I think you have to see in the light of the evolution of practice generally.
Patient loyalty used to be to a practitioner. You may see that transferred to a Corporate such as Primary Healthcare as things evolve. Lawrie Clift [now pushing Monet (or was)who grew up in the shadow of Edelstein, 20 years ago, had pictures of healthcare facilities which were unique and looked the equivalent of Pizza hut and were immediately recognizable as such. Whatever grand ideas he had did not materialise and he sold out to Foundation and was badly burned in any case. My understanding is that Monet would be implemented by Foundation as part of the sale. His whole concept did not materialise. I am not sure why - he had the best facilities, equipment, volume of patients but there was always bickering and no ability to see the greater bigger picture of happy staff and happy patients. For the practitioner it was ideal - you could work as you pleased and, for me, weekends were brilliant because you could work your ass off for 14 hours on Saturday and Sunday and make heaps and have excellent patients and pick the staff to work for and spend the rest of the week with my young family. My point is that it is really hard to bring the whole thing into a cohesive group and I suspect that the pressures from scarce doctors for more money renders the corporate cut smaller and smaller so that it is harder and harder to pull it all together. That said, we are an ASP and our greatest benefit is to rural and remote situations where our kind of service and where technical people are not available. With Aged Care Facilities, the rural ones are high on care and low on documentation and are preyed upon by validators to reduce their income further and further so that they are not viable. Aboriginal are the same and 'protected' by the do-gooders and are as difficult to deal with as with Government who are almost as difficult as Doctors. Doctors are the difficult and the rate limiting factor in the whole IT implementation process. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of David Guest Sent: Tuesday, February 21, 2006 6:27 AM To: OzdocIT Subject: Re: [GPCG_TALK] Healthy WSDLs? David de Bhál wrote: >We are purely services and apart from the criticism of our current >attachment to IE 5.5 or greater have nothing in common with Monet except >that we use the internet. > > Sorry David I thought the two of you were both ASPs. <speculation>The way I read the documentation it seemed to me the $10 million to build an ASP medical record would suit large medical organisations where the security issues would all be taken care of in-house by default policies. The documentation talks about preferring to roll out to rural and remote organisations and Aboriginal Medical Services would seem to be the most likely target for this sort of grant where the population is somewhat itinerant between their various health care facilities. The obvious group to benefit from something like this would be Primary. You could walk into any Primary store and the docs would have full access to your medical record. It would even give Bateman an opportunity to enter the specialist market since there would be advantages in vertical integration. I don't see it happening as it would entail them writing off their $100 million investment in HCN. If somebody else could make this work, it would be the death knell of city solo and small group practice, but I guess that rang a while ago. </speculation> David -- SIP [EMAIL PROTECTED] NodePhone +61 7 31290168 Jabber [EMAIL PROTECTED] -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.15.11/264 - Release Date: 2/17/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.15.11/264 - Release Date: 2/17/2006 _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
