Chris Scott wrote:
What is the 'lists' understanding of whose legal responsibility it is
to monitor the receipt of inbound messages (Path, DI, DS etc) into
Practice software from download applications?
Chris, I think that you are you asking about where the boundary is
between the sender's (e.g. pathology or medical imaging practice)
responsibility to deliver its results to the requester, and the
requester's responsibility to read the result and take whatever
appropriate action he or she feels is appropriate,
At which step in the chain can the sender say that it has fulfilled its
responsibility to deliver its result?
If the result is delivered on paper by courier, it is the courier's
record of having delivered the results to the practice that certifies
that the result was delivered. (But does the courier list in detail
which results were actually delivered, or merely that he or she stopped
at the practice and delivered any results and maybe collected some
specimens as well?).
If the result on paper is posted to the practice by ordinary mail, there
may be no confirmation of delivery.
If the result is faxed to the practice, presumably a 'successful
transmission' confirmation from the fax machine or fax system certifies
that the result was delivered.
If the result is delivered by an electronic clinical messaging system,
the sender would be looking for an ACK message that confirms that the
result was delivered to the download client on the practice's computer
system. What happens to it after that is not the sender's responsibility.
It appears that generally download applications will normally notify
the sender of receipt. The GP clinical software may or may not be
set up or capable to pass acknowledgement back through the system to
the sender.
That's my understanding, but somebody else on the list may know more.
What are you asking about here? Are you asking whether our clinical
software will confirm that it has picked up the message from wherever in
our practice computer system the download client has put it, or are you
asking about acknowledgement that a doctor has read the result, notified
the patient of it and taken appropriate action about it?
I think if you ask the the pathology and medical imaging practices, they
will have some pretty definite views about where their responsibility
ends and the recipient's responsibility starts.
--
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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