tag:blogger.com,1999:blog-23447705.post3098971645963874417..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: It Does Not Look To Be Going Very Well. NEHTA’s HI Service Seems To Be Stalled and May Not Be Utterly Safe.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-23447705.post-32994578617773656662010-07-28T11:40:19.589+10:002010-07-28T11:40:19.589+10:00Dear anon@10:44
Preventable deaths is a small part...Dear anon@10:44<br />Preventable deaths is a small part of the overall problem. <br /><br />The phrases "improving patient safety" and "better health outcomes" mean not doing the wrong operation on the wrong person, not administering the wrong medication or the wrong dose, not swapping (mixing up) the babies and allocating them to the wrong mother. The phrases mean doing Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-10877607805326593552010-07-28T10:44:06.705+10:002010-07-28T10:44:06.705+10:00Hang on, anon@9:41
I know health ministers shy awa...Hang on, anon@9:41<br />I know health ministers shy away from mentioning preventable deaths on their watch, but I've always understood the phrses "improving patient safety" and "better health outcomes' were political euphemisms for fewer deaths - whether from preventable disease, horrible mistakes in hospitals, etc etc<br />If fewer deaths and better overall health for the Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-10121798711511727572010-07-28T10:16:02.130+10:002010-07-28T10:16:02.130+10:00"provided of course it is applied intelligent..."provided of course it is applied intelligently" .... and competently by people with the appropriate knowledge and skills. The only problem is who are those people, who chooses them, how can they be empowered, who should manage them, are they manageable? What criteria should be used that are reliable enough to select those people to give us sufficient confidence that we will not simplyAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-79976339250641246582010-07-28T09:41:40.405+10:002010-07-28T09:41:40.405+10:00"Sadly people will also die due to" ......."Sadly people will also die due to" ..... this emotional rhetoric that should be avoided at all times. People die - that is a fact of life. Mistakes are made and will continue to be made - that is a fact of life. Systems can be improved and can continue to be improved - that too is a fact of life. <br /><br />We should always seek to be improving on the way we do things and on the Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-30476540194511066772010-07-28T08:53:47.790+10:002010-07-28T08:53:47.790+10:00Good point. Sadly people will also die due to lack...Good point. Sadly people will also die due to lack of good governance of HIs project, as clearly a workable system is still miles away.<br />Lack of consultation with concerned consumers and medico resulted in a huge distraction over the legislation and a very untidy outcone.<br /><br />But that mess also shielded from public view the nasty fact the emperor had no clothes. Well, clothes that can Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-32654345414917071712010-07-27T22:37:57.769+10:002010-07-27T22:37:57.769+10:00This is the telling line from Mr Fleming:
“You ne...This is the telling line from Mr Fleming:<br /><br />“You need to understand the possible workflow situations to work with it to get it right.”<br /><br />It's quite clear that after 5 years Nehta do not understand much at all. They are now seemingly more concentrated on the spin than the work program. A national eHealth program that that can't get a handle on identifiers after 5 years Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-83584262471291176002010-07-27T20:39:31.903+10:002010-07-27T20:39:31.903+10:00Sigh - dratted interfaces! Everyone thinks they a...Sigh - dratted interfaces! Everyone thinks they are so simple, but they are often the reason why systems are late or do not deliver. But we shouldn't jump to conclusions for the HI system. Of course the specifications will have clearly specified the integration and interfacing requirements, including functionality to support all of the 'use cases'. After all, there is no use case Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-12719417104644819062010-07-27T18:42:28.544+10:002010-07-27T18:42:28.544+10:00Well, if you want to know what NeHTA's CEO Pet...Well, if you want to know what NeHTA's CEO Peter Fleming thinks read this:<br /><br />http://www.australianageingagenda.com.au/2010/07/27/article/E-health-slow-and-steady-wins-the-race/YXFSQXVDLS.html<br /><br />Especially this:<br />Mr Fleming described the IHIs the “building blocks” for further reform: “The key is now to move from the foundation to the implementation.” “We’re slightly Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-64318354697490223832010-07-27T17:01:41.258+10:002010-07-27T17:01:41.258+10:00If you want to read reaction to this post go and b...If you want to read reaction to this post go and browse:<br /><br />www.ehealthcentral.com.au. <br /><br />This site is a sponsored component of the NEHTA information campaign to make sure we are all thinking correctly and are fully informed as to just how well NEHTA is travelling.<br /><br />David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.com