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<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Most GP’s will use MIMS on PALM OS still, since there’s still no
IPhone app for MIMS, to check drug interactions before prescribing.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>I.e. Windows mobile or not at all.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>All offline, no connectivity.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Dirranbandi, a remote hospital in a small small QLD town had
satellite access initially, then DSL came to down within 3 months and a further
3 months had QLD health fibre put in, as they were at the end of a railway
line. <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Did it help? No, everything of any importance was still done
with offline systems and handhelds.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Awesome pilot program that didn’t end up actually achieving
great outcomes.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>For anything major, clients still had to get the flying doctors
in to take them to a major regional base hospital.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Landline Telephone was usually the communication weapon of
choice.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0cm 0cm 0cm'>
<p class=MsoNormal><b><span lang=EN-US style='font-size:10.0pt;font-family:
"Tahoma","sans-serif"'>From:</span></b><span lang=EN-US style='font-size:10.0pt;
font-family:"Tahoma","sans-serif"'> ausnog-bounces@lists.ausnog.net
[mailto:ausnog-bounces@lists.ausnog.net] <b>On Behalf Of </b>Jason Lingohr<br>
<b>Sent:</b> Thursday, 19 August 2010 11:15 PM<br>
<b>To:</b> John Edwards; Darren Moss<br>
<b>Cc:</b> ausnog@ausnog.net<br>
<b>Subject:</b> Re: [AusNOG] NBN Co CEO Quigley Speech 20100818<o:p></o:p></span></p>
</div>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal style='margin-bottom:12.0pt'>Hah. Having worked with
(regional) healthcare, I know for a fact that pretty much none of the below
could and would happen.<br>
<br>
No amount of bandwidth and glass will get rid of that beauracratic beast.<br>
<br>
<br>
<o:p></o:p></p>
<div>
<p class=MsoNormal><span style='font-size:9.0pt;font-family:"Arial","sans-serif";
color:#999999'>-- Sent from my Palm Pre<o:p></o:p></span></p>
</div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'><o:p> </o:p></span></p>
<div class=MsoNormal><span style='font-family:"Verdana","sans-serif";
color:navy'>
<hr size=2 width="75%" align=left>
</span></div>
<p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-family:"Verdana","sans-serif";
color:navy'>On 19/08/2010 7:15 p.m., John Edwards <john@netniche.com.au>
wrote: <o:p></o:p></span></p>
<div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'><o:p> </o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'>Spend
some time at an aged care facility - the non-profit ones will happily accept
you as a volunteer if you provide an unblemished police report.<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'><o:p> </o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'>When
an elderly person at a nursing home has a health problem the nurses cannot
handle, if their regular doctor is unavailable then the locum gets called out.<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'><o:p> </o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'>This
guy who is likely to have english as a second language needs to then read
through 50 years of hand-scrawled medical history to decide whether it's ok to
give the old person a panadol or not given the grand variety of prescription
medications the patient is already taking. Not wanting to risk his malpractice
insurance with a faulty diagnosis, he does what everyone expects him to do -
sends the patient to hospital where they can get closer attention.<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'><o:p> </o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'>There
the patient is kept under observation for a few days, while they're exposed to
other hospital contagions. They're eventually sent back to the nursing home
with yet another prescription to add to their long list.<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'><o:p> </o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'>Lather,
rinse, repeat until the end.<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'><o:p> </o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'>With
an NBN we get the following to assist with this situation<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'>-
better likelihood of an eHealth system with accurate, readable, up to date and
non-conflicting records<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'>-
better chance of getting a consult with a regular doctor who is already
familiar with your problems<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'>-
if the problem is too serious for a locum/GP, they can refer to a specialist
instantly - not with an appointment in 2 weeks time<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'>-
the same locum can now do 5 consults in the same time it might take him to
drive someplace and wait for a nurse to direct him to the patient<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'>-
paves the way for practitioner-nurses to act as remote-hands for doctors (this
is one will probably have to wait for another election - more politics
involved)<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'>-
reduced use of facilities means that when you do have to visit a hospital
you'll get better service<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'>-
the elderly will be able to stay in their family home longer, which will allow
them to live more meaningful and independent lives<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'><o:p> </o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'>The
solution to Australia's health is to do what it takes to keep people out of
Hospitals, not spend more money on buildings for sick people. <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'><o:p> </o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'>There
are only so many health resources to go around - an efficient eHealth system
will be a better outcome than many other politically motivated medical spending
initiatives, which usually just mean building more beds with no-one to staff
them.<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'><o:p> </o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'>John<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-family:"Verdana","sans-serif";color:navy'><o:p> </o:p></span></p>
</div>
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