> IMHO, we are no further ahead with clinical 
> communications in 2007, than we were in 2000

In Oz, there has been progress ...

Firstly, 1999 was the watershed year when many
general practices started changing from hard copy to
electronic health records.  And in 2000, pathology
and radiology companies were happily providing
electronic downloading of results.

Since 2000, more general practices have adopted
EHRs, and there has been increasing pressure on
hospitals and specialists to communicate electronically
so that hard copy communication would not need to
be scanned into general practice medical records.

Accordingly, for 2 years my local public hospital,
Frankston Hospital, has sent electronic discharge
summaries using secure HealthLink technologies.
These discharge summaries are placed in a holding
file of the EHR, where they are checked by the GP
and then automagically incorporated into the EHR.

Then, in the 2nd half of 2006, our GP Division
decided to take advantage of freely available Argus,
and promoted this to GPs and specialists.  Since
then, 208 GPs and specialists have installed Argus
(nearly half the GPs and specialists), and encrypted
specialist letters/reports are now starting to
trickle through.

>From where I practice, NeHTA are nowhere on the radar.

John Mac
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