Big stick of ePIP boosts shared health summary numbers on My Health Record

The number of shared health summaries uploaded to the My Health Record has almost doubled in the last four months to a total of 585,433, with a combination of new practice incentive requirements for general practices, the recently completed opt-out trials in two primary health networks and organic growth the main drivers.

Figures provided by the Department of Health show that since shared health summary (SHS) uploads became a requirement of the eHealth Practice Incentive Payment (ePIP) beginning May 1, 2016, a total of 481,551 summaries have been uploaded.

Posted in Australian eHealth

Tags: PCEHR, My Health Record, ePIP, MyHR

Comments   

# Terry Hannan 2017-02-17 07:57
Kate, I am unsure that my maths calculations still work but the quote "The total at September 30 was 326,894, meaning 256,539 new summaries have been added in the four months since then. The deadline for the new target, which requires practice to upload about five SHSs per GP every three months, was January 31", creates some concerns fro me.
Is the implication from the second sentence that a GP practice uploads 5 summaries every 3 months? Does that mean it reflects that they saw or created only 5 summaries in 12 weeks?
The second point is the financial incentives for uploading (again one would consider these to be small numbers) summaries. There is plenty of evidence that financial incentives for the uptake of E-Systems in Primary Care results in increased uptake however there is very little evidence from my readings that this has led to improved, cost-effective care. In fact a recent North American report revealed under their legislated project aimed to increase the uptake of EHRs has seen in excess of 95% of Primary Care practices using EHRs but the efficiency and ease of access of these systems is very poor.
So the old carrot that the numbers of SHS uploaded reflects the quality of health care delivery needs to be evaluated.
# Kate McDonald 2017-02-17 08:32
No, it's 0.5 per cent of the practice’s standardised whole patient equivalent (SWPE), which averages out to around five summaries per GP per quarter, not for the whole practice. That's the minimum they need to do to qualify for the incentive.

GPs in Australia have been encouraged to invest in a clinical system through the ePIP since 1999 and about 95% use one. I doubt many of them would go back to paper.
# Terry Hannan 2017-02-17 08:18
A background link to this topic and from my previous comments from 2016 for OECD countries
https://www.ncbi.nlm.nih.gov/pubmed/27745916
# Hosi Stankovic 2017-02-20 07:42
Has anyone done the math on cost per SHS? Staggering cost with no discernable benefit study for the patient or practitioner as far as I can tell.
Who is going to find the budget to get Aust compliance to 95% ?
GPs even in My HR advertising practices just do not believe in it.
The Health Minister needs to speak with GPs about what is meaningful for them and their patients then publish the good news numbers in context of the treatments ans beneficial uses of the record.
+1 # Ian Mcknight 2017-02-21 12:56
I haven't/couldn' t do the maths on the cost of the SHS. Similarly I can't quantify numerically the improvement in speed of treatment and clinical decision making that is enabled by the immediate (rather than delayed by hours/days) access to key patient health information. But to me the benefit seems both dramatic and obvious, and for every "don't believe in it" GP I have encountered, I have met equivalent "fresh out of the hospital" registrars or DEM nurses that cannot understand why this isn't already a working part of our health system. The benefits for emergency departments and after hours services in particular, in having ready access to credible clinical information rather than none, should be obvious. Great clinical care is provided all over the place, but effective and timely communication and transfer of information between ALL the different health sectors, not so much. The recent launch of the MyHr app for patients further enhances the prospect of key quality information being made available.

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