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."

Friday, November 19, 2021

I Find This News From the ADHA A Little Curious. I See A Spin Cycle At High Rotation!

This report appeared last week:

My Health Record mobile app for account holders to launch in early 2022

The upcoming app will be based on the Chamonix-developed Healthi app.

By Campbell Kwan | November 12, 2021 | Topic: Mobility

The Australian Digital Health Agency (ADHA) has signed a contract with Chamonix IT Management Consulting for the company to build out a My Health Record mobile app for accountholders.

The contract, valued at AU$2.1 million, is for Chamonix IT to build a new mobile app that gives My Health Record account holders the ability to view their patient, clinical, and lab records.

As part of the deal, the ADHA has also acquired Chamonix's IP rights for the health record app Healthi, which is what the My Health Record app will be based on. Healthi provides health record services and was the first third-party app to be connected to the My Health Record.

ADHA representatives said the My Health Record app would differ from Healthi in a few ways, particularly through providing notifications about COVID-19 boosters and access to digital vaccination certificates.

Other information that will also be available on the app will be general immunisation history statements, hospital discharge summaries, advanced care directives, medications, and allergies, ADHA said.

All of this information will be in read-only format.

"My Health Record is the one unique place that has a national dataset with approximately nine in 10 Australians. With a My Health Record app, they will now have a more convenient way to access that essentially in a way they're used to in their everyday lives," ADHA told ZDNet.

The IT consulting firm was selected to build out the channel following an open tender process conducted by the ADHA.

More here:

https://www.zdnet.com/article/my-health-record-mobile-app-for-accountholders-to-launch-in-early-2022/

There is also coverage here:

Chamonix lands My Health Record app deal

By on

Will build app on behalf of Australian Digital Health Agency.

The federal government has enlisted Adelaide-based IT services provider Chamonix to build a consumer-facing mobile app for the My Health Record.

The Australian Digital Health Agency awarded Chamonix a $2.1 million contract for the work this week as part of a wider overhaul of the infrastructure supporting the ehealth record.

The app is intended to improve access to information through the My Health Record, complementing existing digital channels, including the online government services portal myGov.

An ADHA spokesperson told iTnews the app would be available for download in early 2022, though the first iteration will “be a read-only interface to My Health Record”.

It will connect to the ehealth record via the system’s Fast Health Interoperability Resources (FHIR) gateway”, with authentication to be done through user’s myGov accounts.

A future version of the app is expected to have “upload functionality” and additional features, according to the spokesperson.

Chamonix, which has around 85 employees, was the first to develop a third-party app, Healthi, to connect to the My Health Record in 2016.

Like the planned My Health Record app, the app also provides read-only access to a user’s ehealth record.

The ADHA went looking for an app developer in July to improve accessibility to information in the My Health Record, including the records of dependents or individuals who have permitted access.

The agency said it has witnessed a “significant increase in consumer demand” in the last 12 months, citing a 500 percent increase in the number of pathology reports viewed by consumers.

More here:

https://www.itnews.com.au/news/chamonix-lands-my-health-record-app-deal-572608

So we have the ADHA buying the IP for an app which is seem to recall they part funded as well as paying for some enhancements – fair enough – but why?

The apps to access the #myHR are hardly a user hit as far as I know and one wonders just what will now be the fate of the earlier apps from the likes of Telstra. (The 500% access lift is driven by desktop access of COVID testing and vaccination records AFAIK)

That the app was developed in 2016 and has hardly been enhanced since speaks volumes to the level of demand for mobile access to the #myHR!

We need to all remember the #myHR is a typically incomplete and possibly misleading partial summary of an individual’s health record and that many records have not been updated in years.

Given all the data in the #myHR is available elsewhere one really wonder  why the $2billion farce stumbles on!

Does anyone who reads here use an app to access the #myHR and how useful do they find it?

David.

 

17 comments:

Anonymous said...

I just checked on my Android Play store. Healthi has been downloaded more than 5k times.

Not exactly something to boast about.

It's difficult to see what the new version of Healthi could do that the existing app doesn't already do. The owner of the record can't add very much, all the proper health data, not that there's much, is uploaded by others.

Looks as though the ADHA is still in search of something it can do that people actually want.

Anonymous said...

Good question. What do people want that the ADHA could provide?

G. Carter said...

A distraction perhaps or legitimacy

Anonymous said...

@%:31PM Mmm tough question. NeHTA and the ADHA did numerous focus group surveys to prove predetermined answers under the guise of "that is what people want".

Well, that didn't work because clearly what they came up with is not what people wanted. Or, what they developed based on the survey's is not what people wanted.

It is possible they weren't able to clearly ascertain what people wanted.

Yes indeed. It's a tough question. Putting to one side what government and the ADHA 'want' how about having another go at trying to answer the most basic question:

"WHAT DO PEOPLE REALLY WANT?"

Grahame Grieve said...

> "WHAT DO PEOPLE REALLY WANT?"

Average of slightly over one opinion per person surveyed. And many people see no particular reason to have consistency between their own opinions, or to be bound the domains of reality either.

So it's kind of hard to characterise, really. Hence the challenge.

Bernard Robertson-Dunn said...

Why do you assume that people can answer the question "WHAT DO PEOPLE REALLY WANT?"

It's quite easy to pontificate about symptoms - that's what Trump did. It's much harder to make things better - as Trump proved.

People can tell you what they value, but not how to deliver it. Simplistic statements like - "all your health information available at the right time and at the right place", sounds wonderful, but just try and do it.

The failure of MyHR should be recognised for what it was - a lesson in futility, not used as an example of government IT success, which it clearly isn't, by any measure, apart from providing employment for some and income for a few vendors/consultants.

Here's a question: Suppose NEHTA had never been created and the PCEHR/MyHR had never been developed. What would be missing from today's healthcare environment that we would regret not having?

Anonymous said...

You could ask the same question of sliced Bread Bernard. The purpose of NEHTA was sound for a while. That aim was to gain levels of agreements that would allow independent vendor products to work together overtime when required. As will all work that lays a foundation for tomorrow many could not grasp it, have a foresight and patience. Along came PCEHR which I guess was an attempt to should those investments could work.
The area of “implementation” is waning and new policy drivers will again call for standards contributing entities to help translate policy into technical guidelines.

Just please don’t let it be ADHA or Health Direct

Long Live T.38 said...

Perhaps the question is not “what do you (people) want” but rather what do we need to ensure quality solutions that, when required, can safely, securely deliver a seamless experience to the service consumer and ensures an open and level playing field for current and future participating vendors?

Dr Ian Colclough said...

I submit that in the most basic terms - PEOPLE WANT, expect and trust that their interaction(s) with the health system will consistently be reasonably well-coordinated, seamless and reliably informed, leading to a satisfactory outcome in their healthcare treatment and management.

Anonymous said...

What do people really want? Obviously, a MyHR with a mobile app, gift wrapped in precious healthcare allocated taxpayer money, in time for Christmas 2022.

Bernard Robertson-Dunn said...

@November 20, 2021 5:00 PM

"You could ask the same question of sliced Bread"

You can ask that question of anything, but the answer you get will rarely describe how to get it.

All those demonstrators out there complaining about vaccinations, freedom etc have no idea how to get any of their demand or the consequences of getting what they think they want.

I do not disagree with any of the suggestions as to the answer to "what do people want?" but the harder questions are - how do you measure and deliver such things?

Anonymous said...

Well put, Bernard, my response to your original statement has been well met and answered.

Anonymous said...

@10:49 AM Bernard asked "how do you measure and deliver such things?"

Well constructed, transparent, balanced and objective, customer and user satisfaction surveys will do the job. However, with all due respect you are jumping the gun and running off at a tangent.

Once you have answered the "WHAT" question you need to dissemble the 'elements' of the 'answer' into its 'component' parts and the begin the long, hard, process of defining each 'problem' and the various 'steps' involved in arriving at a 'solution' to each part of the problem.

Perhaps everyone has been there before without quite realising it because they have fallen into the age old trap of being so excited by the possibilities they have gone and got lost in the weeds.

Oliver Frank said...

"The Australian Digital Health Agency (ADHA) has signed a contract with Chamonix IT Management Consulting for the company to build out a My Health Record mobile app".

Is 'building out' different from or better than simply 'building'? Is there a subtle difference of which I am not aware?

Dr David G More MB PhD said...

Oliver, I think that just says they are to add to whatever now exists with extra features etc.

The don't plan to start again with a blank sheet of paper or totally new code!

Cheers

David

Anonymous said...

If Scotty from marketing really believes that government should not tell people what to do, why is My Health Record still a thing?

Anonymous said...

While WHAT people want (@7.38 PM) may be perfectly valid it holds little to no relevance for government and bureaucrats.

They are not interested other than to give the impression that they are, whilst pursuing the 'hidden' agenda of WHAT Government wants.

This is best exemplified by the Victorian Government's current attempt to introduce its statewide EHR data collection system from which Victorians will not be permitted to opt-out.

We need to ask - WHAT is happening here?

It's really quite simple. The Victorian Government and its Health Department have demonstrated Victoria's prowess as the national leader in healthIT.

Victoria's RTPM system has been a pioneering success after casting aside the shackles of the Federal Health Department's ERRCD initiative. The National Cancer Registry arose in, and spread out form, Victoria, another apparent success story. Now, casting aside the shackles of the ADHA's MyHR after a decade of going nowhere, Victoria's bureaucracy has opted to lead the way again with its statewide EHR data collection.

It matters not WHAT people WANT or need. It's all about power and the control of people's health data.