The Healthcare Identifiers Service & PCEHR

1. The Healthcare Identifiers Service&PCEHR eHealth Support Officer Program

2. HI Service & PCEHR Videos • HI Service videos on the eHealth website and YouTube: • http://www.ehealthinfo.gov.au/healthcare-identifiers • http://www.youtube.com/watch?v=j-6d0Tz18u4 • Bringing the PCEHR system to life • http://www.youtube.com/watch?v=3IOoUMwSGMI • How will the PCEHR system benefit you? 1 http://www.youtube.com/watch?v=XD5G832puLI&feature=relmfu 2 http://www.youtube.com/watch?v=usTGPRQVZ0A&feature=relmfu

3. The Healthcare Identifiers Service • IHI • Individual Healthcare Identifier • a 16 digit number linked, for those who have one, to an individual’s Medicare Card number • HPI-I • Healthcare Provider Identifier - Individual • for healthcare professionals and other health personnel involved in patient care • HPI-O • Healthcare Provider Identifier - Organisation • the organisation where care is provided • CSP • Contracted Service Provider • providers of admin and IT services to provider organisations

4. The Healthcare Identifiers Service

5. HI Service Benefits • Efficiency • Accuracy • Effective, streamlined & integrated care • the right information, in the right place, for the right person, at the right time • In the future the HI Service will enable: • Access to online health summaries (PCEHR) • Sending referrals • Sending & receiving test results • Writing electronic prescriptions and sending to pharmacist; & • Other services designed to make healthcare more efficient

6. HI Service Application Guide • A guide and checklist to prepare you for and assist you with the HPI-O registration process • http://www.cradle-coast-ehealth.org.au/publications2 • http://www.cradle-coast-ehealth.org.au/__data/assets/pdf_file/0005/108932/Howto-HPI-O-Health-Provider-Identifier-for-Organisations-v1.4.pdf • Thanks to Gary Walker and the Cradle Coast eHealth Information Exchange (eHIE) in Tasmania • eHIE is a collaboration of the University of Tasmania Rural Clinical School, General Practice North West, the Cradle Coast Authority, and the North West Area Health Service.

7. Healthcare Organisation • A healthcare organisation can apply to the HI service for a Healthcare Provider Identifier – Organisation (HPI-O) number. • A healthcare organisation is an entity, or a part of an entity that provides healthcare (including healthcare provided free of charge). • There are two types of Healthcare Organisations: • Seed Organisations • Network Organisations

8. Seed Organisation • A Seed organisation is any entity which provides or controls the delivery of healthcare services within Australia.

9. Network Organisation • A Network Organisation is a Healthcare Provider Organisation that is linked to the seed in an organisation hierarchy • It is not a requirement to have an Organisation Maintenance Officer (OMO) for a Network Organisation • A Network Organisation may provide services as part of the Seed Organisation

10. Seed Organisations & Network Organisations • http://www.medicareaustralia.gov.au/provider/health-identifier/files/org-type-reference-guide.pdf Seed Organisation Network Organisation Network Organisation Network Organisation Network Organisation

11. Roles & Responsibilities Responsible Officer • The Responsible Officer (RO) is the authorised representative of a Seed Organisation (e.g. CEO, Board Member, Sole Trader) Organisation Maintenance Officer • An Organisation Maintenance Officer (OMO) is responsible for maintaining information about any organisation they are linked to (e.g. Administrative Officer, Practice Manager)

12. Responsible Officer (RO) • The RO must be linked to the organisation and is entrusted to maintain details of the organisation on the HI service. • Create and deactivate a Seed Organisation within the HI Service • Nominate an Organisation Maintenance Officer (OMO) • Request the HI Service Operator to process a Change of Ownership for a Seed Organisation • Add or remove links between an RO or an OMO at the Seed level • Update their own demographic details • The Responsible Officer (RO will not require a 100 point check already known by Medicare – has existing PKI)

13. Organisation Maintenance Officer (OMO) • Add or remove links for OMOs or linked healthcare providers for the organisation(s) they represent or are below them in the organisation hierarchy • May request RO to amend their details or details about the organisation • Update the HealthCare Provider Directory • Administrative access to the organisation records in the HI service for the organisation(s) they represent or are below them in the organisation hierarchy

14. PKI Expiration Individual • If the PKI key was issued after December 2008 it is valid for 5 years • The 2 types of keys (the iKey dongle and the smart card) were switched to the new 5 year system at different times (due to technology constraints). The iKeys actually switched over to the 5 year expiry term in July 2007. Then the smart card finally caught up in December 2008 • If the key was issued before those dates (depending on the type of key), it is only valid for 2 years • If practices have individual PKI certificates sitting in desk drawers which were issued a while ago, they should ring Medicare to check whether they need to renew them or not. Location • All location certificates have a 5 year expiry as of December 2008

15. The Healthcare Identifiers Service Key Messages • To practice managers & providers • Encourage adoption by providers/organisations • Supports workflow • Low effort • High impact • Reduces risk • More patient information = better, safer decisions • (allergies, medications, history) • Reduces burden of repetition on patients • (history, demographics, medications, investigations) • Engage your vendors • When will this functionality be integrated? • What are the key messages for your patients?

16. The Healthcare Identifiers Service Key Messages • To patients • Reduces unnecessary duplication of tests • Dangerous - exposure to radiation • Expensive - travel, wasted time & money • Reduces unnecessary repetition of information • Completing forms - frustrating • Repeating history - demoralising • Reduces unnecessary risk • Allergies • Medications • Co-morbidities • Less risk to privacy than paper/fax • Health literacy re choices about access

17. The Healthcare Identifiers Service “Start building the foundation now for seamless continuity of care and practice efficiency. Give your patients a head start.” Get ready now!

18. Medicare Websites Confirm your PKI Status or Register for PKI PKI Registration - Individual & Site • http://www.medicareaustralia.gov.au/provider/business/online/register/apply.jsp Find forms to register for an HPI-O The Medicare HI Service Website • http://www.medicareaustralia.gov.au/provider/health-identifier/index.jsp Link HPI-Is to HPI-O Health Professional Online Services • http://www.medicareaustralia.gov.au/hpos/index.jsp

19. Medicare HI Service Team • The HI Service Enquiry Line is available Monday through to Friday from 8:30am to 5:00pm, local time (AEST), excluding Public Holidays. 1300 361 457 healthcareidentifiers@medicareaustralia.gov.au

20. The Healthcare Provider Directory • With consent, the HI Service Healthcare Provider Directory (HPD) lists details of registered healthcare professionals and organisations who deliver healthcare services. • to assist healthcare professionals and organisations searching for other healthcare professionals and organisations registered with the HI Service. • At this stage practices will still benefit from registering and/or maintaining their details on their state’s preferred service directory

21. Human Services Directory (HSD) • The HSD has been chosen as the model for the national services directory and is a stepping stone to participation in eReferral activity • Please encourage your primary care provider colleagues (private allied health, private specialists & GPs) to register on the HSD • To register or update details email DCA  hsd.admin@data.com.au or phone the HSD help desk on 9320 9070 • This information is relevant to Victoria. Each state may have their own process and contact information for registering on their preferred service/provider directory. For more info use the eHealth Support Officer contact information at the end of this presentation

22. What to do • Confirm PKI status – renew if necessary • Determine the organisation type (Seed or Network) • Decide Seed organisation type • Decide who is going to be RO • Determine if RO or another person will be the OMO. If another person, decide who. • Follow checklist to prepare documentation • Use HPOS and PKI to register for HPI-O and to build your organisation by linking HPI-Is • Register and/or maintain your existing information on the Human Services Directory or the preferred directory in your state • Continue to focus on data quality

23. RACGP Health Summary Criterion 1.7.2 Health summaries • Our practice incorporates health summaries into active patient health records. • Medical history • Allergies and adverse reactions • Medicines list • Health risks factors • Immunisations • Relevant family history • Relevant social history http://www.racgp.org.au/ehealth/summary http://www.racgp.org.au/Content/NavigationMenu/PracticeSupport/StandardsforGeneralPractices/Standards4thEdition.pdf

24. RACGP Health Summary • Position Statement - GP e-health summary (125KB) • Fact sheet - Allergies and adverse reactions (PDF 191KB) • Fact sheet - Health risk factors (PDF 186KB) • Fact sheet - Immunisations (PDF 186KB) • Fact sheet - Medical history (PDF 186KB) • Fact sheet - Medicines list (PDF 186KB) • Fact sheet - Relevant family history (PDF 186KB) • Fact sheet - Social history (PDF 184KB) http://www.racgp.org.au/Content/NavigationMenu/ClinicalResources/ehealth/GPehealthsummary

25. The eHealth Journey • The eHealth Journey display (formerly known as the Model Healthcare Community) • Identifiers demonstrated • Early adopter vendors • RACGP hosts the eHealth Journey display at the John Murtagh Centre, 1 Palmerston Crescent, South Melbourne. To arrange a tour please email: siobhan.corr@racgpoxygen.com.au

26. Personally Controlled Electronic Health Record (PCEHR) • PCEHR Draft Concept of Operations http://yourhealth.gov.au/internet/yourhealth/publishing.nsf/Content/pcehr-document

27. The PCEHR System

28. Nominated Provider • A healthcare provider or healthcare organisation may be nominated by the individual to manage their Shared Health Summary

29. Types of Clinical Documents Supported • Shared Health Summaries (see Section 4.2.2). • Event Summaries (see Section 4.2.3). • Discharge Summaries (see Section 4.2.4). • Consumer entered information (see Section 4.2.11).

30. Additional clinical document types considered: • Specialist Letters (see Section 4.2.5). • Referrals (see Section 4.2.6). • Prescribing and Dispensing information (see Section 4.2.7). • Pathology Result Reports (see Section 4.2.8). • Diagnostic Imaging Reports (see Section 4.2.9). • Medicare Australia records (including Medicare claims history, PBS data, Organ Donor and the Australian Childhood Immunisation Register) (see Section 4.2.10). • Advance Care Directives (see Section 4.2.12).

31. Views • The PCEHR System will support the following views: • Index View • Consolidated View

32. Index View • The date of the record. • The type of record (e.g. Event Summary, Discharge Summary). • The clinical setting where it was recorded (e.g. General Practice, Hospital, Community Pharmacy, etc). • The author name and role (e.g. Dr John Smith, Endocrinologist). • A link to the original document. • Option to find amended clinical documents

34. Finished! Thank you Questions?

35. eHealth Support Officers (eHSO) For more information or assistance please contact : GPV Paul Macdonald p.macdonald@gpv.org.au 03 9342 5234 Brendon Wickham b.wickham@gpv.org.au 03 9341 5238 Martin Forrest m.forrest@gpv.org.au 03 9341 5247 GPNSW Jacqueline Owens JacquelineOwens@gpnsw.com.au 02 9239 2925 Melanie Smith MelanieSmith@gpnsw.com.au 02 9239 2965 Paul Bruce PaulBruce@gpnsw.com.au 02 9239 2909 GPQ David Millichap dmillichap@gpqld.com.au07 3105 8323 Kat Murray kmurray@gpqld.com.au07 3105 8300 GPSA Marcus Windle marcus.windle@gpsa.org.au08 8179 1702 Mark Endacott mark.endacott@gpsa.org.au08 8179 1702 GP Tasmania Phil Evans pevans@gptasmania.com.au 03 6220 6406 Gary Walker gwalker@gpnw.com.au 03 6425 0800 WAGPN Lauren Leclerc LLeclerc@wagpnetwork.com.au08 9472 2922 ACTDGP Eleonor Geoghegan e.geoghegan@actdgp.asn.au 02 6287 8099 AGPN Ross Nable rnable@agpn.com.au 02 6228 0825 GPNNT Nicky O'Brien Nicky.O'Brien@gpnnt.org.au 08 8982 1036