I knowin the end, it's the pts choice which radilogy centre to go to,
but at least in my area there are XR services and pathology servicesI
would really prefer not to use for my patients for all sorts of reasons.
I specify a particular XR centre or pathology provider to use.
Patients often think they are "all the same".
They are not


Jon Patrick wrote:

>    Date:       Tue, 7 Mar 2006 20:48:55 +1000
>    From:       Ian Cheong <[EMAIL PROTECTED]>
>
>    Not mooted. I've said it before, but the system was designed, 
>    documented, built (repository, GP software vendors, Pharmacy software 
>    vendors), tested, verified, piloted, evaluated, and written down by 
>    the HIC to the tune of $4M.
>   
>    It was called MediConnect.
>MAybe whatever was created could be released as open source and then we could 
>all look at it  and assess what is ueful from the "wreckage"
>jon    
>    While the actual cost/benefit of building MediConnect originally was 
>    overburdened with consent model costs, resurrecting it can only be a 
>    win, since the cost to do this is negligible!
>    
>    Sadly, with bureaucrats known for never undoing a decision, it is 
>    unlikely to happen, unless somehow someone can FOI the code and 
>    redeploy it.
>    
>    Anyone got any ideas????
>    
>    
>    Ian.
>    
>    At 6:46 pm +1100 7/3/06, Rob Hosking wrote:
>    >One method mooted for e-scripts has been a central repository for the
>    >scripts. When a patient presents at a pharmacy they give the pharmacist
>    >permission (Medicare card or some yet to be devised UPI) to obtain their
>    >e-script and dispense from this.
>    >Could not a similar system work for e-referrals such as radiology and
>    >pathology? This way it is still the patient's choice as to which
>    >provider they use and when. The path/radiology company are not burdened
>    >by chasing the no-shows and the responsibility is back with the patient
>    >where it belongs (apart from the old argument that the ordering doctor
>    >is supposed to be responsible to ensure the patient understands the need
>    >for the test). This central repository could even e-mail/SMS/snail mail
>    >the patient to remind them (and perhaps even the ordering doctor) that
>    >the patient has not presented to have the test done after a certain
>    >period of time.
>    >Of course, such a system requires a good and interested Federal health
>    >system to administer this.
>    >Regards
>    >Rob Hosking
>    >GP, Bacchus Marsh
>    >
>    >Dr. Les Bolitho wrote:
>    >
>    >>Perhaps there should be automatic SMS reminders and directions sent to
>    >>patients as reminders...
>    >>
>    >>
>    >>Regards
>    >>Les Bolitho
>    >>
>    >>Dr Leslie E Bolitho
>    >>Consultant Physician in Internal Medicine
>    >>MBBS FRACP FACRRM
>    >>
>    >>6 Dixon Street, Wangaratta .Vic.3677.Australia
>    >>Phone 61 3 5721 5533 ; Fax 61 3 5722 1781
>    >>Mobile 0418 574 463 ; email: [EMAIL PROTECTED]
>    >>
>    >>-----Original Message-----
>    >>From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
>    ]
>    >>On Behalf Of Greg Twyford
>    >>Sent: Tuesday, 7 March 2006 12:11 PM
>    >>To: General Practice Computing Group Talk
>    >>Subject: Re: [GPCG_TALK] Increase in radiology ordering
>    >>
>    >>john dooley wrote:
>    >> 
>    >>
>    >>>Richard Hosking wrote:
>    >>>   
>    >>>
>    >>>>AS I have said before - look at the workflow.
>    >>>>The patient is the messenger of the request - why send it separately vi
>    a
>    >>>>E mail?
>    >>>>If it arrives separately, the radiology practice now has to worry
>    >>>>whether the pt will turn up.
>    >>>>They have the address and contact details on the form - indeed the form
>    s
>    >>>>are DESIGNED to be used this way.
>    >>>>
>    >>>>R
>    >>>>
>    >>>>     
>    >>>>
>    >>>R
>    >>>
>    >>>The point of the electronic request for the xray company is the data
>    >>>entry girls dont have to enter it when the patient fronts....big big big
>    >>>savings (data entry is basically expensive) same as path and also big
>    >>>improvement in reducing errors on data entry...on the downside as has
>    >>>been pointed out is what to do with the % of no shows clogging the
>    >>>databases...and more importantly what medicolegal obligations does that
>    >>>raise...re followup of noshows...
>    >>>   
>    >>>
>    >>
>    >>Guys,
>    >>
>    >>I agree. I'd actually think a system for notifying the GP of the 'no
>    >>shows' would be easy to build into the system and would be another huge
>    >>advantage. Similar to the path providers' advice to GPs when patients'
>    >>Paps are due again. Everyone's arse is protected that way.
>    >>
>    >>All the regular patients will already know the way to the
>    >>pathology/radiology centre their GP uses. I know I do. Maybe a list at
>    >>the front desk, or a sign, for those who don't? No problem for the big
>    >>medical centres either, as it's just down the hall.
>    >>
>    >>Greg
>    >> 
>    >>
>    >
>    >_______________________________________________
>    >Gpcg_talk mailing list
>    >[email protected]
>    >http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
>    
>    
>    -- 
>    Dr Ian R Cheong, BMedSc, FRACGP, GradDipCompSc, MBA(Exec)
>    Health Informatics Consultant, Brisbane, Australia
>    Internet: [EMAIL PROTECTED]
>    (for urgent matters, please send a copy to my practice email as well: 
>    [EMAIL PROTECTED])
>    
>    PRIVACY NOTE
>    I am happy for others to forward on email sent by me to public email lists.
>    Please ask my permission first if you wish to forward private email 
>    to other parties.
>    _______________________________________________
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>    
>
>Jon
>______________________________________________________________
>
>
>
>
>_______________________________________________
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>[email protected]
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>
>
>  
>

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