PCEHR view customisation capability in CUP release three
The National E-Health Transition Authority (NEHTA) has released version three of its clinical usability program (CUP), providing recommendations to GP desktop software vendors on how to enhance the PCEHR aspects of their software through the use of prompts and reminders, as well as allowing GP users to customise and configure their PCEHR interactions.
NEHTA's CUP manager Heather McDonald told an Australian Association of Practice Management (AAPM) webinar last week that when implemented by vendors, the functionality would allow GPs to be notified that new documents such as discharge summaries or event summaries had been uploaded to their patient's record.
The improvements are expected to be incorporated by vendors over time as they release their own system updates.
“What we've done in release 3 is identified for the GPs how many documents that they didn't add into the PCEHR,” Ms McDonald said. “What will come up on their screen is 'two new clinical documents' … that means that documents that have been added to the system not by the GP.
“If a discharge [summary] was there, it would be coming up as a new clinical document. Most GPs know their patients really well, so they only want to know when they have gone to see somebody else or something else has happened that they haven't known about.”
According to NEHTA's website, CUP release 3 also includes recommendations for a new 'PCEHR page' that can be opened by a drop-down menu when the GP opens the patient's file. For existing patients, the PCEHR page will include a document list displaying any new clinical documents, the most recent shared health summary, and a list of the different PCEHR views such as pathology, prescription and dispense or Medicare services with links to open that particular view.
For new patients, the PCEHR page will include those three items as well as a document list displaying historic shared health summaries.
For existing patients, there will be a filter function that will allow them to see types of clinical document with the list sorted by date in reverse chronological order.
NEHTA has suggested to vendors that they add sorting functionality for document date, service date, document type, and organisation. There is also a recommendation that they include the ability to display a clinical synopsis from an event summary.
A series of prompts and alerts are also suggested, such as a prompt for the GP to upload a new shared health summary if any key clinical information has changed, and the ability to set an alert for front desk staff displaying “Not PCEHR registered” for new patients.
Ms McDonald told the webinar that the system was seeing on average 500 shared health summaries added per week, but little activity with event summaries.
She also said eReferrals and specialist letters were “a little bit slow”, but there were many prescription and dispense records. “We've got over a thousand pharmacists who are registered to send up dispense records, [but] probably not quite so many who are actually sending them up.”
Release five of the PCEHR in January included a section to receive pathology and diagnostic imaging reports, but no reports have yet to be uploaded.
Ms McDonald said she expected this capability to be six to 12 months away, as the pathology sector has to ready itself to connect to the PCEHR system.
“They have their technical requirements and some have started … but it isn't going to happen in the next week or two,” she said.
She also said the ability to upload advance care directives was some time away but it was on the work program.
NEHTA is also working with some consumer groups to get patients registered and encourage them to ask their GPs to upload clinical documents, she said.
Posted in Australian eHealth