versus the reality of eTP implementation By Kyaw K. Htat - - PowerPoint PPT Presentation

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Mar 19, 2024 375 likes •544 views

Edith Cowan University School of Computer and Security Science & eHealth Research Group The hare and the tortoise: the potential versus the reality of eTP implementation By Kyaw K. Htat Supervisors: A/Prof Trish Williams & Dr Vincent

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Edith Cowan University

School of Computer and Security Science & eHealth Research Group

The hare and the tortoise: the potential versus the reality of eTP implementation

By Kyaw K. Htat Supervisors: A/Prof Trish Williams & Dr Vincent McCauley

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Edith Cowan University

School of Computer and Security Science & eHealth Research Group

Race Pace

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Edith Cowan University

School of Computer and Security Science & eHealth Research Group

Introduction

eHealth - improved and maintainable healthcare system
eTP - shares medicines information accurately and securely
2013-14 FY - 209.8 million prescriptions (i.e. +6.3% )
eTP - streamlines prescription process (i.e. prescriber D dispenser)
209.8 million prescriptions = AUD 31.4m. Country/Rural area?

What is needed? A fully electronic, mobile and paperless paradigm

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Edith Cowan University

School of Computer and Security Science & eHealth Research Group

Approx. 3rd century BCE

2nd millennium CE

History of prescribing

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Edith Cowan University

School of Computer and Security Science & eHealth Research Group

=

Present time (i.e. with PES)

Progress…..

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Edith Cowan University

School of Computer and Security Science & eHealth Research Group

Present time (i.e. with PES)

…..which became…..

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Edith Cowan University

School of Computer and Security Science & eHealth Research Group

Why do we need full eTP?

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Edith Cowan University

School of Computer and Security Science & eHealth Research Group

+

The Acts, regulation and standards puzzle

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Edith Cowan University

School of Computer and Security Science & eHealth Research Group

Significance

Industry driven increasingly by cost constraints
Comply with current legislative requirements/framework
Additional features such as script expiration reminder and drug

allergy alerts etc.

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Edith Cowan University

School of Computer and Security Science & eHealth Research Group

Levels of eTP adoption

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Edith Cowan University

School of Computer and Security Science & eHealth Research Group

Technical requirements

Generated, stored and transferred in fully electronic form

– i.e. no handwritten signature. (Poisons Regulation 1965, WA)

Security of data while at rest

– i.e. within PES or any stable storage requires at least 128 bit encryption for DAK and its derived cipher key. (ATS 4888.2)

Details of DAK. (ATS 4888.6)

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Edith Cowan University

School of Computer and Security Science & eHealth Research Group

Legislative enablers at various levels for eTP

Australian Privacy Principles 2014
ATS 4888.1 – 6 (2013) Electronic transfer of prescriptions
AS 4700.3 (2014) Implementation of Health Level Seven (HL7) Version 2.5 - Electronic

messages for exchange of information on medicines prescription

Jurisdiction Acts/Regulation Commonwealth Electronic Transactions Act 1999 Commonwealth National Health Act 1953; National Health (Pharmaceutical Benefits) Regulations 1960 NSW Poisons and Therapeutic Goods Regulation 2008 VIC Drugs, Poisons and Controlled Substances Regulations 2006 QLD Health (Drugs and Poisons) Regulation 1996 WA Poisons Act 1964; Poisons Regulations 1965 SA Controlled substances Act 1984; Controlled substances (Poisons) Regulations 2011 TAS Poisons Act 1971; Poisons Regulations 2008 ACT Medicines, Poisons and Therapeutic Goods Act 2008; Medicines, Poisons and Therapeutic Goods Regulations 2008 NT Medicines, Poisons and Therapeutic Goods Act 2012

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Edith Cowan University

School of Computer and Security Science & eHealth Research Group

Medicines, Poisons and Therapeutic Goods Act 2012 Poision Act 1964 Poisons Regulation 1965 Health (Drugs and Poisons) Regulation 1996 Poisons and Therapeutic Goods Regulation 2008

Medicines, Poisons and Therapeutic Goods Act 2008 Medicines, Poisons and Therapeutic Goods Regulations 2008

Drugs, Poisons and Controlled Substances Regulations 2006 Controlled Substances Act 1984 Controlled substances (Poisons) Regulations 2011 Poisons Act 1971 Poisons Regulations 2008 eTP related  ATS 4888.1 – 6 (2013)  AS 4700.3 (2014)

Implementation

eTP related (Commonwealth) Electronic Transaction Act 1999 Electronic Transaction Act 1999 (Commonwealth)

+

Dante’s 4 circles of eTP

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Edith Cowan University

School of Computer and Security Science & eHealth Research Group

Conclusion

While awaiting legislative changes for eTP, the proposed model

can be implemented within the existing legislative framework.
reduces complexity and removes the need for ongoing major

supporting infrastructure with its associated cost.

Assures users that their sensitive medication data is not available

to third parties.

is very efficient and does not require internet connectivity for

basic functionalities.

will work just as effectively in remote locations with poor or

non-existent connectivity.

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Edith Cowan University

School of Computer and Security Science & eHealth Research Group

Future of prescribing?

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Edith Cowan University

School of Computer and Security Science & eHealth Research Group

Kyaw Kyaw Htat khtat@our.ecu.edu.au * 0408 919 262 )