straightforward methods than “fiddling” with CDA documents, he said. “This is a hard attack. It is very low efficiency. There are
much easier ways to attack a system if you want to than to do this but what we are saying is that it is possible. [With] the PCEHR it would
be an extremely hard but with point-to-point it would be somewhat easier and people do need to look at that.”
NEHTA and vendors work on improvements to PCEHR interfaces NEHTA has released details of improvements to the software interfaces for the PCEHR following sustained criticism of the system’s lack of usability from clinicians.
It also recommended that administrative data, which is the first thing seen when opening a record, be hidden from the clinician’s view and clinical data shown first.
According to NEHTA’s website, it worked with peak bodies to produce guidance material for software vendors on improvements that could be made under its clinical usability program (CUP).
When creating a shared health summary and filling out the medical history section, NEHTA has recommended that medical history be no longer separated into subgroupings, but displayed as one list in chronological order.
NEHTA said the focus of the first release of the guidance material was specific to improving the usability of the shared health summary and viewing and downloading documents from the PCEHR. The improvements will be made through each vendor’s new releases and are all due to be implemented before June. NEHTA has recommended that certain columns and headings be displayed in clinical documents to allow clinicians more clarity when selecting clinical documents from the PCEHR list view.
“An entry point to PCEHR functionality will be displayed prominently on the patient chart.” A final recommendation is that improvements be made to assist clinicians when checking if a PCEHR exists for the patient. Rather than the clinician having to check themselves, the software will instead search and validate both the Healthcare
Identifier and PCEHR status in the background when the patient’s record is opened. When a PCEHR is found, a record status indicator will turn green and be displayed to the clinician. “An entry point to PCEHR functionality will be displayed prominently on the patient chart,” the organisation said. Department of Health documents show that of the 200-odd consumer complaints made since December 4 last year, over 70 relate to access issues, registration difficulty or requirements for the MyGov website, which consumers must use to register online. There were 22 complaints about the design or operation of the PCEHR between December 4 and March 5, while 15 were recorded for the assisted registration process. One complaint was made on the grounds of privacy with the PCEHR operation, and nine privacy or consent concerns were made about the assisted registration process.
My Film Bag goes live with patient films online Melbourne-based radiology specialist Zed Technologies has gone live in its first practices with its new My Film Bag app, which allows patients to view their radiology images online. Rolled out first at Melbourne’s Imaging @ Olympic Park, the app also went live at Port Macquarie X-ray in NSW as a way to test it with patients who have to travel out of the area to see specialists. My Film Bag is available as both a web app and as a mobile app for iOS and Android devices, and has been developed by Zed Technologies’ Ross Wright and Ronald Li as a way to allow patients to view their own images and to share them with doctors without having to cart around films or CDs. Mr Wright said Imaging @ Olympic Park and Port Macquarie X-ray are paying for the app on behalf of their patients. “Their reasoning behind it is that it’s a value-added service but there’s also a small saving on film,” he said. “It was something that they thought some of their patients would appreciate, being mobile and reasonably tech savvy patients.” In addition to allowing patients easy access to their scans while travelling and the ability to share them with multiple healthcare providers, another obvious market to explore is new parents to allow them to store and view ultrasound images. The company plans to initially market the app to radiology providers before individual patients. The app is the first consumer venture for the start-up company, which has also developed a DICOM viewer currently in use in hospitals as well as a mobile app that can be used with Medinexus to allow GPs and specialists to view DICOM images from within their desktop software or mobile device.
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