tag:blogger.com,1999:blog-23447705.post202281243791197923..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: Have DoHA Got The PCERH Procurement Back to Front, Ridiculously Truncated or What?Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-23447705.post-62816324512566572612011-05-28T16:50:17.469+10:002011-05-28T16:50:17.469+10:00either or, trend is towards hosted EMRs but this i...either or, trend is towards hosted EMRs but this is working in both modes. NZ GPs have a high dependency on their systems and tleave their servers on 24x7. In our trial region all but one EMR is locally hosted, usually in a secure location within the practice.Tom Bowdenhttp://www.healthlink.netnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-51327849156970687652011-05-26T20:10:01.473+10:002011-05-26T20:10:01.473+10:00Tom, where is the GP's EMR stored? Is it on t...Tom, where is the GP's EMR stored? Is it on the PC under the GP's desk, or in a cloud system somewhere?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-17938689036578760812011-05-26T15:41:03.460+10:002011-05-26T15:41:03.460+10:00At the risk of sounding smug, I think readers may ...At the risk of sounding smug, I think readers may be interested in a system we have just gone live with during the past month in New Zealand.<br /><br />'Care Insight' allows the ED staff member seeking an emergency patient record to send an online enquiry to the patient's general practice or pharmacy and obtain an electronic 'emergency record card', from the GP's EMR. TheTom Bowdenhttp://www.healthlink.netnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-3625453165303654392011-05-26T14:16:53.985+10:002011-05-26T14:16:53.985+10:00It is really sad to read about such a monumental w...It is really sad to read about such a monumental waste of our money, with commitment for even more, where there is no direct or indirect benefit to actual health care. In fact the risk of harm due to incomplete and unreliable PCEHRs is of real concern. And as a specialist involved in high risk patient management I find a lot of the concepts scary. Not being able to correct errors or directly add Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-39362117725472605152011-05-26T12:34:02.010+10:002011-05-26T12:34:02.010+10:00Originally Medicare Australia (then the HIC and IB...Originally Medicare Australia (then the HIC and IBM’s biggest customer) coveted ownership of the national ehealth record turf through being the centralised infrastructure provider. <br /><br />Now Computerworld reports the contenders for the national infrastructure partner are – Fujitsu, Oracle, Microsoft, CSC, Telstra. However, Computerworld astutely observes that it is unclear as to whether theAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-47053158035036907252011-05-26T10:04:53.982+10:002011-05-26T10:04:53.982+10:00Enrico Coiera is quite correct and I have no doubt...Enrico Coiera is quite correct and I have no doubt the Department and NEHTA are both very well aware of this.<br /><br />The problem is that they are in a panic and have lost all semblance of objectivity and clear logical thinking. They know they have been going round and round and round in circles for years now and still have little to show for their efforts; except a very large depleted bank Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-45635707386043762402011-05-26T09:07:00.009+10:002011-05-26T09:07:00.009+10:00Getting the procurement model right seems to be im...Getting the procurement model right seems to be important, and I hope that the current round of contracts are informed by history. Many of the problems that have brought the English program down stem from signing contracts ahead of clear specifications:<br /><br />" the speed of procurement meant that the NHS had not prepared key policy areas (eg, information governance), standards (eg, for Enrico Coieranoreply@blogger.com