Elizabeth Dodd wrote:
On Tue, 22 Nov 2005 22:13, Andrew Cameron wrote:
Thanks for the positive input John. (wow is that allowed on this list :)
I am keeping as open a mind as i can on MDW3 for now.
Having seen some horrible things with MDW2 lately,
Like patient histories going missing.
Andrew C.
I've just been off seeing a variety of practices, 7 different sites. What I
found saddest was a belief by many docs that MDW2 was 'state of the art'. I
expressed sadness to same that they had computerised late and still chosen
MDW2.
I've had to check patient history lists (privacy act ok, formal trial
situation) to ensure that the evidence existed that the people enrolled on
the trial had the specified conditions.
In one practice I had to search specialist letters and path reports to find
the evidence, no health summaries up to date, and others had good records.
The computerised (fully) practices won hands down. One practice I wouldn't do
a locum in, not because they had MSS Classic, but because there was nothing
useful in the notes and I'd have to construct a history list on any patient
with more than URTI/LRTI to deal with them.
Many users have poor computer skills and mouse their way all over the place
with no understanding of keyboard shortcuts. One practice had M$ Multimedia
keyboards installed and the Function keys were disabled.
I think I only came across one practice on MDW3.
LIz
Liz,
Welcome to the world that Division IM&T staff live in. Gradually
impacting on all this, and helping many GPs move beyond what you
describe is what keeps us busy. Thankfully, my Division recognises the
need.
It's great when you see evidence of progress and a former 'struggler'
starts to get it together. For some it can take quite some time, and the
realisation that its needed and help is available. I've just run four
CDM ALM sessions and the increased use and skills in relation to this
stuff has been gratifying.
The just-announced PIP incentive changes which will require most
patients' notes have allergy information, security measures, encryption
of transmitted data, major diagnoses and current medications will help.
Basic keyboard and mouse skills are another whole area for some.
Greg
--
Greg Twyford
Information Management & Technology Program Officer
Canterbury Division of General Practice
E-mail: [EMAIL PROTECTED]
Ph.: 02 9787 9033
Fax: 02 9787 9200
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