yours sincerely,

Richard Small, Service Manager,
Counties Manukau DHB.

NZ Ministry of Health – Phil Wysocki (22 July 2015)

To whom it may concern,

I am the Manager of the Service Access Team, Disability Support Services, in the National Services Purchasing Unit of the National Health Board, and am writing as a customer of Enigma.

Enigma has been working with Disability Support Services since 2013 on the development and implementation of the Equipment and Modification Services Prioritisation Tool. The tool has been designed, developed and implemented nationally providing over 3000 specialist assessors with a consistent, transparent assessment tool to determine priority for access to Ministry funding for specialist equipment and housing/vehicle modifications.

Enigma delivered a high quality product and performed well against all project deliverables and milestones through a strong partnering approach with Disability Support Services. I am confident that Enigma has the capacity and capability to deliver complex development projects.

Yours sincerely

Phil Wysocki
Manager Service Access Team, Disability Support Services National Health Board

NZ Ministry of Health – Karen Evison

To whom it may concern

I am writing as the National Programme Manager of the Cardiovascular Disease, Diabetes and Long Term Conditions team , in the Sector Capability and Implementation Business unit (SCIBU) at the Ministry of Health…

Enigma has worked on the SCIBU funded initiative, ANZACS-QI , since June 2013. ANZACS-QI is a national registry system which has been designed, developed and deployed into all of New Zealand’s secondary care acute coronary wards, capturing data on all patients admitted with suspected Acute Coronary Syndrome.

Enigma has performed well against all project deliverables and milestones in a timely manner…

Yours sincerely
Karen Evison
National Programme Manager
Sector Capability and Implementation

Northland PHOs – Te Tai Tokerau PHO

Predict is a wonderful decision support tool, it provides excellent quality clinical information to aid engagement with patients and the creation of appropriate management plans. It has the added bonus of the Heart Forecast which is great with Patient motivation and expressing CVD Risk.

We have gone from strength to strength with Diabetes volumes; Predict provides easy alerts to identify patients who are overdue for their annual review. It gives great population overviews for PHOs, showing progress within population health programmes based on the updated Age Sex Register information which Enigma load for us each quarter.

It integrates really nicely with patient management software (and patient dashboard in MT). Pre-population of data works a treat, no duplicated entry of labs etc.

You can message between providers, if a Risk Assessment is done in an outreach setting, it can be message through into the GP’s PMS and populate into directly screening areas, helping PPP measurements.

BCTIs and real time claiming insight was a change for us at first, but they have been of an excellent quality (great level of detail), they’ve saved a pile of administration with managing claims etc.  The real time approach has meant it’s much easier to manage finances and volumes and we can quickly identify performance issues for individual practices, we’re not waiting on claims, or allowing claims to become an excuse; it’s real time.

It’s a solid, stable product.

Catherine Turner – Te Tai Tokerau PHO

Auckland PHO

The Predict integrated CVD Diabetes tool is an enabler for our practices to continually improve, identify gaps in treatment and review clinical performance for our enrolled population.

Barbara Stevens – Auckland PHO

Auckland District Health Board

In December 2005 ADHB entered into a five year contract for the provision of PREDICT decision support systems. The roll-out of the software was contracted to ProCare and was completed across the period Oct 2006 to April 2007. The roll-out implementation required a close knit team environment between Enigma and ProCare staff, and was completed efficiently and with little fuss. Practices within the PHOs are now using PREDICT to execute screening programmes and to date there have been over 2500 assessments completed and subsequent management for those identified with CVD and Diabetes conditions. In addition a helpdesk function has been established and operates in normal business hours. Functions are Tier 1 support, training, monitoring of use of PREDICT by practices. A letter of reference is available.

Contact details:
Tom Schaefer
Manager, Our Health 2020
Auckland District Health Board

Northland District Health Board / Northland PHOs

Northland District Health Board implemented PREDICT throughout their region in April 2006. Enigma installed and trained staff in over 35 clinics and provided 2 training road shows with Dr Sue Wells Senior Lecturer Clinical Epidemiology School of Population Health, University of Auckland to help assist nurses and GP’s with understanding how PREDICT is aligned with the NZ Guideline for CVD and Diabetes.

Over the past 12 months Enigma has worked closely with the PHO’s to help engage the clinics with the uptake of PREDICT and in collaboration with one of the larger PHO developed a Nurse Intervention tool which is used by the out reach clinics in the rural areas. This web based tool helps the community nurses manage the patient once they return to their residence. The PHO’s have been using the tool without incentive payments; they have been using the tool without PHO CVD Programs and without the proper resources within the region.

Contact details:
Rose Lightfoot
General Manager
Te Tai Tokerau PHO
PO Box 151
Mangonui 0442

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