tag:blogger.com,1999:blog-23447705.post3975161650399040849..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: Now What On Earth Is Going On Here? More Stuffing About It Would Seem. Talk About Tiny Steps Forward.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger19125tag:blogger.com,1999:blog-23447705.post-85680687094326700092012-08-22T09:03:03.113+10:002012-08-22T09:03:03.113+10:00Yes, some clinicians have accessed, but I don'...Yes, some clinicians have accessed, but I don't think anyone would claim meaningful use yet. It's been available for a relatively short period, and this isn't expected to be the primary means by which clinicians connect - most clinicians over time will connect via their desktop software. <br /><br />The provider portal does not allow document upload, so it's more about allowing Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-59690677352946036792012-08-21T20:51:31.173+10:002012-08-21T20:51:31.173+10:00Even if you have a Nash-compliant token you will s...Even if you have a Nash-compliant token you will still need to declare which organization you are accessing on behalf of. That organization must have formally registered to the nehrs and listed you as a valid clinician to access under their umbrella. And you will need to have the patients name dob and ihi or Medicare number . I think. Has anyone actually accessed in this way yet?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-24656308185852278792012-08-21T20:24:04.503+10:002012-08-21T20:24:04.503+10:00Bernard: just surprised that you'd interpret &...Bernard: just surprised that you'd interpret "any" - which I meant as "those who have registered" - as meaning "it's been decided to remove all security controls." I know this site is a bastion of skeptics about PCEHR, but it really hadn't crossed my mind that it could be interpreted that way. I guess the informality of a blog doesn't quite Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-4407096751659762272012-08-21T17:55:10.234+10:002012-08-21T17:55:10.234+10:00David. This is a total cluster. Not sure how or by...David. This is a total cluster. Not sure how or by whom this is being managed, but wonder if they have told IBM they got another NASH?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-65575307817587627472012-08-21T16:44:09.526+10:002012-08-21T16:44:09.526+10:00Anon said:
Bernard: seems a funny question.
Funn...Anon said:<br /><br />Bernard: seems a funny question.<br /><br />Funny haha, or funny peculiar? (That was rhetorical)<br /><br />But invoked a straightforward answer, thank you.<br /><br />So, just to confirm:<br /><br />Providers can only see those records they are authorised to see.Bernard Robertson-Dunnhttp://www.drbrd.comnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-15768594571044983062012-08-21T15:17:38.948+10:002012-08-21T15:17:38.948+10:00Bernard: seems a funny question.
In a technical s...Bernard: seems a funny question.<br /><br />In a technical sense, they can see any patient whom:<br />1. Has set their record to general access and not revoked their access, OR<br />2. Has a RAC or LDAC (access code) and has provided it to that clinician, OR<br />3. That clinician has declared an emergency access<br /><br />AND<br /><br />In all cases, that clinician has a legitimate clinical Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-22899339799542608572012-08-21T14:11:12.615+10:002012-08-21T14:11:12.615+10:00Anon said:
"They are able to use it to view ...Anon said:<br /><br />"They are able to use it to view the records of any patients that have registered for PCEHR."<br /><br />Could you clarify that statement. Do you mean the records of ANY patient, or only those they are authorised to see.Bernard Robertson-Dunnhttp://www.drbrd.comnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-65385705589992486552012-08-21T13:00:44.200+10:002012-08-21T13:00:44.200+10:00You've visited the provider portal (portal.ehe...You've visited the provider portal (portal.ehealth.gov.au), not the consumer portal. That is secured with a NASH compliant token.<br /><br />A (small) number of providers have registered and have access to the provider portal today. They are able to use it to view the records of any patients that have registered for PCEHR.<br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-46970689610418944342012-08-21T12:32:37.049+10:002012-08-21T12:32:37.049+10:00The mailout for Medicare Online Services is an eas...The mailout for Medicare Online Services is an easier way to register. <br /><br />My information matches perfectly. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-76662183600316413522012-08-21T11:41:31.270+10:002012-08-21T11:41:31.270+10:00Sorry, I tried to access my Medicare Information d...Sorry, I tried to access my Medicare Information directly but failed the registration process - lacking recent encounter data etc they seemed to want.<br /><br />Short answer - I don't know. I hope others can compare and let us all know.<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-71508692668255084332012-08-21T11:38:55.218+10:002012-08-21T11:38:55.218+10:00Out of interest David, is your PBS data in your Me...Out of interest David, is your PBS data in your Medicare Online Services account up to date?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-75115690454902692592012-08-21T08:37:17.803+10:002012-08-21T08:37:17.803+10:00Anonymous said...
"Having out of date prescr...Anonymous said...<br /><br />"Having out of date prescription data is dangerous, unless the reader is informed."<br /><br />Looks like another information/time issue to me.<br /><br />Has this been thought through and documented?Bernard Robertson-Dunnhttp://www.drbrd.comnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-57189266505030944232012-08-20T23:45:52.617+10:002012-08-20T23:45:52.617+10:00No it cost more than that because we already paid ...No it cost more than that because we already paid for it to be built in Medicare. You can see your mbs, organ donor and immunization data in Medicare.gov.au, and now you can see it in nehrs also. Would have been better off providing a link over tO Medicare I reckon- at least it would be contextually meaningful, instead of having to wonder why it is 'old' etc, and having to second guess Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-16714874436889258782012-08-20T22:42:53.588+10:002012-08-20T22:42:53.588+10:00@8/20/2012 09:43:00 PM
So three months to batch.....@8/20/2012 09:43:00 PM<br /><br />So three months to batch..hardly useful<br /><br />And obsolete data - useless compared with real time.<br /><br />And this cost a billion dollars?<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-64731867930846742222012-08-20T21:57:27.988+10:002012-08-20T21:57:27.988+10:00David, if they had an online realtime prescription...David, if they had an online realtime prescription monitoring system deployed they would be able to provide you with an up-to-date list of all your current and past medications - wouldn't they?<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-51741826908173036522012-08-20T21:43:42.291+10:002012-08-20T21:43:42.291+10:00Hi David
I can't be sure, but I think that you...Hi David<br />I can't be sure, but I think that your data appears to be 'old' or out of date, because Medicare only becomes aware of your data after the pharmacy has sent their claims for dispensing to Medicare, and this may not be in real time, and is likely to be batched, or may be subject to further processing (e.g. if the batch file is rejected). Medicare only holds information Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-48922132760368509942012-08-20T21:42:50.132+10:002012-08-20T21:42:50.132+10:00Yes you can - but what is the status of anyone who...Yes you can - but what is the status of anyone who retweets the link, for instance? gray territory. <br /><br />Can't believe that Medicare put a date with a time in of 00:00.NKnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-30673025422501977022012-08-20T21:21:52.002+10:002012-08-20T21:21:52.002+10:00All my own data. I can disclose what I like to who...All my own data. I can disclose what I like to who I like - can't I?<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-20446589489599719202012-08-20T20:28:44.820+10:002012-08-20T20:28:44.820+10:00David, I am sure you just broke about 4 of the new...David, I am sure you just broke about 4 of the new national privacy principles! :-)<br />Certainly seems to be a very un-user friendly system....Paul Fitzgeraldnoreply@blogger.com