Greg

You wrote: "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."

Now our devision was not involved in this at all because we were not asked.
This is the 1st I hear that HICOL was added to divisions responsibilities !
I remember the scenario as follows.  The majority of software companies
refused to include HICOL without medicare providing them with funds as some
claimed it is expensive to add it to their existing package.  The uptake
amongst GP's was also very low.  Eventually the government agreed to pay the
software developers to incorporate it, and gave a carrot to GP's to use it.


Cedric

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-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Greg Twyford
Sent: Wednesday, 7 March 2007 4:47 PM
To: [EMAIL PROTECTED]; General Practice Computing Group Talk
Subject: Re: [GPCG_TALK] Electronic Prescribing and Dispensing of Medicines


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
-- 
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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