>4 Personal satisfaction knowing not only that the doctor is doing a good
>job but can demonstrate it to others
>5 TOS - maybe in the future
I'll make a prediction. That the well intentioned coding and conformity
zealots will talk up the benefits of "all doing the same" , and will enthuse
HA's and DoH that "individualism is really not acceptable in this day and
age and is damaging the PCG data" .
Administrations like nothing better than confirmity and will
enthusiastically support the minimum standards for coding quality. The
Wannabe Public Health Physicians and all the research crowd will be
drooling over the thought of access to all that data, as will be the finance
people, planners etc.
And then some nutter will suggest that it is linked to accreditation, and is
a matter of quality, or that only the irresponsible doctors won't do it, or
perhaps will
publish a league table showing how far behind the standard you are.
So we will all end up obliged to do it at no cost within existing pay.
I say again. Creating a high quality computer record is new work and is not
a requirement under terms of service (which in fact still require a paper
record strictly speaking). This work is known to add 2 minutes per
consultation, require a whole chunk of extra IT investment and training
nowhere near 100% reimbursed) network management skills, not to mention the
professional expertise.
IMO the electronic data on my practice system belongs to the GP, nobody
else.
For God's sake don't let your enthusiasm for the subject mean that we all
end up having to do it as a matter of course. Get together with your local
colleague and dig in for new money, or don't give them tha data. If it's so
valuable, let them either get it from the hospital end, or pay us for the
effort.
Paul Galloway
MedWeb UK Ltd. http://www.medweb.co.uk/
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