About you
1. What is your name?
Name
Peter Zimmermann
3. Are you responding as an individual or on behalf of an organisation?
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Individual
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On behalf of an organisation
4. If you are responding on behalf of an organisation, please provide the name of the organisation:
Organisation's name
VMG Clinics
5. Do you categorise yourself as a:
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Consumer / individual / patient
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Family member or carer of a consumer
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Professional body / peak organisation
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Diagnostic imaging service delivery provider
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Pathology services delivery provider
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General practitioner
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Specialist medical officer
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Pharmacist
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Nurse
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Allied health practitioner
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Other healthcare provider
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First Nations / Aboriginal and Torres Strait Islander organisation
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Not for profit / community organisation
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State or territory government health department / agency
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Commonwealth Government department / agency
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Clinical software vendor
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Other industry / business
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Other: Please specify
6. Do your responses relate to:
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Diagnostic imaging services
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Pathology services
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Both
Better access – sharing pathology and diagnostic imaging reports to My Health Record by default
1. What systems, processes or standards exist in the community (or need to be put in place) to ensure that providers can comply with this initiative from December 2024?
List systems, processes or standards that exist in the community to ensure provider compliance with this initiative from December. 2024
Diagnostic providers need to be able to upload information through their IT systems.
This should be automated.
This should be automated.
2. What change and adoption strategies are needed to enable sharing to My Health Record by default?
List change and adoption strategies required to enable sharing to My Health Record by default
Just upload the information automatically.
Patients who want to opt out should manage their settings of their MyHealth Record independent of the service provider.
The service provider shouldn’t have to ask or adjust their actions based on the patient’s settings.
This would also remove any stigma or sense of judgement felt by the patient for opting out.
Patients who want to opt out should manage their settings of their MyHealth Record independent of the service provider.
The service provider shouldn’t have to ask or adjust their actions based on the patient’s settings.
This would also remove any stigma or sense of judgement felt by the patient for opting out.
3. How can we most effectively provide or communicate change and adoption resources for:
Consumers:
Inform them of the utility of the change through message from Medicare via MyGov.
Organisations delivering diagnostic imaging and pathology services:
I’m sure they will know the moment you drop the instrument through peak bodies.
Staff in organisations delivering diagnostic imaging and pathology services:
Take them out of the equation. Create a system that doesn’t rely on these staff being the front line for MyHealth Record.
Treating healthcare providers who may request tests and/or use test results:
We will know. We already want to see this information - but it isn’t there because it isn’t mandatory. We dutifully tick the “upload to MyHealth Record” box on all the request forms - yet they never come that way…
4. What current laws or organisation policies prevent diagnostic imaging and pathology providers from sharing reports to My Health Record?
List current laws or organisation policies that prevent diagnostic imaging and pathology providers from sharing reports to My Health Record
The absence of a law telling them to do it.
5. What barriers, if any, do you foresee to your organisation sharing by default from December 2024?
List any barriers you foresee to your organisation sharing by default from December 2024
Zero.
6. What would prevent or overcome the barriers identified in the previous question?
List anything that would prevent or overcome the barriers identified in the previous question
N/A
Better access – sharing pathology and diagnostic imaging reports to My Health Record by default
1. What improvements to existing software for diagnostic imaging and pathology services would help them upload diagnostic imaging and pathology reports by default? This includes the ability to keep a record of reasons why they have not uploaded a report.
List improvements to existing software for diagnostic imaging and pathology services that would help them upload diagnostic imaging and pathology reports by default
Don’t put the decision in their hands.
Mandate that they upload all images through their relevant system.
Empower the patient to control how information is uploaded and shared within their own MyHealth Record.
Mandate that they upload all images through their relevant system.
Empower the patient to control how information is uploaded and shared within their own MyHealth Record.
2. What barriers are there to better interoperability of My Health Record with existing software for diagnostic imaging and pathology customers?
List the barriers that exist to better interoperability of My Health Record with existing software for diagnostic imaging and pathology customers
I am sure there are plenty - but their software is capable of talking with many practice management software platforms.
It will come down to money. As it always does.
It will come down to money. As it always does.
3. What opportunities are there for more automated management of reports? This includes sharing to My Health Record and documenting exceptions to reporting requirements.
List the opportunities that exist for more automated management of reports
Again - make it automatic. Take the service provider out of the decision. This will remove so many nebulous forms and processes of zero value.
Mandate that they upload all images through their relevant system.
Empower the patient to control how information is uploaded and shared within their own MyHealth Record.
Mandate that they upload all images through their relevant system.
Empower the patient to control how information is uploaded and shared within their own MyHealth Record.
4. What barriers are there to more automated management of reports? This includes sharing to My Health Record and documenting exceptions to reporting requirements.
List the barriers that exist to more automated management of reports?
Ridiculous processes and forms.
The health bureaucracy will no doubt want to make sure every provider is checking the patients consent in order to upload results. This will not only be a significant barrier to success - it will result in additional costs to providers. It will also likely result in a sense of stigma / shaming being felt by patients when they do not consent.
The health bureaucracy will no doubt want to make sure every provider is checking the patients consent in order to upload results. This will not only be a significant barrier to success - it will result in additional costs to providers. It will also likely result in a sense of stigma / shaming being felt by patients when they do not consent.
Better access – sharing pathology and diagnostic imaging reports to My Health Record by default
1. What do you think will be the impact of diagnostic imaging and pathology providers having to share reports to My Health Record by default? This includes the impact on:
Consumers and/or carers:
Improved care.
Less tests.
Enhanced safety.
Less tests.
Enhanced safety.
Healthcare providers:
Better communication.
Less tests.
Improved care.
Less tests.
Improved care.
The broader healthcare system:
Better communication.
Less tests.
Less cost.
Enhanced patient safety.
Improved digital health culture.
Less tests.
Less cost.
Enhanced patient safety.
Improved digital health culture.
2. What does the government need to consider when developing requirements to share diagnostic imaging and pathology results to My Health Record? Particularly consider:
List government considerations when developing requirements to share diagnostic imaging and pathology results to My Health Record
Results should be available to all clinicians who have a need to know. The MyHealth Record aims to be the repository for a patient that enables clinicians to make informed decisions about a patient, whilst not exposing them to unnecessary risk or wasting taxpayer / patient money.
This is clearly different from communicating the result to the clinician who ordered the test via their practice management software / paper copies.
Mandate that they upload all images through their relevant system. Take the providers out of the equation.
Empower the patient to control how information is uploaded and shared within their own MyHealth Record.
This is clearly different from communicating the result to the clinician who ordered the test via their practice management software / paper copies.
Mandate that they upload all images through their relevant system. Take the providers out of the equation.
Empower the patient to control how information is uploaded and shared within their own MyHealth Record.
Faster access – removing delays to accessing pathology and diagnostic imaging reports in My Health Record
1. What do you think would be the impact of consumers having immediate access to diagnostic imaging and pathology reports in their My Health Record? This includes the impact on:
Consumers and/or carers:
Improved care
Less tests
Enhanced safety
May cause alarm if results not explained by professional
Less tests
Enhanced safety
May cause alarm if results not explained by professional
Healthcare providers:
Reduction in ordering tests
Improved safety for patient
Better interprofessional communication
Improved safety for patient
Better interprofessional communication
The broader healthcare system:
Less tests
Enhanced patient safety
Enhanced patient care
Less cost to the system
Enhanced patient safety
Enhanced patient care
Less cost to the system
2. What resources should consumers have access to when they view a result in My Health Record? This question is about how to support consumers in a model of care where they have near real time access to their pathology and diagnostic imaging results.
List the resources that consumers should have access to when they view a result in My Health Record?
There always should be advice to discuss the result with the ordering health professional to provide context and explain the result for them.
3. What safety features could ensure follow-up clinical care happens promptly?
List the safety features that could ensure follow-up clinical care happens promptly
This should remain the ordering clinicians responsibility.
This is typically managed through their practice management software. I don’t see a role for My Health Record here (unless it is going to communicate patient recalls and reminders from the PMS)
This is typically managed through their practice management software. I don’t see a role for My Health Record here (unless it is going to communicate patient recalls and reminders from the PMS)