Pulse+IT Magazine - August 2014

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that sent a really good message and doctors have indicated to me this is an improvement and feel their comments may be being heard. With each update and improvement eHealth becomes seen as a work in progress. In the first stage of the roll-out there was the thinking that this is the final product finished now, but when they saw the improvements, they see that it is just stage one. In Best Practice it was clearer from the beginning it was just stage one as there was only one CDA document – the shared health summary – so I think everyone knew there was more to come. Q: Beyond the PCEHR, have you noticed more uptake of other eHealth solutions like interoperable secure messaging? A: No. Fully functioning interoperable secure messaging is still number one on my wish list! The providers tell me it’s going to be by the end of the year and I keep saying that’s what you said last year. I certainly find more practices across Australia are using secure messaging. Which secure messaging provider

“Whatever the name, changing it from the PCEHR is very popular and the idea of opt out is very popular.” Katrina Otto

practices use just depends on the area they are in. Overall SMD is clunky and I get negative feedback about functionality from practices using two of the major secure messaging providers so there is much room for improvement. When it works well, it’s brilliant. Q: You are an advocate of using technology to improve practice processes, for example scanning in paper documents before the doctor sees them. Is there a lot of resistance to these new methods? A: Using technology to save time and improve processes in the practice is

always my focus. I have worked with doctors who have been viewing scanned documents for the first time in their software for many years now and know how much they like the benefits it can bring – not the least one being they are no longer tied to their offices so late at night going through paperwork. It is a big change for many though and needs to be well discussed as a practice team and solid practice systems put in place. If we are making changes like scanning first and paperless faxing, reception staff have to be well trained about the seriousness of electronic documents and whether something has already been seen or not,

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