Thursday, February 3, 2011

Medical certificates online, tilt systems

It is fortunate Minister Brunetta. After the failure of certified mail, announced with great fanfare as an epochal revolution, including the debut of online certification INPS disease has proved problematic to say the least. Doctors have reported long waits and technical interruptions. With white coats forced on several occasions, repeatedly sending the forms or wait for the night to connect to the site.

"There is partly an organizational problem to solve, but the system goes on successfully, and I do not think it is right to be included by reference only to cause damage," he said at a press conference at Palazzo Chigi Minister Renato Brunetta, that the certification online is a great leap forward "in terms of saving and analysis of absences and illnesses.

Despite the many technical problems the minister boasts serenity and reiterates that the system is fully operational. Brunetta was even satisfied with the collaboration of family doctors, in 15 regions that were already fully enabled for access (with a national average of 92 per cent). Yet at the end of the second day of official launch of the new computerized system, physicians continue to report discomfort, although the Minister for Public Administration and innovation has ensured that he received only 28 between mail and faxes in protest.

"Only yesterday - says the secretary of the Federation of General Practitioners, James Militello - have gone up in smoke over six thousand hours of patient care to meet the new requirements. What the minister is always an attitude of 'okay', while we know that 60-70 percent of doctors is not yet in a position to operate.

" First there is the problem of servers that do not seem to be designed to receive so many concurrent connections, then there is the issue of long waiting times to receive a response by the operators of toll put at the disposal of the white shirts to solve the difficulties of a technical nature or to communicate the data in the absence of internet connection: well, even in the afternoon, doctors said they had expected on average 15 minutes per call (equal to a queue of forty people).

"The architecture of the system - explain the Sogei (Society of Information and Communication Technology of the Ministry of Economy which is responsible for managing the computer system) - is stable and consolidated and is able to support traffic and access to a much more significant of what is recorded in the experimental phase of a scheme that provided for the transmission of certificates of illness.

" As for the call center, they say, things "are due mostly to questions concerning the procedures for performing the necessary arrangements for the accreditation of the medical system." Doctors, therefore, first reported difficulties in accessing the system, on the other hand, who manages the system will ensure that everything works perfectly.

Even if, in trying to access the service, the screens appear patchy Sogei of their posts that "because of an unexpected malfunction of the systems it should be noted the detention of all applications made available by the system itself." Brunetta's reassurances are not enough, however, physicians involved in the "digital revolution", which confirmed the state of agitation, have convened an inter-union meeting and demanded a moratorium on sanctions until the system is fully functional.

It makes no sense, say the unions, starting with the sanctions (which include dismissal or loss of the Convention) "and yet one has to disentangle from the web site does not always reach a call center with waiting times and private companies that still were not adequate, and patients still require the paper certificate, forcing the white coats to work a double.

" "If we live in a world in which to pay with credit cards takes approximately 30 seconds - said Claudio Cricelli, president of the Italian Society of General Medicine - you can lose up to thirty minutes to send a certificate to INPS, as happened several times during the testing phase and also yesterday.

I am now - he added - I had the DSL line stuck in my studio in Florence for nearly an hour, but I think my colleagues who are on the Salaria, north of Rome, where in some areas not even get broadband. The minister must understand that we do not have dedicated networks, as in other areas, but work on the communication lines to broadband.

Doctors are cooperative and are used for a long time to use electronic means - ends - but the important thing is to be enabled to work well. " The Movement of the Citizen Defense has reported that in some facilities the medical staff would be forced to use the system to be sent after 23, when the Internet traffic, and the lines are free.

Brunetta has ensured that the penalties for doctors only in the presence of a snap repeated refusal by the trader to send the certificates on line (and not, therefore, to technical problems) and announced that the unions will meet next week to do point to the new system and the penalties.

With the new procedure, held by the Ministry to clarify, you will save on human resources INPS and implement a savings of at least 200 million euro a year just for the recommendations.

No comments:

Post a Comment