>>valuable, let them either get it from the hospital end, or pay us for the
>>effort.
>but if fewer patients "slip through the net" and have their risk factors
>properly minimised etc.. surely the EASIEST way to do this is by the
>standardised morbidity recording. This will take time, each GP will have
>to have OWNERSHIP of the protocols to be well motivated to use them and
>can target local pATIENT NEED.
I'm sorry Huw, you can stuff ownership, shareholding and a host of other
management double-speak designed to blind you to the fact that you are doing
more for no more pay. :-)
>
>This probably does add 2 mins to each consultation initially, but my
>diabetic/asthma templates are now barely seconds slower than pre-
>computer,(recording more data takes more time whatever the mode of
>collection) ...but ONLY a few seconds because the template has been set
>up to mimic the way I work. THERE IS NO WAY TEMPLATES SHOULD BE FORCED
>UPON US - but we can all work from concensus guidelines..
>eg http://www.irnham1.demon.co.uk/sommaag1.htm
>
>More data = more time = thus we need more re-imbursement = NO DOUBT
..and likewise don't sell out for re-imbursement. When I ask my solicitor to
do some extra work for me he doesn't talk about re-imbursement. He quotes me
his hourly rate. If I can get the same service cheaper elsewhere, fine, but
as far as I am concerned the extra hour a day spent on coding is outside
TOS.
Paul
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|