The Clinician Interviews Matthew Galetto, CEO at MediRecords

The Clinician Interviews
Matthew Galetto, CEO at MediRecords

This article was originally created and shared via The Clinician. The original article can be found here.

 

The Clinician sat down with Matthew Galetto (founder and CEO, MediRecords) for a conversation on interoperability, adoption issues for regulatory standards, and our recent collaboration on a FHIR-based integration.

 

Thanks for being here, Matt. Could you describe your background and maybe some current or upcoming initiatives you’re particularly excited for?

Matthew Galetto: I founded MediRecords in 2014, but my background in health technology spans over 20 years. I started my health tech journey working in primary care, working with a health technology company consolidating GP clinical systems through acquisition during the dotcom boom. In fact, my job was to integrate a dozen or so different applications into a single consolidated platform—I was a lead technical architect in that endeavour.

I worked there for a few years and then set up a company called AsteRx, which was a data analytics and clinical data business that collated information from multiple GP systems and provided insights and reports back to corporate practice groups and industry generally.

How do you define and approach interoperability, both within MediRecords and in the larger context?

Matthew Galetto: Interoperability is information exchanging freely across different systems. There’s the technical implementation of interoperability, which is the systems themselves enabling the transfer of information across technology boundaries and platforms and in different healthcare settings, and there are also the regulation and legal structures that support information exchanges.

In the context of MediRecords, the interoperability piece is making sure that the system that we’ve developed in the platform that underpins our products and services can connect to the broader Australian health ecosystem. To do that, it needs to connect to different players in the market that provide certain services, so it might be diagnostic services, My Health Record, Medicaid-claiming type services, payments and those sorts of things.

So, I would describe the interoperability piece as that free-flowing information across systems.

What do digital health systems and organizations need to be doing to ensure that’s possible: to ensure information can be easily shared and used by other systems? What are the key barriers, or where do you see some organizations falling short?

Matthew Galetto: In the Australian market we have a bunch of these legacy technology providers, both in the GP/specialist arena and even in the hospital market. Systems are not geared for supporting the latest standards of interoperability—things like FHIR and SNOMED terminology services to underpin the ontology mapping of information across systems.

There’s been insufficient adoption of those standards here in the Australian market, and no incentives provided by government or industry to adopt those technologies, partly because so many of the existing market players still operate on old technology platforms.

In our recent collaboration, a bidirectional FHIR-based integration was able to be established between MediRecords and ZEDOC within a matter of a few days. From your perspective, what was the process like and what would you identify as the key success factors?

Matthew Galetto: Sure, that was a particular problem case that we needed to solve. ZEDOC was providing a PREMs and PROMs solution patient engagement platform and MediRecords was the underpinning electronic health record and system of record; we don’t have the same level of patient engagement capability that ZEDOC offers.

This particular customer was looking at integrating a patient-engaging PREMs and PROMs platform as well as MediRecords capability. To achieve that, as part of a proof of concept delivered in that very short timeframe you described, we were able to connect MediRecords in a bidirectional way to ZEDOC, with MediRecords providing the source of truth for the patient record.

Very quickly, were able to put into the clinical workflow a feeder of the patient record through to the ZEDOC platform enrolling that patient in a particular program. ZEDCO would then handle the patient engagement capability.

Information that was captured as part of those PREMs and PROMs would then make its way back into MediRecords’ platform as long-form patient summaries and patient-centered observation data, using remote patient monitoring devices. This information would also be added to the longitudinal health report of the patient.

That was achieved through applying those FHIR open standards capability. And given that there was a common language and common understanding and protocols we were able to achieve them in pretty quick time.

What role do standards like HL7 or FHIR play in enabling PMS like MediRecords to tightly integrate with solutions like ZEDOC?

Matthew Galetto: They’re vitally important. I’ve just come back from the US, having attended the HIMSS conference in Orlando. In the US in 2016 the government initiated the 21st Century CURES Act, which essentially removed barriers to the flow of information across systems so the patient could access their clinical record, regardless of where they travelled or the health care facility that they attended.

That regulation mandated FHIR as the protocol for exchanging information, and also supporting HL7 (version 2). But essentially, it was saying OK, these systems need to talk to each other, we need to define some common protocols and terminology for that information to share, so we’re going to regulate this. And what we’re seeing in the US is that the innovation that’s come from that initiative has resulted in interoperability across different systems.

We actually saw live demonstrations of some examples of patient records being shared, across continuums of care and across competitors, using HL7 and FHIR combinations. It was shared from primary care or ambulatory care, through to secondary care, through to tertiary care, and then even to some patient engagement platforms as well.

Those standards are critical in order for information to exchange with the known set of terminology, and also for defining how those systems can communicate.

In fact, we’re currently undertaking an integration with a hospital group in Victoria using a combination of HL7 and FHIR protocols. Those protocols are well documented, supported by the international organizations like HL7 and the FHIR community, so we have a clear understanding of what those standards and protocols are. This means we’re able to build confidently, understanding the protocols in place and that they’re reliable and safe to implement.

And what is the other side of that coin—what are the key barriers to adoption of those standards by the industry?

Matthew Galetto: If we look at FHIR, there are a couple of barriers. One is actually accessing resources and skills that have that knowledge, particularly in Australia. That’s a problem because of poor adoption. And then the other barrier is really a technical barrier.

FHIR is a web-based protocol—it’s designed for systems that are built and implemented in the cloud. The Australian market isn’t really cloud-ready at the moment, with 95-plus odd percent of the vendors operating in the old legacy client technology.

But the main barrier would really be the regulation. There’s just no government regulation to say, these are the standards that we need to implement, we want the industry to shift and pivot and implement these particular standards, and give us a roadmap to doing so. The regulatory barriers are significant in maintaining the status quo and not encouraging the adoption of these new standards.

With an eye to the future, can you give us your thoughts about the ability to capture data from patients at home and then bring that data into the system, what could that make possible?

Matthew Galetto: Well, if all of the systems are talking the same language and adopting the same protocols, regardless of whether they’re patient-facing or clinical-facing, then you have a clear understanding of the context of the information shared across those systems.

In terms of the Australian market, one of the things I noticed in the US is the challenges identifying a patient across states and/or healthcare settings. They don’t have the concept of a master patient index as such.

In Australia, we’re blessed with some of the initiatives that the ADHA have implemented, like My Health Record. These unique identifiers are tagged not only to the patient, but to the clinician and also to the practice.

We already have some of the foundations in place in Australia to identify the various participants in the healthcare system: patient, provider, practice, and location. If we’re talking about information flows from the patient to the clinician right through to the tertiary system, we do have those identifiers.

If we can find a way to then implement some of these standards, FHIR in particular, and identify the resources that need to be supported and implemented across these different settings, including the patient engagement setting, then I’m very encouraged about where we can go, provided that regulation comes into play.

What’s coming next as far as interoperability? What ought industry be considering in order to stay ahead of the game?

Matthew Galetto: Essentially, build those connected platforms and open up the systems. Be less protective of your information because it’s not your information—understand I’m talking as a vendor at the moment. Vendors have a tendency to lock the data in and feel that’s good for business when, in fact, it’s not.

This is the journey that MediRecords is going on—we will open up our platform to expose APIs. MediRecords’ platform will open up to and encourage third parties. Of course, through a curated process verifying their use case, but we’re opening up that system. Allowing third parties to connect and exchange and share information from the platform is the way to go.

So I think it’s a question of breaking down the technical barriers, but also the business models that are out there.

If you actually look at some of the vendors that are operating in the Australian market, understanding that they want to protect not only the customer list, but also the information that sits in those systems and maintain those silos of information.

If we can break that down, and also the business models that support those old siloed systems, then I’m pretty confident. If multiple vendors, like MediRecords and The Clinician, are prepared to open up those systems and support the exchange of information across those platforms, then there’s going to be a net benefit to the healthcare sector generally, but particularly to the patient, as well as a pivot from a clinician-focused to a patient-focused or patient-centric model.

In the scenario you’ve just described, would that diminish the reliance on regulation, or is there a way that industry could make this happen—to a point—without waiting for regulation to come in?

Matthew Galetto: My personal view is that we need regulation. And my personal view is that we need the government setting the example on some of the infrastructure and rails that support the exchange.

I’ll give you an example: there’s a tender out now for the prescription exchange which is currently managed by two private operators. They’ve done a wonderful job in the last 10 years implementing a particular framework to support electronic prescribing.

The government have now issued a new tender, and they’re looking to undercut the commercial model of those existing vendors by maybe 20%. The original value of that contract will disappear, and all the business models out there supporting the electronic prescribing with money flowing through to the PMS vendors and to the dispensary systems.

That’s an example of some infrastructure that I think could be owned and operated by the government, which seems odd, but I think it’s something that might benefit the ecosystem just generally. One other area that’s a bit of a problem in Australia is around the exchange of information messaging between pathology companies, specialist to GPs and vice versa. These are private enterprises and I’ll give you an example of one of the challenges…

There are three particular brokers in the market that provide services supporting the exchange of information across systems. So that’s the pathology companies, radiology and diagnostic reports, and requests and specialist letters and referrals and those sorts of things.

The ADHA formed a common directory service a couple of years ago and all the brokers were encouraged to upload their contacts list to this new directory service implemented by ADHA. None of them uploaded because they were afraid of sharing their customer lists with their competitors.

In that example you have a bit of innovation around FHIR, implementing and documenting it, and then in the end the private sector didn’t conform and participate.

I think there’s an example where some regulation needs to come in and mandate a few things. I don’t think we’re going to get the change without the regulation.

Considering the digital health landscape through the lens of interoperability, is there an element of the current conversation that you think is not getting enough attention, or is given short shrift? In other words, what are you thinking about that we all should be thinking about?

Matthew Galetto: For any health technology company hosting information, security will be what keeps them up at night. That’s certainly the case for us: making sure our system is secure.

And as you open up your systems through the interoperability play, including these new standards, security has to be absolutely front of mind, because you are actually opening up your systems to the market generally.

Some context for the Australian market: we don’t actually have any security standards that are like a HIPAA compliance standard. So going back to one of your previous questions around some of the barriers and the regulation, we definitely need to see an uplift in the security protocols and accreditation services to support the interoperability piece, and the opening up these systems using FHIR and so forth.

Learn more about The Clinician and MediRecords’ recent FHIR-based collaboration in this case study here

This article was originally created and shared via The Clinician. The original article can be found here.

 

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    MediRecords Product Update: Consent Module
     

    Product update:
    Consent Module

    MediRecords is excited to announce another product update, the Consent Module.

    The Consent Module addresses a critical need in healthcare – the need to capture and store electronic consent forms (and help make clipboards and paper-based questionnaires a thing of the past). 

    MediRecords’ Consent Module has the flexibility to record consent for various procedure types or investigations. The Consent module is per-patient and used to capture and store the Consent type, scope, and associated documentation required (coming soon). 

    It shows exactly what the patient has provided consent for or rejected. This includes concepts such as Advanced Care Directives, information disclosure to third parties, acceptance of privacy policies and more. 

    You can open this new feature via a new tab at the top of the patient record, for quick viewing access. Potential ways to use the Consent Module include: 

    1. New Patient Registration form – patients can sign consent for a practice to begin collecting their medical information 
    2. Advanced Care Directive – patient provides consent for their care if they become unable to make these decisions themselves 
    3. Procedural consent – Useful in pre-admission workflows – consent for upcoming procedures or treatment 
    4. Do Not Resuscitate – orders given by the patient not to resuscitate if they fall unconscious

    Future enhancements are imminent for this feature. In future releases you will be able to upload a Consent document directly to the Consent record, so that you can store paper consent forms along with electronic records.  

    To learn more about the Consent Module and how you can implement it for your business, please follow the link to our Knowledge Base articles below or contact our friendly Support team. 

    If you have feedback on our new feature, please reach out to your account manager. We would love to hear from you!  

    Consent Module Support Knowledge Base article 

     All new customers are welcome to book a demonstration to learn how MediRecords can support your organisation today

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      Could virtual care ease the pressure sores in healthcare?
       

      Could virtual care ease the
      pressure sores in healthcare?

      How can the burden on Australian healthcare be eased? Tim Pegler says thinking beyond the hospital walls may help

       

      People and resources in the Australian healthcare system are under unprecedented pressure. Demand for hospitals beds continues to rise, due to a combination of COVID-19, influenza, and other illnesses.

      Ambulances can often be seen stuck ‘ramping’, waiting outside Emergency Departments because there are insufficient empty beds to transfer patients to. This affects response times for other emergencies; ramped ambulances are effectively offline until they can offload patients.

      Healthcare clinics and hospitals struggle to fill their rosters because so many staff are unwell or home caring for sick family members. Those available to work are likely to be overstretched, covering for absent colleagues, and generally running on empty.

      As for patients, lockdowns and fear of infection led many to defer check-ups or investigations perceived as non-urgent. Consequently, illnesses are being detected later and people may have more advanced conditions at diagnosis, creating further pressure on the healthcare system and adding to elective surgery waitlists.

      Psychological distress and domestic violence also proliferated during the initial years of the pandemic, ratcheting up demand for mental health care, crisis, and support services that were already under-resourced.

      Shaking things up

      Much has been written about how the pandemic accelerated adoption of telehealth and other forms of virtual care. Pre-pandemic, leading international hospitals such as the Cleveland Clinic, New York Presbyterian, and Mercy Virtual pioneered varying models for remote care but the take-up in risk-averse, budget-poor Australia was slow. It would take leadership, determination, and a fertile mind during a period of isolation, to catalyse Melbourne’s Northern Health, with the city’s busiest Emergency Department, into thinking differently.

      During one such iso period Northern Health emergency physician Loren Sher fleshed out the model for what would become Australia’s first virtual emergency department. Goals for the virtual service included:

      • reducing avoidable ‘presentations’ at the hospital’s Epping ED by triaging and assisting non-urgent patients remotely
      • reducing the risk of COVID-19 infections to hospital patients and staff
      • enabling ambulance crew to focus on urgent cases
      • enabling doctors with COVID to work remotely

      The virtual ED means that non-urgent patients using a computer or mobile device can speak with a triage nurse online. The nurse determines whether the patient needs to attend hospital, can be helped with medication or by speaking to a telehealth doctor or physiotherapist, or can safely wait to see their usual GP.

      Ambulance crews responding to 000 calls can also contact the virtual ED for advice on whether the patient can be helped at home. If the case is non-urgent, the ambulance crew can be dispatched elsewhere.

      The virtual ED opened in 2020 and, by early 2022, was assisting more than 300 patients per day. Importantly, more than 70% of these do not need to attend hospital or use an ambulance.

      In April 2022, the Victorian Government provided $21 million so Northern Health could extend the service state-wide. By July, the Victorian Premier announced further funding to enable care for an estimated 500 patients per day and help improve ambulance response times.

      The model is also being extended to residential aged care facilities and COVID positive patients being cared for in the community. It will soon add outpatients and people experiencing mental ill-health.

      Strategic partnerships

      Northern Health partnered with best-in-class vendors to bring together key elements of the Victorian Virtual Emergency Department (VVED).

      MediRecords is at the heart of the solution, enabling VVED doctors to send electronic prescriptions direct to patients or their carers, virtually eliminating piles of paper scripts, expediting access to medications, and slashing postage and courier costs.

      MediRecords’ use of FHIR technology (Fast Healthcare Interoperability Resources) means medication requests and prescriptions are fed seamlessly into Northern Hospital’s electronic record systems.

      The VVED also uses the ZEDOC digital care pathways platform for patient registration and feedback measures, and the Coviu-powered healthdirect video conferencing system.

      There’s a long-term vision for the VVED to partner with primary and community care providers so that virtual ED patients can be referred to specific GP practices. These organisations could then direct complex cases, via the VVED, back to the hospital as needed. It’s this kind of thinking – and data sharing – that Australia’s healthcare system desperately needs more of to treat its current pressure sores.

      Tim Pegler is Senior Business Development Manager at MediRecords.

      This article was originally shared via The Medical Republic. The original article can be found here.

      References:

      ePrescribing now available to patients – Northern Health

      Victoria doubles virtual emergency department capacity to cope with COVID and flu surge – ABC News

      Patients waiting more than 24 hrs in emergency departments – ABC Radio National

      Victorian Virtual Emergency Department – Northern Health 

      If you would like to find out more about our e-Prescribing solution, click the below link:

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        MediRecords powers paperless prescribing at Australia’s first virtual Emergency Department

        MediRecords powers paperless prescribing at Australia’s first
        virtual Emergency Department

        Leading Australian cloud health software company MediRecords is playing a vital role in the Victorian Virtual Emergency Department(VVED), helping to reduce pressure on hospitals and ambulances across the state.

         
        From today, MediRecords will enable VVED doctors to send electronic prescriptions direct to patients or their carers, reducing paperwork and postage and transportation costs.
         
        As the project progresses, MediRecords’ commitment to FHIR technology (Fast Healthcare Interoperability Resources) will mean the hospital’s patient administration system and data warehouses are seamlessly updated with information such as medication requests.
         
        Northern Health launched Australia’s first virtual emergency department (ED) in 2020, aiming to reduce avoidable ‘presentations’ at the hospital and minimise infection risks for patients and staff.
         
        The virtual ED has been so successful the Victorian Government expanded it to a statewide service, and last week announced additional funding to enable care for up to 500 patients per day. The VVED is also supporting people in residential aged care and COVID-positive patients being cared for in the community.
         
        More than 70 per cent of patients using the VVED do not need to attend at the hospital or require ambulance transport. Patients are initially triaged by a nurse who assesses whether the patient can be assisted with medication or by an online doctor or physiotherapist, can wait to see their usual GP, or need to go to hospital.
         

        MediRecords CEO Matthew Galetto said integrated electronic prescribing gave patients quicker access to medication while reducing paperwork for the VVED team.

        “Hospitals and ambulances are under incredible pressure as COVID-19 cases rise. MediRecords is proud to help reduce this stress by supporting the vital work of the Victorian Virtual Emergency Department.”

        Media inquiries

        To arrange to speak with Mr Galetto, or for further information on the VVED project, please email tim.pegler@medirecords.com.

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          MediRecords Product Update: Work Lists & User Groups
           

          Product update:
          Work Lists &
          User Groups

          MediRecords launches Work Lists and User Groups

          A lot of product development has been happening here at MediRecords, and we’re excited to launch two new features with you – Work Lists and User Groups!

          Works Lists and User Groups will assist staff in creating efficiencies across their day by helping them keep track of and set due dates for work items, and ensure tasks are completed on time. This feature will also allow staff to create work items for individuals or a group of their colleagues to complete.  

          Through Work Lists, you can create a list of Tasks and Clinical Actions and then share the list with a group of users. When a Task or Clinical Action is marked as completed by someone in the user group, this will update the item for all users assigned to the group. 

          Benefits: 

          • Keep track of work items in MediRecords, so other staff can assist if a colleague is absent. 
          • Comprehensive medicolegal audit trail, storing activity records against a patient.  
          • Drive efficiencies in daily activities through setting due dates for Tasks, Clinical Actions and Work Lists, and receive notifications of upcoming work items that are due for completion. 
          • Manage patient-centred workflows such as Care Plan-related tasks and other chronic disease management programs.  

          Worklists:  

          Work Lists allow you to create Tasks and Clinical Actions to track the ongoing care of single or multiple patients. Each activity is stored against the patient record, providing a comprehensive medicolegal audit for items related to patient care, both clinical and administrative.  

          For example, if a nurse needs to make observations of multiple patients on a particular day, completing this via a Work List will streamline the process and ensure that each time the nurse updates a completed task, it will be saved against the patients’ clinical record.  

          Work Lists can also be printed as a day sheet of items to complete, making it easy for staff to work through their daily requirements. 

           

          User Groups:  

          Create groups of users to send Clinical Actions, Tasks, or Work Lists to multiple team members. For example, once set up, you can now send a task to all nurses at once, notifying all users in that group. When a user in that group updates the task, this will update the item for all users assigned to the group. 

          To learn more about Work Lists and User Groups and how you can implement them in your business today, follow the links to our Knowledge Base articles below or contact our friendly Support team. 

           We look forward to hearing how you’re using this handy new functionality. 

          Work Lists and User Groups Support Knowledge Base article links: 

           All new customers are welcome to book a demonstration to learn how MediRecords can support your organisation today. 

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            FHIRing up the Australian Defence Force
             

            FHIRing up the Australian Defence Force

            Hear how FHIR is connecting the entire Defence health ecosystem with OntoServer at its heart!

             
            At the recent Inaugural Australasian CXO Healthcare Cloud Summit in Sydney, MediRecords CEO and Founder, Matthew Galetto, presented a case study on how FHIR is connecting the entire Defence health ecosystem. 
             
            View the video below! 
             
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              Taking the pulse on digital health
               

              Taking the pulse on
              digital health

              MediRecords attended a packed Digital Health Festival in an icy Melbourne on 31 May and 1 June. The conference was the largest face-to-face event since the pandemic and attracted international speakers and delegates from across Australia.

               

              A recurrent theme was that telehealth has been normalised during the pandemic and is now an everyday tool for doctors and specialists. But while digital and virtual care technology is widely used, too many systems still don’t share information and healthcare professionals are fed up with having to use multiple, disconnected products.

              Here are some snapshots from the festival:

              Australian Digital Health Agency CEO Amanda Cattermole said the agency remains committed to a connected healthcare system through which data passes, “seamlessly, safely and securely”. Ms Cattermole said a new National Digital Health Strategy is imminent and that the ADHA has three key roles:

              1. Creating a collaborative environment that accelerates adoption of digital technology, including stewarding and supporting state government initiatives.
              2. Building and providing ‘infrastructure glue’ that is FHIR enabled, web-based and includes a new health API gateway to national digital health systems, due by the end of 2022.
              3. Co-designing a governance framework, or the ‘guardrails’ for a national healthcare interoperability plan.

              ADHA projects under way also include:

              • a national digital children’s health record, replacing state-based systems
              • a framework for sharing population health data ethically and securely
              • a national digital imaging platform for diagnostic medical imaging, and
              • a My Health Record mobile app.
              Dr Paresh Dawda, Director and Principal at Prestantia Health and Next Practice in Canberra, illustrated the importance of user experience design and interoperable health data systems by talking about a typical work day. Dr Dawda spends an estimated eight minutes every morning logging into 16 different clinical systems. Cumulatively that’s more than 30 hours per year that he can’t spend on patient care and the cost to his business could be $9800 per clinician per year. While digital technology, “is often held up as the solution to clinician burnout, it can also be part of the problem”, he said. True interoperability would mean clinicians could use fewer systems to access the same amount of data, freeing time to dedicate to patient care.
               

              My Emergency Doctor founder and Medical Director Justin Bowra explained how virtual ED doctors help improve patient flow and reduce clinical risks at hospitals and urgent care centres. Dr Bowra said MED clinicians conduct case conferences via video calls, including reviewing the status of patients waiting in ambulances. The case conferences enable patient flow decisions that reduce ED wait times, such as advising that patients can go direct to theatre. The service also provides clinical decision support and mentoring to on-site doctors and an auditable recording of all interactions.

              Caligo Health Managing Director Dr Amandeep Hansra said the COVID-19 pandemic had catapulted digital health innovation forward by at least a decade, creating created consumers who are actively engaged in their care and demand access to and control of personal data. The pandemic had also created a mountain of data — 30% of global data comes from health — that could be the foundation for scalable analytics and AI-driven businesses. 

              e-Health Queensland Health Deputy Director General Damian Green walked festival goers through the Sunshine State’s digital strategy, emphasising the importance of human-centered design and delivering equitable healthcare access for First Nations peoples and diverse communities. Mr Green said clinicians were required to work with too many products and ‘system sustainability’ would necessitate fewer systems with the requisite data for better decision making. He said safety was at the heart of all digital investment decisions and told vendors, “if you can show you are going to improve outcomes, then talk to us.”

              Victorian Department of Health Chief Digital Officer Neville Board placed patient safety as the destination for the Garden State’s digital health roadmap. Mr Board said reducing risks to patients caused by paper-based processes was a major priority and showed how e-prescribing significantly reduces risks of medication errors. Victoria has also committed to a Health Information Exchange that enables interchange of information between all hospitals.

              Neville Board placed patient safety as the destination for the Garden State’s digital health roadmap. Mr Board said reducing risks to patients caused by paper-based processes was a major priority and showed how e-prescribing significantly reduces risks of medication errors. Victoria has also committed to a Health Information Exchange that enables interchange of information between all hospitals.

              Victorian Chief Digital Officer Neville Board highlights the risks of handwritten medication notes.

              Alcidion CEO Kate Quirke said procurement processes in Australia were a deterrent to innovation and that many Proof of Concept projects did not proceed to implementation because contractual requirements were too onerous.

              Former Deputy Chief Medical Officer Dr Nick Coatsworth said healthcare start-ups need to be thoroughbreds capable of going the distance, rather than flashy unicorns. And the secret to designing an enduring product? Make sure you’re solving problems for patients and their families.

              Dr Emma Rees, Founder and CEO of women’s healthcare platform Femma, said health care should not cease when a patient leaves the room and be suspended until a follow-up appointment. Dr Rees said “the future of healthcare is a hybrid model” where patients have clinically curated, individual management plans and on-demand access to education materials and nutritional, exercise, mindfulness and yoga programs.

              Image courtesy of ResApp

              Australian start-up ResApp has developed a digital diagnostic app for respiratory illnesses, available on mobile devices. The ResApp tool listens to a patient cough five times and then sends a report direct to a GP. ResApp CEO Dr Tony Keating said trials in India and the US had shown a high level of accuracy in diagnosing COVID-19. Using the app for initial diagnosis could make up to 80% of RAT and PCR testing unnecessary, bringing immediate benefits for patients, cost savings for governments and environmental benefits. 

              The Global Healthcare Lead for Zoom, Ron Emerson, said research by a leading US healthcare provider had shown that 70 per cent of patients attending at urgent care facilities could be safely seen by a virtual health care clinician, helping to relieve pressures on overcrowded hospitals. Zoom is now being used by prestigious US healthcare organisations, including the Mayo Clinic, Johns Hopkins and New York Presbyterian hospitals.

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                MediRecords to provide health records to the Australian Defence Force

                MediRecords to provide
                health records to the
                Australian Defence Force

                Australian digital health company MediRecords will play a key role in a $299 million overhaul of the Australian Defence Force (ADF) electronic health records system.

                 

                The new ‘health knowledge management system’, known as Joint Project 2060 Ph4, will be delivered by a consortium of Australian and international companies, led by Leidos Australia.

                Joint Project 2060 Ph4 will see the ADF’s legacy system replaced with a modern, patient-centric solution that stores, aggregates and analyses health data and information for Defence personnel and connects GP and allied health care with emergency and hospital care.

                This will ensure clinical information is accurately recorded and included in an ADF member’s health record to enable appropriate, on-going care, wherever they are serving.

                MediRecords, which was instrumental in setting up the Federal Government’s Coronavirus Helpline, will provide the technology to deliver primary and allied health care to 85,000 ADF staff.

                MediRecords Chief Executive and founder Matthew Galetto said the company looks forward to working in the consortium to provide clinical services to Defence.

                “Leidos and Defence recognise that MediRecords has developed a leading Australian commercial off-the-shelf health care solution,” Mr Galetto said.

                “The (health knowledge management) solution represents the next-generation health care technology,” said Mr Galetto. “Traditional legacy healthcare IT systems are not keeping pace with modern technology – especially when you have a global workforce with unique requirements.”

                “MediRecords has the experience and capability to provide next generation cloud-based health care solutions.”

                Work has started on the project, with initial operating capability planned for November 2023 and final operating capability in 2025. JP2060 Phase 4 is expected to create up to 187 fulltime jobs.

                Other Australian companies in the winning consortium include Alcidion Group, Ascention, Coviu Global, Fred IT Group, Nous Group, Philips Electronics Australia, Precision Medical, and Titanium Solutions Australia.

                MediRecords currently works with health providers, government departments and private enterprises across Australia.

                “This Defence project will underpin our expansion strategy, bringing cloud-based health care solutions to companies and governments across Australia and internationally,” said Mr Galetto.

                Media inquiries

                For further information or to discuss the partnership in detail with Mr Galetto, please contact Janine MacDonald at P&L Corporate Communications on +61 478 492 110.

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                  NetMD – How MediRecords has taken the remoteness away from general practice

                  How MediRecords has taken remoteness away from general practice.

                  Andrew Dyson MR Connect

                  Andrew Dyson, Digital Health Business Consultant

                  NetMD are a medical centre with a difference. Their aim is to use modern technology to deliver general practice.

                  NetMD do this, using MediRecords, Coviu and e-scripts, to offer medical teleconsultations online. Sixty percent of their consultations are now performed this way.

                   

                   

                  The Challenge

                   

                  “I was working with Medical Director,” says NetMD general practitioner, Dr Leo Gunaseelan, “It cost $80 to $100K to install, plus a technician to fly from Cairns to do this at $3K a day, and yearly maintenance costs of $15 to $20K. With MediRecords I can manage everything myself, and I don’t need anyone’s help. I have freedom.”

                   

                  Dr Gunaseelan specialises in family medicine and rural medical care. He runs NetMD as an online teleconsulting service to ensure he is accessible to patients, no matter where they are based.

                   

                  “I have been working with MediRecords for five years,” says Dr Gunaseelan, “They are great, and have good support staff. MediRecords are fully cloud-based and I never need to take a day off. I have one week away a month and just work from wherever I am. That way, my patients don’t miss out on treatment.”

                   

                   

                  How is MediRecords Used?

                  Patients don’t need any special equipment to access NetMD services– just a phone, and a mobile or internet signal.

                   

                  “Patients love it,” says Dr Gunaseelan, “You don’t need high quality internet- just a satellite signal will do. Patients don’t need to come into the practice. I can provide my services to them from anywhere in the world, and it’s working well.”

                   

                  Dr Gunaseelan has been practicing for over 30 years, throughout rural New Zealand, Europe and the remote mining regions of Australia.

                   

                  “My work with Rio Tinto involves looking after patients from Tasmania and remote Queensland. I can train medical staff in the mines to use and read the medical equipment, and then I can read the results from wherever I am. Remoteness has been taken away.”

                   

                  Patients can also book consultations on the NetMD website and use the MediRecords app to access test results straight away.

                   

                  “The app is the main point of difference,” says Dr Gunaseelan, “I have 3,000 patients, and they all use it and check it regularly. Before, I had a nurse, who was only looking after recalls by phone and mail. Now I don’t need her- I just click a couple of buttons and a text is sent to my patient with a link to make an appointment. It’s as perfectly simple as that.”

                   

                  In addition, MediRecords provides health to visitors to Dr Gunaseelan’s general practice.

                   

                  “I look after about 15,000 tourists every year,” says Dr Gunaseelan, “In two minutes they have the prescription they need emailed to their phone. They always say, ‘wow, why don’t we have this at home?’”

                   

                   

                  Looking Forward

                  Dr Gunaseelan is so pleased with MediRecords that he plans to expand the reach of his services.

                   

                  “I want to widen the breath of services we offer online, with payments being made available online, and I’m also working to integrate a YouTube channel by the end of next year,” says Dr Gunaseelan, “I want to extend my services to Papua New Guinea, the Solomon Islands and Samoa. I want to provide services for people that don’t have access. I have always wanted to do this, I just didn’t know how.”

                   

                  “It’s a great program,” says Dr Gunaseelan, “If I could, I would promote MediRecords to anyone. They improve general practice immensely.”

                   

                  For more information on NetMD and Dr Gunaseelan’s work visit netmd.com.au.

                  To find out how MediRecords can support your organisation to expand into virtual care and telehealth services, you can contact Michael Alldrick on email at michael@medirecords.com.

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                    MediRecords Product Update August 2021
                     

                    MediRecords Product Update: August 2021

                    Fee Bidder - Headshot cropped

                    Fee Bidder, Junior Product Owner

                    See what we’ve been working on and released over the last month...

                    We are excited to announce the recent changes and updates we have released into the Medirecords product. Below you will find a summary of each of the changes we have made. 

                    Increased File Size Upload Limit

                    The file size limit has been increased across MediRecords, to allow you to upload larger file sizes. This change affects the following areas within MediRecords:

                    • Clinical Drawings (Patient Clinical & Resources)
                    • Patient Clinical – New Correspondence In
                    • Patient Clinical – Correspondence Out (imported documents)
                    • Secure Messaging Inbox
                    • Secure Messaging Outbox
                    • Investigation Results
                    • Bulk Scan Upload
                    • Referrals

                    Provider Number Added to Health Professionals Grid

                    You may now view the provider number for a contact from within the Health Professionals grid within Resources. 

                    Interested Parties & Usual GP Mail Merge Fields Added

                    New mail merge fields have been added to the letter editor, so you may now import a patient’s Interested Parties and Usual GP directly from the patient’s record. These fields are found within the Patient table when editing a template or letter. When using these fields, the following will occur:

                    Interested Parties:

                    • The Provider’s name and Provider Number will be imported (if recorded against the Contact record).
                    • The Category of Referrer will display if the party were recorded in the Referral section in Patient Details.
                    • Any notes recorded for the Interested Parties will be displayed in the Details field.

                    Usual GP:

                    • The Interested Party marked as the patient’s Usual GP in their Interested Parties will be displayed.

                     

                    Search by Provider Number on Health Professionals Grid

                    You may now search by a provider by entering their provider number into the search bar available at the top of the Health Professionals grid. Results will be returned when you have entered a minimum of 3 characters from the beginning of the provider number. 

                    Depression Anxiety Stress Scale (DASS21) EPC Template Added

                    The DASS21 form is now available as an EPC template within the consultation window. Answering the questions will provide a scoring for each category, and an overall scoring with appropriate diagnosis.

                     

                    Chronological Appointment Agenda View

                    The Agenda view in Appointments will now display all appointments in chronological order, rather than grouping the appointments by provider. This improvement aims to improve the Agenda’s usefulness when looking to see the appointments booked for a certain patient, or provider.

                     

                    Stickiness Implemented in Contacts Area

                    When searching in the Health Professionals or Service Provider grids, you will no longer lose your search term after opening and closing a record. This assists with finding the correct contact record where a contact may have multiple records for different locations.

                     

                    Stickiness in Filters Applied for Tasks/Activities

                    When applying filters within the Tasks/Activities window, you will now be able to apply separate filters for each patient.

                    These changes have come about from customers like you, who have given us their feedback.  MediRecords is committed to continuous improvement to allow for ease of use of our product, so if you have any feedback, please let your account manager know!

                    See you next month for more exciting new features and functions within MediRecords.

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