Wednesday, November 29, 2017
I Think I Have Been Making This Point For Years - The myHR Does Not Know What It Wants To Be!
This appeared a few days ago.
21 November 2017
The main problem is that it's a bureaucrat's solution which tries to be all things to all people, an anonymous GP writes.
The MyHealth Record is like my garden. You can stick fancy plants in, ask people the flower they want to see blossom and plant those too. It needs money, too, but then it will look very pretty. Then, no matter what you do, the plants suddenly wilt and die and the garden is left barren.
There is an alternative to health IT horticulture: you spend your time fertilizing the soil, digging it, nurturing the local ecosystem, and then sow tiny inexpensive seeds. Some germinate, grow and flower, some fail. But you learn what works.
Last year we were nearly self-sufficient in vegetables and herbs all year. And that only took two years.
How long has the My Health Record been going for now?
The trouble is this: it's not a clinical record, nor is it a true patient record. It’s something that is trying to be all things to all people – to patients, to politicians, to health department officials, to emergency doctors, hospital doctors, nurses, to private specialists, after-hours doctors, allied health workers and the neighbour’s dog.
But it’s a bureaucrat’s solution to a bureaucrat’s notion of the communications issues plaguing the health system. These solutions need to be clinically lead and clinically implemented — properly — not just token consultations so that someone in a suit can tick a box and say they’ve listened.
The My Health Record is built on a variety of assumptions: that more documents are better; that patients want and need access to everything; that patients have the necessary health literacy to use it in a way that will inform their health choices.
And it is built on the assumption that just accessing this information treasure trove without context or discussion is useful.
I would have to say this really gets it! As I have said often enough you cannot make an EMR that is ideal for clinician use while at the same time expecting the same record to provide a compelling consumer experience – forgetting all the other actors who want to have their problem solved!
The sooner we stop this madness the better in my view!
Posted by Dr David G More MB PhD at Wednesday, November 29, 2017