eHealth and Practice Nurses: How to guide to use the National - - PowerPoint PPT Presentation

▶
ehealth and practice nurses
SMART_READER_LITE
LIVE PREVIEW

eHealth and Practice Nurses: How to guide to use the National - - PowerPoint PPT Presentation

Oct 25, 2023 479 likes •927 views

eHealth and Practice Nurses: How to guide to use the National eHealth record system for Practice Nurses Julianne Badenoch - APNA Heather McDonald - National E-Health Transition Authority 22 May 2014 1 National E-Health Transition

slide-1
SLIDE 1

National E-Health Transition Authority www.nehta.gov.au

1

eHealth and Practice Nurses:

‘How to’ guide to use the National eHealth record system for Practice Nurses 22 May 2014 Julianne Badenoch - APNA Heather McDonald - National E-Health Transition Authority

slide-2
SLIDE 2

2

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

  • 1. Recap on last week
  • 2. Resolve actions from last week
  • 3. Questions
  • 4. Benefits of using eHealth record system for Practice

Nurses

  • 5. Workflow Impact
  • 6. How to best make the eHealth record system work

for you

  • 7. Using eHealth products in your Practice
  • 8. Troubleshooting
  • 9. Where to next?

Overview

A copy of the slides will be available after the webinar

slide-3
SLIDE 3

3

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Learned about Foundations of eHealth

  • HPI-Os, HPI-Is, IHIs

Learned and Viewed key eHealth functions & documents

  • Shared Health Summaries, Event

Summaries & Discharge Summaries Learned about the Consumer and Provider Portal Learned how to best prepare for eHealth Recap from last week

A copy of the slides will be available after the webinar

slide-4
SLIDE 4

4

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Action from last week Adding HPI-I’s for Nurses

1

Note – How to get your HPI-I

If you know your AHPRA User ID simply add 800361 to the front of ID to get your HPI-I. Or call AHPRA on 1300 419 495

slide-5
SLIDE 5

5

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Adding HPI-I’s for Nurses

2 3

slide-6
SLIDE 6

6

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Adding HPI-I’s for Nurses

4 5 6

slide-7
SLIDE 7

7

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Benefits of eHealth

slide-8
SLIDE 8

8

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

How does the eHealth record benefit Nurses?

Some of the key benefits for Practice Nurses 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.

  • Less time finding & calling other providers for information
  • More efficient consultations
  • Less duplication
  • Provide efficient access to health information that you didn’t already have
slide-9
SLIDE 9

9

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Benefits of eHealth Framework

Improved Assessment

Quality Efficiency

Diagnostic facilitated by relevant data Improved Treatment Treatment facilitated by relevant data Increased consumer participation Improved Preventative care Increased rate of appropriate immunisation Improved clinical handovers Ongoing care is coordinated and effective Higher clinical efficiency Improved use of funds Improved use of infrastructure Improved Assessment

Safety

Diagnostic facilitated by relevant data Improved Treatment Promotion of the health of the population

Improved access to providers according to clinical & personal need

Access

Increased choice Consumer privacy Increased responsiveness Support of government initiatives

Population

Increased innovation Enhanced workforce More resilient economy Other economic flow on effects

slide-10
SLIDE 10

10

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Benefits realisation

Count of clinical documents uploaded to the PCEHR System by org type, per doc type

Metrics and monitoring Benefits Realisation

Capabilities Adoption Early Indicators: Use Later Indicators Meaningful Use Health & Economic Benefits

# of vendors with compliant software # of providers registered for a HPI-O Count of documents in the PCEHR System accessed, by org type, by channel, per document type, by document source sector # of consumers registered for PCEHR Count of documents uploaded & accessed by healthcare providers from another sector, by sector type Examples:

  • Reduced Unplanned

hospital readmissions

  • Reduced ADEs
  • Improved consumer

experience Count of documents uploaded that are accessed by healthcare providers from another sector, by sector type. For Example: # of doctors viewing DS # of nurses uploading SHS

slide-11
SLIDE 11

11

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Benefits

  • Discharge Summaries

available within 24 hours of discharge

  • Linking e-Health

communities

  • Exchanging information
  • 2-way communication

flow

  • Hospitals sending

discharge summaries & Practices uploading SHS

Benefits of connecting eHealth communities

Number of public hospitals and state health centres connected to the PCEHR Number able to view the PCEHR Number able to upload Discharge Summary (hospital wide) NSW 28 28 28 SA 8 8 ACT 1 1 1 QLD 219 219 111 TAS 3 3 VIC 7 7 Total 266 252 158

slide-12
SLIDE 12

12

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Impact to workflow

slide-13
SLIDE 13

13

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

eHealth Workflow Impact

slide-14
SLIDE 14

14

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

The duration of eHealth record activities is highly variable depending on the surrounding circumstances of the practitioner and the consumer. Examples include:

  • Providers competence to efficiently use CIS (computer literacy)
  • Cleanliness of existing clinical data
  • Registration status of the consumer
  • Ability for the consumer to comprehend the implications of a

shared record

  • Assisted registration model used by the practice – is it in your CIS?
  • Support by practice staff to undertake eHealth activities prior to

the consultation - registering patients at the front desk

  • eHealth record knowledge of both the GP/Nurse and consumer

eHealth Workflow Impact (con’t)

slide-15
SLIDE 15

15

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

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.

slide-16
SLIDE 16

16

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Practical ways to get the best out of your eHealth record system

slide-17
SLIDE 17

17

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Preparation - Why is it important?

  • To access a Patient’s eHealth record:
  • Correct Patient’s demographic details need to be

within your Clinical Information System (CIS) (family

name, given name, sex, DOB and Medicare / DVA number) – helpful tips at end of presentation

  • Ensure the Patient’s demographics in the CIS match

with Medicare and Patient

  • Validate the Patient’s IHI which requires up-to-date

demographic data

  • Implication of “unclean” or incorrect demographic data

means you won’t get a match from the HI Service and you will receive an error message

The role you can play

slide-18
SLIDE 18

18

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Data quality and cleansing is so important

  • archiving inactive patients
  • removing sample patients
  • merging duplicate patient records
  • maintaining recall lists
  • updating medications
  • completing and clearing outstanding

‘actions’ or ‘requests’ etc.

  • ensure consistent clinical terminology by

utilising drop down menus where possible – minimising free text entries

How to Prepare – Step One

Data cleansing good practices

  • Reconfirm patients

demographics data every visit

  • Ensure all of Practice are

aware to avoid duplications

  • Work with Practice Health

Team to define a policy of active versus inactive patients

  • eg - if patients hasn’t visited

practice twice in the past 3 years

slide-19
SLIDE 19

19

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Learn how to use your tools to help with data cleansing:

  • Your Clinical Software search tool
  • Pen Clinical Audit Tool – www.pencs.com.au
  • Canning Tool

RACGP - Quality health records in Australian primary healthcare

http://www.racgp.org.au/download/Documents/PracticeSupport/2013qual ityhealthrecords.pdf

RACGP - Sample compliance checklist for quality health records

http://www.racgp.org.au/your- practice/business/tools/support/qualityhealthrecords/sample-checklist/

Prepare & Plan – Step Two

Links to assist with data cleansing RACGP Electronic health records Health Summary Fact Sheets http://www.racgp.org.au/ehealth/summary

slide-20
SLIDE 20

20

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Test Pilot

  • Identify five patients that have visited the Practice recently

who you are part of their Care Team

  • With patient’s consent review and data cleanse the below

data in the CIS which are the key components of a SHS

  • If you are part of the Care Team arrange to upload SHS

(you must be the patient’s Nominated Healthcare Provider) this is a verbal agreement

Prepare & Plan

  • Medical History
  • Allergies
  • Immunisations
  • Medications
  • Mum & Bub
  • Chronic Disease
  • Long standing patient
  • Young healthy
  • Diabetic
slide-21
SLIDE 21

21

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Scenario – Robert Smith Patient’s past history:

  • History of diabetes type 1
  • Peripheral neuropathy
  • Osteomyelitis left tibia
  • The wound on the left foot has been previously

debrided

  • Report negative MRSA

Example Scenario - Chronic disease management

  • Undertake a Care Plan consultation – suitable for

Nurse to prepare data for Doctor or Registered Nurse to upload a Shared Health Summary (SHS)

  • Wound management – suitable for Nurse to upload

an Event Summary (ES) at a later date

slide-22
SLIDE 22

22

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Scenario -Steps to uploading SHS Step One – Prior to Appointment

  • Print out Robert Smith’s demographic data ready for him to review on arrival
  • Review Robert Smith’s clinical record and conduct a data cleanse (remove

duplications of medicines - clinical code where possible)

Step Two – Upon arrival

  • Ask Robert if he has a PCEHR? Robert says he was registered by a

Medicare Local in a Shopping Centre so his demographic details may not be up-to-date

  • Using the form Robert reviewed, check Robert’s demographic details are

up-to-date in your Clinical Information System (CIS) and confirm that these match his Medicare card

  • Validate Robert’s IHI through your Clinical Information System. If details are

correct, you should see a positive match. Validation complete - this validation will be automated depending on the version of your software

slide-23
SLIDE 23

23

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Scenario - Steps to uploading SHS Step Three – During Nurse Consultation

  • Conduct Care Planning
  • Prepare patient’s clinical data, confirm and ensure all clinical

conditions are current and up-to-date for Doctor or Nurse to upload a SHS easily

Step Four – During Doctor or Nurse Consultation

  • Robert agrees that the Doctor or you as the Nurse will be his

Nominated Healthcare Provider and uploads a Shared Health Summary

Step Five – Nurse Consultation – 3 months later

  • Continued ongoing dressing of wound by Nurse after Doctor
  • consultation. Wound heals and Nurse decides to upload Event

Summary to note end of wound management care

slide-24
SLIDE 24

24

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Practical step by step process to upload a Shared Health Summary

slide-25
SLIDE 25

25

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Current Visit Progress Notes

Clinical Information System 1.1

X

_ Welcome: Dr Roger Harris Last Log In: 04-Dec-2013 15:30

Thursday 05-Dec-2013 12:12

Log out Quick Links Forms Patient Record PCEHR Settings Requests Help Appointments Messages

PCEHR

SMITH, Robert (Mr) Born 12/12/1967 (46y) Gender Male

  • Select Patient

Follow up date and time

Thu 12/12/13

2:30

Close

Follow up painful left foot with an open wound. Previous diagnosis: History of diabetes type 1, peripheral neuropathy and osteomyelitis left tibia. The wound on the left foot has been previously debrided. Report negative MRSA. Current medications: Patient currently on EES 400mg twice daily. Silver alginate wound dressings. Management: Discussed with patient the need for wound management with dressings, importance to complete the course of EES as prescribed, danger of infection and compromise on his peripheral circulation. Arrange GPMP and TCA for podiatry services. Review in a week.

HI and PCEHR validation complete

Results

Past Medical Hx Medicines Notes Immunisation Investigations Social History Correspondence Recall / Reminder Preventative Health, 15-Mar-2014 Hx / Examination Previous Progress Notes General Cardiovascular Gastrointestinal Respiratory Genitourinary Musculoskeletal ENT Eye Skin Psychiatric Reminder Management Reason for Visit Diagnosis

Home Address Home Phone IHI # Mobile 111/222 ABC Street, Sydney, NSW 2000 8382334455 0410889900 8003614455667788 Known Allergies / Adverse Reactions Blood Group O (+) positive Smoking Medicare # 212333445 5 Work Phone 8382334455 Marital Status Single Email Address robertsmith@abc.com

Item Reaction Onset Severity

Penicillin Urticaria Since 1997 Severe Ibuprofen Urticaria Since 2000 Mild View previous

edit

Alcohol Twice weekly View previous

edit

View previous

edit

  • 1. Doctor/Nurse enters Patient’s Current

Visit Progress Notes

slide-26
SLIDE 26

26

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Past Medical History

Clinical Information System 1.1

X

_ Welcome: Dr Roger Harris Last Log In: 04-Dec-2013 15:30 Log out Quick Links Forms Patient Record PCEHR Settings Requests Help Appointments Messages

PCEHR

SMITH, Robert (Mr) Born 12/12/1967 (46y) Gender Male

  • Select Patient

Follow up date and time

Thu 12/12/13

2:30

Close

HI and PCEHR validation complete Notes Past Medical Hx Medicines Immunisation Investigations Social History Correspondence Recall / Reminder Preventative Health, 15-Mar-2014 Hx / Examination Previous Progress Notes General Cardiovascular Gastrointestinal Respiratory Genitourinary Musculoskeletal ENT Eye Skin Psychiatric

Home Address Home Phone IHI # Mobile 111/222 ABC Street, Sydney, NSW 2000 8382334455 0410889900 8003614455667788 Known Allergies / Adverse Reactions Blood Group O (+) positive Smoking Medicare # 212333445 5 Work Phone 8382334455 Marital Status Single Email Address robertsmith@abc.com

Item Reaction Onset Severity

Penicillin Urticaria Since 1997 Severe Ibuprofen Urticaria Since 2000 Mild View previous

edit

Alcohol Twice weekly View previous

edit

View previous

edit

Past Medical History – SMITH, Robert

Date Past Medical Hx Notes 06-Dec-2013 22-Mar-2013 15-Feb-2013 20-Jan-2013 Diabetes Mellitus Type 1 Infection of foot associated with Diabetes Mellitus Type Hypertension Hypertension Insulin adjustment . Establishment of glycemic goals. Extreme… Hospital admission. Compromised blood supply to foot with… Pt returns for hypertension management. Low sodium diet and… Management of severe hypertension. Dietary potassium…

Thursday 05-Dec-2013 12:12

  • 2. Doctor/Nurse reviews Past Medical

History

Add Edit Print Delete

slide-27
SLIDE 27

27

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Medicines

Clinical Information System 1.1

X

_ Welcome: Dr Roger Harris Last Log In: 04-Dec- 013 15:30

Thursday 05-Dec-2013 12:12

Log out Quick Links Forms Patient Record PCEHR Settings Requests Help Appointments Messages

PCEHR

SMITH, Robert (Mr) Born 12/12/1967 (46y) Gender Male

  • Select Patient

Follow up date and time

Thu 12/12/13

2:30

Close

HI and PCEHR validation complete

Results

Past Medical Hx Medicines Notes Medicines Immunisation Investigations Social History Correspondence Recall / Reminder Preventative Health, 15-Mar-2014 Hx / Examination Previous Progress Notes General Cardiovascular Gastrointestinal Respiratory Genitourinary Musculoskeletal ENT Eye Skin Psychiatric

Home Address Home Phone IHI # Mobile 111/222 ABC Street, Sydney, NSW 2000 8382334455 0410889900 8003614455667788 Known Allergies / Adverse Reactions Blood Group O (+) positive Smoking Medicare # 212333445 5 Work Phone 8382334455 Marital Status Single Email Address robertsmith@abc.com

Item Reaction Onset Severity

Penicillin Urticaria Since 1997 Severe Ibuprofen Urticaria Since 2000 Mild View previous

edit

Alcohol Twice weekly View previous

edit

View previous

edit

Medicines – SMITH, Robert

Date prescribed Notes Medication Dosage 06-Dec-2013 22-Mar-2013 15-Feb-2013 20-Jan-2013 Diabetes Mellitus Type 1 Infection of foot associated with Diabetes Mellitus Type Hypertension Hypertension Insulin adjustment Hospital admission Hypertension management Severe hypertension management Novorapid inj 100/1ml Gentamicin inj 80mg Frusemide 50mg Atenolol 200 mg Repeats 1 tablet daily 1 tablet daily for 4 weeks 1 tablet daily 1 tablet daily Clinical Indication 5 Nil 5 5 Add Edit Print Delete

3 . Doctor/Nurse can review and add medications in ‘Medicines’ menu

slide-28
SLIDE 28

28

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Medicines

Clinical Information System 1.1

X

_ Welcome: Dr Roger Harris Last Log In: 04-Dec- 013 15:30

Thursday 05-Dec-2013 12:12

Log out Quick Links Forms Patient Record PCEHR Settings Requests Help Appointments Messages

PCEHR

SMITH, Robert (Mr) Born 12/12/1967 (46y) Gender Male

  • Select Patient

Follow up date and time

Thu 12/12/13

2:30

Close

HI and PCEHR validation complete

Results

Past Medical Hx Medicines Notes Medicines Immunisation Investigations Social History Correspondence Recall / Reminder Preventative Health, 15-Mar-2014 Hx / Examination Previous Progress Notes General Cardiovascular Gastrointestinal Respiratory Genitourinary Musculoskeletal ENT Eye Skin Psychiatric

Home Address Home Phone IHI # Mobile 111/222 ABC Street, Sydney, NSW 2000 8382334455 0410889900 1122334455667788 Known Allergies / Adverse Reactions Blood Group O (+) positive Smoking Medicare # 112233445 5 Work Phone 8382334455 Marital Status Single Email Address robertsmith@abc.com

Item Reaction Onset Severity

Penicillin Urticaria Since 1997 Severe Ibuprofen Urticaria Since 2000 Mild View previous

edit

Alcohol Twice weekly View previous

edit

View previous

edit

Medicines – SMITH, Robert

Date prescribed Notes Medication Dosage 06-Dec-2013 22-Mar-2013 15-Feb-2013 20-Jan-2013 Diabetes Mellitus Type 1 Infection of foot associated with Diabetes Mellitus Type Hypertension Hypertension Insulin adjustment Hospital admission Hypertension management Severe hypertension management Novorapid inj 100/1ml Gentamicin inj 80mg Frusemide 50mg Atenolol 200 mg Repeats 1 tablet daily 1 tablet daily for 4 weeks 1 tablet daily 1 tablet daily Clinical Indication 5 Nil 5 5 Add Edit Print Delete

Send an Event Summary Send a Shared Health Summary Gain Emergency Access View the Document List

  • 4. In ‘PCEHR’ menu

Doctor/Nurse selects ‘Send a Shared Health Summary’

slide-29
SLIDE 29

29

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Shared Health Summary – SMITH, Robert

Add Diagnosis/Procedure Onset Date

Diabetes Mellitus Type 1 Infection of foot associated with Diabetes Mellitus Type 1 22-Mar-2013 Wound Debridement 22-Mar-2013 Hypertension 15-Feb-2013 Right heart catheterization 25-Jan-2013 Hypertension 20-Jan-2013 Depression 20-Jan-2013 Peripheral Neuropathy 15-Oct-2012

Medical History

  • Medications
  • Add

Drug Dosage Duration Clinical Indication

Erythromycin ethyl succinate 400mg 1 tablet Twice daily for 2 weeks Infection of foot in Diabetes Mellitus Type 1 Novorapid inj 100/1ml 1 inj Daily Diabetes Mellitus Type 1 Gentamicin inj 80mg 1 inj Daily for 4 weeks Infection of foot in Diabetes Mellitus Type 1 Silver oxide cream 1% 1ml Daily Infection of foot in Diabetes Mellitus Type 1 Frusemide 50mg 1 tablet Daily Hypertension Atenolol 200mg 1 tablet Daily Hypertension Celexa 20mg 1 tablet Daily Depression Lyrica 75mg 1 tablet Twice daily Peripheral Neuropathy

Add Item Reaction Onset Severity

Penicillin

  • Urticaria
  • Anaphylaxis

1997 Severe Ibuprofen Urticaria 2000 Mild

Add Vaccine Date Sequence Number

None Known

  • Allergies/Adverse Reactions
  • Immunisation

Preview Cancel

  • 5. Software displays 4 lists of data

sourced from the local patient record: Medical History, Medications, Adverse Reactions, Immunisation 6.. Patient requested Depression to be flagged as “Confidential”. It is not editable and cannot be selected

  • 7. Patient requested Celexa

for treatment of depression to be flagged as “Confidential”. It is not editable and cannot be selected

  • 8. Doctor /Nurse selects

Preview

slide-30
SLIDE 30

30

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Shared Health Summary

PATIENT: SMITH, Robert (Mr) DOB 12-Dec-1967 (46y) SEX Male IHI 1111 2222 3333 4444 START OF DOCUMENT

Adverse Reactions

Adverse Reactions

Substance/Agent Manifestation Penicillin Ibuprofen

Medications

Medication Directions Clinical Indication

Medications

Medical History

Date Time Procedure Comments

Medical History - Procedures

22-Mar-2013 25-Jan-2013 Erythmycin ethyl succinate 400mg Novorapid inj 100/1ml Gentamicin inj 80mg Silver oxide topical 1% Frusemide 50mg Atenolol 200mg Lyrica 75 mg Infection of foot in Diabetes Mellitus Type 1 Diabetes Mellitus Type 1 Infection of foot in Diabetes Mellitus Type 1 Infection of foot in Diabetes Mellitus Type 1 Hypertension Hypertension Peripheral Neuropathy

  • Urticaria
  • Anaphylaxis

Urticaria Wound Debridement Right heart catheterization Infection of foot in Diabetes Mellitus Type 1 Hypertension I am the patient’s nominated healthcare provider in accordance with the Personally Controlled Electronic Health Records Act 2012. I am providing ongoing care to this patient. I have prepared this Shared Health Summary in consultation with the patient. Upload Cancel PATIENT DETAILS

Name Sex Date of Birth IHI Address Contact Mr Robert Smith Male 12-Dec-1967 8003614455667788 Home Address: 111/222 ABC Street, Sydney NSW 2000 Phone: 0410889900 (mobile)

City Health Medical Practice

Document Type Creation Date/Time Date/Time attested Document ID Completion Code Author Author Organisation Author Department Shared Health Summary 05-Dec-2013 12:12 05-Dec-2013 12:12 15161800 Final Dr Roger Harris (General Medical Practitioner) (HPI-I: 8003612033304440) City Health Medical Practice (HPI-O: 80036266077708880) City Health Medical Practice

Show/Hide

Back Print

  • 10. Explicit confirmation

by clicking on Upload button

  • 9. The

acknowledgement statement is displayed

2 tablets twice daily for 2 weeks 1 tablet daily 1 tablet daily for 4 weeks daily 1 tablet daily 1 tablet daily 1 tablet twice daily

slide-31
SLIDE 31

31

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Other eHealth activities

slide-32
SLIDE 32

32

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Additional key eHealth activities

Assisted Registration

If available in your software you can register patients for an eHealth record (this is called Assisted Registration)

  • Ensure your Practice has installed the Assisted

Registration Tool (ART) software

  • Step by step guide – link below

http://www.ehealth.gov.au/internet/ehealth/publishing.nsf/ content/assistedreg_01

slide-33
SLIDE 33

33

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Why use the Provider Portal

  • E.g. A mobile Community Health Nurse whose organisation

doesn’t have eHealth compliant clinical software using a laptop NOT an iPad or iPhone

  • When eHealth has not been integrated into the Practice or your
  • rganisation’s Clinical Information Software

Why would you use it?

  • Records of previous immunisations (e.g. for young children and

people travelling overseas)

  • Chronic disease patient – you can view the date and outcome of

last check-up (e.g. a diabetic patient’s HbA1c level and latest foot exam results) Note – you can only view and print patient information

When would you use it?

slide-34
SLIDE 34

34

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Troubleshooting Helpful Tips and Links

slide-35
SLIDE 35

35

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Troubleshooting

  • Record the error message
  • Screenshot error message (make sure image is de-

identified) and contact your software vendor – helpful links at end of presentation

  • Use Snipping Tool – NEHTA Customer Care team can

guide you through this

  • If you have an issue validating IHI it most likely is a

mismatch with Medicare – get patient to call Medicare to validate demographic details

  • Call NEHTA Customer Care team on 1300 901 001 –

we can determine your issue and triage your call

What to do if you encounter an issue

slide-36
SLIDE 36

36

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

How to register for the Provider Portal

You must be on the ‘List of authorised healthcare provider individuals’ for the organisation you are intending to access the provider portal on behalf of. Link to form Application to Establish List

  • f Authorised Healthcare Providers Individuals below:

http://ehealth.gov.au/internet/ehealth/publishing.nsf/content/providerre gistration_1/$FILE/Application%20to%20establish%20list%20of%20a uthorised%20healthcare%20provider%20individuals.pdf You will need a NASH Individual PKI Certificate to access the Provider Portal. Link to form Application to Request a NASH PKI Certificate for Individual Healthcare Providers below: http://www.medicareaustralia.gov.au/forms/hw022.pdf

slide-37
SLIDE 37

37

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

For Providers

slide-38
SLIDE 38

38

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Software Demonstrations

slide-39
SLIDE 39

39

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

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

  • f 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.

slide-40
SLIDE 40

40

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Customer Care @ NEHTA

slide-41
SLIDE 41

41

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Where to next?

  • Start data cleansing
  • Familiarise yourself with your own eHealth record
  • Select patients for pilot
  • Start your Pilot on 5 patients
  • Try uploading a Shared Health Summary without cleansing the

data

  • Data cleanse and then upload again – note the difference in speed
  • Start Assisted Registration – http://www.nehta.gov.au/for-

providers/ehealth-support-tools/software-demonstrations/provide- assisted-registration

  • Start looking up and validating IHI’s
  • Start creating Shared Health Summaries & Event Summaries
  • Review software demonstrations on the NEHTA website -

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

slide-42
SLIDE 42

42

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Call NEHTA help centre on 1300 901 001 or email help@nehta.gov.au 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. Contact your Software Vendor

Where to get help?

slide-43
SLIDE 43

43

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Helpful Tips Best Practice Support

Contact Best Practice for helpful documents such as;

  • Troubleshooting eHealth issues in Best Practice
  • How to perform HI Lookups in Best Practice
  • How do I use “Clean up” function in Best Practice?

Medical Director Links

Integrating Healthcare Identifiers in Medical Director http://www.hcn.com.au/uploads/PIP_eHealth_Incentive_Requirement_1_Integrating_Healt hcare_Identifiers.pdf Data Records and Clinical Coding in Medical Director http://www.hcn.com.au/uploads/PIP_eHealth_Incentive_Requirement_3_Data_Records_a nd_Clinical_Coding.pdf

slide-44
SLIDE 44

44

National E-Health Transition Authority www.nehta.gov.au

Draft – Not for distribution

Questions?