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."
Tuesday, April 04, 2017
Do You Think The ADHA Is Serious - Or Was It Released April 1?
This really needs to be seen more widely - and commented upon!
Click to enlarge
Read Closely - There seem to be some stakeholders on the outer!
Comments required.
David.
28 comments:
Paul Fitzgerald
said...
Lots of motherhood and apple pie in this one. Not much meat on the bones. I wonder which of the Big 4 got paid a bucket load for this one?
A lot of 'me' no 'we' that tells me a lot about Tim. I don't think any big four would be involved in producing this. No standards?
The general themes are a rip off of the NHS 2020 a Framework for in-action. We would have been better of just licensing that. It is now very apparent Tim has no depth of understanding and there is no real thinking going on, if you look at Tim's latest blog on ADHA this is a bit of a national embarrassment.
On a positive note at least it does not call out a planet of the apps store or a nation HIT consultancy.
Exnovation? I doubt that is a topic of coversation with this lot, you will be assuming the strategy recognises dark constraints next. MyHR is the only focus as statis as it is, the rest seem to be added simply to align an EGM with a programme.
I will reserve judgement on the strategy for now as this is simply a slide and there is no context.
When eHealth sorry digital strategies fail to quantify economic outcomes, stakeholders see clear costs and unclear business value. Sexy apps and unsubstantiated benefits are not going to get the ADHA far when asked to demonstrate the business value of these initiatives have delivered.
At least NEHTA set them up to coast on the wave of transformation, still like Trump they will claim it is their success.
7:38 am, nice summary, to add insult to injury we could not even be bothered reusing existing bureaucracts and had to buy some second hand ones surplus to NHS requirement.
David I struggle to identify stakeholder communities not on the outside.
I fail to see the issue with this? It definitely has all the right messages and component parts to see a real successful outcome, as one esteemed commenter endorsed, small steps are good.
To me, the key issue is the lack of any apparent concern for serving the clinical community. Digital Health needs to service both the consumer and the clinician.
David I get the feeling the clinical community are being seen as feeders, as in data entry flecks to met the demands of some mithical health data hungry, self diagnosing self caring public.
This is such a dissapointment, clearly a weak attempt to copy others, without thinking and a real insight the lack of Australian context is becoming apparently clear.
Time to move aside Tim if you really care about health and care. Bring the old nehta chair back Dr Hambleton has the credentials and respect needed.
I wonder if this is a reflection of the lack of interest in the halls of Canberra? All very good making inderviduals feel listened to for a day, but has the magical mystery tour been done at the cost of building capital in the capital?
In the press this hardly get a mention a far cry from the early days in the NHS, has Tim lost his mojo? Or is it that we are not impressed by spin, perferring plain language and truth?
I also question if the Government has lost its understanding of its true role? I would trust the Government more to police the market in the the use of standards, ensure privacy is protected and quality of data is upheld all while working with stakeholders to ensure today's policies meet tomorrow demands. I do not trust them to enforce such controls on themselves. We have lost inderpendant assurance
Sorry but I have not met anyone in the ranks of NEHTA, DOHA or ADHA who has the depth of knowledge to actually make a difference and maybe that is not surprising. You cannot solve this problem from the top down and attempts to do so will fail. Computers do not respond to ministerials, no matter how hard you shake your finger at them, a bit autistic in fact and disrespectful of authority I know but this is the 21st century and the medieval management are lost.
We need to stop wasting money on a circus that cannot hold an audience. This parrot is dead, its pushing up daisies! Even the nails holding it to the perch are working loose!
There are couple you might not have met then. I am guessing you have met the incompetent left over execs from NEHTA and the ones with healthcare digital training wheels with eye tracking and the the twitter in chief.
David the problem I see which leans towards confusion around who is in and who is out, is I cannot join the dots, this seems all over the shop, cyber security as an enabler but not standards? Interoperability is a thing they are going to do? Surely interoperability is an enabler? It is the language of change. What is digital safety? Where is architecture as an enablers and an assurance mechanism?
I think the board needs to step in, I cannot believe they are swallowing this? The cost to pay Tim will be nothing compare to the real cost of this dribble.
I had hoped we would see change for the better, I hope my trust has not been misplaced
Regards, One dissapointed member of civil society
PS, hope Tim tests this in country Pubs on his journey at my expense
The real meaning behind this is clear - the MyHR, the strategy is to get stuff and lots of stuff into a thing. The rest is to give an impression this has some sort of relationship to on the ground health care. Based on this assumption all stakeholders are in.
Here's an hypothesis (I'm guessing, I have no knowledge of the inner workings of this government):
Collect as much semi-current data on people's health and their use of the health system, and link it against welfare claims/payments looking for fraud.
That would get traction in government.
Nothing to do with health care, it's all about:
(a) the prevention, detection, investigation, prosecution or punishment of criminal offences, breaches of a law imposing a penalty or sanction or breaches of a prescribed law;
(b) the enforcement of laws relating to the confiscation of the proceeds of crime;
(c) the protection of the public revenue;
(d) the prevention, detection, investigation or remedying of seriously improper conduct or prescribed conduct;
(e) the preparation for, or conduct of, proceedings before any court or tribunal, or implementation of the orders of a court or tribunal.
Section 70 of the eHealth legislation. https://www.legislation.gov.au/Details/C2012A00063
David that is what I am getting at, the strategy is simply about the MyHR and more than likely for the reason Bernard points out. I don't believe this has any much to do with Health, just a sloppy way to spy on people.
Perhaps that is why the CEO has go overseas for a month as rumour has it
If you take a look at Tims blogs and twitter, look at the Corperate plan, then this is not surprising. I still say wait, perhaps this has been a clever ploy to lower expectations in time for the Gospel according to TK
For those of us with long memories, that "Vision" is really just a nicely rehashed version of the vision from the original Conops some 5-6 years ago....... sigh.
Wonder how much they paid for it on top of the billions already???
3:31. I read the latest blog from the CEO. With respect It was a hard read. Not sure what was trying to be said or why all the, let say colourful depictions, even for a story telling perspective it was less than imaginative and lacked structure (might be why he has a disdain for architects). From a CEO of a national organisation, it is embarrassing IMHO.
28 comments:
Lots of motherhood and apple pie in this one. Not much meat on the bones. I wonder which of the Big 4 got paid a bucket load for this one?
Where is this sourced from on the web site?
This one pager is very revealing. It tells us:
1. The ADHA is starting all over again. It's just as though Ian Reinecke (another ex Journalist) had been appointed as CEO of NEHTA.
2. The purpose of this 1 page schematic is primarily to secure long term funding through to 2022.
3. A 1st Year Bachelor of Health Informatics student would be given a C+ for effort. A Master student would be given a fail.
It would be demeaning to make any further comment.
A lot of 'me' no 'we' that tells me a lot about Tim. I don't think any big four would be involved in producing this. No standards?
The general themes are a rip off of the NHS 2020 a Framework for in-action. We would have been better of just licensing that. It is now very apparent Tim has no depth of understanding and there is no real thinking going on, if you look at Tim's latest blog on ADHA this is a bit of a national embarrassment.
On a positive note at least it does not call out a planet of the apps store or a nation HIT consultancy.
We live in an Informatics free zone
The slide is available on the web here:
https://pbs.twimg.com/media/C8Hi8c8UIAAgLxK.jpg:large
It was tweeted by Becky Prestland, who is visiting from the UK, and was retweeted by Tim.
A blueprint for exnovation.
Exnovation? I doubt that is a topic of coversation with this lot, you will be assuming the strategy recognises dark constraints next. MyHR is the only focus as statis as it is, the rest seem to be added simply to align an EGM with a programme.
I will reserve judgement on the strategy for now as this is simply a slide and there is no context.
When eHealth sorry digital strategies fail to quantify economic outcomes, stakeholders see clear costs and unclear business value. Sexy apps and unsubstantiated benefits are not going to get the ADHA far when asked to demonstrate the business value of these initiatives have delivered.
At least NEHTA set them up to coast on the wave of transformation, still like Trump they will claim it is their success.
As the well known quotation stated "You can't be serious!!!!".
this is really very simple - an effort to ensure a long and happy life for a group of bureaucrats living off the public tit.
7:38 am, nice summary, to add insult to injury we could not even be bothered reusing existing bureaucracts and had to buy some second hand ones surplus to NHS requirement.
David I struggle to identify stakeholder communities not on the outside.
I fail to see the issue with this? It definitely has all the right messages and component parts to see a real successful outcome, as one esteemed commenter endorsed, small steps are good.
To me, the key issue is the lack of any apparent concern for serving the clinical community. Digital Health needs to service both the consumer and the clinician.
IMHO, the problems start with the very first line:
"Vision: Connecting People and Communities to support safe secure and effective health and care for all Australians"
It assumes that the solution of connecting people will achieve better health care.
It also constrains the strategy to the objective of connecting people, rather than investigating the broader promises of eHealth.
All a bit amateurish.
The eHealth Vision
By 2020 eHealth in Scotland will:
http://www.gov.scot/Publications/2015/03/5705/4
NHS Lanarkshire has developed this framework to support future strategic health planning and to gain a shared understanding of the actions required to achieve the Scottish Government’s 2020 Vision.
http://www.nhslanarkshire.org.uk/publications/Documents/Healthier-Future.pdf
Opening Keynote - Personalised Health and Care 2020
https://www.slideshare.net/HIMSSUK/paperless-2020
(From http://ukehealthweek.com/2016presentations.asp)
NHS UK Digital Health
https://www.england.nhs.uk/digitaltechnology/info-revolution/digital-roadmaps/
A few more links to UK info..
2015 set to be a revolutionary year for e-health in the UK
http://monocl.com/consulting/2015/03/04/2015-set-to-be-a-revolutionary-year-for-e-health-in-the-uk/
NHS Five Year Forward View -> Next steps on the NHS Five Year Forward View -> Harnessing technology and innovation
https://www.england.nhs.uk/five-year-forward-view/next-steps-on-the-nhs-five-year-forward-view/harnessing-technology-and-innovation
UK Gov - eHealth and Care Strategy
https://www.health-ni.gov.uk/publications/ehealth-and-care-strategy
David I get the feeling the clinical community are being seen as feeders, as in data entry flecks to met the demands of some mithical health data hungry, self diagnosing self caring public.
This is such a dissapointment, clearly a weak attempt to copy others, without thinking and a real insight the lack of Australian context is becoming apparently clear.
Time to move aside Tim if you really care about health and care. Bring the old nehta chair back Dr Hambleton has the credentials and respect needed.
I wonder if this is a reflection of the lack of interest in the halls of Canberra? All very good making inderviduals feel listened to for a day, but has the magical mystery tour been done at the cost of building capital in the capital?
In the press this hardly get a mention a far cry from the early days in the NHS, has Tim lost his mojo? Or is it that we are not impressed by spin, perferring plain language and truth?
I also question if the Government has lost its understanding of its true role? I would trust the Government more to police the market in the the use of standards, ensure privacy is protected and quality of data is upheld all while working with stakeholders to ensure today's policies meet tomorrow demands. I do not trust them to enforce such controls on themselves. We have lost inderpendant assurance
Sorry but I have not met anyone in the ranks of NEHTA, DOHA or ADHA who has the depth of knowledge to actually make a difference and maybe that is not surprising. You cannot solve this problem from the top down and attempts to do so will fail. Computers do not respond to ministerials, no matter how hard you shake your finger at them, a bit autistic in fact and disrespectful of authority I know but this is the 21st century and the medieval management are lost.
We need to stop wasting money on a circus that cannot hold an audience. This parrot is dead, its pushing up daisies! Even the nails holding it to the perch are working loose!
There are couple you might not have met then. I am guessing you have met the incompetent left over execs from NEHTA and the ones with healthcare digital training wheels with eye tracking and the the twitter in chief.
David the problem I see which leans towards confusion around who is in and who is out, is I cannot join the dots, this seems all over the shop, cyber security as an enabler but not standards? Interoperability is a thing they are going to do? Surely interoperability is an enabler? It is the language of change. What is digital safety? Where is architecture as an enablers and an assurance mechanism?
I think the board needs to step in, I cannot believe they are swallowing this? The cost to pay Tim will be nothing compare to the real cost of this dribble.
I had hoped we would see change for the better, I hope my trust has not been misplaced
Regards, One dissapointed member of civil society
PS, hope Tim tests this in country Pubs on his journey at my expense
The real meaning behind this is clear - the MyHR, the strategy is to get stuff and lots of stuff into a thing. The rest is to give an impression this has some sort of relationship to on the ground health care. Based on this assumption all stakeholders are in.
"Based on this assumption all stakeholders are in." That this is a total fib means the Strategy as far as we know it is rubbish!
Here's an hypothesis (I'm guessing, I have no knowledge of the inner workings of this government):
Collect as much semi-current data on people's health and their use of the health system, and link it against welfare claims/payments looking for fraud.
That would get traction in government.
Nothing to do with health care, it's all about:
(a) the prevention, detection, investigation, prosecution or punishment of criminal offences, breaches of a law imposing a penalty or sanction or breaches of a prescribed law;
(b) the enforcement of laws relating to the confiscation of the proceeds of crime;
(c) the protection of the public revenue;
(d) the prevention, detection, investigation or remedying of seriously improper conduct or prescribed conduct;
(e) the preparation for, or conduct of, proceedings before any court or tribunal, or implementation of the orders of a court or tribunal.
Section 70 of the eHealth legislation.
https://www.legislation.gov.au/Details/C2012A00063
David that is what I am getting at, the strategy is simply about the MyHR and more than likely for the reason Bernard points out. I don't believe this has any much to do with Health, just a sloppy way to spy on people.
Perhaps that is why the CEO has go overseas for a month as rumour has it
If you take a look at Tims blogs and twitter, look at the Corperate plan, then this is not surprising. I still say wait, perhaps this has been a clever ploy to lower expectations in time for the Gospel according to TK
For those of us with long memories, that "Vision" is really just a nicely rehashed version of the vision from the original Conops some 5-6 years ago....... sigh.
Wonder how much they paid for it on top of the billions already???
3:31. I read the latest blog from the CEO. With respect It was a hard read. Not sure what was trying to be said or why all the, let say colourful depictions, even for a story telling perspective it was less than imaginative and lacked structure (might be why he has a disdain for architects). From a CEO of a national organisation, it is embarrassing IMHO.
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