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Volume 32 Number 3 & 4: >>  Health information management in New Zealand
 
The draft National Health Privacy Code: unresolved issues for health records 
Cassandra Gordon 
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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.


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 
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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.


Predicting the influence of the electronic health record on clinical coding practice in hospitals 
Kerin Robinson and Jennie Shepheard 
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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.


© 2008 Health Information Management Journal of the Health Information Management Association of Australia Ltd