We hold that the record belongs to the patient rather than the provider. We
put the patient at the center of the equation and many of the problems
disappear. Because we are web-based we feel that this is much easier. 

The provider views the records and adds to it so that it becomes a real live
up-to-date record of what is happening and the patient can also contribute
and correct the inaccuracies.

There is presently a movement to involve patients in their own care. As they
have a right to look at the record in most jurisdictions they may as well
own it. The benefits are enormous because the clinician, be they
medical/nursing/physio/dietitian/pharmacist/whatever wherever they may be
-rooms/clinic/hospital/home/overseas - may view the record, ultimately with
the patient's consent/token and update the current record.

The various players may contribute to the whole and elaborate their
particular part as they see fit and the record grows pyramid fashion.

We would see ourselves as the custodian of the record with no vested
interest interest in the provider nor the patient - just the means to an end
- the highest quality records.

To answer Peter's question - it is happening right now in Australia. We are
focused in the untrendy Residential Aged Care Sector - the poor relation -
but as Prof Gray says "If you can deal with Aged Care, the rest falls into
place". Our users are very happy, our doctors are not complaining. The
administrators are delighted. In an ASP situation the implementation is not
difficult and with malleable nurses they are delighted to conform and we can
help the facilities implement change without too much difficulty.

You just have to change your focus from the provider to the patient.



David de Bhál
www.v-practice.com


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Peter Machell
Sent: Wednesday, April 26, 2006 10:45 AM
To: General Practice Computing Group Talk
Subject: [GPCG_TALK] Clinical software recommendations

I am quoting a client that is a mixture of GP and other healthcare  
providers, for example nutritionists. They want a clinical record  
system where records are able to be protected, as in if you are not  
the provider that saw the patient you don't have access to the  
clinical record, until the provider that 'owns' the record allows you  
permission to do so.

Leaving aside the problems with this implementation (I've had a long  
discussion on why this is generally not a good idea), is there any  
Australian clinical software that can do this at present?  This  
ability was touted as part of Best Practice, but I don't know if it  
was implemented, or is in use at all.

thanks,
Peter.

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