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 25, 2023

I Took Six Months Off And Nothing Changed!

It is really amazing what rubbish continue to get fed to us by ADHA.

These 2 little gems appeared recently!

23 June 2023

ADHA announces ‘coalition of the willing’

Government Interoperability

By Wendy John

The Council for Connected Care has been launched to accelerate healthcare data sharing.


A consortium of 25 health leaders has been assembled by Canberra with the imperative to finally make healthcare data sharing a reality.

The new Council for Connected Care was established by the Australian Digital Health Agency and has been tasked with accelerating interoperability.

Peter O’Halloran, chief digital officer of the ADHA, said he was excited about the creation of the Council, which would have a strategic voice and help accelerate implementation of the national interoperability plan.

“We’ve got all those people, some of the best and brightest in healthcare – academics, clinicians, consumers, policy and technical people – all in one room together to ensure that what we’re doing will meet the needs of healthcare consumers and clinicians,” he said.

The Council is chaired by Mr Rob Heferen, chief executive of the Australian Institute of Health, and is supported by a dedicated secretariat. Members represent key players in the healthcare sector including First Nations healthcare, consumers, digital health and peak bodies.

There is one representative from the medical software industry and currently no members who own or run digital health platforms.

However, Mr O’Halloran said a range of members had significant commercial expertise, including those providing services in the health and aged care sectors. He added that the Council was a strategic representation of the healthcare sector and that a series of task-specific working groups would be established at an operational level.

Mr O’Halloran told TMR that the Council was a missing piece of the puzzle of establishing interoperability in Australia.

“Now we’ve got the coalition of the willing who want to actually help us progress [interoperability] and progress it quickly. We have the national interoperability plan, there are 44 actions. The Council gives us the ability to get traction quickly, move forward quickly,” he said.

Here is the link to the full article:

https://www.medicalrepublic.com.au/adha-announces-coalition-of-the-willing/93909

And here is another interesting one.

25 May 2023

Digital health reform: Government can’t do it alone


By Wendy John

Digital health heavyweights connect with industry to outline MHR strategy.


The Federal Budget may have promised almost $1.1bn for reforms in digital health but using that money wisely and usefully will take comprehensive input from the industry, say experts.

Budget measures include $325.7m to run the Australian Digital Health Agency (ADHA), which is separate to extra buckets for e-prescribing ($111.8m), My Health Record ($429m over two years), modernising healthcare delivery ($69.7m), and intergovernmental agreement ($126.8m).

But money isn’t the only key to success, said Daniel McCabe, the Department of Health and Aged Care’s first assistant secretary in digital health, speaking at last week’s Medical Software Industry Association event.

“The government doesn’t have all the intellectual property or wherewithal to make this happen,” he said.

“It needs a lot of work with industry to move the plan forward. We realise now we need to bring on all healthcare providers including nurse practitioners. We are trying to put the patient back in the centre of the healthcare agenda.”

Some of that patient-centred goal would be created collaboratively with industry, while some would be mandated, he said.

Mr McCabe said the CSIRO would present an interoperability adoption strategy and roadmap in 2025.

Amanda Cattermole, chief executive at the ADHA, said the budget enabled the ADHA to do its part as a steward of the national health infrastructure, “providing some, but not all” of the digital health services patients required.

“The most exciting part is the policy environment the ADHA is now working in,” she said.

“Government support has moved digital health from the ‘nice to have’ into the absolute cornerstone. This an historic moment for the agency.”

Panelist Graham Grieve, the creator of fast health interoperability resources (FHIR) interoperability standards, was asked about what concerned him most about Australia’s digital health infrastructures.

He said that the rest of the world was designing systems that were “genuinely patient centred since they do not have something like the My Health Record (MHR)”.

“Given the ADHA’s significant operational stake in MHR, can it lead, and be trusted to lead, a system redesign that isn’t jaundiced by being tied to MHR? This is something that we’ll all need to pay close attention to,” he said.

Ben Cardillo, CEO of Capstone, said while it was encouraging to hear government and ADHA leaders state their commitment to consultation, a commercial lens was critical.

“Australia has a complex, multi-tiered health system. The department and ADHA’s challenge will be to develop a compelling business case to convince the myriad of different stakeholder groups to adopt new systems and processes based on common, national standards.  Not a trivial task,” he said.

David Rowlands, head of Digital Health Leadership Australia, revealed the development process for an Australian FHIR management framework. The framework would include a community process to develop interoperability standards and a governance structure. Mr Rowlands has been engaged by the CSIRO to develop a minimum viable plan by June 2023.

Here is the link to the full article:

https://www.healthservicesdaily.com.au/digital-health-reform-government-cant-do-it-alone/1048

One tiny question. Has anyone thought a Digital Health Future in Australia WITHOUT the MyHealthRecord might be best?

David.

9 comments:

Anonymous said...

The coalition of the willing - currently no members who own or run digital health platforms. It is in fact a bunch of circuit groupies there for little more than optics. It’s hardly a stakeholder reference group.

The Department is left holding a dead hoarse and no depth of boldness to move ahead. I agree they can no be taken to serious in developing an open playing field based on technical, policy, funding agreements.

G. Carter said...

This new Cult of the Willing sounds fun. Let see if this rings true and ADHA and PWC let the department be transparent

He also said regular updates would be published on the ADHA website so that everyone else “who’s not in the room” could see what was happening.
“To provide transparency to the sector, we’ll post regular progress reports about how are we going against the 44 actions [of the national interoperability plan] and what went on in meetings,” he said.

Not sure where they will publish these, you need to wade through marketing content and generally agency policies several layers think to find anything

Andrew McIntyre said...

Its announcements full of weasel words by a group of people with no technical understanding of the issues. They are easily led by the latest "thing", usually at a cost of at least 100's of thousands of $ and the cycle just keeps repeating and has since about 2000, with no actual progress and in fact some deterioration in standards and zero focus on content compliance and quality. It's sort of amusing and sad at the same time. A focus on the real world of interoperability is the only thing that makes sense to me currently. They are doomed to fail and by the time they work that out the government will arrange a new group of "experts" to do the whole thing over again....

Anonymous said...

Probably a good example of the burden of investing in ExR systems modelling on the design of old ERP model. It’s just to fragile to modifies or modify, they have engineered themselves into a dead end and no way to turn around.

There are better ways - even if they return to the ERP models of late they can see they were cleverly sold a lemon.

Nicki Batista said...

Government spending is running too high and should be cut more aggressively to help reduce inflation. The current level of spending is inappropriate IMHO, as it is using up resources that the private sector may otherwise need for expansion. Cutting schemes like the MYHR is essential, it’s a luxury item. Its utilisation by some is disproportionate to its cost.

Anonymous said...

@g.carter - cannot see transparency happening - they never published board reports or any committee reports. Why would they change spots now?

AJ said...

Looking at the emerging reports from the NDiS review it is apparent the APS is not fit to be anywhere near anything to do with care. The APS culture or at least hire to retire process attracts so very cold and possible cruel people.

Anonymous said...

It’s been 7 years since it was established - the worry is the everything seems to be written by other entities. If ADHA cannot even write and publish on its own then frankly what is their point? Why 300 people to administer grants and contracts?

Anonymous said...

AJ, those in the APS are generally okay (the sober ones anyway) the issue is the ridged processes they engineer to implement policy. Somewhere along the way things get twisted and confused and constrained. An APS person lives only for the process, the trouble is there is no process that always for a change of process thinking.