tag:blogger.com,1999:blog-23447705.post2087273009608067076..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: Brief Report On The ADHA Consultation Webinar Conducted 30 January, 2017 Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger38125tag:blogger.com,1999:blog-23447705.post-75590837680852937322017-02-14T17:52:59.126+11:002017-02-14T17:52:59.126+11:00My reading of all this is that they are trying to ...My reading of all this is that they are trying to automate what is already there. All they will do is entrench existing practices, not develop innovative ways to do things (old and new) better.<br /><br />And asking people what they want from eHealth is vacuous. As Henry Ford is supposed to have said, "If I'd asked people what they want they would have said faster horses." And I Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-11575570958067547472017-02-14T17:12:49.809+11:002017-02-14T17:12:49.809+11:00John, nothing conveyed to me a sense they understo...John, nothing conveyed to me a sense they understood the doctor, nurse, patient relationship and interactions. There was little evidence they have any deep understanding the health system and how it works. I thought their feet were well off the ground. In the main what I heard was superficial perspectives wrapped up in aspirational futuristic chatter which no doubt will be used to secure a lot Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-22453432609768939012017-02-14T14:44:54.225+11:002017-02-14T14:44:54.225+11:00Anonymous 1:09 PM : "We have to start from sc...Anonymous 1:09 PM : "We have to start from scratch to work out what Digital Health is and what it will do". <br />AGREE ENTIRELY.<br /><br />Anonymous 1:11 PM: "care of the health system is 'Trust' - Trust is the currency".<br />AGREE ENTIRELY<br /><br />Anonymous 1:37 PM: "we need to find efficiencies in the way we do things already." <br />Efficiency is oneJohn Scotthttps://www.blogger.com/profile/08079976983963894814noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-63774940527932285392017-02-14T14:29:01.068+11:002017-02-14T14:29:01.068+11:00I heard “time to scale first gives advantage” and ...I heard “time to scale first gives advantage” and wondered if that was a warning to everyone else to close up shop.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-67305869555603548052017-02-14T14:27:02.873+11:002017-02-14T14:27:02.873+11:00I couldn’t recommend it to anyone. There was no f...I couldn’t recommend it to anyone. There was no focus on the really important pragmatic stuff. No understanding of the commercial realities. I felt they were so far removed from where health “happens” that they were unable to convey any real understanding of how the system works, instead they parroted the same old stuff we have been hearing for over a decade.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-65600432249332456252017-02-14T13:58:52.330+11:002017-02-14T13:58:52.330+11:00How about the low hanging fruit comment – more jar...How about the low hanging fruit comment – more jargon. Low hanging fruit has been hanging for a decade – no-one ever says what it is but everyone seems to know it is there just hanging on the vine. mmmmAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-40197183355144148782017-02-14T13:37:27.879+11:002017-02-14T13:37:27.879+11:00Even better was “we need to find efficiencies in t...Even better was “we need to find efficiencies in the way we do things already”. Hello!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-54915080816676127982017-02-14T13:11:31.009+11:002017-02-14T13:11:31.009+11:00I think Prof. Brian Schmidt summed it up perfectly...I think Prof. Brian Schmidt summed it up perfectly “Standing in a field of cowpats”. and someone else said “Care of the health system is ‘Trust’ = Trust is the currency”<br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-83964688421700491672017-02-14T13:09:05.297+11:002017-02-14T13:09:05.297+11:00Someone said “We have to start from scratch to wor...Someone said “We have to start from scratch to work out what Digital health is and what it will do”.<br />How’s that for building confidence? <br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-39563932033032568132017-02-14T12:46:22.832+11:002017-02-14T12:46:22.832+11:00Towards the end there were about 5-600 on line acc...Towards the end there were about 5-600 on line according to some tweets from the ADHA at the time.<br /><br />Of course I can't confirm that figure directly!<br /><br />David.<br /><br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-49189258890011046992017-02-14T12:24:03.213+11:002017-02-14T12:24:03.213+11:00Basically, the entire webinar achieved nothing as ...Basically, the entire webinar achieved nothing as 3:51 PM said.<br />How many people were signed in? <br /><br />I doubt one could glean much useful information about them from the sign-in but it might be informative to know how many - 100, 500, 1,000? Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-714159567380229032017-02-13T22:32:42.358+11:002017-02-13T22:32:42.358+11:00Sounds as though nothing much has changed. The Fed...Sounds as though nothing much has changed. The Federal government is determined to get its hands on patient data of some sort, is willing to spend huge amounts of money, the bureaucrats have a very simplistic view of eHealth and health data, no benefits or value are being created, opportunities to do things better are lost and time is wasted.<br /><br />My guess is that some outsider with Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-56382129049803538692017-02-13T19:20:25.763+11:002017-02-13T19:20:25.763+11:00Yes I noted Tims rude interruption or stealing the...Yes I noted Tims rude interruption or stealing the limelight, which was a shame as I was interested in what was being said, but alas Tim the crusader trotted of down some mobile blah blah myhr rabbit holeAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-64216427506970616372017-02-13T18:17:04.821+11:002017-02-13T18:17:04.821+11:00The conversation was well underway and My Health R...The conversation was well underway and My Health Record hadn't even been mentioned UNTIL Tim Kelsey slid it into the conversation. I too was less than impressed with what Tim tried to say - it lacked substance, perhaps that's because he was tired. His tie was all skew-whiff, his shirt looked like he'd slept in it and the shirt cuffs were curling up at the corners. By comparison Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-8164078543987468922017-02-13T17:20:50.114+11:002017-02-13T17:20:50.114+11:00I was less than impressed they way Tim Kelsey cut ...I was less than impressed they way Tim Kelsey cut short Professor Meredith Makeham, it was less than professional and more than rude. On top of that he came across the weakest of the lot and continues to force the My Health Record, but ignores open standards, Architecture and sciences.<br /><br />I did get a feeling that the road ahead does not necessarily include the current My Health Record. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-2471140958627989382017-02-13T17:11:02.208+11:002017-02-13T17:11:02.208+11:00Re: 3:55 pm David said -- Interested in other comm...Re: 3:55 pm David said -- Interested in other comments!<br /><br />They certainly didn’t have any clear idea about who was the target audience. They were all over the shop (spaceship). ….. “now moving to genotype and phenotype of data”, “nudging”, We know we’ve “got to have the whole shebang working together”. “We still have to figure out how to makes it all work.”<br /><br />“We don’t want a Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-88372948521286695972017-02-13T16:48:45.261+11:002017-02-13T16:48:45.261+11:00Did any one ask or tell, how many times MyHR has b...Did any one ask or tell, how many times MyHR has been used? And/or how much money it has saved?Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-39895451315893804492017-02-13T15:55:26.584+11:002017-02-13T15:55:26.584+11:00I have to say I got the same feeling - there was a...I have to say I got the same feeling - there was a little too much in the stratosphere and not much practicality or reality given how hard we all know this is.<br /><br />Interested in other comments!<br /><br />David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-85348999508744230362017-02-13T15:51:12.413+11:002017-02-13T15:51:12.413+11:00What did the webinar of 13 February achieve? NOTHI...What did the webinar of 13 February achieve? NOTHING of any note. It was all top-down thinking from outer-space peering down on the masses below. <br /><br />Well done to Ellen Fanning who asked the rhetorical question:<br />"Whose role is it anyway"? "Is it Government's role to just get out of the way?" <br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-28952356217773596592017-02-03T14:24:58.534+11:002017-02-03T14:24:58.534+11:00I guess we get to now see if Tim has the solution,...I guess we get to now see if Tim has the solution, documents released on ADHA website tenders section to fix it once and for all. Is it a win or more wind Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-66406385310279582092017-02-03T12:13:54.551+11:002017-02-03T12:13:54.551+11:00I assume SMB is meant to be SMD (Secure Message De...I assume SMB is meant to be SMD (Secure Message Delivery). There are lots of challenges to getting this up and running, both business and technical.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-88377167481965425422017-02-01T19:36:20.100+11:002017-02-01T19:36:20.100+11:00How apt - "It is difficult to get a man to un...How apt - "It is difficult to get a man to understand something when his job depends on not understanding it." Upton Sinclair (1878 – 1968,<br /><br />Having recently been to my GP my hammer and nail specialist and my urologist I decided to have a look at My Health Record. I concluded the MyHR developers haven't made any improvements to the system in the last 6 months. The reason I Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-57089180915724596932017-02-01T17:58:04.626+11:002017-02-01T17:58:04.626+11:00There are lessons to be learned from the Industria...There are lessons to be learned from the Industrial Revolution in England in the period from about 1760 to 1830.<br /><br />Compare England with France. Short version: In England, the government encouraged and facilitated innovation without getting directly involved. In France, the government and national academies insisted on directing initiatives and endorsing those they considered as "Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-87243305190968071602017-02-01T15:20:01.093+11:002017-02-01T15:20:01.093+11:00Weaved through these comments is a burning questio...Weaved through these comments is a burning question, how as a community do we better understand what we want, why we want it, and how in different scenarios can we obtain it and then how can we measure it to understand when we get there and detirmine if that is enough or we want more/ or something different.<br /><br />The ADHA has a role here, provide frameworks that allow us to determine the Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-45500267185942099832017-02-01T13:34:39.407+11:002017-02-01T13:34:39.407+11:00February 01, 2017 1:15 PM surely Doctor Hambleton ...February 01, 2017 1:15 PM surely Doctor Hambleton and Dr Makeham both understand that. Are they misguided? Ill informed? Have they been seduced by the task, or by their egos, or by the remuneration or by something else? Anonymousnoreply@blogger.com