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Sabtu, 17 Juni 2017

With The MyHR Almost Five Years Old. Why Do We Still Not Have Any Idea If It Is Making A Positive Difference?

I thought I would have a look at the available statistics.
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My Health Record Statistics – at 11 June 2017
Published 11 June 2017
Over 4.9 million people have a My Health Record, with an average of 1 new record being created every 38 seconds.
Over 10,358,836 prescription and dispense records have been uploaded.
Over 10,035 healthcare providers are connected, including GPs, hospitals, pharmacies, aged care residential services, allied health.
Over 2 million clinical documents uploaded.
Dashboard display of My Health Record statistics
This page contains My Health Record statistics to 11 June 2017 .

View statistics as a dashboard - PDF 272 KB
Individual registrations
4,909,983 individual registrations
  • Of those registered, 54% are female and 46% are male.
  • Approximately 20% of Australia's total population is registered.
Age breakdown
The percentage of consumers registered for a My Health Record in a specific age bracket.
Age range (years)
Percentage (%)
20 or less
36%
20 to 39
25%
40 to 64
25%
65 or higher
14%
State breakdown
The percentage of those consumers currently registered for a My Health Record in relation to the total population of each State and Territory.
State
Percentage of state population (%)
Australian Capital Territory
24%
Tasmania
20%
South Australia
18%
Northern Territory
20%
New South Wales
21%
Victoria
16%
Queensland
27%
Western Australia
16%
Healthcare provider registrations
10,035 Healthcare provider registrations
Organisations registered
Total healthcare providers, broken down into common groups that are registered in the My Health Record system.
Organisation Type
Count
General practices
6,099
Public hospital organisations (there may be more than one facility within an organisation)
760
Private hospital organisations (there may be more than one facility within an organisation)
161
Retail pharmacies
1,334
Aged care residential services
166
Other categories of health care providers including allied health
1,251
Organisations with a cancelled registration
264
Total
10.035
My Health Record Usage
Clinical Document Uploads
Total number of clinical documents uploaded to the My Health Record system by healthcare providers.
Document Type
Count
861,035
999,509
267,532
48,226
29
61,998
50,607
Total
2,288,936

Prescription and Dispense Uploads
Total number of prescription and dispense records uploaded to the My Health Record system by healthcare providers and pharmacists.
Document Type
Count
8,051,819
2,307,017
Total
10,358,836

Consumer Documents
Document Type
Count
Consumer Entered Health Summary
85,768
Consumer Entered Notes
36,878
Advance Care Directive Custodian Report
13,479
Advance Care Planning Document
1,071
Total
137,196

Medicare Documents
Document Type
Count
Australian Immunisation Register
1,349,381
Australian Organ Donor Register
475,575
Medicare/DVA Benefits Report
295,373,315
Pharmaceutical Benefits Report
204,426,939
Total
501,625,210
Here is the link where you can see the page:
So what do we see here:
Well first the Government has basically created a great big duplicate database of MBS and PBS records (a little over half a billion of them!) I wonder why rather than just making them accessible?
Second of the 5 million who are registered on the system only 85,000 people (1.7%) have actually added any of their information.
Third – assuming a total cost so far of $1.5 Billion (smallest estimate) - we are have paid $17,647.00 to capture and store each of these records
Fourth it is obvious that Advanced Care documents and the like are a huge hit with the public NOT!
Fifth we have only 0.4% of the documents being something other than PBS / MBS records.
Sixth the Government sees fit to provide NO data on actual access and use of Shared Health Summaries by other than the creators – who have been bribed / paid to place them in the system.
Seventh there has yet to be even one non-anecdotal report of clinical benefit arising from the myHR.
It is clear that after five years the myHR is an expensive and ignored disaster. I wonder what the next five years hold?
A value for money audit is desperately needed.
David

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