Klaus D Veil wrote: > Hi Tim, > > Very interesting, this project: > > - Roll-out to 12,000 surgeries within 6 months. > - time spent in each surgery for installation: 3h > - staff time: 10min pre-installation evaluation & 30min user training > - the facilities will also be used to exchange diagnostic reports and > referral letters
Yes. My understanding from the Google-translated pages was that the Linux-based card reader gizmo that gets installs provides an open API which other applications running on the clinic or practice LAN can make use of to retrieve the ID of the patient(s), use teh PKI for secure data exchange etc. And no per-message charges. > They may be a bit optimistic, but it might be worth having a closer look at > this. Yes, someone from NeHTA should pay the Austrians a visit to find out more, including how much is all costs, as it may be a good model for NeHTA's IHI (Individual Healthcare Identifier), particularly if it could leverage the new Medicare smartcards (yes, yes, I know not everyone has or can have a Medicare card). Tim C >> -----Original Message----- >> From: [EMAIL PROTECTED] >> [mailto:[EMAIL PROTECTED] On Behalf Of Tim Churches >> Sent: Tuesday, 14 February 2006 16:01 >> To: General Practice Computing Group Talk >> Subject: Re: [GPCG_TALK] Linux and the Austrian health e-card system >> >> Horst Herb wrote: >>> On Tue, 14 Feb 2006 12:07, Tim Churches wrote: >>>> Horst or other native German speakers on this list: can >> you find out >>>> anything more about this via Google or whatever. I had a >> quick look >>>> at the Austrian Ministry for health and Women web site, >> but my German >>>> is not up to the task of spelunking through the site and >> its various >>>> documents. >>> Can only do any extra work from next Tuesday on, flat out otherwise >>> with not enough hours to sleep on any one day Happy to help >> then. If >>> you need it earlier, maybe ask Barbara from the nat-div list? >> No worries Horst, I understand. In fact, the Google >> translation service gives a rather charming translation of >> this page which conveys the gist of it: >> http://translate.google.com/translate?hl=en&sl=de&u=http://www >> .e-card.uta.at/uta.html >> >> If you click on the links in the red box there are a few more details. >> >> Basically it seems to be a smart card issued to people with >> certain types of medical insurance - the unemployed, the >> elderly, civil servants I think. The card holds various ID >> numbers for the person, demographic information about the >> holder (probably a photo too), a PKI key and some basic >> medical information. Each doctor's surgery is provided with a >> smartcard reader (which runs Linux) and a router which >> connects them to the Internet via a DSL broadband connection. >> When a patient attends a clinic (or hospital, or pharmacy), >> they insert their card which identifies them and authorises >> payment or sends details of the service to the medical >> insurer. The patient's ID number can be cut-and-paste from a >> browser interface which the smartcard reader provides on the >> doctor's LAN, or there is an API for direct querying by the >> doctor's own medical software. The smartcard reader box >> (which remember is really a small Linux server) also mediates >> secure medical data exchange and other services, include >> direct e-prescribing to pharmacies (the smartcard reader must >> include a certificate which identifies teh clinic and/or teh >> doctor, presumably). I think (but am not sure) that the basic >> hardware etc is provided free to the doctor (at the govt's >> expense?) but there are additional services which the doctor >> can pay for which use the same infrastructure. I think that >> this infrastructure is being rolled out to 12,000 medical >> clinics across Austria. >> >> Of course, I (or the Google translator) may have all or much >> of the foregoing completely wrong... >> >> Anyway, it seems like a very interesting model. I have no >> idea how much it is costing the Austrian govt, but they must >> consider it a wise investment else they would not be doing >> it. Nor do I know how open the whole thing is, but the use of >> an intelligent and extensible card reader based on Linux >> seems smart - presumably new capabilities can be remotely >> installed on these card reader devices as needed - and the >> source code for them is available! >> >> Why couldn't the Australian Medicare smartcard be part of a >> similar scheme? Too much co-operation between disparate govt >> depts, federal and State govts, public and private sectors >> would be needed for such a thing to ever fly here? Yeah, probably. >> >> Tim C >> _______________________________________________ >> Gpcg_talk mailing list >> [email protected] >> http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk > > _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
