Medicare Australia, in its former incarnation as the HIC, had a person in the role of Manager, PKI and Information Standards. Said gentleman was very helpful to me in my past life with Divisions, interpreting the Electronic Standards Act 1999 to me with regard to electronic referrals and vetting for accuracy articles I wrote for dissemination.
Duncan, I'll forward you privately what details I have as I am not sure he is still there and lurking on these lists as he used to. Hopefully, MA will have aliased all emails for indefinite future to receive the @hic.gov.au ones until users get used to whatever the new convention is. Regarding your specific question, I take the rather pedantic view that, if you can exchange these inhouse referrals with the Individual PKI certificates, then you are within legal parameters, otherwise, it's paper and ink. I am not sure your chosen EMR allows you to use the PKI to 'sign' entries into the record, only for the online billing probably. Although that poses an interesting 'extra' feature of the every day EMR, an electronic signature to further authenticate the user who entered the record - most likely much more hassle than worth to implement, particularly for the medicos. If you were using M$ Exchange on W2K3 (not W2K) Server or if Profile got the email thing going say, for Argus, I believe a savvy tech could set that up for you to do it by email but then that defeats the whole purpose of what you want and the major hassle I suppose, is your colleagues having to plug the dongle in and typing password. Anyway, hope the details I provide separately will be helpful. Jan >-----Original Message----- >From: [EMAIL PROTECTED] >[mailto:[EMAIL PROTECTED] Behalf Of Duncan Guy >Sent: Monday, 27 February 2006 5:37 PM >To: General Practice Computing Group Talk >Subject: Re: [GPCG_TALK] Electronic referrals between providers using >thesameEMR > > > > >Greg Twyford wrote: >> Oliver wrote: >> >>> Medicare Australia person on camera: "Dr. Frank wrote a referral that >>> was not valid for Medicare purposes and Dr. Guy used it to commit a >>> criminal fraud. He is a bad doctor." How do you think the public >>> will see this? >>> > > >I'm not so sure I want to be a test case but ... Given this is a unique >situation and to access our EMR the specialist who is referring to me >has to log onto the server via a terminal session with his/her unique >username and password and then onto the EMR with his/her unique password >and the EMR records every keystroke with time and date stamping I was >hoping this might do. S'pose there isn't an answer to this one. > >Would be nice to hear from an HIC lurker with advice. > >How does one go about putting this to them as an option? > >It would be a real PITA to have to generate a referral letter in a >shared EMR, print it out, sign it then give it to your colleague who may >well be in the next room who sees the patient and submits the paper for >scanning into the same EMR from who's loins it sprang !!! > >Duncan >_______________________________________________ >Gpcg_talk mailing list >[email protected] >http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk >-- >Internal Virus Database is out-of-date. >Checked by AVG Free Edition. >Version: 7.1.375 / Virus Database: 267.15.9/261 - Release Date: 15/02/2006 > -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 268.1.0/269 - Release Date: 24/02/2006 _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
