Hospital Readiness: Making Your Care Preferences Easy to Find

1. Why “Hospital Readiness” Matters

Arriving at hospital in a crisis often leaves little time to explain your wishes. Clinicians may not know:

• Which treatments you would accept or refuse
• Who you trust to speak on your behalf
• Where to find the most up-to-date medication list and allergies

When preferences are readily accessible, teams can act quickly, avoid unwanted procedures, and support a smoother, safer discharge. In Australia and the United Kingdom, national digital programs—My Health Record, Summary Care Record, Evahled, and local shared-care portals—make this possible, but they only work if your information is complete and current.

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2. Australia: Turning Plans into Clicks

2.1 Digital Infrastructure

1. My Health Record (MHR) – A national, personally controlled e-health record accessible by public and private hospitals. You can upload ACDs, donor preferences, allergies, and current medicines.
2. National Clinical Terminology Service – Standardised coding improves searchability across jurisdictions.
3. Secure Messaging & e-Referrals – Allow GPs, specialists, and aged-care facilities to share discharge summaries and care plans instantly.
4. Evahled Symptom & Goals Tracker – Pilots in NSW and Victoria let palliative and chronic-disease patients log pain scores and update preferences from home.

2.2 Practical Steps

1. Upload your Directive: Log into My Health Record via my.gov.au → Documents → Advance Care Planning → “Add ACD”. Scan and attach the signed PDF.
2. Check “Emergency Access” Settings: Tick “Allow medical staff to access in an emergency” so doctors aren’t blocked by default privacy restrictions.
3. Add Key Contacts: Under “Personal Details” input at least two mobile numbers.
4. Share via MyHR Mobile App: Show clinicians the “Documents” tab on admission; they can click “View on HI Service” to import directly into their clinical system.
5. For Rural Areas: Ask your GP to upload the PEPA RESPECTing Choices form or local 7-Step Pathway so retrieval is possible even if you transfer to a tertiary centre.

2.3 State-Specific Extras

• Queensland Health Viewer auto-collects ambulance PCRs and pathology; verify your details after any ED visit.
• Victorian Health ICT Network enables real-time event notifications—ensure your email/SMS preferences are correct to receive discharge summaries.

3. United Kingdom: Joining the Dots

3.1 Core Systems

1. Summary Care Record (SCR) – Automatically created from your GP record. Enhanced SCR can store care preferences, escalation plans, and hospice contacts; ask your GP receptionist to “activate enriched SCR.”
2. ReSPECT Form – A national tool from the Resuscitation Council UK that captures emergency treatment recommendations; blue copies follow the patient across hospital, ambulance, and community.
3. Coordinate My Care (CMC) – London’s shared care plan. A digital “red flag” alerts 999 and A&E staff about resuscitation status and specialist teams. Other regions use EPaCCS or Urgent Care Plan platforms.
4. NHS App & NHS Login – Lets you view the SCR and Covid-19 vaccinations, order scripts, and soon upload ACDs directly.
5. Evahled UK Pilot – Integrated with some Integrated Care Systems (ICS) to push symptom charts and preference updates into the Electronic Patient Record.

3.2 Practical Steps

1. Complete a ReSPECT Conversation with your GP or hospital team; ensure the final signed form is scanned into your GP system and given to paramedics.
2. Check Your SCR via the NHS App → “Health Records” → “Summary Care Record.” If allergies or meds are wrong, request a GP update.
3. Create / Update CMC or Urgent Care Plan: Go to coordinatemycare.co.uk and use “myCMC” to start your own draft, then invite your GP to validate.
4. Store Scanned ACD/Living Will in GP system (coded as 9Nu0) so hospitals pull it automatically.
5. Paramedic Readiness: Stick the ReSPECT or DNACPR form in a bright plastic wallet on your fridge; London Ambulance crews are taught to look there.

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4. Keeping Information Current

1. Review at Triggers – New diagnosis, hospital admission, medication change, or annual GP visit.
2. Appoint a “Document Champion” – A family member who checks expiry dates on LPAs and downloads fresh copies before travel.
3. Audit Your Digital Footprint – Log into My Health Record or SCR every six months; delete duplicate or outdated documents.
4. Synchronise Paper & Digital – If you sign a new directive, immediately scan and upload it; destroy older paper versions to avoid confusion.
5. Use Version Control – Include the date in the file name (“ACD-JSmith-2025-03-12.pdf”).

5. Special Considerations

5.1 Cultural & Language Needs

Upload translated copies of directives (e.g., English + Greek) and note interpreter preferences in the allergy field’s free-text area—clinicians see this immediately.

5.2 Intellectual Disability or Dementia

Attach Health Passport or This Is Me document describing communication style, routines, and comfort items; flag as “Important Patient Document” so it opens automatically.

5.3 Children & Young People

Use age-appropriate advance planning tools such as Voicing My Choices (Australia) or Child & Young Person’s Advance Care Plan (UK). Store under the child’s record and add parental contacts with legal authority notes.

6. Looking Ahead

• Interoperability – Australia’s Digital Health Interoperability Plan aims for seamless sharing across public, private, aged-care, and NDIS systems by 2027.
• Artificial Intelligence – Predictive tools will flag patients at risk of readmission and suggest missing readiness elements.
• Patient-Generated Data – Wearables feeding directly into platforms like Evahled will enrich clinical decision-making.
• Legislative Updates – The UK Digital Information and Data Bill proposes mandatory information standards for ACDs, ensuring hospital systems must display them within 15 seconds of record access.

7. Key Takeaways

1. Upload: Scan and store directives, decision-maker forms, and ReSPECT/Goals-of-Care plans in national digital records.
2. Verify: Log in twice a year to check allergies, medicines, and contact details.
3. Signal: Use phone ICE contacts, fridge wallets, and wearable IDs to guide paramedics.
4. Share: Inform family, GP, and specialists about updates; discrepancies create delays.
5. Review: Treat any hospital admission or major diagnosis as a prompt to refresh your packet.

Being “hospital-ready” is less about paperwork and more about peace of mind—for you, your family, and the clinicians striving to honour your wishes.

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Create your free Evaheld Legacy Vault today — safeguard your memories, protect your wishes, and keep your story alive forever.

Our Promise: No One Left Behind

Evaheld’s “Connection Is All We Have” Hardship Policy ensures that financial barriers never silence a story. If you or someone you love needs assistance, we’ll help you secure your vault — because every life, every voice, and every legacy deserves to be remembered, honoured, and preserved.