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Digital Health

Katrina Otto, Trainer & Practice Management Consultant

17 September, 2016

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1. Identify where allergies & adverse reactions are recorded.

2. Maintain an accurate medication list.

3. Enter immunisations.

4. Code conditions & maintain an accurate past history list.

5. Upload and view documents in the My Health Record system.

Learning Objectives:

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Identify where allergies & adverse reactions are recorded.

Learning Objective 1:

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Maintain an accurate medication list.

Learning Objective 2:

Plus to a medication or minus to delete (or rightclick on medication.

Can represcribe from Old scripts section.

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Enter immunisations.

Learning Objective 3:

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Code conditions & maintain an accurate past history list.

Learning Objective 4:

Plus to add a chronic condition or significant eventMinus to delete an insignificant condition or ‘reason for visit’

Deleting cleans up the list, does not delete detail of a visit.

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Data Quality tips

Include active AND inactive significant conditions.

Remove duplicated or insignificant ‘reasons for contact’ eg check-up, phone call, sick feeling etc.

Use comment area to add helpful info eg. Specialist looking after this

condition, type of surgery etc.

Consider changing default settings (Tools, Options) so ‘reasons for visit ‘ or ‘reasons for medication’ don’t alsoauto-add to the past medical history list

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1. Integrating Healthcare Identifiers

2. Data Records and Clinical Coding

3. ePrescribing

4. Secure Messaging

5. Upload Shared Health Summaries to My Health Record for 0.5% of SWPE

ePIP

Digital Health Incentive Payment

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RACGP Clinical Standards

A. Our practice can demonstrate that at least 90% of our active patient health records contain a record of known allergies.

B. Our practice can demonstrate that at least 75% of our active patient health records contain a current health summary.

C. Our practice has documented standardised clinical terminology (such as coding).

http://www.racgp.org.au/your-practice/standards/standards4thedition/practice-services/1-7/health-summaries/

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Download the Data Quality checklist

https://www.digitalhealth.gov.au/using-the-my-health-record-system/digital-health-training-resources/guides/879-data-quality-checklist-for-active-patients

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Quality is a team approach

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Did you know

73% of self-check-in

patients identified incorrect demographic information in

their patient record?

Demographic Data Quality

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http://www.racgp.org.au/your-practice/standards/standards4thedition/safety,-quality-improvement-and-education/3-1/patient-identification/

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Data Quality Improvement Tools

Pen CAT4 Doctors Control Panel MD Insights Polar/Grhanite Canning Tool

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Quality Improvement Module

This criterion in the 4th edition did not have any indicators associated with it.

New standards will have indicators.

Reflecting importance of a team-based practice approach.

RACGP Accreditation Standards

QI 1.3B

Our practice team implements activities

aimed at improving clinical practice.

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Clinical Coding Practice Manual - Internal Validating ProcessesExample of Quality Approach Quality Approach - Garden City Medical Centre

1. Routine audits should be completed to determine the level of data quality within the practice

2. Confirming and asking different members of staff whether they understand different aspects of clinical coding from the creation of the manual

3. Each member of staff and healthcare professional should be able to routinely follow the ‘Coding Cycle’ in association with their own individual duties and responsibilities (previously outlined in section 2.1 of manual).

4. This manual should be updated and new or increasingly relevant information should be added annually to ensure that information is kept up to date accordingly. This is the responsibility of the Clinical Care Coordinator

5. Six monthly Chronic Disease Board meetings should include clinical coding within the agenda to assess and evaluate any strategical changes or new ideas to be incorporated into the practice’s clinical coding protocol. Each member of staff’s thoughts and ideas on clinical coding for different relevant aspects to their profession should be considered and accounted

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Upload and view documents in the My Health Record system.

Learning Objective 5:

Automatically checks and appears green if a patient has a My Health Record

Expected date MedicalDirector will update PCEHR to say My Health Record is September.

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View a patient’s My Health Record

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Upload Documents

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Upload a Shared Health Summary

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1. Integrating Healthcare Identifiers

2. Data Records and Clinical Coding

3. ePrescribing

4. Secure Messaging

5. Upload Shared Health Summaries for 0.5% of SWPE

ePIP

Digital Health Incentive Payment

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ePIP Calculator Tool

If using v3.15 – download from www.medicaldirector.com.au

V3.16b - download The ePIP widget (now with multi-location counter)

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A team approach

1. GP, Nurses, Registrars, Aboriginal Health Practitioners can upload.

2. Registrars & nurses may be able to help clean up data

3. Practice Managers write the policy & train staff

4. Receptionists register patients

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For success:

1. Embed into routine clinical and administrative workflow.

Start routinely viewing and uploading health summaries to the My Health Record system

2. Build critical mass

Help your patients register so the majority have a My Health Record.

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Are you regularly registering patients?

Photo taken at Greenmeadows Medical, Port Macquarie, NSW

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Watch our recorded Webinar to see how other practices have successfully implemented a Practice Workflow for Registering Patients https://www.digitalhealth.gov.au/news-and-events/events/1142-webinar-designing-a-workflow-for-registering-patients-for-a-my-health-record

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Edit user setup to give staff permission to register patients

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Register patients

Register patients using ART tool (on desktop)

PCEHR in MD will change to My Health Record soon

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Next Steps

1.Complete the (free) eLearning modules on the My Health Record system: https://myhealthrecord.e3learning.com.au

2.Download the ‘guides’ (cheatsheets) to view & uploadhttps://www.digitalhealth.gov.au/using-the-my-health-record-system/digital-health-training-resources/guides

3.Watch the software demonstrations:https://www.digitalhealth.gov.au/using-the-my-health-record-system/digital-health-training-resources/software-demonstrations

4.Practise in the ‘On-Demand’ Training Environment https://www.digitalhealth.gov.au/using-the-my-health-record-system/digital-health-training-resources/on-demand

5.Register your patients.

6.View and upload health summaries.

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On Demand Training Environment: Log on anytime and practise with a ‘test’ patient.

Available at https://www.digitalhealth.gov.au/using-the-my-health-record-system/digital-health-training-resources/on-demand

Training

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Websites for further learning:

www.myhealthrecord.gov.au

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Questions

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Help Centre: 1300 901 001

8am-6pm Monday to Friday

Email: help@digitalhealth.gov.au

Website: www.digitalhealth.gov.au

Twitter: https://twitter.com/AuDigitalHealth