Integrating Healthcare Identifiers into Electronic Practice Records
The intent of this Requirement is to make Healthcare Identifiers available for Secure Message Delivery and for use in the personally controlled electronic health (eHealth) record.
The Federal, state and territory governments have developed a national Healthcare Identifiers Service (HI Service) which uniquely identifies healthcare providers and individuals who seek healthcare. Medicare Australia is the operator of the HI Service. The HI Service will give individuals and Healthcare Providers confidence that the right health information is associated with the right individual at the point of care.
The HI Service allocates three types of healthcare identifiers:
Individual Healthcare Identifier (IHI) - Allocated to individuals enrolled in the Medicare program or those who are issued with a Department of Veterans' Affairs (DVA) treatment card and others who seek healthcare in Australia.
Healthcare Provider Identifier – Individual (HPI-I) - Allocated to healthcare providers involved in providing patient care.
Healthcare Provider Identifier – Organisation (HPI-O) - Allocated to organisations that deliver healthcare (such as hospitals and medical practices)
Pracsoft and Clinical have been enhanced to interface with the HI service, and can interact with the HI service in real-time, retrieving and then storing a patient's IHI in the system.
The Practice: Each registered practice must apply for an HPI-O (Healthcare Provider Identifier- Organisation) number, which must be entered in the associated field within the practice's details.
Practitioners: Each registered practitioner must apply for an HPI-I (Healthcare Provider Identifier-Individual) number, which must be entered in the associated field within the practitioner's details.
Patients: Each registered patient will be provided with an IHI (Individual Healthcare Identifier) number, which is automatically retrieved and entered into the associated field within the patient's details.
Before you begin integrating Healthcare Identifiers in both Clinical and Pracsoft
Obtain the following information:
Ensure your practice is accredited with RACGP for PIP. For more information on accreditation: https://www.racgp.org.au/running-a-practice/practice-standards/standards-5th-edition/accreditation
Obtain a HPI-O. For information, visit the Medicare for Healthcare Professionals web site http://www.medicareaustralia.gov.au/provider/health-identifier/index.jsp#N10097
Obtain a HPI-I. For information, visit the Medicare for Healthcare Professionals site http://www.medicareaustralia.gov.au/provider/health-identifier/index.jsp#N1012B
Obtain a PKI certificate/s
PKI Certificate |
Where to obtain PKI Certificate |
Supported inMD/PS Version |
PIP Incentive Requirement |
HI Service PKI Certificate
If you already have a PKI certificate for Online Claiming in Pracsoft, you can update by applying to include access to the HI Service. |
http://www.medicareaustralia.gov.au/provider/health-identifier/index.jsp#N10271 |
Clinical/PS 3.12.1b or later. |
Requirement 1 |
National Authentication Service for Health (NASH) PKI certificate
|
http://www.medicareaustralia.gov.au/provider/vendors/pki/index.jsp#N1007A |
Clinical 3.14d Requirement 2 (SMD) |
Requirement 5 (My Health Record)
|
For more information, please consult the following guides, available from the MedicalDirector eHealth Site at http://www.hcn.com.au/ehealth
Practice Configuration for Clinical with/without MedicalDirector Pracsoft
Once you apply for your Healthcare Identifiers (HI) Service Public Key Infrastructure (PKI) Certificates, you will receive these certificates on a CD.
Notes:
The NASH PKI Certificate, required for My Health Record and Secure Messaging, will be provided on a separate CD.
If you use both Clinical and Pracsoft you only need to perform the steps below in one product.
Import HI Signing and Encryption Certificates
Within
Clinical, select Tools > Options.
Select the PKI tab.
Click
to
call the associated import window, as shown below.
Via the Type drop-down menu, select the HI Signing Certificate option.
Click
to browse to, and select your HI Signing
Certificate (Fac_sign.p12).
Enter the HI Signing Certificate's password.
Click
Click
again,
to call the associated import window.
Via the Type drop-down menu, select the HI Encryption Certificate option.
Click
to browse to, and select your HI Encryption
Certificate (Fac_encrypt.p12).
Enter the HI Encryption Certificate's password.
Click
Click Save on the Options window.
Record HPI-O Number
Within Clinical, select Tools > Options. The Options window appears.
Select
the Practice tab.
Within the HPI-O No. field, enter your supplied Healthcare Provider Identifier - Organisation number.
Click Save to confirm, and close the Options window.
Record HPI-I Number
Within Clinical, select User > Setup Users to access the User Database.
Locate and double-click the user record you wish to edit.
Enter your HPI-I number into the HPI-I No field provided.
Tick
the Participate in MyHealthRecord
check box, and enter your details as you wish them to appear in
the My Health Record system.
Click OK to save and close the window.
Validate Patient IHI Number
Note that you only need to perform this step for your patients as they come in for consultation. However, it is highly recommended that you follow this process for at least one patient now, to ensure that your setup is configured and functioning correctly.
Within
Clinical's Clinical Window (or via the Patient List – F10), open
the Patient Details window.
Select the Pt Details tab.
Ensure that the following details have been recorded and are correct:
First Name
Surname
Medicare No and position on card, or DVA No.
Date of Birth
Sex at Birth
Click
The
validation commences, and upon positive verification, the IHI
Record Status will read 'Verified'.
Checklist
|
Practice has applied for and received their Healthcare Provider Identifier – Organisation (HPI-O). |
|
Healthcare Provider Identifier – Organisation (HPI-O) has been recorded in Clinical or Pracsoft. |
|
Each healthcare provider has their Healthcare Provider Identifier – Individual (HPI-I). |
|
Healthcare Provider Identifier – Individual (HPI-I) has been recorded in Clinical or Pracsoft. |
|
Practice has applied for Healthcare Identifiers (HI) Service Public Key Infrastructure (PKI) Certificate. |
|
Practice has imported the Healthcare Identifiers (HI) Service Public Key Infrastructure (PKI) Certificate. |
|
Clinical or Pracsoft is being used to access, retrieve and store verified Individual Healthcare Identifiers (IHI) for presenting patients. |
