tag:blogger.com,1999:blog-23447705.post7775759924473792975..comments2024-03-28T17:49:03.998+11:00Comments on Australian Health Information Technology: The AMA President Makes The AMAs View On The PCEHR Very Clear. Hardly Positive.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-23447705.post-15110607711345548432015-03-13T15:02:48.956+11:002015-03-13T15:02:48.956+11:00Maybe this lot will come up with some good ideas:
...Maybe this lot will come up with some good ideas:<br /><br />Health leaders unite for think tank on federalism and health<br />http://medianet.com.au/releases/release-details?id=823540<br /><br />Australian Healthcare & Hospitals Association<br />10/03/2015 2:42:43 PM<br /><br />More than 100 health leaders, including Federal Health Minister the Hon Sussan Ley MP, will converge on Old Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-44654420657135761472015-03-11T22:54:31.983+11:002015-03-11T22:54:31.983+11:00Bernard,
Your words:
”If the states want a centr...Bernard,<br /><br />Your words:<br /><br /><i>”If the states want a centralised approach to any particular issue/initiative, they commission it and pay for it through COAG.<br /><br />So, Sussan Ley should hand NEHTA and the PCEHR (along with the review etc) over to COAG and tell them to sort it.”</i><br /><br />No doubt COAG is have an existential threatening moment with themselves handing over Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-79610670270805195452015-03-11T09:59:54.530+11:002015-03-11T09:59:54.530+11:00The Feds can hand over anything they like to the s...The Feds can hand over anything they like to the states. Although maybe not through existing COAG mechanisms.<br /><br />In 1988, I worked with others on a new funding model for the Rural Assistance Scheme. Instead of the Federal Government funding specific projects through a complex bidding and approval process they implemented a radically different scheme.<br /><br />They agreed a set of Bernard Robertson-Dunnhttp://www.problemsfirst.comnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-64379978573144888212015-03-11T08:17:41.524+11:002015-03-11T08:17:41.524+11:00ahhh yes --- especially as with NEHTA where they h...ahhh yes --- especially as with NEHTA where they have a 50% stake .... which they can decline to fund leaving it all to the states!!! As I understand it none of the stakeholders has a binding obligation to keep putting up money to support NEHTA. In fact if the excellent National Audit Office team looked into NEHTA the outcomes of the 5CPA Audit would be mild by comparison.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-89886499998811539172015-03-11T00:26:35.040+11:002015-03-11T00:26:35.040+11:00Bernard,
It appears on face value that you do not...Bernard,<br /><br />It appears on face value that you do not understand and appreciate the present COAG funding model...<br /><br />The C'th cannot handover anything to the States through COAG without any funding strings attached, especially as with NEHTA where they have a 50% stake!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-90427995080697718952015-03-10T23:24:52.373+11:002015-03-10T23:24:52.373+11:00Let me add to Bernard's excellent appraisal wi...Let me add to Bernard's excellent appraisal with John Menadue's observations that:<br /><br />- to achieve community-centred health reform vested interests [the rent seekers] must be bypassed<br /><br />and<br /><br />- those on the "inside" find it hard to imagine any significant departures from existing policies and proceduresDr Ian Colcloughnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-32106603978530406532015-03-10T19:53:54.336+11:002015-03-10T19:53:54.336+11:00I suggest that the root cause of this "Health...I suggest that the root cause of this "Health Policy Stagnation" is Federal/State relations.<br /><br />The Federal government can do little, if anything, in the way of health service delivery. All it can do is try and leverage the power it has that is associated with funding.<br /><br />If you look at "the list of policy problems", they are all funding related. Medicare, PBS,Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.com