Secure Messaging in the Australian Capital Territory

1
Secure Messaging in the Australian Capital
Territory

• Marilyn Wood
• eHealth Program Officer
• and APCC CPM

2
ACT Health Projects

• Project Sponsors
• Investment by
• 2006 -Tender Process commenced
• 2007 - Successful Vendors (NZ based)

3
NeHTA complianteHealth Building Blocks

• Interface between Public and Private Sectors
• Passive - Electronic Discharge Summaries eDS
• Active - Electronic Referrals eReferrals (Pilot
  Group Utilising PKI)
• Coming - Concerto Health Portal

4
ACT Healths Final Solution
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Division Representation Lobby strongly for
solution which provides acceptable, sustainable
outcome for general practice

• ACT Health IM/T Committee
• High level - Division CEO
• Projects Steering Committee
• High level project(s) focus
• eReferral Workstream Group
• Overall eReferral Project representation
• eReferral GP Engagement Working Group
• Specific general practice focus

6
eDS Project Roll Out

• Commenced 7th May 2009
• To 5th June 2009 - 550 eDS sent.
• Continue the rollout to all Canberra Hospital
  clinical units
• GP Communications in Division and GP Liaison
  newsletters
• Opt Out basis 027 have opted out

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eDS - the easy part for GPs

• GP involvement (Passive)
• Utilises GP existing work processes (Acceptable)
• Legible (At last)
• Reduces paper (Go Green)
• Reduces scanning / Saves Time (Time is Money)
• Meeting general practice expectations

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eDS Work Still to Do

• eDS where no GP assigned
• Training
• GP clinical systems configured to meet needs
• Demand on Division Resources
• Hospital Staged Roll Out
• Admissions/Discharge notifications and Breast
  Screening letters next

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eReferrals Project Roll Out to GP Pilot Group

• Live 5th June 2009
• Event Notifications provides new level of
  communication to GPs
• eReferral receipt acknowlegment
• Triage notification
• Appointment details
• DNS
• First eReferral completed 11 June 2009

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eReferral Key Benefits

• Improved level of communication
• Status messages back to the GPs
• Improved consistency and completeness of referral
• Standard template
• Efficiencies gained in workflow
• Faster access to the status of a referral (both
  inside and outside the department)
• Faster turnaround benefits patients and GPs

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Division RoleMaintain General Practice Focus

• Advice to Steering Committees
• Lead member of GP Engagement Group
• Division Database (DIS) to ID potential pilot
  group practices (Medtech Users)
• Recruit GP Pilot Group
• No Medtech users in adjoining Southern General
  Practice Network
• eReferral GP Focus Group
• Review template
• Identify gaps in processes
• Address assumptions

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Division RoleGP Engagement

• To provide a vehicle for GP communication
• GP Newsletter
• GP 2/52 Fax
• Weekly report to eReferral GP pilot group
• Pilot email group
• ACT/NSW GP Focus Group
• Training resources for GP pilot group

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ACT eReferral Challenges

• GP Pilot Group identifying processes needing
  further development
• Specialist Report to GPs currently not electronic
• Including more GP clinical systems into the
  eReferrals project
• Roll out to more Canberra Hospital departments

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Where to From Here Add Value

• Continue to work with ACT Health in Phase 2 of
• The eReferral Project
• ACT Division priority is to roll out to other ACT
  
• healthcare sectors eg Psychologists, Allied
  Health,
• Private Specialists etc

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Thank You