The ADHA Is Making It All Up Again As Far As Clinical Impact And Success I Reckon.

This extended press release appeared a few days ago.

WA’s Wirraka Maya Health Service leads the way in providing better patient care

Published 31 March 2021

An Aboriginal community health service in Western Australia has produced record results in the use of technology to ensure better connected care for local patients.

Senior Medical Officer at Wirraka Maya Health Service in Port Hedland, WA, Dr Yolande Knight said: “We rely on My Health Record to keep us updated on patient pathology, imaging, medication, dispensing and history records.

“We find it helpful because a lot of our patients are transient, moving from one region to another, so it can be difficult to get their comprehensive files.

“We can see what other doctors have requested and performed, overcoming the delays waiting for records requested from other practices and providers. Equally, we can upload and share what we’ve done, so when the patient attends elsewhere, their record is current and available to other practitioners.

“We can also see what scripts were dispensed. It’s invaluable that PathWest results are automatically available. This helped us a lot with recent COVID-19 test results, where at times it was quicker to see the result on the patient’s record than to join the phone queue to get the result.”

Over 2020, the Wirraka Maya Health Service uploaded the ninth highest number of Shared Health Summaries in Western Australia – this is a summary of a patient’s key health information, and the highest number of Event Summaries in the state  - this is a summary of a key consultation to My Health Record. Also, the health service has viewed more uploaded documents than any other primary care provider in Western Australia.

A key benefit to patients is that they can use the Shared Health Summaries and prescription information that have been uploaded by Wirraka Maya as proof of any underlying health conditions so they can obtain an early Covid-19 vaccination.

Recent changes to My Health Record include a new consolidated view of immunisation information from the Australian Immunisation Register and the individual’s record (shared health summaries and event summaries).

Wirraka Maya Health Service originated from the efforts of Aboriginal people to establish a health service to address the unmet needs of Aboriginal people in the Port Hedland and South Hedland areas and surrounding communities. It commenced the delivery of clinical services in 1996.

The service now has more than 7,000 residents registered and actively engaged in wellbeing, primary care, and prevention programs across the region. 

Hedland is one of three communities across the country currently working with the Australian Digital Health Agency to leverage technology to improve the health and wellbeing of residents.

Australian Digital Health Agency Consumer Advocate, Aboriginal and Torres Strait Islander Champion and Co-Chair of the Agency’s Reconciliation Working Group and national Medicines Safety Program, Steve Renouf, congratulated Wirraka Maya for its commitment to digital health.

“It’s great to see an Aboriginal-controlled health service leading the way in achieving outstanding results in the use of digital technology,” he said.

“This commitment to digital service delivery will continue to enhance clinical outcomes in local communities and help breach the digital divide that can disadvantage remote patients.”

Aboriginal Health Council of Western Australia (AHCWA) Public Health Medical Officer, Dr Marianne Wood, said: “The Aboriginal Community Controlled Health Services (ACCHS) sector in WA has been a leader in the use of My Health Record and we are very proud of the great work by Wirraka Maya. 

“Many ACCHS recognised, early on, the enormous potential of the record in improving the care of Aboriginal patients, particularly for those who travel widely and receive care from many different health care providers across this enormous state,” she said.

“AHCWA has been very active in supporting both ACCHS and the wider WA health sector in the My Health Record project, recognising that the benefit of the record is far greater when there is a collective effort. The Hedland Community of Excellence Project and the work of Wirraka Maya shows what can be achieved.”

WA Primary Health Alliance General Manager, Primary Care Innovation and Development, Bernadette Kenny, said “This is the result of the whole team at Wirraka Maya working together and understanding the real benefits to their community when it comes to utilising the digital health services available to them.  Their exemplary use of My Health Record ensures their clients are supported throughout their health journey both in the Pilbara and beyond by providing vital clinical information at a time when it is most needed.”

Here is the link:

https://www.digitalhealth.gov.au/newsroom/media-releases/recent-media-releases/was-wirraka-maya-health-service-leads-the-way-in-providing-better-patient-care

Here is the Health Service being discussed.

Wirraka Maya Health Service Aboriginal Corporation

Wirraka Maya Health Service Aboriginal Corporation [ICN 1855] (WMHSAC) is an Aboriginal Community Controlled Health Service designed to ensure our clients' journey through the health system meets their medical, health, social and cultural needs.

WMHSAC originated from the efforts of Aboriginal people to establish a health service that addressed the unmet needs of Aboriginal people in the Port Hedland, South Hedland areas and surrounding communities.

WMHSAC has over 7,000 Aboriginal people registered and are actively engaged and regularly receiving primary care, wellbeing and prevention services and programs. 

We have an experienced team of health professionals, that include Aboriginal Health Workers and Practitioners, GP's and Nurses who work together to improve the health outcomes of Aboriginal people. We also have visiting Specialists and Allied Health Practitioners.  They are supported by the Administrative staff.

Here is the link:

http://www.wmhsac.com/about/about.aspx

The bottom line here is that what we are talking about is a small to medium sized remote General Practice, which has seen a focus from the ADHA in an attempt to justify the #myHR.

But – yet again the core problem of the #myHR being a secondary system comes into play. As Shared summaries are being uploaded, they are clearly being created in another Patient Management System which is obviously the key clinical system in use for patient management, prescribing and so on and which is surely fed more directly by the remote local service providers with results etc.

Also do remember the PBS records are not real-time and are typically delayed by a month or two so access to these might even be misleading.

That is also not the mention the time spent creating copied / duplicate records in a slow user-unfriendly Government system.

The Health Service Aboriginal Health Service (AHS) is serving a registered and presumably relatively stable population and as such there are much better patient management systems available with even some cloud based services available for robustness and resilience!

Yet again we find the ADHA spinning the #myHR as a solution to all that ails you when there are better solutions readily available for a remote AHS that are easier to use, more familiar and more functional than it is.

Oh, don’t forget that yet again, there is no evidence of what difference the #myHR is actually making! It is hardly clear just in what way the AHS leading other than wasting time on the #myHR!

Get off pushing a dud and let’s have some real proposals regarding what may be the proper way forward!

David.