The ADHA Minutes For October 2017 Show The Usage Of The myHR Has Essentially Died.

The ADHA published the Board Minutes last week:

Board Papers

The intent of the Board is to publish as many Board documents as is feasible. Information and attachments to Board documents that are draft, not finalised or sensitive will not be published. An exception is made for draft material already in the public domain (in this instance the Board Advisory Committee Charters released on 16 September 2016).

Board Meeting 11 October 2017 - Board Papers (Download)

• Item 5 - CEO Report - 11 October 2017 (Word, 117kB)
• Item 6.6 - National Collaborative Network (Word, 104kB)
• Item 6.6 - Attachment A - NCNCHI (Word, 341kB)
• Item 6.6 - Attachment B - NCNCHI (Word, 57kB)
• Item 6.6 - Attachment C - NCNCHI (Word, 83kB)
• Item 6.6 - Attachment D - NCNCHI (PDF, 291kB)
• Item 6.7 - Intergovernmental Agreement (Word, 156kB)
• Item 6.7 - Attachment A - Inter-Governmental Agreement on National Digital Health 2016-18 (PDF, 912kB)
• Item 6.11 - Annual Report 2016-17 (Word, 102kB)
• Item 8.1 - Performance Reports (Word, 110kB)
• Item 8.1 - Attachment A - Performance Report (PDF, 1.02MB)
• Item 8.2 - Delivery Highlight Report (Word 112kB)
• Item 8.2 - Attachment A - Delivery Highlight Report (PDF, 1.86MB)
• Item 8.3 - Agency Governance (Word, 112kB)
• Item 8.3 - Attachment A - Agency governance structures 17-18 (PDF, 222kB)
• Item 8.4 - Attachment A - Correspondence to Minister & CHC (PDF, 192kB)
• Item 8.4 - Attachment B - Human Services HI service Annual Report 2016-17 (PDF, 347kB)
• Item 8.4 - Attachment C - OAIC Digital health activities Annual Report 2016-17 (PDF, 551kB)
• Item 8.4 - Human Services & OAIC Annual Reports on digital health activities 2016-17 (Word, 99kB)

Here is the link to the page:

https://www.digitalhealth.gov.au/about-the-agency/australian-digital-health-agency-board/board-papers

On usage we have the following from the notes:

“BACKGROUND

The layout of the Dashboard remains unchanged from the previous Board meeting. However, as part of ongoing continuous improvement, a few minor changes have been made to a number of charts:

-          Chart 8 on page 2. Compared to the dashboard tabled at the August Board meeting, this shows more providers and the proportion connected to the My Health Record; and

-          Charts 9 (page 2) and 12 (page 3) have been changed to monthly to be consistent with the data in other charts in the Dashboard.

It should be noted that while it appears that participation has decreased substantially in September 2017, the data for this month only covers two weeks.

SUMMARY OF ISSUES

There are now more than 5.1 million Australians with a My Health Record. Based on current consumer registration rates, this is increasing by approximately 100,000 every six weeks.

Consumer Participation (refer to Attachment A)

In the four weeks to 10 September 2017, an average of 17,568 consumers were registered each week. The majority of registrations were conducted by healthcare providers.  Average registrations has decreased since the August Board meeting and is likely due to the date of this dashboard being part way through an ePIP quarter (ends 31 October 2017) as well as less consumers logging onto MyGov. 

The number of documents uploaded and viewed by consumers has dropped which is consistent with patterns seen after the end of ePIP quarters in the last 12 months.

Organisation Participation (refer to pages 2, 3 & 4 of Attachment A)

There has been a continuing trend of steady increase in registration of most types of healthcare provider organisations over the past 12 months (Chart 6). However, in late August, there was a spike in the number of “Public Hospitals” and “Other” types registered. Western Australia and South Australia connected 24 hospitals between them and in Queensland, there were a significant number of public health centres connected (Chart 7).

The number of providers uploading the different clinical document types has slightly decreased (Chart 9), however Chart 10 shows that the volume of documents being uploaded overall still has peaks and troughs.

Chart 12 shows that the number of provider organisations viewing clinical documents has dropped slightly since July and the number of documents being viewed is also decreasing.

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Despite the commentary that the data was only for 2 weeks in September all the graphs (Charts 12 – 17) show usage has unwound since July.

As an example of how unused the system is, is that in August only 200 or so Shared Health Summaries were accessed in the month by all hospitals.

Equally only a thousand Shared Summaries were looked up by GP practices in August and only about 3000 summaries were uploaded in August.

With 5,100,000 patients having a record this is just a joke. Even 100 times the use would be pretty wasteful.

All this data is in the Section 8.1 Attachment A pages 2 and 3 from the .pdf link above.

No wonder the ADHA is desperate to attract a great deal more use and so much of the data refers to cumulative data! It has to rise (sigh).
One is really forced to wonder just what difference forcing pretty much everyone is going to make if this is the usage ePIP payments and 5 million "users" generate. It really is already a failure I reckon!

David.