[LINK] Urgent: MyHR Opt-Out

[Bernard Robertson-Dunn]

GPs want clinical handovers, not discharge summaries
https://www.doctorportal.com.au/mjainsight/2018/10/gps-want-timely-appropriate-hospital-handovers/

"In the real world, GPs are grappling with being thrown links to
hospital electronic records through systems such as “The Viewer”.
Investigations are likely to be uploaded (after a delay) to
MyHealthRecord. These are raw data, unfiltered and disorganised, and
more of a throw than a handover. Being thrown raw data and being
expected to catch them in this way is akin to a hospital doctor being
given the login to the GP clinic’s patient management system and being
expected to extrapolate a referral."


On 19/07/2018 7:28 AM, Peter O'Halloran wrote:
> Dear Bob
>
> Discharge summaries or letters are routinely not finalised at the time a patient is discharged from a hospital. In the case of inpatient wards, the clinician writing up their notes and preparing such clinical documentation is often not physically anywhere near the patient or their Medicare card.  
>
> Secondly, given the well-known issues with Medicare card fraud and children often being on separate Medicare cards with parents who are not speaking, I am not sure that relying on all of the information being on a card itself is the best option.
>
>
> Peter
>
> (disclaimer - all views are my own and are not the official view of my employer).
>
>
> -----Original Message-----
> From: Link <link-bounces at mailman.anu.edu.au> On Behalf Of Dr Bob Jansen (in Korea)
> Sent: Wednesday, 18 July 2018 3:02 PM
> To: link at mailman.anu.edu.au
> Subject: Re: [LINK] Urgent: MyHR Opt-Out
>
> Why not use a chip inside our Medicare card? We need it for treatment anyway so why not have a system wherein the treating clinician uploads their notes or discharge summary into that chip. Then security is dependent on physical access with presumably some sort of PIN/Biometric. 
> Chip can be scrambled so unreadable without correct code. Then the patient is completely in charge. If they want the treatment recorded they have to present the card else it will not be recorded. A true patient medical record, My Medical Record!
>
> bobj
>
> On 18/7/18 1:25 pm, Bernard Robertson-Dunn wrote:
>> On 18/07/2018 10:37 AM, David wrote:
>>> On 16/07/2018 10:44 AM, Roger Clarke wrote:
>>>> This record is all-but useless for patient care.  It's purpose is to enable government agencies to get access to people's health care data.
>>> The only potential value I can see might relate to someone with a chronic condition which rendered them unable to talk about it in an emergency situation.  But even then, they might be better served by wearing a medical-bracelet containing the relevant information.
>>>
>>> It would certainly be cheaper...
>> And people can take photos of their meds, or cut up a bit of the box 
>> it comes in and put it in their wallet or purse, or write it 
>> down...... And you don't need the internet or computer skills.
>>
>> And a lot safer than giving your data to the government.
>>
>> Bernard
>>
> --
> --------------------------------
> Dr Bob Jansen
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-- 

Regards
brd

Bernard Robertson-Dunn
Canberra Australia
email: brd at iimetro.com.au
web:   www.drbrd.com
web:   www.problemsfirst.com