David Guest wrote:
Brad Thomson wrote:
It's not only the data retention requirements that feature in this
type of software, but depending on the exact nature of what the
business does, ongoing funding compliance.
I have just come off the back of a painful 5 months facilitating
the introduction of an industry-specific, proprietary solution for
a large nursing home on the Central Coast, and have seen failure
within the software result in the business not being able to
provide supporting evidence for their funding claims for particular
classes of residents.
I believe that we could have coded equivalent functionality, or
modified an existing package in a shorter timeframe than has proved
the case in working with the vendor to fix the problems, but
unfortunately we're not able to spend the tens if not hundreds of
thousands of dollars to ensure that we meet all legal obligations.
Again this is a finance thing between the nursing homes and the
government funders. The documentation relates to the level of care
that the nursing home patient requires and increasing levels attract
increasing funds. The formula covers areas such as dementia and
incontinence. Doctors regard most of this documentation as of limited
value to their clinical assessments.
The information doctors want and need is not dictated by government
legislation. Open source developers have a free hand. They just have
to keep the doctors happy.
David
Some information doctors need for their own information and for the
possibility of future medical negligence claims.
Other information is dictated by government legislation for medicare
claims, pharmaceutical benefits scheme, ATO, which will mostly be in the
billing part of the package but some of this will be in the medical
record possibly. Most of this will be the same as paper, show it if we
ask for it.
Ken
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