Importance of data quality in My Health Record

The My Health Record (formerly Personally Controlled Electronic Health Record) system enables better access to important health information held in records dispersed across the health sector. My Health Record provides an active online record that follows your patients as they move through the health care system, capturing important clinical information at different points in time. Australians who are registered for My Health Record can access their health information when and where they need it and share this information with their health providers.

One of the key requirements for the ePIP that has recently changed is the requirement to upload a Shared Health Summary. A Shared Health Summary provides a patient’s status at that point of time. It can be created or updated during any consultation and includes four pieces of coded information from your practice's database; allergies, medications, past history and immunisations. Although this is one of the key requirements, it is important that the quality of the Shared Health Summary is as clean and as accurate as possible to achieve the maximum digital health benefits. This is where data quality comes into play and is equally critical to the entire process.

Improving data quality is an ongoing process that needs to fit into your practice workflow so that digital health benefits can be sustainable. Up-to-date information will ensure that Shared Health Summaries and other important clinical documents are reliable as inaccurate data may potentially lead to adverse patient outcomes.

Practices must ensure that where clinically relevant, they are working towards recording the majority of diagnoses for active patients electronically, using a medical vocabulary that can be mapped against a nationally recognised disease classification or terminology system. To achieve consistent and sustainable clean data requires the entire clinical staff to be on board, so it’s important that all clinical staff are engaged in the clinical coding process. By choosing a diagnosis from your clinical systems condition list rather than free text is a way of staying compliant with the ePIP requirements.

The second ePIP quarter starts in August and if your practice is not compliant or uncertain of requirements or need further training then please contact the Digital Health Team at the Ashfield or Kogarah Office.