It’s a Yes from MediRecords for the Voice to Parliament
 

It's a Yes from MediRecords for the Voice to Parliament

Tim Pegler

Tim Pegler - Senior Business Development Manager

MediRecords strongly encourages Australians to vote yes in the upcoming referendum for an Aboriginal Voice to Federal Parliament. 

As a company committed to helping deliver better health outcomes for all Australians, MediRecords believes the Voice to Parliament is an essential step toward equity and justice for First Nations peoples and ‘closing the gap’ in indigenous health. 

Closing the Gap

Aboriginal and Torres Strait Islander people have significantly worse health, education, employment, and economic outcomes, compared to the rest of the Australian population. 

In 2008 the Council of Australian Governments (COAG) created the National Indigenous Reform Agreement to close the gap between indigenous and non-indigenous Australians, listing six key targets:

  • to close the life expectancy gap within a generation
  • to halve the gap in mortality rates for Indigenous children under five within a decade
  • to ensure access to early childhood education for all Indigenous four-year-olds in remote communities within five years
  • to halve the gap in reading, writing and numeracy achievements for children within a decade
  • to halve the gap for Indigenous students in year 12 attainment rates by 2020 and
  • to halve the gap in employment outcomes between Indigenous and non-Indigenous Australians within a decade.

Progress against these and additional targets is reported to the Federal Parliament annually. Successive governments have committed to achieving equity, but the disparities remain dire. Closing the Gap data shows:

  • If you are born an indigenous woman your life expectancy is 75.6 years, compared to 83.4 for non-indigenous women. If you are an Aboriginal male, your life expectancy is 71.6 years compared to 80.2 for non-indigenous men.
  • In 2020, 94 per cent of non-indigenous babies are born with a healthy birthweight compared to 89 per cent of Aboriginal and Torres Strait Islander babies.
  • Aboriginal and Torres Strait Islander people are massively over-represented in our jails (2151.1 per 100,000 adult population in 2022, versus 15.7 per 100,000 non-indigenous people). Former federal Opposition leader Bill Shorten has said: “A young Aboriginal man of 18 in Australia is more likely to end up in jail than university”, a statement subsequently verified by researchers.
  • Aboriginal and Torres Strait Islander people are also more likely to have their children taken away (56.8 per 1000 children in out-of-home care in 2022 compared to 4.8 per 1000 for non-indigenous families). This is despite the Australian Human Rights Commission ‘Stolen Generations’ national enquiry, which handed down its findings in 1997.
  • In 2018-19, 8.4 per cent of Aboriginal and Torres Strait Islander females aged 15 years and over experienced domestic physical or threatened physical harm.
  • In 2021, 68.1 % of Aboriginal and Torres Strait Islander people aged 20-24 years had obtained a Year 12 or equivalent educational qualification, compared to 90.7 per cent of non-indigenous people aged 20-24.

Deaths in custody are not included within the Closing the Gap goals. There have been more than 500 indigenous deaths in custody since the Royal Commission into Aboriginal Deaths in Custody handed down its report in 1991. The report contained 339 recommendations, many of which have not been implemented.

Living by our values

MediRecords’ core values state that we “act with integrity, actively listening to clients and colleagues and striving to improve health care delivery for our community”. The Closing the Gap data indicates government policies are either not improving health outcomes – or not doing so fast enough.

We believe that empowering First Australians with the Voice to Parliament they have asked for is a way to enable more influence and input into policies that affect their lives. We support a “not about me, without me” approach to policy making.

This is why we will be voting, ’Yes.

Referendum FAQS

Aboriginal and Torres Strait Islander people want more say in the laws that affect them. In 2017, following consultations across Australia, the First Nations National Constitutional Convention delivered the powerful Uluru Statement from the Heart. One of the things the statement calls for is, “establishment of a First Nations Voice enshrined in the Constitution”. It also states: “We seek constitutional reforms to empower our people and take a rightful place in our own country. When we have power over our destiny our children will flourish. They will walk in two worlds and their culture will be a gift to their country.”

You can hear the full Uluru Statement, read by Indigenous community leaders, here:
https://youtu.be/rWoIgPyQTK4

The Australian Constitution is the primary set of rules that determine how Australia is governed. Our Constitution was introduced in 1901. The only way to update the Constitution is through a process known as a ‘referendum’. First, both houses of the Federal Parliament must endorse a change to the Constitution. A national vote is then held so the Australian people can say ‘yes’ or ‘no’ to the proposed change. A majority of voters in a majority of states and territories, AND a majority of voters nationally, must vote ‘yes’ for a referendum to succeed.

While most previous attempts to change the Constitution have been unsuccessful, one of the successful ‘yes’ votes also involved Aboriginal people. Before 1967, the Constitution did not even acknowledge Aboriginal and Torres Strait islander people were part of the Australian population. In the 1967 referendum, 91% of Australians, with a majority in every state or territory, voted to update the Constitution to include Aboriginal and Torres Strait Islander people as part of Australia’s population, and empower the Commonwealth Government to make laws affecting them.

The 2023 referendum is a vote on whether you support the Constitution being changed to establish a Voice to Parliament. You will be asked to answer ‘yes’ or ‘no’ to the following question:
“A Proposed Law: to alter the Constitution to recognise the First Peoples of Australia by establishing an Aboriginal and Torres Strait Islander Voice. Do you approve this proposed alteration?”

If successful, the following words will be added to the Constitution:

Chapter IX Recognition of Aboriginal and Torres Strait Islander Peoples
S 129 Aboriginal and Torres Strait Islander Voice

In recognition of Aboriginal and Torres Strait Islander peoples as the First Peoples of Australia:

1. There shall be a body, to be called the Aboriginal and Torres Strait Islander Voice;
2. The Aboriginal and Torres Strait Islander Voice may make representations to the Parliament and the Executive Government of the Commonwealth on matters relating to Aboriginal and Torres Strait Islander peoples;
3. The Parliament shall, subject to this Constitution, have power to make laws with respect to matters relating to the Aboriginal and Torres Strait Islander Voice, including its composition, functions, powers, and procedures.

As these words show, the proposed Voice does not give Aboriginal and Torres Strait Islander people the power to make, alter or block national laws. The Voice just gives Aboriginal and Torres Strait Islanders a presence in parliament to offer advice and feedback on policies, based on their lived experience.

The referendum on a Voice to parliament will take place on a date (yet to be announced,) between September and December this year. It is compulsory by law for all eligible Australian citizens aged 18 and older to enrol and vote in referendums.

The Australian Electoral Commission (AEC) has published information on the referendum, including Yes and No arguments, here: Your official referendum 2023 pamphlet (aec.gov.au) The AEC also has a Disinformation Register.

The following video discusses widespread misinformation on the Voice and is well worth watching: https://youtu.be/Nla61MfEtiY

Further learning
References

History of Closing the Gap | Closing the Gap

Aboriginal and Torres Strait Islander people enjoy long and healthy lives – Dashboard | Closing the Gap Information Repository – Productivity Commission (pc.gov.au)

Aboriginal and Torres Strait Islander children are born healthy and strong – Dashboard | Closing the Gap Information Repository – Productivity Commission (pc.gov.au)

Aboriginal and Torres Strait Islander adults are not overrepresented in the criminal justice system – Dashboard | Closing the Gap Information Repository – Productivity Commission (pc.gov.au)

Fact check: Are young Indigenous men more likely to end up in jail than university? – ABC News

Aboriginal and Torres Strait Islander 0children are not overrepresented in the child protection system – Dashboard | Closing the Gap Information Repository – Productivity Commission (pc.gov.au)

Bringing them home: The ‘Stolen Children’ report (1997) | Australian Human Rights Commission

Aboriginal and Torres Strait Islander families and households are safe – Dashboard | Closing the Gap Information Repository – Productivity Commission (pc.gov.au)

Aboriginal and Torres Strait Islander students achieve their full learning potential – Dashboard | Closing the Gap Information Repository – Productivity Commission (pc.gov.au)

‘Beyond heartbreaking’: 500 Indigenous deaths in custody since 1991 royal commission | Indigenous Australians | The Guardian

Royal Commission into Aboriginal Deaths in Custody | naa.gov.au

Who We Are – our goal to improve the way healthcare is delivered (medirecords.com)

Voice to Parliament – Reconciliation Australia

Australian Constitution – Parliamentary Education Office (peo.gov.au)

The 1967 Referendum | AIATSIS

Voice to Parliament – Reconciliation Australia

Tim Pegler
Tim Pegler - Senior Business Development Manager
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    Global healthcare facing a diabetes tsunami
     

    Global healthcare facing a diabetes tsunami

    Diabetes rates are set to soar worldwide, a new study in The Lancet reveals.

    By 2050, an “alarming” 1.3 billion people are expected to be living with diabetes, up from 529 million in 2021, if no action is taken, the Institute of Health Metrics and Evaluation at the University of Washington has found.

    Lead author Liane Ong warns that the rapid growth of diabetes poses immense challenges to health systems worldwide, as the disease is associated with other severe health conditions like heart disease and stroke.

    “The rapid rate at which diabetes is growing is not only alarming but also challenging for every health system in the world,” Dr Ong said.

    The surge in diabetes cases can be attributed to rising obesity rates and demographic shifts, with older adults particularly vulnerable.

    Funded by the Bill and Melinda Gates Foundation, this study emphasises the necessity for more effective mitigation strategies and an equitable approach to diabetes treatment.

    The looming crisis, underscored by a series of Lancet articles, has prompted an editorial in an edition of the journal last month, which argues that “the world has … underestimated the true scale and threat the disease poses”. It calls for a “course correct”.

    MediRecords can support patient-centric diabetes care with features including templated assessment forms and care plans, and ePrescribing. New ‘Premium’ features supporting Case Management and Group Appointments are coming soon.

    Remote monitoring effective

    Previous studies have shown that remote monitoring of diabetic foot ulcer (DFU) reduces the number of visits to the outpatient clinic, but a new study, published this month in The Lancet Regional Health – Europe, has found further benefits.

    A randomised controlled trial with 180 participants by a group of French researchers led by Dured Daldari found that remote monitoring of DFU by an expert nurse significantly reduced cumulative hospital days — from 13.4 days (95% CI 9.0–17.8) in the control group to 7.1 days in the intervention group (2.8–11.5).

    Further reading
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      Innovations in Hospital Healthcare
       

      Innovations in Hospital Healthcare

      Exploring Virtual Hospitals, Hospital in the Home, and Hospitals Without Walls.

      Advancements in technology have seen an explosion of new terms and concepts in healthcare.

      In this article, we aim to demystify three innovative approaches: Virtual Hospitals, Hospital in the Home, and Hospitals Without Walls.

      All three challenge traditional notions of hospitals and have potential to revolutionise patient care as they reshape healthcare delivery.

      Virtual Hospitals: Remote Care

      Virtual hospitals use telehealth and telemedicine technologies to bring medical care directly to patients’ homes. Through video conferencing, remote-monitoring devices, and electronic medical records, healthcare professionals can remotely diagnose, treat, and monitor patients.

      Hospital in the Home (HITH): Care in Familiar Surroundings

      HITH programs deliver acute-care services to patients within the comfort of their own residences. Healthcare professionals visit patients at home to directly assist with treatment but also use remote-monitoring devices and video conferencing.

      Hospitals Without Walls: Care Beyond Traditional Boundaries

      A hospital without walls provides healthcare services in non-traditional spaces such as community centres, nursing homes, or even workplaces. The goal is to bring medical care closer to where people live, work, and play, increasing accessibility and equity of healthcare. Multidisciplinary teams leverage technology and resources to provide more convenient and more cost-effective care.

      All three models of care offer increased efficiency, accessibility and personalised care experiences. They use technology, patient-centred care, and interdisciplinary collaboration to bring healthcare closer to the individuals who need it — and can help reduce demand for beds in traditional bricks-and-mortar hospital wards.

      MediRecords currently supports clients in hospital settings including:

      • My Emergency Doctor virtual teams providing Senior Emergency Physicians to Urgent Care Centres, hospitals and ambulance services across Australia
      • Victorian Virtual Emergency Department and Northern Health outpatient teams as an ePrescribing system
      • Queensland Health virtual emergency department team as an ePrescribing system
      • Queensland Health Hospital and Health Services as a billing and claiming system for outpatient clinics
      • Private hospital VMO (Visiting Medical Officer) consulting suites as an electronic health record (EHR) and patient management system.

      As a flexible and scalable EHR platform with inpatient functionality in development, including medication charting, MediRecords is well placed to be the clinical system of record for models of care including HITH and Hospitals Without Walls. 

      Book a demo with our Sales team to learn how we can assist you.

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        Big-spending Federal Budget tackles bulk billing crisis 
         

        Big-spending Federal Budget tackles
        bulk billing crisis

        Doctors and healthcare consumers are the winners in the 2023-2024 federal Budget.

        The Albanese Government’s first Budget emphasised the importance of secure, safe and efficient digital sharing of health information — albeit without mandating standards for achieving this.

        A total commitment of $101 billion in health spending will include an upgrade to My Health Record, and $3.5 billion in bulk billing incentives for common GP consultations, including telehealth and videoconference, making care more affordable.

        More than 300 common PBS medicines will be made more affordable, with Australians able to buy two months’ worth of medicine for the price of a single (one month) prescription.

        MyMedicare — a new voluntary scheme in which patients enrol with a MyMedicare general practice — will support longer GP telehealth consultations, with reduced administration for practices, at a cost of nearly $6million to the government. There’s also more than $200 million allocated under this same scheme to provide new funding packages for general practices to provide comprehensive care to patients who are frequent hospital users ($98.9m); and for Australians in residential aged care ($112.0m). 

        The key budget measures for healthcare include:
        • $3.5 billion in bulk billing incentives enabling more telehealth and video conference consultations, and free appointments for children aged under 11, pensioners and Commonwealth Concession Card holders.
        • $358.5 million for 8 additional Medicare Urgent Care Clinics to reduce pressure on hospital emergency departments
        • $98.2 million for larger Medicare rebates for long healthcare appointments, aimed at enhancing care for people with chronic diseases and mental illness.
        • $445.1 million to encourage general practices to hire multidisciplinary teams to provide team-based primary care.
        • $951.2 million to overhaul the My Health Record
        • $46.8 million for Medicare rebates for care provided by nurse practitioners, including prescriptions of PBS medications
        • $1.2 billion for community pharmacies to administer free vaccinations and support treatments for opioid addictions.
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          Collaboration ignites at HL7 AU FHIR Connectathon
           

          Collaboration ignites
          at HL7 AU FHIR Connectathon

          A spirit of collaboration even among competitors was the overwhelming experience of the MediRecords Technology & Product team this month at a key event for advancing the secure and seamless exchange of electronic healthcare data. 

           

          The HL7 AU FHIR (Fast Health Interoperability Resources) Connectathon at the Sydney Microsoft headquarter revealed the broad range of organisations using FHIR. 

          “This event was a great way to see what is on the horizon and to see how many organizations are using FHIR and are willing to work together towards a common objective,” said MediRecords Technical Product Owner Sanjeed Quaiyumi.

          “At MediRecords, we have already built a huge suite of FHIR resources. Events like Connectathon allow us to validate our new ideas and in-progress work.” 

          Sanjeed added that the team gained insights into the FHIR capabilities of organisations such as Australian Digital Health Agency, CSIRO, Telstra Health, Sonic HealthCare, and software developers Epic, and for what business purposes they are using FHIR.

          “It is an amazing community which brings people from different aspects of healthcare together, sharing a common objective of interoperability, he said. 

          MediRecords Software Developer/FHIR Analyst  Niel Sayo and FHIR Team Lead Jack Li agreed the friendly event was an opportunity to view the latest products, approaches and ideas in Australia. 

          “We can look at our competitors also as partners when it comes to collaborative interoperability concerns,” Niel said. 

          MediRecords Graduate Software Engineer Joshua Vazzoler also noted the collaborative nature of the event and appreciated the opportunity for practical experience in a hackathon-style setting. 

          “My initial observations of the event highlighted the expanding presence of FHIR within the Australian market, with a significant turnout of professionals,” Josh said. 

          “As a participant, I was eager to engage with like-minded FHIR professionals who share a passion for interoperability, and learn from esteemed industry experts.” 

          “The event instilled a sense of inspiration and motivation to contribute towards the advancement of FHIR-based solutions within the healthcare industry.” 

          Check out our latest FHIR update and roadmap

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            MediRecords in the fast lane for FHIR connectivity
             

            MediRecords in the
            fast lane for FHIR connectivity

            MediRecords will be releasing new FHIR integration pathways for clients throughout 2023, as part of our commitment to a better connected Australian healthcare system. 

             

            As can be seen from our FHIR Roadmap below, we not only have established and proven options for data sharing, but we’re investing in the expansion of our Connect platform which comprises of  FHIR (Fast Health Interoperability Resources) and Connect services.

            We now have FHIR integrations with hospital systems for ePrescribing, and updating patient records. New resources in development for MediRecords 2.0 include allergies, diagnostic requests and reports, patient summaries, and inpatient charting.

            MediRecords Chief Executive Officer Matthew Galetto said the Connect platform enabled health care providers and patients to access records quickly and securely, driving better and timelier health outcomes.

            “We’re keen to see more software vendors hit the road and deliver on industry standards for interoperability, resulting in connected health care across Australia,” Mr Galetto said.

            “Some vendors seem to be waiting for a reason to modernise when the motivation should be clear — the right care at the right time, wherever you are in Australia.”

            MediRecords is part of a national consortium, led by Leidos Australia, developing a new Health Knowledge Management (HKM) system for the Australian Defence Force. This project will see MediRecords connect health records for GPs, allied health practitioners, specialists, patients, and hospitals.

            MediRecords is also supporting the Victorian Virtual Emergency Department with an integrated ePrescribing system.

            MediRecords Technical Product Lead Sanjeed Quaiyumi said 2023 would be an exciting year. “We’re working on consultation notes and can’t wait to hit other milestones on our roadmap.”

            MediRecords FHIR Roadmap

            MediRecords FHIR roadmap was last updated 01/11/23.

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              Communication the key to reducing hospital readmissions

              Communication the
              key to reducing
              hospital readmissions

              Can health tech help reduce hospital readmissions?

               

              According to a global research review, telehealth and virtual wards can certainly make a difference.

              The Deeble Institute — the research arm of the Australian Healthcare and Hospitals Association (AHHA) — reviewed international research on the role of primary care in reducing hospital readmissions.

              In its Evidence Brief no. 24, the Institute says telehealth can be used to boost general practice involvement in hospital discharges and subsequent multidisciplinary virtual care, resulting in fewer unplanned readmissions.

              Unplanned readmissions are associated with poorer health outcomes, dissatisfaction with healthcare, increased costs, and bed blockages.

              The report highlighted research that showed improved communication and coordination of care between GPs, hospitals and/or pharmacists is effective.

              “Effective interventions included … electronic tools to facilitate quick, clear, and structured (health) summary generation… use of electronic discharge notifications; and web-based access to discharge information for general practitioners,” reported the Netherland’s Hesselink and colleagues.

              Virtual wards are another way to reduce risk of hospital readmissions and improve outcomes during hospital-to-home transition, with research indicating these can be effective with specific disease cohorts but less so with non-specific, complex diseases.

              The Evidence Brief contrasted virtual wards with Hospital in the Home (HITH). HITH is a form of remote hospital inpatient care whereas virtual wards facilitate transition from hospital care to home care.

              “Compared to HITH, virtual wards typically have a higher degree of interdisciplinary care coordination and review, are simpler in design and implementation, and have a broader scope of activities,” The Deeble Institute reported.

              “Transitional care is similar to virtual wards, but usually implemented within existing systems. Virtual wards typically require a completely new care pathway and potentially new organisations to manage its implementation.”

              MediRecords Connect provides FHIR (Fast Health Interoperability Resources) and API options for connectivity with hospital systems, including patient administration systems (PAS). MediRecords is deployed as an ePrescribing system at two Australian virtual emergency departments and as an outpatient billing and claiming system for Queensland Health. New functionality enabling multidisciplinary case management and inpatient care will be released later this year.

              MediRecords is also integrated with the Coviu telehealth platform for streamlined virtual consultations.

              Top three Technologies that reduce hospital admissions:

              Further reading

              ‘A wonderful day’: telehealth to become permanent

              Improving Patient Handovers From Hospital to Primary Care

              Consumer adoption of digital health in 2022: Moving at the speed of trust

              PARR++ is dead: long live predictive modelling

              Impact of ‘Virtual Wards’ on hospital use: a research study using propensity matched controls and a cost analysis

              Applying the Integrated Practice Unit Concept to a Modified Virtual Ward Model of Care for Patients at Highest Risk of Readmission: A Randomized Controlled Trial

              Effect of post-discharge virtual wards on improving outcomes in heart failure and non-heart failure populations: A systematic review and meta-analysis

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                MediRecords 2.0: New ways to Care, Connect and Engage
                 

                MediRecords 2.0: New ways to Care, Connect
                and Engage

                MediRecords 2.0 is the most comprehensive overhaul of our electronic patient record and clinic management system since we launched in Australia in 2016. While there have been many product updates over the years, MediRecords 2.0 is designed to use screen space better, streamline workflows, reduce administrative burn-out and support shared care.

                 

                MediRecords Head of Product Jayne Thompson says, “Innovation is as important to us as it is to our customers”. The 2.0 product update reflects this philosophy, introducing best-in-class user experience design and other client-driven enhancements, while reinforcing the foundations for next generation digital health connectivity.  

                Having grown beyond its origins as Australia’s pioneering, cloud-based practice management system, the MediRecords platform is now underpinned by three pillars: Care, Connect and Engage. Each of these will gain major new features during 2023.

                 

                Care

                The MediRecords Care pillar contains core clinical features such as patient records, ePrescribing, appointment management, investigations, billing and claiming, correspondence, and assessments. New Care functionality will include: 

                • Case Management – Members of a designated Care Team can view and update client case notes. This is particularly valuable where care is shared between a multidisciplinary team working from separate locations or across different shifts. For example, mental health practitioners can collaborate with GPs and rehabilitation specialists as patients progress towards a safe return to work. 
                • Group appointments – Patients will be able to book and join group sessions or classes. This feature will enable group therapy, family consultations and community health programs, with providers able to message an entire group or individual group members. 
                • New mental health and readiness for work assessment templates are being added, including the Glasgow Coma Scale. 
                • Single provider view of appointments: Clinicians practising across multiple clinics won’t have to jump between them to view their appointments. Appointments across multiple sites will be consolidated in a single view. 
                • New communication capability: Real time chat with team members will be available throughout MediRecords, making it easier to message team members on the fly. Our new Comms bar will also provide shortcuts to SMS, email, alerts, and notifications. 
                • Inpatients – In a major new premium* feature, MediRecords will be able to support complex care, including inpatient admissions, detailed charting, clinical escalations, progress notes and Discharge Summaries. 
                • Our Letter writer tool is having a makeover and will be even easier to use, with highly requested new functionality, such as digital signatures. 
                • We’ve added industry-leading means of recording Consent (or denial of consent) and made it easier to add attachments to patient records. 
                • Custom fields and Tagging can be used in patient records, creating new and innovative ways to capture information, search records and report on data. 

                 

                Connect 

                Many clients are familiar with our Connect site. MediRecords was an early adopter of FHIR (Fast Health Interoperability Resources) and API technology and new options for using these to share data are on the way. We have proven integrations with patient monitoring devices, patient-reported outcome and engagement measure systems (PROMs and PREMs), dictation technology and partner products. MediRecords is built on the SNOMED-CT-AU data coding system, which makes the data we share cleaner and primed for analytics. 

                • We now have FHIR integrations with enterprise products such as hospital patient administration systems (PAS) and scanned medical record software. This means a patient record created or updated in MediRecords can be pushed up into hospital systems, ensuring consistency of records and supporting better patient safety. Current options include allergies, medication requests and dispense notifications. 
                • New FHIR resources to be added throughout 2023 include referrals, diagnostic requests, diagnostic reports, and vital signs.  

                 

                Engage 

                MediRecords has already connected over 60,000 patients to healthcare records via our patient mobile app. This enables consumers to book appointments, see medication information, receive reports and educational resources, and access and store personal health documents. We’re taking this to the next level in 2023 with an entirely new patient engagement platform. This will include new features such as:  

                • Real time surveys and forms 
                • Clinical assessment and observations data for remote monitoring 
                • In-appointment chat functionality 
                • Secure web access to personal health data. 

                Frequently asked questions

                MediRecords 2.0 is an overhaul of our current platform rather than a new product. All existing customers will transition to 2.0. Sticking with the old MediRecords format will not be an option.

                We will perform the update remotely. Users won’t have to download or do anything.

                We have done our utmost to preserve familiarity and usual behaviour within the MediRecords application, but the new layout may take some adjustment. To help with this, we have been providing Lunch and Learn sessions for clients. Please reach out to our training team if you have any further questions, training.success@medirecords.com.

                Development will finish in March. Rigorous testing will follow before pilot sites switch to 2.0 in late April. Once we have considered their feedback, we’ll finalise the date for general release and shout it from the rooftops to let you know. 

                If you are a current client, please contact your Account Manager if you would like to be a test pilot for these new features. Limited places are available.  

                MediRecords 2.0 is an upgrade of your existing system and will be covered by usual licence fees. However, some of the optional new features will be Premium products and require additional fees. Details will be published as soon as possible. 

                 

                For other questions, please email support@medirecords.com.

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                  Federal Government digital health upgrade grants on the way

                  Federal Government digital health upgrade grants on the way

                  Update: 24 April 2023

                  New details are now available on the Strengthening Medicare General Practice Grants.

                  Grants of $25,000, $35,000 or $50,000 are available depending on practice size. The grants will be administered by your local Primary Health Network (PHN) or the National Aboriginal Community Controlled Health Organisation (NACCHO). To take advantage of this funding, complete a grant application sourced via your PHN or NACCHO.

                   

                  MediRecords welcomes the news that Federal Government grants aimed at helping to enhance digital health capability for Medicare general practices and Aboriginal Community Controlled Health Services (ACCHS) will become available from April. 

                   

                  General practices and ACCHS will be eligible for one-off grants of up to $50,000 for innovation, training, equipment, and minor capital works under three categories:

                  1. Enhance digital health capability – Accelerate moves to a more connected healthcare system that meets future standards;
                  2. Upgrade infection prevention and control arrangements – Ensure infectious respiratory disease (e.g. COVID, influenza) patients can be safely seen face-to-face; and/or
                  3. Maintain and/or achieve accreditation against the Royal Australian College of General Practitioners (RACGP) Standards for General Practice to promote quality and safety in health care.

                  The grants were an election promise from then opposition leader Anthony Albanese in May 2022. The Strengthening Medicare – GP Grants Program was subsequently allocated $220 million in the October 2022 federal budget.

                  Medicare general practice grants will be administered by local Primary Health Networks (PHNs) and ACCHS grants by the National Aboriginal Community Controlled Health Organisation (NACCHO). Practices and health services owned or operated by a state, territory or local government agency are ineligible.

                  MediRecords Chief Executive Officer Matthew Galetto welcomed the move and said he hoped it signalled a shift to better data connectivity between GPs and the broader health care system.

                  “We would like to see incentives for general practices to switch to the cloud, given the environmental, security and interoperability benefits that flow from leaving behind legacy software and hardware systems.”

                  Mr Galetto said the grants program was an opportunity for the Federal Government and PHNs to drive industry-wide reform and boost adoption of new technology platforms.

                  “Just as PIP (Practice Incentives Program) grants helped shift GPs from paper-based systems to electronic, this grant funding should seek to do the same for next generation interoperable technology.”

                  “This is bigger than improving the My Health Record. There is an opportunity to follow the United States example and provide genuine connectivity of digital health records for patients, from primary to tertiary care.”

                  MediRecords is a true cloud electronic health record system featuring global standards-based interoperability and SNOMED-CT-AU clinical coding. MediRecords pioneered cloud practice management software in Australia and is now used by general practitioners, specialists, multidisciplinary clinics, hospitals, and government departments.

                  Practices considering using their grant to upgrade to cloud clinical software are welcome to reach out to MediRecords. We provide onboarding services including training, data migration and configuration of electronic prescribing, telehealth integration, Medicare claiming and more.

                   

                   
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                    Health care reform: No gain without pain
                     

                    A fundamental failing of our health system

                    November 24, 2022

                    Health care reform:
                    No gain without pain

                    A shift to value-based care in Australia may be inevitable but is unlikely to be painless. This post is the first in a series looking at healthcare industry issues.

                    Australia has a unique set of problems to overcome, said David Rowlands, a member of the Roster of Digital Health Experts at the World Health Organization (WHO).

                    He told the October Wild Health Summit: “What we are seeing are symptoms of a fundamental failing of our health system.”

                    “Our health system was designed 50 years ago for problems of 50 years ago. (It) was not designed to deliver integrated, value-based care. It was designed to deliver episodic care.”

                    Episodic care is provided to patients who need treatment for an “episode” of care with a foreseeable “endpoint”. Examples include cases treated in hospital Emergency Departments.

                    The focus in Australia’s health care system, Mr Rowlands said, is on outputs, not outcomes.

                    Value-based care uses a model where providers, including hospitals and physicians, are paid based on patient health outcomes. Under value-based care agreements, practitioners are rewarded for helping patients improve their health, reduce the effects and incidence of chronic disease, and live healthier lives.

                    The “value” in value-based healthcare is paid after measuring health outcomes against the cost of delivering them.

                    In contrast, episodic care is paid on an activity-based or fee-for-service model measuring the amount of healthcare services delivered.

                    Mr Rowlands said tinkering with the system will fail. “After 50 years, it’s time for a review.” He said the Australian system needed independent, external experts to determine the way forward. He cited Lumos, a new partnership between the NSW PHNs and the NSW Ministry of Health, as an example of doing things differently.

                    Lumos generates insights into patients’ journeys across the health system and shares de-identified data from general practices with other health services to provide a comprehensive view of patient pathways.

                    Elisabeth Koff, the managing director at Telstra Health and immediate past secretary at NSW Health, said she had helped negotiate health agreements and most came down to money rather than a strategic approach to healthcare.

                    She said reform agreements focusing on outcomes had been negotiated but, “then we forget about them, and they sit on the shelf”.

                    While there had been progress in New South Wales around collaborative communities, Ms Koff said change would be slow as governments are focused on the short term and, “health care reform is hard… no pain, no gain”.

                    Tracey Johnson, the CEO and company secretary at Inala Primary Care, said Australia’s health system is run by “mini-empires”, each seeking individual advancement.

                    “We don’t have a healthcare system,” she said. “We have a profile-for-profit system.”

                    Inala reinvests any practice profits into patient care, but it was becoming difficult to provide affordable care when reliant on a $39 bulk-billing item.

                    Ms Johnson said General Practice should be considered a specialist form of medical care, given the knowledge and training required. This could provide access to a wider range of Medicare-funded billing items.

                    Ms Johnson pointed to the role GPs play in taking pressure off overcrowded hospitals. “Data shows where patients visit their GPs more, there were fewer hospital admissions… Comprehensive care works.” 

                    MediRecords is used by general practitioners, specialists, multidisciplinary clinics and hospitals across Australia. The MediRecords electronic health records platform features embedded SNOMED CT-AU coding and is designed for interoperability using FHIR and APIs. MediRecords is currently developing additional functionality to support team case management and value-based care.

                    Article originally published by Wild Health and written by Dr Leon Gettler on behalf of MediRecords.

                    If you are interested in learning more about MediRecords’ functionality to support team case management and value-based care, book a demo below. 

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