tag:blogger.com,1999:blog-23447705.post792501476243752964..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: Prof Patrick Has Really Hit the Bullseye It Would Seem. Lots of Supportive Comments From All Over!Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger26125tag:blogger.com,1999:blog-23447705.post-31209451476603761462011-03-10T04:17:57.978+11:002011-03-10T04:17:57.978+11:00Phage here. Circulation on the web has the US HIT ...Phage here. Circulation on the web has the US HIT Director David Blumenthal as having been a defendant in a med mal case involving lab reports that were sent to an EMR but not seen by him or his staff.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-57314603483776426332011-03-09T22:40:10.149+11:002011-03-09T22:40:10.149+11:00I shall endeavour to answer the questions brought ...I shall endeavour to answer the questions brought up in all these posts in the one answer. I will not provide answers where it is clear commentators have not read the report but refer them to an appropriate section<br />Q1." ie what product should have been purchased?" This is discussed in Part 1<br />C2. "After that I stopped reading" that's a pity as the subsequent Jon Patricknoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-3193250927537219312011-03-09T22:39:04.739+11:002011-03-09T22:39:04.739+11:00This is the second part of my response.
C7."T...This is the second part of my response.<br />C7."There were more than 50 design sessions held in locations across the state involving literally hundreds of clinicians. Anyone having completed even minimal research would be fully aware of this." I have addressed the issue of manipulation of the consultation process so as to disenfranchise clinical staff in Part 2.<br />C8. "Being Jon Patricknoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-74387662596857148622011-03-09T13:22:39.653+11:002011-03-09T13:22:39.653+11:00Patients are experiencing death and injury from th...Patients are experiencing death and injury from these devices in the US and in the UK...and all over. The HIMSS trade group is powerfully wealthy, I am told by insiders, from trading on insider information from its member companies and start-ups. HIMSS has deceived the government leaders of innumerable countries.<br /><br />In the US, Cerner's systems cauused baby deaths at Pittsburgh's Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-20297588796927721902011-03-09T13:17:32.095+11:002011-03-09T13:17:32.095+11:00but some day in the future when Cerner is being re...<i>but some day in the future when Cerner is being replaced by something else, clinicians may look back and remember it fondly... </i><br /><br />And Ostriches might fly.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-62001737828128254962011-03-08T22:55:45.312+11:002011-03-08T22:55:45.312+11:00It is always challenging when implementing a new c...It is always challenging when implementing a new clinical system. Almost 20 years ago, EDIS was introduced to most EDs in NSW, and many clinicians were disappointed then and complained - EDIS had the ability to enter orders (for tests and medications), but heck! the electronic orders went nowhere, and clinicians still had to handwrite their orders on paper slips and get the orderlies to deliver Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-65855537067804628352011-03-08T18:32:12.864+11:002011-03-08T18:32:12.864+11:00At the end of the day, Cerner has failed to delive...At the end of the day, Cerner has failed to deliver. Why postulate when it's obvious?<br />Ok, Ok.....they may have delivered according to a specific (albeit undercooked)criteria. <br />The issue is that they got a foot in the door in the first place at frightening cost when a better local alternative was available at a fraction of the cost.<br />When the bureaucrats are made to step back Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-60017497605470446992011-03-08T15:44:23.168+11:002011-03-08T15:44:23.168+11:00Anonymous said:
"Let’s hope practical and ra...Anonymous said:<br /><br />"Let’s hope practical and rational thinking prevails. We need to make healthcare better. EMRs are THE ONLY known tool (there is no other wonder drug, magic government policy or genomic therapy) that can have the systemic impact on healthcare that we need to address its increasing demand and costs. "<br /><br />I really do take exception to this statement! I Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-90403845476897101982011-03-08T15:39:22.939+11:002011-03-08T15:39:22.939+11:00Has Dr Patrick ever completed (or even been involv...Has Dr Patrick ever completed (or even been involved in) an implementation of an EMR (at all or of any scale)? Can someone tell us what makes him an authority the subject?<br /><br />There are so many relevant things he hasn't considered (the benefits of integration of ED systems with the hospital EMR and the benefits to patients of having an integrated system across the entire state to name Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-58710297359421399162011-03-08T15:25:58.279+11:002011-03-08T15:25:58.279+11:00Anonymous Mar 28 1:36 PM, it seems your own axe is...Anonymous Mar 28 1:36 PM, it seems your own axe is so large you could knock down the American Redwood National Forest with it. <br /><br />I would bet you're a corporate shill or sockpuppet. I've had to deal with sockpuppets from other health IT companies, such as here: http://hcrenewal.blogspot.com/2010/01/more-on-perversity-in-hit-world.html <br /><br />Directors well know what'sInformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-73266628239978286142011-03-08T13:36:30.834+11:002011-03-08T13:36:30.834+11:00Dr Patrick - you are so misinformed. There are so ...Dr Patrick - you are so misinformed. There are so many untruths in what you report. Why is this? Because you interviewed 7 people. Being Directors, what is the likelihood they are hands on with the system? Minimal I would say from experience in the EDs. Call yourself a researcher - huh! It is a totally biased report which reflects the opinions of those with an axe to grind. Why don't you Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-32218302392349388862011-03-08T13:13:02.712+11:002011-03-08T13:13:02.712+11:00Anonymous writes:
"His papers are full of ...Anonymous writes: <br /><br />"His papers are full of opinions, unfounded claims and incorrect facts (not to mention the countless flaws in his research methodologies)."<br /><br />Really? How 'bout expounding on your above thesis, professor? <br /><br />I can easily claim "you beat your wife", but without giving evidence, it doesn't mean much.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-57913659666675831042011-03-08T12:01:49.878+11:002011-03-08T12:01:49.878+11:00The problem with "one size fits all" is ...The problem with "one size fits all" is that - <br /><br />one size does not fit all.<br /><br />This is a first principle, and as such it is not open to debate.InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-8973404121004404772011-03-08T11:59:47.487+11:002011-03-08T11:59:47.487+11:00Anonymous said:
Unfortunately Jon has not propose...Anonymous said:<br /><br /><i>Unfortunately Jon has not proposed any practical alternatives in his papers. His papers are full of opinions, unfounded claims and incorrect facts (not to mention the countless flaws in his research methodologies). </i><br /><br />I have been accused of the same in my writings, yet those readers seem never to find nuggets I plant such as:<br /><br />Health InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-64327774424142630422011-03-08T09:58:41.727+11:002011-03-08T09:58:41.727+11:00However, as I understand it, that all led to a sta...However, as I understand it, that all led to a state wide common build, which lacked the flexibility to suit individual hospitals. Hence the unhappiness as they were forced to use something that was one size fits all.<br /><br />David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-47792038164960162392011-03-08T09:43:21.907+11:002011-03-08T09:43:21.907+11:00There were more than 50 design sessions held in lo...There were more than 50 design sessions held in locations across the state involving literally hundreds of clinicians. Anyone having completed even minimal research would be fully aware of this.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-10948301369659908092011-03-08T08:35:24.824+11:002011-03-08T08:35:24.824+11:00I've seen the other end of this: continual att...I've seen the other end of this: continual attempts to engage doctors in discussions before and during implementation fail because "I'm too busy ... I'm not a computer person ... I'm a clinician, not an IT person ...".<br />Excuses piled on excuses for not engaging with the project, and then complaining that they wheren't consulted.<br /><br />Physicians lose their Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-67784715989823545052011-03-08T08:31:51.484+11:002011-03-08T08:31:51.484+11:00"As usual, the consumers (doctors) had virtua..."As usual, the consumers (doctors) had virtually no input." - from the above mentioned blog<br /><br />Yes, I've seen that argument to. However, this is a comment that seems to be made after the fact.<br /><br />I've seen the other end of this: continual attempts to engage doctors in discussions before and during implementation fail because "I'm too busy ... I'm notAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-55965760480479674052011-03-08T02:47:47.887+11:002011-03-08T02:47:47.887+11:00My latest thoughts are at http://hcrenewal.blogspo...My latest thoughts are at http://hcrenewal.blogspot.com/2011/03/australian-ed-ehr-study-putting-lie-to.htmlInformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-69017393278468343472011-03-07T23:36:58.215+11:002011-03-07T23:36:58.215+11:00The object of Jon Patrick's paper is an analys...The object of Jon Patrick's paper is an analysis of the Cerner FirstNet implementation by NSW Health, and a sorry tale it is, not the canvassing of alternatives.<br /><br />His suggestion, however, for the "better" systems does point us in the direction of a change in the philosophical stance we should be adopting in implementing e-health in fast moving acute health settings. <br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-13737755978852959392011-03-07T22:12:47.437+11:002011-03-07T22:12:47.437+11:00To add to what's already been said, some of us...To add to what's already been said, some of us are old enough to remember when EDIS was introduced - not exactly to universal acclaim!Now the ED Directors are defending it... really? Jon couldn't find ANYONE who preferred Cerner? Yeah, right... and they all really want open source too don't they mate.<br /><br />The other thing that ticks me off is the ongoing and clearly deliberate Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-80650421840774887452011-03-07T21:24:35.437+11:002011-03-07T21:24:35.437+11:00It seems that the heuristic axiom of Ockham’s Razo...It seems that the heuristic axiom of Ockham’s Razor (as presented by Jon) is the design criteria by which Jon thinks NSW Health should have selected their CIS ... unbelievable! <br /><br />Unfortunately Jon has not proposed any practical alternatives in his papers. His papers are full of opinions, unfounded claims and incorrect facts (not to mention the countless flaws in his research Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-38515766842054078512011-03-07T21:20:38.079+11:002011-03-07T21:20:38.079+11:00It seems that the heuristic axiom of Ockham’s Razo...It seems that the heuristic axiom of Ockham’s Razor (as presented by Jon) is the design criteria by which Jon thinks NSW Health should have selected their CIS ... unbelievable! <br /><br />Unfortunately Jon has not proposed any practical alternatives in his papers. His papers are full of opinions, unfounded claims and incorrect facts (not to mention the countless flaws in his research Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-37893972579412275872011-03-07T15:05:25.801+11:002011-03-07T15:05:25.801+11:00I started reading at the end – i.e. with Jon’s ide...I started reading at the end – i.e. with Jon’s ideas as to what a “better” system should look like. I got as far as the following:<br /><br />An evaluation of the complex systems model of a hospital<br />community provides some insight into the design frames for a<br />Clinical Information System such as:<br />1. No central control: communities/people have to be able to<br />create their own CISAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-119472403625704052011-03-07T13:09:26.842+11:002011-03-07T13:09:26.842+11:00While this is specifically about the Cerner produc...While this is specifically about the Cerner product, I'm sure you could produce a similar issue list with any health software sold in Australia.<br />It's no wonder that the FDA in the US is interested in becoming a quality gatekeeper for this stuff.<br />BTW, I deal with an EDIS implementation. I would hardly describe EDIS as a quality piece of health software.Anonymousnoreply@blogger.com