My Health Record Newsletter Update for GPs & Medical Specialists - June Edition

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WHAT'S NEW

9 out of 10 general practices signed up to My Health Record

General practices are leading the charge in signing up to My Health Record, according to new data released by the Australian Digital Health Agency.

In NSW, we’ve seen an increase from 82% of GPs registered in April 2018, to 92% in April 2019. Increased rates of viewing and using MHR have also been observed, including increased numbers of shared health summaries and prescription records uploaded and increased views of clinical documents

See more statistics and information here.

Record number of signups to My Health Record in pharmacies

Australian pharmacies have signed up to the My Heath Record system in record numbers over the past year, according to new data released by the Australian Digital Health Agency.

In NSW, we’ve seen an increase from 34% of pharmacies registered in April 2018, to 84% in April 2019. Increased rates of uploading and viewing MHR have also been observed, with increased numbers of dispensed records uploaded and increased number of record views.

See more statistics and information here. 

My Health Record launches Rapid Access Cardiology Clinic testing

The Australian Digital Health Agency, in partnership with the University of Sydney, has launched a study into the use of My Health Record in Rapid Access Cardiology care.

The Agency and the University of Sydney have launched the pilot to investigate how My Health Record can support the management of low to intermediate risk chest pain patients through the Rapid Access Cardiology Clinic (RACC) model, initially based at Westmead Hospital.

Read the media release here.

Australians can check their immunisation status through My Health Record

My Health Record allows Australians to see their immunisation status- what immunisations they’ve had administered in the past and when, and work with their GPs to ensure they are up to date on all their immunisations. 

Read more here.

Clinical pharmacy use of My Health Record: In conversation with Nicole Harris

Read what Nicole Harris, Senior Clinical Pharmacist from Royal North Shore Hospital, has to say about how My Health Record can help pharmacists and how it has helped her with her patient.

About the Pharmacist Shared Medicines List (PSML)

• PSML is set to be a new feature of MHR, under the ‘Medicines Information’ view
   

• It is a pharmacist-curated list of medicines a consumer is known to be taking including prescribed, over-the-counter (OTC) and complementary medicines at the time the list is created. Allergies and adverse drug reactions can be listed on the PSML.
   

• Only a pharmacist can prepare and upload a PDF of the PSML to a patient’s MHR at this stage.
   

• The following sources of medicines information may be used to create a PSML: reconciled hospital discharge medicines list, a medicines history from the consumer, dose administration aid medicines list, or after providing a pharmacist professional service e.g. a Home Medicines Review (HMR).
   

• A PSML could be created by:

  -        A pharmacist after completing an in-pharmacy medicine review

  -        A pharmacist in preparing a dose administration aid

  -        A hospital pharmacy for patients when they are discharged
   

• Pharmacist would need to create and upload a new PSML to the patient’s MHR if a new medicine is prescribed and dispensed
   

• Benefits:

  -        Benefits patients with complex conditions or chronic disease and taking                   multiple medications

  -        Reduces errors in transitions between episodes of care eg. Between acute               and community care

  -        Improves information sharing between health professionals

  -        Reduces medication interactions

  -        Timely access to a curated medicines list

  -        Improves medicine safety and patient safety
   

• Revised professional guidelines on generating and uploading PSMLs will be issued by the Australian Digital Health Agency and professional organisations such as PSA.
   

• A small number of software vendors have started to develop code in their products so that pharmacists can upload PSMLs in clinical practice. It is expected that these capabilities will be progressively rolled out throughout the 2019-20 financial year.

National Testing and Training Environment On Demand Training update - May 2019

Highlights of the release include:

• Genie software updated to version 9.2.1
• Zedmed software updated to version 30.2.3.8117
• Fred Dispense software updated to version 2019.05.01
• Best Practice software updated to version 1.9.1.864
• Medical Director software updated to version 3.18vx
• Best Practice help file updated to reflect changes in the software for digital health functionality
• MIMS database updates applied 
• Latest Microsoft security patches applied

Click here to access.

Username: OnDemandTrainingUser

Password: TrainMe

Updated PRODA Factsheets

The following guides have been updated to aid healthcare professionals with the PRODA/HPOS registration process and connecting to MHR:

• My Health Record - Healthcare Provider Registration: Access via contracted service provider (CSP)
•  My Health Record - Healthcare Provider Registration: Access via the National Consumer Portal (NPP)

Read more here.

Department of Human Services advice: SHA-2 and NASH organisation certificates 

Please be aware of the changes to the National Authentication Service for Health (NASH) Public Key Infrastructure (PKI) certificate. 

Background

• All NASH PKI organisation certificates requested and downloaded via the Health Professional Online Services (HPOS) from 18 September 2018 can be used to connect to the Healthcare Identifiers (HI) Service and the My Health Record system.
   
• The change allows the healthcare organisations to request, renew and revoke NASH PKI organisation certificates via HPOS. The Contracted Service Providers (CSP) and General Supporting Organisations (GSO) continue to use the existing processes. 
   
• To increase security, NASH PKI organisation certificates are migrating from the secure hash algorithm SHA-1 to the more secure SHA-2.

Timeframes

• Test NASH PKI organisation certificates are now available for connection to the HI Service software vendor testing (SVT) and the My Health Record SVT environments.
   
• SHA-1 NASH PKI certificates will continue to be accepted by Department of Human Services until March 2022. 
   
• From 13 March 2022 a SHA-2 NASH PKI organisation certificate must be used to connect to the HI Service and My Health Record and used to support secure messaging.

What does this mean?

• To ensure a smooth transition, all software providers will need to update their products or provide patches that will enable healthcare providers to connect to the HI Service using both SHA-1 and SHA-2 NASH PKI organisation certificates.
   
• Software vendors currently using Medicare PKI site certificates to connect to the HI Service can update their products or provide patches that will enable the use of the NASH PKI organisation certificate to connect to the HI Service.
   
• Both the My Health Record and HI Service software vendor testing (SVT) environments support the new SHA-2 NASH PKI organisation certificates and these certificates are now available for testing.

For more information:

• Please visit https://developer.digitalhealth.gov.au/resources/faqs/single-national-authentication-service-health-nash
• For issues relating to your test NASH PKI organisation certificates, please contact otsliaison@humanservices.gov.au

For more information, please contact help@digitalhealth.gov.au

GOOD NEWS STORIES

On 18 June 2019, CESPHN held our final My Health Record and Data Quality in your Practice workshop with the wonderful Katrina Otto (Owner & Managing Director of Train IT Medical) at Canada Bay Club. A total of 7 workshops of this kind were held for General Practices, practice nurses, practice managers and practice staff throughout March to June this year in various locations and it has been fantastic to hear more and more situations of where My Health Record has brought clinical benefit.

Rajeev Lal (Digital Health and QI Program Officer, CESPHN), Thuy Ann Vuong (MHR Engagement Program Lead, CESPHN) and Katrina Otto (Owner & Managing Director of Train IT Medical) at the end of a successful workshop.

From January – June 2019, CESPHN has held a total of 14 CPD workshops to support healthcare providers of the region with My Health Record:

• 7 x My Health Record & Data Quality in your Practice workshops for general practices
• 3 x My Health Record workshops for medical specialists
•  2 x Be My Health Record Ready workshops for pharmacists & allied health
• 2 x Be My Health Record Ready workshops & networking for all healthcare providers

REMINDERS 

Get up to speed with digital health -please see details of our final My Health Record workshop below:

Be My Health Record Ready Workshop & Networking evening  

This workshop will explore the My Health Record system and its medico-legal aspects to enable GPs, medical specialists, pharmacists and allied health professionals to confidently use the system. It will also allow opportunity for networking and questions. 

Presenters: Australian Digital Health Agency & HWL Ebsworth Lawyers representative

Target audience: GPs, Medical Specialists, Pharmacists, Allied Health, Aged Care 

Event Date: 27 June 2019  

Time: 6:30pm Registration, canapes, networking 7pm – 9pm Workshop.

Address: Holiday Inn Potts Point, NSW 2011 Australia  

RSVP: myhealthrecord@cesphn.com.au  by 12pm 27 June 2019 

Organisation Readiness Checklist Publication

The Australian Digital Health Agency (ADHA) has released a three-page organisation readiness for MHR checklist for healthcare organisations, covering helpline contacts, awareness, information to register an organisation, configure software, policies and education and supporting information.

Click here to download a copy. 

UPCOMING WEBINARS

Webinar: MHR for Receptionist & Administration staff

• Date & Time: 12.30 - 1.30pm (AEST time) on Wednesday 10th July 2019
• Presenter: Australian Digital Health Agency
• Where: Online (join via your computer - register beforehand. Registrations close 24 hours prior to the event)
• Registration link: https://login.redbackconferencing.com.au/landers/page/92faa3
  
  Note: Registrations for this webinar will close 24 hours prior to the event. A copy of the presentation will be made available following the event to individuals who have registered to attend the webinar.

Webinar - Privacy obligations post-opt out for My Health Record - Healthcare organisations

Do you work within a GP clinic, Community Pharmacy, Public or Private Hospital? Is your organisation registered for My Health Record? If you have answered ‘yes’ to either of these questions this webinar will be a must attend.

This interactive webinar will inform healthcare providers of their privacy obligations when interacting with the My Health Record.

Learning outcomes include:

• Governing access to My Health Record system and how this applies to your organisation
• Ensuring appropriate policies are in place to adhere to legalisation requirements
• Complying with consumer wishes in regard to accessing and uploading information

Note: This webinar is a live repeat of the webinar previously held in April 2019. A copy of the presentation will be made available following the event to individuals who have registered to attend the webinar.

• Date & Time: 1.00 - 2.00pm (AEDT) on Wednesday 31st July 2019
• Where: Online (join via your computer - register beforehand. Note registrations close 24hrs prior to webinar event)
• Registration link: https://login.redbackconferencing.com.au/landers/page/932155

Webinar - Clinical Documents in MHR explained

This webinar will provide insights into the types of provider clinical documents that can be found in an individual’s My Health Record, highlighting the origins and accessibility to different document types as well as clarifying common ambiguities.

• Date & Time: 1.00 - 2.00pm (AEST time) on Thursday 18th July 2019
• Presenter: Australian Digital Health Agency
• Where: Online (join via your computer - register beforehand. Registrations close 24 hours prior to the event)
•  Registration link: https://login.redbackconferencing.com.au/landers/page/72e3a5 

Webinar – MHR – new Pharmacist Shared Medicines List (PSML) Explained

This live and interactive webinar for all healthcare providers and support staff will explain what the PSML is and benefits to you and your patients in accessing this information when providing care.

Why is it important that I attend this webinar? The PSML will improve information sharing between health professionals, ensure continuity of medicine management for patients who transfer between care settings, and provide timely access to a curated medicines list. It will also help to reduce medication interactions, which will help to improve both medicine safety and patient safety.

• Date & Time: 1.00 - 2.00pm (AEST) on Tuesday 30th July 2019
• Presenter: Australian Digital Health Agency
• Where: Online (join via your computer - register beforehand. Registrations close 24 hours prior to the event)
• Registration link: https://login.redbackconferencing.com.au/landers/page/660880

Or

• Date & Time: 7.00 - 8.00pm (AEST) on Tuesday 30th July 2019
• Presenter: Australian Digital Health Agency
• Where: Online (join via your computer - register beforehand. Registrations close 24 hours prior to the event)
• Registration link: https://login.redbackconferencing.com.au/landers/page/a1a82d

PREVIOUS NEWSLETTER EDITIONS 

Previous newsletter editions can be accessed on our website here under ‘New features and news’.

REQUEST FOR SUPPORT & TRAINING

To request for My Health Record support & training, please email us at: myhealthrecord@cesphn.com.au