Sunday, January 15, 2017
Is It Right To Grossly Oversimplify Communication To The Public About The myHR?
This appeared last week:
12 Jan 2017, 10:25 a.m.
Following a Federal Government trial in Western Sydney, local hospitals are now uploading around 570 discharge summaries to My Health Record each month.
What this means is that GPs can easily access information about their patients after a stay in hospital and our clinicians can access important health information about patients that their GPs have uploaded.
As a resident of the Nepean Blue Mountains regions, which also includes Hawkesbury residents, can access their personal health record online and even set access restrictions and add information about allergies, medication and other important health information.
“In the event of a medical emergency, residents will know that their health information is stored safely and securely and can be accessed immediately by emergency doctors if required,” a spokesperson said.
“Pharmacies are also uploading to My Health Record so we can easily see what medications a patient is on – this helps doctors treat you safely if you need emergency care and are unable to communicate.”
Talk about painting a totally positive picture.
We all know that no amount of enthusiasm can cover up the fact that only few doctors or patients have actually accessed their myHR and we also know that very few patient records have a clinician curated Shared Health Summary that can be relied on to some extent.
To me this reporting should be explaining the way the patient can access their record (if they accepted one (by not opting out) – apparently 1.9% of individuals declined the offer of having a record – and by explaining just what content they can expect to find and how it may, or may not, make a difference to their care.
They should also be told that the discharge summaries may or may not be complete, will almost certainly have been created by the most junior member of the clinical team, will probably not have been reviewed by senior doctors and will not have been reviewed by the patient for embarrassing content before being posted.
For some reason my most recent discharge summary was posted by a clinical pharmacist with no attempt to obtain consent from me. I wonder why this is seen as reasonable?
As far as drug information is concerned it is all dependent on the individual local pharmacist who may or may not upload information.
At the very least there should be a link in the article to some more detailed myHR information.
This really should be being managed with rather more openness and transparency as far as I am concerned but I accept others may think it is not needed. Comments welcome.
Posted by Dr David More MB PhD FACHI at Sunday, January 15, 2017