On 07/04/2007, at 8:00 AM, Peter MacIsaac wrote:

So if GPs are concerned that communication is happening in an ad hoc and uncoordinated way at their regional level - then asking the local Division of GPs to start a round table discussion with other health services may be a
place to start.  There are emerging models and systems for this.

Peter,

I agree that a bottom -> top approach to local communication is likely to achieve more short term progress - as long as the systems that are chosen have the capacity to use emerging standards of interoperability.

Otherwise, it is hard to imagine anything worse than 100 different divisions adopting different solutions, locking their regions into proprietary solutions that can't speak with each other.

I am aware that the call for standards-based solutions is a long- standing plea from many on this list, but, given some of the choices made, I wonder how many divisions and GPs can give 'informed consent' to schemes that are proposed to them.

Regards,

Tony Lembke





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