Becoming an eHealth Champion Part One. Tips and Tricks Models - PowerPoint PPT Presentation

Becoming an eHealth Champion – Part One. Tips and Tricks – Models that work Gillian Leach – Australian Association of Practice Managers Heather McDonald - National E-Health Transition Authority 4 September 2014 1 National E-Health Transition Authority www.nehta.gov.au

Agenda 1. Recap on the previous webinars 2. Benefits of Connected Healthcare Communities 3. eHealth Workflow Impact 4. Importance of Data Quality and Cleansing 5. Selecting patients who will benefit from eHealth Records 6. Tips to help you support your teams both clinical and office 7. How to lead and support the change process to embrace eHealth. 8. Resources available to support you in your practice 2 National E-Health Transition Authority www.nehta.gov.au

Recap on previous webinars 3 National E-Health Transition Authority www.nehta.gov.au

Recap on previous webinars Webinar 1 Webinar 2 Webinar 3  ePractice Incentive  What is eHealth?  An overview of the Program eHealth Record  eHealth foundations System  eHealth Administration  The eHealth Record   How to register your IHI validation System  Functions of HPOS and organisation  How do I access the HI Service  Setting up the eHealth  eHealth functions of PKI eHealth record? Certificates Record System in  How does eHealth  Functions of RO and your practice OMO benefit Practice  Where to go for help  Staff Management Managers? and support Activities  How does eHealth  Guide to Assisted benefit individuals Registration 4 National E-Health Transition Authority www.nehta.gov.au

Benefits of Connecting Healthcare Communities 5 National E-Health Transition Authority www.nehta.gov.au

Benefits of Connected Healthcare Communities Informed decisions Better access to Improved Continuity on patient’s medical health information of Care needs Access to health Improved continuity of Informed decisions on Information around your care through accurate patient’s medical needs patient’s current and and timely through access to a past health conditions communication and health history and like diabetes, heart clinical hand over clinical documents disease, medications across health rather than just and surgeries. professionals. information recalled by the patient. • Less time seeking access to accurate health information from other providers • More time for clinicians to see more patients • More efficient consultations • Less duplication of records • Provide efficient access to health information that you didn’t already have. 6 National E-Health Transition Authority www.nehta.gov.au

eHealth Workflow Impact 7 National E-Health Transition Authority www.nehta.gov.au

eHealth Workflow Impact 8 National E-Health Transition Authority www.nehta.gov.au

eHealth Workflow Impact The eHealth workflow impact can vary. Some examples can include: • The Provider’s confidence to use CIS efficiently and the provider’s experience carrying out eHealth tasks • Quality of existing clinical data including demographic data • Support by practice staff to undertake eHealth activities prior to the consultation - registering patients at the front desk • GP and patient’s eHealth knowledge - as the Practice Manager, you are responsible for the ongoing education of your Practice staff MBS Items and eHealth It is acceptable, for example, to bill a level C rather than a level B if creating/updating a Shared Health Summary or uploading an Event Summary, results in an extended consultation . For more information : Contact MBS on 132 150 or visit their website: MBS Online 9 National E-Health Transition Authority www.nehta.gov.au

Improved NASH Certificate Renewal Process The Department of Human Services and NEHTA are working together to improve the NASH Certificate Renewal Process for current NASH subscribers. Current process: • Subscribers complete and return a Renewal Confirmation form to the Department of Human Services prior to the new certificate being issued. New improved process: • NASH certificate renewals will be issued without requiring subscribers to complete the Renewal Confirmation form. 10 National E-Health Transition Authority www.nehta.gov.au

Improved NASH Certificate Renewal Process In late October 2014: • All subscribers will receive a letter providing further information on this process. From November 2014: • Active subscribers will receive their renewed certificate/s in the mail. • Inactive subscribers will receive an additional letter offering them the opportunity to contact Healthcare Identifiers Service to reactivate their record status and request a reissue of their certificate. 11 National E-Health Transition Authority www.nehta.gov.au

Improved NASH Certificate Renewal Process What subscribers will need to do: • Subscribers need to ensure their details on the Healthcare Identifiers (HI) Service record are accurate. • Updates can be made through Health Professional Online Services (HPOS). 12 National E-Health Transition Authority www.nehta.gov.au

Importance of Data Quality & Cleansing 13 National E-Health Transition Authority www.nehta.gov.au

What are quality health records? The Royal Australian College of General Practitioner’s (RACGP) suggest quality health records have seven attributes . • Completeness • Relevance • Consistency • Accessibility • Legibility • Timeliness • Accuracy Some tips for maintaining quality health records • Check health records in quieter periods • Allocate staff with medical knowledge to maintain quality records • Verify details with patient before and during consultation • Encourage and support the GP’s to use clinical coding for recording patient information in Clinical software Link: Data Quality and eHealth & RACGP website 14 National E-Health Transition Authority www.nehta.gov.au

Preparing your data Data Quality & Cleansing is important for the following reasons: Demographic Data - To Access a Patient’s eHealth record: • Correct patient demographic details in your Clinical Software is essential to ensure an accurate match with the information held by Medicare so as to validate the patient’s IHI number Clinical Data - For Safe Sharing of Clinical Documents: • It is imperative that data drawn from your local software and uploaded in a Shared Health Summary is of the highest possible quality because it is likely to be the first clinical document another healthcare provider views Clinical Coding – For Adding Conditions: • Selecting clinical conditions from the ‘condition list’ rather than free text enable entries to generate quality data within the local records that enables key word searches and reporting. 15 National E-Health Transition Authority Link: Data Records and Clinical Coding www.nehta.gov.au

Data Cleansing Tips Data cleansing good practices for non-clinical information • Reconfirm patients demographics data every visit • Ensure all Practice staff avoid duplication of patient records • Define a policy of active versus inactive patients, e.g. – an inactive patient may be a patient who has not visited the practice twice in the past three years. 16 National E-Health Transition Authority www.nehta.gov.au

Data Cleansing Tools Learn how to use these tools and teach/encourage the General Practitioner and the Practice Nurse to help with data cleansing: • Your Clinical Software search tool • Pen Clinical Audit Tool - http://www.clinicalaudit.com.au/ • Canning Tool - http://www.canningtool.com.au/ Links to assist with data cleansing: RACGP - Quality health records in Australian primary healthcare RACGP - Sample compliance checklist for quality health records RACGP - Electronic health records Health Summary Fact Sheets NEHTA ‘For Providers’ - Data Quality and eHealth 17 National E-Health Transition Authority www.nehta.gov.au

Data Cleansing Tools Clinical Data Self-Assessment (CDSA) tool Clinical Data Self-Assessment Tool is a simple-to-use tool that helps assess, analyse and improve the quality of data contained in most clinical software systems. The tool can be found in Decision Support Tools such as the Pen CAT tool or the Canning tool. The CDSA Tool can provide your practice with the following functionality: • Report on completeness of patient demographic and heath summary data • Report on duplicate patient records • Report on data quality status and improvements which can be made • Provide guidance on addressing identified gaps and improving overall clinical data quality. For non-license holders: The Canning Tool The Pen CAT tool (user Username cdsa, and Password cdsa1234 when asked). 18 National E-Health Transition Authority www.nehta.gov.au

Selecting patients who will benefit from an eHealth record 19 National E-Health Transition Authority www.nehta.gov.au

Selecting patients who will benefit from an eHealth record Use Assisted Registration Tool in the software at front desk for: • Patients who visit the GP often – will usually have a complex or chronic disease – continuity of care • Patients who will be admitted to hospital • Patients who are getting a care plan • Elderly patients • Children 20 National E-Health Transition Authority www.nehta.gov.au

How to lead and support the change process with your clinical and front office teams 21 National E-Health Transition Authority www.nehta.gov.au