Edith Cowan University School of Computer and Security Science & eHealth Research Group The hare and the tortoise: the potential versus the reality of eTP implementation By Kyaw K. Htat Supervisors: A/Prof Trish Williams & Dr Vincent McCauley
Edith Cowan University School of Computer and Security Science & eHealth Research Group Race Pace
Edith Cowan University School of Computer and Security Science & eHealth Research Group Introduction • eHealth - improved and maintainable healthcare system • eTP - shares medicines information accurately and securely • 2013-14 FY - 209.8 million prescriptions (i.e. +6.3% ) • eTP - streamlines prescription process (i.e. prescriber D dispenser) • 209.8 million prescriptions = AUD 31.4m. Country/Rural area? What is needed? A fully electronic, mobile and paperless paradigm
Edith Cowan University School of Computer and Security Science & eHealth Research Group History of prescribing Approx. 3 rd century BCE 2 nd millennium CE
Edith Cowan University School of Computer and Security Science & eHealth Research Group Progress….. = Present time (i.e. with PES)
Edith Cowan University School of Computer and Security Science & eHealth Research Group …..which became….. Present time (i.e. with PES)
Edith Cowan University School of Computer and Security Science & eHealth Research Group Why do we need full eTP?
Edith Cowan University School of Computer and Security Science & eHealth Research Group The Acts, regulation and standards puzzle +
Edith Cowan University School of Computer and Security Science & eHealth Research Group Significance • Industry driven increasingly by cost constraints • Comply with current legislative requirements/framework • Additional features such as script expiration reminder and drug allergy alerts etc.
Edith Cowan University School of Computer and Security Science & eHealth Research Group Levels of eTP adoption
Edith Cowan University School of Computer and Security Science & eHealth Research Group Technical requirements • Generated, stored and transferred in fully electronic form – i.e. no handwritten signature. (Poisons Regulation 1965, WA) • Security of data while at rest – i.e. within PES or any stable storage requires at least 128 bit encryption for DAK and its derived cipher key. (ATS 4888.2) • Details of DAK. (ATS 4888.6)
Edith Cowan University School of Computer and Security Science & eHealth Research Group Legislative enablers at various levels for eTP Jurisdiction Acts/Regulation Commonwealth Electronic Transactions Act 1999 Commonwealth National Health Act 1953; National Health (Pharmaceutical Benefits) Regulations 1960 NSW Poisons and Therapeutic Goods Regulation 2008 VIC Drugs, Poisons and Controlled Substances Regulations 2006 QLD Health (Drugs and Poisons) Regulation 1996 WA Poisons Act 1964; Poisons Regulations 1965 SA Controlled substances Act 1984; Controlled substances (Poisons) Regulations 2011 TAS Poisons Act 1971; Poisons Regulations 2008 ACT Medicines, Poisons and Therapeutic Goods Act 2008; Medicines, Poisons and Therapeutic Goods Regulations 2008 NT Medicines, Poisons and Therapeutic Goods Act 2012 • Australian Privacy Principles 2014 • ATS 4888.1 – 6 (2013) Electronic transfer of prescriptions • AS 4700.3 (2014) Implementation of Health Level Seven (HL7) Version 2.5 - Electronic messages for exchange of information on medicines prescription
Edith Cowan University School of Computer and Security Science & eHealth Research Group Dante’s 4 circles of eTP (Commonwealth) Electronic Transaction Act 1999 eTP related Medicines, Poisons and Health (Drugs and Therapeutic Goods Act Poisons) Regulation 2012 1996 Poision Act 1964 Poisons and Poisons Regulation Therapeutic + 1965 Goods Regulation Implementation 2008 ATS 4888.1 – 6 (2013) Medicines, Poisons and AS 4700.3 (2014) Therapeutic Goods Poisons Act 1971 Act 2008 Medicines, Poisons Poisons and Therapeutic Regulations 2008 Goods Regulations 2008 Controlled Drugs, Poisons and Substances Act 1984 Controlled Substances Controlled substances Regulations 2006 (Poisons) Regulations 2011 eTP related Electronic Transaction Act 1999 (Commonwealth)
Edith Cowan University School of Computer and Security Science & eHealth Research Group Conclusion While awaiting legislative changes for eTP, the proposed model • can be implemented within the existing legislative framework. • reduces complexity and removes the need for ongoing major supporting infrastructure with its associated cost. • Assures users that their sensitive medication data is not available to third parties. • is very efficient and does not require internet connectivity for basic functionalities. • will work just as effectively in remote locations with poor or non-existent connectivity.
Edith Cowan University School of Computer and Security Science & eHealth Research Group Future of prescribing?
Edith Cowan University School of Computer and Security Science & eHealth Research Group Kyaw Kyaw Htat khtat@our.ecu.edu.au * 0408 919 262 )
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