tag:blogger.com,1999:blog-23447705.post7856238924443243037..comments2024-03-28T17:49:03.998+11:00Comments on Australian Health Information Technology: Talk About A Long Goodbye! The UK NPfIT Finally Wraps it Up.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-23447705.post-41788499178165727752016-07-25T14:22:47.929+10:002016-07-25T14:22:47.929+10:00Well, ironically, the DUnning-Kruger effect is qui...Well, ironically, the DUnning-Kruger effect is quite visible with some of the comments here too.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-72879453245498841482016-07-25T10:23:47.960+10:002016-07-25T10:23:47.960+10:00A canny investor could make a motza out of the gol...A canny investor could make a motza out of the golden opportunity now created, provided they knew how. <br /><br />They need to be more than just canny. They also need access to a couple of pragmatic individuals with "a combination of IT and medical knowledge" and experience in complex strategic thinking.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-32364895910810922352016-07-25T09:53:50.013+10:002016-07-25T09:53:50.013+10:00What an exquisite summary (July 24, 2016 4:01 PM) ...What an exquisite summary (July 24, 2016 4:01 PM) the truth of the matter. Turnbull, Morrison and Ley are oblivious to it all.<br /><br />1. "generic management (that) don't feel that they need to have any real understanding of what they are managing and this allows inexperienced "architects" to go off into the weeds."<br /><br />2. "Other professional bodies such as Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-28819241305945630762016-07-24T16:52:43.560+10:002016-07-24T16:52:43.560+10:00Anonymous said "We have classic cognitive dis...Anonymous said "We have classic cognitive dissonance where the stronger the evidence against the correctness of what they believe becomes the harder they dig in. We now have a good going cargo cult."<br /><br />It's a known phenomena - Backfire.<br /><br />How facts backfire<br />http://www.boston.com/bostonglobe/ideas/articles/2010/07/11/how_facts_backfire?mode=PF<br /><br />Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-25526575139357022262016-07-24T16:01:29.363+10:002016-07-24T16:01:29.363+10:00There is a collection of common post modern proble...There is a collection of common post modern problems that will defy reason.<br /><br />We have classic cognitive dissonance where the stronger the evidence against to correctness of what they believe becomes the harder they dig in. We now have a good going cargo cult.<br /><br />We have generic management that don't feel that they need to have any real understanding of what they are managing Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-49201931933910784632016-07-24T14:56:01.530+10:002016-07-24T14:56:01.530+10:00Expanding on the uselessness of the NEHTA/PCEHR &q...Expanding on the uselessness of the NEHTA/PCEHR "architecture"...<br /><br />When I was learning about Information System architectures and development, they used a library lending system as an example.<br /><br />The conceptual information architecture included the concept of a book. This was central to the system as it was what the whole application was about.<br /><br />Looking at Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-41256012003639024482016-07-24T13:46:51.199+10:002016-07-24T13:46:51.199+10:00John,
Adding to your insights:
1. Automating manu...John,<br />Adding to your insights:<br /><br />1. Automating manual health record keeping systems will lead nowhere, other than increased costs, poorer quality health care (GPs end up as data entry clerks)<br /><br />2. GPs don't know what they need in order to deliver better decisions (more static data is not the answer)<br /><br />Therefore, any approach that focuses on building a dumb Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-9216736848663814882016-07-24T07:50:51.303+10:002016-07-24T07:50:51.303+10:00Bernard, I agree entirely with your comments.
The...Bernard, I agree entirely with your comments. <br />The focus must be on the doctors and associated clinical teams--within and across professional domains, organisations and jurisdictions.<br /><br />In my view, the bottom line is:<br />1. Doctors are required to make decisions about life and death and are held to account for those decisions;<br /><br />2. Accordingly, they should be demanding John Scotthttps://www.blogger.com/profile/08079976983963894814noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-62534081112649085072016-07-22T18:27:18.193+10:002016-07-22T18:27:18.193+10:00Bad project management and oversight? Perhaps it i...Bad project management and oversight? Perhaps it is amateur hour in procurement and lack of penalties and exit strategies in contracts that results in frustrated project management.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-4087792938286149552016-07-22T17:44:50.793+10:002016-07-22T17:44:50.793+10:00Thank you Ian.
My one word summary is:
Hubris
or...Thank you Ian.<br /><br />My one word summary is:<br />Hubris<br /><br />or, in three words:<br />Ignorance and arrogance.Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-17878271358913404492016-07-22T17:31:09.557+10:002016-07-22T17:31:09.557+10:00Thank you for that Bernard - I agree with you &quo...Thank you for that Bernard - I agree with you "They just don't get it.".<br /><br />As you say - "Patients (and funding organisations) are the beneficiaries of better health care, however they are not the main users of "digital technology"."<br /><br />Yet it is the funding organisations (or in other words the bureaucracy) with huge amounts of money at their Dr Ian Colcloughnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-8208135704884167082016-07-22T16:33:11.360+10:002016-07-22T16:33:11.360+10:00As long as people read and believe reports like th...As long as people read and believe reports like this, the same old mistakes seen in NPfIT and MyHR will get made.<br />http://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/healthcares-digital-future<br /><br />They talk about three waves and then say this:<br /><br />"Many institutions in the private and public sector have already moved to the third wave of IT Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.com