If the infrastructure exists at a federal level (such as the [useless]
online authority scripts), and the functionality is built into the
clinical software (carrots required), then I can't see a role for divisions.
Jim
Greg Twyford wrote:
Ross Davey wrote:
David
Infrastructure is needed if the model that the Govt and the pharmacy
Guild advocate is going to be used. ie a script must be posted
somewhere so that when a patient turns up at any chosen pharmacist,
the pharmacy system can go and pick up the script that the patient
wants filled.
If your region is keen to get going with working on this as an
'early-adopter', I suggest that you talk with Top End Division and NT
Health and see if you can tack onto the infrastructure that they are
implementing.
regards
Ross,
I know Top End Division has secured some 'pilot' money for this.
But given the number of un-funded government e-Health initiatives that
Divisions are exposed to, I'd find it hard to recommend any Division
without funds gets involved.
The list seems to grow daily:-
HIC Online - now Online claiming
B4H
GPs accessing their data from RACFILs
Data extraction for our outcomes framework
Secure messaging between hospitals, GPs and specialists
Electronic prescribing transmission
All very lovely, but where are the loaves and fishes that will allow
Divisions to participate?
If you cast your mind back to HIC Online, it was only when no-one
wanted to use it that government thought about resourcing or involving
Divisions. But it just got added to our responsibilities. The new
project with the banks for direct patient billing is another story.
B4H - no money at Division level, but now its shutting down anyway..
As for DNIMP, AGPN wants 1/2 a position per division from DoHA. I'm
betting we won't get it and divisions will all have to make their own
arrangements for their data collection for the framework by mid-2008.
No one is officially saying that DNIMP won't get up, but the faces at
AGPN looked pretty grim when asked if DoHA has made a decision.
Aged care access by GPs to their databases is another example. A
couple of divisions have funding for projects. Lots of others are
playing at it with no resources and very few results. The nursing
homes themselves mostly have no resources. My mum's NH has two shiny
computers but they or their GPs don't know what to do with them.
Ditto secure messaging. Hunter Urban has the resources to roll out
Medical Objects. Most of the rest of us don't.
It's all doable if the resources are there, but it won't happen by
magic. Show me a pilot that has resulted in funds being made available
so that the functionality and technology can be adopted across the board.
The recent Alliance capacity survey showed that about half NSW
divisions don't have any meaningful capacity in IM&T.
Greg
--
Dr Jim Glaspole Vermont Medical Clinic 529 Mitcham Road Vermont VIC 3133
(03) 9874 2422
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