This appeared just on a year ago.
Peter Fleming, National E-Health Transition Authority, Chief executive
- Karen Dearne
- From: The Australian
- February 17, 2009
A PRAGMATIC approach will lead to success in e-health projects across the country this year, Peter Fleming says.
"There are huge opportunities to leverage what's out there, but in the short term we need to be pragmatic because that varies from state to state and from platform to platform," Fleming says.
"We have a utopian view of standards, but the reality is we need to work with each vendor to understand their capabilities, and start from there."
He is confident several production pilots, presently before NEHTA's board for approval, will begin this year.
"Initially, we're looking at medication management, referrals and discharge summaries because the work we've done on identifiers, security and clinical terminology positions us well in those areas," he says.
"A discharge summary means you need to pass data from hospital systems to the GP's system. So, we'll need to get clinical input on requirements; we'll need to look at the systems that are actually in place; and we'll need to work with the vendors and software suppliers to incrementally get where we want to go.
The Council of Australian Governments is to consider this year a business case for a more substantive e-health record program.
Fleming says NEHTA hopes to publish a road map soon, but he emphasises the plan will be iterative.
"To be successful, everyone needs to understand where they fit into the equation, what they need to deliver and when," he says.
A public awareness campaign is also on the agenda.
The Stakeholder Reference Forum, set up last year, brought in consumer representatives along with peak clinical and health IT bodies.
Full Article is here:
So, at 1 year out.
1. No Business Case submitted for whatever the current name is for a shared record – a good thing in my view as we don’t want some half assed proposal dropped on us – as would be the usual NEHTA / DoHA form. I bet this is what happens!
2. No real change or improvement in secure clinical messaging.
3. No progress anyone can see on medication management – and a new specification delivered for Discharge Summaries – so not actually done yet!.
4. The Stakeholder forums meet each quarter – just how good is that and how much does anyone else hear about what went on – and if it was useful.
5. At least we now know what the spin program looks like.
6. Vendor engagement remains rudimentary at best.
We need to tell these people to fall on their swords. They are clearly clueless, can’t implement anything, and need to just melt into the background – and the sooner the better in my view.