tag:blogger.com,1999:blog-23447705.post8059892276841414907..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: The E-Prescribing Saga Is Just Going On And On. Will It Ever Be Sorted?Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger29125tag:blogger.com,1999:blog-23447705.post-46021726415910399102012-12-06T15:22:59.480+11:002012-12-06T15:22:59.480+11:00How about another countdown clock David?
How about another countdown clock David?<br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-85557954488963173512012-12-06T14:02:24.189+11:002012-12-06T14:02:24.189+11:00Another countdown has begun for DOHA, for NEHTA fo...Another countdown has begun for DOHA, for NEHTA for vendors. <br /><br />10 December<br />1 February<br /><br />Will these self (DOHA, NEHTA) imposed deadlines be met or will we the vendors just be worn ragged to find the deadlines extended at the last minute?<br /><br />On the other side of the fence will these deadlines leave any vendors out in the cold?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-80958335137786235042012-11-22T09:26:44.402+11:002012-11-22T09:26:44.402+11:00How bizarre. Is this another secret DOHA eHealth p...How bizarre. Is this another secret DOHA eHealth project?<br /><br />Kate McDonald, in her Pulse+IT 20 Nov article on NEHTA funding secure messaging interconnectivity said Pulse+IT understands that the Department of Health and Ageing (DoHA) brokered the ePrescribing deal, although the department did not wish to comment and there is no word as yet whether that project will also be funded.<br /><brAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-11726052583593304462012-11-20T10:22:36.010+11:002012-11-20T10:22:36.010+11:00Always interesting to note the inevitable silence ...Always interesting to note the inevitable silence when those who foretell the apocalyptic impact of upcoming legislation are requested to quote chapter and verse!<br /><br />I'm also not quite sure how "logging into a token when you login in to your machine" solves the cleaner employee (mis)use case. If the provider is negligent enough to leave his machine on and logged into a PMS Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-15576796081938147282012-11-18T12:14:01.347+11:002012-11-18T12:14:01.347+11:00It's interesting that people want to keeo sayi...It's interesting that people want to keeo saying that it can't be done. At one point, before the requirements were watered down 70% of GPs on the Sunshine Coast were using individual tokens for referrals. The only onsite support they had was from a part time division support person. We did have the occasional problematic machine wrt drivers, but overall it worked well. Logging into a Andrew McIntyrehttp://www.medical-objects.com.aunoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-59551831207344323292012-11-18T09:23:54.946+11:002012-11-18T09:23:54.946+11:00Are the 'new privacy laws' referred to abo...Are the 'new privacy laws' referred to above contained in the Privacy Amendment (Enhancing Privacy Protection) Bill 2012? If so, it would be illuminating to know which clause mandates the use of multi-layer authentication in eHealth messaging. It is surprising if this would have escaped the attentions of the software vendors and, by implication, MISA.<br /><br />If an additional layer of Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-54247027480835178092012-11-17T23:37:19.514+11:002012-11-17T23:37:19.514+11:00The Digital signatures in V2 Technical report prov...The Digital signatures in V2 Technical report provides for a solution that works with referrals, scripts and orders. That is locally developed and in the case of refferals has been used on a large scale. It is suitable for use with smartcards/usb tokens with individual certificates and satisfies the relevant requirements. It probably had more scruitiny han any other Standards Australia technical Andrew McIntyrehttp://www.medical-objects.com.aunoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-12721503130295195362012-11-17T23:17:06.930+11:002012-11-17T23:17:06.930+11:00Paul,
Passing on useful information is just fine....Paul,<br /><br />Passing on useful information is just fine. I have no problem with commercial suppliers being both praised, recommended or the reverse as needed!<br /><br />Just not so keen on utterly blatant advertising.<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-12043558286935360332012-11-17T20:36:11.466+11:002012-11-17T20:36:11.466+11:00Ah - David is very averse to "selling" o...Ah - David is very averse to "selling" on his site - and I am fine with that. email me at paulf@meridienhealthcare.com and I will send you some info.<br />David, please do let me know if this is not within the rules.<br />Paul.Paul Fitzgeraldnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-68880067915839687902012-11-17T09:32:59.330+11:002012-11-17T09:32:59.330+11:0011/16/2012 08:32:00 AM Paul Fitzgerald said... Th...11/16/2012 08:32:00 AM Paul Fitzgerald said... There is a locally developed solution which does address this.<br /><br />Paul, would you be good enough please to share that with us? What solution are you referring to? Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-42357192035441107672012-11-16T08:32:33.731+11:002012-11-16T08:32:33.731+11:00As I have mentioned on another post, the new priva...As I have mentioned on another post, the new privacy laws will require multi level authentication. As far as I know, none of the PMS have this and most have not worked out that this will be a need very soon - the legislation will be passed, if not before Christmas, in the first sitting next year. Providers do not realise that they have a problem looming with large fines for any breach - and do Paul Fitzgeraldnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-91136645918986470202012-11-16T00:18:47.186+11:002012-11-16T00:18:47.186+11:00I think using standards for ePrescribing is a desi...I think using standards for ePrescribing is a desirable attribute, ideally ones that work and have had scruitiny!! A national system based on add hoc formats doesn't sound good to me.<br /><br />The individual signatures use a token/smartcard with the aim that it travels with the doctor and is not built into the system. Its 2 factor authentication, which we have proven to be usable with Andrew McIntyrehttp://www.medical-objects.com.aunoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-9602054279150332662012-11-15T22:17:39.858+11:002012-11-15T22:17:39.858+11:00Anonymous 11/15/2012 07:38:00 PM said...
"......Anonymous 11/15/2012 07:38:00 PM said...<br />"...Yes, there is a difference between a PMS login and a digital certificate, but one would expect a PMS to provide an end-user experience that enables clinicians to generate ePrescriptions with the relevant certificate being automatically added to the Prescription. Otherwise the process would be to (sic) cumbersome to use in the context of a Keithnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-64742777828409387442012-11-15T19:38:16.674+11:002012-11-15T19:38:16.674+11:00eRx definitely doesn't use HL7 v2, so there mi...eRx definitely doesn't use HL7 v2, so there might just be a working alternative to good old v2 messaging. Yes, there is a difference between a PMS login and a digital certificate, but one would expect a PMS to provide an end-user experience that enables clinicians to generate ePrescriptions with the relevant certificate being automatically added to the Prescription. Otherwise the process Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-48434155776276660362012-11-15T15:32:05.385+11:002012-11-15T15:32:05.385+11:00Well Medisecure certainly had a v2 interface. I do...Well Medisecure certainly had a v2 interface. I do not think you understan the difference between the level of security provided by an individual token and the password login to a pms system. They are orders of magnitude apart and access to a pms system should not provide access to an individual digital signature.<br /><br />The fact is that we have a proven HL7v2 standard that does the job and Andrew McIntyrehttp://www.medical-objects.com.aunoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-86707257067832767722012-11-15T09:46:07.674+11:002012-11-15T09:46:07.674+11:00TTBOMK, neither of the Prescription Exchange vendo...TTBOMK, neither of the Prescription Exchange vendors, or NEHTA, are using HL7 v2 messaging in their ePrescribing solutions; so that's out of scope.<br /><br />If a cleaner gained sufficient access to a PMS to create an ePrescription, and send it to the Exchange, then they would almost certainly be able to use the relevant provider's digital signature. By that stage the security walls Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-46343234315999180032012-11-14T23:30:27.067+11:002012-11-14T23:30:27.067+11:00An individual digital signature is essential to st...An individual digital signature is essential to stop bogus scripts being generated by staff members of cleaners.<br /><br />Forging of scripts is a significant issue in the paper world and only and individual signature that is part of the script itself can hope to solve this. The HL7v2 digital signature standard can achieve this withing the HL7v2 prescription standard, so its doable now.Andrew McIntyrehttp://www.medical-objects.com.aunoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-68211471036976785422012-11-14T22:41:12.444+11:002012-11-14T22:41:12.444+11:00What constitues an electronic signature for prescr...What constitues an electronic signature for prescriptions is whatever meets the relevant state regulations. All state jurisdictions are now in the basic form<br /><br />A valid prescription is blah blah blah<br />a) with a hand written signature<br />b) signed in a manner writing approved by the Secretary etc<br /><br />The Vic regulations for instance<br /><br />http://www.austlii.edu.au/au/Andrew Pattersonnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-51096379508955286962012-11-14T20:32:24.277+11:002012-11-14T20:32:24.277+11:00"It's worth noting that true electronic t..."It's worth noting that true electronic transfer of prescriptions is dependent on doctors being able to sign electronic documents digitally. To do that each doctor must have a suitable personal PKI certificate."<br /><br />Excuse my ignorance, but what actually constitutes an 'electronic signature' for a prescription being sent to an exchange? If the GP has individually Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-55442040064807464352012-11-14T13:35:25.684+11:002012-11-14T13:35:25.684+11:00Keith, perhaps DOHA and NEHTA don't want epres...Keith, perhaps DOHA and NEHTA don't want eprescribing to happen. If they did surely they would get together with eRx and Medisecure to ask them how they can make it happen and what do we the government need to do to support you both. <br /><br />Let's face it - they only have to deal with two vendors as they already have APIs to most of the clinical and pharmacy systems.<br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-34019715605760973682012-11-14T09:58:08.054+11:002012-11-14T09:58:08.054+11:00From the evidence I doubt that the private sector ...From the evidence I doubt that the private sector is capable of doing what NEHTA has failed to do, namely to agree upon national standards and implement system that conform to those standards. As far as I know both eRx and Medisecure have produced competent prescription exchanges. Either would do the job. But they can't talk to each other! Some months ago there was an announcement that the Keithnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-39399502056267535032012-11-14T09:17:16.454+11:002012-11-14T09:17:16.454+11:00If 11/14/2012 08:37:00 AM removed the blinkers it ...If 11/14/2012 08:37:00 AM removed the blinkers it would be patently obvious that once interoperability between the two script exchanges is in place and working it should then be relatively straightforward for NEHTA and DOHA to collaborate with the two script exchanges to finalise CCA matters.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-62368478820142007582012-11-14T09:06:21.594+11:002012-11-14T09:06:21.594+11:00Fact: there is a marked semantic difference betwee...Fact: there is a marked semantic difference between Fact, Fiction and Opinion.<br /><br />Opinion: looks like someone needs to get a better grip of the "Facts" and recognise their own "Opinion" when they spout it.<br /><br />Fiction: that any of this makes the least bit of difference to DOHA, NEHTA and the Pharmacy Guild as they pilfer the Australian Taxpayers to the tune of $Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-65068282500613891022012-11-14T08:37:17.129+11:002012-11-14T08:37:17.129+11:00Fact: ETP and interchanges are risky yet there is ...Fact: ETP and interchanges are risky yet there is no CCA process in place to mitigate against ETP risk yet we are seeing $10s of millions being used to incentivise people to use the system at both the GP and Pharmacist end with out best practices in place.<br /><br />I thought object of eHealth, NEHTA,PIP and DOHA was to make things safer - not encourage rapid uptake of unknown/unsafe systems.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-91578864858771485782012-11-14T08:27:35.925+11:002012-11-14T08:27:35.925+11:00What does "Work on the Australian Standard is...What does "Work on the Australian Standard is yet to start" really mean?<br /><br />Has an AS been defined and signed off by all stakeholders? <br /><br />If not when will it be agreed and signed off?<br /><br />Who will fund the development work once it has been signed off?<br /><br />How long will development work take if it is fully funded?<br /><br />Have the stakeholders been Anonymousnoreply@blogger.com