My Health Record Webinar

www.trainitmedical.com.au
My Health Record System
Presented by
Katrina Otto, Train IT Medical

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:

1. Increase understanding of the
My Health Record system
Health Summary Information available at the point of care
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

Websites:
www.myhealthrecord.gov.au
www.nehta.gov.au

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 into
routine clinical and
administrative 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

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.

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-I
HealthcareProvider
Identifier-Individual
IHI
IndividualHealthcare
Identifier
HPI-O
HealthcareProvider
Identifier-Organisation
HealthcareEvent
Whoprovidedthe
service
Whoreceivedthe
service
Wheretheservicewas
provided

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:

Identify your patients who will
benefit the most & register them
http://www.wnswphn.org.au

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

How to View & Upload
On Demand Training - NEHTA
Once you’ve selected your
software the password is:
P@ssw0rd

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

www.trainitmedical.com.auwww.trainitmedical.com.au

2. Learn how to receive the
Practice Incentives Program
Digital Health Incentive

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 towards
critical mass
2. Becoming embedded into
routine clinical and
administrative workflow
Benefits & Learning from
NT Experience

3. Engage Practitioners with
data quality and meaningful use

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 past
history list by default
(Look in Options, Preferences etc.).
2. Clean up the Past History list!
It should only contain:
Chronic conditions and Significant events

STANDARDS
For Quality Health Data

“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

 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

It’s a new era of sharing
Dr GoogleWearable technologies
Patient PortalsSMS & Email

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

 Storytelling for change - how has this benefitted others?
 Link to Quality Improvement activities.
 Focus on Risk Minimisation -> increase data quality.
Change Management Techniques

Homework
1. 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.

Continually Evolving
Results coming soonAdvanced Care Directives
Medication ReconciliationAn App
MORE
CHANGES
AHEAD

.
Please work together. Share your feedback:
Katrina Otto, Train IT Medical
katrina@trainitmedical.com.au
Subscribe: Train IT Medical News
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