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20 June 2013
Aboriginal and Torres Strait Islander
eHealth
Agenda
1.
Benefits of eHealth
2.
The National eHealth Record System
3.
What’s needed
4.
Patient Control
5.
Privacy and Security
6.
Your responsibilities
7.
Support
eHealth 20 June 2013 Agenda Benefits of eHealth 1. The National - - PowerPoint PPT Presentation
eHealth 20 June 2013 Agenda Benefits of eHealth 1. The National - - PowerPoint PPT Presentation
Aboriginal and Torres Strait Islander eHealth 20 June 2013 Agenda Benefits of eHealth 1. The National eHealth 2. Record System Whats needed 3. Patient Control 4. Privacy and Security 5. Your responsibilities 6. Support 7.
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Improved health outcomes for Aboriginal and Torres Strait Islanders to help Close the Gap
- Improved chronic disease management
- Improved use of medicines and reduced adverse events
- People don’t have to keep retelling their story
- Improved capability – best practice and preventative
care
- Increased efficiency and sustainability of sector -
eHealth will help us reduce the cost of health care
- Tracking of health and immunisation for children
- Better communication between health care providers
Benefits of eHealth
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More Participation, More Benefits
Better access to accurate information Quick and efficient sharing of information More time treating patients, less time finding records Faster access to relevant information
Australia’s National eHealth Record System
Number of people signed up
=
Patients Health professionals
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Agenda
1.
Benefits of eHealth
2.
The National eHealth Record System
3.
What’s needed
4.
Patient Control
5.
Privacy and Security
6.
Your responsibilities
7.
Support
SLIDE 6
- 1. A way of securely sharing a patient’s
electronic health information between:
- Health professionals
- Health organisations
- 2. Opt-in system for:
- Organisations
- Providers
- Individuals
- 3. A place where patients can store
their own health information
What is the National eHealth Record System?
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- Personally controlled – a patient can grant
access to nominated health services
- Summarised health information from
compatible clinical information systems
- Accessible via desktop clinical information
system or web portals
- Clinically reviewed shared health
summaries – Aboriginal Health Practitioners, Registered Nurses, Doctors
- Other health professionals can upload event
summaries
How the national system works
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Information can be added from three sources The National eHealth Record System
- Shared health
summary
- Event summary
- Discharge summary
- Diagnostic test results
- eReferrals
- Specialist letters
- Medicare claims data
- Pharmaceutical Benefits Scheme
- Repatriation Pharmaceutical Benefits
Scheme
- Australian Childhood Immunisation
Register
- Australian Organ Donor Register
- DVA claiming events
- Personal health
summary
- Personal health notes
- 2. Medicare
- 1. Health professional
- 3. Patient
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The system uses these electronic healthcare identifiers to ensure that the right information is associated with the right patient and the right healthcare professional
Healthcare Identifiers
HPI-I IHI HPI-O
Health Centre
Who provided the service Who received the service Where the service was provided
- Every healthcare event in an eHealth record has these three electronic identifiers
associated with it
- Everyone using the eHealth record needs one of these healthcare identifiers
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✓
In an emergency health providers are able to access a patient’s eHealth record without patient consent.
Emergency Access
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- Most electronic clinical information
systems cannot electronically share information with other systems
- Some locations have state/territory
based systems – this is a national system
- Accessible by the patient
How does it differ from what already exists?
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Practice Workflows
The eHealth record is:
- Not a replacement for existing records
- Not a replacement for the healthcare
professional
- Not an alternative to direct
communication with patients
- Not a guarantee that details in an
eHealth record are always current, accurate or complete. Details must always be confirmed with the patient.
The National eHealth Record System
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Agenda
1.
Benefits of eHealth
2.
The National eHealth Record System
3.
What’s needed
4.
Patient Control
5.
Privacy and Security
6.
Your responsibilities
7.
Support
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What’s needed
Health services need the following to participate:
- Approved clinical coding system
- Conformant software
- Agreement to participate with agreed roles
and responsibilities
- Health Care Identifiers
- NASH Certificate
- Policies and procedures
- Assisting patients to register
- Staff training
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Agenda
1.
Benefits of eHealth
2.
The National eHealth Record System
3.
What’s needed
4.
Patient Control
5.
Privacy and Security
6.
Your responsibilities
7.
Support
SLIDE 16
A patient can control:
- Whether to have an eHealth record
- Which information is shared
- Which healthcare events are entered
- Which healthcare organisations have access
- When to re-register a eHealth record
Patient Control
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Agenda
1.
Benefits of eHealth
2.
The National eHealth Record System
3.
What’s needed
4.
Patient Control
5.
Privacy and Security
6.
Your responsibilities
7.
Support
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It is protected by:
- Secure technology
- Legislation
- Audit trails
- Secure data transfer
Privacy and Security The National eHealth Record is secure!
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The eHealth record has features that protect a patient’s personal information. These ensure:
- Individuals seeking access to
information are who they claim to be
- Healthcare professionals uploading
information are who they claim to be
- Information transmitted across
networks is encrypted and arrives at its destination without interference
Privacy and Security
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- Date and time a patient’s eHealth
record was accessed or edited
- Details of person who accessed it
- Details of the organisation that
accessed or edited the eHealth record
- Whether the eHealth record was
accessed due to an emergency
- Details of the action and/or actions that
- ccurred [e.g. Clinical document
created or deleted, patient contact details amended]
Privacy and Security
Audit logs contain:
Patient… Date… Time… Health Centre… Emergency? New document created
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CALL the helpline on 1800 723 471 for assistance If a patient believes there is any suspicious or unwarranted access to their eHealth record, AND cannot obtain a satisfactory explanation from the healthcare
- rganisation responsible.
Privacy and Security
Complaints
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- Privacy obligations
- Confidentiality
Privacy and Security
Existing laws apply for:
- Access
- Usage
- Disclosure of patient information
New laws apply to the PCEHR System:
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Privacy and Security
Certain permitted uses and disclosures are allowed under the PCeHR legislation
Healthcare purposes Legal purposes Indemnity cover Research purposes
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PCeHR legislation includes civil penalties for intentional misuse or reckless misuse
- f the eHealth Record System that apply
to:
- Individual healthcare professionals
- Healthcare organisations that
authorised it Fines and Penalties
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Agenda
1.
Benefits of eHealth
2.
The National eHealth Record System
3.
What’s needed
4.
Patient Control
5.
Privacy and Security
6.
Your responsibilities
7.
Support
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Healthcare Organisations
- Comply with security and technical
requirements
- Keep policies and procedures up-to-date
and inform staff
- Have a system in place to identify individual
employees to the System Operator each time a record is accessed
- Ensure infrastructure is clean of viruses and
protected
- Inform and educate staff about the eHealth
Record System
- Educate staff about the importance of
protecting access credentials
Your responsibilities
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Healthcare Professionals
- Educate patients
- Review clinical information with patients
- Be aware when uploading potentially sensitive information
- Keep PCEHR compliant digital credential and PIN secure
- Keep username and password secure
- Follow your organisation’s policies and procedures
- Only access the PCEHR if authorised by your organisation
- Notify the System Operator of any suspicious activity
- Reinforce the importance of protecting passwords to
patients
- Be aware of the privacy settings patients may have
Your responsibilities
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Agenda
1.
Benefits of eHealth
2.
The National eHealth Record System
3.
What’s needed
4.
Patient Control
5.
Privacy and Security
6.
Your responsibilities
7.
Support
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is supporting health services in:
The ATSI eHealth Project
- Education and training
- Policies and procedures
- Communication and marketing materials
- Support for the eHealth Practice Incentives
Program (ePIP) and PCEHR readiness
- Advocacy to government
- Meaningful clinical use
For more information, please visit: www.ATSIeHealth.org.au
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Questions