Oliver, that is why I made my orignal posting.  All Medicare says is "The
practice also uses appropriate security (e.g. encryption systems) 
when patient information and/or clinical data are transferred
electronically."

I spoke to HIC about this.  Only applies to Dr's sending information to HIC
or to other Dr's.  If we send it to patient, it doesn't apply.  To me this
is double standards.  I have asked HIC to update this wording so every-one
knows the exclusions.

Cedric


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Oliver Frank
Sent: Thursday, 7 December 2006 9:31 PM
To: General Practice Computing Group Talk
Subject: Re: [GPCG_TALK] Re: [Nat-Div] More questions on Argus


Cedric Meyerowitz wrote:
> Horst
> 
> At present the guidelines from HIC does not specify we can communicate 
> in an unsecure manner if patient agrees.  So with your thinking, if 
> some of my patients give permission (a large number will), can I send 
> their data / records electronically to another Doctor in an unsecure 
> manner ?

Now it's getting interesting.

http://www.medicareaustralia.gov.au/providers/incentives_allowances/pip/new_
incentives/im_it.htm

says:

"The practice also uses appropriate security (e.g. encryption systems) 
when patient information and/or clinical data are transferred 
electronically."

What security is *appropriate* when the patient says: "I'm not paranoid, 
Doc.  I've got nothing to hide.  Just send anything you need to send 
about me.  I'm not worried about anybody at an ISP or anywhere else 
reading it and I don't care if they do."

or even:

"I'm not paranoid, Doc.  I've got nothing to hide.  Just send anything 
you need to send about me.  I'm not worried about anybody at an ISP or 
anywhere else reading it and I don't care if they do.  Perhaps they can 
give some useful advice.  As a matter of fact, I post all my medical 
details on my blog site hoping to get advice from anybody out there who 
can help.  If you encrypt your message about me, it will only make it 
harder for the recipient to read it.  I want you to make it as easy as 
possible for your message to be read, to facilitate my care."

One could argue that in such a case, the appropriate security is no 
security.


-- 
Oliver Frank, general practitioner
255 North East Road, Hampstead Gardens, South Australia 5086
Phone 08 8261 1355   Fax 08 8266 5149  Mobile 0407 181 683
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