Health IT has always been a tough business, but now it’s getting brutal. Fiona Thomas takes a look at the decision by ProCare and other large PHOs to look to new practice management system providers
Whatever PMS I choose to use, I actually want it to be a very minor part of the consultation - the patient flow is talking with the patient, listening to the patients story and interacting with the computer as little as possible! The story with the patient is what counts, and we must not lose site of that.
From a college perspective (I'm medical director at RNZCGP), whatever system you choose, learn to use it well. Make sure you set reminders, check drug interactions, have a system for test result review. Medicine is a dangerous business, we have to make sure we have critical information available to us when we need it, and we need to know how to find it.
Disclaimer: I am a board member of Compass, which did a PMS evaluation and chose Indici. I'm also past member of Medtech Advisory Group. This opinion is as a private GP, not representing Compass, the college and I have no affiliation with Medtech beyond being a user.
Great article thank you. The real need is not the PMS per se but having a platform that the PMS can plug into. We all use our PMS systems in different ways but having a platform that collects data from multiple sources and can be used nationwide would be a wonderful thing. Patients already expect us to have access to all sorts of things that we don't and frequently want to talk about data they have but are unable to share. PHOs and DHBs spend an inordinate amount of money on IT which seems to be an endless pit without necessarily providing any patient benefit which is what it should all be about.
Is there an update on this story ? On the 1st of April I have been told that a number of med tech 32 systems will cease to function because the Ministry has decreed that there are to be no more patches to make it function under the new NES environment. This lack of support for upgradeability and apparent heavy handed approach has left few options one of which was an expensive server upgrade at short notice .
This comes at a time when our vaccine fridge reaches the age of 10. Again apparently the Ministry has decreed that it will no longer pass for cold chain accreditation and MUST be replaced or we stop being supplied with vaccine .
Asking around it seems that it used to be tht fridge manufactures recommended 10 years and then someone covinced the ministry to fix the life of frides at 10 years .
Are there any PMS users in New Zealand on the cloud ? Are they all totally based in NZ Is that a Ministry requirement ?
Wha are the costs ? what are the advantages ? what are the down sides ? are the users happy .
Regulation with out appropriate compensation and payment for practices and providers is becoming de rigeur and increasingly expensive .
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New Zealand Doctor