eHealth what is it all about busselton
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eHealth what is it all about busselton

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This presentation describes the national eHealth record system and how it can work to improve health. We will cover what the eHealth record is, what it isn't, as well as what individuals can and ...

This presentation describes the national eHealth record system and how it can work to improve health. We will cover what the eHealth record is, what it isn't, as well as what individuals can and cannot do with their eHealth record. A great opportunity for any health professional to find out more about eHealth.

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  • Thank you for joining our presentation “eHealth: What’s it all about?”My name is Kathy Rainbird and presenting with me today is Nicola Hilyard – we are part of the eHealth team at South West WA Medicare Local.
  • Our presentation is going to address a number of frequently asked questions about eHealth…[read from slide]
  • And then Nicola will talk about…(read slides)
  • Why do we need eHealth?Well, we know that the current health systems isn’t working. There are many places where better communication or a better connected system could improve health. For example, just looking at pharmacy, we 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 are often having to make medication-related decisions without access to relevant health information.eHealth has the potential to change all that.
  • People 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.
  • At this stage, the eHealth record contains five types of information:Clinical documentsMedication recordsPersonally entered dataChild developmentAnd Medicare dataI will go into a bit more detail about the specifics of each of these as they currently stand. However, I should point out that this is just the beginning. There are plans for a variety of other documents to be made available over time.
  • 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. Some of you may have heard the term “nominated provider” used in relation to the Shared Health Summary – basically, this is the healthcare professional who is involved in the continuing, coordinated care of the patient who has agreed, with the individual, to create their shared health summary. Most often this would be the patient’s regular GP, a registered practice nurse or Aboriginal healthcare worker. Most commonly these will be created/uploaded when the patient’s regular healthcare provider feels new information might influence the treatment of a patient by other healthcare professionals (ie when their current health status has changed).
  • Just to show you an example of this, we have a scenario for a fictitious patient – Mr Vijay Engineer. Basically, Vijay visits his regular GP, Dr Javad, who sees via his clinical information system that Vijay has an eHealth record (note: this is an illustrative example of a clinical software system and different software systems may look different).In consultation with Vijay, Dr Javad decides to create a Shared Health Summary for Vijay. He does this, by clicking on the relevant button.
  • Dr Javad can then select the key fields that will be automatically populated in the Shared Health Summary, review the draft and edit it if needed. Dr Javad then clicks “upload” to send the shared health summary to Vijay’s eHealth record.
  • And a notification is sent to the GP to inform him that the Shared Health Summary has been successfully uploaded.
  • When Vijay visits another healthcare professional, who decides to view his eHealth record, this is what they see.
  • 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 Event summary is a summary of a clinically significant event of care. Not every consultation will result in the creation of an event summary. But they may be particularly useful when a patient has a change in medication or dose change, an adverse reaction. It can be uploaded by a healthcare professional at any participating healthcare organisation – such as an after-hours GP clinic, hospital or allied health clinic.While the shared health summary is a template and is generated from your local clinical record, the event summary allows free text.
  • 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.
  • So that’s an overview of the eHealth record…I’ll now hand over to Nicola who will address the remaining questions
  • Individuals can access their eHealth record via the internet.So here we’re back to Vijay after his first visit to his GP where Dr Javad uploaded the Shared Health Summary. He clicks on Open your eHealth Record and…
  • This is what he sees.The Health Overview Screen is the landing page with an eHealth Record and provides a summary of the latest shared health summary, personal information, Medicare data and recent documents. Just as an aside – you’ll see that the colour theme for the consumer portal is orange, while the provider portal is blue.Patients can view the same information that healthcare professionals have access to.So, from here, Vijay could view his Shared Health Summary or any other events that have been uploaded to his eHealth record.
  • And as mentioned before – patients cannot alter documents created by healthcare professionals.But, what can they do??
  • So, what can patients do with their record?? They can (and this is why it is called the personally controlled electronic health record)Decide whether or not to have an eHealth record – it’s opt-inChoose levels of access for different healthcare providers (eg female IVF treatment) It’s worth noting that very few individuals who decide to have an eHealth record choose to restrict access settings. The default setting when patients register is general open access for all healthcare professionals.Choose which information goes into their eHealth record (eg male taking Viagra)[For example, a male patient may not want information that he is currently taking Viagra included in his shared health summary. In discussion with his GP, he comes to realise that it may be important for other healthcare providers to know about this medication. He then can make an informed decision as to whether or not to ask the GP to share this information.]The eHealth record does not replace the need for good patient/provider communication.
  • While healthcare provider access is under the patient’s control, in situations where it is the treating healthcare professional’s clinical judgement that access is required and patient consent it not possible, they can “break glass” and gain emergency access to the eHealth record. Situations include where the patients life or safety may be at risk.Using this emergency access overrides permissions & generates an audit alert.
  • There are five different ways that a patient can register for an eHealth record…[read from slide]Assisted Registrations – this is where healthcare organisations such as General Practices or Pharmacies, can assist target patient groups (such as those with low computer literacy or chronic disease) to register.South West WA Medicare Local will have eHealth Support Officers available soon to provide support and training about Assisted Registration to interested practices or businesses. And we are planning to have a webinar about this in the next few months.
  • As many of you know, we have been running a number of information sessions and webinars for healthcare professionals about the new eHealth record system. The next step of course is to ensure the you, as healthcare professionals, can understand the benefits of opting-in to the eHealth record system and we hope this presentation has gone some way to addressing some of your questions or concerns. There is quite a process in getting your organisation eHealth ready and many of the GP practices in our region have been going through the process and are now ready to go. We are now assisting other healthcare organisations and professionals to become eHealth ready. In particular:We have workbooks and resources available from the eHealth desk here today.We have support staff, Nicola Hilyard is our Support Officer eHealth here in the Southwest, to provide support and assist other healthcare professionals who want to opt-in.We have Getting eHealth ready presentations and webinars scheduled – for those of you who are interested we will be giving this presentation later today at 1.00pm and another at 5.00pm.We are also undertaking a program of consumer engagement. The engagement will be for specific target groups who will particularly benefit from having an eHealth record. (eg parents with new babies, ATSI, grey nomads or travellers and people with chronic disease)And finally, a bit further down the track, we will be implementing programs to support meaningful use in practice. And this links back to the ultimate goal of eHealth, which is…
  • Making a our health care better connected.
  • So, hopefully this session has gone a long way to answering your eHealth questions. [check online questions]We realise that some of this information may have raised further questions for you. Please complete the brief evaluation that follows this webinar today and let us know any other queries you would like addressed and we will endeavour to do so.
  • One of the things you can do to help us to help you with eHealth, is to complete our eHealth readiness survey….Click on the link via our website, our web address is www.sw-medicarelocal.com.au then go to the eHealth tab.Or visit our eHealth display here today – we’ve got paper copies and a laptop set up for you to do it directly as well.

eHealth what is it all about busselton eHealth what is it all about busselton Presentation Transcript

  • eHealth: What’s it all about? Presenters: Kathy Rainbird & Nicola Hilyard August 2013
  • the new eHealth record • What is it? • Does it include all health information? • How does it work? • Who creates the Shared Health Summary? • Who is the “nominated provider”? • Will it replace face-to-face communication? • Can we see what it will look like? • How much time will it take?
  • the new eHealth record • What can patients see? • Can patients change the information? • How do people register for their own eHealth record? • What is the eHealth team at South West WA Medicare Local doing?
  • 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.
  • 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.
  • The eHealth record contains Clinical documents Medication records Personally entered data Child development Medicare data
  • The eHealth record contains Clinical documents (uploaded by a healthcare professional) • Shard health summary • Event summary • e-referrals, specialist letters and e-discharge summaries
  • v Mr Vijay Engineer Retired Mr Vijay Engineer v v Full Blood Count (FBC), Bay Hill Pathology Full Blood Examination(FBE), Bay Hill Pathology Mr Vijay Engineer Current RX Morphine eHealth Record Exists Create SHSEvent Summary Currently logged in: Dr Chris Javad Tramadol Delirium Moderate Lipitor 40 mg Once Daily Metformin 500 mg Twice Daily 25/09/1958 Male49 03 1234 5678 0413 564 229 Vijay Engineer 56 Pitt, St, Nehtaville, Vic, 3000 89213198951 Retired Factory Worker
  • Lipitor 40 mg Once Daily Metformin 500 mg Twice Daily v Mr Vijay Engineer Mr Vijay Engineer v v Full Blood Count (FBC), Bay Hill Pathology Full Blood Examination(FBE), Bay Hill Pathology Mr Vijay Engineer Current RX eHealth Record Exists Create SHSEvent Summary Upload Currently logged in: Dr Chris Javad Tramadol Delirium Moderate Morphine 25/09/1958 Male49 03 1234 5678 0413 564 229 Vijay Engineer 56 Pitt, St, Nehtaville, Vic, 3000 89213198951 Retired Factory Worker
  • Moderate v Mr Vijay Engineer Mr Vijay Engineer v v Full Blood Count (FBC), Bay Hill Pathology Full Blood Examination(FBE), Bay Hill Pathology Mr Vijay Engineer Current RX Morphine PCEHR Exists Create SHSEvent Summary Shared Health Summary successfully uploaded to the National eHealth Record System OK Mr Vijay Engineer 25-09-1958 Currently logged in: Dr Chris Javad Tramadol Delirium Lipitor 40 mg Once Daily Metformin 500 mg Twice Daily 8921319895 1 8003 6085 0000 8875 25/09/1958 Male49 Vijay Engineer 56 Pitt, St, Nehtaville, Vic, 3000 89213198951 Retired Factory Worker
  • 49 01-Apr-2008 27-Apr-2008
  • 49
  • Exit 50
  • Medication records The eHealth record contains
  • 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)
  • The eHealth record contains Medicare data • Medicare services (MBS & DVA) • Prescription information (PBS & RPBS) • Immunisations (ACIR) • Donor details (AODR)
  • the new eHealth record • What can patients see? • Can patients change the information? • How do people register for their own eHealth record? • What is the eHealth team at South West WA Medicare Local doing?
  • Exit Vijay Engineer Vijay Engineer
  • Exit 01-Apr-2008 27-Apr-2008 49
  • What patients can and cannot do? They cannot: • Alter documents created by healthcare professionals 
  • What patients can and cannot do? They can: • Decide whether or not to have an eHealth record – it’s opt-in  • Choose levels of access for different healthcare providers  • Choose which information goes into their eHealth record 
  • Emergency access? • “Break glass” emergency consent 
  • How can patients register for an eHealth record? Online: www.ehealth.gov.au Phone: 1800 723 471 In person: at Medicare offices In writing: filling in a registration form Assisted registration
  • What is our eHealth team doing? • Encouraging patients and healthcare professionals to use the eHealth record • Assisted registrations • Meaningful use in practice
  • eHealth: Connecting health care • Better decisions • Better access to information • Better co-ordination • Better care for individuals Better health
  • Questions???
  • Help us to help you with eHealth Please complete the eHealth readiness survey for Allied Healthcare Professionals at www.sw-medicarelocal.com.au>eHealth
  • For more information visit the eHealth Learning Centre at www.ehealth.gov.au
  • Contact us Nicola Hilyard, Support Officer eHealth (Southwest) p: 9751 2144 m: 0447 893 710 email: nhilyard@sw-medicarelocal.com.au Kathy Rainbird, Project Officer eHealth p: 9842 1006 m: 0417 060 376 email: krainbird@sw-medicarelocal.com.au Michelle McClure, Program Manager eHealth p: 9842 1006 m: 0409 692 970 email: mmcclure@sw-medicarelocal.com.au