State by state: clinical portals in the ACT

The ACT's manager for national eHealth initiatives, Ian Bull, outlined the capital's progress in developing access portals for both clinicians and consumers at the RMA conference.

Using Orion Health technology, the ACT has developed a consumer portal called My eHealth through which people who receive care from the Canberra Hospital and its community-based services can update their personal details, check on past and future appointments and access discharge summaries from the hospital.

It has also developed internal portals to link clinicians in different settings and to link disparate systems, particularly for discharge summaries and electronic referrals.

“We are trying to coordinate our eReferrals into a common interface and we will be able to receive eReferrals from doctors' systems directly into our system,” Mr Bull said.

The capital is also working on implementing common languages and semantic interoperability across its integrated systems, which will form the basis for its alerts management system. This will not only include alerts for allergies and adverse reactions but will allow some administrative alerts as well.

It is working on medications reconciliation, beginning with geriatric discharge summaries. This will be added to all discharge summaries in future, which the ACT has been sending to the PCEHR since March last year.

“We have Find a Health Service, which is an app you can get on a smartphone or the web,” he said. “We take a feed from the National Health Services Directory and we supplement that with health service information from the ACT.

“We are looking at bringing all of our provider directories – we have identified 10 key ones within our hospital – so we have one common database so we can get good endpoint location information from the National Health Services Directory and have common identification of clinicians.”

The ACT has also invested in digital infrastructure around the hospital, including building secure, medical-grade WiFi networks and free public WiFi, and it provides remote access to systems for clinicians through secure tokens.

There is also a concentration on secure messaging, he said. “We need to be able to get secure messaging not just between health services but from us out to the GPs. At the moment we have a problem with our VMOs – we have a policy that prevents them from sending unsecured emails – so we are looking at solutions around that.”

Posted in Australian eHealth

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