Ian Haywood wrote:
Tim Churches wrote:
Peter MacIsaac wrote:
...
Under a full web service model the IT systems of small business enterprises
(like GPs) would need to have the capacity to be always connected to the
internet ...
As discussed previously, I am not at all convinced that this is true.
Why does a Web service running on, say, a GP practice system, always
need to be available, 24x7? Is the practice open 24x7? Nope. So why does
the practice's Web services need to be available all the time?
So we can get some info when the patient rolls into A&E at 0200 on a Sunday.
Of course this is probably best done by having GPs upload a summary at regular
intervals to a Divisional server which is up 24x7, as others have said, giving
finer control over what is sent.
Ian,
Division were proposed to have a similar role in some of the early
iterations of HealthConnect, but were quickly excluded by a centralised
model once the bureaucrats got involved.
Most of Division-land is having very limited connection with this debate
these days. Despite the Managed Health Networks grants on offer, which,
of course, require NEHTA-compliance in the fine print.
The much-vaunted Eastern Goldfields site obviously cost a bomb, and was
done by handing the project over to Cisco and IP systems [and Medical
Objects], who seem to have done a fine job, with Health picking up the
tab. They wouldn't tell us how much, at a recent conference, but it was
clearly lots more than the MHN funding is offering Divisions. They only
assured us they didn't spend all the $9m they had to play with.
Adrian Beekmeijer at ADGP has informed me he doesn't read the GP Talk
List, and I don't think NEHTA would think about Divisions [can someone
ask Ian Reinecke at the next appropriate conference if he knows what a
Division is, for me, please?], so I'm not sure how we'd figure in this
picture, leaving aside the funding of such servers, of course.
Greg
--
Greg Twyford
Information Management & Technology Program Officer
Canterbury Division of General Practice
E-mail: [EMAIL PROTECTED]
Ph.: 02 9787 9033
Fax: 02 9787 9200
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