Sunday, October 18, 2015

AusHealthIT Poll Number 292 – Results – 18th October, 2015.

Here are the results of the poll.

Will The Recently Announced ACeH Establishment Committee Make A Positive Difference To Australian E-Health?

For Sure 3% (3)

Maybe 6% (6)

Neutral 8% (8)

Possibly Not 33% (35)

No Way 50% (52)

I Have No Idea 1% (1)

Total votes: 105

An overwhelming majority seem to think the ACeH will turn out to be a dud. Could it be because they fear the same old same old who have failed so often in the past will come back to haunt us again?

Good to see such a great number of responses!

Again, many, many thanks to all those that voted!

David.

8 comments:

Anonymous said...

The first thing they have to learn is that OPT-OUT will not make a jot of difference towards achieving a successful outcome. The monumental UK disaster ($20+ Billion Australian)proves that point. ePIPs directed at PCEHR also will not make any difference. Changing the name from PCEHR to My Health Record will not make any difference. Engaging at the coal face with some successful eHealth practitioners that have an established footprint nationwide will make a difference (NB engaging does not mean dictating).

Dr David More MB PhD FACHI said...

No it won't unless the system itself is actually made fit for purpose and useful. As some one once said putting lipstick on a pig does not stop it being a pig!

David.

Anonymous said...

Does anyone know of a government designed and built eHealth system that has worked? Unless there are examples throwing good money after bad seems like a definition of madness. Another $500,000,000 to protect the egos of a few public servants is scandalous. How do we force some sort of proper review of this? Is it possible to force a review from some sort of ombudsmen?.

Dr David More MB PhD FACHI said...

At a national scale there is none I know of - indeed even at state / province levels I can't think of any.

There are one or two examples of near government scale organisations (e.g. Kaiser) getting it right with commercial software - often on the second or third attempt!

David.

Anonymous said...

David said - No it won't unless the system itself is actually made fit for purpose and useful.

That is easy to say and is correct. But by what process can the system actually be made fit for purpose? Or is it too far developed to rectify the inherent faults within, is the architecture based on the wrong approach to the system design?

Even more importantly who will take on responsibility for making it fit for purpose? Will it be the same people and organisations who led the whole process astray to arrive at the point we are at today?

Or will a better outcome be achieved and make a difference by engaging with some successful eHealth practitioners who work at the coal face and who have already established significant footprints nationwide as proposed by October 18, 2015 9:03 AM.

It seems to me David has used his lipstick to cursorily flip that suggestion aside; a suggestion which to my way of thinking makes an awful lot of sense. Perhaps he should reconsider its merits.

Dr David More MB PhD FACHI said...

I personally don't think - other than just scrapping the whole thing and then working out what is actually needed nationally (if anything) - that we will see any progress . All the experts in the world working with a rubbish system are very unlikely to be able fix the ill-conceived, ill designed horror that is the PCEHR

David.

Anonymous said...

That's much clearer - so then you are NOT saying in your 9.09 am comment "unless the system itself is actually made fit for purpose and useful" ------

---- rather you were trying to say there is nothing to be achieved by attempting to make the system fit for purpose as it is not possible to fix such an ill-conceived, ill designed horror that is the PCEHR.

Dr David More MB PhD FACHI said...

I made no comment initially on if the system could be fixed. I said what was needed and your comment seemed to imply it was possible. I disagreed with that. If you read back in my blog you would have known I think that fixing is impossible! It is a totally dud idea and system!

David.