Use these links to jump to different sections of this page:
My Health Record is just one piece of the digital health landscape in Australia. To properly understand My Health Record, it is important to know where it fits in the big picture.
In this webinar, we discuss among other topics how My Health Record currently and could in the future interact with the rest of the Australian health system, the safety and quality impacts of digital health, and what else is happening in digital
health.
"As a patient in a hospital that had paper and going across many different departments, I was always pleased to see the file arrive. I didn't realize at one point that it didn't have a summary page and that I was actually now the source of truth
for my own care, which
frightened me quite a lot."
- Christine Slade, Consumer Advocate
"I'm trying to take care of someone with a complex manic depressive bipolar illness. Has a bit in a hospital. Patient was taken care of yesterday. She got immune data in one hospital. She got medication data in another hospital. She doesn't know
herself what all the answers to all those questions are, some as unreported, I'm traveling. I'm supposed to be making decisions about medications descriptions now using a 19th century system."
- Dr Ian
Hickie, Co-Director of the Brain and Mind Centre at the University of Sydney
Details
Date and Time: 3pm AEST, 23 August 2018
Recording youtu.be/jBHkHqlQvhI/
Transcript: chf.org.au/sites/default/files/transcript_-_webinar_2.pdf
Panellists
- Garth McDonald, General Manager of Service Delivery, ADHA
- Dr Christine Slade, Consumer Advocate
- Dr Ian Hickie, Co-Director of the Brain and Mind Centre at the University of Sydney
Resources
My Health Record is just one piece of the digital health landscape in Australia. To properly understand My Health Record, it is important to know where it fits in the bigger picture. The ADHA's Framework for Action (link is external) - the implementation plan of Australia's National Digital Health Strategy - has 7 areas of focus. My Health Record is
one, as are;
- Secure Messaging - safely sending messages between health professionals and consumers
- Interoperability - standards to ensure different health software can talk to each other, and
- Medicines safety - providing better access to prescriptions and medicine info, among others.
You may also be interested in:
- Digital Health Evidence Review (link is external)
- a summary by the ADHA of approaches other countries have taken and how My Health Record compares - Opting out of My Health Records? Here’s what you get with the status quo (link is external) - article in The Conversation on the way health information works in our health system now
- Digital Health in Australia: What works, and future directions - This report from a June 2017 Stakeholder Workshop held at the Smart Technology Living Lab at the
University of Canberra provides a good overview of how the digital health landscape is perceived in Australia by many of the people responsible for pushing it forward. Read the report here: http://apo.org.au/system/files/104616/apo-nid104616-422561.pdf
Timestamped Q&A
3:50 - To kick off, I'd like to ask each of our panelists to give a brief overview of how they see
the My Health Record and the implications
5:50 - Many people will be saying, "What is the
difference between health and digital health?" What's your view on that?
6:45 - Will the term
digital health still be used in 5 years?
7:20 - Ian, whats your view on integrated care and MHR?
9:45 - This all sounds ideal, Garth, but is it practical or possible with a national, highly
technological regulated system like we have in health?
11:00 - How would you describe the state
of health data in Australia at the moment?
15:45 - What can we learn from digital health systems
overseas?
19:40 - We say we're empowering the patient, but will a lot of the people seeing the
amount of data that the system can collect and be held by providers or whatever will be nervous about this, do you think, or not? 21:00 - Does something like MHR help integrated, coordinated, patient centred care?
24:00
- Could we get to a state with My Health Record where we can tap our card when we go to see the doctor or whatever and that's going to immediately tell the doctor the latest
28:30 - This person seems to be raising the question that maybe the clinician may not record everything the patient wants even where it may be wanted. To what extent can the patient say "No, I want you to put that down."?
32:50 - What can you tell us about the impact and influence of My Health Record in mental health
care?
34:15 - What sort of safeguards do you have in the system to protect confidentiality where
it needs to be particularly in the small sensitive and complex area of mental health for instance?
35:45
- Christine, what's your sense of the evolution, particularly the confidentiality safeguards? Do you have a feeling that for your experience things are evolving, or likely to evolve?
39:40 - How would you enhance My Health Record?
41:20 - Is there an issue with the type of digital care we want and how Medicare funds doctors?
44:15 - Are there concerns that all the new health and wellness apps are loading too much onto the patient, and is this a wider concern with digital health?
46:25 - Does digital health raise new, fresh, different challenges in terms of safety and quality?
49:20 - Is there a tension between making MHR useful for patients, and making MHR useful for providers?
50:15 - What about the 'uberisation' of health care? As we move faster, does the risk increase?
54:00 - We had a question, how will the quality of data inputs be ensured?
57:30 - Final points