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HB 3042007

Handbook
HB 3042007

Guide to Australian electronic communication in health care

This Handbook was prepared by Committee IT-014, Health Informatics. It was approved on behalf of the Council of Standards Australia on 15 October 2007. This Handbook was published on 31 December 2007.

The following are represented on Committee IT-014: Australian Association of Pathology Practices Australian Electrical and Electronic Manufacturers Association Australian Information Industry Association 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 Industry Association of Australia Medical Software Industry Association National Health Information Management Principal Committee NSW Health Department Pharmacy Guild of Australia 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 Royal College of Pathologists of Australasia Society of Hospital Pharmacists of Australia University of Sydney

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Additional Interests: Cerner Corporation La Trobe University McCauley Software

Standards Australia wishes to acknowledge the participation of the expert individuals that contributed to the development of this Handbook 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 Standards may also be withdrawn.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.

HB 3042007

Handbook
This is a free 6 page sample. Access the full version at http://infostore.saiglobal.com.

Guide to Australian electronic communication in health care

First published as HB 3042007.

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 8481 X

HB 3042007

PREFACE
This Handbook was developed by subcommittee IT-014-02, Health Concept Representation, of Standards Australia Committee IT-014, Health Informatics. 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. (For further information about IT-014, visit www.e-health.standards.org.au ). The need for specific health informatics standards are best enunciated by the National Health Information Standards Advisory Committee [21]:
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Developing a national health information infrastructure for Australia that will provide health service connectivity, adaptability, efficiency, safety and quality, and at the same time provide information for health policy planning and programme development depends on widespread adoption of technology and data standards. Standards Australia wishes to thank the Department of Health and Ageing for their continued financial support in helping us to develop this Handbook.

HB 3042007

CONTENTS
Page SECTION 1 INTRODUCTION 1.1 RATIONALE .............................................................................................................. 4 1.2 SCOPE ........................................................................................................................ 4 1.3 PURPOSE ................................................................................................................... 4 1.4 APPLICATION ........................................................................................................... 5 1.5 DEFINITIONS ............................................................................................................ 5 1.6 STRUCTURE.............................................................................................................. 5
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SECTION 2 E-COMMUNICATIONS 2.1 INTRODUCTION ....................................................................................................... 6 2.2 GUIDANCE ................................................................................................................ 6 2.3 COMMUNICATION ERRORS................................................................................... 7 2.4 CLINICAL INFORMATICS SKILLS ......................................................................... 7 2.5 E-COMMUNICATION IMPLEMENTATION .......................................................... 7 2.6 COMMUNICATION VARIATIONS .......................................................................... 8 2.7 WEB APPLICATIONS ............................................................................................... 8 2.8 EXISTING E-COMMUNICATIONS GUIDELINES .................................................. 9 2.9 KEY FACTORS INCLUDED IN EXISTING EMAIL GUIDELINES ..................... 10 2.10 E-COMMUNICATION FRAMEWORKTHE FUTURE ....................................... 11 SECTION 3 GENERAL PRINCIPLES 3.1 INTRODUCTION ..................................................................................................... 12 3.2 SYSTEMS DESIGN.................................................................................................. 12 3.3 RISK ASSESSMENT................................................................................................ 12 3.4 DATA PROTECTION AND PRIVACY ................................................................... 13 3.5 DATA SECURITY.................................................................................................... 16 3.6 ARCHIVING, DISPOSAL AND RETRIEVAL ........................................................ 16 3.7 WORKFLOW............................................................................................................ 18 3.8 PATIENT GUIDELINES ......................................................................................... 20 3.9 OTHER ISSUES........................................................................................................ 23

APPENDICES A REFERENCED DOCUMENTS ................................................................................ 24 B RELEVANT DOCUMENTATION AND LEGISLATION ....................................... 26

HB 3042007

STANDARDS AUSTRALIA Handbook Guide to Australian electronic communication in health care

SECT ION
1.1 RATIONALE

I NTRODU CT IO N

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Because of ever-changing telecommunications infrastructures and the variety of communication devices available, we are witnessing many changes in the way we interact and communicate with each other. To a large extent this is dependent upon the devices to which we have ready access and are comfortable using. The way we communicate is essentially a social function. Even when everyone has ready access to the Internet, email, mobile phones and electronic diaries we witness a variety of different ways people use these technologies. Within the health care system, communication between health care workers and with their patients drives the required information flows irrespective of the technologies used, if any, or the appropriateness of the use of the technology. Achieving accurate communication is an essential element to retaining the context of the communication. 1.2 SCOPE This Handbook focuses on the management of patient related clinical content when this is communicated electronically between providers and patients, and between providers. The following guiding principles are included: (a) (b) (c) (d) (e) (f) Risk assessment. Data protection and privacy. Data security. Archiving, disposal and retrieval. Workflow. Patient guidelines.

This Handbook applies to the use of electronic media to transfer meaning. It does not cover knowledge management, nor is it about the human/computer interface. Documents referred to in this Handbook are listed in Appendix A. Other related documents are listed in Appendix B. 1.3 PURPOSE The objectives of this Handbook are to: (a) Inform health care providers and consumers about how best to ensure complete patient records, continuity of care, patient safety and privacy by managing all electronic communication issues in a timely and appropriate manner. Provide a framework for health care providers to develop an electronic communication strategy best suited to their informatics environment. Build a useful catalogue of relevant standards and guidelines.
www.standards.org.au

(b) (c)

Standards Australia

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HB 304-2007, Guide to Australian electronic communication in health care

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