Sunday, May 14, 2017

AusHealthIT Poll Number 370 – Results – 14th May, 2017.

Here are the results of the poll.

Do You Agree With The Suggestion From The Government Consultants (Siggins Miller) That Practitioner Use Of The myHR Be Made Compulsory In The Future?

Yes 4% (8)

No 95% (182)

I Have No Idea 1% (2)

Total votes: 192

My view is that Siggins Miller are a joke and the poll confirms they are seen as such by most who read here. As for the rest of their work on opt-out it is rubbish as it does not research clinical benefit and impact. The whole thing was set up to get the answer Government wanted and they paid a swag for an already known outcome. Just hopeless.

A really great turnout of votes!

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

David.

7 comments:

Anonymous said...

Agreed. The dishonesting demonstrated by the Ministers Portfolio is a clear indication that rather than a change for the better it has become ever more entrenched in falsehoods, manipulation and ignorance in a blind determination to stick to a solution that has become more out dated than a fax.

One wonders just how honest this chucking around of tax payers money is?

Anonymous said...

The quality of the document leaves me wondering if the client put this through a rigorous review process? It also leaves me wondering and concerned if the client has the knowledge base capable of reviewing such a document?

Perhaps it was result of the emergence of ADOHA and this document was simply forgotten about and then rushed out to demonstrate something?

This just adds to my suspicion that Government eHealth has lost any resemblance of quality standards and the private consultancy see it as a joke and a honeypot that we swollow anything because they had lost any sense of taste.

Tim for a change at the top of ADHA and maybe the Board if this is the sort of dumbed down and quality poor organisation they have created.

Anonymous said...

We are at a natural evolutionary point whereby ( believe) EHRs have become indispensable but at the same time remain insufferable. Most EHR systems are not yet usable and may be more of a burden than a support for practitioners. However, EHRs are something healthcare institutions must and will eventually adopt. Why do I believe this? The degree of computerisation in most developed countries makes this adoption unavoidable. The question is: what is required to design a whole macrocosm EHR system that would be compatible with all other systems involved?
The problem with the MyHR is it is clearly going against technology grain and not in a way that innovation might be seen as doing in creating breakthroughs in technology and social change, but more as a obstructionist element, one that has gravely impacted the role and mindset of Government. Government has such a significant and positive play in this game but are unable to meet that value proposition because of it MyHR.

I agree with 8:04am I cannot see much that gives me faith a change for good is taking shape, it seems a rather more toxic culture than ever before.

Anonymous said...

8:32 am - Tim for a change at the top of ADHA and maybe the Board if this is the sort of dumbed down and quality poor organisation.

Careful what you wish for, I would not be in a rush to remove a new Board, and there is a clear perception that it is not Tim who wears the trousers so to speak, power basis and brokers are always in the shadows, doing just enough meddling to be felt but not tarnished.

As others may soon realise they are fodder in a career path to the top of the APS ladder.

Bernard Robertson-Dunn said...

re comments by anon 8:32 AM

IMHO, eHRs will eventually become indispensable but they are not yet.

People in positions where they can make a difference need to realise:

1. eHRs are embryonic at the moment. The growth of the 4P movement, especially personalised and precision medicine will provide better data which can feed into better diagnostic tools.

2. MyHR is nothing like an eHR. As I've pointed out, the MBS/PBS data is all about payments, and contain little or no health data, and the SHS is a pathetic but potentially dangerous source of health data.

3. Neither eHRs or MyHR come anywhere near supporting better diagnostics/decision making. That's because a patient's health is dependent on far more factors than their historical health record.

Read this article from the New Yorker:
http://www.newyorker.com/magazine/2017/01/23/the-heroism-of-incremental-care

“Our ability to use information to understand and reshape the future is accelerating in multiple ways. We have at least four kinds of information that matter to your health and well-being over time:

* information about the state of your internal systems (from your imaging and lab-test results, your genome sequencing);

* the state of your living conditions (your housing, community, economic, and environmental circumstances);

* the state of the care you receive (what your practitioners have done and how well they did it, what medications and other treatments they have provided);

* and the state of your behaviors (your patterns of sleep, exercise, stress, eating, sexual activity, adherence to treatments).

The potential of this information is so enormous it is almost scary.”

and this:
“The Future of Primary Care and our Healthcare System"
https://medium.com/@qbio/a-positive-feedback-loop-for-humanity-437762f6725c#.vxjrj9fm6

This latter article contains the most meaningful statement I've read about the future of healthcare:

"The gains in the future will not be in technology but in the models we build."

Throwing IT and/or "digital" solutions in a rapidly changing environment will just leave the MyHR crawling along in the dust, costing time and money and distracting from the real game - healthcare innovation as driven by practitioners, not bureaucrats.

These practitioners will be in medicine, cybernetics, systems and other areas of science, engineering and technology probably not even engaged in the health information movement as of yet.

ADHA is so far off the game, it's just not funny.

IMHO, it is highly unlikely that ADHA will listen to any of this. But that's actually an advantage - they'll fail all the quicker.

Anonymous said...

Quite agree Bernard regarding the ADHA being far off the game. I can only imagine the promise of the MyHR is after optout Ministers we will 're-platform it' a term commonly used to impress none domain people and usually said by none domain people. If this pops up you know we are in trouble, however I am going to enjoy the COAG negotiations, giving their support in principle is an open invitation to the lions den.

Anonymous said...

Bernard, to be objective and precise, there is a growing long list of abject failures over the past 4 plus years of governments of both political persuasions resulting from their continued funding and support of the PCEHR / MyHR initiative. These failures include a myriad of issues from policy, governance and management failures of a range of organisations - government, COAG, NEHTA and ADHA - they have all failed and have been complicit in "kicking the can down the road" to protect political self interests and careers. Everyone is a loser - the government is too incompetent and inept to even examine the failure at any level to learn from its mistakes - they simply can't admit that it has been a failure and stop the wastage of more taxpayer money; the taxpayer is the mug paying for it all, the medical software industry, clinical providers and patients are treated with arrogance and contempt and are told what is best and not asked what they need. In addition, there is no evidence of any independent evidence based evaluation or openness to public scrutiny - a failure of governance .... clearly no one wins out of all this mess ... the sooner the corpse of the ADHA is gone and the funding of this stops the better !!