Practice Managers Heather McDonald, Manager Clinical Adoption and - PowerPoint PPT Presentation

Digital health for Practice Managers Heather McDonald, Manager Clinical Adoption and Usability Katrina Otto, eHealth Adoption Education Support Officer AAPM Sydney 9 March 2016 1 National E-Health Transition Authority www.nehta.gov.au

The My Health Record system The digital health record is a secure electronic summary of a patient’s health records. It provides an active online record from different sources that over time will follow My patients as they move Health through Australia’s health Record system. Previously called PCEHR, now called My Health Record system. 3 National E-Health Transition Authority www.nehta.gov.au

Information in a digital health record comes from three main sources Patient Health Professional Medicare Personal medications and Shared Health Summary Medicare claims data    allergies summary (can Event Summary Pharmaceutical Benefits   be viewed by healthcare Scheme professionals) eDischarge Summary  Australian Childhood  Personal health notes  eReferrals and Specialist  Immunisation Register (cannot be view by letters providers) Australian Organ Donor  Prescription and dispense  Register Child development  records information DVA claiming events  eDiagnostic Imaging and  Advance care directive  Pathology reports custodian contact details 4 National E-Health Transition Authority www.nehta.gov.au

eHealth progress over past three years 5 National E-Health Transition Authority www.nehta.gov.au

My Health Record is growing! Over 2.5 Million people have a record • An extra 1 Million to get a My Health • Record during participation trials Over 2.9 Million Prescription and • Dispense records • 8,010 Healthcare providers registered to use the system Over 337,000 Clinical Document • Uploads Including 260,000 hospital discharge • summaries • 470 public hospitals and health centres • 24 private hospitals 6 National E-Health Transition Authority www.nehta.gov.au

Total uploads as at 4 February 2016 298,651 73,119 Discharge Summaries 10,330 Health Summaries Specialist Letters 7 National E-Health Transition Authority www.nehta.gov.au

As at 4 February 2016 5,236 Discharge Summaries uploaded in one week 8 National E-Health Transition Authority www.nehta.gov.au

As at 4 February 2016 9,290 Clinical documents uploaded in one week 9 National E-Health Transition Authority www.nehta.gov.au

Benefits of digital health 10 National E-Health Transition Authority www.nehta.gov.au

How does the My Health Record system benefit clinicians? Informed Better access to Improved decisions on health information Continuity of Care patient’s medical needs Health Information Continuity of care Informed decisions around patient’s through accurate on patient’s medical current conditions and timely needs through and past records like communication and access to a health diabetes, heart clinical hand-over history that is disease, medications across health shared rather than or past surgeries. professionals using recalled by the eHealth products. patient . Benefits • It will reduce the time taken in chasing up on documents such as Discharge Summaries • It will reduce the volume of paper documents • It will reduce time in scanning 11 National E-Health Transition Authority www.nehta.gov.au

How does the My Health Record system benefit individuals (patients)? Health information will travel with the individual • Healthcare is not affected by the individual’s ability to remember • their medical history Individuals have the ability to update personal data and view their • health information online Better quality, safer and more efficient care for individuals • (information availability and less time wastage) Reduction in duplication (tests, information, etc.) • 12 National E-Health Transition Authority www.nehta.gov.au

Benefits & Learning from NT Experience How has the MyEHR service been able to realise value? 1. Gradual evolution towards critical mass 2. Becoming embedded into routine clinical and administrative workflow 13 National E-Health Transition Authority www.nehta.gov.au

Evaluation of NT eHealth showed strong evidence of benefits attributable Increases Increases access to provider & consumer health confidence information Increases Supports capacity to clinical deliver decision population- based primary making health care Reduces Improves time spent continuity sourcing of care information "Without the MeHR you "I've been obsessive with couldn't have made the MeHR since it first came in because of everything I can same decision" see. It saves you so much Registered Nurse & Midwife trouble, so much time." GP 14 National E-Health Transition Authority www.nehta.gov.au

Digital Health reduces the amount of time and effort required to source health information “It's a lot less time consuming because you're not ringing up another clinic down the road.” Registered Nurse "It saves you so much trouble, so much time." GP “You can get a history immediately rather than starting again.” Registered Nurse “Rather than ring the clinic and humbug them, if you look on the shared records it should be all there.” Clinic Manager 15 National E-Health Transition Authority www.nehta.gov.au

Digital health foundations 16 National E-Health Transition Authority www.nehta.gov.au

Digital health foundations The foundations combine the basic technologies of unique identification to provide a safe and secure method of exchanging healthcare information – identification, authentication and encryption Healthcare Operated by the Department of Human Services (Human Services) which allocates a unique 16-digit number (a Healthcare Identifier) to individuals using healthcare services, Identifiers their practitioners and healthcare organisations. (HI) Service The right health information associated with the right individual at the point of care IHI HPI-I HPI-O Individual Healthcare Provider Healthcare Provider Healthcare Identifier Identifier-Individual Identifier-Organisation Where the service Who provided Who received was provided the service the service Heathcare Event For more information on the HI Service visit: www.humanservices.gov.au/hiservice 17 National E-Health Transition Authority www.nehta.gov.au

What may be on a patient’s digital health record? Shared Prepared by a Nominated Healthcare Provider (an RN, Doctor or Health Aboriginal Healthcare Worker providing ongoing care) in consultation with the individual, it is a summary of the individual's health at a point in Summary time. It could include medical history, allergies and adverse reactions, medications the individual may be taking and any immunisations they have had. The Nominated Healthcare Provider (NHP) is the only person that can upload a Shared Health Summary. Event A clinical document used to capture health information about significant Summary healthcare events from a healthcare professional. Information may include clinical synopsis and medications. You are not required to be a Nominated Healthcare Provider. It is likely that other parties will upload an Event Summary eg a nurse documenting wound management care or a flu vaccination, or a patient on holiday and visits a non-regular GP. Created for an individual when associated with an event/hospital Discharge admission. May include diagnosis, key dates, clinical synopsis, diagnostic Summary investigations and medications upon discharge, improving the continuity of care between healthcare professionals. 18 National E-Health Transition Authority www.nehta.gov.au

How is the My Health Record system accessed? Individuals can access their digital health record Consumer Consumers via the consumer portal. Consumers are able to contribute to their health record by inputting Portal personal health notes, medications and allergies. The ’my child’s eHealth record’ app is for Mobile consumers with children under the age of 14 years. It allows parents and authorised representatives to Application access the child’s eHealth record and and view information about the child’s development. The Provider Portal is view only. Healthcare Providers Provider Portal providers can view and download a patient’s health information but cannot contribute to it. Conformant Healthcare providers with access to My Health Record system conformant software are able to Clinical contribute to the patient’s digital health record by Software uploading clinical documents via their software. 19 National E-Health Transition Authority www.nehta.gov.au

Training & Tools to assist with My Health Record System 20 National E-Health Transition Authority www.nehta.gov.au

Access Software Summary Sheets & videos 21 National E-Health Transition Authority www.nehta.gov.au

On Demand Training  Can be used in existing clinical information system  Accessible whenever you need  Self-contained and no registration process 22 National E-Health Transition Authority www.nehta.gov.au

23 National E-Health Transition Authority www.nehta.gov.au

Training Environment On Demand Training Environment : Log on anytime and practise with a ‘test’ patient. Available at http://www.nehta.gov.au/using-the-ehealth-record-system 24 National E-Health Transition Authority www.nehta.gov.au