Here are the results of the poll.
Do You Anticipate Enthusiastic Adoption And Use Of The myHealthRecords System By Specialists Over The Next Few Years?
Yes 0% (0)No 99% (161)
I Have No Idea 1% (1)
Total votes: 162
Well that was pretty clear. The ADHA appears to be ‘pushing on a string’ as far as readers here are concerned with specialist use of the #myHealthRecord.
Any insights on the poll welcome as a comment, as usual.
A really great turn out of votes.
It must have been a pretty easy question as only 1 /162 readers were not sure what an appropriate answer was.
Again, many, many thanks to all those that voted!
David.
Truthiness is the belief or assertion that a particular statement is true based on the intuition or perceptions of some individual or individuals, without regard to evidence, logic, intellectual examination, or facts.
ReplyDeleteTruthiness can range from ignorant assertions of falsehoods to deliberate duplicity or propaganda intended to sway opinions.
https://en.wikipedia.org/wiki/Truthiness
We live in an age of fake news and truthiness.
Says it all about ADHA, really.
Your polls always spike when ADHA attempts to stamp out your online knowledge forum. Always enjoy a Sunday morning read of your blog David.
ReplyDeleteMaybe there is no Yes vote because ADHA users couldn't see the poll?
ReplyDeleteIf there's a sudden increase in pro ADHA/ My Health Record votes, it could be because the payola is working.
4:14 PM nice use of payola, and if you step back a look you are correct.
ReplyDeleteI am sure there are still a few at ADHA that visit this site. I have experienced a decline in knowledgeable and experienced people looking at ehealth problems. Those that are seem almost in hibernation.
An excellent article that demonstrates why myhr has failed to deliver value:
ReplyDelete"They break the rules, disrupt norms, can’t promise ROI. Why a risk an innovation project? Here’s how to know when you’ve added value"
https://www.themandarin.com.au/111500-they-break-the-rules-disrupt-norms-cant-promise-roi-why-a-risk-an-innovation-project-heres-how-to-know-when-youve-added-value/
You just have to look at the first row of "Benefits of measuring value":
"Understand the problem or need"
There's a huge difference between an outcome "reduce the fragmentation of health data" and understanding the problem of achieving it.
Neither NEHTA or ADHA have ever actually understood the problems they are trying to solve.
All they have done is implement a solution to something amorphous and vague. Which IMHO, is why they are having to bribe people to use it.
When you read the rest of the article, especially the part on "How not to analyse value", it becomes blindingly obvious that ADHA is well out of its depth.
Does this fit within the scope of the audit being undertaken by the ANAO?
ReplyDelete@11:42 AM Looking at the list "Benefits of Measuring Value" one can only conclude the ADHA has failed dismally at huge cost to the public purse.
ReplyDeleteBecause such a wide cross-section of bureaucrats and politicians have become embroiled in the web of falsities and deceit that has been cast far and wide I doubt an audit will expose the truth behind this long and complex failed IT saga.
The real failure is that government doesn't learn from history.
ReplyDeleteIt values the heroic over the rational; the know-it-all manager who is certain of the answer rather the prudent manager who admits to uncertainties and favours caution and analysis before making high costs decisions.
In their Detonate: book, the Deloitte consultants have, essentially, rehashed Reengineering the Corporation: A manifesto for Business Revolution by Michael Hammer and James Champy. The Deloitte consultants don't reference Hammer and Champy's work and, IMHO, their book is nowhere near as good,
It was published in 1993 and was widely discussed in Canberra but then forgotten and/or ignored. New managers came along and blissfully made all the same old mistakes.
IMHO, the failure of MyHR cannot be laid only at the feet of My Kelsey or ADHA/NEHTA, although they have contributed to it. It's a failure of the Australian government system where each portfolio minister is a law unto themself.
This was compounded by John Howard's decision to politicise the senior levels of the public sector thus destroying a lot of corporate knowledge, a process that continues today.
The sad part is that there has been virtual obstruction in progressing provider to provider messaging compliance and quality which leaves the MyHR the only game in town. Its not a workable solution to most issues, but they have ensured its the only solution. I would really like to get a medication list with a referral as its costly in time to produce an electronic one when you only see a patient once or twice. Despite the standards being in place to transmit this the messaging projects restricted the message to a pdf with no atomic data.
ReplyDeleteThere is a huge problem with generic management in the public service, it takes years for people to grasp the issues and they are moved on by then, so we have useless churn which burns $$$ for no return.