tag:blogger.com,1999:blog-23447705.post7515278046032556004..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: Why Do So-Called Experts Keep Making Total Nit Wits Of Themselves When Talking About The myHR?Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger16125tag:blogger.com,1999:blog-23447705.post-68757982910942176762017-03-20T14:42:12.001+11:002017-03-20T14:42:12.001+11:00After a careful read of the quotes attributed to B...After a careful read of the quotes attributed to Bill Ferris I acknowledge there is considerable merit in his view that "our capabilities in gene sequencing and pathology analysis" have the potential to position Australia right up there "at the front of the bus".<br /><br />However, his views on the Department of Health's My Health Record are more than a little troubling.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-55516995487293448932017-03-20T14:28:59.757+11:002017-03-20T14:28:59.757+11:00David,
Totally agree.
Two questions I keep asking...David,<br />Totally agree.<br /><br />Two questions I keep asking:<br />1. How many times has a MyHR been accessed and used for healthcare purposes; and<br />2. How much money has the MyHR saved the government, or anyone else.<br /><br />I have never had a single response.<br /><br />BTW, SHS uploads peaked just before the ePIP deadline.<br /><br />SHS uploads have been pretty flat (apart from Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-9681223585059686822017-03-20T12:42:03.372+11:002017-03-20T12:42:03.372+11:00Bernard,
Useful stats, but missing the one we nee...Bernard,<br /><br />Useful stats, but missing the one we need, namely how many times have clinical data been accessed to assist in patient care?<br /><br />Until that figure gets published it is all too hard to be sure just what is going on. Not much based on the stats we do have.<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-15236941119976542932017-03-20T12:37:31.961+11:002017-03-20T12:37:31.961+11:00Here are some metrics, based upon the government&#...Here are some metrics, based upon the government's published stats<br /><br />As of 12 March there are 4,662,170 registrations. Despite what the government says this is not the same as health records - to have a health record you need to have a nominated service provider and upload a Shared Health Summary - at least, that's how I'd define it.<br /><br />Since the system went live Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-22377216105801748462017-03-20T12:01:17.287+11:002017-03-20T12:01:17.287+11:00A bit rich saying NEHTA lost its way, Paul Maddon ...A bit rich saying NEHTA lost its way, Paul Maddon was pulling the strings and he is still there pulling strings. You cannot keep sticking things on the pcehr if it is broken, how is that a fresh start?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-63688190916961718822017-03-20T11:10:52.536+11:002017-03-20T11:10:52.536+11:00I must take issue with anon@9.44
The question mus...I must take issue with anon@9.44<br /><br />The question must be: "What evidence exists that the MyHR is fit for any purpose?" Aside from any other failing, it fails from a patient safety perspective as it is incomplete. Its only saving grace is that it is rarely used and this reduces the likelihood of someone suffering from some misadventure based on its incomplete information.<br /><Bruce Farnellhttps://www.blogger.com/profile/03895794526347112930noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-53669536682499826472017-03-20T11:09:57.294+11:002017-03-20T11:09:57.294+11:00@10:59 said "In other words you just have to ...@10:59 said "In other words you just have to accept that $2 billion has been wasted and has to be swept under the carpet and written off while "we make (need)a fresh start"."<br /><br />That may be fine but it is my belief the myHR is not a useful, fit for purpose initiative. If it is going to be continued with I want to see some genuine trials that assess clinical utility andDr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-60359519457055859562017-03-20T11:06:54.405+11:002017-03-20T11:06:54.405+11:00All, the commentary here is great reading. Also an...All, the commentary here is great reading. Also any 'accessible or measurable data' in the MyHR is incomplete, ?inaccurate and only attempts to measure a small subset of a very complex genomic system. In addition those systems that can measure what we know about genomics have little understanding of the "meaning' of the data and its relevance to care.Terry Hannanhttps://www.blogger.com/profile/04068727812313410493noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-36626795280422700912017-03-20T10:59:13.501+11:002017-03-20T10:59:13.501+11:00@9.50 am "I think that after 5 years there sh...@9.50 am "I think that after 5 years there should be evidence that the myHR is making a positive difference".<br /><br />Kelsey has openly admitted on numerous occasions and Paul Madden has also said that NEHTA had lost its way and a fresh start was needed. Logic suggests that this means there is no value in harping back over 5 years like a broken record about something that hasn't Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-77289508256628583392017-03-20T09:50:19.715+11:002017-03-20T09:50:19.715+11:00
@ 9:44am
11:15pm where is your evidence the the ...<br />@ 9:44am<br /><br />11:15pm where is your evidence the the My Health Record is not fit for this purpose? <br /><br />I think that after 5 years there should be evidence that the myHR is making a positive difference to patient care and health finances - given its cost. I have seen none. A link would be good to some research that shows real demonstrated community benefit!<br /><br />David.<brDr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-52744298644232689162017-03-20T09:44:04.504+11:002017-03-20T09:44:04.504+11:0011:15pm where is your evidence the the My Health R...11:15pm where is your evidence the the My Health Record is not fit for this purpose? The quality is down to the input at the feeder systems, any data quality issues is simply a change in best practice for healthcare workers and will improve over time.<br /><br />8:09am, The Agency takes Standards very seriously as you will see very soon, quality is of the highest importance, again where is your Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-56827411088861529322017-03-20T08:09:45.807+11:002017-03-20T08:09:45.807+11:00Might be safest if the ADHA are left right out of ...Might be safest if the ADHA are left right out of this. Standards and quality are not their cup of tea. I doubt they have the intellect in enough abundance to translate this into anything of value. Perhaps the Lady from MTV has an answer it has been 6 months.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-64656760679146924292017-03-20T00:02:41.866+11:002017-03-20T00:02:41.866+11:00Event summaries are optional and summaries and can...Event summaries are optional and summaries and cannot be drilled into so events and data can become missing in the process.<br /><br />Develop, test, validate and improve methods for data collection in general practice including collaboration with researchers, coding/terminology experts, GP's and software developers. Use existing standards, update standards and create new standards as Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-8258136362171622472017-03-19T23:15:21.195+11:002017-03-19T23:15:21.195+11:00Genomics and related technology is good.
However M...Genomics and related technology is good.<br />However MyHR for research doesn't seem that useful. I don't see much value to using a data source that: <br />is a non-random sample; <br />has >95% missing data; <br />has uncoded nonatomic data elements contained in documents; <br />is not event based making longitudinal analysis very limited; <br />has no published comparison of data Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-30621906201610466892017-03-19T19:28:52.169+11:002017-03-19T19:28:52.169+11:00At least Mr Ferris is not sugar coating the fact t...At least Mr Ferris is not sugar coating the fact this is about Government and Business not a patient. He might well be correct on the privacy front, given that Government Agencies seem to have powers that override any rights or dignities Australians may think they have.<br /><br />Hope Tim has a KPI on solving the HI problem, need that matching capability sunshine, best you whip those CIO's Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-51749676659596957082017-03-19T18:38:49.922+11:002017-03-19T18:38:49.922+11:00My Health Record and genomics, that will result in...My Health Record and genomics, that will result in a PDF gene sequence of an indervidual so citizens can marvel at what the Government can do and help a citizen take control of their health. I am sure there is a quaint little English phrase for that.Anonymousnoreply@blogger.com