tag:blogger.com,1999:blog-23447705.post5406949046942820031..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: The View From The Coalface Regarding The EPAS in South Australia. Not Good News!Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger16125tag:blogger.com,1999:blog-23447705.post-2721631160174141572014-09-10T19:11:11.236+10:002014-09-10T19:11:11.236+10:00Surely this will all soon become a thing of the pa...Surely this will all soon become a thing of the past now we have clinically validated data, some test stub and scenario's.<br /><br />Looking forward to the snake oil sales convention, maybe that can fill the IT14 gap on the eHealth calendarAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-63667981890178279342014-09-10T11:45:11.589+10:002014-09-10T11:45:11.589+10:00Patto, indeed - now we come to the real issue, and...Patto, indeed - now we come to the real issue, and why trying to get the system to take it's own risks is silly. I do think that the growth of what we loosely call the internet platform upsets the economics, and that there's a possibility for a new way to develop apps based on open source. <br /><br />But the existing open source applications have such a long way to go, and we have to Knoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-29728767861975418722014-09-10T11:35:05.110+10:002014-09-10T11:35:05.110+10:00I think what is interesting in health is how much ...I think what is interesting in health is how much the system works against entrepreneurship and innovation. And don't get me wrong - there are very good reasons why people are risk averse in health - the fact that faulty software can actually kill people is a big one. <br /><br />But when you have tenders go out for hospital systems - with requirements that the software has to have been Pattonoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-33273822922110875882014-09-10T11:32:30.945+10:002014-09-10T11:32:30.945+10:00I already have put my own money up, but that doesn...I already have put my own money up, but that doesn't stop bureaucrats wasting my tax money. The concept of an inhouse development team might be out of fashion, but are we seeing the benefits of outsourcing at a government level, I don't think so. Sometimes you have to go back to the future.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-10683795470533406132014-09-10T10:57:53.841+10:002014-09-10T10:57:53.841+10:00If you think it's a good idea, put your own mo...If you think it's a good idea, put your own money on the line, and fund it yourself. Then, you'll have a better application, and you can sell it at a fraction of the cost of the established systems, and everyone will be happy, except for the incumbents. <br /><br />If you don't want to put your own money up, stop asking for our tax money to be spent on something you won't spend Knoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-67399752187771618182014-09-10T10:39:18.846+10:002014-09-10T10:39:18.846+10:00The place to develop it would be a place with clin...The place to develop it would be a place with clinicians like the one who wrote the email, so they could be involved from the start. It would have to be developed in an agile manner. I know the bureaucrats will never let it happen, but that just points out how far off the track we actually are.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-1432440343974668742014-09-10T09:18:35.940+10:002014-09-10T09:18:35.940+10:00But if they did assemble that 'crack' team...But if they did assemble that 'crack' team could the hospitals and bureaucrats wait for the 'new' product to be developed, then tested. On no people say, it would take too long, we must get something now, best to get something off-the-shelf that's tried and proven to work and avoid the risk of a new system being developed which fails. That's the message they all believe, Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-35602318124203427422014-09-09T22:23:02.209+10:002014-09-09T22:23:02.209+10:00Less is more - quite often, in my experience. At $...Less is more - quite often, in my experience. At $4m a year you could assemble a crack team of about 10-15 people and deliver a good system. A team bigger than that is a problem.<br /><br />Unfortunately the consulting company con artists have these "leaders" right where they want them and are milking the system big time.<br /><br />If its such a pittance they should try it for a laugh.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-7349222146070348792014-09-09T20:24:35.196+10:002014-09-09T20:24:35.196+10:00Dear September 09, 2014 2:34 PM - $20M you say ove...Dear September 09, 2014 2:34 PM - $20M you say over 5 years .... you must be joking --- the bureaucrats and their political masters think they have done a terrific job after spending over $1 Billion on NEHTA --- so your $20M pittance would get laughed out of court would it not?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-64461805489744103312014-09-09T14:34:32.990+10:002014-09-09T14:34:32.990+10:00Given the billions spent on eHealth by the various...Given the billions spent on eHealth by the various levels of government it would be sensible to allocate $20M over 5 years to actually see if it could work. A state government could easily do that, but its to sensible an idea to actually happen. It would be reasonable backup plan to what they are doing now which is why its unlikely to ever happen.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-91354067953014436372014-09-08T13:34:13.260+10:002014-09-08T13:34:13.260+10:00Orion has put its hand up.
PulseIT - Orion plans ...Orion has put its hand up.<br /><br />PulseIT - Orion plans to take on the big guys in health data revolution; Written by Kate McDonald on 05 September 2014.<br /><br />Orion Health has outlined its plans to overtake the global health IT giants.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-45343587126521134492014-09-08T12:38:05.219+10:002014-09-08T12:38:05.219+10:00What Bernard says is absolutely correct however th...What Bernard says is absolutely correct however the observations and questions raised by September 08, 2014 10:37 AM still need to be answered. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-85892491794135427512014-09-08T11:51:10.987+10:002014-09-08T11:51:10.987+10:00Anon said: "Many of these systems should be a...Anon said: "Many of these systems should be able to be built for a fraction of the cost..."<br /><br />IMHO, it's not the building of the system that's the problem, it's knowing what system to build.<br /><br />And knowing what system to build is all about information; not software, not technology, not products.Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-11118234457671576272014-09-08T11:08:36.118+10:002014-09-08T11:08:36.118+10:00More importantly, failure must be an option, else ...More importantly, failure must be an option, else the budget blows out by a factor of about 20 (and failure is more likely). Hence why vendors, and why vendors charge - because failure is an option for them, and one that they get to experience too enough for the investersKnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-44254046537220023442014-09-08T10:37:18.020+10:002014-09-08T10:37:18.020+10:00Many of these systems should be able to be built f...Many of these systems should be able to be built for a fraction of the cost ........ <br /><br />That is easy to say BUT:<br />[a] an R&D environment is required<br />[b] with intelligent leadership<br />[c] adequately funded<br />[d] inoculated against bureaucratic committees<br />[e] plenty of lead time [years]<br />[f] a greenfields site of significant size 400 beds <br />[g] time to Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-5956697773863565162014-09-07T22:21:57.992+10:002014-09-07T22:21:57.992+10:00Many of these systems should be able to be built f...Many of these systems should be able to be built for a fraction of the cost but you need to find a senior software engineer with experience, allow them to build a team and deliver over many years with a minimum of political interference.<br /><br />There are people around capable of doing it, but an environment with minimum political interference is the problem. They would probably appoint a non Anonymousnoreply@blogger.com