Leading your Practice in a Digital Era Occupational Therapy - - PowerPoint PPT Presentation

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Leading your Practice in a Digital Era Occupational Therapy - - PowerPoint PPT Presentation

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Leading your Practice in a Digital Era Occupational Therapy Australia National Private Practice Symposium Adelaide 25 May 2018 Katrina Otto Train IT Medical Pty Ltd www.trainitmedical.com.au katrina@trainitmedical.com.au Presentation 1 OT

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SLIDE 1 Katrina Otto Train IT Medical Pty Ltd www.trainitmedical.com.au katrina@trainitmedical.com.au

Leading your Practice in a Digital Era

Occupational Therapy Australia National Private Practice Symposium

Adelaide 25 May 2018

Presentation 1
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Guess how long it took Brooke to adjust from handwriting notes to electronic notes?

3 months

OT health IT success story:

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  • It made me faster; it is repetitive
  • Other therapists can more easily follow up from my care.
  • I can now see the physio’s 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.

Brooke’s verdict:

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AHPA sponsored free webinar recordings available:

Webinar 1: Medical Software Webinar 2: Contacts and Referrals Webinar 3: Clinical note-taking Webinar 4: My Health Record for allied health providers Webinar 5: National Health Services Directory (NHSD) AHPA website For Webinar recordings and free resources:
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Free resources & presentation

www.trainitmedical.com.au
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  • 1. Develop a planned approach to increasing use of

digital health technology.

  • 2. Discuss privacy, security, confidentiality and consent

issues related to practice technology.

  • 3. Explore health IT innovations.

Learning Objectives:

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What is Digital Health?

Medical Software Telehealth Secure Messaging Wearable technologies My Health Record

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SLIDE 10 My Health Record Expansion Program ‘OPT-OUT’ starts on 16 July 2018. Download my ‘My Health Record and implications for private practice’ presentation.
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Adelaide PHN

Adelaide PHN provides a range of commissioned services, programs and support activities to improve primary health care in the Adelaide metropolitan area, with a particular focus on general practice, specialists, allied health, and pharmacy. PHN’s are working closely with the Australian Digital Health Agency to assist in the expansion of the My Health Record. My Health Record Officers provide:
  • On-site training
  • Education for all staff
  • Assistance in registration
  • Supporting documents
My Health Record Officer for Allied Health: Monique Hoey - 0413 208 324 mhoey@adelaidephn.com.au
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Country SA PHN

South and East Region Sash Sri Priyadarshan Digital Health Officer 0427 151 776 Spriyadarshan@countrysaphn.com.au North and East Region Nabil Rashid Digital Health Officer 0427 156 168 nrashid@countrysaphn.com.au Lower north and Adelaide Hills Hannah Manuel Digital Health Officer 0427 150 238 hmanuel@countrysaphn.com.au
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Software options – OMG!

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SLIDE 14 20 40 60 80 100 120 140 160 ZEDMED WHITEBOARD EPRACTICE MASTERCARE HEARAID HIPPOCA MP OPTOMATE GENIE OPIE NET MEDICALD IR ECT OR MY PRACTICE (BP ALLIED) FRONT DESK MEDICAL DIRECTOR POWERDIAR Y BP PREMIER COREPLUS CLINIKO OWN CUSTOMISED DATABASE HEALTHKIT NONE Data from optional question asked at Webinar registration. 200/400 response rate

What software are you currently using?

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Cost Knowledge Time Confused by software options

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Software options:

Download spreadsheet
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Software options:

Download spreadsheet
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Identify and Prioritise Key Features

  • 1. List the key features you require
  • 2. Categorise into ‘Must Have’ and ‘Nice to Have’ features
  • 3. Prioritise the ‘Must Have’ features
  • 4. Assess the suitability of various software products
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Sample Requirements List

‘MUST HAVE’ Feature Priority Online Appointments 1 Voice to text Dictation 2 Able to be used on a smart phone 3 User friendly interface 4 Cloud based 5
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SLIDE 20 Download selection tool
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Compare products

‘MUST HAVE’ Feature Priority Software Product A Software Product B Software Product C Online Appointments

1

Voice to text Dictation

2

Able to be used on a smart phone

3

User friendly interface

4

Cloud based

5

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Planned Approach to Increasing Use

  • Plan the introduction of new functions that will benefit

your practice

  • Monitor progress
  • Communicate with your staff - engage them in the

process, provide training, share successes (collaborate with your speech colleagues)

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SLIDE 23 www.trainitmedical.com.au

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)

Secure Messaging

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Discuss privacy, security, confidentiality and consent issues related to practice technology. Learning Objective 2:

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Information Security

RACGP Criterion 4.2.2 Our practice ensures the security of our patient health information. ► Health information is not left visible. ► Computers are only accessible via individual password. ► Computers have screensavers. ► Communication devices accessible only to authorised staff. ► Electronic data transmitted in a secure format. ► Obsolete paper records are shredded.
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Confidentiality & privacy in your practice

  • How important is confidentiality & privacy in
  • ccupational therapy?
  • How you ensure confidentiality in your practice?
  • Do you have appropriate access to clinical notes

for your support staff?

  • How do client’s access their information?
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Confidentiality & Privacy

Privacy in Australia is regulated by the Privacy Act 1988 and the Privacy Act includes Australian Privacy Principles APPs (2014). Each state and Territory has its own legislation in relation to privacy

  • bligations. Privacy laws regulate the handling of personal information.

Confidentiality – obligation of people who have access to patient records or communication to hold that information in confidence. Ethical responsibility. Governed by ‘common law’.

Important to have your own Privacy & Confidentiality policies. Important to provide training for all staff.

13

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Australian Privacy Principles

  • RACGP Privacy Kit: http://www.racgp.org.au/digital-business-kit/privacy/
  • Compliance Indicators for the 13 Privacy Principles: http://www.racgp.org.au/download/Documents/Standards/cis-appcompliance.pdf
  • 1. Transparency
  • 2. Anonymity
  • 3. Collection of information
  • 4. Unsolicited client

information.

  • 5. Notification of collection
  • f client information.
  • 6. Use and disclosure of

client information.

  • 7. Direct marketing
  • 8. Disclosure overseas
  • 9. Use of government

related identifiers.

  • 10. Quality of information
  • 11. Security of client

information.

  • 12. Access to client

records.

  • 13. Correction of records.
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SLIDE 29 https://www.oaic.gov.au/resources/agencies-and-
  • rganisations/guides/guide-to-securing-personal-information.pdf
http://www.racgp.org.au/download/Documents/Standards/201 3ciss.pdf
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Consent

  • How do you obtain consent for

transfer of patient health information?

  • Consent for contact?
  • Consent for clinical photos?
  • Consent for collecting patient information

for quality improvements?

  • Consent for research activities?
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How do you document ‘consent’?

How do you collect consent for electronic communication:

  • Sms appointment

reminders?

  • Sms clinical contact?

Do you email clients?

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Best Health App & Consenting Process

Consenting Processes:

Patients choose if they would like to receive notifications and if so how eg: ✓ App ✓ SMS ✓ email Signed patient consent form.
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SLIDE 33 Sample only

Consent is important

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New software that enables sharing with patient

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Patient Handheld Central Repository

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SLIDE 36 http://www.labtestsonline.org.au

You can’t fight change, patients will google. Provide quality patient information.

http://www.imagingpathways.health.wa.gov.au/index.php/consumer-info
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Patient education

www.healthshare.com.au
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GoShare Healthcare – Real Time Health

http://goshare.realtimehealth.com/
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SLIDE 39 www.therapyconnect.com.au
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A sample of current practice technology options

Health Engine Healthily (GoShare) Healthsite HealthLink HotDoc Jayex Solutions Medical Channel MediRecords Myhealth1st My Online Clinic Surgical Partners Tonic Health Media Tyro Whitecoat

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Resources:

AHPA: www.ahpa.com.au Allied Health software spreadsheet Allied Health software provider contact list TRAIN IT MEDICAL (Katrina Otto): www.trainitmedical.com.au Free resources for allied health Presentation from 2016 Allied Health Roundtable event FIND YOUR PRIMARY HEALTH NETWORK DIGITAL HEALTH: www.digitalhealth.gov.au Australian Digital Health Agency Allied Health Provider Digital Health Checklist: My Health Record free online training modules Getting Started with My Health Record Train IT Medical commonly asked questions about Privacy and My Health Record OFFICE OF AUSTRALIAN INFORMATION COMMISSIONER: www.oaic.gov.au Understanding health practitioner privacy obligations for My Health Record use – OAIC Handling sensitive information in the My Health Record System - OAIC
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SLIDE 42 Australian Government: 13 Privacy Principles https://www.oaic.gov.au/individuals/privacy-fact-sheets/general/privacy-fact-sheet-17- australian-privacy-principles Australian Government Guide to Securing Personal Information https://www.oaic.gov.au/agencies-and-organisations/guides/guide-to-securing-personal- information Consent Essentials – Avant http://www.avant.org.au/Resources/Public/consent-essentials/ MDA National, Confidentiality and Consent http://www.mdanational.com.au/Resources/Articles-and-Case-Studies/Privacy-and- Confidentiality Secure Communications in General Practice – Product List http://www.racgp.org.au/download/Documents/e-health/secure-communications-in- general-practice-product-list.pdf Allied Health Provider Checklist

Extra learning resources

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Improvements: one step at a time

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SLIDE 45 Worth aiming for!
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Thank you for inviting me

Katrina Otto

katrina@trainitmedical.com.au Twitter: trainitmedical Facebook: trainitmedical www.trainitmedical.com.au/presentations to download a digital version of this presentation & access more free practice resources & blog posts

Huge shoutout of thanks to Philipp Hermann at AHPA & Occupational Therapy Australia