tag:blogger.com,1999:blog-23447705.post4206912480635421889..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: PCEHR Enquiry - Opportunity To Provide Input. Please Help!Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-23447705.post-26738707369459190842013-11-17T22:18:58.672+11:002013-11-17T22:18:58.672+11:00If you believe you are eligible - and I am not sur...If you believe you are eligible - and I am not sure why Public Subs were not OK - just contact the number on the Ministerial press release at the Health Department Web Site.<br /><br />Media contact: Kay McNiece, Minister Dutton’s Office, 0412 132 58<br /><br />I am sure Ms McNiece can advise.<br /><br />Here is the Departmental Number given on their release:<br /><br />Media contact: 02 6289 Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-71823666893298189972013-11-17T21:23:25.904+11:002013-11-17T21:23:25.904+11:00David, on 11/13/2013 04:08:00 you said that .... E...David, on 11/13/2013 04:08:00 you said that .... Everyone who has done submissions in the past on the PCEHR are able to make submissions. <br /><br />119 submissions were received and published in response to the PCEHR Draft Concept of Operations – Relating to the introduction of a PCEHR system.<br /><br />Are all these parties eligible to participate in the current review? <br /><br />Where Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-24368163318626396732013-11-13T18:23:17.630+11:002013-11-13T18:23:17.630+11:00David, leaving the clinical content to the experts...David, leaving the clinical content to the experts the following are some general comments about the PCEHR architecture. Some points have also been made in earlier posts -<br /><br />It is obvious based on the design that there was no records management experience in the design of the core system<br /><br />Authentication is weak and secure messaging or PKI is not the answer in who is accessing Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-81973260888445793882013-11-13T16:15:23.224+11:002013-11-13T16:15:23.224+11:00Everyone who has done submissions in the past on t...Everyone who has done submissions in the past on the PCEHR.<br /><br />David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-39764957840323610542013-11-13T16:08:21.421+11:002013-11-13T16:08:21.421+11:00Do we know who the organisations are that have bee...Do we know who the organisations are that have been granted permission to contribute a submission?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-2017979487692315572013-11-13T11:57:47.959+11:002013-11-13T11:57:47.959+11:00Bernard, (you website will not accept my Registrat...Bernard, (you website will not accept my Registration), David and I share fairly common perspectives on this topic of the PCEHR and more importantly e-health (we do not always agree). As you are entering from the non-clinical portal you may be interested in a "clinical informaticians" perspectives on these topics.<br />1. A recent publication by myself.Hannan TJ, Celia C. Are doctors Terry Hannanhttps://www.blogger.com/profile/04068727812313410493noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-62361240189647030392013-11-13T10:26:26.211+11:002013-11-13T10:26:26.211+11:00Marcus,
While I agree with your assessment of many...Marcus,<br />While I agree with your assessment of many of the issues, especially the centralised vs decentralised issue, I'm not convinced that your proposed solution of "health wisdom networks" is appropriate.<br /><br />IMHO, you are falling into exactly the same trap as NEHTA - you know the solution, but you don't understand the problem, especially the issue of data accuracyBernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-48973037546176346412013-11-13T08:29:06.823+11:002013-11-13T08:29:06.823+11:002 pages? I'll try to be brief.
CENTRALISED vs...2 pages? I'll try to be brief.<br /><br />CENTRALISED vs DISTRIBUTED<br />The PCEHR centralises information. It shifts information from wherever it is to a different place. The Centralisation costs people time to maintain a distant repository, but offers no value proposition to doctors, patients and other care givers. The world is evolving toward distributed structures which empower Marcushttps://www.blogger.com/profile/10027852544181385797noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-12094165297186820842013-11-12T22:06:59.752+11:002013-11-12T22:06:59.752+11:00Second, recommendations.
This is not as easy as i...Second, recommendations.<br /><br />This is not as easy as identifying the issues, because it is not clear from outside what the constraints and drivers are. There is a lot of politics and ego involved in eHealth and this project in particular.<br /><br />The major lesson to be learned from this whole experience is that the public service learns very slowly, not at the individual level only at Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-56822856830127494432013-11-12T21:37:25.310+11:002013-11-12T21:37:25.310+11:00David,
I'm glad to hear that the enquiry is a...David,<br /><br />I'm glad to hear that the enquiry is at least prepared to listen to views from the outside.<br /><br />I've been looking at the whole eHealth initiative as something that should have the goal of improving health outcomes. I'm not a health professional, however I have had significant experience in a wide variety of system developments and have seen many successful andBernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-25015578183788347742013-11-12T19:20:42.273+11:002013-11-12T19:20:42.273+11:00Think $$$
David.
Think $$$<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-17034529173324597752013-11-12T19:04:03.913+11:002013-11-12T19:04:03.913+11:00I find it interesting that while we say there was ...I find it interesting that while we say there was no/ineffectual engagement with clinicians - what were the clinical leads doing? Many of these individuals were involved for years? Why did they jump when they did? Surely they should have jumped earlier - the indicators of problems was not something that happened late in the piece. I also find it interesting that many of these individuals pop up Anonymousnoreply@blogger.com