Sunday, April 03, 2016
It Seems Some Very Old Chickens Are Coming Home To Roost For DoH And NEHTA. Oh Dear!
Just to point out what I mean:
If you say that chickens are coming home to roost, you mean that bad or silly things done in the past are beginning to cause problems.
There was too much greed in the past, and now the chickens are coming home to roost with crime and corruption soaring.
From this link:
This is the perfect description of a very old set of decisions made by NEHTA.
In late 2005 I was involved in a consultation for NEHTA that recommended that if we were to put in place a Health Identifier that to do it properly and safely that there would need to be formal re-identification processes and possibly the use of biometrics to guarantee system integrity.
Not surprisingly the costs of such a system was not at all cheap and so it was decided by the powers that be that the Individual Patient Identifier would be based on an already existing Medicare Identity Database and all would be well.
With very little actual external use of the IHI service this has worked until a few months ago.
With the onset of the various opt-out trials the IHI Service is actually going have to be trustworthy and as close to error free as possible - and guess what - it isn’t.
It seems patient match rates are not working properly and tweaks to improve this seem to be leading to a small but significant number of false matches with a wrong IHI being returned.
Of course, if an individual IHI cannot be easily found - and this is a real possibility - the mucking about will drive practitioners crazy and waste their time - which for them we all know is money!
There are two issues around all this.
First we need full public disclosure of what is happening and just what patient risks are being run. Right now we have all sorts of committees and universities being consulted and the public being kept in the dark that there are any issues
Second we need a clear remedial plan that is acceptable and can be demonstrated to be safe and not to have any capacity to link incorrect records to the wrong patient.
Might turn out it was more sensible to do the IHI System once and properly!
Posted by Dr David G More MB PhD at Sunday, April 03, 2016