Tim Churches wrote:
However:
a) if something goes wrong with your Internet email delivery then not just Argus
messages but all messages will be affected, and as a result, you tend to notice rather
soon - unlike the common problem of a proprietary secure messaging system falling over
and no-one at your practice noticing for several days until someone asks "Why
haven't we had any results from Mike Roscope's Pathology Service Pty Ltd since last
week?"
b) typically not just your email delivery, but also the email delivery of all
or many of your ISP's thousands or tens of thousands of other (irate) clients
will be affected by any outage, and as a result ISPs tend to devote a lot of
effort to fixing such problems as soon as they can.
c) All the proprietary secure messaging providers such as Healthlink rely on your ISP's
computing infrastructure to provide tyour Internet access anyway. Thus the "sole
point of contact" argument is a furphy - more often than not, it will be a problem
with your practice's Internet connection, and nothing that any of the proprietary secure
messaging providers offer helps to reduce the likelihood of such problems or to speed
their resolution.
Also, the email 'network' (ie most mail-server providers etc) has some
quite effective roll-back and resend capabilities that have become quite
sophisticated. If the HL7 acknowledgement process and message
identification overlaying infrastructure of the emailing client is good,
then any duplication of sending that results will be sorted out. The
'system' is quite robust.
Ross Davey
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