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E health in pharmacies. The why and how webinar

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eHealth in Pharmacies: the why and how …

eHealth in Pharmacies: the why and how
This webinar will describe the national eHealth record system and how it can work to improve health from the Pharmacy perspective. The session will also describe what Pharmacies need to do to become eHealth ready. This webinar will be particularly relevant for Pharmacists who are deciding whether or not to opt-in to the eHealth record system. [please note: this is a repeat of the webinar previously hosted on 30 July 2013]

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  • Thank you for joining our webinar “eHealth in Pharmacies: the why and how”We have allocated 30 minutes for this session and have quite a lot of information to cover. So in order to keep things moving, we have muted all attendees. But if you do have any questions along the way please type them into the question box on your screen and we will endeavour to answer them, either at the end of the session or later via email. You are also welcome to contact us later with any questions that come to mind following today’s presentation.
  • Why do we need eHealth?Well, we know that the current health systems isn’t working. We also know that each year in Australia there are 190,000 medications-related hospital admissions. Admissions that could be avoided with better information or communication. We know that there are 24,400 registered pharmacists in Australia and that the average Australian has 12 pharmacy scripts per year. And these pharmacists, including yourselves, are often having to make medication-related decisions without access to relevant health information.eHealth has the potential to change all that.
  • So, what is eHealth??As most of you already know, in July 2012 the Australian Government introduced a personally controlled electronic health record (PCEHR) systemPeople seeking health care in Australia can now choose to register for an eHealth record.Essentially the eHealth record system is a method for consumers (patients) to share health information with their healthcare providers.Healthcare professionals that choose to participate will, over time, have access to important health information, helping provide safer, more efficient care for consumers.
  • The clinical documents contained in the eHealth record aresummarised copies of health-related information. It should be emphasised that the eHealth record is not a replacement for clinical records and will not include clinical notes.Only authorised healthcare professionals can enter information into the clinical component of the eHealth record, ensuring it is clinically relevant and accurate.1Patients cannot alter documents created by healthcare professionals.Shared health summary – may include information about a patient’s medical conditions, history, medication they are currently taking, allergies and adverse reactions and immunisations. The Shared health summary isuploaded by the patient’s usual GP from their desktop software if requested or consented to by the patient. Describe event summary…Describe other clinical docs…And all of these documents can be accessed by any healthcare professional in Australia who has access to the eHealth record system.
  • And here is an example of what can be seen.This is an eHealth record for a fictitious patient called Vijay Engineer. This is the overview page that you first come to when you as a healthcare professional access a patient’s eHealth record via the provider portal. You can see here it mentions that Vijay has had a shared health summary uploaded by his regular GP and a summary of the key information is provided on this overview page. From the left-hand column, the health care professional can see a list of the clinical documents contained within the record and access these.
  • And here is the Shared Health Summary.
  • And here is an example of an event summary for Vijay which was uploaded when he attended an after-hours clinic.
  • The eHealth record also contains Personally entered data and that is basically, as it sounds, information that the patient may enter themselves.It includes…(read from the slides)Eg Personal health summary – might include information entered by the patient about reactions to medications or other over-the-counter medications they are using. As noted here – this data can be viewed by healthcare providers authorised to access the patient’s record.Eg Personal health notes – where patients can enter information to help them keep track of their personal health (eg a health journal), these are not viewable by healthcare providers)
  • And there is Medicare data.When an individual registers for an eHealth record, they can choose to have the data held by the Department of Human Services – Medicare included in their record. This can include past (2 years) and future MBS and PBS claims information, their organ donor status and if relevant, details from the Australian Childhood Immunisation Register records. This data is visible to healthcare professionals who are authorised by the patient to access the record.
  • Child eHealth record – an electronic version of the “baby book” which is used for tracking child developmentAndNational Prescribed and Dispensed Repository – which provides a combined list of prescribed and dispensed medications based on e-prescribing and makes it available to clinicians and patients. I should also point out that this is just the beginning. There are plans for a variety of other documents to be made available over time.
  • So – what are the benefits for Pharmacy??It will give pharmacy better access to their consumer’s medical information, such as access to allergies, medical history, past events etc. More medical information will help improve clinical decision makingImproved patient safety and better outcomes for patient careImproved access to patient history (allergies and adverse events)Reduced medication errors and duplicationsReduced adverse drug events and better use of medicinesReduced hospital admissions due to adverse drug eventsPossibility to save lives, as 18,000 patients per year die from adverse drug reactionsBetter access to information in after hours or emergency situationsHaving additional information when undertaking medication reviewsImproved reliability of prescribing and transcriptionReductions in forged scriptsBetter communication and information sharing with other healthcare providers, especially GPsSaves time and money – no GP call backs, More efficient dispensing and prescription reconciliationSo, now I’ll hand over to Kathy who will talk a bit about how your Pharmacy can become eHealth ready.
  • As with General Practice, there are a number of steps that must be completed prior to the Pharmacy being able to connect to the eHealth record system.This includes …[read from slide]We at South West WA Medicare Local have several resources to support you with this process. Before we tell you about these, I’d also like to let you know that we will be making these slides available via our website. So if you want to look back at any of this information please go to www.sw-medicarelocal.com.au and click on the eHealth tab. So one of the resources that we have available is a checklist…
  • …which lists each of the steps involved in registering your organisation and the various application forms that you will need to complete. So you can see, just by looking at this checklist that it is quite a process. We will be hosting a “how to get started” workshop in Busselton on 11th September were we will go into each of these steps and go through the forms in more details. We will be sending you all an invitation to this workshop soon, in the mean time if there is enough interest we will also consider hosting these workshops in some other locations across our region (possibly in Albany, Bunbury and possibly in the Wheatbelt also via videoconference), please let us know if you would be interested in this via our evaluation survey following this webinar today. You’ll see here various acronyms (such as HPI-O and PCEHR) that are often used in relation to the eHealth record system.
  • And we also have a list of commonly used eHealth acronyms as shown here.
  • And finally we have some Pharmacy eHealth Registration Workbooks. These have been developed by NEHTA (the National eHealth Transition Authority) and are specifically designed to assist pharmacies to register for eHealth, the workbooks provide detailed guides for completing each of the related forms as well as sample eHealth policies. We will be endeavouring to get these workbooks to each pharmacy as soon as possible. If you’d like your copy sooner, please don’t hesitate to let us know.
  • And ultimately new eHealth record system should lead to better decisions, better access to information, better coordination, better care and as a result better health.
  • Where to from here? Once it’s all up and running…Encouraging patients and healthcare providers to use the eHealth record (South West WA Medicare Local will be undertaking a program of consumer engagement about the eHealth record, in particular with key target groups – eg we were involved in promoting it to grey nomads & caravanning and camping show)Assisted Registrations (SWWAML can provide tools and training around this and there will be a webinar about this in the next few months)Meaningful use in practice (this links back to the ultimate goal of eHealth, in particular making a Better Connected Health Care System)
  • Transcript

    • 1. eHealth in Pharmacies: the why and how Presenters: Kathy Rainbird & Michelle McClure July 2013
    • 2. Why do we need eHealth? 190,000 medications related hospital admissions per year in Australia • Most commonly reported contributing factor was poor communication 24,400 registered pharmacists in Australia • Often making decisions in an information deficit environment Reference: Ng (2013). Medicare Local eHealth Workshop: A Pharmacist Perspective. Adelaide, Australia.
    • 3. The eHealth record system Reference: The Royal Australian College of General Practitioners (2013) eHealth record system: Adding value to clinical consultations. Peer-to-peer seminar. Participant guide. Victoria, Australia.
    • 4. The eHealth record contains Clinical documents (uploaded by a healthcare professional) • Shard health summary • Event summary • e-referrals, specialist letters and e-discharge summaries
    • 5. 49 01-Apr-2008 27-Apr-2008
    • 6. 49
    • 7. Exit 50
    • 8. The eHealth record contains Personally entered data • Personal health summary • Advanced care directive custodian • Emergency contact details • Personal health notes (not viewable by healthcare providers)
    • 9. The eHealth record contains Medicare data • Medicare services (MBS & DVA) • Prescription information (PBS & RPBS) • Immunisations (ACIR) • Donor details (AODR)
    • 10. The eHealth record contains Other (new) documents • Child eHealth record • National Prescribed and Dispensed Repository
    • 11. Prescription and Dispense view using the eHealth record in Pharmacy software
    • 12. Benefits of eHealth for Pharmacy • Improved clinical decision making • Improved patient safety • Improved reliability of prescribing and transcription • Reduced adverse drug events and better use of medicines • Reduced hospital admissions • Better communication and information sharing • Saves time and money
    • 13. Getting eHealth ready • Register your organisation • Security requirements • Develop and implement eHealth policies • Staff eHealth training www.sw-medicarelocal.com.au
    • 14. Pharmacy – getting eHealth ready checklist
    • 15. eHealth Acronyms PCEHR – Personally Controlled Electronic Health Record eTP – electronic Transfer of Prescriptions HPI-I – Healthcare Provider Identifier – Individual HPI-O – Healthcare Provider Identifier – Organisation IHI – Individual Healthcare Identifier NASH – National Authentication Service for Health NPDR – National Prescription and Dispense Repository NPDV – National Prescription and Dispense View SMD – Secure Message Delivery SHS – Shared Health Summary HI Service – Healthcare Identifiers Service PES – Prescription Exchange Service OMO – Organisation Maintenance Officer RO – Responsible Officer
    • 16. Using the eHealth record in Pharmacy software
    • 17. eHealth: Connecting health care • Better decisions • Better access to information • Better co-ordination • Better care for individuals Better health
    • 18. Where to from here? • Encouraging patients and healthcare providers to use the eHealth record • Assisted Registrations • Meaningful use in practice
    • 19. Help us to help you with eHealth Please complete our eHealth readiness survey by clicking on the following link… https://www.surveymonkey.com/s/PharmacyeHealth ReadinessMay2013
    • 20. More information visit the eHealth Learning centre www.eHealth.gov.au
    • 21. Any Questions?
    • 22. Contact us Kathy Rainbird, Project Officer eHealth p: 9842 1006 m: 0417 060 376 email: krainbird@sw-medicarelocal.com.au Nicola Hilyard, Support Officer eHealth (Southwest) p: 9751 2144 m: 0447 893 710 email: nhilyard@sw-medicarelocal.com.au Michelle McClure, Program Manager eHealth p: 9842 1006 m: 0409 692 970 email: mmcclure@sw-medicarelocal.com.au