This release appeared last week:
More support for frontline emergency care staff
Monday, 18 November 2019
A national initiative launched today will support the time-critical work and informed decision making of frontline hospital emergency department (ED) clinicians through the use of patients’ My Health Record.
With over 22 million Australians now having a My Health Record, a suite of clinical tools and resources released today at the Australasian College for Emergency Medicine (ACEM) 36th Annual Scientific Meeting 2019 will support ED staff using the system to inform clinical decision-making on the frontline of emergency care.
The tools and resources, developed by the Australian Commission on Safety and Quality in Health Care (the Commission) in partnership with ACEM, include a guide for ED clinicians with practical information on accessing up-to-date My Health Record data for people requiring emergency care.
Dr Andrew Hugman, emergency physician and Fellow of ACEM, is the Commission’s Clinical Lead on the project. He explained: “Immediate access to additional information about a patient’s medical history can be crucial in time-critical settings such as EDs. My Health Record facilitates clinicians’ viewing of material that is otherwise hard to see outside of their regular hospital network. It’s not surprising that there is increasing interest among ED clinicians to better understand the system.”
More than 40% of emergency department presentations occur out of normal business hours. The My Health Record system can support hospital clinicians to access patient information out-of-hours and from outside their local hospital network.
“My Health Record does not replace information stored in local hospital records, but it can help us to retrieve other information more quickly, avoiding reliance on phone calls and fax machines to places like private pathology and radiology providers,” Dr Hugman explained.
“Ultimately, the better informed the clinician, the better the decision making about their patients’ care. Australian health care is in the midst of a digital transformation, so it is essential all clinicians are made aware of how we can use digital innovation to achieve the best outcomes for our patients.
“This new guide explains the ‘what’ and ‘why’ of My Health Record to ED clinicians and where it can fit into their current practice. It has been written for clinicians by clinicians,” Dr Hugman said.
There has been a significant increase in the amount of clinical information flowing into the My Health Record system since February 2019. The rapidly expanding system already contains more than 3.4 million shared health summaries, 37 million prescriptions and 22 million pathology reports.
Professor Meredith Makeham, Chief Medical Adviser for the Australian Digital Health Agency and general practitioner, said My Health Record is making positive change in how clinicians treat patients. “We are already seeing benefits to the health care of Australians, which will continue to grow as more health providers involved in a patient’s care contribute and access patient information on their My Health Record.
“This practical guide was specifically developed for emergency departments, but will be useful to any clinician working in a hospital setting who wants to further understand how My Health Record can better improve health outcomes,” said Professor Makeham.
The guide describes the types of clinical documents that may be included in a patient’s My Health Record and the origin of that information. There is also a focus on protecting vulnerable patient groups and legislative requirements that ED clinicians need to be aware of.
This year more than 1,300 ED staff from large tertiary referral facilities to small remote hospitals have attended one of the awareness sessions held by the Commission across Australia as part of a My Health Record in ED Roadshow, with more planned following the release of the guide.
The My Health Record system is already widely used in the primary care sector by general practitioners, community pharmacists and allied health staff. Extending this use into hospitals will provide an important conduit of information between different health sectors.
The Emergency Department Clinicians’ Guide to My Health Record will be launched today by the Commission’s Dr Andrew Hugman, the Agency’s Professor Meredith Makeham, and the Chair of ACEM’s Council of Advocacy, Practice and Partnerships Dr Didier Palmer, during the peak body’s Annual Scientific Meeting in Hobart.
Dr Didier Palmer said: “We are pleased to support the launch of this important resource alongside both national agencies.
“ACEM believes there is a strong case for emergency department clinicians to use My Health Record as part of routine care. The system helps close the information gap between general practice and hospital care, and will help deliver improved health outcomes for all Australians with a My Health Record."
ENDS
Here is the link:
The Guide can be downloaded from this page:
Now if you go the Guide you notice the spin is rather watered down.
In the 16 page glossy we read:
“Relevant points to remember
My Health Record may not be a complete reflection of every interaction a patient has with healthcare services.
Information may be current at a particular point in time; therefore, My Health Record should be used to supplement additional sources of patient information.
My Health Record is not a complete substitute for thorough clinician-to-clinician handover, but it can be a useful resource in supporting the transition of patientcare to and from hospital. (p2)”
“The My Health Record system collects documents from a range of healthcare providers. Some of this information may not be the most up-to-date patient data at the time of access. It’s important to always check the accuracy and currency of the available patient information within the My Health Record, using multiple sources to inform your decision making. (p3) ”
“Busting Common Myths
Myth: My patient won’t have a My Health Record.
Fact: Over 90% of Australians chose to have a My Health Record created for them in February 2019. (p6)”
Comment – The 90% were given a record (did not choose) but the vast majority are empty and have not been activated (the stats are a secret)
You can go on but basically looking up the MHR will most likely find an empty record or one where the data is incomplete, out of date or just too hard to find. As for being used routinely, what a joke.
For those who may not know in another life I was in charge of, and ran, a major Sydney teaching hospital’s Emergency Unit (ED) for a number of years and this whole plan is just rubbish in my view. Better to get the clinical exam and urgent testing done and to speak to the GP / Relatives!
The MHR is just not fit for this purpose despite what paid (off) fellows of their College say.
David.
In my view the ACEM has been a victim of entrapment. Their Membets have been sucked unwittingly into the vortex of the ADHA's marketing spin and there is absolutely nothing they can do about it.
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