Tim Churches wrote:
Andrew Patterson wrote:
The problem for HIC is that they have to layer a technical solution
with some sort of legal framework - unfortunately lawyers aren't
very creative people so the legal framework they use is the standard
legal framework for PKI. In Australia, the legal framework for PKI
is gatekeeper (details on the agimo site).
Yes, and that is the fundamental problem: GateKeeper was designed for
use in government departments, where there are clear hierarchical chains
of command and control and responsibility, at least on paper.
The Australian health care community is not a government department. GPs
are not bureaucrats with a place in the Medicare organisation chart or
corporate structure. That's why the Gatekeeper model is inappropriate.
One model, that used to be acceptable to the government, and would be
trivially easy to implement electronically, is the system of notifying
the HIC that a patient was referred on a particular date, from a
particular doctor, to a particular specialist, for a particular period
of time, defaulting to twelve months.
If that is all the HIC want to know, and they say that is all, then the
law should be changed so we can get on with electronic communication.
If this is a solution acceptable to us, is there a medical organisation
with a spine prepared to champion it?
David
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