Queensland hospitals sending discharge summaries to PCEHR

All public hospitals in Queensland now have the ability for clinicians to view their patients' PCEHRs, and to upload discharge summaries to the record of patients who have one.

NEHTA CEO Peter Fleming told a Senate Estimates hearing in Canberra last week that Queensland public hospitals had just gone live. Queensland is using its The Viewer application – a clinical portal that Queensland Health has been building for several years – to enable acute care clinicians to view patient records.

It is also using an enterprise discharge summary application to send discharge summaries to the PCEHR, and is working on sending discharge summaries in CDA format point to point to GPs. Queensland has had a healthy point-to-point network for non-CDA discharge summaries for some years.

All states and territories are taking part in NEHTA's $13 million rapid integration project (RIP), which is aimed at getting the majority of public hospitals linked to the PCEHR by the middle of next year.

South Australian hospitals have pioneered the move on a statewide basis, beginning to send discharge summaries to the PCEHR from metropolitan hospitals in August.

St Vincent's Hospital in Sydney has had the capability from within its clinical information system since last year, and the Canberra Hospital went live this year. A number of metropolitan hospitals in NSW can now also send discharge summaries.

NSW Health clinicians in these hospitals can also view the PCEHR directly through the Cerner or Orion electronic medical record, along with diagnostic images held with the state's clinical imaging repository.

Mr Fleming told the Senate committee that South Australia had worked with a private company to develop a Healthcare Information and PCEHR Services (HIPS) application, This is being used as middleware to link acute care information systems that are not yet integrated with the PCEHR to enable clinicians to interact with the system.

He said NEHTA now owned the intellectual property for HIPS and Western Australia, Queensland and Tasmania are currently using it. Victoria is also looking at the technology, he said.

Asked how private hospitals were involved in the system, Mr Fleming said there had been “very little work with the private hospitals at this stage”.

“There are a few we are working with but, at this stage, because of our relationship with the jurisdictions and as a first step we have been concentrating on the public hospitals,” he said.

“The intention is that we will also make [HIPS] available to the private sector.”

He said NEHTA was aiming to have 50 per cent of public hospitals in the country with access to the PCEHR by February next year, and by June or July, have enough public hospitals enrolled to cover 75 per cent of the Australian population.

Fionna Granger, first assistant secretary for the eHealth operations branch at the Department of Health, said 113 discharge summaries had been uploaded to the PCEHR from Queensland hospitals in the first two days of going live.

Posted in Australian eHealth


0 # Phil Coppin 2013-11-26 14:17
And what are Victoria's plans to capitalise on its RIP? As with most things health IT in Victoria, an excuse relating to ministerial reviews or "we are thinking about it" are the stock answers.

Victorian has quickly moving from an early adopter to a laggard and the patients are suffering from the recent decentralisatio n bought about by th Audit report on the not so smart "HealthSmart" project and the Napthine government's lack of strategy.

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