Its not vanity, Its not wanting to hold up a consult because of having to wait for the web page to download, Either because they want to check the current travel medicine or to review a web page a patient has mentioned.
For my clients to have me support them fully they must have A fixed IP And a reliable ISP. Some software vendors insist on this now as well. Life is too short to be messing around trying to get in to a VPN because of a dodgy dynamic DNS entry that has gone astray. I have lived through a situation where a failed dynamic dns entry stopped the vendor getting in and doing an update and the clinic could not bill the next day. Fixed IP =cheap insurance. The extra speed of ADSL2 where available has allowed GP's to remote in from home after putting the family to bed and check results or write reports, Rather than staying at work and missing family life altogether. And it gets a bit hard to remote in when there are 14 doctors in one practice who all have access. Because of HIC Online and path downloads the response urgency levels have changed in support. It used to be; Server down -2 hour response Reception printer down - 4 hours Now you have to add Internet down -4 hours. Practices have come to rely on a connection. You only find out how good the ISP is when it all goes wrong... Andrew.C -----Original Message----- From: Greg Twyford [mailto:[EMAIL PROTECTED] Sent: Wednesday, 27 June 2007 3:25 PM To: [EMAIL PROTECTED]; General Practice Computing Group Talk Subject: Re: [GPCG_TALK] B4H Andrew wrote: > Depends on the GP's and what they do as to whether they need faster access. > I have several clinics who could not now live without ADSL2 which goes > against your -'no one is doing' remark :) > > Case 1 -travel doctors who look up, up to the minute advise from > travelex.com. They used to have to wait for the pages to load wasting > valuable time in consults. So the push from their existing 512/128 > connection to ADSL2 speeds was eased by B4H. > Case 2. -home visits by nurse with laptop to do care plans, using NextG > mobile card and VPN-ing back into clinical app. Without fixed IP this would > be unreliable. Without their ADSL2 connection @ 16mb/1mb it would be slow. > Case 3 -remote clinic linked by IPSec vpn back to main clinic via B4H > connection, again ADSL2. The remote clinic then gets to use the same > clinical DB, not possible with a 512/128 connection. > Case 4 -nearly all my clients use vpn's from home to check the odd path > result that is nagging away in their mind after dinner. Not possible without > a decent connection which B4H has introduced them to. > > The good thing is most of my clients got a great snapgear firewall courtesy > of the govt and when B4H finishes they will be able to keep their current > speeds but pay less per month as the B4H prices were fixed 2 or so years > ago. > > So I feel B4H has benefitted GP's. Andrew, No doubt some have benefitted from the high-end, as I suggested too with IPSEC VPNs, but most just get pathology results and virus definitions/Windows updates/program updates a bit more easily. I've had medical centres using Medicare Online over dial-up for bulk-billing. Ditto for results. I'm moving one practice onto broadband tonight that has accumulated four diallers, so they'll benefit, but 512/128 will work fine. No doubt these things are quicker/simpler on ADSL, but again I'd maintain the vast majority don't utilise the static address or gain anything tangible from higher speeds, at their practices. Some will like the idea they have the fastest available, etc., but I didn't think vanity was a real need. Silly me. 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
