Leading your Practice in a Digital Era Occupational Therapy Australia National Private Practice Symposium Adelaide 25 May 2018 Katrina Otto Train IT Medical Pty Ltd www.trainitmedical.com.au katrina@trainitmedical.com.au Presentation 1
OT health IT success story: Guess how long it took Brooke to adjust from handwriting notes to electronic notes? 3 months
Brooke’s verdict: • It made me faster; it is repetitive • Other therapists can more easily follow up from my care. • I can now see the physio’s notes -> good continuity of care. • Can click one button and the patient report comes up – easier! • Stops me from missing things. • Improved patient care now all health professionals can look at my notes. • Although initially takes longer to adapt your practice, in the long run will make you more efficient and will reduce burnout rates as not taking notes home to finish. • Templates must give the ability to freetext in order to individualise patient notes.
AHPA sponsored free webinar recordings available: For Webinar recordings and free resources: AHPA website Webinar 1: Medical Software Webinar 2 : Contacts and Referrals Webinar 3 : Clinical note-taking Webinar 4 : My Health Record for allied health providers Webinar 5: National Health Services Directory (NHSD)
Free resources & presentation www.trainitmedical.com.au
Learning Objectives: 1. Develop a planned approach to increasing use of digital health technology. 2. Discuss privacy, security, confidentiality and consent issues related to practice technology. 3. Explore health IT innovations.
What is Digital Health? Medical Software Telehealth Secure Messaging Wearable technologies My Health Record
My Health Record Expansion Program ‘OPT - OUT’ starts on 16 July 2018. Download my ‘My Health Record and implications for private practice’ presentation.
Adelaide PHN Adelaide PHN provides a range of commissioned services, programs and support activities to improve primary health care in the Adelaide metropolitan area, with a particular focus on general practice, specialists, allied health, and pharmacy. PHN’s are working closely with the Australian Digital Health Agency to assist in the expansion of the My Health Record. My Health Record Officers provide: • On-site training • Education for all staff • Assistance in registration • Supporting documents My Health Record Officer for Allied Health: Monique Hoey - 0413 208 324 mhoey@adelaidephn.com.au
Country SA PHN South and East Region Sash Sri Priyadarshan Digital Health Officer 0427 151 776 Spriyadarshan@countrysaphn.com.au North and East Region Nabil Rashid Digital Health Officer 0427 156 168 nrashid@countrysaphn.com.au Lower north and Adelaide Hills Hannah Manuel Digital Health Officer 0427 150 238 hmanuel@countrysaphn.com.au
Software options – OMG!
What software are you currently using? NONE HEALTHKIT OWN CUSTOMISED DATABASE CLINIKO COREPLUS BP PREMIER POWERDIAR Y MEDICAL DIRECTOR FRONT DESK MY PRACTICE (BP ALLIED) MEDICALD IR ECT OR NET OPIE GENIE OPTOMATE HIPPOCA MP HEARAID MASTERCARE EPRACTICE WHITEBOARD ZEDMED 0 20 40 60 80 100 120 140 160 Data from optional question asked at Webinar registration. 200/400 response rate
Cost Knowledge Time Confused by software options
Software options: Download spreadsheet
Software options: Download spreadsheet
Identify and Prioritise Key Features 1. List the key features you require 2. Categorise into ‘Must Have’ and ‘Nice to Have’ features 3. Prioritise the ‘Must Have’ features 4. Assess the suitability of various software products
Sample Requirements List ‘MUST HAVE’ Feature Priority Online Appointments 1 Voice to text Dictation 2 Able to be used on a smart phone 3 User friendly interface 4 Cloud based 5
Download selection tool
Compare products ‘MUST HAVE’ Feature Priority Software Software Software Product A Product B Product C Online Appointments 1 Voice to text Dictation 2 Able to be used on a smart phone 3 User friendly interface 4 Cloud based 5
Planned Approach to Increasing Use • Plan the introduction of new functions that will benefit your practice • Monitor progress • Communicate with your staff - engage them in the process, provide training, share successes (collaborate with your speech colleagues)
Secure Messaging Clinician to Clinician Communication (Secure Messaging Delivery – SMD) • HealthLink • Argus • Medical Objects • MDExchange • ReferralNet Sharing summary health data with both clinician and patient: My Health Record (www.myhealthrecord.gov.au) www.trainitmedical.com.au
Learning Objective 2: Discuss privacy, security, confidentiality and consent issues related to practice technology.
Information Security RACGP Criterion 4.2.2 Our practice ensures the security of our patient health information. ► Health information is not left visible. ► Computers are only accessible via individual password. ► Computers have screensavers. ► Communication devices accessible only to authorised staff. ► Electronic data transmitted in a secure format. ► Obsolete paper records are shredded.
Confidentiality & privacy in your practice • How important is confidentiality & privacy in occupational therapy? • How you ensure confidentiality in your practice? • Do you have appropriate access to clinical notes for your support staff? • How do client’s access their information?
Confidentiality & Privacy Confidentiality – obligation of people who have access to patient records or communication to hold that information in confidence. Ethical responsibility. Governed by ‘common law’. Privacy in Australia is regulated by the Privacy Act 1988 and the Privacy Act includes Australian Privacy Principles APPs (2014). 13 Each state and Territory has its own legislation in relation to privacy obligations. Privacy laws regulate the handling of personal information. Important to have your own Privacy & Confidentiality policies. Important to provide training for all staff.
Australian Privacy Principles 1. Transparency 8. Disclosure overseas 9. Use of government 2. Anonymity related identifiers. 3. Collection of information 4. Unsolicited client 10. Quality of information information. 11. Security of client 5. Notification of collection information. 12. Access to client of client information. records. 6. Use and disclosure of 13. Correction of records. client information. 7. Direct marketing • RACGP Privacy Kit: http://www.racgp.org.au/digital-business-kit/privacy/ • Compliance Indicators for the 13 Privacy Principles: http://www.racgp.org.au/download/Documents/Standards/cis-appcompliance.pdf
https://www.oaic.gov.au/resources/agencies-and- http://www.racgp.org.au/download/Documents/Standards/201 organisations/guides/guide-to-securing-personal-information.pdf 3ciss.pdf
Consent • How do you obtain consent for transfer of patient health information? • Consent for contact? • Consent for clinical photos? • Consent for collecting patient information for quality improvements? • Consent for research activities?
How do you document ‘consent’? How do you collect consent for electronic communication: - Sms appointment reminders? - Sms clinical contact? Do you email clients?
Best Health App & Consenting Process Consenting Processes: Patients choose if they would like to receive notifications and if so how eg: ✓ App ✓ SMS ✓ email Signed patient consent form.
Consent is important Sample only
New software that enables sharing with patient
Patient Handheld Central Repository 39
You can’t fight change, patients will google. Provide quality patient information. http://www.imagingpathways.health.wa.gov.au/index.php/consumer-info http://www.labtestsonline.org.au
Patient education www.healthshare.com.au
GoShare Healthcare – Real Time Health http://goshare.realtimehealth.com/
www.therapyconnect.com.au
A sample of current practice technology options Health Engine Healthily (GoShare) Healthsite HealthLink HotDoc Jayex Solutions Medical Channel MediRecords Myhealth1st My Online Clinic Surgical Partners Tonic Health Media Tyro Whitecoat
Resources: AHPA: www.ahpa.com.au Allied Health software spreadsheet Allied Health software provider contact list TRAIN IT MEDICAL (Katrina Otto) : www.trainitmedical.com.au Free resources for allied health Presentation from 2016 Allied Health Roundtable event FIND YOUR PRIMARY HEALTH NETWORK DIGITAL HEALTH : www.digitalhealth.gov.au Australian Digital Health Agency Allied Health Provider Digital Health Checklist: My Health Record free online training modules Getting Started with My Health Record Train IT Medical commonly asked questions about Privacy and My Health Record OFFICE OF AUSTRALIAN INFORMATION COMMISSIONER : www.oaic.gov.au Understanding health practitioner privacy obligations for My Health Record use – OAIC Handling sensitive information in the My Health Record System - OAIC
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