my health record webinar

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My Health Record System

Presented by Katrina Otto, Train IT Medical

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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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