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MP 99—2009

MP 99—2009

Miscellaneous Publication

Telehealth session information required for health records

MP 99—2009 MP 99—2009 Miscellaneous Publication Telehealth session information required for health records

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This Miscellaneous Publication was prepared by Committee IT-014, Health Informatics. It was approved on behalf of the Council of Standards Australia on 21 August 2009. This Miscellaneous Publication was published on 24 September 2009.

The following are represented on Committee IT-014:

Australian and New Zealand College of Anaesthetists

Australian Association of Pathology Practices

Australian College of Health Informatics

Australian Industry Group

Australian Institute of Health & Welfare

Australian Institute of Radiography

Australian Medical Association

Australian Private Hospitals Association

Central Queensland University

Commonwealth Department of Health and Ageing

Consumers' Federation of Australia

Consumers' Health Forum of Australia

CSIRO e-Health Research Centre

Department of Health (South Australia)

Department of Health Western Australia

Department of Human Services (Victoria)

Engineers Australia

Health Informatics Society of Australia

Health Information Management Association of Australia

HL7 Australia

Medical Software Industry Association

Medicare Australia

National E Health Transition Authority

National Health Information Management Group

NSW Health Department

Pharmaceutical Society of Australia

Queensland Health

Royal Australian and New Zealand College of Radiologists

Royal Australian College of General Practitioners

Royal Australian College of Medical Administrators

Royal College of Nursing, Australia

Society of Hospital Pharmacists of Australia

The Pharmacy Guild of Australia

University of Sydney

University of Western Sydney

Standards Australia wishes to acknowledge the participation of the expert individuals that contributed to the development of this Miscellaneous Publication through their representation on the Committee

Keeping Standards up-to-date

Australian Standards® are living documents that reflect progress in science, technology and systems. To maintain their currency, all Standards are periodically reviewed, and new editions are published. Between editions, amendments may be issued.

Standards may also be withdrawn. It is important that readers assure themselves they are using a current Standard, which should include any amendments that may have been published since the Standard was published.

Detailed information about Australian Standards, drafts, amendments and new projects can be found by visiting www.standards.org.au

Standards Australia welcomes suggestions for improvements, and encourages readers to notify us immediately of any apparent inaccuracies or ambiguities. Contact us via email at mail@standards.org.au, or write to Standards Australia, GPO Box 476, Sydney, NSW 2001.

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MP 99—2009

Miscellaneous Publication

Telehealth session information required for health records

First published as MP 99—2009.

COPYRIGHT

© Standards Australia

All rights are reserved. No part of this work may be reproduced or copied in any form or by any means, electronic or mechanical, including photocopying, without the written permission of the publisher.

Published by Standards Australia GPO Box 476, Sydney, NSW 2001, Australia

ISBN 0 7337 9244 8

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MP 99—2009

2

PREFACE

This document was developed by members of the IT-014-12, Specialist Information for Telehealth Session Working Group, during the period September 2007 to July 2008.

The Working Group was established by the Standards Australia Technical Committee, IT-014, Health Informatics, to identify specialist information in a telehealth session that can be standardized for health services.

The mission of Standards Australia’s IT-014 Health Informatics Technical Committee is to recommend for adoption by Standards Australia, standards and related materials within the domain of e-health that are demonstrably required in the Australian health sector, and are implementable, maintainable and fit for purpose.

This document is part of the work program for IT-014 Health Informatics Work Program

2007–2008.

3

MP 99—2009

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CONTENTS

 

Page

1 OBJECTIVES AND SCOPE OF DOCUMENT

4

2 DEFINITION OF ‘TELEHEALTH’

5

3 ENVIRONMENTAL SCAN

5

4 DATA COLLECTION OF TELEHEALTH SESSIONS

6

5 FUTURE STANDARDIZATION ISSUES

8

6 REFERENCES

8

APPENDIX A

TELEHEALTH SESSION—GENERIC BUSINESS PROCESS

9

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MP 99—2009

4

4

STANDARDS AUSTRALIA

Miscellaneous Publication

Telehealth session information required for health records

1 OBJECTIVES AND SCOPE OF DOCUMENT

This document is intended primarily as a scoping study on the context within which standards and guidelines for collecting information on clinical telehealth sessions using videoconferencing technology could exist.

Clinical guidelines and protocols exist for many types of telehealth sessions, however there is no agreed Australian Standard for specific additional information required to be kept as a record for a telehealth session. Telehealth sessions are mostly embedded within existing clinical sessions and are provided as an alternative delivery mode, hence most data collected currently relates to the clinical session.

This document is concerned with additional required information relevant to the patient or clinical aspect of the telehealth session, not the management or administration of the session. It does not cover standardizing clinical practice or standardizing technical requirements for a telehealth session.

This document identifies current technical and operational guidelines in place for telehealth sessions, which result in additional information being collected, and makes recommendations for high priority areas of need for the development of health informatics standards and guidelines relevant to telehealth sessions.

First, some definitions and concepts are discussed which provide an understanding of the term ‘telehealth’. Next, a report is given on an environmental scan using a range of current guidelines relevant to telehealth sessions. The related information the telehealth sessions collect are presented. From these a set of commonly collected data items is identified, which provide details on how the telehealth part of the session was conducted, from a clinical perspective. Finally, some opportunities for development of some specific standards and guidelines suited to Australian circumstances are articulated.

The development of standards for keeping records of telehealth sessions should be a component of the requirements for good practice in conjunction with instruments such as organization policies, and administrative or legislative regulations.

To identify the scope of work for this document, the working group mapped the business processes of a range of telehealth sessions. The aim of the business process review was to identify those aspects of real-time telehealth sessions that are related to information communications and technology management issues, and those that give rise to additional information that is relevant to the conducting of the session.

Aspects of a telehealth session that differ from a face-to-face session are—

(a)

determining suitability and availability of videoconference;

(b)

booking videoconference at time of appointment;

(c)

providing patient support and ‘hands-on’ assessment at remote site; and

(d)

initiating and using videoconference.

© Standards Australia

www.standards.org.au

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