overview of the national ehealth strategy and the personally controlled electronic health record
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Overview of the National eHealth Strategy and the Personally Controlled Electronic Health Record. 20 March 2012. Gail Easterbrook NEHTA Clinical Lead The National E-Health Transition Authority. Today. The latest news from The National E-Health Transition Authority (NEHTA) - PowerPoint PPT PresentationTRANSCRIPT
National E-Health Transition Authoritywww.nehta.gov.au
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Overview of the National eHealth Strategy and the Personally Controlled Electronic Health Record
20 March 2012
Gail Easterbrook
NEHTA Clinical Lead
The National E-Health Transition Authority
2 National E-Health Transition Authoritywww.nehta.gov.au
1. The latest news from The National E-Health Transition Authority (NEHTA)
2. Personally Controlled Electronic Health Record
Today
3 National E-Health Transition Authoritywww.nehta.gov.au
From the National eHealth Strategy
eHealth is one of the most important opportunities to:
o Improve the quality and safety of healthcareo Reduce waste and inefficiencyo Improve continuity and health outcomes for
patients
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NEHTA’s purpose
Lead the uptake of eHealth systems of national significance; and coordinate the progression and accelerate the adoption of eHealth by delivering urgently needed integration infrastructure and standards for health information.
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NEHTA’s place in eHealth
o Involved in implementation sites
o Managing agent for PCEHR
o Support integration of eHealth
o National eHealth infrastructure
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Why are we doing this?
o Over three million Australians, or nearly one in seven, suffer from chronic disease.
o Health expenditure as a proportion of Australian GDP has continued to grow increasing from 7.9% in 1999-00 to 9.4% of GDP in 2009-10
(October 2011 figures)
o It is estimated 5,000 Australians die each year due to adverse medical events. 1
o Up to one in six (18%) medical errors are due to inadequate patient information. 2
o Nearly one in three (30%) unplanned hospital admissions in those over 75 years are associated with prescribing errors. 3
1 Australian Patient Safety Foundation, www.consultmagazine.net2 Australian Institute of Health and Welfare, Australia’s Health 2002, 20023 Chan. M, 2001, Internal Medicine Journal, Adverse drug events as a cause of hospital admission in the elderly; 31: 199-205
o Clinicians spend around a quarter of theirtime collecting information rather than treating patients. 4
o ePrescription systems in Sweden, the US and Denmark increased health provider productivity per prescription by over 50%. 5
o eReferrals in Europe reduced the average time spent on referrals by 97%. 6
4 For Your Information, Australia Audit Commission, Canberra, 19955 Karl A Stroetmann KA, Jones T, Dobrev A, Stoetmann VN, ‘An Evaluation of the Economic Impact of Ten European E-Health Applications’, 20076 Ibid
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NEHTA’s work
NASH
Secure Message Delivery
Point of Service
IHI
Foundation Services
HPI-O HPI-I Terminology
eDiagnostics eDischarge eReferral eMedications
Event Summaries
Shared Health Summary
Consumer Health
Summary
Co-ordinated Care
Personally Controlled Electronic Health Record - PCEHR
Clinician & Consumer Entered Data / Consolidated View
General Practice Specialist Aged Care Allied Health Community Services Mental Health Hospitals Diagnostic Services Pathology Pharmacies
Clinically Safe, Privacy, Medico-legal, NeSAF
eHealth Solutions
User Centric / User Interface-Workflow Design
Connectivity / Infrastructure
Data Quality & Data Quality Managem
ent
Professional Standards / Education
Internet
Internet UsersNursing
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NEHTA has made significant progress in designing, operationalising and enhancing the essential foundations required to enable eHealth:
o Built and implemented the Healthcare Identifiers Service. As at December 2011 there are 24,350,000 IHIs, 526,000 HPI-Is and 624 HPI-Os issued.
o More than 2 million IHIs downloaded into clinical systems, including 1.3 million in the Lead eHealth sites and in the TAS and ACT Patient Administration Systems
o Built and implemented the National Clinical Terminology and Information Service; including Australian Medicines Terminology and SNOMED CT, the National Product Catalogue, and the Security and Access Framework. The NPC is being used by NSW, WA, SA, VIC, QLD and the ACT. VIC has begun limited AMT rollout.
o Designed the National Authentication Service for Health – currently being built.
Update – national foundations
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NEHTA has co-ordinated the progression of priority eHealth initiatives:
o Secure Messaging – national guidelines and specifications published by Standards Australia. NT has been implementing this standard since 2009 and is finalising the design of its Continuity of Care project. ACT will be using secure messaging as part of its product and inventory control system.
o e-Discharge – national specifications developed. SA is implementing a compliant messaging application which will deliver discharge summaries.
o e-Referral – national specifications developed.o e-Specialist letters – national specifications developed.o e-Prescriptions (ETP) – national specifications developed and built into the
5th Community Pharmacy Agreement.o e-Pathology – national specifications developed and built into the Pathology
Funding Agreement.
Update – Solutions and standards
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It’s happening nowInner East Melbourne Medicare Local / Eastern Health - Aged Care; Chronic disease; After hours clinics; Received referrals
Hunter Urban Medicare Local / HNEHS - Mental health; Chronic disease; After hours clinics
Metro North Brisbane Medicare Local / QLD Health - Aged care; Chronic disease; Community pharmacies; Older Australians > 50yrs
ACCORAS - People with disabilities; War widows; Children
Calvary Healthcare ACT - Chronic Disease, Palliative care
Department of Health and Human Services (Tasmania) - Aged and Palliative care
FRED IT - Whole of community (those with repeat scripts)
Greater Western Sydney eHealth Consortium / NSW Health - Mothers and children, aged and chronic care; Indigenous
Mater Health Services – Mothers
Medibank Private Limited - Chronic Disease; Whole of community
Northern Territory Department of Health and Families in conjunction with the Aboriginal Medical Services Alliance Northern Territory and General Practice Network NT - Aboriginal and Torres Straight Islanders, Whole of Territory
St Vincent’s & Mater Health Sydney - Complex and chronic conditions: Mental health; people living with HIV/AIDS; homeless people; older Australians; Aboriginal and Torres Straight Islanders
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Trialling eHealth records across AustraliaThe experiences of these 12 sites are helping to shape the national system.
Lessons learnt from the eHealth sites to date include:
o Providing individual GP practices with face-to-face support from well trained people who understand the unique environment of a GP practice is critical.
o Key staff that can provide information and support in relation to eHealth include GPs , practice nurses, practice owners and managers.
o Existing local relationships should be leveraged with, for example, Medicare, the Department of Health and Ageing, the Medicare Local and NEHTA.
o Communications should be simple, clear and regular.
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eHealth records: What you need to know?o A national system of eHealth records has the
potential to save money, make the health system more efficient and improve care for patients. That is why the Australian Government is investing in a national eHealth records system.
o July is just the starting point for the eHealth records system, which will grow as more consumers and healthcare professionals become a part of it.
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Why choose an eHealth record
o BETTER ACCESS TO ACCURATE INFORMATION about patients, their medical history and treatment – no more solely relying on patients’ memories
o QUICK AND EFFICIENT SHARING OF PATIENT INFORMATION between peers – for example, between a GP and a specialist
o MORE TIME TREATING PATIENTS, less time spent tracking down records and test results
o ACCESS TO POTENTIALLY LIFE-SAVING PATIENT INFORMATION in an emergency situation
o FASTER ACCESS TO RELEVANT INFORMATION– such as immunisation history – helping you make better clinical decisions and save time
o TO HELP PATIENTS better manage their health
o IMPROVED CONNECTIVITY – the more
healthcare organisations that participate, the better connected the system will become and the better it will serve you and your patients
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What will eHealth records include?
o 1 July is the starting point for the eHealth records system, which will grow as more individuals and healthcare professionals become a part of it.
o Over time a patients’ eHealth record will include:
o A shared health summary: a summary written by an authorised healthcare professional (such as a GP) about a patient’s health status
o Hospital discharge summarieso Event summaries: A brief note written by any healthcare professional to record relevant
information about the patient’s visit, e.g. new medicines prescribed, or a vaccination
o Only identified healthcare professionals can enter information in the clinical record, ensuring it is clinically relevant and accurate. Patients will be able to enter demographic and basic healthcare information and keep private notes for their own use.
o A patient can nominate an authorised healthcare professional to write their shared health summary. This will be someone who is involved in their ongoing care, such as a GP, registered nurse or Aboriginal health worker.
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Accessing a patient’s eHealth record
There are two levels of access that a patient can choose when they set up their eHealth record:
o Basic default access – which allows any healthcare professional who is treating a patient within a registered organisation to view their eHealth record
o Advanced access – where patients may choose to set up their eHealth record so that only healthcare organisations that they authorise can access it. In an emergency, this can be overridden.
In an emergency, healthcare professionals will be able to view all clinical documents in a patient’s record on a temporary basis when a healthcare professional declares that there is a serious threat to life, health or safety.
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What healthcare organisations can do nowHealthcare providers and their organisations can start preparing now for the new eHealth record system. They will need:
→ A Healthcare Provider Identifier - Individual (HPI-I) and your organisation will need a Healthcare Provider Identifier - Organisation (HPI-O) → Both of these identifiers can be accessed from the Australian Health Practitioner Regulation Agency or from the Department of Human Services - Medicare → Clinical software that is ‘PCEHR ready’ → To register with the PCEHR system operator (the Department of Health and Ageing) and accept the prescribed terms and conditions for participation from 1 July 2012
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How will the roll-out of eHealth records happen?o For the eHealth system to work, you need to get involved now.
Healthcare professionals such as GPs, pharmacists, hospitals and specialists are the first groups that are being targeted to start becoming eHealth ready.
o The Government is working with multiple stakeholder groups to raise awareness within health professional and consumer communities.
o From July patients will be able to register for an eHealth record. July 1 is only the first step and the full rollout will continue over many years.
o Later in 2012 most healthcare professionals will be able to access the national eHealth records system to create shared health summaries for their patients or share patient information with other healthcare professionals.
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In summary
For healthcare practitioners eHealth records will allow them to access a summary of patients’ important information in one place, meaning they will…
Reduce possibility of adverse
events
Provide better health outcomes
for patients
Save lives
Save time
Allow for more
coordinated care
July is a starting point for the eHealth system which will provide better and more connected healthcare.
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How you can learn more
Sign up for news and alerts www.yourhealth.gov.au/subscribe
Request information materials e.g. brochures
For further information visit www.yourhealth.gov.au
A help desk – 1300 901 001 – is in operation from 9am-5pm Sydney time to assist you with any enquires you might have about an eHealth record.
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Model healthcare communityTruck Roadshow 2012
www.nehta.gov.au for more information
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Thank you and Questions