At 8:12 pm +0930 5/6/07, Oliver Frank wrote:
Greg Twyford wrote:

Using the ACIR website is inefficient and tedious anyway, so why persist?

I'll tell you why!!

If you use MD2, possibly MD3, there are several practice management software packages, including [ugh] Pracsoft and CompuDoc, as well as others, that allow the transmission of ACIR data via Online claiming.

We had been busily recording in MD2 and since late last year in MD3 all immunisations that we give and also those that the parents tell us have been given previously. Until last week, we had assumed that Medical Director and Pracsoft were transmitting via Medicare Online Claiming the details of all immunisations that we had recorded. We thought that we were making sure that our child patients' immunisation histories were being brought up to date. We thought that we were being good doctors.

Then...last week we set our new practice nurse to work on sorting out what had happened with some immunisations whose details would not go through the Medicare Online Claiming system. One thing led to another, the Division's immunisation coordinator spent some hours with our nurse, phone calls were made, an email sent to HCN support and we have now received from HCN the following information:

"Medical Director 3 and Pracsoft only sends the current Immunisations and doesn't do catch ups. To do catch ups you need to print off the list of immunisation and send in manually to ACIR or they can be logged by the ACIR web site and claimed that way.

Current Immunisations are indicated by the Arrow in the image below."

The image showed what users of Medical Director see in the child immunisation screen, with the set of vaccines currently due highlighted by a green arrow.

So, it turns out to complete a child's previous immunisation history, we are expected to:

1. Enter the details into our Medical Director software;
AND
2. Go online to the ACIR (and use Microsoft Internet Explorer and not Firefox) and enter those details again there.

We are not happy about this. I am writing to HCN to ask for the reason why details of vaccines given previously are not being transmitted to the ACIR. If the explanation is that the ACIR may already have a record of some or all of these previous immunisations having been given, then I say that the ACIR can just ignore the redundant information from us. However, if it happens that the ACIR has not previously been informed of the previous immunisations, at least we are now telling it.

--
Oliver Frank, general practitioner

I think it could be nicer of the ACIR to automagically send us whenever we report a vaccination, an update of all known current vaccines in ACIR that our software could hopefully verify and merge.

But I think I am dreaming to think that this could be possible.....


Ian.
--
Dr Ian R Cheong, BMedSc, FRACGP, GradDipCompSc, MBA(Exec)
Health Informatics Consultant, Brisbane, Australia
Internet: [EMAIL PROTECTED]
(for urgent matters, please send a copy to my practice email as well: [EMAIL PROTECTED])

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