Sunday, October 30, 2016

AusHealthIT Poll Number 342 – Results – 30th October, 2016.

Here are the results of the poll.

Should The Government Be Planning To Outsource The Development And Delivery Of The New Medicare Payments System?

Yes 84% (124)

No 13% (19)

I Have No Idea 3% (5)

Total votes: 148

A large majority seem to think the Government have got is right on this one!

A very large turnout of votes.

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



Bernard Robertson-Dunn said...

Re Today's question about secure messaging.

This is part of the "traditional" approach to eHealth. It will certainly help with some of the administrative issues of healthcare, but it's limited in the impact it can have on improving the effectiveness of an individual's healthcare. Not when compared with what's coming down the highway at a great rate of knots.

IMHO, the way of the future lies in changing the way point-of-care health operates, based upon advances in precision medicine and personalised medicine. These will be built upon the use of big data and big models.

There are two types of big data/models - those at the population level and those at the individual level.

If you look at this site and can believe what they say,

they describe a device that can measure 20 parameters simultaneously and upload the encrypted data to the cloud and then to wherever you want to. (This device is intended for OEMs to convert into a fully supported solution, it is not an end user device in itself.)

Even if this particular vendor product doesn't deliver, it's a taste of what is to come - lots of multivariate, time-series data which can be used for all sorts of healthcare purposes.

IMHO, this is the sort of area that ADHA should be prioritising; uses of technology that improves an individual's health.

This type of device can create personal big data and be used in conjunction with individualised big models to diagnose and propose treatments.

We are not there yet, but that's where we are going. Not summary health records of questionable accuracy & quality for people who don't need them,

The question I've got is this:

Has the ADHA got any people who understand

a) technology such as the Internet or Things

b) how to drive big health data/models at the population and personal level to improve healthcare?

And it's not as though this big data/model topic is that new. Here's a paper from June 2015

As slide 39 says:
"Key challenge: incorporate data-driven models into clinical decision support at the point-of-care"

There is a danger that ADHA will be living in the past - justifying previous initiatives, trying to rescue some value from an enormous sunk cost.

The IoT is a disruptive force with the potential for both good and evil. IMHO, ADHA's role should be to help maximise the good while minimising the potential for evil.

Anonymous said...

Hard to argue with that Bernard, yes I believe from memory ADHA has a few collecting dust that have both the background and foresight, but they may have left as they were always seen as to disciplined in logic and too technical. The then head of Architecture as his side kick did much to kill of any form of proper architecture, science and informatics, always had to be the smart ones and shoot from the hip. Sadly I am sure they are now in key roles supporting a group ever decreasing in ability to understand complexity and future needs.