My Health Record. Katrina Otto Trainer, Australian Digital Health Agency Practice Management Consultant & Principal - Train IT Medical
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1 My Health Record Katrina Otto Trainer, Australian Digital Health Agency Practice Management Consultant & Principal - Train IT Medical
2 What could you find in someone s My Health Record? Uploaded by Healthcare Providers GP Hospitals Specialists Pharmacist Allied Health Shared health summaries Discharge summaries Pathology and diagnostic imaging reports Specialist letters Prescription and dispense records Event summaries
3 What could you find in someone s My Health Record? Uploaded by Medicare Medicare Claims History Pharmaceutical Benefits Information Organ Donor Details Childhood Immunisations
4 What could you find in someone s My Health Record? Uploaded by the Individual Individual Their representatives Advance Care Plans Advance Care Custodian Personal Health Summary Personal Health Notes Emergency Contact Details
5 Ian benefited from My Health Record after an emergency
6 Benefits for Individuals Improved Coordination of Care More healthcare providers involved in their care will have access to information about them resulting in better care for the patient. Improved Safety Reduced likelihood of an adverse event through their healthcare providers having access to more information about them, including allergies and adverse reactions, current medications. More Convenient No need for them to repeat their story Reduced duplication of medical tests Greater Control Puts them at the centre of their healthcare.
7 Benefits for Healthcare Providers More information about their patient Access to information about their patient s health they may not otherwise have had resulting in better diagnoses and treatment decisions. Access at the point of care Access to their patient s important health information where they need it at the point of care (e.g. in hospital, during home visits, in emergencies). More efficient practices and clinical care Less reliance on outdated methods of exchanging information (e.g. facsimile).
8 PCEHR Review Found broad support for the concept of a national shared electronic health record Made 38 recommendations for increasing uptake and use, including: - rename to My Health Record - strengthened governance arrangements - improved usability and increased clinical content in records - education and training for healthcare providers - revised GP incentives - implementation of opt-out nationally
9 New Governance New Australian Digital Health Agency - to be established by 1 July 2016 One accountable organisation for all national digital health operations, including My Health Record Skills-based Board, including users of the system, supported by expert advisory committees 9
10 My Health Record Statistics at 3 July
11 Benefits & Learning from NT experience 1. Gradual evolution towards critical mass 2. Becoming embedded into routine clinical & administrative workflow
12 Increased Clinical Content in Records and Improved Usability Pathology and DI results capability now exists Advance Care Plans now available Current medications view a priority Improved interoperability with local clinical information systems, and look and feel My Health Record now mobile friendly, designed with consumer in mind Apps coming - including link to wearable technologies 12
13 Revised Incentives Changes to epip eligibility requirements announced prior to Christmas From 1 May 2016, practices required to upload Shared Health Summaries to the My Health Record system for at least 0.5% of their Standardised Whole Patient Equivalent (SWPE) count each quarter to continue to be eligible for the epip - or an average of 5 SHS per full-time GP per quarter 13
14 Participation Trials, including Opt-Out Doctors have told us they need to know more of their patients have a My Health Record before they will use it Northern Queensland and Nepean Blue Mountains selected to trial opt-out in Australia Opt-out rate of 1.9 per cent achieved Opt-in trials Western Victoria (Ballarat Hospital) and Western Australia (chronic disease) Outcomes to inform a future Government decision about how to bring forward the benefits of My Health Record nationally Independent Evaluator Siggins Miller
15 Personal Control 1 2 Individuals can choose to have a record or not Individuals can set access controls to their record 3 Individuals can remove documents from view 4 To assist individuals to manage their record there is an access history (or audit log) and they can set notifications
16 Notifications Notifications an individual can choose to receive include: When a healthcare organisation opens their record for the first time When a healthcare organisation opens their record in an emergency When a new Shared Health Summary is added to their record When an advance care planning document is added or removed When a nominated representative connects to their record for the first time When a nominated representative opens their record
17 Privacy 1 Access to information in My Health Record is limited by law to specific situations (eg. registered healthcare providers delivering health care) 2 Significant sanctions for misuse but not where a mistake is made
18 System Security The My Health Record system has bank-strength security features. These include strong encryption, firewalls, secure login/authentication and audit logging. Access to the system occurs via the mygov portal which is the same portal used to access ATO and Centrelink services. The information stored in the My Health Record system is stored securely in Australia To date, there have been no identified instances of malicious attacks.
19 Objectives: Get your practice ready for epip meaningful use: 1. Understand epip requirements & new calculator tools 2. Register patients 3. View & upload shared health summaries 4. Improve data quality
20 Digital Health Incentive Payment 1. Integrating Healthcare Identifiers 2. Data Records and Clinical Coding 3. eprescribing 4. Secure Messaging epip requirements 5. Upload Shared Health Summaries to My Health Record for 0.5% of SWPE New: - Upload requirement per quarter as of 1 May 2016
21 Digital Health Foundations Operated by the Department of Human Services (Human Services) which allocates a unique 16- digit number (a Healthcare Identifier) to individuals using healthcare services and their practitioners and healthcare organisations. Healthcare Identifiers (HI) Service The right health information associated with the right individual at the point of care
22 Training & Tools to assist with My Health Record System
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24 New Patient View
25 Patient settings/preferences
26 Access My Health Record via your clinical software
27 Training Environment On Demand Training Environment: Log on anytime and practise with a test patient. Available at
28 MedicalDirector
29 epip Calculator Tools V download The epip widget If using v3.15 download from
30 Register patients Via ART tool on desktop
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32 Best Practice Best Practice
33 Validate Health Identifiers
34 Bulk Heath Identifier Lookup Will put green box if patient has a My Health Record
35 Register patients
36 Register patients
37 Register patients
38 epip Calculator Tool Management > Reports > Shared Health Summaries
39 MedicalDirector
40 MD checks automatically if patient has an IHI and PCEHR/My Health Record
41 View a patient s My Health Record
42 Upload a Shared Health Summary
43 Upload a Shared Health Summary
44
45 Best Practice Best Practice
46 View patient s My Health Record
47
48 Upload a Shared Health Summary
49 Upload a Shared Health Summary Click on boxes for quickupdate if necessary
50 Zedmed
51 Register patients
52 Register patients
53 Register patients
54 Register patients
55 Register patients
56 View a patient s My Health Record
57
58
59
60 Upload a Shared Health Summary Select - Quick Documents icon
61 Select Shared Health Summary
62
63
64 Genie
65 Register patient
66 Register patient
67 Register patient
68 Register patient
69 Register patient
70 Register patient
71 View a patient s My Health Record
72 View a patient s My Health Record
73
74
75 Upload a Shared Health Summary In the PCEHR tab, click on the Globe icon select Send a Shared Health Summary
76
77
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79 Communicare
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82 Data Quality
83 Download the Data Quality Checklist
84 Data Quality checklist
85 A team approach 1. Practice Managers write the policy & train staff 2. Receptionists register patients 3. Registrars & nurses may be able to help clean up data 4. GP, Nurses, Registrars, Aboriginal Health Practitioners can upload.
86 Next Steps 1. Download the cheatsheets for your software 2. Watch the software demonstration for your software 3. Practise in the On-Demand Training Environment 4. Register your patients. 5. View and upload health summaries.
87 Where to get help? Call Help Centre on or Visit for information on the My Health Record system and promotional resources Free elearning on the My Health Record system and promotional resources available from:
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