> Simon James wrote:

>Hi All,
>
>Currently rounding out an article on secure messaging and have a few
>questions that I'm hoping may spark some inspiration and some interesting
>discussion for the list.
>
>Brief responses to some or all of these questions will be most helpful (I
>won't be quoting anyone without permission - off-list responses are fine
>too).
>
>1. Is anyone aware of a lab that doesn't offer messages in HL7? 
>  
>

No.  Gribbles, Dorevitch, Melbourne Path, and Bayside Path,
and my 2 local radiology mobs all offer HL7 reports.

>2. Is anyone in a practice where the number of result downloading programs
>has recently consolidated? What prompted this and what solution was adopted? 
>  
>

Yes.  Our local Ophthalmology partnership, Southern Eye Centre,
used to use a mob, emdat - they typed the dictated specialist reports
and sent to GPs by encrypted email (the desktop icon was named
emdat).  Southern Eye have recently changed to using Argus.

>3. Are GP list members making any headway with the task of getting
>specialists to adopt secure messaging products? 
>

Yes.  In my Division (MPDGP) we have 150 GPs and 15 specialists
using Argus (out of about 220 and 160). 

>Is low specialist uptake/interest the major stumbling block preventing secure 
>messaging from
>proliferating in your area? 
>  
>

Yes. 

>4. What secure messaging solutions are you using and what factors influenced
>this decision? 
>  
>

Argus: 
Free. 
Messages HL7 wrapped => appear in EHR
holding file, and are automagically incorporated into the
patient's file (letters tab).
Acknowledgements.

Other secure messaging systems installed include HealthLink,
Promedicus, and eClinic. 

>5. For practices that are using secure messaging solutions, has the initial
>time/financial investment paid off yet? If no, what timeframe do you
>anticipate this occurring? 
>  
>

Argus was free, and installed remotely by Argus techies
=> minimal outlay of time and no money,
=> nothing to recoup.

John Mac




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