This was published a little while ago.
Tenth Clinical Safety Review of the My Health Record System
June 22, 2018
Patient care is improved by enabling clinicians to efficiently identify and utilise relevant information and documents within a patient record. A well-designed user interface to access this information is therefore important for clinicians, particularly when dealing with complex records and large document volumes. Difficulties in navigating and searching large volumes of clinical documents in any paper-based or electronic system can potentially impede appropriate decision-making and management.
The objective of the tenth clinical safety review was to examine the current presentation of clinical documents and clinical information in the My Health Record system via connected Clinical Information Systems (CISs). The review offers usability-focused presentation and design recommendations to enhance clinicians’ interactions with the system in providing patient care.
Here is the link:
The ADHA takes 4+ months to review a 22 page authorless document and when you read it you know why.
Among the most interesting things you read are:
1. Almost all displays of myHR data are simple lists and nothing more.
2. Many of the document titles – which you have to open one by one – are not clear and don’t reflect document content.
3. While filtering and sorting functionalities assist with navigating clinical documents, it remains difficult for clinicians to determine which documents contain the information they require. It can be time-consuming to repeatedly open separate clinical documents to find specific information. This is particularly problematic where a patient record contains a large number of clinical documents, especially for chronically ill or polypharmacy patients.
4. The Shared Health Summaries often don’t reflect the data in the GP System.
5. “Some clinicians interviewed expressed concerns that usability-related feedback, provided during the development of the clinical document list specification, was not incorporated by the Agency. In addition, these clinicians indicated that they do not feel the My Health Record system readily supports their workflow or day-to-day activities.
The Department of Health and, since 1 July 2016, the Agency have undertaken a range of consultation processes with representatives of the health sector, software vendors and the broader community to inform future design of the My Health Record system and usability enhancements. While consultation is an opportunity to engage with the key stakeholders, it will raise design expectations for those having direct input to the process. It is acknowledged that there will always be potential differences among stakeholder groups in terms of workflow requirements and the challenges in adopting new workflow arrangements when moving from a paper-based system to an electronic system. Based on clinician feedback it is important that the Agency undertake a feedback process on the outcomes of the implemented design and apply this more consistently going forward.”
In summary the thing does not support clinical workflow and advice, over years, to fix it is just ignored!
6. You can’t easily identify new or update clinical information.
7. You have to open each document individually, and slowly, to know what it contains.
There is little point going on. The myHR is clearly, after six years, not fit for clinical use and the Agency does not have a plan to make it so that anyone is aware of. Read, at your leisure, all the other issues identified. I wonder why the authors are not credited - they are clearly aware what junk the myHR really is!
Basically it is just an overgrown document management system vintage circa 1995. Leave the thing alone until it is made useful and safe…if ever. It is hard not to blame the rather low-level incompetents who conducted the Royle Review for Minister Dutton for not recognising a lot more was needed than the move the opt-out. It needed a fundamental rethink as I have argued for years
David.
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