Here are the results of the poll.
Should The myHR Be Modified / Re-Engineered To Support Functions Such As Prescription Repeat Requests, Appointments, Clinician Communication, Results Access Etc. To Improve Value For Patients?
Yes 4% (5)No 79% (92)
Yes, But It Is Not Architecturally Doable 16% (19)
I Have No Idea 1% (1)
Total votes: 117
A huge majority seem to think there is no need to make the myHR more useful for patients!
I am not sure I asked the right question here as I had expected people would have wanted to make the myHR more useful for patients. However the response was a decisive NO!
I am interested in perspectives / explanations of this result. Is it that people just want the whole thing to go away or do they feel it should just be for clinicians or what? Comments needed please!
A very large turnout of votes.
Again, many, many thanks to all those that voted!
David.
5 comments:
David I said no, simply because it only encourages the department to continue with its vision impaired plans. I also see little benefit in centralising online service such as appointments and the like and I certainly do not trust them to get it to a workable state.
I thought it was simply a case of throwing good money after bad, particularly in the odious manner is was made.
Exactly, given their track record of implementation and standards development the best thing that could happen is that they lose all their funding as its making eHealth go backwards!
And let us not forget the ten years of medicines terminology, what did it deliver? Just another competing terminology on a monthly release cycle going nowhere, a classic example of something that needs new leadership and fresh thinking. If the ADHA can get that motivated again I will be a pleased user.
The communications layer - and all those are communications between patient and practitioner - MAY link to the data store, or many data stores, but sits above and separate from them.
So, yes the improved patient support is desperately required but not as part of MyHR. Also I think each of the examples given have quite different needs; e.g. a centralised medication database will need a separate system linked but not part of the eHR, and appointment booking will vary with every clinician.
What would work best, from the patient point of view, is a single user portal which, under the covers, deals with the complexity of mediating the different systems and organisations. MyHR would be just one of those systems - although ideally (if it worked properly) a key one that could provide reference to each of the others.
In the IT industry this would be called a "Service Bus" and is key to Service Oriented Architecture - which is now a somewhat old idea but would fit with the distributed nature of Health operations.
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