tag:blogger.com,1999:blog-23447705.post6317642142688112573..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: If You Think The PCEHR Is Such A Great Idea Think About This. You Need To Fix The Information First!Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-23447705.post-14558557236289200972011-09-21T16:31:44.431+10:002011-09-21T16:31:44.431+10:00Michael,
The link between all three points is own...Michael,<br /><br />The link between all three points is ownership of, need to use and accountability for what is entered in systems. My core point is that in the rush to the PCEHR these complex and difficult to address issues are being largely swept under the carpet - and that this may result in the whole thing to end very, very badly.<br /><br />I suspect you might even agree with that.<br /><Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-72384129057510188322011-09-21T16:20:49.379+10:002011-09-21T16:20:49.379+10:00"... information quality flows from having th..."... information quality flows from having the user need and rely on the contents..." This, I believe, was my point. But you converge on optimal quality (where optimal is defined by the context, not as 100% true).<br /><br />If you trust material that you know or suspect to be incomplete and/or inaccurate, then that is clearly a problem and, just a clearly I hope, I was not advocating Michael Lawleyhttp://lawley.id.au/noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-5746032291809985032011-09-21T10:09:29.939+10:002011-09-21T10:09:29.939+10:00I simply disagree.
If you share material that is ...I simply disagree.<br /><br />If you share material that is not accurate you put the information subjects and clinicians who use the information at risk - of all sorts of outcomes.<br /><br />The way you do this properly is to only share information that there is clear accountability and responsibility for and which is used by the information provider to undertake THEIR decision making. i.e. the Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-89880406894907009642011-09-21T09:53:23.746+10:002011-09-21T09:53:23.746+10:00David, it is one thing to study a records system a...David, it is one thing to study a records system and conclude that information is missing, it is an entirely different matter to conclude either that one must (or even can) "fix the information first".<br /><br />The problem here is that until you share the data, the "purpose" in "fit for purpose" is not "sharing", and the reason it is futile to attempt toMichael Lawleyhttp://lawley.id.au/noreply@blogger.com