Sunday, January 14, 2018

AusHealthIT Poll Number 405 – Results – 14th January, 2018.

Here are the results of the poll.

Do You Expect The ADHA To Be Able To Successfully Implement Opt-Out With The myHR?

Yes 4% (6)

No 96% (153)

I Have No Idea 1% (1)

Total votes: 160

Any insights welcome as a comment, as usual.

It really seems that in the eyes of those that read here there is not much of a chance of opt-out being successfully implemented for the myHR by the ADHA

A really great turnout of votes!

We note there was one respondent who was clueless!

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



Anonymous said...

David, your latest poll. It misses the option of just never being abounded. The assumption currently is it will not be abandoned if it is a success. There is enough evidence to suggest it will continue regardless. IMHO

Dr David More MB PhD FACHI said...

Sorry about not having that option, but surely if it was a failure it would be abandoned over some timeframe, if for no other reason than to not waste money?


Anonymous said...

No problem. It did get me wondering though. Just what is the goal post opt out? If all citizens are conscripted then that is the loss of a pretty big business case driver. I understand this ‘replatforming’ but it will be difficult to now start coaxing other stakeholder cohorts and that won’t be cheap financially or politically. The Government will need to do some pretty big trade-offs with the likes of the AMA and various guilds.

Dr Ian Colclough said...

The end result of failure or discontinuing after full opt-out has been completed is the destruction of any goodwill among all stakeholders and consumers. I have warned of this previously on a number of occasions.

Anonymous said...

Dr Ian Colclough. It is worth raising time and time again. What consequences does that hold for the future? This is a very serious question that needs debate. Any solution introduced into a system must be assessed for its impact to that system. Passions aside, it would be good to start listing this David and having the community provide analysis against each one.

There are:
The Monetarisation of online information
Stagnation of technology platforms and applications
As technology ages, the ability for it to be supported
Clinical safety
Impacts to advancing clinical interoperability

For starters....

Anonymous said...

As a simple citizen with no background it medicine or IT. I have a MyHR, I have looked at it a few times now. I am perplexed as to what I am suppose to do with it and why any of this has any value to me? Just what is it I am suppose to do and what does all this mean? I am sure it makes sense to someone.

Dr Ian Colclough said...

@1:08 PM I am unaware of any impact assessment being undertaken which analyses the downside of failure of a national deployment of an untried and unproven system like the MyHR. When I have raised it the response consistently is that no discussion of such matters is necessary because there is no way the project will fail because it won't be allowed to. Confronted with such blatant naievty one must conclude the most important risk management consideration is non-existent.

Anonymous said...

@2:27 - I am unaware of any impact assessment being undertaken which analyses the downside of failure of a national deployment of an untried and unproven system like the MyHR.

Given the competency of those in ADHA and Health I doubt that they have anyone who could do a decent job of it. And the big consultancies know what the government wants to hear. The Royle review was a classic example of toadying to the paymaster. Why would anything change?

Anonymous said...

And if it succeeds? What is the risks and consequences if it succeeds. That has an impact as broad reaching as a failure, in fact some might say a successful opt out has a bigger impact than a failure. What catastrophic impacts could this have?

Bernard Robertson-Dunn said...

You mean if it goes opt-out, gathers lots of personal medical data and just sits there, unused as a health care database?

People might ask what is it really for? Some might conjecture that it's being used as a surveillance system. A government could get thrown out for that sort of thing, especially one with a wafer-thin majority. And especially in Australia where the population is inherently suspicious of such things. And especially when the head of the agency running this has no idea of the history of similar attempts because he wasn't here when they happened.

So much uncertainty. It's just as well everyone involved is so certain they are doing the "right thing".

Anonymous said...

In part Bernard, I am also interested in the impact to actual healthcare delivery, it costs, it’s impact to patient and practitioners and organisations business models and clinical workflows. I am deeply concerned from an insurance perspective, are premiums going to rise to cover increased medico legal cover? And the knock on effects.

Yes I am concerned about a large data collection hub slowly loosing focus and funding and becoming more and more vulnerable to ever increasiling sophisticated IT security attacks.

Other than that ...

Bernard Robertson-Dunn said...

As a clinical record system myhr is nowhere near as useful, reliable or trustworthy as a GP's system or a hospital's system. In times of emergency myhr is likely to be overloaded or un-contactable and a local system is a much better solution.

The only criterion we have every seen the government apply is of data uploads. In that case the government might call it a success but in terms of medical effectiveness and or efficiency it is difficult to see where any value will come from, especially compared with other alternatives that don't involve myhr at all.