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www.trainitmedical.com.au
My Health Record System
Presented by Katrina Otto, Train IT Medical
www.trainitmedical.com.au
1. Increase understanding of ‘My Health Record’ system.
2. Learn how to receive the Digital Health Incentive Payment.
3. Engage Practitioners with data quality and meaningful use.
Learning Objectives:
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1. Increase understanding of theMy Health Record system
Health Summary Information available at the point of care
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1. Allergies
2. Medications
3. Significant Medical History
4. Immunisations
My Health Record
“Every day one in five GPs see a patient for whom they have no information”
www.myhealthrecord.gov.au
Information in My Health Record comes from three main sources
Patient Health Professional Medicare
Personal medications and allergies summary (can be viewed by healthcare professionals)
Personal health notes (can not be view by providers)
Child development information
Advance care directive/plan & contact details
Shared Health Summary
Event Summary
eDischarge Summary
eReferrals and Specialist letters
Prescription and dispense records
eDiagnostic Imaging and Pathology reports
Medicare claims data
Pharmaceutical Benefits Scheme
Australian Childhood Immunisation Register
Australian Organ Donor Register
DVA claiming events
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Websites:
www.myhealthrecord.gov.au
www.nehta.gov.au
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Progress over 3 years
• Previously called PCEHR now My Health Record
• eHealth is now called Digital Health
• Software has evolved -> integrated -> easier, faster
• Legislation passed to become opt-out but could take 2 years until everyone has a record.We need to register patients.
• Opt-out trial sites – Nepean Blue Mountains and Far North Qld (trials will inform future direction)
1.Gradual evolution towards critical mass
2.Becoming embedded intoroutine clinical andadministrative workflow
“How was the MyEHR able to realise value?”
Learnings from NT Experience
Overwhelmingly, providers praised the system for its effect on efficiency.
“You can get a history immediately rather than starting again.” Registered Nurse
“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
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Progress • 2.6 million Australians currently registered – we need more!
• Advanced care directives now available.
• Test results due soon.
• Approx. 337,000 documents uploaded, mostly discharge summaries.
• Majority of public hospitals connected & progressing well.
• Now private hospitals, allied health, pharmacy & specialists.
• From general practice we need health summaries uploaded.
• New Digital Health Payment (ePIP) with requirement to upload.
• Patients will be informed.
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Stage 1:
1. Register your practice and obtain a HPI-O (much improved process with online forms)
2. Ask clinicians to contact AHPRA and ask for their HPI-I and enter this into clinical software.
HPI-IHealthcare Provider
Identifier-Individual
IHIIndividual Healthcare
Identifier
HPI-OHealthcare Provider
Identifier-Organisation
Healthcare Event
Who provided the
service
Who received the
service
Where the service was
provided
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Ensure current certificates are loaded into software (not sitting in your drawer!)P
Write or re-evaluate your policies (incl privacy and security) and train staff(include admin staff) P
Register your patients for a My Health Record P
Start uploading P
health summaries
Stage 2:
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Identify your patients who willbenefit the most & register them
http://www.wnswphn.org.au
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How to Register Patients
1. Design a workflow that suits your practice.
2. Ensure your staff have access (options, permissions) in software.
3. Train staff / write a dialogue(no longer need signed forms).
4. Download the cheatsheet for your software.
5. Play in the sandpit with test patients:On Demand Training - NEHTA
Consumer portal view
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How to View & Upload
On Demand Training - NEHTA
Once you’ve selected your software the password is:
P@ssw0rd
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Get confident!
Katrina’s 3 step learning plan:
1. Watch software demos –Using the My Health Record system - NEHTA
2. Download cheatsheets – Guides - NEHTA
3. Practise in sandpit: On Demand Training - NEHTA
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2. Learn how to receive the Practice Incentives Program
Digital Health Incentive
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Practice Incentive Program Digital Health Incentive
1. Integrating Healthcare Identifiers
2. Secure Messaging Capability
3. Data Records and Clinical Coding
4. ePrescribing
5. My Health Record System
What’s New?Requirement 5:
Now need to upload minimum no. of Shared Health Summaries
0.5% of SWPE per quarter (roughly 5 per GP)
Doctors, Nurses and Aboriginal Health Practitioners can upload One clinician can upload the 0.5% for entire practice Find your SWPE on your PIP statement or through HPOS Use software tools eg Pen CAT to extract data about records & no of uploads
It’s about use – let’s make it meaningful use!
1. Gradual evolution towardscritical mass
2. Becoming embedded into
routine clinical and administrative workflow
Benefits & Learning from NT Experience
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3. Engage Practitioners with data quality and meaningful use
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1. Medication List….?
2. Allergies…………….ok
3. Immunisations…..ok
4. Coded Diagnoses (Past History)…….omg!
Clinical Data Quality
Trainer tips:
1. Stop ‘Reasons for Visit’ going to pasthistory list by default (Look in Options, Preferences etc.).
2. Clean up the Past History list!It should only contain: Chronic conditions and Significant events
STANDARDSFor Quality Health Data
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“Health summaries need to be developed on a progressive basis and kept up-to-date” Standard 1.7 Content of patient health records
RACGP Standards
MBS - Increase revenue Minimise clinical risk
Your patients will see their health summaries Improve chronic condition management
Improve patient outcomes & clinical safety
It’s the RACGP Standards regardless of eHealth!
We want Quality Health Summaries
Download the Data Quality checklist from NEHTA website
Data Quality checklist
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GPs need to be the curators of the health summary
Required to use software in a particular way (coded conditions, up-to-date info)
Sharing information with patients
Sharing information with peers on a national scale
The new challenge
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It’s a new era of sharing
Dr Google Wearable technologies
Patient PortalsSMS & Email
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Be prepared:Read my
‘Top 30 questions doctors ask’
Effective Change Management All staff need to have any concerns addressed
& feel involved in the change process
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Storytelling for change - how has this benefitted others?
Link to Quality Improvement activities.
Focus on Risk Minimisation -> increase data quality.
Change Management Techniques
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Homework1. Have a team meeting to discuss the changes.
2. Watch the software demonstrations.
3. Access guides/cheatsheets for your software.
4. Practise in the sandpit On Demand Training – NEHTA
5. Clean up data.
6. Register your patients.
7. View & upload.
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Continually Evolving
Results coming soonAdvanced Care Directives
Medication ReconciliationAn App
MORE CHANGES
AHEAD
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.
Please work together. Share your feedback:
Katrina Otto, Train IT Medicalkatrina@trainitmedical.com.au
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