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."

Thursday, May 27, 2021

Is The ADHA Aligned With The National Digital Strategy? It Does Not Seem So!

This appeared a week or so ago:

Digital economy strategy 2030

Department of the Prime Minister and Cabinet (Australia)

Publisher Government of Australia

Digital transformation Emerging technologies Business enterprises Business innovation Economic recovery Economic growth Australia

Resources

Digital economy strategy 2030                                            9.72 MB

Digital economy strategy 2030 (infographic)                 276.95 KB

Description

COVID-19 accelerated the take up of digital technology and highlighted the role it can play to support and enhance business operations across every sector of the economy, improve the delivery of government services and make life easier for Australians. From telehealth and electronic prescriptions to online sales, cloud computing and remote working, COVID-19 has driven a huge leap forward in our digital capability and our appetite for data. Australia must maintain this momentum to secure our future prosperity and protect our national interests.

This strategy sets out how Australia will secure its future as a modern and leading digital economy and society by 2030. It builds on the Australian government’s existing digital and data initiatives, sets out further actions the government is taking through the 2021-22 Budget and defines future pathways to 2030.

The strategy recognises that the government plays an enabling role – Australian businesses and individuals will ultimately determine our success. The strategy is built around three pillars:

  1. Building the foundations to grow the digital economy – The first role of government is to create the policy settings for the digital economy to flourish. This includes investing in digital infrastructure, a skilled workforce, digital inclusion, digital trade agreements, cyber security and safety, and world-class systems and regulation that encourage the adoption and creation of trusted digital technology.
  2. Building capability in emerging technologies – The Government recognises the important role of emerging technologies in driving future productivity and prosperity. It is developing its understanding of these technologies so it can build capability and keep pace with changes in technology to position Australia at the forefront of technology development and use.
  3. Setting Digital Growth Priorities to lift our ambition – The Government has identified four strategic priorities across the economy where we can partner with the private sector to drive digital growth, jobs and capability. These priorities include lifting the digital capability of small to medium enterprises (SMEs); supporting modern and globally competitive industry sectors in areas like manufacturing, agriculture, mining and construction; building a dynamic and emerging technology sector; and delivering simple and secure digital government services.

The strategy sets out the pathways to guide future actions, set ambitious targets and will be continually renewed to realise the government's vision of being a leading digital economy and society by 2030.

Publication Details

ISBN:  978-1-925364-57-6

Copyright: Commonwealth of Australia 2021

License type: CC BY

Access Rights Type: open

Post date: 13 May 2021

Here is the link:

https://apo.org.au/node/312247

The big picture in their infographic is:

“We will invest in the settings, infrastructure and incentives to grow Australia’s digital economy

But when describing their investments in the Budget we have:

“Enabling Next-wave My Health Record for world-leading healthcare

I just can't see how the 3 bullet points and the directional statement fit with running a national EHR which is neither useful or needed!

What do you think?

David.

10 comments:

Anonymous said...

Is all this before or after they deliver the Clever Country and the Multi Function Polis?

It's like watching children at play. Full of bright ideas disconnected from reality.

Margaret Smalley said...

It just gets better and better the more times they tell the same old joke. Just utter BS floating in a soup of dribble.

Anonymous said...

I hear you all complaining but what are you all doing about it, other than complaining?

Is it too hard? Don't you know what to do? Is it easier to just sit and do nothing in the hope it will either all go away or just somehow magically fix itself?

Long Live T.38 said...

Well Anon, after witnessing you lot push your way in over the past decade I would not mind you doing nothing. The randomness of your strategies, the uselessness of you execution has left us with the age care system we have, you have wrecked standards and blocked meaningful interoperability taking hold.

Pack your power point slides up, take your meaningless culture change and motivational posters and empty heads and stop. There are many on this blog who are working to make a difference. It is just easier if you got out of the way.

Trust that was a response you were phishing for?

Anonymous said...

I think you shine light on an important issue here David. Is any part of government aligned with any other part of government? Perhaps it is a result of over a decade of repeated leadership spills and restructures - I know I am lost as to who does what so I am sure many in government must be at a loss.

Bernard Robertson-Dunn said...

"Is any part of government aligned with any other part of government?"

The only answer to that question is: "Sometimes, but only if the parts want there to be."

FYI, the problem is with the constitution.

All the power is with individual ministers of the crown. In the constitution, they are vested with the responsibility to deliver their outcomes. There is no such thing as "prime minister" in the constitution, the office exists only by agreement, not by law.

This means that the central agencies, i.e. Prime Minister and Cabinet, Treasury and The Department of Finance have no direct influence over the ministers.

The only control they have is via the laws that dictate how money is spent. This used to be defined in the Financial Management and Accountability Act (FMA) it was replaced in 2016 by the Public Financial Management Act which is available here:
https://www.mofep.gov.gh/sites/default/files/acts/PUBLIC-FINANCIAL-MANAGEMENT-ACT-2016.pdf

If you read the Act it says this:

"General responsibility

3. The Minister, Chief Director, Controller and Accountant-General, a Principal Account Holder, a Principal Spending Officer and any other public officer designated by the Minister to manage public funds shall discharge their respective responsibilities and exercise their powers in accordance with this Act and the Regulations.

Responsibilities of Minister
4. (1) The Minister is responsible for the policy and strategic matters related to the efficient operation of the public financial management system of the country subject to policy guidance from Cabinet."

Notice two things:
1. It only mentions the Minister
2. The Minister is only "subject to policy guidance from Cabinet".

The key phrase is "Policy guidance". The minister cannot be told how to spend his/her money, only what the outcomes are to be.

The central agencies can only enforce the processes by which agencies spend money not what they spend it on. Everything else is by agreement.

For example, If MyHR were to pass from ADHA to Services Australia it can only happen if the Ministers agrees to it, the PM cannot make it happen if they don't.

The only other leverage the PM has is over who the Ministers are, but to sack a Minister is a serious matter and has potential political repercussions.

Australia is a fragmented federation. Not only are there divisions between Federal and State jurisdictions but there are between Federal government agencies.

MyHR was only possible because the States agreed to it via COAG. In practice the States have given up on MyHR and are delivering their own integrated health record systems.

I only hope they learn the lessons of Waikato in New Zealand

"Cancer patients caught up in Waikato DHB cyber attack should be sent to Australia, Judith Collins says"

https://www.tvnz.co.nz/one-news/new-zealand/cancer-patients-caught-up-in-waikato-dhb-cyber-attack-should-sent-australia-judith-collins-says

The key lesson is "don't attach your clinical and other health support systems to the Internet. If you must make data/systems available to others, do it on separate systems fed via one way data feeds. One way is by creating a Demilitarised Zone"

It is quite likely that MyHR is architected that way, most government systems are. The irony is that if MyHR were breached the effect would be mostly political, certainly not clinical.

It's not that hard to build systems with layered security, it just costs money.

Anonymous said...

This explains a lot.

IT contractors dwarf internal staff at Canberra's biggest agencies
https://www.itnews.com.au/news/it-contractors-dwarf-internal-staff-at-canberras-biggest-agencies-565109

While not a ‘big four’ agency, the Department of Health also had more than twice as many IT contractors than staff (438 contractors versus 191 staff).

...

The only IT skills the Department of Health has are bureaucrats, with most concerned with running their admin systems. There's nobody who knows what they are talking about to advise the Minister or Secretary about what the ADHA is up to.

No wonder they haven't a clue.

Anonymous said...

Wonder why we don't trust this lot?

A shot in the arm or a stab in the dark? Australia’s vaccine rollout

https://www.abc.net.au/news/2021-05-28/untangling-australia-s-covid-vaccine-rollout-timetable/100156720

Anonymous said...

Or a great picture. Yes these are untested times and there are lits of variables but some really are just opportunistic creeps looking to score in the moment and twist the truth at every step.

Anonymous said...

Have a listen to the Minister for My Health Record on TV avoiding all the questions on vaccines.

This is Barrie Cassidy's Twitter feed which has multiple links to Minister Hunt on TV

https://twitter.com/barriecassidy/status/1398078320156110850