Rumours are flying around that Pulse+IT has been purchased by Clanwilliam Health.
Here is a link to the site:
https://www.clanwilliamhealth.com/about-us
The company has recently made some purchases in Australia and NZ - including Healthlink, the NZ system integrator and secure messaging provider.
Does anyone else believe that this interest needs to be promptly disclosed to avoid very considerable conflicts of interest?
Comments welcome with more info!
David.
16 comments:
Might make a landing place for a certain ADHA CEO. Then he can blame others for the failure of My Health Record.
At Clanwilliam, being Irish, he could use the Titanic defence ... "She was alright when she left here"
If true, this would seem to me to be a clear conflict of interest. I haven't noticed that Pulse+IT has declared new ownership, which would seem essential in terms of editorial probity.
ClanWilliam has bought up other Aust/NZ companies – https://www.clanwilliamgroup.com – but this appears to be the first foray into publishing.
Curious.
Noticed a disclaimer on an article for the first time this morning. Seems to be a serious conflict of interest, particularly as HealthLink is a direct competitor. Not very comfortable with this. Perhaps a matter for ACCC?
Brian Sullivan, MEDrefer Managing Director
Perhaps the ADHA could undertake an architecture review.
"Pharmacies could hand out prescriptions for medicines under major WA healthcare reforms"
https://www.abc.net.au/news/2019-07-04/pill-and-other-medications-could-be-prescribed-by-wa-pharmacies/11279560
I feel a war may be coming on.
First Pharmacists get permission to upload prescription data to My Health Record, then they muscle in on GP's territory to prescribe medication.
I can see GPs responding by demanding to be able to sell prescription medicine. It would be much more convenient for patients.
That won't be accepted.
So what will GPs do? Refuse to use My Health Record. That'll spike the Pharmacist's little plan.
The Government has really opened a can of worms with the ADHA caught in the middle, having supported Pharmacists in their desire to play a greater part in My Health Record.
Mr Hunt won't be best pleased.
All because of Mr Kelsey's ill thought through, desperate attempts to find some use for My Health Record.
I would not be so quick to disown play Hunt’s part in all this scheming. I would not put it passed the ‘follower for sale’ minister to have thought he was leaving a few cow pats for his successor.
The RACGP has its secure messaging bouncing ball and what were the trade-offs made by some on behalf of all to obtain little more than a mirage.
Under a Health Department review of community pharmacy ownership that has left doctors furious, the WA Government has been urged to acknowledge there is a "potential underutilisation" of pharmacies and pharmacists within the system.
The report has raised a long list of potential areas for the role of pharmacists to be expanded, including:
Increased involvement in hospital discharge
Supporting mental health
Prescribing for chronic illnesses, citing asthma and diabetes as examples
Monitoring and managing chronic diseases
Expanded immunisation services
And all that after school and part-time non-clinical folks accessing a national database. I cannot wait. Someone is going to be prescribed rose flower petals for anger management and essential oils for mental health issues and published to social media.
If these pharmacy guilds actually cared about the pharmacist professional standing they would be working to restore the image of a pharmacists as a highly trained professional rather than just someone at the back counter at a chemists.
The ADHA wants GPs to:
Spend consultation time putting data into a patient's myhr. Data they already have and which doesn't help the GP but might help a Pharmacist.
Spend consultation time checking the patient's myhr to see if some Pharmacist (or maybe more than one Pharmacist) has prescribed medications or other treatment
Spend consultation time checking with the patient what they have actually been taking or doing.
By which time the consultation has finished.
Where RTPM systems fit into this is anyone's guess.
WCGW?
The MHR will be the centralised one and only source of all truth. As the patient's doctor I will look at what the pharmacists have prescribed and what the hospital has prescribed and what some other GP has prescribed and I might know what the specialist has prescribed. Then I will respond to the patient's request for some repeat prescriptions .... will I?
Or will I change some meds?, Or wii I suggest the patient to ask their pharmacist for a repeat of their pharmacist scripts.
Or will I ask who is in charge here, who is the person ultimately responsible for this patient's clinical care and as this isn't clear will I ask my Medical Defence Lawyer to help me or will I ask the patient to tell me:
"Who is in charge here?"
"Which medicines are current and which have been ceased?"
How many cooks are needed to stir the broth?
I'll ask the RACGP. Theg'll have good answer!
I know it's probably sarcasm but this statement can never be true "The MHR will be the centralised one and only source of all truth"
All medical care systems should be capable of operating in stand alone mode.
It's the only way of protecting against power and/or communications outages and/or overload.
That means there always needs to be a local, interconnected, distributed system. Adding a centralised database offers no additional functionality, just complexity, cost and privacy/security risks.
It's called an architecture decision.
AFAIK, the original architecture of the PCEHR was a distributed system with a central function only for summaries and access control.
Some hubristic project managers got their hands on the system and totally stuffed it up. Now it's just a central database with all the fundamental disadvantages The government is now living with the fallout.
Ask Meredith, Nathan, Steve and Tim. They will each have an answer, or two, or three or four.
What did the UK do?
Some hubristic project managers got their hands on the system and totally stuffed it up.
That would be Andrew Howard (NEHTA) and that guy from the Department of health??
RACGP, AMA pharmacy guild, they are done and dusted thank you very mush, next up is RACP.
Surely your not referring to Paul Madden.
You mean this guy:
https://www.youtube.com/watch?v=1SH6HNWBb8k
He certainly makes it clear that the key stakeholders are doctors and clinicians.
Where he is is a bit of a mystery. Here he is in June 2017:
https://www.health.gov.au/internet/main/publishing.nsf/Content/annual-report-1617-toc~part-1-about-the-department~part-1-2-executive
His bio is something to behold.
Paul Madden holds the position of Deputy Secretary/Special Adviser, Strategic Health Systems and Information Management. Paul provides advice and leadership on a range of technical and strategic issues in Health, including Digital Health, My Health Record and the National Cancer Screening Register program.
Paul is a member of the Departmental Executive Committee and is chair of the Cervical Screening Renewal and Register Board and also the Chair of the National Cancer Screening Register Program, State and Territory Board.
It seems he's still on the public payroll
https://www.directory.gov.au/people/paul-madden
What he's doing is either very secret or they have forgotten about him
Yes that is the guy. Thanks could not recall the name, Howard the million dollar a day git is sadly hard to forget.
Tim Merideth and co are sadly third generation fodder
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