Tony Eviston wrote...

Tom,

How would model 1 cater for allied health practitioners (eg podiatrists,
OTs etc) who don't use a defined messaging-capable software program but
who want to send us secure mesages?



Tony,

This is a good question.  I will refer you to the NZ experience where
this model is pretty much all pervasive.

In NZ nearly all serious community care providers have an EMR
(electronic medical record) system which can support messaging.  In
response to this demand there are some very low cost EMR systems
available ($200-300), some of which can work well for allied health
providers with minimal electronic systems in place.  The same is now
true in Australia.

All NZ physios, all chiropractors, and approx 75-80% of specialists in
private practice now use EMRs (and the proportion is growing rapidly)
with a number of specialised niche applications vendors popping up out
of the woodwork all over.

I guess we take the view that unless the provider has a sufficiently
well organised patient management system, then getting them involved in
a fairly regimented messaging system is going to be a bit of a waste of
everyone's time. So getting some form of EMR in place is a prerequisite
step. 

We used to get calls from providers wanting to exchange messages without
using EMRs but these seem to have dried up as they have bitten the
bullet and automated.  There is so much pressure on the NZ health system
from all angles to get organised that providers are being forced into
automation.

We are now sending approximately 250,000 REF messages monthly to and
from NZ GPs (and growing at approximately 5% per month), the vast
majority are from hospitals but a very large number come from allied
health providers and specialists.

Kind regards,


Tom Bowden
CEO HealthLink

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