This blog is totally independent and has only three major objectives.
The first is to inform readers of news and happenings in the e-Health domain, both here in Australia and world-wide.
The second is to provide commentary on e-Health in Australia and to foster improvement where I can.
The third is to encourage discussion of the matters raised in the blog so hopefully readers can get a balanced view of what is really happening and what successes are being achieved.
Monday, September 12, 2011
The Health Minister Is Not For Turning - The PCEHR Will Go Ahead Essentially Unchanged. What a Shame!
articles appeared this morning and - as noted in the previous blog - the Revised
PCEHR Concept of Operations is being released today.
Minister Nicola Roxon will today unveil an updated blueprint for the nation's
$500 million electronic health records program.
is a big step forward for e-health," she will tell guests at the opening
of a model health display on show in Parliament House this week.
finalised Concept of Operations will be used by our infrastructure partners to
build the system, and allow Australians to sign up for a personally controlled e-health
record (PCEHR) from July next year."
month, the government signed a $77m contract with an Accenture-led consortium
to build and test the national IT infrastructure before the end of June, to
meet the minister's political deadline.
Canberra roadshow is intended to demonstrate the power of e-health technologies
to improve patient care and support health reform measures.
a decade, our strategic broadband and e-health investments will be delivering
the full power of smart health technologies across Australia, helping people
live healthier lives," Ms Roxon says.
will help us save lives and save money."
Roxon says more than 1.1 million individual healthcare identifiers are already
in use across Australia in the three sites leading the implementation of the
revised concept of operations for the Gillard government's $500 million
e-health records program fleshes out some details but many of the ticklish
issues around funding, governance and medico liability remain "out of
threw up concerns that as yet, there are no arrangements for long-term
management of the personally controlled e-health record (PCEHR) program and
related services, that there is no ongoing funding beyond its July 1 startup
date, and that there is no money on the table to compensate doctors for the
creation and maintenance of uploaded patient information.
has the question of funding for software and systems upgrades, and integration,
out of scope are the crucial enabling laws and regulatory details - a separate
public consultation over a legal issues paper has closed, but the government is
yet to respond to the matters raised - including sanctions for disclosure of
Health Minister Nicola Roxon will release the revamped blueprint in Canberra
today, where a model healthcare display has been set up in Parliament House to
showcase the power of new technologies in improving patient care and supporting
is a big step forward for e-health," she will tell guests. "The
finalised concept will be used by our infrastructure partners to build the
system, and allow Australians to sign up for a PCEHR from July next year."
month, the government sealed a $77m contract with an Accenture-led consortium
to build and test the national IT infrastructure before the end of June; the
same team is delivering Singapore's $146m electronic patient records system for
doctors caring for the nation's four million people.
Accenture's local project boss, Brad Cable, says Australia will not get a
"cookie cutter copy" of the Singaporean system, due to the different
approach demanded by the patient control aspects.
the latest document includes "refinements" to the original draft
following consultations, the overall design and operational concept are largely
PCEHR will be voluntary for both patients and medical providers, who will have
to opt-in to the system if they wish to participate; the personal record will
not replace doctors' own patient records; a national repository will hold a
basic shared health summary, some agreed uploaded documents, and patients' own
indexing system will allow document searches across "a distributed system
of public and private sector providers working in concert", with the
government insisting it is not creating a "single government store of
personal health information".
the system will provide a document viewing service, which patients and medical
professionals can access through separate web portals.
government has decided to tighten up on registration and online authentication
processes through the creation of a new proof of record ownership service.
the revised copy yesterday and this coverage is spot on. Essentially there has
been no substantive change from the Draft ConOps that was delivered in April.
opportunity and really a disaster for Australian e-Health in my view. The
number of issues which remain unresolved is very large and each is very
important, suggesting to me they don’t know what they are doing.