The most significant two way system in WA is likely to be the EGRRS
experience with Medical Objects but it's very early days yet. Uses HeSA
PKI.

I guess I'd make the comment that you can only use what's available to
you at the time. HealthLink works well now, is already installed in a
high percentage of practices in WA and is cheaper, faster and more
convenient than post or fax.

I don't think it's the "final solution" by any stretch of the
imagination. 

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Greg Twyford
Sent: Monday, 12 December 2005 12:21 PM
To: General Practice Computing Group Talk
Subject: Re: [GPCG_TALK] Saving an email into EHR

Bruce Jenkins wrote:
> The usual model is - sender pays (pathology, hospital etc) IN WA 
> HealthLink covers the majority GPs. System needs client software on 
> the GP system. Promedicus, Medical Objects and Argus also work to a 
> similar model.

Bruce,

I'd suggest this works fine where the traffic is mainly one way, and we
have a semi-corporate or corporate entity, for whom there is a
significant advantage in reducing their unit delivery costs via such
systems, because they have the volume.

On the other hand do lots of WA specialists and GPs exchange referrals
and reports to each other yet? Here the traffic is two-way and the
advantages for either party only becomes apparent if most of their
business partners use the same system as they do.

The other factor is Medicare Australia's requirement for the signing of
electronic referrals with their HeSA signing keys, which are yet to be
used by most health professionals. This will limit the uptake of
pathology/radiology referrals electronically, as much as with other
speciality areas. There is lots to be done in this area yet.

Oh, and then there's standards, so everyone can play. Let's see how
Healthlink goes with supporting HeSA signing keys and their proprietary
encryption.

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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