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"

or

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

Friday, March 29, 2019

Other Than The Name There Is Something More Not Quite Right About All This. Is It Real Other Than A Website?

This page came up in an alert.

Do you have a Medicare Card?

In Australia, if you have a Medicare Card or if you are an armed forces veteran have a DVA card, you also have a My Health Record, unless you have opted out.
If you have recently received a My Health Record and you login via MyGov you will notice that there is not much in it.  This makes sense, it’s a bit like a bank account when you first open it.
And like a bank account you need to make ‘transactions’ to make it useful – for My Health Record, those ‘transactions’ are visits to a healthcare service provider.
What happens when you go to a Doctor? 
Most people assume that when they go to a doctor their My Health Record will be updated.  However, some Doctors are new to this process too.  All Doctors should be uploading to the My Health Record, unless you tell them not to.  So please remind them or contact their reception later if you notice that the information missing.
Information for Doctors (GP):
An “Event Summary” should have the Doctor’s notes about your visit including symptoms and the Doctor’s recommendations. If it’s not your usual GP you’re visiting then the Doctor should complete this for upload. This might be “wasp sting reaction while on holidays interstate” or “fish hook injury requiring stitches while at the beach”
A Shared Health Summary can contain the same information as the event summary. Your usual GP may complete this for upload.
What medicare information is on My Health Record?
Medicare information is available on your My Health Record. This includes
  • Pharmaceutical Benefits Scheme (PBS) information
  • Australian Immunisation Register (AIR): a list of immunisations you have received
  • Australian Organ Donor Register (AODR) information – details of any organ and/or tissue donation decisions you have made
  • Medicare Benefits Schedule (MBS) information or Department of Veterans’ Affairs (DVA) claims information – details of any successful claims you have made in the past 2 years
You can add up to two years of Medicare information to your My Health Record – click here to learn how to do add this information.
Here is the link:
I am sure many GPs would be surprised to find out they were supposed to the spending a good part of their day madly uploading records for every patient that they saw….
Delving further I found this:

Wanngi is an app for you and your health

Wanngi is a mobile app that connects the Australian Digital Health record with personal health, wellness and fitness information. We incorporate our members’ health and wellness data from a large variety of sources into a single, mutli-platform, secure app. 

Why Should I get Wanngi?

With Wanngi, you have the information to make health decisions that are right for you.  Not only that, it allows you to provide detailed, accurate and critical information to your doctor so you can be treated accordingly.
2019 is a pivotal time for all Australians to become involved with managing their own health information. For the 22 millions Australians with a My Health Record, their data is now in their hands, and with Wanngi they can make the most of it.
We provide our members with the ability to make their health experience their own, and empowers them to live healthier lives.

What does Wanngi offer?

With Wanngi, members can:
  • keep track of your immunisations and allergies;
  • provide medication script reminders;
  • provide a history of your doctor and hospital visits;
  • show you your latest test results;
  • provide health and medical insights; and
  • help you reach your fitness goals, by connecting your favourite fitness and wellness apps

Where do I get Wanngi?

Wanngi is a mobile-friendly website application that works on all devices and all operating systems. Go to wanngi.com or scan the QR Code and you will be able to immediately start using it – no download required!

What About Privacy?

Wanngi’s app only enables you to view your data. It cannot be altered via the app. You control the level of privacy you’re comfortable with and who can access that data.

Founder

Maree Beare is founder and CEO of Wanngi,
Maree is passionate about using innovation and technology to positively impact the lives of others. She is renowned as a forward-thinking leader in the technology sector, with extensive experience advising many of Australia’s leading organisations in transforming their businesses and delivering high-profile technology programs
The next thing I wondered was Wanngi approved to access the myHR as a limited number of app providers are?

View your record using an app

If you have a My Health Record and are set up for online access, you have the option of using a mobile app.
These mobile apps give you the ability to view some of your record content (or someone else’s record content, where you are a representative) on a smartphone or tablet.
Authorised third party apps give you secure ‘view only’ access to your My Health Record. These apps do not permit any storage of My Health Record information on their systems. They are also prohibited from using My Health Record information for secondary purposes – such as passing information to a third party.
The My Health Record system is committed to strong security and safeguarding your privacy. We require apps to obtain your informed consent before accessing your My Health Record. You can set access controls in your My Health Record to remove apps if you no longer wish for them to access your data.
You will need to have a My Health Record before you use apps that connect to your record. If you don’t have a My Health Record, find out how to register

Apps that are authorised to connect to My Health Record

HealthEngine

Healthi

HealthNow

Tyde

My Child's eHealth Record

And that is the whole list contained on this undated page:
The list has not changed for a good while as far as I can tell.
In their privacy policy Wanngi claim they are as registered portal operator as of 16 May, 2018.
“Wanngi is a Registered Portal Operator for the purposes of the My Health Records Act 2012. Wanngi will comply with all relevant legislation governing health records.  The My Health Records Act 2012 (My Health Records Act), My Health Records Rule 2016 and My Health Records Regulation 2012 create the legislative framework for the Australian Government’s My Health Record system.
The Wanngi app provides a service to connect to your My Health Record.  Wanngi is a View Only Portal which means an electronic interface that facilitates access to the My Health Record system and does not copy, record or store that data. Wanngi will allow you to view your My Health Record and take information to display to you in a variety of ways. This will let you see your information such as medications, allergies, Medicare benefit items, personal information and clinical documents through Wanngi in an informative and useful way, giving you full use of the application.”
See here – and do read the rest to see what they are up to:
Although the terms are not yet disclosed this is a for-profit service which has yet to actually go live.
Will be interesting to follow to see what happens next – but they do seem to be moving rather slowly. Additionally they are totally dependent for their business on the ADHA. As I have said in the past this has to be a risk!
What do others think?
David.

7 comments:

Anonymous said...

Dig a little deeper and seems the CEO is a Director of Hautla, a company founder my Martin Beare, who is also a director of this health app startup and according to Zoominfo is the programme manager for pathology and diagnostics at the ADHA.

Maybe the app has gone through self registration? Either way I am sure none of this was created during employment with a federal agency operating the MyHR

Oliver Frank said...

The piece states:

"An “Event Summary” should have the Doctor’s notes about your visit including symptoms and the Doctor’s recommendations. If it’s not your usual GP you’re visiting then the Doctor should complete this for upload."

What a GP who is not in the patient's usual general practice should actually do is to write directly to the patent's usual GP, preferably via a secure messaging provider. That is the most important and useful action.

Event Summaries are most appropriate and useful when the person either does not have a usual GP or general practice (which is highly undesirable, and the patient should be advised to choose and actually attend one) or doesn't know who they might be seeing next e.g. if they are on a road trip around Australia.

Anonymous said...

The Tyde app seems to be 'washed up'.
I had downloaded it some time ago, but today when I tried to log in it said:
"You have been disconnected from your my Health Record account. You will no longer be able to access the My Health record data in Tyde."
Also, the Tyde app seems to have disappeared from the Apple store.
Does anyone know what happened? And if it is not available, why hasn't the My Health Record website taken it off the list of Apps?



Wanngi said...

Hi this is the Wanngi team. We wanted to give you an update on what we’re doing now.
The problem we are solving is that people have incomplete access to their health data. The impact is people have no information on hand to help them communicate with health professionals and get diagnosed. Wanngi is now an online wallet for your health information where you can manage symptoms, upload health records and track fitness goals. Initially our MVP included a view to the Australian My Health Record, however just before we were to launch this in August 2018, the ADHA paused access to the mobile gateway. We do not have any more information on when this mobile access will be enabled and this MHR view available in our App.
We launched Wanngi in April this year as the problem still exists that people have incomplete access to their health data. We have been recognised globally by Forbes Top 50 in disrupting health tech. Recently we launched on the App Store and are focused on providing features that our customers ask for and need. In addition, we have built Wanngi as a platform using Health secure messaging standards so that we could partner with healthcare organisations who are able to provide consumers their health data electronically. Consumers may also wish to share their information for diagnosis. Read more about us here: https://wanngi.com

Bernard Robertson-Dunn said...

Dear Wanngi,

You say "The problem we are solving is that people have incomplete access to their health data."

That's not a problem, it's a statement. A problem either is or can be expressed as a question.

Assuming that the real problem you are trying to solve is: How to give people complete access to their health data? I have a few questions:

1. What do you mean by Health Data? Do you mean Medical Data? Are you including SDOH?

2. Where does it already exist? It seems you are assuming it could be "healthcare organisations" with whom you will need to partner. Is this valid?

3. If it doesn't already exist - all of it, where will it come from?

4. Who is responsible for keeping it accurate and up to date, especially as people develop, age and respond to their environment.

5. Where will the data be stored? On the device? On a server? Who owns/has access to the server?

6 What is the value proposition?

7. What are the costs, risks and mitigating actions you have in place?

Anonymous said...

Just another HealthEngine, MediTracker, health app looking to use the MyHR as some form of justification to harvest your data and establish vulnerabilities into healthcare organisations and computer system IMHO. Not even adopting FHIR just old secure messaging standards.

Interesting they know nothing about the state of play with regard to The mobile gateway. Guess when you leave the ADHA the door is slammed shut in your face.

Dr Ian Colclough said...

They could make considerably more progress if they bad nothing to do with the My Health Record, but that requires a very different strategy which I doubt they are equipped to formulate.