This web page was brought to my attention yesterday.
Shared Health Summary Upload Incentive Program for General Practice
Use My Health Record and WIN!
Following on from the trial of My Health Record in our region in 2016, by the end of 2018 every person in Australia will have a My Health Record unless they choose not to.
In preparation for the expansion of My Health Record, we are encouraging Registered Nurses to upload a patient's Shared Health Summary (SHS) to My Health Record after a GP consultation, particularly for those people with multiple medications and chronic diseases.
A Shared Health Summary is critical to patient continuity of care and is now being accessed by other healthcare providers such as allied health, pharmacists and hospital clinicians.
Every time you upload a Shared Health Summary, you are on your way to winning a prize.
But you’ll need to be quick – there are a limited number of prizes. Targets must be commenced and completed in the same calendar month.
What can you win?
The program has three levels of incentives:
Level
|
Qualifying Uploads
|
Awards
|
Number of prizes per month
|
Level 1
|
20
|
A pack of six Syringe Pens plus either Fibreglass Measuring Tape or Prestige Cardiometer
|
90 awards
|
Level 2
|
90
|
Omron Non- Contact Thermometer
|
15 awards
|
Level 3
|
120
|
Paid registration to Mental Health First Aid online course
|
5 awards
|
For more information download the Tally Sheet.
How to Win
1. Set yourself the goal of one of our 3 prize levels to achieve within one calendar month (eg. 120 uploads) for each month between now and December 2018.
2. Use our Tally Sheet to record each upload. You can record this using our online interactive PDF or by manually crossing off a printed version of this sheet.
3. Once you have reached a prize level, submit your tally sheet before the end of the calendar month to our My Health Record team. You can do this by submitting your details and the completed tally sheet using the form below. Alternatively you can fax it to 9673 6856.
4. Enter each month between now and the end of December 2018.
Note: Prizes will be determined by meeting the program criteria and then the date and time received.
Here is the link:
So now nurses are curating Shared Health Summaries (SHS) rather than have the GP curate and upload the SHS.
Knowing the difference between the value of a medical and a nursing opinion I see this as a desperate effort to get content into the myHR, just any content, ignoring the need for medical quality assurance.
Has the ADHA been saying that they are paying nurses to upload SHSs. AFAIK it is not mentioned prominently if at all.
Goes further to prove the myHR is really not intended to be a clinical system. I note that in my myHR, which I have kept to see how it evolves, the last discharge summaries were uploaded by a pharmacist and not even checked by my doctor.
Hopeless and misleading data fraud I reckon!
David.
16 comments:
This looks like something a PHN has cooked up themselves rather than at the direction of the ADHA.
I do hope that all RN's in this area are aware of all the important caveats of Shared Health Summaries. For example;
"To create a shared health summary, the healthcare provider will need to obtain the patient's agreement that:
the healthcare provider is to be the individual's Nominated Healthcare Provider;
the healthcare provider is to create a shared health summary for the patient."
Didn't realise medicos could be bought so cheaply!
Perhaps the Auditor-General should take a look at PHN spending on MyHR "promotions" - I think they've been paid quite a lot to host those morning teas and stalls in malls...
And now this?
Farcical. The ADHA claims this PHN, one of two My Health Record pilots, to have been so successful that it justified extending the MHR into a national rollout!!!!!
YET,
now we witness an incentive program to entice nurses (forget about the doctors, they're not interested) to upload Shard Health Summaries to get the numbers up in a desperate attempt to try and convince politicians and the bureaucrats that the system is being used.
This is reminiscent of the failed Wave 1 & Wave 2 PCEHR pilots when NEHTA, in a desperate attempt to encourage doctors to use the 'system' introduced TIGER TEAMS which quietly died.
Now, let's look at the evidence.
The Blue Mountains PHN My Health Record pilot has been going for ?? two years. Therefore, why don't the PHN and NEHTA publish usage, upload and transaction statistics to prove the ADHAs claims about the MHRs success.
Why?
It would be too embarrassing. The truth often is.
Does the practice nurse sit in on the consultation? If they don't, how can we be sure the SHS is a complete and accurate record of what happened, set within context?
If they do sit in, well, there's a whole other raft of issues...
And then the GP is legally responsible for the SHS that was uploaded?
Not sure how this would work in practice???
All very good questions I would have to say...
David.
Maybe the ANAO (the agency of the Auditor General) should apply its thinking to ADHA.
Making the most of minimal money: ANAO puts the spotlight on measuring efficiency
By The Mandarin
27/11/2018
https://www.themandarin.com.au/101787-making-the-most-of-minimal-money-anao-puts-the-spotlight-on-measuring-efficiency/?utm_campaign=TheJuice&utm_medium=email&utm_source=newsletter
"...
When the auditors find there are no appropriate efficiency measures in place — ones that provide “meaningful insights” into the operation of the program or entity — they follow a standard three-step process to remedy that:
1. Identify the relevant inputs and outputs for the entity or program being audited. Some examples of inputs include direct staff costs, contractor and consultant costs, funding streams, buildings, cash and other assets, revenue collected and other resources. Examples of outputs include grant dollars approved, paid and acquitted, telephone queries effectively handled, licences issued and complaints handled.
2. Identify the outcomes sought by government. Examples might include reduced environmental impact, reduction of long-term unemployment, and the protection of threatened species.
3. Assess the relationship between inputs and outputs, or inputs and outcomes to determine the appropriateness of the measure, or set of measures. A common approach to developing efficiency measures is to calculate ratios of inputs to outputs. Calculating ratios of inputs to outcomes provides measures of cost effectiveness.
A lack of direct data does not make this impossible either. Proxy performance indicators based on other data that are “strongly correlated with the activity” can still be developed in many cases."
Or, the ADHA could self assess and publish the results.
Or even better, treat myhr as a medical procedure and get independent researchers to examine and assess it. Just like they do with other medical procedures.
BRD - they're at least *maybe* going to look at how the MHR cybersecurity risks have been managed - https://www.anao.gov.au/work/performance-audit/management-cyber-security-risks-my-health-record
On a side issue, I took my elderly neighbour to see his GP this afternoon. He had to sign a Medicare claim form. The person on the front desk said it was a new instruction that bulkbills had to be printed, signed and stored at the practice for two years?? We were all a bit puzzled, my neighbour with his ideal cutting wit pointed out they should take down the myhr poster.
Does anyone now if this is true for all practices??
David,
So where will this end...surgeons getting "prizes" for achieving xx hip replacements or xx gastric bypasses...what would motivate them I wonder - all suggestions welcome!
I've had trainee doctors sit in on consults a couple of times - always with permission asked - and yes, we all know doctors have to obtain real experience.
But I'm not sure how people will react to: "Hello, I'm the practice nurse, I'll just sit over here and take notes..."
So would a practice nurse in attendance to take notes be charged as an additional service/consultation? I wonder what Medicare thoughts on this are? I know my private healthcare will laugh. Once again the consumer is forced to pickup the tab.
The sooner this Tim Kelsey and Bettina Macmahon are freed up to spend time with family and explore new opportunities they better. Even for government this iteration of the Governments HR system has been a mother of all failures.
This initiative is 100% not an ADHA policy (or recommended model), although it is certainly funded by the Expansion Program funding. I have seen individual practices do something similar with ePiP funding among their practitioners (nurses included).
Just a quick point regarding nurses ability to upload. If they are an RN they are responsible for the document not the GP (as they become the Nominated Healthcare Provider). Otherwise they should not be authoring the document.
That said, assuming the practice operates as a team RN's would not necessarily be required to sit in a particular consultation to have access to all the required information in a patient's history and often have workflows where direct and detailed patient engagement is part of their role. As long as the patient agrees to this arrangement it is above board, and can help maximise patient time with their GP.
Perhaps innocently they were trying to proactively support this latest move. Either way the ADHA has been funding these PHN around MHR I would expect some sort of oversight and blessing.
@5:12 to what do you refer?
Apologies forgot the link - https://www.digitalhealth.gov.au/news-and-events/news/joint-media-release-with-australian-college-of-nursing-nurse-champions-for-my-health-record
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