tag:blogger.com,1999:blog-23447705.post3892493266081654295..comments2024-03-28T17:49:03.998+11:00Comments on Australian Health Information Technology: The UK Finds That Personal Health Records Are Pretty Much Useless. What A Surprise!Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-23447705.post-43767328365569346172016-06-11T16:57:39.661+10:002016-06-11T16:57:39.661+10:00Re- June 10, 2016 4:37 PM … What a breath of fresh...Re- June 10, 2016 4:37 PM … What a breath of fresh air - “… no coercion to participate …. no incentives to force artificial change among health providers. Free market forces will prevail. ….. patients (will have) the right to make an informed choice and ….... the freedom to choose.”<br /><br />These are very important issues and they make a lot of sense. If My Personal Health Record can help meAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-12002701123543933862016-06-11T15:28:29.331+10:002016-06-11T15:28:29.331+10:00You may be surprised to know that what they were d...You may be surprised to know that what they were doing is mandated by authorities that as part of accreditation force these workflows onto day surgeries. The repetitive questions and multiple handovers are mandated even though they are often counterproductive in small efficient environments. Its part of the bureaucratization of health in the name of "safety" and in my clinical Andrew McIntyrehttps://www.blogger.com/profile/17821423221138467536noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-35458483167598115472016-06-11T11:47:58.092+10:002016-06-11T11:47:58.092+10:00My recent day procedure in a private hospital thre...My recent day procedure in a private hospital threw a bit of light on health information management. I submitted my details on-line a few days prior, all the same data that would be on my GP's system and (presumably) on the surgeon's system. No questions about MyPHR. Then I got a phone call from the admin staff to go over my entries and confirm them. On the day, I was asked to confirm theTrevor3130https://www.blogger.com/profile/08148555743063226957noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-52941110892419696822016-06-10T16:37:00.250+10:002016-06-10T16:37:00.250+10:00Bernard you said (June 09, 2016 4:53 PM) “It shou...Bernard you said (June 09, 2016 4:53 PM) “It should be the demonstrated reduction of health care costs combined with the value of the system to those health care professionals who had used the data in the system as part of their health care practices.”<br /><br />That is a perfectly valid position to adopt Bernard. It seems however that over the last decade this has been far too difficult a Dr Ian Colcloughnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-25420404443492592482016-06-09T16:53:45.980+10:002016-06-09T16:53:45.980+10:00Ian,
If by "traditional approaches" you...Ian,<br /><br />If by "traditional approaches" you mean - treat health data as an IT database problem you are completely correct, IMHO.<br /><br />If by "Clinically Useful", you mean it has value to the health care professional you are completely correct, IMHO.<br /><br />In fact, I'd go as far as to say - you are completely correct in all you've said, IMHO.<br /><br /Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-12003416949194832812016-06-09T14:09:17.305+10:002016-06-09T14:09:17.305+10:00I presume we can accept that there are plenty of C...I presume we can accept that there are plenty of CLINICALLY USEFUL systems available in the marketplace today; Medical Director, ZedMed, Sonic Health, Pro Medicus, HealthLink, Genie, and many more. However, in extending use of the term CLINICALLY USEFUL - the elusive issue is and continues to be that CLINICALLY USEFUL systems must be underpinned by interoperability, the seamless exchange of Dr Ian Colcloughnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-48764084813737745112016-06-09T07:35:13.632+10:002016-06-09T07:35:13.632+10:00Right on the button David. As Paul Biondich and Bu...Right on the button David. As Paul Biondich and Burke Mamlin documented in their paper of the core elements for successful eHealth implementations, "CLINICALLY USEFUL: feedback to providers and caregivers is critical. If the system is NOT CLINICALLY USEFUL it will not be used".<br />Mamlin BW, Biondich PG, Wolfe BA, Fraser H, Jazayeri D, Allen C, et al. Cooking up an open source EMR forTerry Hannanhttps://www.blogger.com/profile/04068727812313410493noreply@blogger.com