tag:blogger.com,1999:blog-23447705.post8787618850776384820..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: I Have A Feeling This Aspect Of The NEHRS Seems A Bit Incoherent And Ill Thought Out. Confusing Even!Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger14125tag:blogger.com,1999:blog-23447705.post-30125705617545667792013-05-23T22:18:20.950+10:002013-05-23T22:18:20.950+10:00It seems to me that the notion of a national presc...It seems to me that the notion of a national prescription and dispense repository, linked to the electronic prescription exchanges is an excellent one. What I don't understand is why such a potentially valuable service should be linked to the dreadful PCEHR/NEHRS fiasco, or limited only to patients and doctors who have signed up to that system. I'm sure that when FRED IT developed Keithnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-39457258198376575612013-05-21T21:15:17.446+10:002013-05-21T21:15:17.446+10:00Patto said:
"Interestingly, the court case t...Patto said:<br /><br />"Interestingly, the court case that caused the concerns about duty of care - that had translated in switching off the dispense feeds - was quickly and successfully appealed."<br /><br />Sadly I believe this may now been appealed again..to some higher court.<br /><br />Medical Observer in April.<br /><br />"Dr Varipatis told of the strain the case had caused Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-37052115136821769212013-05-21T12:54:45.028+10:002013-05-21T12:54:45.028+10:00The PBS data feed to the PCEHR has never
been anyt...The PBS data feed to the PCEHR has never<br />been anything other than<br /><br />- incomplete (i.e no private scripts)<br />- second hand (rekeyed by the pharmacist)<br />- out of date (months later)<br />- billing/audit data (i.e. not actually recorded<br />for clinical use)<br /><br />The fact the data is crap is a surprise to anyone??<br /><br />It was put in because otherwise there would Pattonoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-29300135110901106112013-05-21T12:21:56.002+10:002013-05-21T12:21:56.002+10:00Interestingly, the court case that caused the
conc...Interestingly, the court case that caused the<br />concerns about duty of care - that had translated<br />in switching off the dispense feeds - was <br />quickly and successfully appealed.<br /><br />http://amavic.com.au/page/Member_Services/Publications__Communications/vicdoc/vicdoc_Features/Patient_weight_loss_the_scope_of_GP_duty_of_care/Pattonoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-89169854298897781882013-05-21T09:18:21.635+10:002013-05-21T09:18:21.635+10:00The response I received from them about 12 months ...The response I received from them about 12 months ago was 'we thought we better have some medications data in the PCEHR rather than nothing at all'.<br /><br />Well .... now that they are getting data fed into the PCEHR from the NPDR it would be very smart to stop feeding in the PBS data as well. Bureaucrats have an amazing capacity to sabotage their own work without knowing they are Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-17992160612628582982013-05-20T20:04:47.395+10:002013-05-20T20:04:47.395+10:00.... the PBS data is based on the prescription be....... the PBS data is based on the prescription being claimed and reconciled so it could be weeks out of date!<br /><br />Being weeks out of date is not the issue. What we have here is a ludicrous situation which is medico legally indefensible. <br /><br />Errors will occur and people will die when the information being sent by the PBS is muddled and not reconciled with other more reliable Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-62537508009456597552013-05-20T19:03:33.755+10:002013-05-20T19:03:33.755+10:00You would have to ask that question of DOHA & ...You would have to ask that question of DOHA & NEHTA. I don't work for them but have asked them the question previously without getting a decent response. The response I received from them about 12 months ago was 'we thought we better have some medications data in the PCEHR rather than nothing at all'. The same NEHTA person was the one that told me that the PBS data is based on theAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-40695515298023904972013-05-20T18:26:18.134+10:002013-05-20T18:26:18.134+10:00Would 5/20/2013 05:50:00 PM please explain why th...Would 5/20/2013 05:50:00 PM please explain why the PBS is sending information to the PCEHR if the PES is responsible for updating the NPDR which is used to create the online medication history (not retrospective) for patients with an eHealth record.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-79881123512790618202013-05-20T17:50:38.628+10:002013-05-20T17:50:38.628+10:00The NPDR is updated by the PES. The NPDR is updated by the PES. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-68219886965361997122013-05-20T17:35:55.084+10:002013-05-20T17:35:55.084+10:00David, I think its very very dangerous for the PBS...David, I think its very very dangerous for the PBS to be involved in any form of update of the NPDR. <br /><br />It makes most sense to have the PESs update the NPDR as it is the PES which receives the eScript from the prescribing doctor and makes it available to the dispensing pharmacist who then updates the PES after the script has been dispensed.<br /><br />Tell me if I am wrong BUT surely forAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-85322228057806618572013-05-20T15:59:40.320+10:002013-05-20T15:59:40.320+10:00Who updates the NPDR? Is it done by the PBS or by ...Who updates the NPDR? Is it done by the PBS or by the Prescription Exchange Services or by the prescribing and dispensing software in the doctor's practice and the dispensing pharmacy? <br /><br />Surely to avoid over complicating the whole process and guard against duplication and data corruption one party only should be designated to update the NPDR.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-5117266626103567872013-05-20T11:52:35.340+10:002013-05-20T11:52:35.340+10:00David I am very confused. How does the prescripti...David I am very confused. How does the prescription data get to the NPDR? <br /><br />Does the prescription software send it from the doctor’s system or does the prescription exchange vendor first receive it then send it to the NPDR or does it get there from both sources? <br /><br />And what happens at the pharmacist’s end? Does the pharmacist’s dispensing software update the NPDR directly or Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-59341438199338487502013-05-20T08:17:22.156+10:002013-05-20T08:17:22.156+10:00Sorry, this is all stuck together with sticky tape...Sorry, this is all stuck together with sticky tape in my view. One patient record and 3 sources of drug information which are different is just silly. (Medicare, NPDR and Shared Summary)<br /><br />Also it is by no means clear to me whether every time a pharmacist dispenses a script just how consent is obtained to expose that to a person's record.<br /><br />From any perspective this is a Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-34607462860234055902013-05-20T08:05:03.502+10:002013-05-20T08:05:03.502+10:00David, while I often agree with your views, I don&...David, while I often agree with your views, I don't this time. The NPDR is driven by ETP, it would not exist without it so the data is from 'one' source. Also, clinically the NPDR data will be up to date and include private prescriptions, the PBS data feed does not. <br /><br />As for the RACGPs issues with the dispense notification, thses can be understood as it is a very grey area Anonymousnoreply@blogger.com