Auckland’s Your Health Summary now up to 450,000 records

The Auckland region Your Health Summary (YHS) shared electronic health record is now being used by 147 general practices with almost half a million primary care health records uploaded since it went live in April 2020.

The system, which uses Valentia Technologies’ Indici data extraction utility and is hosted in Valentia’s cloud, is an opt-in, read-only service that aims to give a summary of a patient’s long-term health conditions, allergies and medications.

The Indici tool automatically extracts data from practice management systems, including Indici itself, Medtech32 and Medtech Evolution, and is accessible directly through Indici or a portal.

Posted in New Zealand eHealth

Tags: Medtech32, Indici, ProCare, Your Health Summary

Comments  

0 # Oliver Frank 2021-06-29 10:36
"It also includes demographic details such as (..) their registered GP and EDI account, which Dr Calder said would be useful if the treating clinician wanted to send a summary of the consultation with the patient back to their regular GP." What does he mean "IF"? I hope that any health professional who provides care for a patient after hours or at any other time when the patient's usual GP or another GP in the practice can't provide that care would send a summary every single time. No "if".
0 # Duncan Priest 2021-06-29 19:51
At first glance this seems like a lower cost, more rapidly and more easily implemented version of the Aussie My Health Record, but the sentence "Users must agree to only use YHS when they are delivering healthcare for a specific patient." makes me take a step back. Surely there should be protections in place such that users can only access patients that have been admitted into their own systems and not just choose which patients they access. And can the true users of the system, the consumers (it is "Your Health Summary" after all) view who has had access and control who can gain access? If the privacy and security concerns are indeed baked into the system and not just "Trust me, I promise to be good" then it sounds pretty decent but otherwise ...
+1 # Tom Bowden 2021-07-05 08:10
Hi Oliver and Duncan,
An Auckland resident, I have watched YHR closely and have already lodged a complaint with the NZ Privacy Commissioner about it. (to no avail).

The YHR system takes significant amounts of patient data from GP systems with no approval from the patient. Patients don't even know it is happening.

Procare (the primary healthcare organisation running YHR) penalises practices financially (to a significant extent) if they do not participate (by allowing automatic uploading of their patients' data).

In my view it is a very bad thing in its present form and they should start again, first explaining to patients why it is of benefit and giving them an opportunity to opt out.

Informed consent to securely store patient data for unscheduled care and some other purposes is a very good thing. Personal information gathered without any form of patient consent is quite something else.

While NZ has in the past been a world leader in Health IT and if I have my way, will be again, this is an approach requiring careful scrutiny.

I have been quietly researching use of shared health records with a particular emphasis on their use to support emergency department and after hours care - with Enrico Coiera at Macquarie University. I hope to wrap up that research and publish it very shortly.

Kind regards,

Tom Bowden
0 # Rob Hosking 2021-07-05 13:05
Interesting.
The consent issues around YHR sound concerning, but then it does get around the issue of the Asutralian MHR in that Shared Health Summaries (SHS) quickly become out of date and it is up to an astute GP to add "upload to MHR" as yet another job to be done.
Somehow, for shared records to be relevant, we need to solve these problems. Since Australia has largely "solved" the consent issues, automatic upload to the MHR would be an option? However, using un-curated data does reduce the use of the SHS and, there may be some things on the GP record an individual patient may not want uploaded.
0 # Tom Bowden 2021-07-05 16:21
Firstly, Oliver, I fully agree. The patient’s usual GP should always be sent a patient’s ED or After Hours Consultation notes.
Rob, yes the YHR information is relatively up to date - unbeknownst to the patients whose information it is.

It is worth noting that only +\~ 50% of practices have signed on, resisting significant financial pressure to do so.

I think it is a sad day when practices, already under severe financial pressure, are being rail-roaded into going against common sense privacy principles.
0 # Kate McDonald 2021-07-05 16:44
Bit of background here to Tom's concerns over the system and patient consent: https://www.pulseit.news/news/new-zealand-ehealth/4465-software-vendors-refer-procare-to-nz-privacy-commissioner-over-database

Also, a response from the NZ privacy commissioner, who didn't quite agree: https://www.pulseit.news/news/new-zealand-ehealth/4557-nz-privacy-commissioner-rejects-software-vendors-alarmist-data-breach-claims

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