This rather alarming report appeared last week:
Accenture's $915m My Health Record deal prepped for market
Ten-year contract nears expiry.
The Australian Digital Health Agency has taken the first step in its plans to replatform the My Health Record system ahead of the 2020 expiry of its deal with national infrastructure provider Accenture.
The My Health Record system operator issued an advisory late on Friday to inform industry of its intention to conduct a “potential” request for information for the new platform later this year.
The market approach would provide an “opportunity [for industry] to contribute to a conversation about the future of the national infrastructure including My Health Record,” the agency said.
The pre-release notice comes more than a year after the ADHA first said it had begun talks to replatform the e-health record system, which switched from opt-in to opt-out earlier this year.
Accenture has held the lucrative deal for the design, build and integration of the system since 2011, when it was known as the personally controlled electronic health record (PCEHR).
Working with a consortium of suppliers, including Oracle and Orion Health, the IT services provider has built the system’s core IT infrastructure, as well as a number of portals to access the record.
Contracts published on AusTender put the total value of the deal at $916.5 million between August 2011 and June 2020, according iTnews analysis.
More here:
Here is what the Agency put out:
Current ATM View - RFI DH2298
Pre-release notice - Request for Information about the future of the national infrastructure
Contact Details: NIM Contact
ATM ID: RFI DH2298
Agency: Australian Digital Health Agency
Category: 43200000 - Components for information technology or broadcasting or telecommunications
Close Date & Time:
23-Sep-2019 12:00 pm (ACT Local Time)
Publish Date: 13-Sep-2019
Publish Date: 13-Sep-2019
Location: ACT, NSW, VIC, SA, WA, QLD, NT, TAS
Canberra, Sydney, Melbourne, Adelaide, Perth, Brisbane, Darwin, Hobart
Canberra, Sydney, Melbourne, Adelaide, Perth, Brisbane, Darwin, Hobart
ATM Type: Notice
Description:
This is a pre-release notice intended to provide industry awareness of a potential Request for Information (RFI) opportunity to contribute to a conversation about the future of the national infrastructure, including My Health Record currently operated by the Australian Digital Health Agency. This RFI may seek information from industry about potential future options and themes for products and services, including technology considerations.
The Agency reserves the right to not proceed with the intention to approach the market, clarifications in regard to the RFI will not be provided at this time.
Other Instructions:
An Industry Briefing may be scheduled for the RFI. Two representatives from each organisation will be able to register to attend. A video of the briefing may be made available after the event.
More information on the Industry Briefing, including how to register will be provided in the RFI documents.
Conditions for Participation:
This is a pre-release notice only. If the Agency proceeds, Conditions for Participation if any, will be published at the time of RFI release.
Timeframe for Delivery:
Q3/Q4 2019
Address for Lodgement:
Not applicable.
Here is the link:
The bold text is what matters.
How this cannot be contingent on what the ANAO Audit of the #myHealthRecord seems to me to be amazing or have they been given a clean bill of health and we will only find out later.
Also alarming is the underlying assumption that all this nonsense is to go on essentially in perpetuity!
There is also the worry that we are looking at options, themes and products rather than what is needed by clinicians and patients. This is cart before the horse stuff of the first magnitude.
The ADHA have proved themselves at being adept at getting the outcome a few technical bureaucrats want over the will of the public with their co-design nonsense. This must not happen here. The tech and services must provide what is actually agreed to be needed on a firm evidence base – not what the bureaucrats think is good for them and their empire building!
I have to say I do not see any evidence this procurement will be an open, requirement and evidence based process. We also need to see just where the usage and impact of the #myHealthRecord has made it to and understand just why more investment makes sense.
Keep a close eye on this!
David.
2 comments:
If They Plan To Go Ahead With This The Public Needs A Real Say In What Is Done!
Why David? Tim Kelsey and Bettina McMahon have been nothing but consistent in their disregard for national dialogue and a find clinicians and consumers irrelevant annoyances
Good questions David.
Here's another one -
According to this report
"Changes will be made to the My Health Record system from this weekend to provide an easier way for healthcare providers to sort through pathology and diagnostic imaging reports uploaded to their patients' records.
A new pathology reports overview and a diagnostic imaging reports overview will go live on Saturday which will allow users to see reports grouped by test or examination name, or by date."
Question: How do MBS/Medicare details, PBC/Medication details, pathology reports and diagnostic imaging reports fit in with ADHA's claim that myhr is a summary of a patient's health information?
Especially when there is no history?
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