Tuesday, June 14, 2016
This News Has Two Aspects To It And Needs A Quality Response From The New ADHA.
This appeared a few days ago.
Created on Monday, 06 June 2016
On 1 July 2016 NEHTA’s assets and liabilities will by law become the assets and liabilities of the Australian Digital Health Agency (Agency), a new Commonwealth corporate entity.
The Agency is created by the Public Governance, Performance and Accountability (Establishing the Australian Digital Health Agency) Rule 2016 (PGPA Rule). The transition will occur by operation of Section 74 of the PGPA Rule. In accordance with Section 73 of the PGPA Rule, the Commonwealth Minister for Health has specified the “transfer day” for the transition to be 1 July 2016. On 1 July 2016 all the assets and liabilities of NEHTA will statutorily vest in the Agency.
A link to this PGPA Rule can be found at https://www.legislation.gov.au/Details/F2016L00070
A link to the Ministers notification of the “transfer day” can be found at http://www.health.gov.au/internet/ministers/publishing.nsf/Content/5973595577926D9DCA257FA800231933/$File/SL034.pdf
Here is the link:
So it seems we are in the last few days of an organisation I have to say I will certainly not miss!
On the positive side there is now an opportunity for the new Australian Digital Heath Agency to do better.
For this to happen the following is needed in my view.
First we need an honest, in depth review (as opposed to the joke NEHTA published a few weeks ago - see here http://aushealthit.blogspot.com.au/2016/05/nehta-delivers-itself-its-own-scorecard.html ) to establish what is useful out of what has been done by NEHTA, what should be retained, what needs to be redone and improved. Additionally we need to ensure all the relevant stakeholders are properly represented by competent and experienced representatives to ensure the maximum value is preserved while the strategic errors are corrected where needed.
Second - after this is done a full report and new strategy for the ADHA should be published - after proper consultation - which defines exactly what the ADHA should be involved in and do and what they should not do - as well as how the ADHA interacts with the private sector, the clinical sector, HI experts, the consumers and the jurisdictions and federal government. There should, of course, be an evidence based review of the myHR program - not that I expect that to happen.
Third we need a total cultural transformation in those staff who come over from NEHTA so they understand just who it is they work for and to whom they are accountable and what they should be doing to advance quality use of technology within the health sector. (That the ADHA is subject to FOI might help - but I would much prefer prompt publication of working papers and minutes so FOI is hardly ever needed). I would also like the see the CEO producing a public monthly summary of just what is happening within ADHA so we can all understand the progress on each agreed work streams and so on.
Fourth I think we need a permanent CEO to be appointed ASAP.
Last I would like to see all meetings of reference and advisory committee committees (as well as the Board meetings) be made available via recorded web-casts so we can all understand just what is driving the decision making if we are concerned.
The response to these suggestions will drive how I judge the ADHA in making the cultural shift from NEHTA.
Posted by Dr David More MB PhD FACHI at Tuesday, June 14, 2016