Quote Of The Year

Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"

or

H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Sunday, June 14, 2020

This Looks Like A Mighty Big Call From The ADHA On Their Part In Digital Health.

The ADHA released on of their regular propaganda e-mails a day or so ago.

Here is the link to the release which points to the newsletter.

https://www.digitalhealth.gov.au/news-and-events/news/inside-digital-health-covid-19-special-edition-no-2-june-2020

I have to say the introduction really caught my eye:

COVID-19 Special Edition No 2 – June 2020

Message from the CEO

Governments, healthcare professionals, provider organisations and innovators have come together over the past three months to increase the capacity of Australia’s health sector to use digital technology and data to contain this virus.

Our success has provided governments the confidence to start easing restrictions and steer the country into the next stage.

The Australian Digital Health Agency launched the campaign ‘Don’t put your health on hold’ with interactive guides on how to get health services in a COVID world. We’ve released new online training for healthcare professionals on spotting and averting cyber security risks, and worked intensively with software organisations and professional peaks to fast track electronic prescriptions.

We look forward to continuing our work with you to support our health system at this critical time.

Bettina McMahon

---- End extract.

In the second para the CEO seems to be saying that it has been the extra use of Digital Health – as guided by the ADHA is the reason that the lockdown restrictions are being lifted.

I would suggest that is just nonsense. The success has been driven by some very skilled public health practitioners providing advice to Governments that has not only been followed but has, on balance, been pretty good and got us to where we are today.

I believe the ADHA has been rather opportunistic rolling out a pretty basic informational web site which mostly replicated information available from other Government sources.

A poll two weeks ago said it all:

----

AusHealthIT Poll Number 529 – Results – 31st May, 2020.

Here are the results of the poll.

Do You Believe The ADHA Should Be Developing Consumer Facing Clinical Advice Websites Like The One Found At https://covid-19.digitalhealth.gov.au/?

Yes - They Have All The Expertise They Need 0% (0)

No - They Are Not Clinical Experts 100% (108)

I Have No Idea 0% (0)

Total votes: 108

A  unanimous vote. The ADHA should not be performing this sort of role!

Any insights on the poll welcome as a comment, as usual.

A good number of votes for some reason.  

It must also have been a very easy question with 0/108 readers were not sure how to respond.

Again, many, many thanks to all those that voted!  

David.

-----

Here is the official Government site if you need it.

https://www.australia.gov.au/

Really the ADHA seems to be just detached from the real world. At least they did not say the #myHealthRecord had been a vital component of the national success. I reckon even the ADHA would see that as a claim too far!

What do you think?

David.

11 comments:

Anonymous said...

We’ve released new online training for healthcare professionals on spotting and averting cyber security risks, and worked intensively with software organisations and professional peaks to fast track electronic prescriptions.

Ummm so exactly how has any of that made any difference to COVID 19? Am I missing something here? Is COVID-19 an internet based virus? Are there medications approved and available via prescription for COVID-19?

There are ambulance chasers and then there is the ADHA the later seemingly having no shame.

Bernard Robertson-Dunn said...

If the ADHA really thinks it has a national strategy that is guiding and co-ordinating Australia's Digital Health initiatives, maybe they should have a look round all these sites, all claiming to be innovative and developing new solutions.

CSIRO Digital health technologies
https://www.csiro.au/en/Research/BF/Areas/Digital-health

Digital Health CRC
https://www.digitalhealthcrc.com/

Australian Institute of Digital Health
https://digitalhealth.org.au/

NHMRC Centre for Research Excellence in Digital Technology to Transform Chronic Disease Outcomes
Melbourne School of Population and Global Health
https://mspgh.unimelb.edu.au/digitalhealth-cre

NHMRC Centre of Research Excellence in Digital Health
https://digitalhealth.edu.au/

eHealth NSW
http://www.ehealth.nsw.gov.au/

eHealth Queensland
https://www.health.qld.gov.au/clinical-practice/innovation/digital-health-initiatives

Australian Digital Health Agency's site completes the trifecta of domain names - gov, com, edu. The CRC had to be a bit more creative.


Long Live T.38 said...

But wait there’s more, now with a corona 19 Taskforce to rival space-force. You guessed it, focusing on the world of tomorrow and “innovation”. Wonder if they get flybuys if the use the word innovation?

How utterly embarrassing.

Anonymous said...

Oh dear, ADHA does appear to be lost in the woods. The list Bernard presented simply reinforces a need for a office of national coordination. Is that ADHA? No, it could have been, these days it has lost the ability to hold an engaging national conversation on things of importance, ADHA should simply administer MyHR operations. Maybe the new National Cabinet can establish a proper national entity.

ADHA Staffer said...

Part of the problem is the culture of internal promotions regardless of the quality of candidates. There is a group who I believe lead the protection racket at NEHTA and continue today. Every time a good leading role is advertised it has already be awarded Internally. What this means is ADHA uses recruitment processes to waste peoples time and ultimately loose opportunity to bring onboard much needed talent and new ideas. I know some who have applied and will never apply again due to these tricks and they way they were treated. Our HR team are sidelined as the protection racket goes all the way to the top

Anonymous said...

Maybe the new National Cabinet can establish a proper national entity.

Not sure this new attempt by Morrison to bypass public accountability and due process will deliver anything beyond rhetoric, corruption and mid-term disappointments. I hope I am wrong but Morrison and Co are bit shite at governing and strategy.

Anonymous said...

It just keeps getting more and more bizarre - https://www.digitalhealth.gov.au/news-and-events/news/immunisation-status-among-the-top-5-healthcare-documents-australians-want-access-to

They are getting good at removing any context for their claims so well done them.

Anonymous said...

They think the're doing a great job.

Bernard Robertson-Dunn said...

Here's some interesting research:

Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis
https://qualitysafety.bmj.com/content/qhc/early/2020/06/12/bmjqs-2019-010581.full.pdf

The authors looked at the impact of giving patients access to their EHR's - you know part of the original (but not achieved) objective of myhr. The other part was to make it use controlled.

myhr is now has very little to do with a patient's EHR, being hhat it only contains an optional summary and potentially some test results that the patient may or may not have permitted to be uploaded.

Anyway, this is the conclusion.

"Our results suggest that providing patients with access to EHRs can improve patient safety and effectiveness. More methodologically robust studies are necessary to increase the strength of these conclusions, and to enhance meta-analytical power. For EHRs with patient access to be broadly used, it is important to focus on interventions that enhance adoption and measure usage, and issues of equity in both aspects need to be addressed by policy makers when implementing such programmes."

It's got the usual weasel words (suggest ... can improve...More studies are necessary.) but it does look as though giving some patients access to their full EHR could be beneficial.

There is nothing in this paper that suggests that the Australian approach has any benefit at all.

And it's not as though the authors were unaware of myhr, one of them Liliana Laranjo, is based in Australia.

The other thing worth noting is that it would have cost the government virtually nothing to implement a policy that gave patients access to their EHR. All they had to do was mandate it.

The big disadvantage would be that the government would not have access to any of the data.

Oh, silly me. It's only the government that would see that as a disadvantage. Patients would see it as a good thing and it would not increase GP's and/or hospital workload. The same mechanism could also be used to permit authorised health professionals to see other EHRs on a limited basis.

Anonymous said...

@ ADHA Staffer. There is certainly evidence to support your concern. I understand most if not all recent director type roles have simply been internal promotions. I guess we will know if the current General Manager, Operations Branch position is filled internally.

Anonymous said...

Could the reasons for "internal promotions" be that a) those working for ADHA can't find a decent position outside ADHA because of ADHA's reputation and b) nobody outside ADHA wants to join ADHA?

CEO anyone?