Quote Of The Year

Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"


H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Wednesday, November 15, 2017

The COAG Health Council Addresses Some Issues Around The myHR.

This was released early last week:

Communique 3 November 2017

Federal, state and territory Health Ministers met in Canberra today at the COAG Health Council chaired by Meegan Fitzharris MLA, ACT Minister of Health and Wellbeing to discuss a range of national health issues.
Health Ministers noted the Queensland Parliament is in caretaker mode and the Queensland Minister was not present.
The meeting made progress in protecting patients with items dealing with the health risks associated with cosmetic procedures.
Ministers also agreed to pursue a national approach to supporting the mental health of health professionals including progressing reform of mandatory reporting. Ministers noted a suite of resources to help improve the safety and security of health professionals working in remote locations and protecting our children and seniors with advanced influenza protection, including the importance of investigating the benefits of flu vaccinations for children 6 months to 5 years. Significant progress was also reported by the Commonwealth towards the early roll out of a new Meningococcal Quadrivalent vaccine.
Other items discussed included:

Long term health reform

Ministers agreed on directions for long term health reform in the upcoming National Health Agreement noting that sustainable funding is a critical factor and requires further consideration.

Commonwealth Activity Based Funding Determination for 2015–16

Health Ministers noted the desire of all parties to finalise the independent review of funding and activity growth for 2015-16 and work to the earliest possible resolution.

National Health Genomics Policy Framework

Health Ministers approved the National Health Genomics Policy Framework 2018–2021.
The Framework agrees a high-level national approach to policy, regulatory and investment decision-making for genomics. Advances in genomics have the potential to help people live longer and better lives by reshaping clinical practice to fundamentally change the way we prevent, diagnose, treat and monitor illness, providing the opportunity to have more precise and tailored treatments. The ability to respond to this change is dependent on further
developing Australia’s capacity, capability and infrastructure needed to support integration of genomic technology into the national health system.
Health Ministers also agreed to the development of an Implementation Plan for the National Health Genomics Policy Framework that will identify actions to support the strategic priority areas.

Framework on Mandatory Reporting under the Health Practitioner Regulation National Law

Health Ministers have made considerable progress towards consensus on a national approach to a Framework on Mandatory Reporting under the Health Practitioner Regulation National Law, including:
  •  Agreeing to progress with a predisposition to a national system that supports the mental health of the health professions whilst protecting patients, for consideration by the COAG Health Council out of session as a matter of urgency and
  • Agreeing to continue finalising the CHC position noting that Queensland is in caretaker mode and any national legislation will need to be passed by the Queensland Parliament.

Health Risks Associated with the use of Medicines in Cosmetic Procedures

Health Ministers noted the recent investigations undertaken by New South Wales into cosmetic clinics and acknowledged the need for jurisdictions to continue to monitor and review regulation in this area to help reduce the health risks associated with the use of medicines in cosmetic procedures.

Current and projected usage of the My Health Record and update on jurisdictional infrastructure scalability plans

Health Ministers noted the current state of connection of state and territory health IT systems to the My Health Record, which shows variations in hospital systems connected across different jurisdictions and the degree to which information in the My Health Record is viewed.
Ministers agreed that the expansion of the My Health Record for every Australian will require changes to jurisdictional health IT systems and that all jurisdictions should assess the readiness of their infrastructure to handle increased uploading and viewing.
The Australian Digital Health Agency is working with jurisdictions on their readiness for the My Health Record expansion, including educating healthcare providers and preparing for increased load.

Options to reduce pressure on private health insurance premiums – feedback from the public consultation process

Health Ministers noted the Commonwealth summary of feedback received as part of the public consultation process on the paper Options to reduce pressure on private health insurance premiums by addressing the growth of private patients in public hospitals.
Here is a direct link:
The two discussions I fund interesting were the one on Genomics and the one on the myHR.
As far as Genomics is concerned this really seems to be rather late to the party and especially regarding how EMRs and the myHR will handle and preserve Genomic data. Will be interesting to see what commentary comes out as time passes.
On the ‘compulsory’ enrollment in the myHR it is clear from the report I cited on Tuesday that adoption and use of the myHRis limited and many are not connected.
On chart 8 we find that less than 5% specialists are even connected, a little over 20%  of Pharmacies and about 15%  of Aged Care facilities are connected. Even in GP land there is just over 60% are connected.
Given the switch to opt-out is due next year one wonders how this will play out, and just what will be ready.

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