ACSA calls for PCEHR connection with My Aged Care

Aged and Community Services Australia (ACSA) has repeated previous calls for the PCEHR to be integrated with any health-related records being established under the My Aged Care Gateway system in its submission on the Department of Health's legislation discussion paper.

The submission states that ACSA and its members support any proposals to increase the number of individuals and healthcare providers using the PCEHR, the benefits of which it says will only be truly realised when it is widely used.

However, the association, which represents the not-for-profit aged and community care sectors, said it was crucial that health-related services provided in aged care settings and by aged care providers are included in healthcare records.

“With the roll out of the My Aged Care Gateway and a central client record for all consumers receiving Commonwealth subsidised aged care services, the aged care sector is ready and prepared to support these initiatives,” ACSA says.

It also says it supports the change recommended by the review into the Healthcare Identifiers (HI) Service to include aged and disability care as well as healthcare, but flags the need for the PCEHR to “connect seamlessly” with the My Aged Care Gateway and the relevant, health-related records that it contains.

It also supports the transition of the system to opt-out, and the idea of running trials to test how opt-out can best be introduced. It recommends that in addition to rural and remote areas being chosen as a test site, that aged care facilities also be included.

ACSA wants more clarity from the department about how people with limited or no capacity to make their own decisions may be opted out by a representative. “In most Australian jurisdictions, a power of attorney only grants authority to make financial decisions and even the decision-making authority of a guardian may be limited to specific areas, and may not include health,” it says.

“It is also important to consider the needs of people with limited decision-making capacity, including people living with dementia, who may not have any formal substitute decision making arrangements in place. When people who do have a recognised representative to make decisions about their health, this should be clearly identified.”

It also says it will be crucial to ensure that when consumers have advance care directives, they are attached to their PCEHR and accessible 24 hours a day.

Posted in Aged Care

Comments   

# Terry Hannan 2015-07-16 07:30
From the perspective of a "clinical informatician" I have to state that this (and other de facto) linking to the PCEHR is of significant concern.
For those of us who have grave concerns about the PCEHR "functionality" as a clinical decision support tool there is the added knowledge from around the world that HIT implementation in aged care has struggled to achieve effectiveness (or avoid harm) MORE than in HIT implementations in non-aged care domains of health.
So is the primary driver for the PCEHR care or is it an administrative, governmental model that has 'financial' drivers with L-platers at the wheel?

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