tag:blogger.com,1999:blog-23447705.post5116044014151547512..comments2024-03-28T17:49:03.998+11:00Comments on Australian Health Information Technology: I Think I Have Now Worked Out Why The PCEHR is A Fundamentally Flawed Idea! See If You Agree.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-23447705.post-40370756909346215652011-07-17T16:54:04.733+10:002011-07-17T16:54:04.733+10:00Following on from my snipe about "billable ho...Following on from my snipe about "billable hours" (Saturday, July 16, 2011 4:36:00 PM) I meant it's hard to see how the Govt can extract the political capital to proceed with the SEHR when the evidence is clear that, not only the voters, but, experts in the field have not made personal commitment to collecting their own records. <br />As with any plan for putting a new system in Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-28278119557642056142011-07-16T19:56:56.359+10:002011-07-16T19:56:56.359+10:00"But, since the entire healthcare industry ru..."But, since the entire healthcare industry runs on billable hours and salaries" as Saturday, July 16, 2011 4:36:00 PM said one assumes he means that it would be best if we canned the whole ehealth shebang on the grounds that it might save time which would cut down the billable hours and mean doctors would have to see more patients.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-73622834238621603672011-07-16T16:36:33.163+10:002011-07-16T16:36:33.163+10:00"I am genuinely concerned about all these com..."I am genuinely concerned about all these computer pundits, IT experts and consultants, including everyone in NEHTA, who all claim to know what is needed and how it should be all put together and how it should be used when they haven’t even been through the basic steps of compiling their own medical and health information which would give them some real insight into the issues."<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-35987056802311177552011-07-15T20:07:38.335+10:002011-07-15T20:07:38.335+10:00Grahame you said you “don't have healthcare en...Grahame you said you “don't have healthcare encounters regularly enough to justify it.”<br /><br />Let me share this with you. I haven’t had a GP for 50 years – fit and healthy in every way. But one small episode recently sent me straight to a GP and an early diagnosis thank goodness. Boom, bang – no delay - zip zap let’s move - GP to Imaging, Pathology, Biochemistry, then to Specialist to Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-85017498452053814302011-07-15T19:42:23.088+10:002011-07-15T19:42:23.088+10:00Yep "all we need to do is change the emphasis...Yep "all we need to do is change the emphasis of the PCEHR to be a SEHR first and a PHR second" that's the only way to do it. But hey, the problem still remains the same - overcoming the obstacles inherent in building an SEHR. Back to first base once more. In short - NEHTA has achieved so little and spent so much and we are all the poorer for it.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-75950004182543892432011-07-15T17:36:09.371+10:002011-07-15T17:36:09.371+10:00There is a tension in the PCEHR trying to be a PHR...There is a tension in the PCEHR trying to be a PHR and an SEHR. All the documentation is positioning it as being a PHR first and SEHR second. We all know that doctors won't use a PHR. We, however, think there is something useful in a SEHR. Maybe all we need to do is change the emphasis of the PCEHR to be a SEHR first and a PHR second.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-65387814583837148462011-07-15T14:45:13.092+10:002011-07-15T14:45:13.092+10:00thanks. I don't think many people would have o...thanks. I don't think many people would have one - I don't - I don't have healthcare encounters regularly enough to justify it. <br /><br />How do you maintain the investigations? The content of that seems a little dynamic to justify it? I would just store the high points, where I could get them. They give us our x-rays (film or cd now), but not the reports. <br /><br />Other than Grahame Grievehttps://www.blogger.com/profile/08635283945076545993noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-91192633557193762942011-07-15T12:49:26.302+10:002011-07-15T12:49:26.302+10:00Grahame
It is in a word document. It is printed an...Grahame<br />It is in a word document. It is printed and given to the hospital or doctor as required. <br /><br />No there is no thumb nail. Yes it uses a few more trees. Yes it has a structure. It saves them time. They trust it. It works. It’s accurate.<br /><br />It shows the most recent "last updated on dd/mm/yyy" at the top.<br />1. Personal ID Data including pertinent 'ID Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-62549858269570363572011-07-15T10:53:13.332+10:002011-07-15T10:53:13.332+10:00> I have a prepared a structured snapshot of my...> I have a prepared a structured snapshot of my own health and medical record<br /><br />How have you prepared this, and how do you make it available?Grahame Grievehttps://www.blogger.com/profile/08635283945076545993noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-4628926009304392322011-07-15T09:43:39.303+10:002011-07-15T09:43:39.303+10:00The first question should not be "who will us...The first question should not be "who will use the system" but rather "what is the problem we are trying to fix". I do not believe that this question has been adequately addressed. It seems that there has been a 'build it and they will come' attitude as opposed to a problem analysis process.<br /><br />Is it information flow between those that treat patients that we Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-2448901113948476682011-07-15T09:26:02.630+10:002011-07-15T09:26:02.630+10:00“A system designed for use by clinical professiona...“A system designed for use by clinical professionals is an utterly different beast to the system that might be designed to help a consumer keep track of their basic health information and the health story.”<br /><br />To some degree what you say is correct but not entirely so.<br /><br />I have a prepared a structured snapshot of my own health and medical record. Structured is the operative wordAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-67623115472022404082011-07-14T16:35:40.877+10:002011-07-14T16:35:40.877+10:00I'm sure I read something to that effect in th...I'm sure I read something to that effect in the PCEHR ConOps submissions by a doctor who said that that the PCEHR should be fed by the SEHR and that eventually they would all coalesce which seemed to make a lot of sense but unfortunately I can't find it now.Anonymousnoreply@blogger.com