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The Personally Controlled Electronic Health Records
(Consequential Amendments) Bill 2011 (Cth) (Consequential Bill) has
been introduced to ensure that the Personally Controlled Electronic
Health Records Bill 2011 (Cth) (PCEHR Bill), once
enacted, operates appropriately and effectively.
The PCEHR System
In the 2010-11 Budget, the Government committed $466.7 million
to a two-year program to build the national infrastructure for the
Personally Controlled Electronic Health Record
(PCEHR) system.
To date, individuals' health information has been dispersed
across a range of locations rather than being attached to the
patient, and individuals need to repeat their medical history each
time they visit a new clinician. This could result in poor
information flows, unnecessary retesting, delays and errors.
The PCEHR initiative aims to revolutionise Australian healthcare
by enabling consumers who register to access their own health
information online, and making it available to participating health
professionals, when and where it is needed. The quality and
quantity of information available to health professionals when they
treat a patient is also potentially improved.
An electronic health (e-health) record will
contain a health summary including conditions, medications,
allergies and vaccinations, and an indexed summary of specific
healthcare events. Notably, the PCEHR Bill prescribes the
circumstances in which e-health information can be collected, used
or disclosed and imposes civil penalties for knowing or reckless
unauthorised collection, use or disclosure.
The Consequential Bill
Australians rightly do not want their privacy threatened, so it
is necessary for the PCEHR system to strike a balance between
security and access. The Consequential Bill amends the
Healthcare Identifiers Act 2010 (Cth) to allow healthcare
identifiers to play a central role in the integrity, security and
safety of the PCEHR system. Unique identifiers will be assigned to,
and used by, each registered consumer, healthcare provider and
healthcare provider organisation. This supports the secure and
accurate sharing of records within the system by:
ensuring that information about a consumer's health is
attached to the PCEHR of the right consumer;
restricting the ability to author a clinical record for the
PCEHR system to qualified healthcare providers; and
ensuring that the PCEHR system is accessible only to those
healthcare provider organisations that meet technical and security
requirements.
The Consequential Bill also amends the Health Insurance Act
1973 (Cth) and the National Health Act 1953 (Cth) to
enable Medical Benefits Scheme, Pharmaceutical Benefits Scheme,
organ donor and childhood immunisation information to be included
in a consumer's PCEHR if the consumer chooses to have that
information included.
Registrations to participate in the PCEHR system start from 1
July 2012.