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Barbara

Barbara Whitlock

Year of Award: 2017 Award State: Australian Capital Territory None > Health And Medicine
To adapt foreign GP clinical data collections to improve patient care, workforce wellbeing and cost - USA, Canada, UK
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There are many elements which support the better use of health information to improve patient outcomes and workforce wellbeing. These efforts fit within the broader context of service payments, patient and workforce enablement, data standards and the like, and how these elements are embedded into legislation through to refining the roles and responsibilities of agencies. Various government, and non-government organisations and individuals need to work across this continuum to improve GP software and optimise how GPs and patients use the software and the data it produces. 

Improving clinical software data needs a grand alliance, producing better data to improve patient outcomes and workforce wellbeing. 

Recommendations for Australia

  1. The Australian Government should provide standardised guidance on data governance frameworks covering principles around ethical oversight of data collection, use, management and disclosure of data and defining the roles and responsibilities of entities 
  2. The Australian Government should strengthen legislation which gives patients the right to access their own data in a computable form 
  3. The Australian Government should work with GP peak organisations and academic institutions to develop and trial models of care and practice structures which improve care, lower costs, and better align payment systems, and support general practice to adopt these models 
  4. The Australian Government should work with GP peak organisations to develop mechanisms which support non-GPs (including medical assistants and patients) to record patient data to free up time for GPs to work at their full scope of practice 
  5. The Australian Government should work with GP peak organisations to strengthen mechanisms to ensure the RACGP’s minimum data requirements for patient health records are met and maintained, such that active patients have a current summary which includes adverse drug reactions, current medicines, current health problems, past health history, immunisations, family history, health risk factors (such as smoking) and social history 
  6. The Australian Government should work with GP peak organisations to develop mechanisms to use de-identified patient data to improve service delivery planning and research 
  7. The Australian Government should continue to work with GP peak organisations to develop quality improvement measures which are meaningful and standardised so that comparisons can be made across peer groups and diseases 
  8. The Australian Government should continue to work with GPs and their representative peak organisations to improve GP clinical software, setting minimum accreditation standards and enhancing interoperability to improve patient care and workforce wellbeing. 


Keywords:
General Practice, data, practice population, capitation funding, Quality Improvement, Health Informatics, Health Analytics, Data Governance, Health Workforce, Data Repositories

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