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Perspectives on eHealth and the     Personally Controlled Electronic Health                 Record (PCEHR)Dr Ralph Hanson ...
Objectives• Set the scene• Strategic context• Build the case for eHealth• Brief introduction to the National eHealth  Reco...
What eHealth could look like today
Health system faces a significant challenge     in providing future health servicesCHALLENGES • Rapidly increasing demand ...
Strategic context
Building a case for eHealthHealthcare in Australia albeit of reasonably high quality faces  some challenges:• Care is frag...
The need to share health information• Every year Australians have an average of 22  interactions with the health system,  ...
The health care we provide is not always safe or efficient   Some facts…   • It is estimated 5,000 patients die each year ...
Translating reform into the National             eHealth StrategyeHealth is one of the most important opportunities to:o I...
What is happening in eHealth in Australia?• eHealth is an all encompassing term• Being pursued at a National and Jurisdict...
Where does NEHTA fit in?     Lead the uptake of eHealth systems of national    significance; and coordinate the progressio...
Who is delivering the eHealth records                          system?                                            DOHA    ...
What is an eHealth record – the NationaleHealth Record System(PCEHR)?• An eHealth record is a secure electronic summary of...
The Personally Controlled Electronic          Health Record          Key Principles                                  o Par...
From 1 July 2012, Australians have been able to register  online for an eHealth record & Health Care Organisations        ...
National eHealth Record RolloutTimeline     FunctionalityJuly 2012    Consumers started registering for an eHealth record,...
Are consumers ready?o High technology take-up rateo Four in five Australians want to move from paper based  recordso 77% s...
Are healthcare professionals ready?o 96% + GPs have access to computer and internet in officeso 95% of GPs use electronic ...
Specific issues for children, young           people and familiesChallenges                       Opportunities• Delayed r...
Where to from here?• Significant opportunities for healthcare  organisations to improve efficiency and  effectiveness thro...
The reality check :……eHealth improving the patient                    experience?    Change is about people not the techno...
Thank you and Questions     www.ehealth.gov.au     www.nehta.gov.au23                         National E-Health Transition...
Dr. Ralph Hanson - NEHTA: Electronic Health Records
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Dr. Ralph Hanson - NEHTA: Electronic Health Records

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A presentation given by Dr Ralph Hanson on Electronic Health Records at the CHA Conference The Journey, in October 2012.

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Dr. Ralph Hanson - NEHTA: Electronic Health Records

  1. 1. Perspectives on eHealth and the Personally Controlled Electronic Health Record (PCEHR)Dr Ralph Hanson FRACPClinical LeadThe National E-Health Transition Authority23rd October 2012
  2. 2. Objectives• Set the scene• Strategic context• Build the case for eHealth• Brief introduction to the National eHealth Record System (PCEHR)• Start a conversation on the opportunities and benefits for Child Health• A reality check
  3. 3. What eHealth could look like today
  4. 4. Health system faces a significant challenge in providing future health servicesCHALLENGES • Rapidly increasing demand for high quality, safe health services in an environment of constrained financial and human resources. • Key demand drivers include: – Ageing population – Increased prevalence of chronic diseases – New diagnosis and treatment technologies – Rising consumer expectations • Current workforce, service delivery methods and models of care will not be able to cope with this rising demand. • Can eHealth make a difference?
  5. 5. Strategic context
  6. 6. Building a case for eHealthHealthcare in Australia albeit of reasonably high quality faces some challenges:• Care is fragmented.• Inefficiencies abound.• Stakeholders don’t communicate effectively.• Tasks better suited to technology are completed manually.• Design, build and technology opportunities out of synch with models of care.• Clinicians have little time and incentive to adopt new technologies, many of which significantly change established workflows for which they may not be reimbursed.
  7. 7. The need to share health information• Every year Australians have an average of 22 interactions with the health system, including: Approximately 13% of health provider  4 visits to a GP consultations have missing information  12 prescriptions  3 visits to a specialist.• Most of the information from these visits is currently held in paper-based records in separate locations. Most of these records are not shared electronically. 7
  8. 8. The health care we provide is not always safe or efficient Some facts… • It is estimated 5,000 patients die each year due to adverse medical events •Up to one in six (18%) medical errors are due to inadequate patient information •Almost two million Australians experience an adverse drug event each year and approximately 138,000 of these end up in hospital. •53% of medication mistakes are considered ‘definitely preventable’ •Clinicians spend around a quarter of their time collecting information rather than treating patients • ePrescription systems in Sweden, the US and Denmark increased health provider productivity per prescription by over 50% • eReferrals in Europe reduced average time spent on referrals by 97%
  9. 9. Translating reform into the National eHealth StrategyeHealth 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
  10. 10. What is happening in eHealth in Australia?• eHealth is an all encompassing term• Being pursued at a National and Jurisdictional level• In all health care settings private and public• Varying stages of maturity• Progress often slow but getting there.....
  11. 11. Where does NEHTA fit in? Lead the uptake of eHealth systems of national significance; and coordinate the progression andaccelerate the adoption of eHealth by delivering urgently needed integration infrastructure and standards for health information. eHealth Foundation Services Priority eHealth Solutions Secure Identifiers Authentication Terminology Messaging eDiagnostics eDischarge eReferral eMedications
  12. 12. Who is delivering the eHealth records system? DOHA Benefits National External National Department And Change and DeliveryInfrastructure of Human Partner NEHTA Evaluation Adoption Assurance Services Partner Partner Advisor (NIP) (DHS) (BEP) (NCAP) (EDAA) eHealth record system implementation is a partnership between governments, NEHTA and the market.
  13. 13. What is an eHealth record – the NationaleHealth Record System(PCEHR)?• An eHealth record is a secure electronic summary of a patient’s health records.• eHealth records will not replace existing medical records.• The eHealth record system provides an active online record that over time will follow patients as they move through Australia’s health system• All those seeking care in Australia will be eligible for an eHealth record. Registration for an eHealth record is voluntary and will not be required in order to receive health care. 13
  14. 14. The Personally Controlled Electronic Health Record Key Principles o Participation is voluntary (Opt-in) o Provider access is under consumer control o The PCEHR is not a replacement for organisational clinical records o The clinical component contains copies, not originals o The ‘Source of truth’ remains where it is today – in local clinical records
  15. 15. From 1 July 2012, Australians have been able to register online for an eHealth record & Health Care Organisations are able to register to participate in the system• National infrastructure in place• A starting point• Value of the system will grow gradually over time• A guide is available to help healthcareorganisations register• As more consumers and healthcare providers join up, the system’s functionality will expand, more features will become available, and the benefits will grow accordinglywww.ehealth.gov.au
  16. 16. National eHealth Record RolloutTimeline FunctionalityJuly 2012 Consumers started registering for an eHealth record, setting their access controls and creating their own consumer health summary recordNext Steps As providers become ready the eHealth record system will include the sharing of:  Shared health summaries  Health overview  Event summaries  Discharge summaries  Specialist letters  eReferrals  Medicare data, including child immunisation data, organ donor register data, DHS data and PBS and RPBS data Healthcare professionals can, with patient consent, access the above information through:  Conformant clinical information systems
  17. 17. Are consumers ready?o High technology take-up rateo Four in five Australians want to move from paper based recordso 77% support eHealth record system once explainedo Most consumers believe they have knowledge required to use eHealth records 18
  18. 18. Are healthcare professionals ready?o 96% + GPs have access to computer and internet in officeso 95% of GPs use electronic patient medical recordso Most GPs have access to patient information required to create eHealth recordo 38% of GPs agree they would encourage their patients to register for an eHealth recordo Allied health professionals and medical specialists still face a fragmented software vendor landscapeo Likely long lead time in moving to universal hospital access to eHealth record 19
  19. 19. Specific issues for children, young people and familiesChallenges Opportunities• Delayed registration • Lifelong record• Personal control • Shared / Integrated care • Child • Greater involvement in care • Adolescent / Young person • Move to an Electronic Child From 14 Health Record From 18 • Enhance benefits of CHR eg• Representatives Improve immunisation • Authorised status • Nominated
  20. 20. Where to from here?• Significant opportunities for healthcare organisations to improve efficiency and effectiveness through eHealth• Immediate need to get eHealth ready to support clinical care and facilitate participation in the National electronic health record system
  21. 21. The reality check :……eHealth improving the patient experience? Change is about people not the technology!
  22. 22. Thank you and Questions www.ehealth.gov.au www.nehta.gov.au23 National E-Health Transition Authority www.nehta.gov.au

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