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eBusiness quality checking in QST 111-20080652



This document explains the quality checking process using the Quality and Support Tool (QST) for the eBusiness Service Centre.

Objectives

The eBusiness Service Centre quality checking process aligns with Services Australia's Enterprise Quality Framework and the 7 quality principles.

The quality checking process:

  • helps Team Leaders and Quality Checkers to identify eBusiness process improvements
  • ensures consistency in quality checking

In scope

PRODA HW080 Manual Application in PaNDA.

Roles and responsibilities

The Service Delivery Support team is responsible for:

  • analysing national quality reports to identify learning needs or process improvement opportunities
  • escalating national quality issues to the relevant program or policy area and/or to the Quality, Performance and Technical Support team
  • reviewing and updating the relevant Operational Blueprint files and training materials
  • reviewing suggestions and working collaboratively with the Quality, Performance and Technical Support team to improve Operational Blueprint quality checking process and resources
  • identifying strategic and operational risks or issues that impact customer outcomes

Managers/Team Leaders are responsible for ensuring:

  • Quality Checkers complete the process for quality checker accreditation
  • Quality Checkers hold appropriate skill tags in the Quality and Support Tool. Arrange by sending an email to Quality, Performance and Technical Support
  • Timely error feedback is part of the coaching conversation to support learning and development opportunities
  • Reporting all privacy breaches using the Privacy Incident Portal
  • Analysis of errors. That is, if errors occurred due to factors such as limited training, understanding the business rules, environmental or system based issues
  • Positive outcomes are acknowledged with the Service Officer

Quality Checkers are responsible for:

  • Carrying out quality checks as specified in the sampling plan
  • Updating and maintaining eBusiness Service Centre technical knowledge, procedures and policies
  • Maintaining a correctness standard for personal accuracy
  • Identifying root cause analysis and systemic issues
  • Reporting and escalating trends or concerns to the Team Leader
  • Providing constructive and non-judgemental feedback including appropriate reference materials such as Operational Blueprint
  • Explaining the impact of errors and action to be taken to correct the error (where applicable)

Quality checkers must not check their own work. If own work is selected, it must be given to another staff member who has been trained to conduct quality checks.

Quality Team is responsible for:

  • Providing support for quality checking in the Quality and Support Tool (QST)
  • Providing relevant reports as required
  • Arranging QST training for quality checkers
  • Supporting the business with flexible and fit for purpose quality approaches

Provider Engagement Service Delivery Support team is responsible for:

  • National implementation of eBusiness quality practices
  • Analysis of national quality reports to identify learning needs or process improvement opportunities
  • Escalation of national quality issues to the relevant program area and teams

Accreditation of Quality Checkers

To attain accreditation, Quality Checkers must:

  • maintain a high correctness standard in the program they are checking
  • understand the quality checking procedure
  • have knowledge of relevant policies and procedures and/or know where to find them
  • undergo refresher training of the quality checking process every 12 months

See Quality Checker accreditation for Health Service Delivery Division for more information.

Types of quality checks

Pre-checks apply:

  • to new starters
  • when new processes are introduced into the program

New starters have 100% of their work reviewed and corrected until deemed proficient. Any errors made in pre-check must be recorded as errors. Results are used to support ongoing training.

Program/post-checks randomly selects work completed the previous business day in PaNDA. The results are provided to management and external stakeholders as needed.

Targeted checks apply:

  • in response to business triggers or when there is a consistent/long-term quality issue identified
  • to Aim for Accuracy (Check the Checker), which is completed every 12 months to confirm the accuracy of quality checking results. This involves rechecking a representative sample of previously checked work to determine if quality checking procedures have been followed correctly.

Sampling plan

Pre-checks

Staff have 100% of their work reviewed until deemed proficient. As a guide, new starters are considered proficient as per the training and consolidation plan from the Learning and Development Team.

Program/post-checks

Five percent of the monthly PRODA HW080 Manual Application work types are randomly selected for quality checking.

Targeted checks

To arrange a targeted check(s), the Team Leader sends an email request to Quality, Performance and Technical Support. Include:

  • the percentage of work type to be checked, for example, 100%
  • the staff member's name and logon details
  • the Quality Checker's name and logon details
  • the reason and length of time required for the targeted check
  • details of how often a targeted check report is required, for example, weekly

Process for quality checks

Timeframes

Quality checks are undertaken daily on a sample of work. Complete quality checks within 1-2 business days to ensure timely feedback to staff.

All quality checks for the month must be actioned within 3 calendar days of the following month. After this time, remaining work is abandoned.

Resources

Quality Checkers must have access to the following to undertake quality checks:

  • Program specific processing systems
  • PaNDA
  • Quality and Support Tool
  • Skill tags added on the Quality and Support Tool

Error definition

For the purpose of quality checking, an error is information processed/keyed into the system which does not match the documentation submitted or the supporting documents uploaded to the systems.

Critical and non-critical errors

Error codes are categorised as critical and non-critical.

An error is defined as critical when there is a potential risk to:

  • a customer's:
    • privacy
    • eligibility
    • payments
    • application assessment being finalised
    • record
  • the agency's reputation

An error is defined as non-critical when it does not meet the above criteria. Generally, this relates to administrative errors.

Only critical errors are used to calculate the health status of the program.

Recording Results

Each time a quality check is completed, the Quality Checker records the outcome in the Quality and Support Tool (QST).

An email is sent in real time to the Service Officer and their Team Leader advising them of the quality check outcome. Individual results are captured in reporting data.

Feedback

Quality checking feedback is sent by email to the Service Officer and their Team Leader. The email includes details about the:

Correcting Errors

Critical errors

Quality Checkers must correct critical errors immediately, as they are identified.

Non-critical errors

Quality Checkers provide instruction in the feedback email. Service Officers correct non-critical errors.

Enquiries

Quality Checkers consult Local Peer Support (LPS) and/or eBusiness Team Leaders for procedural or policy related queries. Team Leaders can raise unresolved concerns with eBusiness Policy.

Enquiries about quality checking business rules or issues with checking results that cannot be resolved on site should be directed to Quality, Performance and Technical Support by email.

Change Management

Quality checking procedures are reviewed and updated by the business and programme in consultation with Quality, Performance and Technical Support. The review ensures error codes are current and approved policy changes are included.

Any changes that require immediate action will be advised and updated accordingly. Any changes not critical to quality will be incorporated in the review of the procedures.

The Resources page contains links to the Enterprise Quality Framework intranet pages, the Privacy Incident Portal, contact details and a list of error codes.

Contents

Quality checking using the Quality and Support Tool (QST)

eBusiness Service Centre for Medicare

Medicare eBusiness and Health Provider support

Forms and templates for eBusiness Service Centre

Provider Digital Transition and Outreach Services

Quality Checker accreditation for Health Service Delivery Division

Quality checking dispute process for Health Service Delivery Division