Health Record Content Recommendation

News

BY Jennifer Morency | 16 May 2019

The RACGP set about developing the “Minimum requirements for general practice clinical information systems to improve usability” for two reasons: - To articulate what is expected from Clinical Information System’s to ensure they meet the needs of users, are safe and secure - To help direct improvements in future useability and functionality There are currently nine recommendations for working towards minimum requirements.  This article will be focusing on Recommendation 1 – Health Record Content.

Health Record Content

The RACGP writes that the quality of patient health records is critical to safe and effective healthcare. With the increasing use of shared care models, the quality of this information is more important than ever. No longer serving only individual GPs or practices, information in a patient’s health record is likely to be shared between, and relied upon by primary, secondary and tertiary healthcare services, as well as the patient themselves.

Understanding the importance for GPs to access a patient’s history throughout the consult, Hello Health provides an EMR that includes a summary of a patient’s diagnoses, current medications and more. Displayed on the right-hand side of a patient’s visit overview, this information is readily and securely accessible by clinicians whenever they need it.

The quality and security of data found throughout such an integral part of a practice’s IT infrastructure is also important. This is whyHello Health’s EMR includes built-in tools that display relevant content such as:

  • Pathology reports
  • Electronic prescriptions
  • Orders
  • Messages
  • Reports
  • Billing

Hello Health’s data content also supports AMT through the MIMS dataset to ensure clinicians using the platform exchange accurate medical information between systems.

Electronic Medical Records (EMRs)

EMRs allow clinicians to securely input valuable patient information into a technological platform they can carry around with them. Having access to patient records, visit notes and more while interacting with the patient makes a GPs workflow seamless and allows them to concentrate on their patient.

As technology progresses, so do the tools and resources found within existing technology. The addition of patient portals within EMRs not only augments patient engagement, but their overall experience as well. A GP can decide what information to share with the patient or other specialist, whether it be pathology reports, visit notes, instructions, medical education, or other. The ability to control the information being shared from patient to patient, whether it be all or limited data, also contributes to a better experience not only for the patient, but especially the clinician.