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
Leading your practice into
    a Digital Future
       WAPHA - February 2018

     Presented by Katrina Otto
      Train IT Medical Pty Ltd
     www.trainitmedical.com.au
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
Leading your practice into a Digital Future - WAPHA - February 2018 Presented by Katrina Otto Train IT Medical Pty Ltd www.trainitmedical.com.au
Do you have a ‘patient-centred’ health care ‘home?
Leading your practice into a Digital Future - WAPHA - February 2018 Presented by Katrina Otto Train IT Medical Pty Ltd www.trainitmedical.com.au
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
Leading your practice into a Digital Future - WAPHA - February 2018 Presented by Katrina Otto Train IT Medical Pty Ltd www.trainitmedical.com.au
http://www.health.gov.au/internet/main/publishing.nsf/Content/health-care-homes-professional
Leading your practice into a Digital Future - WAPHA - February 2018 Presented by Katrina Otto Train IT Medical Pty Ltd www.trainitmedical.com.au
www.digitalhealth.gov.au   www.myhealthrecord.gov.au
Leading your practice into a Digital Future - WAPHA - February 2018 Presented by Katrina Otto Train IT Medical Pty Ltd www.trainitmedical.com.au
My Health Record Expansion Program

  www.myhealthrecord.gov.au

         2018
Leading your practice into a Digital Future - WAPHA - February 2018 Presented by Katrina Otto Train IT Medical Pty Ltd www.trainitmedical.com.au
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.
Leading your practice into a Digital Future - WAPHA - February 2018 Presented by Katrina Otto Train IT Medical Pty Ltd www.trainitmedical.com.au
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
Leading your practice into a Digital Future - WAPHA - February 2018 Presented by Katrina Otto Train IT Medical Pty Ltd www.trainitmedical.com.au
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/153
Quality 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, 2017
Read 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/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/rac
gp-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
5 elements:

          RACGP Standards for Patient Centred Medical Homes
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]

                                                                                                    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 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 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 Bay
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
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
      .
          Facebook: trainitmedical

       www.trainitmedical.com.au
   Access more free practice resources
              & blog posts
          Subscribe to my blog

Keep in touch! With best wishes, Katrina Otto
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