E-Health (aka Health Informatics and Digital Health) Flashcards Preview

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Flashcards in E-Health (aka Health Informatics and Digital Health) Deck (19)
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1
Q

What is E-Health?

A

The use of information and communication technologies for health

Includes tools for health authorities and professionals as well as personalized health systems for patients

2
Q

What are Examples of E-Health Activities?

A

Pharmacy Medication Dispensing Systems

Electronic medical records (GP and hospital based)

Computer generated prescription writing

Electronic billing and claiming (PBS, Medicare)

Reporting of pathology tests and radiology reports

3
Q

What are the Reasons for E-Health?

A

Medical errors (such as adverse drug events, improper transfusions, wrong site surgery) – the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim

Need to improve patient care

4
Q

What Factors Contribute to Medical Errors?

A

Patients see multiple providers in different settings – might not have complete information

Faulty systems, processes and conditions

Move away from a blame based culture

5
Q

What are the Types of Medical Errors?

A

Diagnostic, Treatment, Preventive, Other

6
Q

What are Examples of E-Health within Community?

A

My Health Record – personal electronic health record

Digital Health Cyber Security Centre – protect national digital health systems and personal health information

7
Q

What are State and Territory Achievements of E-Health within Community?

A

Electronic medical records in many public hospitals: Incorporating messaging, discharge summaries, eReferral and booking capabilities

Activity reporting systems: Data from electronic medical records used to identify clinical variations in management

Medicines Safety: Real-time prescription monitoring of Controlled Drugs

8
Q

What are Non-Government Achievements of E-Health within Community?

A

Mobile health apps to improve patient’s confidence in managing chronic health conditions, improve access to specialist services (electronic review of radiographic images) and sharing of Clinical Data (e.g. BP, physical activity) to minimise need for outpatient appointments

Private hospital sector: More financially driven outcomes such as purchasing efficiencies

9
Q

What are Barriers to Further Development of E-Health?

A

Complex funding and governance structures

Need for private sector development

Development of systems should be coordinated, otherwise excellent systems that don’t talk to each other may be developed

Enter the Australian Digital Health Agency

10
Q

What are the Goals of National Digital Health Strategy?

A

Prevent adverse drug events, reduce medical errors, improve vaccination rates, better coordinate care and better inform treatment decisions

Sustain a more efficient health system through less time searching for patient data and reduction of avoidable hospitalisions

Improve healthcare availability and patient experience by putting the patient at the centre of their healthcare

Provide greater access to healthcare for people living in rural and remote areas of Australia

Protect the national digital health infrastructure and secure the personal health information of Australians

11
Q

What is My Health Record?

A

Online summary of a person’s health information that can be accessed at any time by the person or their healthcare providers

12
Q

My Health Record: What Information is Included?

A

Medical history

Medications

Allergies

Pathology test results

13
Q

What are Clinical Decision Support Systems?

A

Describes any computer application which enhances a human’s ability to make decisions

14
Q

Where are Clinical Decision Support Systems integrated into?

A

Currently integrated into computerised prescribing (medical) and dispensing (pharmacy) software and potential for use when ordering imaging, pathology etc

15
Q

What do Clinical Decision Support Systems Incorporate?

A

Patient-specific data entered

Data processed and linked to knowledge stored in database

Notifications communicated back to clinicians

16
Q

What are the Advantages of Clinical Decision Support Systems?

A

May reduce prescribing errors – warn prescribers about possible risks such as allergies, inappropriate doses and duplicated orders

Reduce serious medication errors (ADR, reduction in therapeutic duplications and drug-drug interactions)

Improve adherence to treatment protocols

Increase the use of preventative therapies

17
Q

What are the Disadvantages of Clinical Decision Support Systems?

A

Reliability on clinical information (missing, currency)

High number of false positive alerts

Ability to override alerts and treatment delays

All users need to be appropriately trained and the system implemented gradually

Failure to integrate into current systems

18
Q

What are the Advantages of Electronic Prescriptions?

A

Eliminate illegible handwriting

Increase order accuracy and completeness

Improve response time and continuity of care

19
Q

What are the 7 Outcomes of the National Digital Health Strategy?

A
  1. Health Information that’s available whenever and wherever it is needed
  2. Health Information that can be exchanged securely
  3. High-quality data
  4. Better availability and access to prescriptions and medicines information
  5. Digitally-enabled models of care that drive improved accessibility, quality, safety and efficiency
  6. A workforce confidently using digital health technologies to deliver health and care
  7. A thriving digital health industry delivering world-class innovation