tag:blogger.com,1999:blog-23447705.post8757564158970316443..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: ScoMo Advised To Stop The myHR Program! Hard To Disagree.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-23447705.post-34325032485307825642017-01-06T15:25:43.978+11:002017-01-06T15:25:43.978+11:00Which is why I suggested that the States pay. a) t...Which is why I suggested that the States pay. a) they don't have huge amounts of money and b) they are far more interested in the efficient/effective delivery of health care than the Feds.<br /><br />And just to be absolutely clear, I am a great supporter of automation, the use of Information Systems and better use of health data in research and delivery of health care.<br /><br />What I Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-81636219280780239402017-01-06T12:56:56.464+11:002017-01-06T12:56:56.464+11:00Bernard Robertson-Dunn said "If I can easily ...Bernard Robertson-Dunn said "If I can easily find such references, why didn't the Department of Health, Deloitte or NEHTA?"<br /><br />I think it fair to assume Bernard that they did read these references. However, their agendas differ from what you, I, David and many, many others in the health software industry see the agenda should be.<br /><br />We are interested in seeing a moreAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-67011285402325879242017-01-06T10:43:59.132+11:002017-01-06T10:43:59.132+11:00David, I totally agree.
IMHO it all started with ...David, I totally agree.<br /><br />IMHO it all started with this paper:<br /><br />Can Electronic Medical Record Systems Transform Health Care? Potential Health Benefits, Savings, And Costs<br />RAND corporation.<br />http://content.healthaffairs.org/content/24/5/1103.long<br /><br />The big wrong assumption is embedded in this section:<br /><br /><b>"What Can We Learn From Other Industries?Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-15024457700960508002017-01-05T15:51:41.182+11:002017-01-05T15:51:41.182+11:00Bernard,
You wrote:
"IMHO, significant chan...Bernard,<br /><br />You wrote:<br /><br />"IMHO, significant change will only come to the practice of health care when something brand new comes along. What that will be, or even if there ever will be anything brand new is not known, I certainly can't predict it.<br /><br />That doesn't stop lots of other people trying, though. Vendors of eHealth, IoT, big data analytics, Watson, Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-17576616424441389522017-01-05T15:34:10.250+11:002017-01-05T15:34:10.250+11:00Most significant changes come from outside and are...Most significant changes come from outside and are disruptive of the old.<br /><br />Cottage industry -> industrial revolution, industrialisation, automation.<br /><br />Horse draw vehicle -> internal combustion engine -> electric power.<br /><br />POTS -> 2/3/4/5G smartphone/wifi.<br /><br />IBM/BUNCH (Who remembers what that stood for?) -> Microsoft -> Internet/Google/FacebookBernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-79139872304476020352017-01-05T10:19:52.689+11:002017-01-05T10:19:52.689+11:00@January 04, 2017 10:36 AM
"Replace [person]....@January 04, 2017 10:36 AM<br />"Replace [person]..."<br /><br />Won't change anything systemically. The same consultants and corporates who provided and profited from the big eHealth solutions will remain.<br /><br />@January 03, 2017 9:51 PM<br /><br />Just as terrifying: "I'm from [a big corporate (the privatized bit of government)] and I'm here to help..." [Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-9157129609456311382017-01-05T09:36:31.911+11:002017-01-05T09:36:31.911+11:00Replacing the minister has changed nothing in the ...Replacing the minister has changed nothing in the past, I doubt replacing Ley would make much of a difference. The States funded the old model, the only ones who will benefit is Canberra and NT, both fixated by large centralised data storage solutions. Maybe a change of the ADHA board and C-Level might allow some forwarding thinking people to move things towards the modern world, not ones that goAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-28954493038383847962017-01-04T14:13:59.569+11:002017-01-04T14:13:59.569+11:00And it also occurred to me that the states should ...And it also occurred to me that the states should pay for all of ADHA's activities, and take away from the Health Minister the power to direct ADHA.<br /><br />If the Federal government opposes the principle of making those who gain the benefit from paying the cost, maybe the Federal government sees some benefit in spending above $1.5b on something they (and nobody else, for that matter) getsBernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-27719985035587857662017-01-04T10:36:43.337+11:002017-01-04T10:36:43.337+11:00Maybe just replace Minister Ley.
She's probab...Maybe just replace Minister Ley.<br /><br />She's probably quite entitled to use an RAAF plane, but why did she and the Pharmacy Guild schedule an appointment on the Gold Coast on the last sitting day of the autumn session?<br /> <br />SBS news:<br />Turnbull Government Minister, Sussan Ley, reportedly spent more than $12,000 chartering a plane from Canberra to the Gold Coast last year to Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-2604654441725028012017-01-03T21:51:05.597+11:002017-01-03T21:51:05.597+11:00While he is at it can ScoMo please get rid of the ...While he is at it can ScoMo please get rid of the department that allows a 5 star health rating to sugar laden "Up and Go" for breakfast. There appears to be a general failure of management in the department. They are stuffing lots of things up and causing damage to the health system and peoples health. In retrospect this US President seems sane...<br /><br />The most terrifying words Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-58904479667641668962017-01-03T17:01:54.120+11:002017-01-03T17:01:54.120+11:00Well spotted David.
I suggest that in the case o...Well spotted David.<br /> <br />I suggest that in the case of MyHR the question should be extended to include the states. After all they are the ones who should be reaping the benefits of improved health care at lower costs, by using MyHR.<br /><br />Suggestion: All on-going costs for MyHR and a proportion of sunk costs should be borne by the states on a population, pro rata, basis - if they see Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.com