Wednesday, July 26, 2017

Really Some People Should Not Go Public On Topics Where Their Technical Insight Is Not Really Up to Speed.

This appeared last week

Safeguarding Patient Confidentiality in Accessing Electronic Health Records

Guest: Kylie Ward
Presenter: Henry Acosta
Guest Bio: Adjunct Professor Kylie Ward has had a successful and celebrated career as a Nursing Leader and Health and Aged Care Executive in Australia for over 20 years. She has held positions of Managing Director, Director of Clinical Operations, Director of Nursing and Midwifery, Director of the Division of Medicine, Associate Director of Women’s and Children’s Health and Executive Director of Nursing and Midwifery in three major health services in NSW and Victoria. She has been a NUM, After Hours Coordinator, Campus Manager, Bed Manager and Patient Flow Manager. Her clinical background is in intensive care and aged care.
Kylie has enjoyed a long history with ACN and the organisations that ACN is founded upon, RCNA and the College of Nursing. After years of membership and involvement in both organisations including RCNA Chapter Chair of Sydney West Kylie was awarded Fellowship of both organisations in 2007. In 2009 Kylie was awarded a Wharton Fellowship from the University of Philadelphia, Pennsylvania. Understanding the history and commitment of these two great organisations to nursing professionalism in Australia Kylie is committed to honouring the past to lead the Australian College of Nursing as a dynamic and influential key professional organisational well into the future.
Segment overview: In today’s Health Supplier Segment, we are joined by returning guest Adjunct Professor Kylie Ward from the Australian College of Nursing here to discuss the topic of Electronic Health Records of Patients and their safety. According to Kylie, a national shared electronic health record means that as people move between health care providers, or even move between states, clinical professionals have a single trusted source of information. This information that could be vital such as a person’s allergies or medications, they can quickly and easily access. She also said that the ACN supports moves towards a national op-out approach to My Health Record and wants to ensure the vast majority of Australians take up this opportunity to improve their health care. Kylie mentioned that security concerns could play a factor in people choosing to wait to participate. She believes that nurses must be involved in the development, implementation and ongoing maintenance of My Health Record.
There is 10 minutes of audio here where you will hear just how deep a dive she has taken into the myHR, its safely and workings.
It really is sad we cannot have a better informed debate on the myHR in my view. Kylie is just emblematic – sadly – of the ‘some technology is good, so more must be better’ brigade.
There is nothing personal here – I am sure she is a lovely person as most nurses are – but I do which she would stick to the areas where she has expertise as she obviously has in nursing!
David.

9 comments:

Anonymous said...

Maybe this is the new ADHA board member?

Anonymous said...

Adjunct Professor Kylie Ward .... Not another adjunct professor. We had enough trouble with the last one.

Anonymous said...

Maybe this is the nurse rep going on the ADHA board.

Andrew McIntyre said...

The CV of this person does not look promising, but my comments do not relate to her. Its a all to common pattern of appointing people with managerial skills into roles that have a strong technical component and require a deep understanding of the underlying technical issues as well as the clinical issues. The "Royle Review" was a perfect example of a review with no technical knowledge. Its an unfounded faith in generic management that undermines progress. I am sure the people involved are well meaning, but that doesn't help us. The idea of "eliminating the fax" is a case in point. Transferring pdfs is not going to revolutionize eHealth or allow decision support. It might make for some savings in administrative time, but thats about all. If it succeeds it will lock us into non atomic data transfer for 10 years, when the labs have been transferring atomic data for nearly 20 yrs.

We need a focus on the low level basics, with good standards compliance, authentication and security. If we had that with clinical models specifying atomic data schemes then the decision support and efficiencies could be built on a solid base. They are trying to build palaces in the swamp and wonder why they keep sinking into the mud and falling down. Just like good medicine is built on to of a preclinical course in anatomy, physiology and biochemistry, good eHealth is built on low level standards compliance, proper use of terminology and agreed clinical models with atomic data. (With testing of compliance) That must be done well to build anything complex on top. There approach is very post modern, built on flashy pdfs, powerpoint, tweets and a bus. All this technical stuff is just to geeky to get a look in. Its all about change management, that may be the case, but the change needs to start at the top.

Anonymous said...

Sadly I observe Tim has successfully drained the think tank of all but a few oscillated puddles. Still as you make mention Andrew there is another Ten years to build up a new capability that will become surplus to requirements.

Anonymous said...

Both of you should just wait and see, we are progressing rapidly - https://www.digitalhealth.gov.au/news-and-events/news/digital-records-pilot-to-deliver-lifesaving-benefits-for-hospital-patients

Perhaps you have been saying negative comments for so long it's simply now a habit. Tim is leading strongly and is a far better leader than we have had before.

Bernard Robertson-Dunn said...

"The pilot is expected to take two years with an interim report due to the Agency in June 2018."

Don't you normally do a pilot before you commit to full implementation?

What will they do if they discover no benefits and that the ED cannot rely on the data? Ignore the evidence like they have ignored expert opinion for ten years?

Anonymous said...

Why two years? Surely a couple of months would tell a good story?

Anonymous said...

July 28, 9:45. Happy to wait and see and look forward to a successful outcome. Don't suppose you sell Tim Kelsey T-shirts and pillows cases by chance?