eHealth Incentive Update

for General Practice

August 2016

Magali De Castro Clinical Director, HotDoc

eHealth Incentive Update for General Practice

This session will cover:

• Practice eligibility for the recent eHealth Incentive changes

• FAQ on Shared Health Summary submissions to My Health Record

• Resources and support available for practices

The Practice Incentives Program (PIP) eHealth Incentive

“Aims to encourage general practices to keep up to date with the latest developments in digital health and adopt

new digital health technology as it becomes available.”

Payments and eligibility requirements

To be eligible for the PIP eHealth Incentive, practices must:

• Participate in the PIP

• Meet each of the eligibility requirements 1 through to 5 for the entire quarter

• Have met their shared health summary minimum upload target by the point-in-time date for each payment quarter

Practices need to opt-out of individual quarters if they determine they will not meet the requirements.

Eligible practices can receive a maximum payment of $12,500 per quarter, based on $6.50 per Standardised Whole Patient Equivalent (SWPE) per year.

Eligibility requirements

1—Integrating Healthcare Identifiers into Electronic Practice Records

Obtain a Healthcare Provider Identifier HPI–O for the practice, and store it within the clinical software

Ensure each GP has their individual HPI–I stored within the practice software

Ensure your software can access, retrieve and store Individual Healthcare Identifiers (IHI) for patients

Eligibility requirements

2—Secure Messaging Capability

Have a secure messaging capability to electronically transmit and receive clinical information to and from other healthcare providers, use it where feasible, and have a written policy to encourage its use.

Practices must have applied for a National Authentication Service for Health (NASH) Public Key Infrastructure (PKI) Certificate for Healthcare Provider Organisations.

Eligibility requirements

3—Data Records and Clinical Coding

Ensure your practice is working towards recording the majority of diagnoses for active patients electronically, in a way that can be mapped against a nationally recognised disease classification or

terminology system.

E.g. Use of “coded” information aka selecting from the diagnosis dropdown lists instead of ‘free text’

Eligibility requirements

4—Electronic Transfer of Prescriptions

The practice must ensure that the majority of their prescriptions are sent electronically to a Prescription Exchange Service (PES).

For the moment, paper prescriptions with the handwritten signature will remain the legal document.

Printed prescriptions will contain a barcode to enable retrieval of prescriptions from the PES for dispensing.

List of approved software available via: pip.nehta.gov.au

Eligibility requirements

5—My Health Record system

The practice must:

• Practice software must be able to access the My Health Record system

• Upload shared health summaries for a minimum of 0.5% of the practice’s Standardised Whole Patient Equivalent (SWPE) per PIP payment quarter.

You can calculate the minimum upload target using the previous quarter’s payment advice and opt-out if the minimum upload will not be met.

Calculating targets and monitoring shared health summary uploads

Existing practices

Multiply the SWPE in your Payment Advice by 0.5 per cent.

A practice with a SWPE of 5,000 would be 5,000 x 0.5 per cent = minimum shared health summary upload target of 25 per quarter

New and small practices

If your practice is new to PIP or has a SWPE of less than 1,000 you will be given a default SWPE level of 1,000

This equates to 5 per quarter.

Monitoring shared health summary uploads

Practices are responsible for monitoring that they have met the minimum upload requirements for each quarter or opting out of relevant quarters, if they will not meet the requirements.

Some audit and sidebar tools allow you to monitor and help with tracking. Contact your PHN for support with this!

Tip: Each time a shared health summary is uploaded to a My Health Record it is counted, even if a patient has one already.

Unfortunately you cannot carry forward any uploads that exceed the current quarter to count toward the next quarter.

Using the My Health Record system

A closer look at My Health Record

The My Health Record is an electronic summary of a patient’s key health information from several sources.

There are three sets of information that are included:

• Department of Human Services/Medicare – uploaded by DHS/Medicare

• Clinical – uploaded by healthcare providers

• Personal – uploaded by patients or consumers

Types of clinical documents

Clinical document are automatically populated from data from the clinical software.

The types of clinical documents may include:

• Shared Health Summaries

• Event Summaries

• Discharge Summaries

• Diagnostic imaging test reports

• Pathology reports

• Prescription and Dispense records

• Referrals

• Specialist letters, and

• Advance Care Planning Document

Before & Now

How information was transferred before the My Health Record system and how it can now be transferred.

Image credit: My Health Record: Using the System as part of Good Patient Carehttps://myhealthrecord.e3learning.com.au/courses/unit10510/topic2/page10/

Shared Health Summary

Provides an overview of an individual's health status and information about allergies and adverse reactions, medicines, medical history and immunisations.

It can only be created and uploaded by the patient’s Nominated Healthcare Provider, who can be:

• a registered medical practitioner

• a registered nurse, or

• an Aboriginal and Torres Strait Islander health practitioner

Shared Health Summary

Patients who would benefit most from having a shared health summary include:

• Those with chronic or complex conditions

• People living with disabilities

• Patients who see multiple healthcare providers

• Patients with allergies or adverse reactions

• Transient patients

• Older people

• Aboriginal and Torres Strait Islander peoples

• Mothers and newborns

• People with mental health conditions, and

• People in regional, rural and remote communities.

Prompt to update a patient’s My Health Record

• GP management plans

• 75+ health assessments

• 45-49yr health checks

• Flu vaccinations

Creating a Shared Health Summary

In Best Practice

Creating a Shared Health Summary In Medical Director

Creating a Shared Health Summary In Medical Director

Creating a Shared Health Summary In Zedmed

Creating a Shared Health Summary In Zedmed

Event Summary

Intended for use by healthcare providers who are not the patient’s regular provider

• Holidaying/transient patients

• Patients visiting an after-hours medical service

• To indicate a change in their health status

Other examples

• Travel immunisations

• Wound management

Should be done at the end of the consultation: after progress notes, updating medical history and making any medication regime changes.

Event Summary

More information & Tips

Billing

GPs will be able to bill the Medicare for preparing Shared Health Summaries as part of a consultation.

When deciding which item to bill, consider the reasonable time it would take.

Patient Consent

There is no need to gain consent on each occasion, but it is good practice to:

• Inform patients that you use the My Health Record system in your practice

• Advise patients when you are uploading information to their My Health Record

• Advise patients when you are accessing information in their record

More information & Tips

Dealing with errors in documents created by you

Documents cannot be edited once uploaded.

If information you have uploaded is incorrect, you should delete the incorrect document and upload the corrected version. You should also record in your own notes that you have done this.

Dealing with errors in documents created by others:

• Inform the patient that you have identified an error

• Encourage the patient to request a correction by the provider who uploaded the information

• Follow up with the healthcare provider yourself

• Notify the System Operator via the My Health Record Helpline on 1800 723 471

• Record your actions in your own notes

More information & Tips

All access is logged

My Health Record shows a history of when it has been accessed and by which organisation.

Patients can elect to be notified via email or SMS when their My Health Record has been accessed.

Viewing a patient’s My Health Record outside of a consultation

This can be done if you intend to provide healthcare to the patient.

For example when reviewing reports prior to the patient’s consultation.

More information & Tips

Document your use of information retrieved

When you have used information in a patient’s My Health Record you should record this information in your local patient file:

• How you interacted with the patient’s My Health Record

• The time of the interaction

• Which documents you viewed

• Any observations or conclusions you reached

Thank you for participating!

Got a question? Email: md@hotdoc.com.au