Hi Oliver,

To get any action on this I believe there needs to be recognition of the 
importance of GP
computing and its central part in the overall e-health strategy. That 
recognition used to
be there - but with the GPCG abandoned and NEHTA's focus (because of it board 
being made
up of State health system CEO's) being more diffuse its now a bigger ask.

It is also important to recognise that this is a patient safety issue - if the 
systems
assist in care and mislead in any way there is a problem - and hence it is 
important to
certify systems as to their quality and safety as well as functionality I 
believe. (Enrico
Coiera at UNSW has been talking a lot about this lately).

A strategy that emphasizes the safety aspect as well as the role of GP 
computing in
overall service delivery may work - but it would have a bigger chance if it was 
part of a
National E-Health Strategy - as the CCHIT was in the ONCHIT strategy.

In summary - we need political concern and leadership to drive change and get it
happening. That will only happen if all the groups you mention start pushing in 
an
organised way I suspect. HISA and ACHI may also have a role.

Cheers

David

 ----
 Dr David G More MB, PhD, FACHI
 Phone +61-2-9438-2851 Fax +61-2-9906-7038
 Skype Username : davidgmore
 E-mail: [EMAIL PROTECTED]
 HealthIT Blog - www.aushealthit.blogspot.com


On Sun, 25 Feb 2007 22:08:30 +1030, Oliver Frank wrote:
> David More wrote:
>
>> The role came from the top..Bush says he want every person to have an EHR by 
>> 2014.. and
there is a US effort to have GPs better automated  for that reason -
>> they realise GP computing is part of the whole picture!.
>>
>> The US Federal Government funded the startup in about 2004/5 - with the 
>> outcome of
having GP, Specialist, Hospital and Comms in the sector being sorted out
>> over 4-5 years
>>
>>
> Tim Churches is gloomy about our federal government doing the same for us.  
> However,
what are the chances of some action if all of the medical organisations
> got together on this and put a united front to the Minister, making it clear 
> that
referring it to NEHTA will not do, unless he specifically directs NEHTA to
> devote $Xmillion (or manages to persuade Cabinet to agree to give NEHTA 
> $Xmillion) to
make it happen.
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