The My Health Record system can transform quality, experience and value in Australia's healthcare system through a range of important benefits.
Positive behaviour change as a result of My Health Record is what drives benefits realisation. The Australian Digital Health Agency is working closely with a range of stakeholders to implement a range of programs to support these changes and to measure benefits of the My Health Record system.
The key benefits of the My Health Record system are:
- Avoid adverse drug events
- Enhanced patient self-management
- Improvements in patient outcomes
- Reduce time gathering information
- Avoided duplication of services.
How can My Health Record transform healthcare?
Improving medication safety
A signification proportion of medication errors that lead to harmful medication safety incidents and Adverse Drug Events (ADE) may be preventable through increased accessibility to patient information, such as that provided by My Health Record. Evidence suggests that:
- 2% to 3% of hospital admissions are caused by medication errors (230,000 per year at a cost of $1.2 billion annually) (1)(2)
- approximately 10% of patients seeing a general practitioner report experiencing an ADE in the last 6 months (1)
- there may be an overall rate of 2 medication errors for every 3 patients at the time of admission to hospital (2)
- there is approximately 1 error per 10 medication administrations in hospital (2)
- 12% to 13% of discharge summaries contain medication errors (2 per patient). (2)
Access to information for people and their care providers
Access to information via My Health Record will enable self-management and reduce clinicians' time necessary to perform several information-led tasks, freeing up productivity for more critical activities. Evidence suggests that:
- enabling self-management will save $1,300 to $7,515 per patient per year, and significantly lower hospital re-admission rates (1)
- 13.6% of visits had important clinical information missing in primary care (5)
- in 57.3% of visits clinicians believed missing information was outside their clinical system. (5)
My Health Record offers an electronic summary of an individual's key health information that can be shared securely online between the individual and registered healthcare providers involved in their care to support improved decision making and continuity of care.
Reducing unnecessary test duplication
Evidence suggests that through the use of an electronic health record there is an estimated 18% reduction in test duplication (4).
Through My Health Record the savings in test duplication are:
- estimated 6.5% of pathology tests are avoidable (6)
- estimated 4.4% of diagnostic images are avoidable. (6)
How are benefits realised?
Technology drives positive changes to the way people work. These positive changes in behaviour (e.g., changing the process to complete a task or changing the tools to support a process) are what drive benefits realisation. For the My Health Record system, these elements include:
- uploading of information to the My Health Record system from clinical information systems
- a larger proportion of Australians with a My Health Record
- healthcare organisations being connected to the My Health Record system to allow viewing and use of the information in the system
- supporting clinicians and individuals to understand how to view information in the My Health Record system.
The implementation of the above elements in combination with positive changes in behaviour of both clinicians and individuals drives benefits realisation.
Donna & Marnie's My Health Record for carers
At the age of 16, Marnie – a healthy and typical teen – suffered a brain haemorrhage. Marnie will need personal, assisted care for the rest of her life.
- Australian Commission on Safety and Quality in Health Care. (2013). Literature Review: Medication Safety in Australia. ACSQHC, Sydney.
- Roughead EE, Semple SJ, Rosenfeld E. (2016) The extent of medication errors and adverse drug reactions throughout the patient journey in actue care in Australia. International Journal of Evidence-Based Healthcare. 14:113-122.
- Jovicic A, Holroyd-Leduc JM, Straus SE. (2006) Effects of self-management intervention on health outcomes of patients with heart failure: a systematic review of randomised controlled trials. BMC Cardiovascular Disorders. 6:43.
- Zlabek JA, Wickus JW, Mathiason MA. (2011) Early costs and safety benefits of an inpatient electronic health record. Journal of the American Medical Information Association. 18(2): 169-172.
- Smith PC, Araya-Guerra R, Bublitz C, et al. (2005) Missing Clinical Information During Primary Care Visits. Journal of the American Medical Association 293 (5):565-571.
- Data on file.