Digital Health – for Allied Health professionals with Katrina Otto, Train IT Medical www.trainitmedical.com.au www.trainitmedical.com.au
Our Plan: 1.Identify software criteria and education needs of practitioners 2.Evaluate software and share results. www.trainitmedical.com.au www.trainitmedical.com.au
Today’s Learning Objectives: 1.Identify your priority software features. 2.Share learnings from technology adoption. 3.List what you see as current barriers to digital health adoption and strategies to help overcome barriers www.trainitmedical.com.au www.trainitmedical.com.au
Practice Management Features: 1. Appointments 2. Billing - Integration with Medicare & Hicaps 3. Reporting www.trainitmedical.com.au
Clinical Features: 1. Progress Notes 2. Letter Writing (including Secure Messaging) 3. Referral Management & Contacts 4. eCorrespondence Management (including results) 5. Scanning & Importing 6. Recalls & Reminders 7. Advanced shortcuts and templates www.trainitmedical.com.au
Other considerations: • Pricing • Cloud or not • User friendliness / training • Self-check in option • Patient portal/app • for secure communication • Secure Messaging www.trainitmedical.com.au
Paperless Collaboration Clinician to Clinician Communication (Secure Messaging Delivery – SMD) • HealthLink • Argus • Medical Objects • MDExchange • ReferralNet Sharing summary health data with both clinician and patient: My Health Record (www.myhealthrecord.gov.au) www.trainitmedical.com.au www.trainitmedical.com.au
Learning Objective 1: Identify your priority software features: List all the clinical software programs you have heard of relevant to allied health. www.trainitmedical.com.au www.trainitmedical.com.au
Software • X • X • X www.trainitmedical.com.au
Software • PMP • Best Practice • Houston VIP • Practice 2000 • Capable • Ikon • Pracnet • Carestream • Impulse • Practice Works • Chirosoft • inform • Practix • Chiro Touch • MacPractice • Praktika • Clinic Director • MedicalDirector • Profile • Cliniko • MedTech • Pure Matrix • CorePlus • Monkey Software • RX-Works • Dental4Windows • MyPractice • Shexie • Dentrix • Net Chiro, Dent, Physio • Spinalogic • eClaims • Healthkit • Sunix • Exact • Nookal • TM2 • FrontDesk • Oasis • Totalcare • Genie • Optomate • Ultimo • Gensolve • PIMS • VIP • HealthKit • PowerDiary • Visual Outcomes www.trainitmedical.com.au
Support with further learning: Software vendor websites should have training videos and materials to enable you to explore further. Getting Started with digital health: https://www.digitalhealth.gov.au/get-started-with-digital- health Department of Health Digital Health information: www.myhealthrecord.gov.au www.trainitmedical.com.au
Free ‘On Demand Training Environment’ for common GP software Log on anytime and explore popular software & practise with a ‘test’ patient. Available at https://www.digitalhealth.gov.au/using-the-my-health-record-system/digital-health-training- resources/on-demand www.trainitmedical.com.au
Learning Objective 1: Identify your priority software features: List your top 5 most important features in your clinical software. www.trainitmedical.com.au www.trainitmedical.com.au
Learning Objectives: 2. Share learnings from technology adoption. www.trainitmedical.com.au www.trainitmedical.com.au
Occupational therapy case study Physiotherapy case study Rachel Norris www.trainitmedical.com.au
Physiotherapy case study - Kath • Uses ‘Physio Advisor’ as an App for “great exercises to prescribe for patients instead of giving them paper sheets of exercises”. • Uses Cliniko in her practice – “very user friendly” • Previously used another software but found it “much harder and less user friendly” • Favourite features are: - SMS reminder service for patient appointments which cuts down on missed appointments. - integration with Medical Objects to send reports back to drs and surgeons electronically. www.trainitmedical.com.au
Physiotherapy case study - Kath Next Priorities: • Still using paper for assessment/anatomical diagrams then scans them in. Wants to do these diagrams in the software via a tablet. • Wants Online bookings and more allied health apps. www.trainitmedical.com.au
OT case study - Brooke After handwriting clinical notes for 27 years one day she was handed an iPad at work and told she had to use the iPad at the same time as treating her patient – no more handwritten notes! She thought it was a joke! In her words she is the “slowest typist in the world, good clinically, great with patients, bad at technology.” www.trainitmedical.com.au
Occupational therapist concerns: • “I can’t type or multi -task. The minute I look down at the keyboard someone will fall over.” • “It will slow me down, much faster writing than typing”. • “We have to have 75 -85% billable treatment time”. Can’t treat patient then write up notes as that time isn’t billable. • Will make me compromise on the kind of patient care I’ve always given. www.trainitmedical.com.au
Occupational therapy case study How long did it take to adjust to the change from paper to electronic? 3 months www.trainitmedical.com.au
“People aren’t upset about me typing up notes when I am with them like I thought they would be” Brooke, OT www.trainitmedical.com.au
What she thinks 3 years later: • “It made me faster; it is repetitive • Other therapists can more easily follow up from my care. • I can now see the physios notes -good continuity of care. • Can click one button and the patient report comes up – easier! • Stops me from missing things. • Improved patient care now all health professionals can look at my notes. • Although initially takes longer to adapt your practice, in the long run will make you more efficient and will reduce burnout rates as not taking notes home to finish. • Templates must give the ability to freetext in order to individualise patient notes.” www.trainitmedical.com.au
Feedback from an OT • “Develop creative ways for documenting such as when patients are resting between exercises. • Be aware of non-verbal clues to pick up if people do mind, in those cases can share the screen, include them. • Depends how good the software is. Another system she used was ‘confusing and complicated’. • Must have a full charged laptop & keyboard ready each morning. • Templates must enable freetexting as every patient’s treatment plan and care is different.” www.trainitmedical.com.au
Brooke’s dialogue with patients: “I don’t have a good memory and I’m required to document things so I’m just going to type a little bit while we’re talking. Is that okay with you?” “I then ensure I look up regularly when typing.” www.trainitmedical.com.au
Occupational therapy case study “In terms of practice we have to keep up. We are not isolated in terms of our profession. These are standards. Physical therapy is now a doctorate in the US. If you don’t have the documentation backing you up you are in big trouble. In Australia the documentation standards are the same, just not the volume.” www.trainitmedical.com.au
Speech Pathology Case Study - Amber Feedback on benefits : • “More time efficient • Saves in delays waiting for paper Info available at the push of a button. • Significant when dealing with diet change. • From an ethical point of view it stops people going back and fudging a document. • It’s time stamped. • You can pull up that you addressed a family members’ concern at this date and time.” Challenges: Internet www.trainitmedical.com.au
Learning Objectives: 3. List what you see as current barriers to digital health adoption and strategies to help members overcome them www.trainitmedical.com.au www.trainitmedical.com.au
www.trainitmedical.com.au
www.trainitmedical.com.au
More helpful reading: My Health Record: Privacy, Consent and Provider Obligations: https://www.digitalhealth.gov.au/using-the-my-health-record-system/digital- health-training-resources/webinars/1099-webinar-4-my-health-record- privacy-consent-and-provider-obligations www.trainitmedical.com.au
Thank you for sharing such fabulous feedback and for your commitment to digital health progress. Let’s keep progressing, we’re here to help! Katrina Otto katrina@trainitmedical.com.au . Twitter: trainitmedical Facebook: trainitmedical www.trainitmedical.com.au For free practice resources Blog posts & more info www.trainitmedical.com.au www.trainitmedical.com.au
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