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32 Number 3 & 4: >>
Health
information management in New Zealand |
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The draft National
Health Privacy Code: unresolved issues for health records
Cassandra Gordon [
PDF ]
Abstract
While the need for a consistent national privacy framework is well
recognised, it has become even more pressing in light of the
development of online health information networks which transcend
existing state and territory borders. The Commonwealth
Government’s draft National Health Privacy Code attempts to
address this need by providing a single mechanism for governing
the privacy of health records nationally. This paper identifies
the privacy challenges posed by e-health records and the
importance of proper safeguards to protect this information. The
draft Code, including a number of unresolved problems underpinning
its implementation, is discussed. Although a stakeholder
consultation process has been undertaken, it is argued that
further debate and development is required before such an untested
and fundamental change to Australia’s health privacy framework
can be effectively implemented.
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The educational
needs of health information managers in an electronic environment:
what information technology and health informatics skills and
knowledge are required?
Merryn Robertson and Joanne Callen [
PDF ]
Abstract
The profile of health information managers (HIMs) employed within
one metropolitan area health service in New South Wales (NSW) was
identified, together with which information technology and health
informatics knowledge and skills they possess, and which ones they
require in their workplace. The subjects worked in a variety of
roles: 26% were employed in the area’s Information Systems
Division developing and implementing point-of-care clinical
systems. Health information managers perceived they needed further
continuing and formal education in point-of-care clinical systems,
decision support systems, the electronic health record, privacy
and security, health data collections, and database applications.
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Predicting the
influence of the electronic health record on clinical coding
practice in hospitals
Kerin Robinson and Jennie Shepheard [
PDF ]
Abstract
The key drivers of change to clinical coding practice are identified
and examined, and a major shift is predicted. The traditional
purposes of the coding function have been the provision of data for
research and epidemiology, in morbidity data reporting and,
latterly, for casemix-based funding. It is contended that, as the
development of electronic health records progresses, the need for an
embedded nomenclature will force major change in clinical coding
practice. Clinical coders must become expert in information
technology and analysis, change their work practices, and become an
integral part of the clinical team.
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