Just spotted this:
"Submissions were sought by 14 September 2018. The reporting date is 8 October 2018. On 19 September 2018, the Senate granted an extension of time for reporting until 12 October 2018."
Here is the link:
https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/MyHealthRecordsystem
looking at the calendar this gives them an extra working week when the Senate is not sitting - it comes back 15 Oct, 2018.
David.
9 comments:
At least that indicates they might be reading the submissions! Nice change from the Telecommunications bill...
This Senate Inquiry, like those that have preceded it, demonstrates the wide diversity of views and contradictions which make it impossible for Senators to reach a valid conclusion about 'what to do' with this hugely complex project. The hard questions have not been asked.
"The hard questions have not been asked that's why a pause and independent review are needed
The problem is "what is meant by an independent review?"
The Royle Review was meant to be independent - but it wasn't.
In my view the first and most essential step towards an independent review is to have the Auditor-General conduct a thorough Audit of the entire project. There is an abundance of excellent objective evidence available through various Submissions over recent years which the A-G can call upon including the authors of those Submissions.
@3:58 quite agree that reviews to date have proven to be less than independent. I think the basic problem is that the MyHR is not a good fit for the Australian environment nor is it technically a clinical tool. As a consumer tool it is bland and provides no incentive to be used. Against other personal focus health apps it is ... well not optimal.
It is clear the CEO of ADHA is himself a relic of a bygone era of eHealth and the ADHA rhetoric reflects this, its publication further reinforces my view. It is devoid of vision, constrained by their shallow belief the MyHR even as a concept is flawed.
It is hard to see where ADHA fits in the future. Having put all their eggs into the MyHR basket they have taken their eye off the game. We are already seeing other filling the national leadership void. I doubt ADHA could now be seen as a reputable respected facilitator of independent standards development, a compliance and conformance entity or even a national body for the creation and management of national specifications. Without these tools I cannot see how they have a role to play or why they would need to continue spending money on clinical technical and other special advisors.
Gartner Report - Predicts 2018: Healthcare Providers
https://security.imprivata.com/gartner-report-predicts-2018-healthcare-providers-ar.html
In short - don't introduce manual processes, use automation to reduce the burden of IT.
So what does ADHA do? Increase the workload. My Health Record is unsustainable.
Work needs to be done to use technology to increase the efficiency and effectiveness of health providers. Medical records in all their forms do the reverse.
Gartner doesn't say how these things will be done, just that they need to be done.
From the Gartner blurb:
"Digitalization is invading all aspects of healthcare, and data, analytics, and security are at the core of healthcare transformation. As the volume of data increases, care teams are increasingly burdened with administrative and other non-value add tasks. In fact, nurses and care team members spend up to 50% of their time on tasks that do not involve caregiving. This shift demands industry transformation including reduced costs and improved operational efficiencies.
Gartner recommends that health care delivery organizations invest in an anti-toil IT plan. As healthcare moves towards digitization, US healthcare provider CIOs are tasked with developing IT strategies that incorporate a best-in-class approach to data security and eliminates manual and repetitive tasks for clinical care delivery teams."
Following up on the theme of health care transformation.
Compare health records with the way retail sales is changing because of on-line outlets, specifically Amazon.
Fear factor: Why Amazon's size is becoming a headache
https://www.smh.com.au/business/companies/fear-factor-why-amazon-s-size-is-becoming-a-headache-20180925-p505rp.html
One way of judging the actual or potential impact of transformational change is to see who is frightened of it.
AFAIK, no health providers or suppliers to the health care industry are afraid of health records in general or myhr in particular. In other words, they do not threaten the status quo, because they are not changing it.
If the status quo is not being disrupted, it is not being transformed. ADHA bleats about the way myhr will result in radical change to health care. IMHO, that is naive to the extreme and displays a total lack of understanding of what transformation really means.
As I put it to the Senate, myhr is automating the past and doing it in such a way as to make things worse, not better.
And as I said to Tim Kelsey in November 1016, you are in danger of trying to make faster horses, instead of creating the motor car. He knew the quote, just not what it means.
You can always tell a bureaucrat, you just can't tell them much.
And on the topic of making things worse:
Burned out, but what does it all mean?
MJA Insight, 24/9/2018
https://www.doctorportal.com.au/mjainsight/2018/37/burned-out-but-what-does-it-all-mean/
Referring to the 2013 National Mental Health Survey of Doctors and Medical Students, funded by beyondblue:
'Professor Baigent, who is one of the beyondblue Board of Directors, said although the survey was now 5 years old, the findings were likely to be similar today and it was too early to revisit it.
“I would be interested in doing it further down the track because as technology is weaving its way more and more into medical practice, the stresses are rising,” he said.
He said technology had often increased the time it took to see a patient.
“There are endless systemic risk management [tasks] that seem very relevant to administrators, perhaps, but less relevant to the clinical care of the patient.'
That was five years ago. Does ADHA really think they are making things better?
ADHA's hubris, apart from potentially harming the young, may well be harming health care providers.
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