Dr. Vasantha Preetham
President
RACGP

Dear Dr. Preetham,

I am a Fellow of the College. I have just learned that the National Bowel Cancer Screening Program Register

http://www.cancerscreening.gov.au/internet/screening/publishing.nsf/Content/program-register

is planning to communicate with GPs on paper. As I understand it, the Register is intending to send GPs paper forms to complete, intending to ask GPs to write to it on paper about patients and intending to deliver test results on paper.

This seems amazing for a new program starting in the year 2007, at a time when e-Health is being funded with millions of dollars, almost all general practices receive their pathology results electronically and there is massive activity around the country in implementing electronic clinical messaging systems that are helping to improve the quality of care by making communication faster, cheaper and more reliable and the communicated information more useable.

The RACGP should demand that the National Bowel Cancer Screening Program Register enables and facilitates intelligent electronic communication with GPs as the Register's default method of communication. Making the electronic communication 'intelligent' is important: merely providing a secure Web page into which GPs have to type all of the patient's details as if they were filling in a paper form is *not* an intelligent form of electronic communication.

Intelligent electronic communication is happening now by using templates that automatically assemble for transmission the required information about each patient from that which we have already entered into our practice computer systems, and then sending that assembled information via an electronic clinical messaging system.

There are a number electronic clinical messaging systems available in Australia. The Argus clinical messaging system is the leader in desirable features, including the facts that it is the only non-commercial system in wide use and that it imposes no charges to send or receive messages. I suggest that the RACGP urgently requests the National Bowel Cancer Screening Program Register to discuss its messaging needs with the provider of Argus, ArgusConnect (www.argusconnect.com.au).

Please will you reply and let me know the College's attitude to this issue and what action the College is taking about it? I am writing now also to Kate Carnell to seek action from AGPN on this issue.


--
Oliver Frank, general practitioner
255 North East Road, Hampstead Gardens, South Australia 5086
Phone 08 8261 1355   Fax 08 8266 5149  Mobile 0407 181 683
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