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, August 07, 2020

ACT Health Is Taking A Pretty Large Leap Into The Digital Health Future.

This release appeared last week.

A world-leading Digital Health Record system for the ACT


Released 27/07/2020

The ACT Government is one step closer to delivering a world-leading Digital Health Record system, creating 100 new jobs for Canberrans and providing healthcare workers with improved access to patient information.

The ACT Government has contracted global software company, Epic, to implement their world-leading digital health record software across Canberra’s public health services. This includes ACT public hospitals, community health centres and nurse-led walk-in centres.

Minister for Health Rachel Stephen-Smith said the contract was a significant milestone for the ACT Health system.

“We are another step closer to transforming our public health system by building modern and sustainable technologies that will provide the best possible working environment for our healthcare staff.

“The new Digital Health Record will for the first time deliver a health record that follows the person through their entire journey within the public health system, from referral to discharge and into the community.

“Throughout the COVID-19 pandemic, it’s clear how important it is for health professionals to be able to access accurate and timely information about patients. A digital health record will improve the flow of information throughout our public health system. Having critical details about patients readily available will help inform clinical decisions quickly and efficiently.

“The Digital Health Record will give patients and carers a better connected and a more holistic view of their health information, saving them time and effort when engaging with our public health services,” said Minister Stephen-Smith.

ACT Health Chief Information Officer Peter O’Halloran said this technology will enable patient records to be updated in real-time, equipping our health professionals with all the information needed to provide exceptional care, no matter their location or specialty.

“In Australia, the Epic system has been implemented at the Royal Children’s Hospital in Melbourne and will be expanded to the Royal Melbourne Hospital, Royal Women’s Hospital and Peter MacCallum Cancer Centre in the coming months.

“Some of the safety and quality benefits that other health services have realised as a direct result of using Epic’s software include reduced mortality rates, reduced medication errors and an increase in staff and patient satisfaction. It will also support us to implement new ways of caring for our community, with a patient portal, telehealth capabilities and artificial intelligence opportunities.

“This technology will enable patient records to be updated in real-time, equipping our health professionals with all the information they require to provide exceptional care, no matter their location or specialty,” said Mr O’Halloran.

The ACT Digital Health Record will complement the national My Health Record, providing more detailed data and information. This will include observations from clinicians, details about administered medication and information from devices such as heart rate monitors. Healthcare workers will be able to access information on which bed a patient is assigned, operating theatre bookings and surgery staffing information.

Relevant data from the Digital Health Record will be automatically uploaded to the My Health Record for people who have not opted out. The Digital Health Record is being designed to ensure patient privacy and security of information is protected.

Configuration of the Digital Health Record will begin in early 2021 and will be operational in 2022-23.  The 2018-19 budget committed $151 million, comprised of $106 million capital and $45 million recurrent funding to the Digital Health Record over eight years. The contract with Epic is for 10 years, with a cost of $114, 802, 796 (GST exclusive).

Quote attributable to Health Care Consumers’ Association Executive Director Darlene Cox:

“This announcement is good news for consumers in our public health system. A common experience of consumers is the frustration of having to repeat key information about themselves, their medical history and current medications to multiple clinicians. This investment will see the implementation of a system that will mean care is safer, better connected and more focussed on consumer-centred care.

“I look forward to continuing to work closely with ACT Health and our consumer representatives to contribute to the design and configuration of the Digital Health Record to ensure it meets the needs of both clinicians and consumers.

- Statement ends -

Section: Rachel Stephen-Smith, MLA | Media Releases

Here is the link:

https://www.cmtedd.act.gov.au/open_government/inform/act_government_media_releases/rachel-stephen-smith-mla-media-releases/2020/a-world-leading-digital-health-record-system-for-the-act

There is press coverage here:

Epic wins $114m ACT digital health records platform deal

By Justin Hendry on Jul 29, 2020 1:29PM

System expected to come online in 2022.

The ACT government has selected US-based electronic medical record software company Epic to deliver the territory’s digital health record platform at a cost of $114.1 million.

The 10-year contract, announced on Wednesday, will see the Epic software deployed across Canberra’s entire public health system, including public hospitals and community health centres.

ACT Health approached the market for a provider last August after receiving funding to the tune of $151 million for the project in the 2018-19 budget.

The new platform will introduce a single health record that captures all clinical interactions with patients in one central repository for each of the territory’s 400,000-strong population.

It will contain “observations from clinicians, details about administered medication and information from devices such as heart rate monitors”.

The software will also link up with the national My Health Record system, with relevant data to be automatically uploaded for those who have not opted out.

Health Minister Rachel Stephen-Smith said the contract with Epic was a significant milestone in the transformation of the ACT Health system and would equip healthcare staff with “modern and sustainable technologies”.

“The new digital health record will for the first time deliver a health record that follows the person through their entire journey within the public health system, from referral to discharge and into the community,” he said.

Stephen-Smith said that the coronavirus pandemic had made it clear just how important having accurate and timely information about patients was for health professionals to make clinical decisions.

“A digital health record will improve the flow of information throughout our public health system. Having critical details about patients readily available will help inform clinical decisions quickly and efficiently,” he said.

The record will also “give patients and carers a better connected and more holistic view of their health information, saving them time and effort when engaging with … public health services”, Stephen-Smith added.

ACT Health chief information officer Peter O’Halloran said the platform would lead to reduced mortality rates and increased staff and patient satisfaction, while building on the territory’s efforts to reduce medication errors.

Other Australian health services using Epic, including Melbourne’s Royal Children’s Hospital, had realised some of these safety and quality benefits as a “direct result of using Epic’s software”.

More here:

https://www.itnews.com.au/news/epic-wins-114m-act-digital-health-records-platform-deal-551004

The WikiPedia page has all the basic information you need:

https://en.wikipedia.org/wiki/Epic_Systems

I have been reading about this system for years and there is no doubt that it is a highly configurable system which many users seem to find reasonably useful.

This US site publishes a lot of HIT news and EPIC often features.

https://histalk2.com/

There are a number of Australian installation which have all been reasonably successful and have not attracted quite the level of clinician push-back that some Cerner installation have seen.

There is little doubt that installation requires considerable effort and is typically pretty expensive based on information from overseas. There are some reports that the ACT may have got a pretty good deal on the cost front.

Technically the system is based on Intersystems Technology that originated at MIT and was know as MUMPS ("Massachusetts General Hospital Utility Multi-Programming System").

See here:

https://en.wikipedia.org/wiki/MUMPS

The ACT is about to set out on an interesting adenvture. Good luck.

David.

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