Tim Churches wrote:
Andrew Patterson <[EMAIL PROTECTED]> wrote:
The benefits of participation would need a social marketing campaign.
But GPs agree to participate in the CARDIAB programme, don't
they? I think what I had in mind was a next generation platform
for CARDIAB or something very like it.
Data quality in practice clinical systems and getting mass conversion of
practices to HL7 results, which virtually all path providers now do, but
only provide to customers on request are some of the issues with
Cardiab. A set of diabetes-related results and INR can now be extracted
from HL7 results by MD2 and 3.
Another is that the diabetes record and assessment in both MD2 and MD3
is buggy, which I've reported to HCN support over a year ago. Argus
currently works [perfectly] with MD2 via two 5-year old HCN-coded
utilities, that don't look like they'll go into MD3. An extraction tool
for MD3 that will give the data to Argus for secure transmission is
being sought by the Cardiab Alliance.
Re-keying data won't fly. But I thought that key results were already being
streamed as HL7 messages to CARDIAB via Argus Connect? And if HCN won't play
ball, then legally there is nothing stopping third parties from extracting the
data from GP's databases which are contained in HCN products (with both GP and
individual patient consent, of course). But co-operation by HCN and other
software vendors would be nicer. I must say that the absence of any open
plug-in architecture in HCN or any other GP clinical information systems is an
issue - it stifles innovation and trammels many potentially very useful public
health and preventive medicine programmes.
Bear in mind that GPs have to be motivated to do this. The diabetes
assessment doesn't itself qualify for a payment and the reward for using
the diabetes record and assessment in MD2 or 3 is that it fills out the
diabetes register and thereby helps practices ensure patients complete
the diabetes cycle of care. Then they can get the diabetes incentive for
that.
A Cardiab project is a lot of work. We only have a small pilot at
present, and an AHS ethics committee approval is necessary, and well as
patient consent processes as we are handling identified data. And
promotion to GPs to participate.
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
PRIVATE & CONFIDENTIAL
***********************************************************************
The information contained in this e-mail and their attached files,
including replies and forwarded copies, are confidential and intended
solely for the addressee(s) and may be legally privileged or prohibited
from disclosure and unauthorised use. If you are not the intended
recipient, any form of reproduction, dissemination, copying, disclosure,
modification, distribution and/or publication or any action taken or
omitted to be taken in reliance upon this message or its attachments is
prohibited.
All liability for viruses is excluded to the fullest extent permitted by
law.
***********************************************************************
_______________________________________________
Gpcg_talk mailing list
[email protected]
http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
