tag:blogger.com,1999:blog-23447705.post1039816025674533881..comments2024-03-28T17:49:03.998+11:00Comments on Australian Health Information Technology: It Looks Like The ePIP Program Has Created Quite A Few Unhappy Campers!Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger35125tag:blogger.com,1999:blog-23447705.post-80482406417548180752017-12-31T18:32:33.594+11:002017-12-31T18:32:33.594+11:00@3:43 PM thanks that has left me extremely concern...@3:43 PM thanks that has left me extremely concerned. The opening paragraph surely raises a few questions in itself.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-23328136510313487352017-12-31T15:43:35.569+11:002017-12-31T15:43:35.569+11:00and for those who may not know or remember:
https...and for those who may not know or remember:<br /><br />https://medconfidential.org/2016/caldicott-review-1-the-good/<br /><br />https://link.springer.com/content/pdf/10.1007%2Fs12553-017-0179-1.pdf<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-30146718009738719432017-12-31T14:47:36.913+11:002017-12-31T14:47:36.913+11:00For those who have forgotten here is a link to all...For those who have forgotten here is a link to all that from mid-2016.<br /><br />https://aushealthit.blogspot.com.au/2016/04/submission-sent-yesterday-to-department.html<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-44388895674554511462017-12-31T14:46:55.080+11:002017-12-31T14:46:55.080+11:00If the CEO didn't understand the stupidity and...If the CEO didn't understand the stupidity and futility of Paul Madden's 'draft' Digital Health Strategy, then he deserves all the insults he gets. There's a good chance he won't find work in digital health again, not after two miserable failures.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-75999343326885003682017-12-31T14:39:05.592+11:002017-12-31T14:39:05.592+11:00@2;15 PM The CEO appointed his Executive Team. So ...@2;15 PM The CEO appointed his Executive Team. So it is not just the CEO who is the problem. Even so, he and they have been appointed to do the Department's bidding under the Direction of the ADHA Board, all of whom were brought in to play to implement Paul Madden's 'draft' Digital Health Strategy; perhaps you have forgotten what his 'draft' said. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-19783663450155715542017-12-31T14:15:48.146+11:002017-12-31T14:15:48.146+11:00The "CEO and executive team" lie at the ...The "CEO and executive team" lie at the heart of the problem. <br /><br />When the CEO of a high tech agency is a historian/journalist, then I suspect it's the CEO that's the problem. If he had had any idea of the nature of the problem he was asked to take on then he wouldn't have taken it on.<br /><br />It also means he doesn't understand the questions about ADHA/myHR Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-72200147217786808252017-12-31T11:59:58.699+11:002017-12-31T11:59:58.699+11:00@11:46 get real, what planet are you on? The "...@11:46 get real, what planet are you on? The "CEO and executive team" lie at the heart of the problem. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-3198315559967394572017-12-31T11:49:35.274+11:002017-12-31T11:49:35.274+11:00Trevor "Maybe"?
Are you suggesting that...Trevor "Maybe"?<br /><br />Are you suggesting that what I was saying is wrong? If you had said "Yes" not "Maybe" I would have agreed with you 100%. You've just given examples of why ADHA is in the wrong place doing the wrong thing.Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-90480438233233677882017-12-31T11:46:11.108+11:002017-12-31T11:46:11.108+11:00the ADHA should be cut back to bare bones"
B...the ADHA should be cut back to bare bones"<br /><br />Barebones of what? I fear like a lot of Government they have stripped the wrong aspects and now are no longer smart customers, the recent news around how much is being outsourced to big end consultancies is a good indication that they are stripping the wrong skills. How much money has been invested it outputs they lay around collecting Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-87624518306961671802017-12-31T11:31:34.325+11:002017-12-31T11:31:34.325+11:00Re Bernard's "The delivery of health care...Re Bernard's "The delivery of health care should be left to the medical profession and the states" at 10:24 am.<br />Maybe, but the increasing involvement of "hi-tech" in personal health care is pushing the envelope is widely different directions. <br />The example spoken of by Dave Snowden in the video clip at HINZ is one where the consumer seeking to get on top of T2D Trevor3130https://www.blogger.com/profile/08148555743063226957noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-40191896480434777152017-12-31T10:43:39.466+11:002017-12-31T10:43:39.466+11:005:38PM December 30 said 'we're stuck"...5:38PM December 30 said 'we're stuck" .... I can think of a better word which sounds like -uck.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-4544241096767336892017-12-31T10:24:03.584+11:002017-12-31T10:24:03.584+11:00re "the ADHA should be cut back to bare bones...re "the ADHA should be cut back to bare bones"<br /><br />Have a look at this:<br /><br />How big tech is getting involved in your health care<br />http://www.bendbulletin.com/health/5872878-153/how-big-tech-is-getting-involved-in-your<br /><br />Does ADHA's definition of "Digital Health" include this sort of technology? Is ADHA working in this space? Is this sort of high Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-34775805449664002402017-12-31T10:20:28.685+11:002017-12-31T10:20:28.685+11:00@9:31 AM That will never happen because the bureau...@9:31 AM That will never happen because the bureaucracy and the government (and its predecessor the Opposition) have too much political capital tied up in the MyHR. Also the prevailing culture in the Department and the ADHA would never entertain seeking to engage with commentators who contribute to this blog and its all too big and difficult for the Health Minister and other politicians to Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-71481417677348505262017-12-31T09:31:32.993+11:002017-12-31T09:31:32.993+11:00Grahame sad "This I agree with completely&quo...Grahame sad "This I agree with completely".<br /><br />I find that particularly reassuring and I'm sure many other competent health informatitians do also. <br /><br />"We'll not get anywhere as long as we have the government providing a solution, not a platform for a solution."<br /><br />This reinforces Ian's profound view that "government should not be Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-21333297259131313512017-12-30T19:30:04.094+11:002017-12-30T19:30:04.094+11:00Lack of consensus led to a half-done system that w...Lack of consensus led to a half-done system that was baked in a hurry.<br /><br />Exactly.<br />1. Lack of consensus arises from too many cooks spoiling the broth.<br /><br />2. A half-done system arises from inadequate governance, failure to properly analyse, understand and define the problem, too much money being made available, deficient project management, an unrealistic sense of urgency, andDr Ian Colcloughnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-77533746724836819852017-12-30T17:38:46.820+11:002017-12-30T17:38:46.820+11:00> It's been on-line, gathering data since 2...> It's been on-line, gathering data since 2012. And it still needs to be <br />> turned into "a platform for solving problems" What is really going on?<br /><br />I think it's pretty simple - the first round of development didn't quite meet the original goals, and the lack of consensus around the system - specifically, whether to consolidate or redesign - has preventedGrahame Grievehttps://www.blogger.com/profile/08635283945076545993noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-4277268550964885852017-12-30T16:01:16.944+11:002017-12-30T16:01:16.944+11:00an "unprecedented platform for innovation ..&...<br />an "unprecedented platform for innovation .."<br /><br />What's wrong with that?<br /><br />Definition: Unprecedented, adjective.<br /><br />"without previous instance; never before known or experienced; unexampled or unparalleled: "<br /><br />Just because it's unique doesn't make it useful or even of benefit.<br /><br />Donald J Trump, a POTUS with no Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-55064469874315105962017-12-30T15:49:14.917+11:002017-12-30T15:49:14.917+11:00"A failure of Government..." Government ..."A failure of Government..." Government hypocrisy?<br /><br />Watch this and ask yourself, "is government really interested in the health of Australians?"<br /><br />@1:17 "Government really should not be trying dictate to people how to live their lies." George Christensen MP (National Party) representing people in the Dawson electorate in North Queensland.<br /><br Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-60617730810597484672017-12-30T15:35:43.707+11:002017-12-30T15:35:43.707+11:00So we have ended up with "a fluffy marketing ...So we have ended up with "a fluffy marketing document" and not an ".. unprecedented platform for innovation .." as the ADHA would have us believe. (6:17 PM).Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-19964353747743501672017-12-30T14:14:35.757+11:002017-12-30T14:14:35.757+11:00@1:53 PM You ask - "What is really going on&q...@1:53 PM You ask - "What is really going on"?<br /><br />A failure of Government and a failure of governance.Dr Ian Colcloughnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-85121319060374854132017-12-30T13:53:31.025+11:002017-12-30T13:53:31.025+11:00I find this statement amazing "All of them ne...I find this statement amazing "All of them need significant work (either starting, or further work) to turn what is loosely called 'the MyHR' into a platform for solving problems."<br /><br />It's been on-line, gathering data since 2012. And it still needs to be turned into "a platform for solving problems"<br /><br />WTF is really going on?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-59697534232854761072017-12-30T12:55:16.697+11:002017-12-30T12:55:16.697+11:00Grahame, your first five points are commendable. B...Grahame, your first five points are commendable. BUT, national managed health storage, and national agreements about clinical process flows and content models, is indicative of a technologists view of a centralists perfect world. <br /><br /><br />Pragmatism leads one to shy away from unrealistic wish lists in support of a commercially viable market driven approach nurtured, supported and Dr Ian Colcloughnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-91276339996831768552017-12-30T11:44:19.194+11:002017-12-30T11:44:19.194+11:00re "Bernard, you should dig into the story of...re "Bernard, you should dig into the story of conformant repositories and the PCEHR."<br /><br />I have done. I've also read what Tim Kelsey has said. <br /><br />"When asked to clarify, Mr. Kelsey said that My Health Record takes copies of records from other systems, EMR systems included, from hospitals, from GP software systems, from pathology and radiology systems. It takes Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-3869054885727862912017-12-30T11:15:58.618+11:002017-12-30T11:15:58.618+11:00"David - some of the others are just as real ..."David - some of the others are just as real "<br /><br />Other than the NIO - whatever that is - I am curious to know what is really real - if you take my drift. The rest seem rather vague, airy fairly and hardly well known (by me as least).<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-16896364254615982032017-12-30T11:09:58.790+11:002017-12-30T11:09:58.790+11:00Bernard, you should dig into the story of conforma...Bernard, you should dig into the story of conformant repositories and the PCEHR. <br /><br />David - some of the others are just as realGrahame Grievehttps://www.blogger.com/profile/08635283945076545993noreply@blogger.com