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Presented by Katrina Otto

Train IT Medical Pty Ltd

www.trainitmedical.com.au

Leading your practice into

a Digital Future

WAPHA - February 2018

1. Discuss Australian health reforms including Health Care Homes and 2018 My Health Record Expansionprogram.

2. Improve data quality

3. Evaluate and improve your Recall and Reminder system

Learning Objectives:

Do you have a ‘patient-centred’ health care ‘home?

Towards a patient-centred approach

How would you do things differently for your patients if there wasn’t a focus on face to face consultation billing?

Provide: “support by telephone, email or videoconferencing, and access to after-hours advice or care.” RACGP Standards for Patient Centred Medical Homes

Maybe…More telephone calls, nurse consultations, home visits, helping patients to make their appointments, attend allied health or specialist appointments, follow up after ED visits and hospitalisations etc.

http://www.health.gov.au/internet/main/publishing.nsf/Content/health-care-homes-professional

www.digitalhealth.gov.au www.myhealthrecord.gov.au

My Health Record Expansion Program

www.myhealthrecord.gov.au

2018

Approx 98% of your patients will be ‘green’

(indicating they have a My Health Record)

following My Health Record Expansion Program.

Approx 98% of your patients will have a My Health Record

Navigation panel

Provides access to each section within the view and also to the most recent Shared Health Summary and Discharge Summary (if available).

The blue underlined hyperlinks can be used to navigate between the sections

My Health Record – Medicines Preview

Pathology & Diagnostic Imaging in My Health Record

Prepare for patients seeing their own results

RACGP - http://www.racgp.org.au/standards/153

Now might be a good time to start to explain to your patients:

- doctors will still receive results first. Detail your practice process for follow-up.

- just because a result is marked red/‘abnormal’/outside the value range doesn’tmean the result is not normal for them.

- just because a result is marked ‘normal’ doesn’t mean further discussion orinvestigations are not necessary.

- patients can let the doctor know if they do not want a specific result uploadedto their My Health Record.

Factsheet: Pathology Reports for Clinicians

http://www.labtestsonline.org.au

Quality patient information

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

P. 7 Handbook for General Practices and Aboriginal Community Controlled Health Services, 2017

Using data to track care and improvements

P. 7 Handbook for General Practices and Aboriginal Community Controlled Health Services, 2017

Read RACGP Standards for Patient Centred Medical Homes

1. Complete the (free) eLearning modules on the My Health Record system

2. Download the step-by-step ‘guides’ for your software.

3. Watch the software demonstration for your software

4. Practise in the ‘On-Demand’ Training Environment

5. Register your patients

6. Improve data quality

7. View and upload health summaries.

My Health Record – what you can do right now!

Read more about Practice Incentives Program (PIP) eHealth Incentive

Apps that connect to My Health Record:

https://myhealthrecord.gov.au/internet/mhr/publishing.nsf/Content/appconnect

Verify patient details

73%of people self-checking in

identified incorrect demographic information in

their patient record

Jayex

“Practice staff must ask the patient for the information, rather than provide the identifying information and then ask the patient to

confirm the information.” RACGP Standards for general practice – 5th edition, p64

https://www.racgp.org.au/download/Documents/Standards/5th%20Edition/racgp-standards-for-general-practices-5th-edition.pdf

https://www.racgp.org.au/download/Documents/Standards/5th%20Edition/racgp-standards-for-general-practices-5th-edition.pdf

Do you meet the RACGP Standards?

RACGP requirement

Allergies/Adverse Reactions 90%

Ethnicity/Cultural background 75%

Current Medications 75%

Past Medical History 75%

Family & Social History 75%

Risk Factors 75%

(smoking, nutrition, alcohol, physical activity)

Clinical Coding ALL

RACGP Standards for Patient Centred Medical Homes

5 elements:

Clean up before you analyse your database:

1. Mark deceased patients as ‘deceased’.

2. Inactivate patients by searching for patients not seen for two years.

3. Delete Sample patients.

4. Delete records with no clinical data.

5. Merge duplicate patient records.

Accreditation Compliance

Missing Clinical / Accreditation Items

Download the ‘Data Quality’ Checklist Learn more from the ‘Standards for Digital Health’ Webinar

Past History List [coding]

Criterion C7.1 – Content of patient health record, RACGP Standards for general practices 5th edition.

Only for chronic conditions & significant events

Significant active or inactive conditions

Different from Reason for Visit (Past Visits)

Only tick ‘Add to Past History’ if you are adding a new significant diagnosis

Can choose ‘Another’ for more than one reason for visit.

Preference Selection

Main Screen: Tools > Options:

Untick ‘Save in Past Medical History

? Untick Save in Past Medical History

Patient Safety: Cleansing CAT

Your patient names & dob

would appear in this list.

Quality improvement activities eg. Identify patients on 5 or more medications who

might benefit from a Medication Review.

Data Quality Dashboard

Accreditation Compliance

Data Quality Report Card ie Allergies, Smoking Status etc

Kidney Disease

Cleansing CAT – data analytic tool

Change brings opportunities!

So how do you get your staff to see that change is part of maintaining a successful practice of the future?

Change Champions!

CLINICAL > FINANCIAL > MEDICO-LEGAL

Change Champions - GPs

Dr Steve Hambleton writes on his patient letters:“This patient has an active ‘My Health Record’. You may be able to access this through your clinical information system or the provider portal”.

When doctors ring asking for his patients’ health summaries he tells them to look on the patient’s My Health Record.

“I no longer fax our patient’s health summaries, when the hospital calls I just tell

them it will be on the patient’s My Health Record and to have a look”.

Cara Young (RN) Practice Manager, Surf Beach Surgery, Batemans Bay

Success stories

Change Management tips:

Change brings opportunity.

• New cervical screening changes – great opportunity for engagement.• New Practice Incentive Payments• New RACGP 5th Standards of Accreditation• New technology enabling patients to see own information

Change Management is a process

Share success stories:

eg.

Share inspiring success stories of what other practices are doing Link to what’s new that we need to know about:Cervical screening tests good data is vital Medicines view – in My Health RecordPathology & Radiology becoming available in My Health Record

These are all attention grabbers. New Practice Incentive payment linked to improvementsePIP payments all about uploading New era where patients see their info

Choose one thing at a time to focus on (can be one small aspect eg. allergies) and celebrate success.

Celebrate your success!

Further Information – Health Care Homes

Pulse IT article ‘Health Care Homes practices given a year to use compliant software’

Australian Association of Practice Managers (AAPM): AAPM Guidance for Health Care Homes

Health Care Homes WIKI

Dept of Health Recorded Webinar: Becoming a Health Care Home (11/2016)

RACGP Standards for Patient-Centred Medical Homes

‘From good to great: the potential for the Health Care Home model to improve primary health

care quality in New Zealand.’ CSIRO Publishing

FAQs - http://www.health.gov.au/internet/main/publishing.nsf/content/health-care-homes-faq

1800 number for Health Care Home enquiries

With the majority of Health Care Home practices coming on board on 1 December, a new 1800

number has been set up to help practices and patients with their enquiries.

Participating practices and patients can now contact the department on freecall 1800 290 637.

If a patient is deaf or has a hearing or speech impairment, they can use the National Relay Service

to access these numbers:

•1300 555 727

•SMS relay 0423 677 767

•or visit the National Relay Service online at health.gov.au

Queries from practices

Participating Health Care Homes should first contact their PHN practice facilitators with any

queries about Health Care Homes.

They can also contact the department on freecall 1800 290637 or healthcarehomes@health.gov.au

Dept of Health – Contact details:

Australian Digital Health Agency:www.digitalhealth.gov.au

Get Started

On Demand Training (practise in the sandpit)

Training Resources

www.myhealthrecord.gov.au

Pathology

‘NSW patients first to view their pathology results in My Health Record’

Train IT Medical:Digital Health Free Resources including Pen CAT4

Developing a ‘My Health Record’ Practice Workflow (blog)

My Health Record – your questions answered (blog)

Top 30 questions doctors ask about My Health Record with Katrina’s responses (blog)

Event Summaries (blog)

Katrina Otto’s ‘My Health Record’ detailed presentation

My Health Record:

Data Quality:

RACGP

Using Data for Better Health Outcomes

Australian Digital Health Agency:

Importance of Data Quality

Data Cleansing & Clinical Coding

Data Quality Checklist

Train IT Medical

Data Aggregation using Pen Clinical Audit Tools (blog)

Cancer Screening & Prevention – Free Resources (blog)

5 Steps to Data Quality Success (blog)

Pen CAT4 summary sheet

Pen Clinical Systems

CAT4 Recipes

.

Keep in touch! With best wishes, Katrina Otto

katrina@trainitmedical.com.au

Twitter: trainitmedical

Facebook: trainitmedical

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