The My Health Record clinical safety program aims to improve quality, safety and efficiency in the Australian healthcare system through the My Health Record system. Consumers can control the content of, and access to, their healthcare record, and share health information with their clinicians.
The Australian Digital Health Agency (the Agency) was established on 1 July 2016 and is the My Health Record System Operator.
The Agency appointed the Commission to undertake a clinical safety program for the My Health Record system and national digital health infrastructure for 2016–2018. This includes:
Between 2012 and 2018, the Commission completed 12 My Health Record clinical safety reviews some of which are available below.
A review of the PCEHR clinical incident management process, and an update on progress made on previous recommendations from a review of the National eHealth Transition Authority’s (NEHTA) clinical safety management.
An examination of the PCEHR clinical incident management and investigation processes, and progress made against the recommendations from the First PCEHR clinical safety review.
A review of de-identified PCEHR records; the use of the National Prescription and Dispense Repository; and incident review and reporting.
A review of electronic discharge summaries and a review of the status of recommendations from the previous three clinical safety reviews.
A review of the use of Shared Health Summaries, Medicare Benefits Schedule, Pharmaceutical Benefits Scheme, and the application of clinical safety design principles to Release 5.
Review of the My Health Record system identity management processes, focusing on Individual Health Identifiers and an end-to-end review of Event Summaries.
A review of the impact and safety of the use of the My Health Record system in emergency departments
A review of the presentation to healthcare providers of the My Health Record system ‘medications views’
A review of the My Health Record system downtime management best practices for clinical safety in health IT systems
A review of the adoption and utilisation of SNOMED CT-AU and AMT: Safe use of medicines – allergies and adverse drug reactions
Tenth Clinical Safety Review of the My Health Record System
A review of the presentation of clinical documents from the My Health Record system in the National Provider Portal and clinical information systems