background image
56
GREAT
EXPECTATIONS
According to a report from the Australian
Institute of Heatlh & Welfare, entitled
Australia's Health 2012, on an average day
across the country the following takes place:
·742,000medicinesaredispensed.
·342,000peoplevisitaGP.
·23,000peopleareadmittedtohospital
(including 5000 for elective surgery).
·17,000peoplevisitanemergency
department at a large-sized public hospital.
The challenge here is for healthcare
providers is to create, implement and utilise
a system that promotes the efficient sharing
of an individual's health information. In
2010, the Government announced, as part
of its major health-reform package for
Australia, A National Health & Hospitals
Network for Australia's Future: Delivering
the Reforms
, referred to as the `Gold Book'.
EHealth was cited as a key component of the
Government's eight reform streams.
Since the release of the policy, it appears
there has been a significant push to promote
the Personally Controlled Electronic Health
Record (PCEHR) as the solution to medical
information transfer and availability ­ it's
the `three Rs' approach: Right information
available for the right person at the right time.
To that extent, the Government
established the National Electronic Health
Transmission Authority (NEHTA) and
provided funding of $467 million in May
2010, a further $50 million in May 2012 and
an additional $2.29 million in October 2012.
What we must remember is that the
PCEHR is what it is ­ a health summary.
It does not replace the more detailed and
complete individual Electronic Medical
Record (EMR) held by GPs or primary care
providers. Furthermore, the PCEHR is
populated by data that will originate from
the service provider and, where that service
provider is not the GP, a copy of the data
should be forwarded to the GP for inclusion
in the respective EMR.
For the vast majority of individuals,
this will continue to mean that their
EMR will be the primary source of their
medical information.
ACCESS ALL AREAS
While there is no doubt about the benefits
of a PCEHR in the future, I believe there has
been a lack of integrated development and
implementation of a solution that allows
for ­ and promotes ­ the seamless transfer
of and access to patient data. Providers
continue to operate in silos of confusion.
The key to improving the transfer of health
information is a simple, secure and effective
Secure Message Delivery (SMD) system. We
must have a system that performs like our
mobile-phone network ­ i.e. regardless of the
types of phone and the network used when
we phone someone, they are able to answer
the call. It needs to be the same with health
providers ­ GP to provider and vice versa.
Until this intra-operability is achieved, data
transfer will have limited uptake due to the
difficulties associated with simple universal
transmission.
EHEALTH & IMEDICINE
For the Australian medical community to achieve greater efficiency and
meet patient-driven demands via IT innovation,
Brett McPherson says
the communication lines must be made clear for one and all.
Brett McPherson is
National Treasurer
of the Australian
Association of
Practice Managers.