Association of Practice Managers An Introductory webinar Gillian - - PowerPoint PPT Presentation

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eHealth and The Australian Association of Practice Managers

An Introductory webinar

18 June 2014 Gillian Leach - AAPM Heather McDonald - National E-Health Transition Authority

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1. What is eHealth? 2. eHealth foundations 3. The eHealth record system 4. How do I access the eHealth record? 5. How does eHealth benefit Practice Managers? 6. How does eHealth benefit individuals? 7. Where to next?

Overview

A copy of the slides will be available after the webinar

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What is eHealth? Information Sharing

While our healthcare system is among the best in the world, some

• f our ways of collecting

and sharing healthcare information — such as medical history, test results, scans, or hospital discharge reports can be

• improved. Many clinical

communications, are still completed on paper.

Standards

The healthcare software industry in Australia currently uses a number

• f different standards

and formats for recording medical information that results in computer systems not being able to communicate with each

• ther.

Patient Centric

The introduction of eHealth is helping to put the individual at the centre of their

• healthcare. In addition it

reduces opportunities for errors and supports healthcare providers to share relevant patient information and make informed patient decisions.

eHealth is the collection, management, use, storage and sharing of healthcare information using information and communication technology. For the purpose of this webinar we will be focussing on the eHealth Record System (or PCEHR).

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eHealth Foundations

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The eHealth Foundations combine the basic technologies of unique identification to provide a safe and secure method of exchanging healthcare information i.e.( identification, authentication and encryption)

eHealth Foundations

Healthcare Identifiers (HI) Service

Operated by the Department of Human Services (Human Services) which allocates a unique 16-digit number (a Healthcare Identifier) to individuals using healthcare services and their practitioners and healthcare organisations. The right health information associated with the right individual at the point of care For more information on the HI Service visit: www.humanservices.gov.au/hiservice

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eHealth Foundations – Cont.

National Authentication Service for Health (NASH)

Operated by Human Services, a NASH PKI certificate authenticates an individual provider or organisation when they access the eHealth record

• System. The NASH PKI certificate is validated every time the eHealth record

system is accessed. There is an organizational NASH certificate as well as an individual NASH cert.

For more information on the NASH PKI visit: www.humanservices.gov.au/nash

Secure Message Delivery (SMD)

An organisation-to-organisation electronic communication method. It is a way for healthcare providers to exchange health information quickly, securely and safely. SMD will decrease the need and use of paper based communication, resulting in more timely and accurate availability of clinical information and increased safety and quality of care. SMD enables interoperability between different messaging providers.

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The eHealth Record System/PCEHR

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The eHealth Record is a secured electronic summary of a patient’s health records. The eHealth record system provides an active online record from different sources that over time will follow patients as they move through Australia’s health system.

The eHealth Record System (PCEHR)

The eHealth record does not replace existing patient records.

Let’s bring the system to life: http://www.youtube.com/watch?v=3IOoUMwSGMI&feature=youtu.be

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Information in an eHealth Record comes from 3 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

custodian contact details

• Shared Health Summary
• Event Summary
• eDischarge Summary
• eReferrals and Specialist

letters

• Prescription and dispense

records

• Coming in 2014:

eDiagnostic Imaging and Pathology reports

• Medicare claims data
• Pharmaceutical Benefits

Scheme

• Australian Childhood

Immunisation Register

• Australian Organ Donor

Register

• DVA claiming events

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How is access to a patient record controlled?

Is the eHealth record system secure?

A Consumer can control the privacy of the information contained in their eHealth record:

• Health information and documentation access controls
• Audit trail and notifications

The eHealth record system includes features that protect the security of a patient's personal information. Those features are:

• Verification on who is accessing the patient's record
• Verification on which healthcare professional is

uploading health information

• Information transmitted across networks is encrypted

and arrives at its destination without interference.

Please visit the learning centre for more information: http://publiclearning.ehealth.gov.au/

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How do you access the eHealth Record System

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How do I access the eHealth Record?

Individuals can access their health record via the consumer

• portal. Consumers are able to contribute to their health record

by inputting personal health notes, medications and allergies.

Consumer Portal

The Provider Portal is view only. Healthcare providers can view and download a patient’s health information but cannot contribute to it.

Provider Portal

Healthcare providers with access to PCEHR conformant software are able to contribute to the patient’s eHealth record by uploading clinical documents via their software.

Conformant Clinical Software

The my child’s eHealth record app is for consumers with children under the age of 14 years. It allows parents and authorised representatives to access the child’s eHealth record and and view information about the child’s development.

Mobile Application

Consumers Providers

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How do I access the eHealth record? (Consumer Portal)

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Create a myGov account

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Consumer Portal View

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Patients imported Medicare data

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How do you access an eHealth record?

(via Provider Portal)

There are 2 ways to access the eHealth record 1. Via your clinical software such as Medical Director

• r Best Practice

2. Via the Provider Portal – if the organisation you are working for doesn’t have conformant clinical software you will need to use the Provider Portal – fact sheet and more information on the ehealth.gov.au or the NEHTA website has software demonstrations 3. http://www.nehta.gov.au/s earch?q=provider+portal& Search=

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What does an eHealth record look like?

(via Provider Portal)

You need an individual NASH PKI Certificate to access the Provider Portal

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What does an eHealth record look like in your clinical software?

The PCEHR and

• ther national

eHealth systems are integrated into Clinical Software, reducing complexity for users.

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How do you use the eHealth Record System

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How to use the eHealth system Shared Health Summary

Prepared by a Nominated Healthcare Provider (an RN, Doctor or Aboriginal Healthcare Worker providing ongoing care) in consultation with the individual, it is a summary of the individual's health at a point in time. It could include medical history, allergies and adverse reactions, medications the individual may be taking and any immunisations they have had. The Nominated Healthcare Provider (NHP) is the only person that can upload a Shared Health Summary.

Event Summary

A clinical document used to capture health information about significant healthcare events from a healthcare professional. Information may include clinical synopsis, and medications. Not required to be a Nominated Healthcare

• Provider. Because the NHP uploads the SHS, it is likely that other parties will

upload an event summary e.g. a Nurse documenting wound management care

• r a flu vaccination, a patient on holiday and visits a non-regular GP.

Discharge Summary

Created for an individual when associated with an event/hospital admission. May include diagnosis, key dates, clinical synopsis, diagnostic investigations and medications upon discharge, improving the continuity of care between healthcare professionals.

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What does a Shared Health Summary look like?

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What does an Event Summary look like?

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What does a Discharge Summary look like?

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What does a Discharge Summary look like? (Cont)

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Benefits of eHealth

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How does the eHealth record benefit Practice Managers?

Some of the key benefits for Practice Managers and their organisations are:

Better access to health information Health Information around your patient’s current conditions and past records like diabetes, heart disease, medications or past surgeries. Improved Continuity of Care Continuity of care through accurate and timely communication and clinical hand over across health professionals utilising eHealth products. Informed decisions on patient’s medical needs Informed decisions on patient’s medical needs through access to a health history that is shared rather than recalled by the patient. Benefits

• It will reduce the time taken in chasing up on documents

such as Discharge Summaries

• It will reduce the volume of paper documents
• It will reduce time in scanning

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• Health information will travel with the individual
• Care not affected by the individual’s ability to remember their medical

history

• Individuals have the ability to update personal data and view their

health information online

• Better quality, safer and more efficient care for individuals (information

availability & less time wastage)

• Reduction in duplications (tests, information, etc.)

How does the eHealth record benefit individuals (Patients)?

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Preparing for eHealth

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• 1. Register for your own eHealth Record through the ehealth.gov.au website
• 2. Register your organisation for the eHealth record system – NEHTA’s Customer Care

team can assist and Webinar 2 Wednesday July 2 will provide this information

• 3. Ensure your Doctors and Nurses obtain their HPI-Is from AHPRA
• 4. Be familiar with eHealth Administration and Assisted Registration Webinar 3

Thursday July 31 will provide guidance

• 5. If you are the OMO, arrange to connect your HPI-Is to the organisation’s HPI-O via
• HPOS. Webinar 3 Thursday July 31 will provide guidance
• 6. Encourage your patients/clients to register for and use the PCEHR (and consider

assisting your patients/clients to register using the Assisted Registration Tool) Webinar 3 Thursday July 31 will provide guidance

• 7. Encourage your Nurses and Doctors to commence or continue using the system to

send up Shared Health Summaries for patients and viewing Discharge Summaries – Webinar 4 Thursday 28 August will provide guidance

How do I prepare for eHealth?

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Tools to assist with eHealth

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Training Environment & Software Demonstrations

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Tools

Training Environment: the eHealth Training Environment is a simulated environment

demonstrating the interaction between the PCEHR and respective desktop applications. It is designed to be used by Practitioners who already have an understanding of the eHealth functionalities within their Software. You can demonstrate:

• Interacting with the Healthcare Identifiers Service (HI Service)
• Uploading clinical documents to the PCEHR
• Viewing and downloading clinical documents from the PCEHR
• Performing assisted registration
• Or a sand box to play around in

The eHealth Training Environment has 12 test patients populated so you can manipulate test patient information in order to simulate changes to a patient’s eHealth Record.

Software Demonstrations: shows key functions (e.g. uploading a Shared Health

Summary) in the main software vendor systems. These demonstrations are interactive and can be used any time by users.

Available at nehta.gov.au/for-providers

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Customer Care @ NEHTA

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Where to next Prepare

• Register for your own eHealth record and familiarise yourself with the

record

• Ensure Nurses and Doctors obtain their HPI-I from AHPRA
• View the Software Demonstrations on the NEHTA website -

http://www.nehta.gov.au/for-providers/ehealth-support-tools/software- demonstrations

Plan & Use

• Join the series of webinars for practical ways to use the eHealth record

system such as;

• When to use a Shared Health Summary to its best effect
• When and how to use an Event Summary
• Look for Discharge Summaries for your patients following

hospitalisation

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Where to get help?

Call the NEHTA Help Centre on 1300 901 001 or email help@nehta.gov.au Visit the eHealth registration resources available at www.nehta.gov.au/for-providers Visit www.ehealth.gov.au for information on the eHealth Record System and promotional resources. View the Software Demonstrations on the NEHTA website - http://www.nehta.gov.au/for-providers/ehealth-support-tools/software- demonstrations

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Would you like to know more?

Next webinar: Wednesday 2 July 2014, 12pm to 1pm AEST Getting your Practice and Staff Registered for eHealth Register now at the link below!

http://www2.redbackconferencing.com. au/NEHTA2July

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Questions?