16 Aug 2016
Following wide consultation, the Chinese Medicine Board (the Board) today published new guidelines for creating and maintaining health records.
Chinese medicine practitioners need to know and understand Guidelines: Patient health records to ensure their practices meet National Board expectations.
‘These guidelines aim to assist practitioners to practise Chinese medicine safely and support the Board’s effort to facilitate public access to safe health services. Proper patient health records serve the best interests of patients by ensuring patient safety and continuity of care,’ Chinese Medicine Board of Australia Chair, Professor Charlie Xue, said.
‘When exercising professional judgment related to each individual patient, practitioners must maintain their records in accordance with the guidelines. These guidelines prescribe the expected minimum standard.’
In developing the guidelines, the Board gave careful consideration to:
The Board recognises guidelines need to be practical and implementable in order to achieve compliance. For the Chinese medicine profession, the guidelines mean records should be kept entirely in English, with the exception of practitioners registered with English language conditions under grandparenting provisions1. These practitioners must, however, keep certain information in English, for example, patient identity and up to date emergency contact details. The Board respects the historical background of Chinese medicine however patient safety is paramount. The Board has revised the guidelines to ensure there is an adequate balance between public safety and workforce requirements.
Chinese medicine practitioners are also expected to comply with the nomenclature requirements in the Board’s Guidelines for safe Chinese herbal medicine practice.
1Transitional arrangements from 1 July 2012 to 30 June 2015 for registering existing practitioners under section 303 of the National Law.
2For example, full name, date of birth, gender and contact details, (and patient’s parent or guardian where applicable).