EHRs and the law

Health Informatics New Zealand www.hinz.org.nz Electronic Health Records – which direction should we take? Tina Mitchell Senior Legal Advisor Health and Disability Commissioner Electronic Health Records • Role of HDC and the Code • EHR – the pros • EHR – the cons 1

Health Informatics New Zealand www.hinz.org.nz Cartwright Inquiry 1987-1988 • Change in public attitudes • Statutory recognition of patients’ rights Dame Silvia Cartwright Health and Disability Commissioner Act 1994 • Individual Resolution Resolution, not retribution • Improvements in health care safety and quality Learning, not lynching • Public protection Watchdog role 2

Health Informatics New Zealand www.hinz.org.nz Code of Consumers’ Rights • Respect • Appropriate standard of care • Effective communication • Information and consent • Complaint procedures How does the Code apply to health information? 3

Health Informatics New Zealand www.hinz.org.nz Moving information • Right 4(2) • Right 4(5) • Right 6(1) Snapshot Health care providers have a responsibility to record and communicate information effectively 4

Health Informatics New Zealand www.hinz.org.nz Electronic health records – the pros • Seamless delivery of care • Reduced errors • The right information to the right person at the right time • Drawing together multiple sources • Accurate health record travels with the consumer Example – patient test results • Patient with unusual pain referred for mammogram • No results for 13 weeks • 99/11494 5

Health Informatics New Zealand www.hinz.org.nz Example – specialist referral • Urology patient waited 22 months for FSA • Inadequate follow-up of referral • 04/13909 Example – discharge summary • Hospital discharge summary not completed • GP not advised of admission or follow- up requirements • 99/05684 6

Health Informatics New Zealand www.hinz.org.nz Electronic health records – the cons • Consistency • Security • Public perception Summary • The Code applies… • EHR will improve on the status quo but… • Introduce it carefully… 7

Health Informatics New Zealand www.hinz.org.nz www.hdc.org.nz 8

EHRs and the law

by Health Informatics New Zealand on Apr 03, 2010

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EHRs and the law — Document Transcript