Grahame Grieve was chatting with me today wondering if there were any clever souls out there who could, using existing infrastructure perhaps make a difference of the next few months.
As he put it:
"Given the challenges coming at us over the next few weeks, what can we do - if anything - to improve things - save lives, make care more efficient, reduce the impact on society"
He pointed out this site as an innovative example from Italy.
As he said – “here is all the data the government has about the current state of play, published for anyone to do analysis on”
You can see what they are up to here:
Anyone got any clever ideas that might help. I am sure any good ideas will find support from the Digital Health CRC and similar.
Over to you.
David.
11 comments:
If you want a platform to support the access to and use of dataset then data.gov.au would be a good start or the DTA I recall has a fairly impressive github arrangement.
What information and experience is being sort? We risk to much information becoming dangerous.
Probably the best thing for you people at ADHA to do is sit this one out. Sorry Grahame but fast tracking eprescribing and wanting to enforce telemedicine communication platforms over Skype, ZOOM FaceTime etc just exposes how unprepared and inadequate an organisation it has become.
Who said anything about ADHA? I'm asking generally.
ePrescribing only seems useful to me in this specific regard if it comes with virtual dispensing too, and I don't think that's on the able?
Telemedicine... yes obviously. Is there any interop needed to support this? we've done nothing that I know of to enable it in the specs, but what happens if we scale it?)
If PULSE IT are to be believed it would appear the DoH are pushing rapid implementation of eprescribing and there is a person warning not to use things like Skype over lessor know industry apps for VC. I would suggest Zoom, Microsoft and Apple would scale a lots faster and safer than some tinpot health application provider. The comments in Pulse highlight the flaws so will no repeat then here.
I would suggest innovation look to how it can assist the second wave of this pandemic the current will be over before sprint planning is agreed
From what I can tell, there is no current treatment or vaccine for Covid. At best all a doctor can do is alleviate symptoms.
So, how useful would e-prescribing be for most people? Serious cases go to hospital, the needs of non-serious vary from nothing to some help with symptoms.
Yet another technology solution to a dubious medical problem.
> how useful would e-prescribing be for most people?
The theory is that it will help with social distancing, or self-quarantine, because you won't have to go out to get medications that you need (e.g. for other conditions). It sounds good to me if we can get to the point of delivering medications by courier / drone. But that sounds... distant... to me.
If lots of people are quarantined, who gets to deliver? And not just medication but food etc. That's why the government is desperate to avoid a spike in infections. And it won't only be deliveries, it will be hospitals and GPs.
@10:31 PM. Maybe watch a little less Fox News and have a look at the Italian approach in detail.
Anyway in response to the actual post by David. No short-term technical solution. Just some opinions.
As said by Winston Churchill, never waste a good crisis
In challenging times one must question the accepted reality because things are going wrong, rapid answers are needed and the solution may well be found outside the usual compass. With the current Corona virus sweeping our integrated global system “digital health” perhaps needs to act on areas of weakness and missed opportunities and admit that it lost its way here in Australia, then use this current crisis as a scenario to design and implement process and system (human and computer) to support the next inevitable health crisis. Corona is not the first and will not be the last and it certainly is not the worst.
In the world of healthcare, collectively leaders are often guilty of not challenging the norm; instead satisfied with following procedure and tradition or simply worn out trying to get to the top. It takes insight and not a little courage to question your leaders as to why are things done the way that they are? However, in times of crisis there seems to be more latitude to do so – policy makers and strategist in fact are actively seeking input it seems
According to the biggest battle’s in history, an indirect approach is the ultimate “grand strategy”
There is an opportunity to first heal and bring together the fragmented and diluted eHealth community in Australia and stitch together that collective knowledge in an environment where challenge is the norm, standards become the basis for innovation and policy provides additional safeguards.
My interactions with the current national entity is one of: A transient workforce lacking in-depth knowledge that is dependant on specific project requirements, this is further weakens by a more stable and longer-term workforce that although have history, no longer seem to be driven and lack technical and clinical leadership.
I am not advocated mass sackings, quite the opposite (the current situation is born from a purge mindset) but rather bring in and shore up the current workforce and turn them into our shared capability that is there for all jurisdictions, organisations and vendors.
The Italian approach? The country that's just topped 1000 deaths?
This looks like a rather ambitious "clever idea" from the ADHA
Digital health agency launches My Health Record resource for children
https://www.themandarin.com.au/127297-digital-health-agency-launches-my-health-record-resource-for-children/
The Australian Human Rights Commission and the Australian Digital Health Agency have paired up to design a resource which teaches school children about the My Health Record system.
The ADHA’s interim CEO, Bettina McMahon argued young people could be some of the “greatest beneficiaries of the My Health Record” because of their proficiency in using technology.
That's a leap of logic.
This is from My Health Record Stage 3 Lesson Plan:
In this lesson, students will be introduced to the concept of children’s rights and how the United Nations Convention on the Rights of the Child (1989) both defines and protects these rights. Students will explore specific rights; such as the right to health (article 24), the right to privacy (article 16), the right to participate in decisions that affect them (article 12) and the right to get accurate information (article 13) by using My Health Record as a case study.
It's more likely to bore them to death
This smacks of a "teach them and they will use it" mentality. What it might actually teach children is how they are being monitored, how they can take control of the system and them delete their record so that their parents and the police can't track them.
It's called unintended consequences.
AnonymousMarch 13, 2020 10:24 AM
The Italian approach? The country that's just topped 1000 deaths?
Yes that is the Italy I refer too. As you will know they have implemented a national quarantine. Within that framework measures are in place that answer your questions.
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