Australia - Digital Economy - E-Health - Personally Controlled Electronic Health Records (PCEHR)

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Australia - Digital Economy - E-Health - Personally Controlled Electronic Health Records (PCEHR)

The Australian Government sees e-health as a natural extension of the Medicare service and the Personally Controlled Electronic Health Record (PCEHR) is a key enabler in that policy. Accessing and sharing patient medical records is very inefficient in the Australian healthcare system. Pen and paper reporting, manual processing, digital scanning of paper reports and inaccessible electronic files lock patient information away and make it difficult to retrieve.

A PCEHR is a secure, electronic record of a person's individual medical history, stored and shared in a network of connected systems. The PCEHR will bring key health information from a number of different systems together and present it in a single view.

Information in a PCEHR will be able to be accessed by the owners of that information and their authorised healthcare providers. With this information available to them, healthcare providers will be able to make better decisions about health and treatment advice. Over time individual people will be able to contribute to their own information and add to the recorded information stored in their personal PCEHR.

The PCEHR will not hold all the information held in their doctors records but will complement it by highlighting key information. In the future, as the PCEHR becomes more widely available, people will be able to access their own health information anytime they need it and from anywhere in Australia.

E-health, including PCEHR, will help prevent medication errors that cause an estimated 190,000 hospital admissions each year.

As part of the 2010/11 Federal Government budget over $466 million over two years have been made available to create a PCEHR for every Australian that wants one. A further $233.7 million was added to this in May 2012.

Pilot programs started to commence in 2011 some of it in conjunction with the rollout of the National Broadband Network. Nine further implementation sites were funded with over $55 million that will enable patients to sign up for a PCEHR.

Funding is intended to establish a secure system of personally controlled electronic health records that will provide patients will be able to allow individual health practitioners such as GPs, specialists and nurses to view their medical history. One of the aims is to provide faster diagnosis and reduce medication errors as the doctor will be able to see the patient's medication history including any known allergies.

In 2012 the Senate passed legislation necessary for the PCEHR to be instituted as part of Australia's health system.

By mid 2013, the system had surpassed its initial target with over 520,000 patients and over 5,000 GPs registered.

A review was launched by the new government in late 2013.

In May 2014 the government confirmed it will keep the scheme following however, a number of changes to the rollout have been flagged. Shortly after they also presented the recommendations of the Review.

1. Synopsis
2. Review of the PCEHR project
2.1 Terms of Reference
2.2 Outcome of the review.
3. PCEHR timeline to 2014
4. Users can control their PCEHR
5. Wave 1 and 2
6. Other Projects
6.1 SA ready to go
6.2 E-health boost in Tasmania
6.3 EHR in indigenous communities
6.4 Advance Care Directives
7. Design and implement contract awarded
8. Roll out on target
9. Expected benefits of PCEHR
9.1 St Vincent's and Mater Health Sydney
9.2 Brisbane South Division Limited
9.3 Mater Misericordiae Health
9.4 Cradle Coast Electronic Health Information Exchange
9.5 Calvary Healthcare
10. Additional funding for imaging record
11. GPs get paid for record collation
12. Online delivery of health documents
13. Project outsourcing
14. The most vulnerable need our assistance with e-health PCEHR analysis
15. Market surveys
15.1 Accenture PCEHR Survey Update 2013
15.2 2012 Accenture PCEHR Survey Finds
15.2.1 Patient Access to Records
15.2.2 Doctors Access to Records
15.3 Electronic Health Records increases quality of healthcare (USA)
15.4 US study indicates that e-records are linked to fewer malpractices
15.5 Enhanced patient care
15.6 National healthcare consumer survey
15.7 Public health messages on Facebook
16. Related reports
Table 1 Expected total net benefits of the funded national PCEHR system (2010-2025)
Table 2 - Benefits of the national PCEHR system for priority health activities
Table 3 - Breakdown of PCEHR benefits by care setting
Table 4 Doctors Routine Use of Healthcare IT Capabilities
Exhibit 1 PCEHR timeline 2009 - 2014
Exhibit 2 Working through record matching progress report 2011
Exhibit 3 - Details of patients e-health record as per mid 2013

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