Australian My Health Record (MyHR) is a significant development in empowering patients, allowing them to access their summarised health information themselves and to share the information with all health care providers involved in their care. Consequently, the MyHR system must enable efficient availability of meaningful, accurate, and complete data to assist an improved clinical administration of a patient. However, while enabling this, protecting data privacy and ensuring security in the MyHR system has become a major concern because of its consequences in promoting high standards of patient care. In this paper, we review and address the impact of data security and privacy on the use of the MyHR system and its associated issues. We determine and analyse where privacy becomes an issue of using the MyHR system. Finally, we also present an appropriate method to protect the security and privacy of the MyHR system in Australia.
As a consequence of the huge advancement of the Electronic Health Record (EHR) in healthcare settings, the My Health Record (MHR) is introduced in Australia. However security and privacy of the MHR system have been encumbering the development of the system. Even though the MHR system is claimed as patient-centred and patientcontrolled, there are several instances where healthcare providers (other than the usual provider) and system operators who maintain the system can easily access the system and these unauthorised accesses can lead to a breach of the privacy of the patients. This is one of the main concerns of the consumers that affect the uptake of the system. In this paper, we propose a patient centred MHR framework which requests authorisation from the patient to access their sensitive health information. The proposed model increases the involvement and satisfaction of the patients in their healthcare and also suggests mobile security system to give an online permission to access the MHR system.
An Electronic Health Record (EHR) system must enable efficient availability of meaningful, accurate and complete data to assist improved clinical administration through the development, implementation and optimisation of clinical pathways. Therefore data integrity is the driving force in EHR systems and is an essential aspect of service delivery at all levels. However, preserving data integrity in EHR systems has become a major problem because of its consequences in promoting high standards of patient care. In this paper, we review and address the impact of data integrity of the use of EHR system and its associated issues. We determine and analyse three phases of data integrity of an EHR system. Finally, we also present an appropriate method to preserve the integrity in EHR systems. To analyse and evaluate the data integrity, one of the major clinical systems in Australia is considered. This will demonstrate the impact on quality and safety of patient care.
An Electronic Health Record (EHR) is designed to store diverse data accurately from a range of health care providers and to capture the status of a patient by a range of health care providers across time. Realising the numerous benefits of the system, EHR adoption is growing globally and many countries invest heavily in electronic health systems. In Australia, the Government invested $467 million to build key components of the Personally Controlled Electronic Health Record (PCEHR) system in July 2012. However, in the last three years, the uptake from individuals and health care providers has not been satisfactory. Unauthorised access of the PCEHR was one of the major barriers. We propose an improved access control model for the PCEHR system to resolve the unauthorised access issue. We discuss the unauthorised access issue with real examples and present a potential solution to overcome the issue to make the PCEHR system a success in Australia.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.