I used to enjoy writing

Dear Doctor

Pleas admit Mr X who has poisoned himself with alcohol

Yours etc


It never failed to have them admitted.



> On Sunday 29 July 2007 22:32:59 Tony Lembke wrote:
> > Does anyone know if the federal legislation has been changed such
> > that digitally signed and delivered referral letters are adequate to
> > satisfy Medicare requirements?
> > If so, do we know the signing requirements?
> > Thanks,
> > Tony Lembke
> Tony, this has been the subject of many long discussions.
> A Medicare referral must be either:
> - printed on a piece of paper and physically signed; or
> - signed with a HeSA Individual certificate.
> 
> GnuPG and HeSA Location certificates don't cut it.
> Storing a scan doesn't cut it (unless the scanned image file is then signed 
> with a HeSA Individual certificate)
> I'm unsure about the status of faxes.
> 
> What's more important, and often get's missed, is the letters we get like 
> this:
> 
> Dear Psychiatry registrar,
> 
> Re: Ms. Borderline, DOB 23/3/1984
> 
> Thankyou for seeing this 23-year-old woman who told me today she wants to 
> kill 
> herself.
> 
> Yours sincerely,
> 
> GP
> 
> Not that anyone on this list has written such a thing, I'm sure.
> 
> When I'm in private practice I do *not* want letters like this unless they're 
> attached to something I can assess and section if required, and if you think 
> there's all these specialists out there with a greater interest in electronic 
> messaging, think again.
> 
> IMHO what is achievable is a URL printed on the bottom of the referral letter 
> which allows the specialist to download the contents of the letter directly 
> into their EMR once having seen the patient, thus populate demographic 
> details of the patient and GP, and (in the fullness of time) medication 
> lists, etc.
> 
> Ian
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David de Bhal
www.v-practice.com


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