Fehlentscheidungen durch unvollständige oder isolierte EHR‑Daten
Definition
Australian healthcare is moving towards ‘share‑by‑default’ My Health Record rules, a National Healthcare Interoperability Plan (2023–2028) and statewide EMR consolidations, explicitly to address fragmented records and data‑sharing gaps.[3] The EMR standards stress the need to comply with identification standards, My Health Record integration and relevant Clinical Care Standards, all of which depend on timely, accurate data exchange.[4][6] When outpatient EHRs do not reliably upload or retrieve information, clinicians can miss key elements such as recent imaging, medication changes or allergy updates, increasing the risk of inappropriate prescribing, duplicated tests or delayed diagnoses. International studies on incomplete health records suggest material increases in avoidable hospitalisations and emergency visits, representing indirect costs for outpatient providers through reputational damage, complaint handling and lost referral streams. A logic‑based estimate is that such decision errors linked to isolated EHRs may erode value equivalent to 1–2 % of outpatient revenue through a combination of additional clinical work, complaint management and lost business; for a clinic with AUD 10m revenue, this represents AUD 100,000–200,000 annually.
Key Findings
- Financial Impact: Logic-based estimate: 1–2 % of outpatient revenue, e.g. AUD 100,000–200,000 per AUD 10m revenue, due to sub‑optimal decisions arising from incomplete or poorly shared EHR data.
- Frequency: Intermittent but persistent; becomes visible through clusters of duplicated tests, medication issues and patient complaints over months.
- Root Cause: Limited or unreliable integration with My Health Record and other providers; poor data quality and identifier management; lack of real‑time access to external diagnostic and prescribing data; reliance on patient recall when EHR information is incomplete.[3][4][6]
Why This Matters
The Pitch: By improving interoperability and real‑time access to complete patient data, Australian outpatient providers can avoid avoidable downstream costs equivalent to 1–2 % of revenue and strengthen their quality and safety profile.
Affected Stakeholders
Treating clinicians, Care coordinators, Practice managers, Referral coordinators
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Financial Impact
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Current Workarounds
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Methodology & Sources
Data collected via OSINT from regulatory filings, industry audits, and verified case studies.
Related Business Risks
Poisons and Controlled Substances Non-Compliance Fines
Schedule 8 Drug Diversion and Theft Losses
Manual Controlled Substance Audit Time
Capacity Loss from Delayed Credentialing
Compliance Penalties for Uncredentialed Practice
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