Digital Health

Country SA PHN in association with the Australian Digital Health Agency, provides support for a number of digital health technologies which align with the Australian National Digital Health Strategy initiatives and the Framework for Action.

There are seven digital health priority activities set for 2018 to 2022:

  1. My Health Record
  2. Secure Messaging
  3. Interoperability and Data Quality
  4. Medicines Safety
  5. Enhanced Models of Care
  6. Workforce and Education
  7. Driving Innovation

If you’d like to learn more about the Framework for Action, you can watch the video clicking here or download the PDF from here.

Our Digital Health team can provide assistance with a range of systems and preparedness measures that will help you along your Digital Health journey. Click a heading below to learn more about your options and access a range of training resources.

Please contact This email address is being protected from spambots. You need JavaScript enabled to view it. if you have any questions.

My Health Record

CSAPHN has been actively supporting healthcare providers in Country South Australia to connect to, upload and utilise My Health Record since its inception in 2012.

Eight years later, My Health Record is operational in the overwhelming majority of GP and Pharmacies in our region. Most of the health information being uploaded to My Health Record is loading passively through other systems such as MBS, PBS and the AIR. Shared Health Summaries and Event Summaries can be uploaded by a patients regular GP, as well as patients themselves can manually add information to their own My Health Record.

The My Health Record website is a great reference point for healthcare provider information and resources for patients, please go to https://www.myhealthrecord.gov.au/ or contact us for support.

Resources
My Health Record: Security and Access - Policy Template
Webinar Handout – Medication Safety and the My Health Record
Webinar Handout – My Health Record update for South Australia
Reporting template
Clinical Incident Overview

 

What is Secure Messaging? 

As part of the Australian National Digital Health Strategy, the Australian Digital Health Agency aims to end dependence on paper based correspondence and the fax machine or postal services by 2022.  

Secure Messaging is the solution that will replace faxing or posting health information using reliable, secure provider-to-provider electronic communication.  

 

Historically, only healthcare organisations using the same secure messaging provider have been able to exchange messages. While several secure messaging providers have recently connected their networks and are becoming interoperable, interconnectivity still remains a problem today.  

Country SA PHN are working with all relevant stakeholders to make Secure Messaging fully interoperable; meaning that irrespective of what Clinical Information System is being used by each provider, they will be able to electronically send and receive health information to one another.   

 

What are the benefits of Secure Messaging? 

Fully interoperable Secure Messaging will have the following functionality: 

  1. Integration with clinical information system: 

From their local desktop healthcare providers will be able to send, receive and read clinical information.  

 

  1. Faster exchange of clinical information: 

Send and receive referrals, specialist letters, discharge summaries, care plan summaries, lab/radiology results etc in real time.  

 

  1. National Directory Service: 

The ability to be able to search for and send to any healthcare provider listed in the directory. 

 

  1. Encryption and Security: 

All Secure Messaging files are sent in an encrypted format which can only be opened by the intended recipient. 

 

What is Country SA PHN doing to support interoperable Secure Messaging? 

To support interoperable Secure Messaging, Country SA PHN has committed to the following work: 

  1. Partnership with SA Health for the Secure Messaging Project to establish and implement Secure Messaging capacity between SA Health and Private Providers https://community.healthconnections.com.au/secure-messaging 

  1. Support to healthcare providers with the required registration in the Healthcare Identifiers Service and obtaining a NASH certificate  

  1. Assisting healthcare providers with the successful adoption and meaningful use of Secure Messaging in their organisation.  

 

For more information on Secure Messaging, please click here.   

 

What is Secure Messaging? 

As part of the Australian National Digital Health Strategy, the Australian Digital Health Agency aims to end dependence on paper based correspondence and the fax machine or postal services by 2022.  

Secure Messaging is the solution that will replace faxing or posting health information using reliable, secure provider-to-provider electronic communication.  

 

Historically, only healthcare organisations using the same secure messaging provider have been able to exchange messages. While several secure messaging providers have recently connected their networks and are becoming interoperable, interconnectivity still remains a problem today.  

Country SA PHN are working with all relevant stakeholders to make Secure Messaging fully interoperable; meaning that irrespective of what Clinical Information System is being used by each provider, thewill be able to electronically send and receive health information to one another.   

 

What are the benefits of Secure Messaging? 

Fullinteroperable Secure Messaging will have the following functionality: 

  1. Integration with clinical information system: 

From their local desktop healthcare providers will be able to send, receive and read clinical information.  

 

  1. Faster exchange of clinical information: 

Send and receive referrals, specialist letters, discharge summaries, care plan summaries, lab/radiology results etc in real time.  

 

  1. National Directory Service: 

The ability to be able to search for and send to any healthcare provider listed in the directory. 

 

  1. Encryption and Security: 

All Secure Messaging files are sent in an encrypted format which can only be opened by the intended recipient. 

 

What is Country SA PHN doing to support interoperable Secure Messaging? 

To support interoperable Secure Messaging, Country SA PHN has committed to the following work: 

  1. Partnership with SA Health for the Secure Messaging Project to establish and implement Secure Messaging capacity between SA Health and Private Providers https://community.healthconnections.com.au/secure-messaging 

  1. Support to healthcare providers with the required registration in the Healthcare Identifiers Service and obtaining a NASH certificate  

  1. Assisting healthcare providers with the successful adoption and meaningful use of Secure Messaging in their organisation.  

 

For more information on Secure Messaging, please click here.  

Clinical Incident Reporting Overview
Overview of the OMO role for the My Health Record

What is Secure Messaging? 

As part of the Australian National Digital Health Strategy, the Australian Digital Health Agency aims to end dependence on paper based correspondence and the fax machine or postal services by 2022.  

Secure Messaging is the solution that will replace faxing or posting health information using reliable, secure provider-to-provider electronic communication.  

Historically, only healthcare organisations using the same secure messaging provider have been able to exchange messages. While several secure messaging providers have recently connected their networks and are becoming interoperable, interconnectivity still remains a problem today.  Country SA PHN are working with all relevant stakeholders to make Secure Messaging fully interoperable; meaning that irrespective of what Clinical Information System is being used by each provider, they will be able to electronically send and receive health information to one another.   

What are the benefits of Secure Messaging? 

Fully interoperable Secure Messaging will have the following functionality: 

  1. Integration with clinical information system: 
    From their local desktop healthcare providers will be able to send, receive and read clinical information.  

  2. Faster exchange of clinical information:
    Send and receive referrals, specialist letters, discharge summaries, care plan summaries, lab/radiology results etc in real time.  

  3. National Directory Service: 
    The ability to be able to search for and send to any healthcare provider listed in the directory. 

  4. Encryption and Security: 
    All Secure Messaging files are sent in an encrypted format which can only be opened by the intended recipient. 

What is Country SA PHN doing to support interoperable Secure Messaging? 

To support interoperable Secure Messaging, Country SA PHN has committed to the following work: 

  1. Partnership with SA Health for the Secure Messaging Project to establish and implement Secure Messaging capacity between SA Health and Private Providers https://community.healthconnections.com.au/secure-messaging 

  1. Support to healthcare providers with the required registration in the Healthcare Identifiers Service and obtaining a NASH certificate  

  1. Assisting healthcare providers with the successful adoption and meaningful use of Secure Messaging in their organisation.  

For more information on Secure Messaging, please click here

Resources
Secure Message Delivery
Secure Message Delivery - Policy Template

On Thursday the 18th of June South Australia passed the required amendments to legislation which will allow electronic prescriptions as tender for writing and dispensing a script. We are excited to join the other states with this amendment and are ready to support your organisations we adapt to change and re-think our workflows to create an efficient, increasingly safe method of medication supply

Currently the Australian Digital Health Agency is rolling out electronic prescriptions using a controlled testing approach to ensure the end-to-end process is successful amongst all combinations of GP and Pharmacy software.

Participation will occur in a Community of Interest which will require at least one general practice and one pharmacy in proximal location. There are other requirements that will need to be met and we are keen to hear from your organisation if you would like to forge the path for electronic prescribing in Country South Australia.

Please contact us at This email address is being protected from spambots. You need JavaScript enabled to view it. to register your interest in participating in a Community of Interest or for further information.

What is an Electronic Prescription?

An electronic prescription is a prescription that is electronically generated by prescribers using conformant prescribing software and sent to a person’s mobile phone or computer. An electronic prescription is used in the same way as a paper prescription, to get prescribed medicines from a pharmacy.

Under the Poisons Regulations, an electronic prescription is defined as a prescription given in an approved electronic form; this means an electronic prescription must comply with the national regulatory and technical frameworks for electronic prescriptions developed by the Commonwealth Department of Health and the Australian Digital Health Agency. This ensures the safety and security of patient information transmitted in electronic prescriptions. Click here for the latest Australian Digital Health Agency electronic prescription factsheet. Click here to view SA Health electronic prescription factsheet.

Country SA Pharmacies ready to handle Electronic Prescriptions

Readiness Item: Software Vendors

Software developers are working on their conformance. Those who have successfully met the requirements of electronic prescriptions are listed here. Please contact your software vendor for more information.

Readiness Item: Healthcare Identifiers Maintenance and Registration

Electronic prescriptions will require your organisation to:

  • Be registered with the Healthcare Identifiers (HI) Service
  • Review your details listed with the HI Service and ensure it is current.
  • Be using a Prescription Exchange Service (PES), either ERX or Medisecure.
  • Have your provider details up to date.  

Resources:
eRx Script Exchange
Medisecure
Electronic Prescriptions Security and Access Policy
Electronic Prescriptions Privacy Policy
Electronic Prescriptions Data Usage Policy

Readiness Item: Hardware Requirements for Dispensers

To dispense from an electronic prescription, your barcode scanners will need to be able to read a QR Code. And depending on your pharmacy workflow, you may need to print a QR Code.

Your software vendor is best placed to tell you if your existing hardware is capable of doing this. Contact your software vendor to see if they have an approved list of hardware items or check your vendors website to see if they have a recommended hardware list. If you are purchasing new hardware, ensure the model you are buying is capable of performing the necessary scanning and printing functions.

Readiness Item: Prescribers – Issuing an electronic prescription

To issue an electronic prescription to a Patient, you will need to know their mobile number or email address.

  • Are your patient’s contact details up to date? Do you collect and regularly update their mobile number and email address?
  • Does your practice have a “no email or sms” policy? If so, you will need to consider how or if you want to offer prescriptions electronically. Is it time to review your policy?
  • Does your patient want to receive their prescription electronically?

Readiness Item: Staff Education and Awareness

The Australian Digital Health Agency have released separate Education Modules for Prescriber and Dispensers. The Modules can be accessed by going to https://training.digitalhealth.gov.au/

Resources
SA Health information page
SA Health information for Consumers​
SA Health information for Providers
General overview​
Information for Prescribers
Prescriber Fact Sheet
Software Conformance Register
Information for Dispensers
Dispenser Fact Sheet
Toolkit to use with Consumers to promote on site - PDF booklet
Fred recommended hardware
Minfos recommended hardware - Minfos have a number of recommended hardware vendors
Healthcare Identifiers - Common connection issues and solutions

What are Healthcare Identifiers?  

The Healthcare Identifiers (HI) Service is a national system for uniquely identifying healthcare providers and individuals. Healthcare identifiers help ensure individuals and providers have confidence the right information is associated with the right individual at the point of care. It has been created to be used by healthcare providers to improve the security and efficient management of your personal health information. 
 
The HI Service allocates three types of healthcare identifiers: 

  • Individual Healthcare Identifier (IHI) for individuals receiving healthcare services.
    • The system automatically assigns IHIs to every person enrolled in Medicare or registered with the Department of Veterans’ Affairs. 
  • Healthcare Provider Identifier – Individual (HPI-I) – for healthcare professionals involved in providing patient care; 
    • If you are registered with AHPRA, you are automatically assigned a HPI-I number. For assistance obtaining your HPI-I number, please call the HI Service.
       
  • Healthcare Provider Identifier – Organisation (HPI-O)  – for organisations that deliver healthcare (such as hospitals or general practices).
    • ​​Your healthcare organisation needs to register with the HI Service to be assigned a HPI-O number.  

Penalties are in place for the misuse of healthcare identifiers. We recommend you read the following documentation to get a sound understanding of the HI Service, including things you need to be aware when accessing, using and disclosing healthcare identifiers. 

How do I access the HI ServiceWhat is PRODA? 

The Healthcare Identifiers Service can verbally assist you with HI information by calling 1300 361 457.  

Alternatively, most healthcare professionals are now choosing to save time spent on the phone by controlling their own details using Health Providers Online Services (HPOS). HPOS uses a login identity authentication system called PRODA (provider digital access).  

PRODA is digital and you can use it from anywhere as long as you have access to the internet. It is the login system for most professional government services, such as Health Professional Online Services (HPOS)Medicare OnlinePharmaceutical Benefits Scheme Online (PBS Online)Disability Medical Assessment Online serviceAged Care Provider PortalAustralian Immunisation Register (AIR) and the Practice Incentive Program (PIP).  

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How do I setup PRODA account? 

To access available services using PRODA, you need to register as an individual to get your own account. Your individual PRODA account belongs to you. It doesn’t expire. This means if you change your employer, you’ll keep the same individual PRODA account. 

To create your account, go to this PRODA registration pageYou’ll need to verify your identity online using identity documents to complete the registration process. 

PRODA HI maintenance, amendments and alterations: 
It is good practice to frequently review your organisations HI details on PRODA. It is not uncommon for a detail to change- such as ABN number, business name, address and healthcare providers working at your organisation. Security certificates also expire and need refreshing.  

Please follow this guide for all PRODA HI instructions: PRODA HI Service Navigation Guide

Who to contact?
PRODA - 1800 700 199
HI Service - 1300 361 457 

Resources
Authorised Employee User Guide
Organisation Maintenance Officer (OMO) User Guide
Managing your Organisations Digital Health Information
Individual Healthcare Provider User Guide
Responsible Officer User Guide
Healthcare Identifiers Service User Guide
Contracted Service Provider User Guide
Authorised Employees Spreadsheet
Healthcare Identifiers - Common connection issues and solutions
Healthcare Identifiers Act 2010

Introduction 

At Country SA PHN, our Digital Health team can provide advice and access to telehealth information and systems, including: 

  • How to prepare your clinic and staff for the implementation of telehealth
  • Best practice suggestions for telehealth appropriate consult room layout
  • Consent form and privacy templates for your clinicians and patients
  • Relevant MBS Items numbers 
  • Information on the two systems available through Country SA PHN 

What systems can we offer? 

Through the PHN, we can offer access to two telehealth systems. Each system has a different purpose and connects you to different providers 

In South Australia, SA Health public hospitals currently use a Cisco supplied video conferencing system as their official telehealth system. The system is often referred to as Cisco Jabber however Jabber is just one of several Cisco software products that make up their video conferencing suite. Through our Health Connections Video telehealth program, we can provide clinics with the necessary Cisco software to connect into the SA Health system and access specialists and other services such as the Regional Mental Health Services team. 

The Commonwealth Government, in partnership with HeatlhDirect and PHN’s, have provided subsidised access to HealthDirect’s Video Call telehealth system till 31st March, 2021 for GPs, and 30th June 2021 for non-GP type Primary care services. Accessed through a web browser, any Provider can access the system to commence a telehealth consult with their patient.

This table provides a breakdown of both systems:

How do I get access to these systems? 

  • Health Connections Video (Cisco Jabber): Send us an expression-of-interest email to This email address is being protected from spambots. You need JavaScript enabled to view it.
  • ​HealthDirect Video Call: Kindly direct expressions of interest through Country SA PHN to This email address is being protected from spambots. You need JavaScript enabled to view it.  

MBS Item Numbers and Resources
Standard Telehealth MBS Items Number
Updated COVID-19 Temporary MBS Telehealth Services
RACGP - https://www.racgp.org.au/running-a-practice/technology/clinical-technology/telehealth
ACCRM - http://www.ehealth.acrrm.org.au/telehealth-standards
Centre for Online Health, University of Queensland - https://coh.centre.uq.edu.au/quick-guides-telehealth
Australian Privacy Principle - https://www.oaic.gov.au/privacy/australian-privacy-principles 
Updated Privacy Checklist for Telehealth Services
Webinar Handout - Telehealth Guidelines and Resources​

Newsletters
16th October, 2020 - Digital Health Newsletter (Telehealth Updates)

Telehealth Resources
Health Connections Video - Introduction
Health Connections Video - Organising Telehealth in Your Practice
Health Connections Video - Cisco Jabber User Guide
Health Connections Video - How to Conduct a Video Consultation
Health Connections Video - Telehealth Patient Information Sheet

Digital Health Security Health Awareness

The Australian Digital Health Agency has developed an eLearning course on Digital Health Security Awareness containing 5 modules which will enable participants on completion to - 

  • Describe common cyber security risks and recognise that they are continually evolving
  • Adopt positive security behaviours to protect sensitive information 
  • Identify ways to reduce the likelihood of being impacted by cyber security threats
  • Outline what to do in the case of a cyber security incident
  • Identify key legislation and data breach reporting requirements

You can access the course by logging onto or registering at - https://training.digitalhealth.gov.au/login/index.php

The 5 modules contain the following -

Introduction to Security Awareness

  • Recognise the importance of developing a positive security culture to protect health information. 
  • Adopt a continuous learning approach, so you can recognise and manage emerging security risks.
  • Identify where to obtain information about the latest security threats.
  • Understand the importance of sharing security information with your colleagues.

Think before you Click

  • Understand why you need to ‘think before you click’ to stay safe online.
  • Adopt safe email practises to reduce the risk of a security incident or data breach.
  • Recognise the consequences of sharing information when posting online.
  • Identify the risks of using public Wi-Fi to access, send or receive sensitive information

Passwords and Passphrases

  • Recognise the importance of using a unique password for each device and account.
  • Create strong passwords that are easy for you to remember (but hard for someone else to guess).
  • Adopt good password practises.
  • Understand the benefits of multi-factor authentication for greater protection.

Network and Device security

  • Understand the need to keep devices up-to-date to reduce the risk of known vulnerabilities. 
  • Identify how to use Wi-Fi safely.
  • Recognise the risks of using USB drives. 
  • Appreciate the importance of having robust backup processes.

Respond. Report. Protect

  • Identify the actions you need to take in case of a security incident in your organisation.
  • Locate information regarding privacy legislation for healthcare organisations.
  • Recognise your legal obligations and reporting requirements, to protect health information.  
  • Understand appropriate use of My Health Record, including the use of Emergency Access.
Resources
Webinar Handout - Digital Health Security and Resources​
RACGP Computer and Information Security Standards
RACGP Computer and Information Security Standards Workbook
RACGP Quality Health Records Checklist
Australian Privacy Principles
Compliance Indicators for the Australian Privacy Principles
Digital Health Cyber Security

 


 

CONTACT US

Beckwith Park, 30 Tanunda Road Nuriootpa SA 5355
PO Box 868 Nuriootpa SA 5355
T 08 8565 8900 F 08 8311 1723
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@countrysaphn

HEALTH PROFESSIONALS

THINGS WE DO

 

While the Australian Government Department of Health has contributed to the funding of this website, the information on this website does not necessarily reflect the views of the Australian Government and is not advice that is provided, or information that is endorsed, by the Australian Government. The Australian Government is not responsible in negligence or otherwise for any injury, loss or damage however arising from the use of or reliance on the information provided on this website.

© 2018 COUNTRY SA PHN  
Country SA PHN gratefully acknowledge the financial and other support from the Australian Government Department of Health