Again, in the last week, I have come across a few reports and news items which are worth passing on.
These include first:
Karen Dearne | November 04, 2008
THE Pharmacy Guild continues its push into primary healthcare with tailored management plans for patients suffering from chronic illnesses.
A guild subsidiary, Healthlinks.net, has signed a deal with US pharmacy-based patient system provider Mirixa to bring its web-based software, MirixaPro, to Australia.
Guild national president Kos Sclavos said Mirixa technology was a platform that let community pharmacies run care management programs for illnesses ranging from diabetes to HIV.
"As people have been trying to get health services out of the hospitals and into the community, US pharmacies are getting back some of the traditional markets they had lost, such as HIV drug delivery," he said.
"Mirixa software helps with medication compliance and better health outcomes by making sure that people on chronic therapy medicines stick to their treatment regimen."
Mr Sclavos said no decisions had yet been made on which programs would be brought across. "Any system that comes here has to be Australianised, and we've previously announced that we'll be in a position to discuss our plans by April next year," he said.
This is an interesting initiative. Having a care management system that assists patient compliance can only be a good thing. Additionally having closer post marketing surveillance may also be useful. The worry with all this will be how the information flow between prescribers and the pharmacists can be optimised and consist of a information set beyond the simple prescription. Without proper clinical communication between GPs, Specialists and Pharmacists any additional roles and responsibilities being taken on by pharmacists could have some un-intended and negative consequences.
Second we have:
Over the past couple of years, we’ve noticed a marked change in medical office’s views on the web-based, or Software as a Service (SaaS), model of using EMR and practice management systems. Among practices looking for new software, we’ve observed:
· ~30% are asking specifically for a SaaS system;
· ~45% are aware of SaaS and considering the model; and,
· ~25% remain adamant about managing software “on premise.”
The short answer is that SaaS has gone mainstream. It’s not a nascent technology concept any more. People get it, and they use it – to bank, to shop, to email…
In addition to the familiarity users have gained through using web-based applications in other areas of their life, we see three macro drivers that are making SaaS work.
I was sent this URL by a provider of advisory services to clinicians among some other groups. The comments on more web based provision make sense and are worth being aware of.
Third we have:
October 30, 2008 - 5:22PM
Australia's primary health care system will continue to favour the rich and could break down if Medicare is not overhauled, Health Minister Nicola Roxon says.
The minister spoke of the need for a shake-up of the nation's health landscape on Thursday, as she launched the inaugural discussion paper on primary-care reform from a government reference group.
The paper paints a dim picture of primary care in Australia, where patients have to wait weeks to see their GP if they are fortunate enough to live in an area with a doctor at all.
A greater emphasis on nurses and other allied health professionals and new funding arrangements to boost access to health care for people in remote and disadvantaged areas are the group's key suggestions.
A greater focus on prevention and advancing e-health were also discussed in the report.
It is good to see e-Health gets a mention in the new proposed primary care strategy. GPs have for too long not been given a sensible level of government support in this area – not so much as far as money is concerned – but more in terms of leadership, objective setting and co-ordination.
Fourth we have:
Karen Dearne | November 04, 2008
INDUSTRY observers are taking the positive spin on e-health achievements in the Health Department's annual report with a large dose of salt.
The federal agency has underspent its e-health budget by $11.2 million. It spent only $42.6 million out of $53.8 million allocated for 2007-08.
This followed a disastrous year for health IT funding in 2006-07, when $41.5 million was left unspent out of $79 million allocated to national projects, including the failed HealthConnect.
AushealthIT blogger David More said it was unclear how the department could claim "so many successes and performance indicators being met".
According to the report, more than 300 million clinical communications, including specialist referrals, hospital discharge summaries, prescriptions, pathology reports and diagnostic imaging took place during the year.
It is nice your faithful blogger gets the odd mention in the mainstream press. It seems to me one of the few ways that might get Government off their backsides is a little criticism in the media – recognising just how media driven the present government is.
It should be noted that the Rudd Government has deferred the COAG Meeting planned for November 17 – because of PM travels to the US regarding the financial crisis. The chance of new e-health spending at this meeting – given the budgetary situation – must be pretty low.
The risk is much increased by the unravelling of COAG with election of the Liberal Government
Fifth we have:
Tim Anderson and Jack Schofield
November 3, 2008
An early "pre-beta" build of Windows 7, the successor to Vista, is now in the hands of thousands of software developers after it was previewed at last week's Microsoft Professional Developers Conference in Los Angeles.
Major hardware manufacturers already have copies but many more will get them at WinHEC, the Windows Hardware Engineering Conference, which opens in Los Angeles on Wednesday.
Microsoft is keen to avoid a repeat of Vista's shambolic launch. Corporate vice-president Mike Nash spoke at the press briefing about learning from the Vista experience. The man in charge of Windows engineering, Steven Sinofsky, emphasised the rigour and discipline of the Windows 7 development process.
It appears to be working. Even in the preview handed out to the media, Windows 7 feels more polished and less annoying than its predecessor. The changes are not dramatic but that is a good thing. Microsoft has left the core architecture untouched, so software and devices that worked on Vista should still work.
Microsoft is also making Windows "quieter", in other words, reducing the number of prompts that interrupt your work. For example, too many applications now install themselves in the Windows system tray and pop up frequent notifications. Windows 7 returns control to the user by letting you hide them or turn off their messages. You can also fine-tune User Account Control, the security feature that in Vista flashes the screen and shows a dialogue box whenever you change a system setting.
Vastly more here:
Can I say this all sounds like very good news. The stability of Vista without all the annoyances would be a very good thing indeed!
Last we have the slightly more technical article for the week:
Gartner finds for the first time in five years of surveying that fewer companies have plans to move forward with SOA.
Paul Krill (InfoWorld) 04/11/2008 13:17:00
SOA adoption has hit a bump in the road, according to survey detailed by Gartner on Monday.
The number of organizations planning to adopt SOA for the first time decreased to 25 percent; it had been 53 percent in last year's survey. Also, the number of organizations with no plans to adopt SOA doubled from 7 percent in 2007 to 16 percent in 2008. This dramatic falloff has been happening since the beginning of 2008, Gartner said.
Gartner has been doing the survey for five years, and this is the first time the numbers dropped, said analyst Dan Sholler, research vice president at Gartner. "What we're seeing is that there are a bunch of organizations [that] for a variety of reasons don't expect to be doing anything specific about SOA next year," Sholler said.
This year's survey saw a decline in the growth rate for SOA, he stressed. Overall, organizations expect to be doing fewer projects next year, with the economy contributing to that to a degree, Sholler said. Organizations also may be doing fewer things for which SOA applies, he said.
More discussion here:
It is interesting that the trend towards Services Orientated Architecture (SOA) adoption appears to be slowing. The health sector in a number of countries is relying on implementations of SOA working well – so any issues need to be understood and resolved as quickly as possible.
Also we have more details in MS Azure – which intersects with SOA based approaches.
The project lead explains why the hypervisor is not Hyper-V, how multitenant apps are supported, and why Azure is not like Amazon's EC2
Paul Krill and Eric Knorr (InfoWorld) 03/11/2008 08:32:00
More next week.