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."

Sunday, October 22, 2017

A Very Short And Just Plain Sick Of It Blog! Why Are The Clearly Stated Views Of Readers Here Just Ignored?

While doing a few blogs to go up this week the following comment appeared
Anonymous said...
Unfortunately David going on previous situation where it is clear from your polls the majority (and usually and large majority) indicate one preference Canberra goes the completely opposite direction. Based on that I guess that consent will not be sort from individuals. I doubt that the system would have the smarts to implement it anyway.
October 22, 2017 7:25 AM
----- End Comment:
Thanks to the commenter for suggesting the obvious question. Just why, when we know the ADHA reads the blog – they are quick enough to phone if there is something that really annoys them – do they just steadfastly ignore the clearly stated views of the e-health community reading here? Is there any point in continuing on? I know for certain that the best and brightest in Digital Health read and comment here – and with increasing frustration!

This all seems to be in spite of the fact a useful blog will attract over 400 read and 16 comments in just a few days - so clearly what is being written and said seems to be worthwhile.

Possibly those who read here are not sycophantic enough for the ADHA. I guess are there maybe other reasons? Maybe the ADHA are so self absorbed they don't grasp there are alternate views out there? Just why do they press on with such poor strategies when there are so many who could help. I wonder where the work on SMD and Interop has gone - not a peep for ages.

Will anyone dare comment? What is needed to have a more rational and informed discussion?

David.

9 comments:

Anonymous said...

It does appear something has gone askew. Rather than cementing the community we appear to have a very troubling situation. Perhaps it is a big ask for the current senior management team and they are defaulting to a comfort zone (myhr) rather than embrace the challenges of a holistic national approach that deals with today and lays a path towards an emerging set of futures. I feel a bit for the clinical side there seems no one able to compliment them on the technical of strategic front.
The CEO seems out of his depth and has dismissed a whole segment of the community. Hopefully there answer is not to load HL7 Aus with ADHA. administrative staff.

Anonymous said...

"I wonder where the work on SMD and Interop has gone".

Ask the people who have been working on it. Ask Tom Bowden and Emma Hossack, if they don't know, try Berne Gibbons, Rachel de Sain. If they don't know no-one does.

Dr David G More MB PhD said...

Ask the people who have been working on it. Ask Tom Bowden and Emma Hossack, if they don't know, try Berne Gibbons, Rachel de Sain. If they don't know no-one does.

We should not have to ask! They should be telling us every once in a while!

David.

Anonymous said...

Berne Gibbons does not work for the Agency and Rachel Desain is not the accountable executive for SMD. I fully agree with you David, what the big secret? You would think there is something to hide, it can be national security sort of stuff and no one would be silly enough to be funding mates to do work, anyone know who was awarded the interoperability gig, it is months over due.

Tom Bowden said...

Hi everyone,

I certainly read the comments on this blog (every morning) and from time to time contribute when I have something to say.

I think that right now the Jury is out (again) as Tim Kelsey and his ADHA team work very hard to make progress. I was pleasantly surprised at a recent conference (The WildHealth summit) to observe the increase in cohesion and some general progress in a number of areas. It has been a long time coming and two failed attempts have certainly taken their toll.

With respect to Secure Messaging, I can only really comment on the project that HealthLink is leading (one of two projects). It is proceeding albeit a bit slowly, ADHA has some decisions to make on areas such as certificates, identifiers and directories but we continue to move forward. Live messages are being exchanged between messaging companies.

I have always said it would take some months to achieve a result but we would get there. And that is right, we are getting there, albeit more slowly than I would like.

Kind regards,

Tom

Anonymous said...

Thanks Tom glad things are less stagnant. I guess a sense the age old issue is arising, not all stakeholders in the interoperability journey are able to meet their respective challenges. That’s the great thing about interoperability, it’s a team sport and the sun is only as strong as it’s factors. keep at it there is a lot to be learned from our home grown success stories.

Anonymous said...

Tom,it would be most reassuring if the ADHA and those involved in the interoperability and secure messaging projects could be more openly specific about timelines, milestones and project deliverables. Surely it is not too much to ask that the covers be pulled back and regular project progress reporting including project budget monitoring be published. "a few months" does not stand up to scrutiny. Surely that is not too much to ask of the ADHA.

Anonymous said...

8:58 am. Fully agree, the ADHA are masters of power point surely someone could co-design a status report. I am surprised by the lack of transparency from the ADHA there are requirements for commonwealth entities regarding accountability and transparency. Opt out will be arriving shortly and I am less confident by the day the ADHA leadership will deliver the promise of digital health.

Anonymous said...

If what can be read in the medical republic articles referring to what I guess is this blog and its readers the ADHA has dug itself a bit of a hole. That is always the problem when you dismiss out of hand a section of the community. I see Kelsey is attempting to change the language around what the GovHR is intended for but not convinced it is making a better case to keep it. Perhaps a bonfire of the PCEHR is required.