Wal Tracey wrote:

If we continue to allow these halfwits to tell us what we can and cant do we may as well give up and go back to paper records. Medicare Australia has created a precedent by allowing the P2P project participants in the NT to send electronic referrals without a follow up hard copy. I believe that this only came about when it was pointed out to them on a teleconference how ridiculous this regulation is when we are trying to achieve saving in time and benefit the environment by reducing our use of paper- oh yes and better outcomes for patients through more efficient communication.

Some of us have been flouting their stupid regulations for years by sending electronic faxed referrals & no follow up and will continue to do so. These people must be treated with the contempt they deserve and their regulations must be publicly ridiculed until they slither off and change the regulations. Another article on the front page of the Australian may be appropriate to further the debate ( see 'Unencrypted medical records email is like using postcard,says doctor' The Australian, IT Today, Tuesday July 18 2006)

AMA is also seeking clarification as to how long hard copy patient records must be retained after being scanned into a patient’s electronic record. Procedures for scanning and electronic storage of paper referrals or requests are also addressed in the Electronic Transactions Act 1999. For further details visit I was under the impression that an electronic copy of a document was a legal document under the Electronic Transmissions Act

Wal,

I had to eat my words a few months ago when I made a similar statement, to the effect that no-one would use HeSA individual keys. Andrew Macintyre from Medical Objects took exception as they have about 1500 users on the Sunshine Coast, and some other sites, using MO and doing it with the keys.

I subsequently trialled the GP and specialist bits of the product [Trinity and Capricorn] and found them to be simple and impressive in their operation.

If your 'electronic' transmission in your project is by fax or Argus, as I suspect, have a chat to Andrew [EMAIL PROTECTED] as their technology is worth a look. I am familiar with Argus, I am an accredited Argus installer, I am using it for our Cardiab-Argus diabetes data project, but still think MO is worth a look, if only increase your awareness of what is on offer. Argus will have individual key functionality restored, I'm told.

Despite their achievements getting a big increase in the usage of one clinical exchange technology, or another, between GPs, specialist and/or hospitals is some way off, I believe.

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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