It is interesting to see the debate here turning away from what is the
technical architecture of systems for sharing information and e-referrals to
discussions of the business driver.

We can all guess that e-referrals and e-prescribing  will help patients,
make for less work maintaining GP audit trails and add to efficiency of the
front desk systems for path and radiology  BUT the GP systems vendors and
pathology/radiology/pharmacy vendors will only be convinced to play when GPs
start asking for this.

What is needed to motivate our colleagues and practice managers to take an
interest and start pushing? It would be nice to see it happen BWR (before we
retire)

Regards

Peter MacIsaac
MacIsaac Informatics

Consulting in Health Informatics, Terminology & Data management and Health
Policy.

[EMAIL PROTECTED] 

0411403462 (mobile)
61611327 (office)
peter_macisaac (skype)

8 Ewart St. Yarralumla 2600

"We trained hard, but it seemed every time we were beginning to form up into
teams, we would be reorganised. I was to learn later in life that we tend to
meet any new situation by reorganising, and a wonderful method it can be for
creation the illusion of progress while producing confusion, inefficiency
and demoralisation." 

- From Pertonii Arbitri AD 66, attributed to Gaius Petronus, a Roman General
who later committed suicide. 


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Ian Cheong
Sent: Saturday, 13 May 2006 6:41 AM
To: General Practice Computing Group Talk
Subject: Re[4]: [GPCG_TALK] IHE and XDS - sharing of documents and

At 10:55 pm +1000 12/5/06, Andrew McIntyre wrote:
>Hello Hugh,
>
>You have hit the nail on the head. Apathy everywhere. Non standard
>messages, applications unable to import standard messages, users happy
>with the situation.  That's why I suggested asking for standards based
>ones and they insisting they are imported properly.
>[...]

No its not "apathy". It's "business".

Compliance with annything imposed from outside cost money. 
Corporations tend not to do that unless it will lose them money by 
not.

Presently, there is no loss.

When there is legislation or regulation, corporations will jump hoops 
to comply fastest.

The worst apathy is from the regulators, who keep thinking of excuses 
not to regulate. Would there be any opposition to legislation??? 
Probably not much I can think of.

Interoperability stuff is in HIPAA legislation. A few years ago we 
were way ahead of the USA. Now, We could be left in the dust....

And nobody will ever know of the apathy that caused it.

20 years ago, Qld Health bureaucrats got rid of most of the medically 
qualified administrators in top positions. Now we see the fallout.


Ian.
-- 
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])

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