Sorry I'm reposting my answer, but a slip of a finger caused it to be posted
before I was finished.

Andrew

If the Doctor does not want to follow instructions and then does not get
accreditation, then bad luck for him.  I as a solo practiotioner have always
managed t get accreditation.  If I give fellow GP's advise, and they
disregard it and fail accreditation, who cares - not me.  You can take the
horse to the water, but you can't make him drink.

I have always believed that a good backup implies the ability to restore the
data.  If y practice burns down tonight, I can be up and running with all my
medical records intact within 1-2 hours. All I need is a room (a caravan
will do if patients can't wait).  I bring a PC plus printer from home and
restore my backup and I'm in business.  No Dr. with paper based records can
do this - unless they have a fire proof room to store their records - which
is smething I had in my last paper based practice.  Which I why I feel the
same criteria that applies to me about backups and security should apply to
Dr's with paper records.

Cedric

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Andrew
Sent: Tuesday, 27 March 2007 9:43 PM
To: 'General Practice Computing Group Talk'
Subject: RE: [GPCG_TALK] backup!


I have to agree with Greg,
the surveyors step over the mark time and time again and the test restore is
just one example. Some might remember my earlier comments on this list about
similar episodes where surveyors have asked some of my clients to prove they
had done ludicrous tasks as part of their accreditation. So common is this
that now when my clients ring with the latest incredible request from a
surveyors I simply ask them to ask the surveyors for their request in
writing with copies of the relevant part of the standard and then I will
help them comply. Funny how the fax never comes through isn't it. (please
note; I personally know a surveyor here on the G.Coast and have nothing
against them in general)

In regards to offsite backups, very brave Peter backing up to your office.
What if you get broken into ? And that break-in leads to clients details
being published in the Australian ? Does your business have insurance to
cover that ?

In regards to a spare PC in the surgery, are you joking ?
First they will not believe it is required for test restores. Then if you do
convince them to buy it, six months later they will insist using it to
expand the reception desk.

Andrew.C


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Greg Twyford
Sent: Tuesday, 27 March 2007 9:41 AM
To: General Practice Computing Group Talk
Subject: Re: [GPCG_TALK] backup!

Cedric Meyerowitz wrote:
> Greg
> 
> Surely if RACGP standards advice we do backups, by implication we
> should check if backups work ?  In all the years I have had computers, 
> the supplyers of my hardware, software (yes even 15 years ago) always 
> advised me to do regular backups.  And to also check if backup 
> actually works.  If RACGP standards say: "backups of electronic 
> information are performed at a frequency consistent with a documented 
> information disaster recovery plan", I would have thought that it 
> implies to test your backups - otherwise why do them ?  "Disaster 
> recovery plan" implies one is able to recover data and the only way to
recover data is to have backups and see if they work.
> 
> Cedric

Cedric,

Yes, test backups are good practice and if done by competent people are an
important part of data security. But they are also dangerous if done by
people who don't have the necessary knowledge and skills, which is
unfortunately, a great many GPs, in my experience.

I've also heard people at seminars advocating test backups to GPs, when it
is clear that the advocate does not understand the potential risks if done
on a practice's server. I've also seen GPs overwrite their current data, so
its a real problem.

But that is not the point of the thread.

The first is requiring evidence of test backups as part of the accreditation
process, when they aren't in the standard, thereby overreaching the
authority as a surveyor, is one point I'm hoping to get clarified. If they
have the authority, I haven't seen its source, but would like to. If its a
recommendation that's fine, but it's not what I'm hearing.

The second is ensuring that practices understand that if they don't have the
skills to do these things, they must acquire them by appropriate training or
by contracting practice security out.

What flows is the need to strengthen that message to practices and to stop
the less IT-skilled GPs from either suffering a data loss disaster or being
needlessly distressed by accreditation surveyors, because the GP has
followed what's in the college standard, which the surveyors seem to be
exceeding, on whatever grounds.

Unfortunately I've also heard several stories in the last few months of the
latter occurring. And it further frustrates me that the surveyors probably
know little more about the issues than the GPs concerned, in many cases.

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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