tag:blogger.com,1999:blog-23447705.post4600953007015698027..comments2024-03-28T17:49:03.998+11:00Comments on Australian Health Information Technology: Here Is A Larger Pile Of Spin Than I Have Seen For A Good While! Pretty Sad.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger14125tag:blogger.com,1999:blog-23447705.post-77287312426541549492016-02-27T11:48:27.084+11:002016-02-27T11:48:27.084+11:00To all these very sharp observations I would add:
...To all these very sharp observations I would add:<br /><br />1/ Bureaucrats typically have the mistaken view that they 'control' the health system, and that the levers they have to hand actually do something useful. They can't see all the care that is delivered every day unchanged by whatever policy setting they put in place. They note with annoyance when everyone just settles back Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-24946067526555119152016-02-26T22:59:41.980+11:002016-02-26T22:59:41.980+11:00huge egos….I always wondered what the 'e' ... huge egos….I always wondered what the 'e' meant in eHealth.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-49472872963510698952016-02-26T14:07:05.548+11:002016-02-26T14:07:05.548+11:00The overwhelming response to your current poll que...The overwhelming response to your current poll question is compelling. The corollary is - Why is eHealth in such a mess? <br /><br />Whilst complex the core of the answer is very simple.<br /><br />Because the politicians have such a limited understanding they turn to their bureaucrats and ask: What should we do? Based on the bureaucrats’ advice the politicians set policy and strategy and ‘some Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-65159787111477385672016-02-24T18:14:36.872+11:002016-02-24T18:14:36.872+11:00Your current poll question: Do Politicians And Bur...Your current poll question: Do Politicians And Bureaucracies Understand Just How Hard And Complex Successful Delivery Of E-Health Is? -- with 96% responding NO confirms how right the above respondents are.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-69663609868695042402016-02-24T17:28:27.446+11:002016-02-24T17:28:27.446+11:00The government never lets on about what the legisl...The government never lets on about what the legislation lets them do, and all they have to do is keep a note of it. They don't have to ask permission or tell anyone.<br /><br />70 Disclosure for law enforcement purposes, etc.<br /><br />(1)The System Operator is authorised to use or disclose health information included in a consumer’s PCEHR if the System Operator reasonably believes that theBernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-10557316896035387342016-02-24T17:06:46.776+11:002016-02-24T17:06:46.776+11:00Pity those 500,000 people in the NQPHN and NBMPHN ...Pity those 500,000 people in the NQPHN and NBMPHN who have been compulsorily opted-in are blissfully unaware of this else they would opt-out in droves. If they did would the government get the message? I doubt it. Unless a really good journalist covers the story they will remain blissfully unaware. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-38039775019500338012016-02-24T16:00:11.179+11:002016-02-24T16:00:11.179+11:00"As for your comments on security - yes, the ..."As for your comments on security - yes, the PCEHR logs the organization accessing the information. After that, it is presumed to be copied onto the local system, and managed by that - as it should be - so it's to there that any requests for access information should go. Which returns you to those same institutions after all. Sounds like the lowest common denominator. "<br /><br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-13787071751237642322016-02-24T15:47:26.035+11:002016-02-24T15:47:26.035+11:00"The PCEHR is most definitely not an online s..."The PCEHR is most definitely not an online summary of an individual’s health information. It is an ad hoc collection of summaries, MBS reimbursements, etc. of varying and unknown completeness, quality and usefulness"<br /><br />Perhaps you should start with your definition of "summary" since that would meet most people's definition of 'summary'. <br /><br />As forAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-58468810630283372522016-02-24T15:26:58.862+11:002016-02-24T15:26:58.862+11:00"I see no evidence that any statement in that..."I see no evidence that any statement in that text is untrue,” Well I disagree! The opening sentences are particularly misleading:<br /><br /><i>"Like many similar initiatives around the world, it is a secure, online summary of an individual’s health information. It can be viewed by treating healthcare providers, including doctors, nurses and pharmacists across Australia.”</i><br /><brEric Brownehttp://www.healthbase.infonoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-17682064577897413982016-02-24T11:53:54.875+11:002016-02-24T11:53:54.875+11:00"I see no evidence that any statement in that..."I see no evidence that any statement in that text is untrue," .... yes, that would seem to be the case it is an exercise in using a lot of words in an attempt to reinforce the misguided perception that something important is happening.<br /><br />The 6 bullet points listed in - Overview: Improvements based on the review – are pure fairy floss. <br /><br />NONE of these are FUNCTIONAL Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-40325059430179815022016-02-23T23:01:14.781+11:002016-02-23T23:01:14.781+11:00I see no evidence that any statement in that text ...I see no evidence that any statement in that text is untrue, I do though agree they have dance around the issues with the build of the system. Is the system is such a state because the developers did not implement the specifications from NEHTA correctly? Did the developers simply ignore the designs and specifications? Or can a system be developed based on NEHTA's specifications as found in Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-79061068538406255852016-02-23T17:34:37.806+11:002016-02-23T17:34:37.806+11:00correction ...... they cannot distinguish between...correction ...... they cannot distinguish between a lie and the truthAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-64303782527519290472016-02-23T17:23:46.005+11:002016-02-23T17:23:46.005+11:00Sociopaths don't get embarrassed. They have no...Sociopaths don't get embarrassed. They have no sense of right and wrong, their emotional IQ is almost non existent, they can distinguish between a lie and the truth. So they will be proud of their resume's whatever they claim.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-69590191602579844112016-02-23T16:51:43.397+11:002016-02-23T16:51:43.397+11:00'Sad' is the right word. Sad to see people...'Sad' is the right word. Sad to see people desperate enough for money in declining economy to work on this failed system. What an embarrassment it must be to put this on one's resume!Anonymousnoreply@blogger.com