- Nov 6 2016 at 6:30 PM
Wednesday, November 16, 2016
The DOH Secretary Is Certainly Talking His Own Book In This Article! Not Sure He Is In Anyway Realistic Or Objective.
This appeared this week:
Martin Bowles says about 25,000 health summaries a week were being uploaded in October.
by Hugh Arnold
Since his appointment in 2014, the secretary of the Department of Health, Martin Bowles, has been on a mission to promote culture change for everybody involved in the healthcare industry, including his own department.
"I did set out quite specifically in the early days to build strategic policy and innovation as the centrepiece. And what drove that was setting up data analytics, evaluation and research.
"It was a capability we once had for an old world. We now need to build it for the new world. If we don't understand the data and what is happening out there, how are we actually going to make informed policy decisions? And if you can't drive it culturally in our organisations, it won't catch on," Bowles said at the recent Innovation in Healthcare roundtable co-hosted by The Australian Financial Review and Philips.
A positive and recent success in culture change for patients, doctors – and ultimately data analytics nationally – has been the response to the opt-out trials of My Health Record in select regions such as North Queensland and western Sydney.
The Health Department says under the My Health Record trial, patients are able to share vital health information securely online, at any time, with authorised healthcare providers, such as doctors, pharmacists, specialists, hospitals or allied health professionals.
Patients have ultimate control over who accesses their information, including adding additional password protections; while doctors have indicated they are much more likely to use the system if all their patients have a record.
"The opt-out rate is just over 1 per cent. We were quite staggered it was that low. And people are saying why not? Why not actually go down this pathway? This is not only about individuals – this is about providers as well. For instance, we've seen the upload of health summaries from April this year at about 2000 per week; and are now at 25,000 per week just a fortnight ago [early in October]."
Bowles says overall there are 4.2 million people now enrolled. "If the opt-out trials are successful, and everything we've seen will suggest they will be, we will actually recommend to government that this is the way to go.
"Once you've got all of the summaries up and patients load their own documents, then there's a whole lot more things that you can actually get on system: your green book, red book, immunisation books and baby books, and God only knows what else.
"We can all then avoid duplication of testing, and actually get the right medications for the right time. And if you end up in hospital, either unconscious or unable to communicate, there is a record that people can see what actually is happening."
Lots more her:
As a sanity check we need to realise there are, in Australia 33,275 GPs, 22,005 were full service equivalent (FSE).
Here is the link:
Using the lower number we see there is an average of about 1 patient summary uploaded to the myHR for each GP each week.
Given the average GP sees around 40-50 patients a day for a five day working week it is clear that less that one in 200 encounters is actually resulting in a summary being produced – despite the financial incentives to use the myHR being offered.
One can only conclude that – as of right now – the system is essentially not being used despite 15%+ of the population being given a free myHR.
You can see the current statistics here:
Yet again no information as to how much use the records receive. I am sure we would be told if it was significant!
Posted by Dr David More MB PhD FACHI at Wednesday, November 16, 2016