iCareHealth eHealth in Aged Care HIC 2014

iCareHealth
eHealth in Aged Care
HIC 2014
www.icarehealth.com.au
Where we should have started…..
Full integration of data, cloud-based, consumer
accessed
GPs
Aged Care
Pharmacists
Consolidated data in the cloud on drugs prescribed, dispensed
and administered and comprehensive medical records
Consumer
www.icarehealth.com.au
What does the PCEHR need to do for Aged
Care?
In an Aged Care/Home Care setting, it is vital that:
1. Information about the resident/consumer follows them from facility
admission or care worker visits, to hospital transfer and discharge,
or to specialist visit, back to the facility.
2. The right information flows from the right people, to the right people,
Pulloutinbox
go in here
thecopy
righttoplace,
at the right time, for the right person.
The overall goal is to reduce clinical risk for residents/consumers.
www.icarehealth.com.au
Aged Care eHealth tools
1. HI Service
2. Shared Health Summaries
3. Event Summaries
4. Hospital eDischarge Summaries
5. View access to other document types and attachments
6. Assisted Registration
7. NPDR View Access
www.icarehealth.com.au
For an aged care provider to be eHealth ready
1. Register with the Healthcare Identifier Service (Medicare Australia)
i.
ii.
Obtain a Healthcare Provider Identifier – Organisation (HPI-O)
Obtain Healthcare Provider Identifier – Individual (HPI-I) if required
2. Register with PCEHR System Operator
i.
ii.
Accept the prescribed terms and conditions for participation
Establish PCEHR access control points against your HPI-O structure
2. Obtain HPI-I for employees who are registered healthcare providers
i.
Via APHRA, or Medicare Australia for HPI-I(s)
www.icarehealth.com.au
For an aged care provider to be eHealth ready
4. Resident/Consumer Consent
i.
Recruit residents/consumers to register for PCEHR
5. Prepare Organisation for PCEHR
i.
ii.
iii.
iv.
Plan for and implement process and policy changes
Stakeholder training – Managers, Administrators, Nursing Staff, GPs
IT infrastructure set up – Certificates, upgrade to V3.0
System Testing – User Acceptance Testing and Production
www.icarehealth.com.au
Learnings from iCareHealth’s early adopters
1. Understand the eHealth terminology
“The sheer amount of acronyms were probably the hardest thing to
understand throughout the process.”
Lyn Hornsby, Director of Care, Donwood Community Aged Care
2. Volume and complexity of documentation
“For smaller, stand alone facilities, there may be a reluctance to participate
in the eHealth system, simply because they may not have access to the
resources for the initial registration process.”
Michele Lewis, Chief Executive, mecwacare
www.icarehealth.com.au
Learnings from iCareHealth’s early adopters
3. Prepare care and nursing staff for the changes
“We want staff to understand that the switch to an eHealth system will be the
key enabler in providing them with greater visibility across resident’s health
information.”
Lyn Hornsby, Director of Care, Donwood Community Aged Care
4. Selling the benefits of eHealth to residents
“There is a general lack of knowledge about eHealth across the community
so our role at the moment is to educate both residents and their families, and
to raise awareness around how eHealth will improve how we manage their
health information.”
Michele Lewis, Chief Executive, mecwacare
www.icarehealth.com.au
Learnings from iCareHealth’s early adopters
5. Assisted Registration
“The issue in aged care for using the Assisted Registration Tool is that once
people are in an aged care facility, they are not necessarily cognitively intact,
which cause challenges around consent and the parameters the
Government has set.”
Michele Lewis, Chief Executive, mecwacare
6. Buy-in from the wider health care sector
“I think the uptake of the PCEHR will largely be driven by the GPs. It will
encourage more people to register for their own PCEHR and that way, we
will see more residents already signed up before then even come to a
facility, which would be ideal.”
Ann Turnball, CEO, Lynden Aged Care
www.icarehealth.com.au
Learnings from iCareHealth’s early adopters
7. Ensuring your technology
“Make sure your software provider is valid, authorised with the correct
certificates and has the capacity to link to the eHealth system.”
Michele Lewis, Chief Executive, mecwacare
www.icarehealth.com.au
Questions?
www.icarehealth.com.au
Appendix: eHealth Learnings
 Get Medicare Locals involved early - connect facility with Medicare Local
 Check with organisation if they have been issued a Public Key Infrasctructure (PKI)
Certificate in the past (i.e, ACFI B2B submissions)
 Once Healthcare Provider Identification-Organisation (HP-O) has been issued,
organisations can then apply for National Authentication Service for Health (NASH) PKI
(not before!)
 Organisations needs to develop 'eHealth policies', to ensure appropriate use and uptake
of eHealth
 Residents who do not have medical POA and are cognitively capable, can register using
Assisted Registration Tool
 Residents who have medical POA and either cognitively capable or not, POA needs to
sign up on behalf of resident
 Organisations will receive 2 CDs, both need to be installed: Site PKI certificate (+ PIC
password) and NASH PKI Certificate (+ PIC password)
 Site PKI Certificate - to access HI Service
 NASH PKI Certificate - to access PCEHR
www.icarehealth.com.au

Download Report