Andrew wrote:

The accreditation folk don't help either.
One pulled up a GP for leaving the room and not locking is screensaver when
he left the consult room.
A receptionist had banged on his door as a patient in the waitroom had chest
pain !!
Then same accreditation inspector told the GP how easy it was to lock and
unlock the screensaver.
Just hold down the Windows key and press the 'L' key. -useful I agree
But blew it by suggesting to use 'zz' as the password to unlock.

Andrew,

I've already had a go at the 'accreditation folk' about the appropriate training of their auditors, most of whom know no more than the average GP about computer security.

It offends me that I spent a lot of time and money to get an IT qualification, and the same accreditation process wouldn't dream of using auditors who weren't properly qualified in terms of general practice conduct in every other way but IT.

The one reply from the two organisations basically said that the auditors were only interested in the paperwork. In other words, they didn't see the need for the auditors to actually be able to identify if the system conformed, but just to read that the manual had appropriate-sounding procedures in it.

No-one wants to rock the boat and acknowledge the real costs in getting this stuff right. Government, college, GP representative bodies, accreditation bodies all included. It is down to individual GPs, Division IT staff and tech. support to ensure practices are up for it security-wise. Matthew Rose at ACT Division blew the whistle with a practice security study in 2003, which led to action in the form of the GPCG security project.

It's a bit like the quandary over vaccine storage. Everyone knows that domestic fridges are inadequate. Divisions have staff who take out data loggers and check fridges for members, but this only makes us aware of what a lottery this situation is. Some GPs are conscientious and invest in a proper fridge, but no-one is game to face the issue and make them a requirement. Yes it would add to costs and eventually find its way to Medicare, so the government isn't pushing either.

I have one medical centre principal who is a customer who spent $4000+ on a proper fridge, which holds something like twice that in vaccines. It can warn him if the power goes down, but it is still a potential loss in a blackout.

He decided it was needed, no-one else.

Greg
--
Greg Twyford
Information Management & Technology Program Officer
Canterbury Division of General Practice
E-mail: [EMAIL PROTECTED]
Ph.: 02 9787 9033
Fax: 02 9787 9200

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