This blog is totally independent, unpaid and has only three major objectives.
The first is to inform readers of news and happenings in the e-Health domain, both here in Australia and world-wide.
The second is to provide commentary on e-Health in Australia and to foster improvement where I can.
The third is to encourage discussion of the matters raised in the blog so hopefully readers can get a balanced view of what is really happening and what successes are being achieved.
Quote Of The Year
Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"
or
H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."
Friday, December 23, 2016
Well That Is Your Bloomin Lot For The Year!
Many thanks to all who have browsed over 2016. I hope the blog has added some value!
To all a Happy Christmas and A Great 2017!
My plan is to come back again for another round in 2017, after a break.
David.
8 comments:
Oliver Frank
said...
Thanks, David for all of your work in producing your blog. It certainly has added value to the clinical informatics scene in Australia. I like the way that you seek out and publish information that we don't get from other sources.
Best wishes for Christmas and New Year, and I look forwards to more interesting news and discussion in 2017.
Well, that was a good laugh. Lots of wonderful, naive, wishful thinking and hopeful planning, in the best tradition of public sector hubris. The organisational excellence document is a magnificent example of new age management speak. The ghost of NEHTA has risen and is alive and well.
The CEO's report says, under The National Digital Health Strategy that "This is a critical priority for the New Agency; to invite the community into an authentic conversation about how digital technology can best support improved health and care. The engagement programme - which will run until the end of January - will be launched to the public at the start of November."
But when you read the associated Board papers, it is obvious that many decisions have already been made well before the "conversation" and before the strategy has been developed and/or agreed.
Yes, the attachments are draft, but the work plan isn't.
The big problem is perception; and the perception (IMHO) is that the "conversation" is paying lip service to consultation. They know what they are going to be doing and are already doing it.
Section 4 tells us all we need to know about eHealth in 2017 - more of the same.
4. Improving health outcomes in Australia through the My Health Record
"Realising the full potential of the My Health Record
The objective of this program is to identify important opportunities that realise the full potential of the My Health Record – so clinicians can experience benefits from this system in their day to day work, and consumers can experience improvements in the quality and convenience of healthcare services through better sharing of information to support their care.
This work priority will establish a new method to listen to users to learn about their experience and coproduce solutions where technology presents an opportunity to improve the care experience.
The program will launch a design review to determine what the Agency can do to improve the value of the My Health Record; by observing the way healthcare providers use technology in their work and identifying possibilities for the My Health record to deliver improvements for them. The program will also deliver a roadmap for development of the My Health Record in the short, medium and long term, based on the design review and input from our conversation on the National Digital Health Strategy.
And the program will also build new functions into the My Health Record that are on the roadmap and can be delivered this financial year.
We will set up a series of real world design laboratories with local health providers and networks (private and public) across Australia to support this process. We will use behavioural insights and workflow analysis to ensure that we are always evidence based about the way in which different improvements are prioritised and operationalised."
My reading of this is they are going to try and turn My Health Record into a point of care health record system.
All the people (including many readers of this blog) who have been pointing out that this is a) stupid and b) well beyond the capabilities of the exiting system design are to be ignored.
You almost sound surprised Bernard, I thought this was obvious from the start. Consultations - December January? That is the same as releasing bad news on a Friday, one hopes no one notices.
Tim is there for one reason, secure funding, he is not silly enough to hang around knowing the risk to ones reputation. The newbie for the UK is more a worry, he will pick it up and as with care.data take it no where slowly.
What did surprise me was the release of the board papers, especially the CEO's report, which clearly shows the emptiness of their claims as to "consultation".
Accusations of scope creep attempted/happening with telecommunication meta-data and MyHR are now so much easier to substantiate.
I trust they will continue to publish these. The art of transparency and trickery is alive and kicking. The board, MSIA, RACGP and others are all being led into owning this mess quite well. What we really need is an inderpendant report from the Australian Computer Society on the technical achievability of this (not) myHR.
8 comments:
Thanks, David for all of your work in producing your blog. It certainly has added value to the clinical informatics scene in Australia. I like the way that you seek out and publish information that we don't get from other sources.
Best wishes for Christmas and New Year, and I look forwards to more interesting news and discussion in 2017.
WiShing you David and all the readers a happy new year. Some year end reading for all
http://www.digitalhealth.gov.au/about-the-agency/australian-digital-health-agency-board/board-papers
Well, that was a good laugh. Lots of wonderful, naive, wishful thinking and hopeful planning, in the best tradition of public sector hubris. The organisational excellence document is a magnificent example of new age management speak. The ghost of NEHTA has risen and is alive and well.
Unfortunately, it's not a laughing matter.
The CEO's report says, under The National Digital Health Strategy that "This is a critical priority for the New Agency; to invite the community into an authentic conversation about how digital technology can best support improved health and care. The engagement programme - which will run until the end of January - will be launched to the public at the start of November."
But when you read the associated Board papers, it is obvious that many decisions have already been made well before the "conversation" and before the strategy has been developed and/or agreed.
Yes, the attachments are draft, but the work plan isn't.
The big problem is perception; and the perception (IMHO) is that the "conversation" is paying lip service to consultation. They know what they are going to be doing and are already doing it.
Section 4 tells us all we need to know about eHealth in 2017 - more of the same.
4. Improving health outcomes in Australia through the My Health Record
"Realising the full potential of the My Health Record
The objective of this program is to identify important opportunities that realise the full potential of the My Health Record – so clinicians can experience benefits from this system in their day to day work, and consumers can experience improvements in the quality and convenience of healthcare services through better sharing of information to support their care.
This work priority will establish a new method to listen to users to learn about their experience and coproduce solutions where technology presents an opportunity to improve the care experience.
The program will launch a design review to determine what the Agency can do to improve the value of the My Health Record; by observing the way healthcare providers use technology in their work and identifying possibilities for the My Health record to deliver improvements for them. The program will also deliver a roadmap for development of the My Health Record in the short, medium and long term, based on the design review and input from our conversation on the National Digital Health Strategy.
And the program will also build new functions into the My Health Record that are on the roadmap and can be delivered this financial year.
We will set up a series of real world design laboratories with local health providers and networks (private and public) across Australia to support this process. We will use behavioural insights and workflow analysis to ensure that we are always evidence based about the way in which different improvements are prioritised and operationalised."
My reading of this is they are going to try and turn My Health Record into a point of care health record system.
All the people (including many readers of this blog) who have been pointing out that this is a) stupid and b) well beyond the capabilities of the exiting system design are to be ignored.
I suspect the ADHA is in for a bumpy ride.
You almost sound surprised Bernard, I thought this was obvious from the start. Consultations - December January? That is the same as releasing bad news on a Friday, one hopes no one notices.
Tim is there for one reason, secure funding, he is not silly enough to hang around knowing the risk to ones reputation. The newbie for the UK is more a worry, he will pick it up and as with care.data take it no where slowly.
What did surprise me was the release of the board papers, especially the CEO's report, which clearly shows the emptiness of their claims as to "consultation".
Accusations of scope creep attempted/happening with telecommunication meta-data and MyHR are now so much easier to substantiate.
I trust they will continue to publish these. The art of transparency and trickery is alive and kicking. The board, MSIA, RACGP and others are all being led into owning this mess quite well. What we really need is an inderpendant report from the Australian Computer Society on the technical achievability of this (not) myHR.
The November 2016 ADHA Board Papers were 168 pages long.
10 or so pages disclosed (hard to find on web). Transparency or obfuscation and secrecy?
You be the judge!
David.
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