Sunday, August 13, 2017

AusHealthIT Poll Number 393 – Results – 13th August, 2017.

Here are the results of the poll.

Describe Your Considered Reaction To The New National Digital Health Strategy Released On Friday August 4, 2017?

I Am Thrilled 1% (3)

I Am Feeling OK 13% (28)

I Am A Little Depressed 54% (112)

I Am Horrified And Despairing 24% (50)

I Am Unable To Say 7% (15)

Total votes: 208

The numbers speak for themselves. The vast majority (78%) are depressed or despairing. The ADHA should take this as the readership here not being convinced of the quality of what we have so far, and looking to the implementation plans to convince them otherwise.

I would be keen to hear other comments on the result.

A really huge turnout of votes!

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



Anonymous said...

For me it just failed to deliver. It lacks authenticity. It fails to highlight and address risks, although we are told the ADHA now operates a risk based governance approach, guess the same way they operate as an open and transparent organisation.

Perhaps it is simply that for the past few years we have not had an active national entity so they are now left standing out in the cold.

Anonymous said...

The Data quality question does not I believe get appropriately addressed, like standards, throwing merchant banker statements like ‘license to operate’ demonstrates more a deficiency in appreciation of the health systems current state, as examples – As in currently standards patients have multiple identifiers, IHI services was never properly adopted by the Jurisdictions. However even this is not the only data-specific issue compromising the integrity of care here in Australia. Further compounding this problem is the use of a variety of different codes to represent diagnosis, treatment and billing/funding information across health. Again, this is largely due to the heterogeneous health service environment, as well as the varied needs of regulators, policy makers, funders and providers. This is not a trivial challenge although ADHA, fails to seemingly grasp this and I wonder how many are left that have the experience and knowledge to appreciate Health information coding schemes are vital to assure: A. Consistent classification of symptoms, diseases, treatments and events that occurred during primary care, secondary care and hospital episodes. (e.g. ICD-10, DRG, SNOMED). B. Uniform billing for treatments and services provided by primary care physicians, specialists, hospitals, pathology and imaging and allied health services, (e.g. CMBS. C. The recording of information relevant to their specific priorities and purposes, such as emergency and ambulance services, (e.g. ambulance, emergency status categories). D. Consistent classification of treatments provided by other provider groups such as dentists or pathologists. E. Classification of adverse events information (e.g. CHADX). Unfortunately, there is significant heterogeneity in relation to the use of alternative health information coding schemes, and, in some cases, even in the way in which coding schemes are used across primary, secondary and tertiary healthcare in public and private healthcare settings.
I could go on and will leave others to discuss how standards can be harmonised and coaxed into working together and how the promise of open web technologies will over time dominate and see the MyHR 15 year old thinking be left in the corner along with the fax.

Tim has done a fair job securing money, but it is time for a change. The language has become repetitive and hollow and it is clear from others the ADHA as a functioning organisation is less than impressive.

For nine months investment the strategy is left wanting, it has failed to ignite public interest and I am left feeling citizens are being used to shut healthcare workers down and that the privacy of citizens is secondary to some other objective.

Anonymous said...

This has largely gone unnoticed, as will the framework thingy. What would excited the public and stimulate a broad discussion is if the published how much as a nation we spend on this EHR systems, not just the MyHR but all, doing a rough count I think it trumps the NBN, now that is a lot of front line people, schools, scientist, first grade care settings and probably better for the environment.