overview
National Guide is out 3rd edition
Improvement Foundation - collaborative wave/programs
Workshop - determining requirements in this space
Resource development
- health assessments etc.
- young people checks
- decision making tools
- patient education resources
Phase 2 - software improvement
- improve identification rates
discussion
- consensus on requirements and prioritisation is helpful
- letter templates exist - weak on atomic data
- there are variations in how care is desired to be delivered
- client portals are a mechanism
- vendors: Healius, BP, Communicare, Zedmed, CDMNet, MMeX, Medical Director
- key performance indicators maintained nationally would be helpful
- health assessment 715; nKPI well supported - not much has been changed for many years > 5 years
- feedback from users would be appreciated by all vendors (consolidation)
brainstorm
- opportunistic care
- social and genetic identification
- guideline rules formalisation
- terminology (conditions, immunisation, observations, results) - understanding status/action
- actions / timing of actions - recurrence, age range, schedules, look ahead opportunistic, catch-up regimes
- demographic (identification)
- names
- date of birth
- indigenous status
- ability to check current status - conditions, observations, immunisations availability standardised
- overlap with mainstream - get benefit assure good support for requirements
- patient education tracking (relates to administering actions in guidelines)
aims
Identification
- identification as ATSI
- sometimes mandatory
- not ethnicity
- maybe a national system
- Medicare claiming rules on enforcing eligibility requirements as recorded status
- clarity on not asked vs not status (inadequate)
- identity - affects workflow and capability
- info on why to identify as ATSI
- patient apps to collect the information (patient focused questionnaires)
- prompting? limited time prompting
- confirming demographics as part of an appointment
- sometime patients don't want to identify until they are comfortable
- sometimes front desk does not want to ask - social issues at reception
- appointment providers (can they provide)
Is indigenous status apparent on patient header screen
- guide on how this should appear
- maybe an icon
Continuity of care
- include in text of referral (derived templates) - which text to show for that status
- can be done in standards as atomic data
- structured care plans and guidelines - links to terminology
Health Assessments
- expiry of measurements guidelines
- quality: safe / personalised / effective / coordinated care