Here are the results of the poll.
Will The Move To Opt-Out Patient Enrolment Into The PCEHR Make The System A Positive Clinical Success?
Yes 5% (6)Undecided 1% (1)
No 92% (105)
I Have No Idea 2% (2)
Total votes: 114
As decisive a poll as we have ever seen on the little poll. Opt-Out not such a good idea!
Good to see such a great number of responses!
Again, many, many thanks to all those that voted!
David.
4 comments:
Fairly extraordinary result. I for one have always said that OPT-OUT will solve nothing; that OPT-IN will deliver the desired result provided the system has the functionality and design to fit seamlessly into the routine business operations of busy medical practices. As for how to implement and successfully deploy that system in the health environment ----- well that will be predetermined by a whole new way of thinking which is devoid at the top.
I agree with Ian; Opt-out will not solve anything. In fact it will create problems that Health could do without - it will be a huge honeypot.
re "..provided the system has the functionality and design to fit seamlessly into the routine business operations of busy medical practices"
The only possible uses I can see for the PCEHR are:
1. On the occasions when a patient visits a new health carer.
2. To act as a clearing house for health data.
My understanding of how the whole eHealth system (as opposed to just the PCEHR) will work is this:
Most health institutions will have other, local systems that their health carers use to support their health decision making. These systems will suck data out of the PCEHR into the local system. This means all the provisions in the eHealth Bill re privacy, audit logs and control will disappear.
The people getting the benefit will be the down-loaders, not the up-loaders.
And the health benefits will come from using the local system, not the PCEHR itself, which is just a glorified store and forward messaging system that keeps the messages and calls them a Health Record.
And there are better and more efficient ways of delivering a health information messaging hub without putting patient's health information at risk.
What people seem to have forgotten is that the Government's claim about the number of people who have voluntarily OPTED IN and are registered to use the PCEHR is grossly inflated by the trickery of the Department which engaged ASPEN MEDICAL to go out and enroll people anywhere and everywhere. The enrollments were what I call Shanghaied Enrollments. The number of genuine voluntary enrollments is a minuscule fraction of the total number of registrations today. In other words this smoke and mirrors trickery by the Department has actually undermined any credibility that might have existed in regards to the PCEHR.
What people seem to have forgotten is that ... the number of people registered is not an indication of the usefulness of the PCEHR. Nor is the number of documents stored there.
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