This blog is totally independent, unpaid and has only three major objectives.
The first is to inform readers of news and happenings in the e-Health domain, both here in Australia and world-wide.
The second is to provide commentary on e-Health in Australia and to foster improvement where I can.
The third is to encourage discussion of the matters raised in the blog so hopefully readers can get a balanced view of what is really happening and what successes are being achieved.
Friday, November 29, 2013
HISA Offers Views Gathered From A Pretty Large Survey. The Recommendations Are Very Self- Serving And Fail To Grasp The Main Problems in My View.
That the PCEHR Review recommends the immediate, comprehensive and extensive integration of health information/informatics professionals into current and future PCEHR and related infrastructure design, build and implementation and, importantly, health provider infrastructure’s implementation of the PCEHR, and its linkage with other EMRs and fund management IT.
Barriers, Usability and Future Work Required
The PCEHR Review recommends the high and immediate prioritisation of the engagement of health and health information professional associations and colleges in the change management process required to ensure adoption of the PCEHR and enable its vital contribution to health reform success.
Key Drivers and Incentives
The PCEHR Review Panel consider engaging HISA and HIMAA to undertake a comprehensive qualitative analysis of the 4590 individual free text responses contributed by the 673 respondents
This analysis should be done over the course of the next 1-2 weeks to provide valuable data to inform the Panel’s final report, or post-report to inform report implementation Strategies to Improve Adoption in Three Categories
Category One –Simplify Registration Processes & Improve Training & Support Approaches
The PCEHR Review recommends the convening and resourcing of a handpicked working group to simplify all aspects of the PCEHR registration processes for both HIMAA and HISA: Experts in e-health, health informatics and health information management HISA-HIMAA PCEHR Inquiry Submission providers and the public.
This working group need to have regard for a balance between the need for controls and accountability, but also need to clearly recognise that the current processes are acting as severe impediments to the whole system and arrangements. This work needs to be completed by early February 2014.
The PCEHR Review recommends that, in parallel with recommendation 4, the implementation of phase II of the recent workforce productivity, change and adoption work with AML Alliance on E‐Health Support Officers’ competencies and skills be progressed.
This work, which includes the proposed Competency Framework Toolbox, needs to be completed by late February 2014 so the E Health Support Officers are better equipped to support primary care providers to embrace the PCEHR , particularly as more registrations are completed through the simplified registration processes.
Category Two –Medication Management through Engaging the Pharmacy Guild plus Radiology & Pathology
The PCEHR Review recommends the development of a strategy to achieve the holistic and seamless sharing of pathology and radiology information in the PCEHR.
This strategy must be practically designed, with the support of the Pharmacy Guild andthe respective pathology and radiology professional bodies, such thata richer functionality of the PCEHR can be more readily achieved.
Category Three Proper Participation by Hospitals with Discharge Summaries Universally Implemented
The PCEHR Review recommends the consideration by COAG ,through AHMAC of how to fast-track universal hospital participation in the PCEHR .
The initial focus needs to be upon the implementation of universally available electronic discharge summaries in all jurisdictions by mid-2016. This particular functionality should provide a clear purpose and focus for the universal engagement of the hospital sector throughout Australia.
The PCEHR Review recommends harnessing the currently convened multi‐jurisdictional CIO group as the vehicle for development of a practical and collaborative model for designing a national roll out scheme for the PCEHR and associated infrastructure for enabling universal hospital participation.
Private Sector Involvement and Standards
The PCEHR Review recommends vesting authority for the development and maintenance of technical and professional standards and associated engagement and change management strategies in the professional bodies concerned, rather than in the private sector or in government bureaucracy.
Government, however, should play a central role in auspicing, funding and supporting this authority and the infrastructure required for the PCEHR (terminology, identifiers, secure messaging).
HISA and HIMAA commend this submission to the PCEHR Review Panel, and wish it well in its deliberations. Our two organisations would welcome further involvement in the review process, either within the Panel’s current terms of reference or beyond.
Really they just seem to want more paid work and fail to see what an awful project this actually is. They simply assume the PCEHR is a wonderful and glorious thing and should roll on forever.
Where are the recommendations as to what is needed to be reviewed and properly fixed in the PCEHR, what is wrong with the status quo etc. Just adding extra functions to a flop is hardly a plan.