Friday, November 13, 2015

I Wonder What Really Happened With The PCEHR That Provoked This Email Some Five Days Later?

Here is an e-mail that went out late last week:
Sent: Friday, November 06, 2015 4:11 PM
Subject: PCEHR Intermittent Errors in Document Uploads from Providers [SEC=UNCLASSIFIED]
Good afternoon
The PCEHR System Operator advises there was a system issue impacting on the upload of some documents by Healthcare Providers between Thursday 29th October 2015 and 1st November 2015.  During this time, an error would have been returned to the local clinical information system advising that the document had failed to upload successfully.  The issue has since been resolved and no further errors have been reported following the implementation of a fix on the 1st November 2015.
The System Operator will contact impacted provider organisations to advise them of the documents that failed to upload successfully during this period.
The PCEHR System Operator apologises for any inconvenience this may have caused.
Contact for further advice about this message if necessary.
Online Technical Support Liaison
PBS and Medicare Branch
Health and Government to Business Systems Division
Department of Human Services
----- End E-Mail.
We can only hope there were not too many clinicians frustrated as they tried to upload all those Shared Health Summaries!


Anonymous said...

Don't worry to much David, I find it hard to believe there was anyone upset which is why it took days to notice!

Trevor3130 said...

The 'PCEHR System Operator' is the Secretary of Health, right? I believe that function will be handed off somewhere else when ACeH takes over from NEHTA, but to where? The Royle Review recommended (#11) "Centralise the system operation of the MyHR to the Department of Human Services (DHS), under contract from ACeH. ..." Although, one may think that a 'system operator' would be, in fact, a Sysop with a hint of some technical background, not a bureaucrat or administrator.

Anyway, despite the PCEHR-MyHR looking to be dead in the water, and not wanting to look like a vulture, it's worth dragging up Royle #12, "12. Establish a clinical systems capability (group) within the Department of Human Services (DHS) to integrate and coordinate improvement to all health systems and platforms." The risk in that is that the links to actual clinical input will become more and more tenuous - exactly the problem with NEHTA from the get-go.

In times like these, when it's all going to ****, it's good to refresh with the words of gallant clinicians, like Atul Gawande, who knows where the centre lies. In STAT on writing about health care
Ultimately, what you want to do is park yourself in a clinic or in a hospital long enough to start seeing what really happens, and then trace the threads down.
That's the challenge for journalists and skilled writers, to get at the nitty-gritty and highlight the roadblocks in health care, for the mug public who end up paying out large for all the wasted time & effort, the duplications and inefficiencies.

Anonymous said...

There would appear that there is a system upgrade today, so whatever it was resulted I. A patch and now some more rigorous patching.