CMS Tiering Framework for Primary Care (effective Apr 2023)

The CMS tiering framework includes:

Integration with web services under the Healthier SG programme;
Integration with web services under the CHAS and Clinical programmes;
Contribution to the National Electronic Health Record (NEHR) system to facilitate sharing of summary patient records across healthcare providers for care continuity;
Cybersecurity requirements in line with the MOH Healthcare Cybersecurity Essentials (HCSE) guidelines that were issued to healthcare licensees; and
Code of Practice on CMS data portability to facilitate GP clinics that intend to switch subscriptions to another CMS vendor while upholding the fidelity of patient records.

For more details on the Healthier SG programme, you may refer to https://www.healthiersg.gov.sg

The CMS tiering will be updated progressively to incorporate additional CMS features as requirements evolve.

Tier	Healthier SG Programme	CHAS Programme	Clinical Programme	Mandatory Requirements¹
Tier 1 (HSG compatible)	Core suite of Healthier SG web services	All 7 non-optional services in CHAS Bundle	CDLENS + NIR + CMIS	1) NEHR contribution capability² 2) Compliance to CMS Cybersecurity Requirements³ 3) Adherence to Code of Practice for CMS Data Portability⁴
Tier 2	NA	NA	CDLENS

¹For clarifications on mandatory requirements, please email synapxe.hsg.vendorengagement@synapxe.sg

²For details on NEHR onboarding, please refer to https://cms.synapxe.sg/NEHROnboarding/Pages/Index.aspx

³For details on the cybersecurity certification process, please refer to https://www.csa.gov.sg/cyber-essentials/certification-for-the-cyber-essentials-mark

⁴For details on the Code of Practice for CMS Data Portability, please refer to https://www.moh.gov.sg/resources-statistics/guidelines/code-of-practice-for-data-portability. For clarifications, please email synapxe.hsg.vendorengagement@synapxe.sg

SmartCMS Services

Healthier SG Programme¹	CHAS Programme	Clinical Programme
1. Enrolment 2. Resident Health Plan 3. Simple referrals 4. Enrolment benefits² (3 additional requirements) 5. Care reporting	1. Community Health Assistance Scheme (CHAS) - Medical 2. Chronic Disease Management Programme (CDMP) 3. Clinical Indicators Data Collection (CIDC) 4. Screen for Life (SFL) 5. Vaccination and Childhood Developmental Screening Subsidies (VCDSS) 6. PHPC Flu Subsidy Scheme (FSS), Swab And Send Home (SASH) 7. PHPC Haze Subsidy Scheme (HSS) 8. CHAS Appeal & Accreditation (optional) 9. CHAS Dental (optional) 10. MWHealth (optional)	1. Communicable Diseases Live & Enhanced Surveillance (CDLENS) 2. National Immunisation Registry (NIR) 3. Critical Medical Information Store (CMIS)

¹For details on the requirements under the HSG programme, including new requirements from Jan 2024, click here.

²The 3 additional requirements are (1) Patient Drug Delivery request; (2) HSG Chronic Tiers and access the Subsidy Tier Calculator and (3) MediSave claim for CDMP bills - Removal of minimum Co-payment requirement

For clarifications or enquiries on Healthier SG, CHAS or Clinical Programme web-services, you can email synapxe.smartcms.helpdesk@synapxe.sg

HEALTHIER SG Adoption Progress Status for CMSes for Jan 2025 Qualification

The HSG-compatible list of CMSes is specific to the 5 scopes for HSG launch in Jul 2023 + Jan 2024 requirements. The list will be next refreshed in Jan 2025, based on the prevailing HSG-compatibility requirements under the CMS Tiering Framework for Primary Care.

The progress status reported below is for reference only. Please contact the respective CMS Vendors to find out more details before adopting any system.

Please download the HSG CMS Progress Reporting for Jan’25 Qualification (as of 4 Nov 2024) here.

NEHR Data Quality Dashboard

Dashboard to reflect the NEHR data quality performance based on percentage of failure rate of HSG clinics and corresponding HSG-Compatible CMS. The statistics will be refreshed on monthly basis.

Please download the NEHR data qualify performance for Sep 2024 here.

About SmartCMS Programme

SmartCMS Programme is an open invitation to Clinic Management System (CMS) providers to enhance their CMS through integration with the public healthcare system. It supports the seamless information flow between clinics and the public healthcare systems, and promotes continual engagement and partnership to benefit the Primary Care sector. SmartCMS Programme offers a variety of smart services for CMS providers to increase their productivity, benefiting the clinics and the patients they serve to ultimately improve the patient's experience.

Convenient submission of clinical data

Seamless exchange of information with public healthcare systems

FREQUENTLY ASKED QUESTIONS

How can I join the SmartCMS Programme?

Synapxe invites all CMS Vendors to join us and be a SmartCMS programme participant. SmartCMS programme enhances your solution through an increasing number of web services offered, aiming to increase clinics’ productivity by streamlining claims submissions and clinical information data flow with public healthcare systems.

A total of four briefing sessions will be conducted annually, please refer to the schedule for year 2023 and registration details below.

Event	Q1 2025	Q2 2025	Q3 2025	Q4 2025
Registration deadline for briefing session	03 Feb 2025	02 May 2025	04 Aug 2025	03 Nov 2025
Briefing session*	13 Feb 2025	15 May 2025	14 Aug 2025	13 Nov 2025
Confirmation of intent & acceptance of service agreement	25 Feb 2025	26 May 2025	25 Aug 2025	25 Nov 2025
Earliest anticipated testing period	Q2 2025	Q3 2025	Q4 2025	Q1 2026
Target Go-Live	Q2/3 2025	Q3/4 2025	Q4 2025 / Q1 2026	Q2 2026

*For new providers to the programme, please submit the completed Non-Disclosure Agreement (NDA) form in the Resources to synapxe.smartcms.helpdesk@synapxe.sg by the stipulated registration deadline. Upon receiving the required documents, we will email the details on the time and venue of the briefing session to you.

What are the benefits to my company after successful on-boarding to the SmartCMS Programme?
The following are the potential benefits for companies enrolled to SmartCMS programme:

Enable your CMS (Clinic Management System) application to better serve your clients, by providing them an integrated means to perform their claim / report submission under selected government schemes, such as CHAS, CDMP claim submission or CIDC report submission, by using our SmartCMS’ web services.

Synapxe will recognise your product as “SmartCMS enabled” upon successful on-boarding and meeting all criteria set for the programme.
Does my company need to pay any subscription fee to utilise the services under the SmartCMS Programme?

There is no intent to impose subscription fee for SmartCMS participating vendors at this juncture.
Will my company be reimbursed or funded for work undertaken relating to SmartCMS Programme?

No funding or any form of reimbursement will be provided to the CMS providers / companies for work undertaken for SmartCMS programme.
What does my company need to do before attending the briefing session?

Interested parties attending the briefing session are required to sign the Non-Disclosure Agreement (NDA) and e-mail the signed copy to synapxe.smartcms.helpdesk@synapxe.sg when indicating your company’s attendance for the session. Please also bring the original signed copy on actual day to complete the submission.
Is there any way for my company to find out more about this programme before I can decide whether to come for the briefing session?

You may send us your queries via synapxe.smartcms.helpdesk@synapxe.sg. Should you need to speak to us, please leave your contact in your query. Our staff will contact you the soonest possible.

Resources

Partners

CMS Tiering Framework for Primary Care (effective Apr 2023)

Convenient submission of clinical data

Seamless exchange of information with public healthcare systems

Non-Disclosure Agreement

Service Agreement

Company Profile (Inc. Clinic List)