tag:blogger.com,1999:blog-23447705.post1315220541182634237..comments2024-03-28T17:49:03.998+11:00Comments on Australian Health Information Technology: A Powerful Lesson on How to do e-Health Properly.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger15125tag:blogger.com,1999:blog-23447705.post-43178104490320276792010-01-05T20:29:48.815+11:002010-01-05T20:29:48.815+11:00Bren,
Go and read all the work from Markle.org on...Bren,<br /><br />Go and read all the work from Markle.org on health inter-operation standards and then get back to us. The US has been developing interoperable Health Information Networks for over a decade. Please tell us about the ones that are live at scale based on NEHTA work? There are lots in the US.<br /><br />The chcf.org site also has heaps that might help.<br /><br />The US HITECH plan Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-89487564147502273462010-01-05T17:59:57.927+11:002010-01-05T17:59:57.927+11:00Thanks for the clarification James. I must admit I...Thanks for the clarification James. I must admit I skipped over the link because it said it was a commentary.<br /> <br />Was your proposed alternative ELS specification based on the UDDI? If so, perhaps it was considered more complex than necessary for the relatively simple objective of the ELS? After all, there is no international standard for a web services directory in the health context...isBrennoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-46933902853057002912010-01-05T16:20:18.261+11:002010-01-05T16:20:18.261+11:00Indeed James!
Well put. I have been saying ePIP i...Indeed James!<br /><br />Well put. I have been saying ePIP is a fraud ever since it was announced!<br /><br />David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-20162524641144307632010-01-05T16:14:02.700+11:002010-01-05T16:14:02.700+11:00Bren,
I included a reference to the document at:
...Bren,<br /><br />I included a reference to the document at:<br /><br />http://www.healthcareguy.com/2009/12/15/markle-gives-sound-advice-on-meaningful-use-of-health-it-to-policy-makers-again/<br /><br />Perhaps you missed the link in your rush to retort.<br /><br />It's disappointing you have such an incorrect view of Microsoft's activity in standards. I participate in many of NEHTA'James Kavanaghhttp://www.microsoft.com.au/healthnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-53013768462630861862010-01-05T11:56:05.119+11:002010-01-05T11:56:05.119+11:00Bren,
'Meaningful Use'is simple - you get...Bren,<br /><br />'Meaningful Use'is simple - you get paid incentives for actual use of systems productively - not for agreeing to conform to secure messaging that is yet to be sorted out.<br /><br />It is central to the US strategy and I suggest you learn a bit more about it as soon as you can.<br /><br />People have been chatting on about 'semantic interoperability' for a decade Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-76509197158868685482010-01-05T11:43:06.685+11:002010-01-05T11:43:06.685+11:00I take your point about NeHTA and standards. Thoug...I take your point about NeHTA and standards. Though, without NeHTA, national standards wouldn't be feasible. <br /><br />The ePIP has had an extraordinary effect. Awareness and desire for secure messaging is increasing significantly. And vendors have agreed on the standard for secure message transport (now with IT-14). It's not the whole picture, but it's a significant step. Once Brennoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-45885221049357453632010-01-05T11:03:00.814+11:002010-01-05T11:03:00.814+11:00I think you are quite wrong about DoHA leadership....I think you are quite wrong about DoHA leadership. In the last 10 years we have had so many people with responsibility for e-Health it makes one's head spin.<br /><br />NEHTA is not meant to be developing standards - that is the job of IT-14 and it is only in the last year have NEHTA and IT-14 actually done any significant work together!<br /><br />As far as your assessment of who is ahead ofDr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-22392450827729205682010-01-05T10:48:48.421+11:002010-01-05T10:48:48.421+11:00David, the US has been working on creating a viabl...David, the US has been working on creating a viable HIT strategy and framework for years, it's not something plucked out of the air by the Obama administration. I've seen some earlier recommendations and it reads almost as a blueprint for much of NeHTA's role. All credit to Obama for getting this going and including it in his health reforms.<br /><br />If one takes effective and Brennoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-22786211787179252092010-01-04T15:35:21.618+11:002010-01-04T15:35:21.618+11:00A new culture won’t get traction unless there is a...A new culture won’t get traction unless there is a change of leadership. It all depends on getting the right leadership. Does anyone disagree?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-75039894533314199902010-01-04T13:59:06.027+11:002010-01-04T13:59:06.027+11:00David,
A set of critical success factors for effe...David,<br /><br />A set of critical success factors for effective health IT were proposed by the Markle foundation to David Blumenthal recently that seem to be carried forward into the principles of HITECH. Those principles are just as valid here, but unfortunately are not often evident in the current work of NEHTA.<br /><br />(As a disclaimer, Microsoft is part of the Markle Foundation, along James Kavanaghhttp://www.microsoft.com.au/healthnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-23822202069870372412010-01-04T11:41:24.182+11:002010-01-04T11:41:24.182+11:00It all sounds pretty sensible but even more import...It all sounds pretty sensible but even more important is the question:<br /><br />How can a culture which is based on that philosophy get traction in Australia?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-83339551787947408302010-01-04T11:39:10.368+11:002010-01-04T11:39:10.368+11:00We can all dream - but hey don't waste your en...We can all dream - but hey don't waste your energy trying to get to get bureaucrats and politicians to understand what is meant by meaningful use.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-63606763935353534972010-01-04T11:35:29.476+11:002010-01-04T11:35:29.476+11:00The Government will be looking for savings everywh...The Government will be looking for savings everywhere in the leadup to the budget and incentives will surely get plenty of attention. But there are different kinds of incentives already in place - some will get hit others will survive. ePIP is a good example in that some aspects of it may survive whilst other parts could easily be cancelled. Which and what is hard to tell. Medicare Easyclaim Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-42360252381754086702010-01-04T11:15:56.465+11:002010-01-04T11:15:56.465+11:00I agree. I think the most important words are:
- ...I agree. I think the most important words are:<br /><br />- that all efforts should be directed towards achieving “MEANINGFUL USE” as it “PROVIDES THE BEST LENS THROUGH WHICH TO UNDERSTAND” and<br /><br />- FOUR BASIC THINGS DEFINE MEANINGFUL USE: “encourage and support the attainment of meaningful use through 1. incentives and grant programs, 2. bolster public trust in electronic information Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-44316817378117708442010-01-04T10:41:45.576+11:002010-01-04T10:41:45.576+11:00Yes - it is a very important statement.
And, yes ...Yes - it is a very important statement.<br /><br />And, yes - incentives, incremental improvement, clinician driven, are all fundamental to the philosophy of approach to e.health. The Big Bang approach is, as the name implies - big bang then fizzle - nothing. <br /><br />Unfortunately I think the cost saving measures now being introduced to offset the impact of the GFC will see any incentives Anonymousnoreply@blogger.com