I have now listened through most of the discussions. The link to the presentations and registration to view the web-casts is here:
Some really clear messages emerge:
1. It is clear there are a lot of different perspectives from the Clinicians, Consumers, Vendors and Government and the work of aligning the often disparate views is not anywhere near done.
2. It is obvious that the obsession with having something working by July 1, 2012 is driving activity in ways that are probably not optimal. The political requirements looks to be distorting what is happening.
3. There is a lot of clinician concern about workflow and access to information impacts. It is not at all clear - even now - just how all this is actually going to work!
4. The Concept of Operations which is to be released very soon (Thursday 7/4/2011 possibly) has a huge number of open items (over 40) with a huge number of use cases still being worked through.
5. There was very clear concern that the governance of the overall program was quite chaotic and that no-one owned the program and was really accountable for delivery.
6. At least some in the room clearly understood just how gargantuan this undertaking actually was and recognised it as a decade long program. The scale of software change and development is really huge. Obtaining co-operation and use will equally take a very long time!
7. No clear benefits or business case was made by the proponents of the PCEHR.
8. The usual issues of privacy, balance of ease of use and access control, what information should be contributed by consumers and who controls just what in an information sense seem quite unresolved.
9. NEHTA made it clear the Wave 1 and 2 sites are experimental and that technology selections for the final national infrastructure for the PCEHR system will depend on the outcomes in these sites. This makes it even more unlikely anything real will be in place by the deadline.
Overall watching was worthwhile, but I am now more convinced than ever the way the PCEHR has been conceived is overly complex and is not deliverable in any real sense in the unreasonable and politically driven deadline.
Just today we had this in 6minutes.
PCEHR pledged for July 2012
- By Michael Woodhead on 6 April 2011
Patients will be able to start building their own Personally-Controlled E-Health Record (PCEHR) from July 2012, the head of the Federal health department Jane Halton has announced.
She said a 'concept of operations' document will be released soon to give more details about the $467 million program being overseen by the National E-Health Transition Agency (NEHTA).
NEHTA chief executive Peter Fleming said the 2012 PCEHR rollout would be an ambitious target, and he likened it to US President John F Kennedy pledging to put a man on the moon by the end of the 1960s.
Full article here:
Clearly Peter Fleming has no doubt of the scale of what he is attempting!