Les

How come Medech not working yet for this project.  Frank Pyefinch ia a
single operator and he got his working?

Cedric

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Les Ferguson
Sent: Thursday, 30 November 2006 1:22 PM
To: General Practice Computing Group Talk
Subject: RE: [GPCG_TALK] Interesting article in australian


> [Oliver Frank]
> 
> Here we go again.  The health bureaucrats just don't learn.
> 
> When HIC Online was to be introduced, rather than fund the
> devlopment of a single API that could be used by all vendores 
> of billing software, the Commonwealth instead paid a number 
> of billing software vendors each to develop their own 
> interface to the HIC system.

Actually they have technically created a single API, in that it is an
interface based on specific HL7 transactions.  These are now fairly well
defined, based mostly on the Australian RSD standards, tho some deviations
have been required from that.

> Now we see that NSW Health is going down the same wasteful
> path.  How will NSW Health decide how many and which billing 
> software vendors are to receive public money to enable their 
> particular users to connect to the Healthelink system?

I could be wrong, but I believe they tried to get the participation of all
vendors used by practices in the chosen region.

> Will GPs who are not using one of the packages favoured by
> NSW Health (other than Best Practice) therefore not be able 
> to connect to the Healthelink system?  Where is the equity in this?

Maybe you should contact NSW Health about exactly which vendors they
approached, and which of those vendors chose not to participate (altho that
could be commercially sensitive information).  I don't think that any
vendors were 'favoured' over others, tho, initially.

I wouldn't call the electronic health record project 'wasteful'.  I hope
that it will prove useful in enhancing shared health care services, although
given the small sample group, this programme may serve only as a trial of
how things could be.  More importantly I believe this has given NSW Health
much useful experience in coordinating a variety of software vendors in
working towards a single goal, the sharing of health information, moves
toward single unique patient identifiers etc.

Personally I think you should cast aside your sceptical
no-government-group-could-do-anything-useful attitude and try to see what
good may come from this, such as all the current participants maybe being
able to envisage a brighter future with a more cohesive health information
service, and people moving one step closer to developing a sensible
non-proprietary non-wasteful approach to a shared EHR.  It will happen one
day, and some of these projects will be first stepping-stones towards that
achievement.

-- 
This is just my opinion, I speak not for MedTech, NSW Health, or anybody
else involved.  And yes, I surprise myself with the optimism generated by
this project, after all my years in health IT and the many
less-than-hugely-successful projects I have seen money poured into.
-- 
Les Ferguson
Business Analyst
MedTech Software Ltd. _______________________________________________
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