Here are the results of the poll.
Should The ADHA Be Continuing Developmental Spending On The myHR Until It Has Proper Acceptance Of And Agreement With Its New Digital Health Strategy?
Yes 3% (6)No 96% (211)
I Have No Idea 1% (2)
Total votes: 219
I think it would be fair to say strategy free system development expenditure is not supported.
A really great turnout of votes!
Again, many, many thanks to all those that voted!
David.
There is little chance the Governments Health Record will not be the center of attention. This is quite obvious from ADHA various blogs, twits and seminars and more evident is the move towards the big data debate. If this is the case then I would like Tim Kelsey and Martin Bowles to very quickly produce for public comment how the Government is going to address the obvious discontinuity in informatics underpinning the content added to and inevitable (for good or otherwise) from the PCEHR and its implications on semantic consistency and clinical safety and support future targets of precision medicine and decision support.
ReplyDeleteMy other concern is the questions being asked, it all seems to be about should we do what we are planning to do anyway and simply generating statistics to support this, it is conducted in a way that a first year Business Analyst would shudder at. Statistically if I use your blog as a counter argument David the Department of Health results seem somewhat manipulated.
The question should be what is the proper thing to be doing and how can it be done properly. Recongising that lessons globally are indicating that information flows best when there is a set of agreements and divergences between parties engaged in sharing information and an underlying and resilient business case and model of operation, not a government mandate.
Governments and their agencies as well intended as they may see themselves as, attempts to mandate interoperability have not really made any headway, this is mostly due to the complex nature of interoperability, it is not the domain of product or project of general manager. The current path ADHA is heading is yet again going to result in unintended consequences that will stifle innovation. It is clear that the constraints of standards and regulation are suffice and market dynamics (which we are seeing plenty emerge in healthcare) serve as a sufficient driver for information fluidity between patient and health careers.
I thought ADHA was looking to set the conditions for interoperation efforts, however eight months on I see worry trends that the ADHA is moving in the opposite direction, whether this is a strategy or driven by personal agendas such as this co-design debacle (yes they could not even tell us how let alone why), or rash decisions and ill-thought out actions such as SMD.
When interoperability is identified as a need between parties and those agreements and dis-agreements require attention, then those actors along with industry will deliver robust solutions that increase the utility and value of information sharing. The Government and ADHA are hampering this through confusion and stiffly far more important conversation that will enable individuals and organisations understand the questions they need to ask to determine if they want to share information and under what conditions.
Tagging interoperability onto the end of something or adding it to a product description does not make interoperability.
Your question may be valid but of little use, the co-design, consultation, innovation are purely aimed at the Finance department to secure funding. The same way we new staff cuts were comming across the APS, ADHA has a few strategic purposes. As nice as some of them are they are not really one of us.
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