Leading your practice into a Digital Future - WAPHA - February 2018 Presented by Katrina Otto Train IT Medical Pty Ltd www.trainitmedical.com.au
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Leading your practice into
a Digital Future
WAPHA - February 2018
Presented by Katrina Otto
Train IT Medical Pty Ltd
www.trainitmedical.com.au
Learning Objectives: 1. Discuss Australian health reforms including Health Care Homes and 2018 My Health Record Expansion program. 2. Improve data quality 3. Evaluate and improve your Recall and Reminder system
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? 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. Provide: “support by telephone, email or videoconferencing, and access to after-hours advice or care.” RACGP Standards for Patient Centred Medical Homes
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 have a My Health Record
Approx 98% of your patients will be ‘green’
(indicating they have a My Health Record)
following My Health Record Expansion Program.
My Health Record – Medicines Preview
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
Pathology & Diagnostic Imaging in My Health Record
Prepare for patients seeing their own results
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’t
mean the result is not normal for them.
- just because a result is marked ‘normal’ doesn’t mean further discussion or
investigations are not necessary.
- patients can let the doctor know if they do not want a specific result uploaded
to their My Health Record.
Factsheet: Pathology Reports for Clinicians
RACGP - http://www.racgp.org.au/standards/153Quality patient information http://www.labtestsonline.org.au 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, 2017Read RACGP Standards for Patient Centred Medical Homes
My Health Record – what you can do right now! 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. 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/appconnectVerify 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/rac
gp-standards-for-general-practices-5th-edition.pdfDo 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 ALL5 elements:
RACGP Standards for Patient Centred Medical HomesClean 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]
Only for
chronic conditions
& significant events
Significant active or
inactive conditions
Criterion C7.1 – Content of patient health record, RACGP Standards for general practices 5 th edition.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 HistoryPatient 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 Champions! Change brings opportunities! So how do you get your staff to see that change is part of maintaining a successful practice of the future?
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.
Success stories
“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 BayChange 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
Celebrate your success! 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 Record Pathology & Radiology becoming available in My Health Record These are all attention grabbers. New Practice Incentive payment linked to improvements ePIP 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.
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
Dept of Health – Contact details: 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
My Health Record: 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
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
Thank you for inviting me
katrina@trainitmedical.com.au
Twitter: trainitmedical
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Facebook: trainitmedical
www.trainitmedical.com.au
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