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National E-Health Transition Authority www.nehta.gov.au1 Prepared for public release
MyEHR to National eHealth Record Transition Impact Evaluation
Prepared for public release
June 2015
Presentation of findings from phase 1
2 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
The evaluation team recognises this work would not have been possible without the contribution and collaboration of a wide range of people and organisations. Particular thanks to the following:
• Northern Territory Department of Health
• Aboriginal Medical Services Alliance Northern Territory
• Northern Territory Medicare Local
• Aboriginal Health Council South Australia
• Ms Sally Mainsbridge, formerly of NEHTA
Lastly, and importantly, thank you to the many healthcare providers who sacrificed their time to provide input and insight into their use of the My eHealth Record service.
Acknowledgement
3 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
My eHealth Record (MyEHR), formerly known as the Shared Electronic Health Record, is a way of securely storing and sharing an individual’s health information. The service was designed principally to overcome fragmentation of clinical information by ensuring it could be quickly and easily accessed by participating healthcare providers.
The My eHealth Record service is operated by eHealthNT, NT Department of Health. It was developed with financial assistance from the then Department of Health and Ageing as part of HealthConnect, and has been operating since 2004.
More information can be found at www.myehealthrecord.com.au
Overview of the MyEHR service
4 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
Screenshots of the MyEHR service (training record)
Kanga icon indicating presence of a record
5 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
• The MyEHR-to-National (‘M2N’) Transition Project is transitioning the existing MyEHR Service over to the National eHealth Record System (PCEHR)
• At the request of the M2N Project Steering Committee, NEHTA is conducting an evaluation of the impact of the transition
• A pre- and post-implementation evaluation approach is being used
• Phase 1 has been completed prior to transition; it comprised qualitative analysis of n=94 in-depth interviews, and quantitative analysis of close to 15 million system transactions covering 10 years
• This presentation is an overview of phase 1 results
M2N Transition Impact Evaluation project
6
View over Ltyenty Apurte (Santa Teresa)
7 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
• Benefits attributable to the MyEHR service provide strong evidence validating the value proposition of the PCEHR system
• The MyEHR service was able to realise this value via a gradual evolution towards critical mass, which allowed it to become embedded into workflow
• Lessons learned from this evaluation suggest specific ways to accelerate achievement of critical mass in the PCEHR system, and emphasise the importance of sustaining effort aligned to a clearly defined long term strategy
Overview of key findings
8 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
A description of the benefits attributable to the MyEHR service
Value the MyEHR service provides
9 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
The evaluation provides strong evidence of benefits attributable to the MyEHR service
Increases access to
health information
Reduces time spent sourcing
information
Supports clinical
decision making
Increases provider & consumer confidence
Improves continuity
of care
Increases capacity to
deliver population-
based primary health care
"I've been obsessive with MeHR since it first came in because of everything I can see. It saves you so much trouble, so much time." GP
"Without the MeHR you couldn't have made the
same decision" Registered Nurse &
Midwife
10 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
The MyEHR service bridges gaps between unconnected clinical information systems
11
Sen
din
gfa
cility t
ype
Vie
win
gfa
cility t
ype
Total document views by sending and viewing facility type
Direction of information flow
MyEHR enables vast flows of information between and within sectors – close to a million document views so far
12
2008 2009 2010 2011 2012 2013 2014
2012 sendingfacility type
2012 viewing facility type, and 2013
sending facility typeDocument views by sending and viewing facility type, per year
In recent years, the volume of information exchange between and within sectors has increased exponentially
The MyEHR service reached approximately 50% of NT Indigenous population registered
during 2010
13 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
“It's a lot less time consuming because you're not ringing up another clinic down the road.” Registered Nurse
"It saves you so much trouble, so much time." GP
“You can get a history immediately rather than starting again.” Registered Nurse
“Rather than ring the clinic and humbug them, if you look on the shared records it should be all there.” Clinic Manager
MyEHR service reduces the amount of time and effort required to source health information
14 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
Improved decision making:
“I look up the date and when they were last there or whatever and then I would judge whether that's the latest or whatever they've come in for or when was your last fracture, look at that, see what the doctor said from the hospital.” Aboriginal and Torres Strait Islander Health Practitioner
“I think we can approach the whole complex problem a bit better because we're better informed basically… I find I've got the big picture; I've got a better picture.” GP
Evidence of improved clinical safety:
“We actually looked up on the MeHR and that's where we've seen it, this patient is actually allergic to penicillin. So the patient didn't get the needle and went onto a different medication.” Registered Nurse & Midwife
MyEHR service supports providers’ clinical decision making and clinical safety
15 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
51.3%
17.4%20.6%
5.7% 4.1%0.8%
0%
20%
40%
60%
80%
100%
0 1 2–5 6–9 10–19 20 +
Perc
enta
ge o
f al
l rec
ord
s
No. different providers who have accessed a record in the last 12 months (Nov 2013 to Nov 2014)
Different providers
Almost a third of all MyEHR records have been accessed by 2+ providers in the last 12 months
57.4%
20.3%
11.7%
6.0%2.8% 1.9%
0%
20%
40%
60%
80%
100%
0 1 2 3 4 5 +
Perc
enta
ge o
f al
l rec
ord
s
No. different facilities where a record has been accessed in the last 12 months (Nov 2013 to Nov 2014)
Different facilities
Over 20% of records have been accessed at 2+ facilities
in the last 12 months
16 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
87% of all documents viewed are viewed at facilities that are not the person’s HHC
Home Health Centre (HHC): location identified by the consumer as a preferred / main healthcare facility, i.e. their place of usual care.
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Outback SA
Anangu Pitjantjatjara Yankunytjatjara
Queensland
Western Australia
East Arnhem
Katherine
Darwin
Alice Springs
Barkly
Percentage of documents viewed
Reg
ion
wh
ere
the
view
ing
faci
lity
is lo
cate
d
Percentage of documents viewed at a facility that is/isn't the consumer’s home health centre (HHC), by viewing facility region
Viewed at a facilty that is NOT the record holder's HHC Viewed at a record holder's HHC
17 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
The MyEHR service enables clinical information to be accessed at a consumer’s non-usual place of care; overcoming limitations of point-to-point transfer
0
5
10
15
20
25
30
35
40
45
2008 2009 2010 2011 2012 2013 2014
Tho
usa
nd
s
Total documents sent by NT acute facilities and subsequently viewed at an NGO health centre that isn't the consumer’s HHC, by doc type
ED Discharge Summary
Inpatient Hospital Document
Other Hospital Document
Outpatient Hospital Document
“They might present to ED overnight and come here with nothing, we can have a look in MeHR, if they're registered and
see what's happened in that presentation.” Aboriginal and Torres Strait Islander Health
Practitioner
18 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
Increased confidence for providers:
"They're here with me now and they expect me to do something so I'll do the best I can under the circumstances, and now a lot of the time you can be a great deal more confident about what you're doing." GP
Reduced anxiety for providers in remote settings:
"But the anxiety of trying to care for people when you know there's something going on and you don't know what, you just look at a nurse's face when someone turns up and she knows they're sick and she gets on there [the MyEHR] - oh, thank God for that!" GP
Increased confidence and empowerment for consumers:
“I think for the patients, us being able to access previous consults makes them feel as though we are actually starting to understand what they're talking about” Registered Nurse
“They want to come to the hospital and expect you to know their medications.” Specialist doctor
MyEHR service has increased confidence for both consumers and providers
19 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
• Increased access to information has resulted in decrease time to source information
• MyEHR service supports clinical decision making and continuity of care
• Increased provider and consumer confidence and the capacity to deliver population-based primary health care
Review of benefits attributable to MyEHR
20 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
1. Gradual evolution towards critical mass
2. Becoming embedded into routine clinical and administrative workflow
3. Critical success factors
How has the MyEHR service been able to realise value?
21 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
• Three prerequisite elements of critical mass:
1. Population registration;
2. Actively participating providers across all sectors; and
3. Sufficient content to make accessing worthwhile.
• No silver bullets that triggered immediate, sustained increase in sending, accessing and viewing of health information
• Reinforces that critical mass is not a discreet point in time – the fabled ‘ka-pow!’ moment
The MyEHR service evolved gradually towards critical mass
22 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
0%
10%
20%
30%
40%
50%
60%
70%
0 12 24 36 48 60 72 84 96
Esti
mat
ed p
erce
nta
ge o
f th
e p
op
ula
tio
n (
AB
S ER
P)
regi
ster
ed
Months since system launch
Estimated percentage of the population registered, by system
MeHR (NT total popn) PCEHR (Australian popn) MeHR (NT Indigenous popn)
50% registration associated with the tipping point when MyEHR service reached critical mass
“In the beginning because only 20 per cent of the community was signed up, it just wasn't worth
it...You had in the end probably 80 per cent plus of the rural community, remote community, signed up, which
is a great success.” GP
MyEHR registration was focussed on Indigenous communities, therefore using the Indigenous population of the NT as the denominator is appropriate. Total NT population is given for comparative purposes. Note: MyEHR registration data for first 12 months not available.
23 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
0%
20%
40%
60%
80%
100%
≥ 1 sends ≥ 1 accesses ≥ 1 views ≥ 1 sends ≥ 1 accesses ≥ 1 views
Last 3 months Last 12 months
Perc
enta
ge o
f al
l rec
ord
s
Percentage of records that have been utilised in the last 3/12 months, by type of interaction
Currently high levels of utilisation of consumers’ MyEHR records
In the last 12 months, three quarters of all records have had a
document uploaded, half have been accessed, and over a third have had a
document viewed
Last 12 months defined as Nov 2013 to Nov 2014, and last 3 months as Sep to Nov 2014.
24 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
0
50
100
150
200
250
1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Tho
usa
nd
s
MyEHR service usage per month
Sends Record accesses Document views
Gradual increases, with growth in document viewing preceded by sending
“The amount of information as it built up, built the
clinicians' confidence in using it.” Department Director
25 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
Who is sending documents?Nurses send the most
0
10,000
20,000
30,000
40,000
50,000
60,000
1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11
2013 2014
Document sends in 2013 and 2014 by sending provider's profession
Aboriginal Health Worker
Allied Health Professional
Dentist / dental nurse
Doctor
Health Facility Admin Officer
Nurse
Other
Pharmacist
Over 80% of documents sent by nurses come from
NTG and NGO health centres
26 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10 1 4 7 10
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Document sends per month by document type
Antenatal
ED Discharge Summary
Event Summary
Health Profile
Inpatient Hospital Document
Other Hospital Document
Outpatient Hospital Document
Pathology Report
Automatically generated documents account for majority of sending
Documents that are automatically generated with each episode of care (event summaries, health profiles, and pathology reports) are
sent most frequently; whereas other documents that require deliberate authoring by a provider have lower sending volumes.
Inpatient hospital document = discharge summary; outpatient hospital document = specialist letter
NB suspect this is a data blip,
not a real spike in sending
27 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
Pharmacist
Doctor
Social Worker
Health Facility Admin Officer
Nurse
Aboriginal Health Worker
Allied Health Professional
Occupational Therapist
Dental Nurse
Nurse (Student)
Physiotherapist
Doctor (Student)
Dentist
Audiologist
0 50 100 150 200 250 300 350
Average number of unique records accessed*, by profession
Average unique records accessed in last 3 mths Average unique records accessed in last 12 mths
Breadth of providers utilising the MyEHR service frequently
Pharmacists (hospital-based) accessed an average of almost 350 different records during the last 12 months; social workers accessed the third
most on average
*For providers who have accessed at least one record in the last 12 months
28 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
Three prerequisite elements of critical mass:
1. Consumer registration took 5½ years to reach 50% of the target population
2. Provider registration and participation has continued to increase over time
3. Clinical content generation preceded viewing
Review
29 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
1. Gradual evolution towards critical mass
2. Becoming embedded into routine clinical and administrative workflow
3. Critical success factors
How has the MyEHR service been able to realise this value?
30 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
• Four distinct approaches evident in how providers use the MyEHR service
• Interaction between the approach employed and the clinical scenario
The MyEHR service has become embedded into routine workflow
31 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
Variability in frequency of use, with high concentration on a subset of consumers
0%
20%
40%
60%
80%
100%
0% 20% 40% 60% 80% 100%
Cu
mu
lati
ve %
of
sen
ds/
view
s/ac
cess
es in
last
12
mo
nth
s
Cumulative % of providers who have sent/viewed >0 documents, or accessed >0 records during last 12 months, ordered from
lowest to highest count of sends/views/accesses
Concentration in usage of the MyEHR service by providers
Document sends Document views Record accesses
6%
16%
33%
0%
20%
40%
60%
80%
100%
0% 20% 40% 60% 80% 100%Cu
mu
lati
ve %
of
tota
l vie
ws
/ ac
cess
es /
sen
ds
in la
st 1
2 m
on
ths
Cumulative percentage of registered consumers
Concentration of MyEHR usage amongst consumers
Sends Record accesses Document views
20% of consumers account for: 67% (1-
33%) of all sends, 84% of all record accesses, and 94% of all views.
Use by healthcare providers is highly concentrated, with 20% of providers account
for ~80% of all sends, accesses and views.
32 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
0
20
40
60
80
100
120
140
160
180
200
2007 2008 2009 2010 2011 2012 2013 2014
Ave
rage
nu
mb
er o
f d
ocu
men
t vi
ews
per
pro
vid
er*
per
yea
r
Average document views per year per provider*, by profession
Aboriginal Health Worker
Allied Health Professional
Dentist / dental nurse
Doctor
Health Facility Admin Officer
Nurse
Other
Pharmacist
In terms of provider viewing, hospital pharmacists view the most on average
*Providers with at least one view in any given year; analysis excludes some high viewing generic provider logins
Qualitative research indicates pharmacists in
particular have embedded use of the MyEHR into their workflow; this is supported
by the quantitative data
33 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
Overwhelmingly, hospital pharmacists are viewing health profiles for meds info
17%
33%
35%
35%
40%
38%
50%
79%
21%
23%
20%
27%
21%
19%
15%
9%
13%
17%
13%
11%
13%
17%
22%
2%
32%
13%
18%
13%
11%
11%
7%
4%
14%
8%
9%
6%
8%
8%
4%
3%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Other
Nurse
Aboriginal Health Worker
Health Facility Admin Officer
Allied Health Professional
Doctor
Dentist / dental nurse
Pharmacist
Percentage of documents viewed per profession
Percentage of views by doc type, per viewing provider profession
Health Profile Event Summary Pathology Report ED Discharge Summary
Inpatient Hospital Document Other Hospital Document Outpatient Hospital Document Antenatal
34 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
• MyEHR service has become embedded into routine workflow, particularly at points of handover
• Four distinct approaches evident in how providers use the MyEHR service
1. Investigative
2. Targeted
3. Supplementary
4. Opportunistic
• Use of the MyEHR service highly concentrated amongst providers and consumers (80:20 rule)
Review
35 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
1. Gradual evolution towards critical mass
2. Becoming embedded into routine clinical and administrative workflow
3. Critical success factors
How has the MyEHR service been able to realise this value?
36 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
• Success factors identified by the evaluation are either:
• Fixed characteristics of the setting into which the MyEHR was deployed, which were conducive to success, or
• Enablers that were able to be controlled / influenced by the implementation program
Value provided by the MyEHR service has emerged from a complex set of circumstances
Fixed characteristics
Consumer characteristics
Provider characteristics
Enablers (controllable)
Attitudinal & behavioural
Technical & functional
Policy & governance
An understanding of these
factors can assist in the
transition process, and in
development and rollout of
the PCEHR system, e.g.
Default-to-send
Clinical Advisory Committee
Intuitive design
37 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
• Consumers
• English as an additional language
• Sensitivity to Indigenous concepts of identity
• Gender propriety
• Multiple care providers
• Pressure to provide timely care
• Providers
• Remuneration model
• Provider mindset
• Wide scope of acuity
• Staffing models and high turnover
Fixed characteristics
38 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
• Policy & governance• Collaboration and continuity
• Clinical Advisory Committee
• Peer to peer encouragement
• Ongoing consent for access
• Recognisable branding
• Registration drives with community engagement
• KPIs promote improved data quality
• Attitudinal & behavioural• Benefits from engaging are
immediate
• Consumer willingness to register
• Staff skilled at identification
• Minimal privacy concerns
Enablers
• Functional & technical
• Automated document generation with default to send
• Intuitive design
• Progress notes and free text contribution
• Ability to sort
• Capability to extract
• Web portal
• Careplan templates
• Existing recalls facilitate proactive care
39 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
The evolution of the MyEHR service provides a yardstick against which to track progress of the PCEHR system, and allows us to assess if the PCEHR system is on track to achieve critical mass and realise equivalent value as the MyEHR service
How does the PCEHR system compare?
40 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
0%
10%
20%
30%
40%
50%
60%
70%
0 12 24 36 48 60 72 84 96
Esti
mat
ed p
erce
nta
ge o
f th
e p
op
ula
tio
n (
AB
S ER
P)
regi
ster
ed
Months since system launch
Estimated percentage of the population registered, by system
MeHR (NT total popn) PCEHR (Australian popn) MeHR (NT Indigenous popn) Linear projection (PCEHR)
2½ years post launch, PCEHR and MyEHR registration rates similar, though diverging trends
MyEHR registration was focussed on Indigenous communities, therefore using the Indigenous population of the NT as the denominator is appropriate. Total NT population is given for comparative purposes. Note: MyEHR registration data for first 12 months not available.
Based on projected registration trends (assuming current
approach maintained), PCEHR will not reach 50% population
registration for 12 years (2027)
41 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
Point in time where MeHR registrations reached approximately 50% of
Indigenous NT population
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
0 12 24 36 48 60 72 84 96 108 120
Sen
ds
/ u
plo
ads
per
mo
nth
per
1,0
00
reg
iste
red
peo
ple
Months since system launch
Document uploads per month per 1,000 records, by system
MeHR Sends PCEHR clinical document uploads PCEHR clinical document uploads (incl. NPDR)
Including NPDR (prescribe and dispense) records, PCEHR uploading rate higher than MyEHR at comparable stage of maturity
Sending rate begins to increase. Sustained volume of sending is a prerequisite
for critical mass
42 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
Point in time where MeHR registrations reached approximately 50% of Indigenous NT population
0
500
1,000
1,500
2,000
0 12 24 36 48 60 72 84 96 108 120
Acc
esse
s p
er m
on
th p
er 1
,00
0 r
egis
tere
d p
eop
le
Months since system launch
Record accesses per month per 1,000 records, by system
MeHR Accesses PCEHR Accesses
However, at comparable stage of maturity, normalised rate of PCEHR accessing lower
Evidence of marked growth in rate of
accessing years 5 to 7, and also stabilisation
43 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
Point in time where MeHR registrations reached approximately 50% of
Indigenous NT population
0
100
200
300
400
500
600
0 12 24 36 48 60 72 84 96 108 120
Vie
ws
per
mo
nth
per
1,0
00
reg
iste
red
peo
ple
Months since system launch
Document views per month per 1,000 records, by system
MeHR Document Views PCEHR Document Views
On current trend, normalised PCEHR viewing rates are comparatively lower
Note: Data on MyEHR viewing for first three years not available.
Five-fold increase in viewing rate (100 to 500
views per month per 1,000 records) following
critical mass point
44 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
An understanding of the success factors provides an opportunity to apply these lessons to the M2N transition project.
In addition, this understanding helps to identify the prerequisite conditions necessary for the PCEHR system to reach critical mass, and also to identify factors that can be directly influenced in order to accelerate benefit realisation.
Implications for the transition and PCEHR
45 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
• Transitioning to the national eHealth record system offers a number of advantages, e.g.
• Cross jurisdictional data exchange
• Additional functionality, with atomised data
• However, there were some issues raised that require consideration:
• Anxiety about the transition, including re-registration
• Concerns about effect on clinical workflow, e.g. arising from policy differences relating to identifying individuals and accessing records
• PCEHR system not yet having equivalent breadth and depth of content
• These issues are capable of being mitigated by current change management activities
Implications for the M2N transition
46 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
• This evaluation provides strong evidence validating the value proposition of the PCEHR system
• Evaluation findings suggest specific activities to accelerate achievement of critical mass and benefit realisation, relating to:
• Sustaining consumer and provider registration activities, e.g. on a region-by-region basis (see next slide)
• Stimulating content generation / utilisation across sectors
• Gradual evolution of the MyEHR service emphasises the importance of sustaining effort aligned to a clearly defined long term strategy
• Finally, evidence validates potential value, but need further research into impact on health outcomes
Implications for the PCEHR system
47
Sen
din
gfa
cility r
egio
n
Vie
win
gfa
cility r
egio
n
Total document views by sending and viewing facility region
Direction of information flow
Majority of information exchange occurs within geographic regions, e.g. between primary and acute facilities within the same region
But note the flow of information into referral
centres (Alice Springs and Darwin) from surrounding regions, and back from
referral centres to surrounding regions.
48 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
• Benefits attributable to the MyEHR service provide strong evidence validating the value proposition of the PCEHR system
• The MyEHR service was able to realise this value via a gradual evolution towards critical mass, which allowed it to become embedded into workflow
• Lessons learned from this evaluation suggest specific ways to accelerate achievement of critical mass in the PCEHR system, and emphasise the importance of sustaining effort aligned to a clearly defined long term strategy
Review of key points
National E-Health Transition Authority www.nehta.gov.au49 Prepared for public release
Thank you!
Any questions?
Please contact Mitch Burger (mitchell.burger@nehta.gov.au | 02 8298 3418) or Andrew Ingersoll (andrew.ingersoll@nehta.gov.au | 02 8298 2136)
50 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
Appendix
51 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
0%
2%
4%
6%
8%
10%
12%
14%
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Perc
etn
age
of
tota
l vie
ws
Hour of the day
Document views by time of day, weekend versus weekday
Weekday
Weekend
Marked increase in proportion of viewing occurring outside business hours on the weekend, compared to weekdays
This supports the qualitative observation
that the MyEHR service is saving clinicians time on
the weekend, and avoiding the need to interrupt
nurses at remote health centres, or call them out of
hours or on weekends.
52 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
Majority of registered providers are assigned to (work in) NT acute facilities
0 2,000 4,000 6,000 8,000 10,000
Acute - Interstate
Other - NGO and Interstate
Other - NTG
Health centre - NTG
Health centre - NGO and Interstate
Acute - NT
Number of registered providers
Number of registered providers by profession, assigned facility type
Nurse Doctor Aboriginal Health Worker Allied Health Professional
Health Facility Admin Officer Dentist / dental nurse Pharmacist Other
The MyEHR service has clearly been embraced within the acute sector
53 National E-Health Transition Authority www.nehta.gov.auPrepared for public release
80.6%
80.5%
68.8%
51.8%
38.1%
25.5%
19.4%
5.4%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Health Profile
Event Summary
Pathology Report
ED Discharge Summary
Inpatient Hospital Document
Other Hospital Document
Outpatient Hospital Document
Antenatal
Percentage of records with one or more documents of each type
Percentage of records with 1 or more documents, by type
Over 50% of records contain an ED discharge summary
And almost 40% contain an inpatient hospital document (i.e.
non-ED discharge summary)
Note that antenatal documents only come from facilities using Communicare CIS (~50% of primary health centres in NT)
In comparison, 2% of people with a PCEHR record have a
SHS, as at March 2013
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