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Quotes Of The Year - Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"


H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Sunday, May 08, 2016

AusHealthIT Poll Number 319 – Results – 8th May, 2016.

Here are the results of the poll.

Does The Victorian Government's Investment In Real Time Drug Monitoring Suggest They Lack Confidence In myHR Ever Delivering Effective Medication Management?

Yes 86% (138)

No 4% (7)

I Have No Idea 9% (15)

Total votes: 160

Pretty clear outcome and another vote of no-confidence in the capabilities of the myHR.

Great turnout of votes as well!

Again, many, many thanks to all those that voted!



Dr Ian Colclough said...

To put the survey question in proper context it should be noted that:

(i) The Federal Government’s MyHR is still being rolled out in the two opt-out pilots hence it has yet to pass acceptance testing.

(ii) Victoria’s proposed Real Time Prescription Monitoring system has yet to be scoped and the API’s with clinical prescribing and pharmacy dispensing systems have yet to be defined.

(iii) Medication Management, as we know it today, is embedded in various hospital and Aged Care software packages and is far from being seamlessly linked and integrated with RTPM and MyHR.

Consequently it is confusing and dare I suggest misleading to bundle these three elements (RTPM, MyHR and Medication Management) up together as part and parcel of the same survey question. Given that each is still in the very early stages of product and market development one cannot reasonably draw any conclusions as posited in this survey question.

Dr David G More MB PhD said...


I disagree. The question asks is the myHR fit for use in medication management. It isn't. It is as simple as that and as a non-user friendly secondary system will never be in my view.

Other systems are likely to be much better IMVHO.


Bernard Robertson-Dunn said...

I agree with David re the question being about MyHR and is it fit for use in medication management. I also agree with his assessment - "it isn't".

However, I'm not sure I agree with the statement "Other systems are likely to be much better". They are likely to be better, but will still have significant failings.

Prescriptions don't equal medication acquisition, which doesn't equal medication consumption, which doesn't equal drug consumption which doesn't equal a patient's reaction to any of them.

The proposed RTMS looks like an implementation of the classic politician's creed: "This is terrible, something must be done. This is something, let's do it."

It's what led to the PCEHR.

Anonymous said...

Mmmm … David says the question asks is the MyHR fit for use in medication management. He says - It isn't. He says - It is as simple as that and as a non-user friendly secondary system will never be in my view.

IMHO the question does not ask: Is the MyHR fit for medication management.

Rather it asked if the VIC Govt lacks confidence in the MyHR because it is developing its own Real Time Monitoring System.

I have to agree with Ian. He simply pointed out that you cannot link one with t’other in the same breath at this stage of their development and he suggested that you take care not to do so because at this time as they are all immature and not proven.

He passed no opinion of what might or might not be fit for purpose.

Anonymous said...

I don't think Victoria intends to integrate its prescription monitoring system with clinical desktop systems. As in Tasmania it looks as though it will be an independent database which doctors will have to access through a separate signing in procedure in order to see if the patient has been getting S8 drugs from other doctors.

Anonymous said...

Re May 08, 2016 11:00 PM ?? You mean more fragmentation not less. Another silo in development?