tag:blogger.com,1999:blog-23447705.post2570200121371625209..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: It Seems Portals Allowing Access to Health Information Do Not Make Much Of A Clinical Difference.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger16125tag:blogger.com,1999:blog-23447705.post-14099279244377679482018-01-14T11:01:44.362+11:002018-01-14T11:01:44.362+11:00Further to my rant of January 12, 2018 9:41 AM
R...Further to my rant of January 12, 2018 9:41 AM <br /><br />Read this: Why is health care so damn expensive?<br />https://techcrunch.com/2018/01/13/why-is-health-care-so-damn-expensive/<br /><br />"Call me cynical, but having talked with dozens of digital health startups over the past few years, this basic fact [i.e. the overall cost of health care is 17.5% of GDP] so rarely seems to registerBernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-48377365771563701622018-01-13T18:44:08.012+11:002018-01-13T18:44:08.012+11:00Someone who worked there recently I can inform you...Someone who worked there recently I can inform you the money does not flow to the masses, nor is the root problem the CEO or his executive team, they are all very nice and supportive in their own ways are fair but hard task masters as you would expect. The people this theme relates to are the next two levels. I know exactly who the original email refers to. The sooner they get an opportunity to Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-30899903640722706032018-01-13T17:20:31.548+11:002018-01-13T17:20:31.548+11:00There will be no mass exit while the money keeps f...There will be no mass exit while the money keeps flowing. <br /><br />In an unhealthy environment such as you describe it has been my experience that those who are bullied and understand what is happening simply take the line of least resistance. They keep their heads down and remain out of the firing line; in effect they take a holiday whilst remaining at work, and say "yes sir", "Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-19042539447002851432018-01-13T17:19:10.853+11:002018-01-13T17:19:10.853+11:00A dysfunctional agency, led by an incompetent CEO,...A dysfunctional agency, led by an incompetent CEO, trying to deliver a crock of a system to achieve an unachievable goal. What could possible go wrong?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-15348174442020630612018-01-13T15:37:05.741+11:002018-01-13T15:37:05.741+11:007:45 AM. Let us examine this bullying. The ADHA st...7:45 AM. Let us examine this bullying. The ADHA states their cultural goals/principles are:<br /><br />Working together;<br />• Respect and trust;<br />• Transparency;<br />• Leading through learning; and<br />• Customer focus.<br /><br />What we learned is they are (or at least some wielding power) demonstrate:<br />- Berating people;<br />- Stealing credit;<br />- Excluding others;<br />- Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-62985546453043700122018-01-13T09:05:34.543+11:002018-01-13T09:05:34.543+11:00If that is the strategy of the Jurisdictions then ...If that is the strategy of the Jurisdictions then it is not a bad one. The states and territories have progressed well in being able to share information within their respective influences, albeit some better than others but all heading that way. For cross border exchange each can negotiate and agree their respective agreements and understand those divergences. It seems far easier than having a Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-27434084110451797332018-01-13T07:45:16.504+11:002018-01-13T07:45:16.504+11:00Poetic in its simplistity. Hopefully the ADHA is a...Poetic in its simplistity. Hopefully the ADHA is as strategic and bold in emptying itself of the less than capable bullying element it seems to have accumulated and we can all move forward in a safe collaborative and innovative relationship.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-1255863624146874192018-01-12T22:58:42.561+11:002018-01-12T22:58:42.561+11:00@ 5:27 PM it's a politically pragmatic risk a...@ 5:27 PM it's a politically pragmatic risk averse way forward providing the health ministers with a neat exit strategy.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-84889123769485514382018-01-12T17:27:49.273+11:002018-01-12T17:27:49.273+11:00AnonymousJanuary 12, 2018 9:24 AM - You jest surel...AnonymousJanuary 12, 2018 9:24 AM - You jest surely?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-16274109479103363992018-01-12T09:41:19.105+11:002018-01-12T09:41:19.105+11:00I've made comments many times about the useles...I've made comments many times about the uselessness of MyHR and problems with simplistic health record systems that are little more than dumb document management systems.<br /><br />I've also been critical of the naive and simplistic strategy for "Digital Health" developed by the Department of Health and ADHA. A strategy that says little more that "more data is good" Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-43071677346821704682018-01-12T09:27:03.220+11:002018-01-12T09:27:03.220+11:00I agree this needs to be played out over a wide ra...I agree this needs to be played out over a wide range of scenarios using multiple actors in different context. As an example what if patient A is being transferred from aged care into mental health??, how does this work now everyone is being registered? Am I unknowingly now giving consent to have a my family GP accountable for things unknown?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-30120264905542847542018-01-12T09:24:28.316+11:002018-01-12T09:24:28.316+11:00Opt-out will get deferred until much later in the ...Opt-out will get deferred until much later in the year because some Health Ministers have been taking a long hard look at the MyHR and the ADHA and asking each other why nothing much has been delivered, why the goal posts keep getting moved, why timelines keep getting extended, why there are so many apparently sensible comments / criticisms consistently being made in the media, on this blog and Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-9116908206530845212018-01-12T08:57:22.809+11:002018-01-12T08:57:22.809+11:00@7:50, thanks for sharing they are very valid poin...@7:50, thanks for sharing they are very valid points. Are there easy answers? I don’t think so at this stage and each one would need to be run against a number of scenarios IMHO. This is however a worthy candidate for public consultation as it effects all participants in a patients journey.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-69730198424983634952018-01-12T08:28:37.389+11:002018-01-12T08:28:37.389+11:00@7:50am Bit of a legal mess isn't it? It's...@7:50am Bit of a legal mess isn't it? It's also a clinical mess and will become a political mess at opt-out time.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-48945165010458402812018-01-12T07:50:09.295+11:002018-01-12T07:50:09.295+11:00I was thinking last night about the medico Legal i...I was thinking last night about the medico Legal implication of MyHR or alternatives. This pressing subject seems to have been quietly pushed of the agenda. Anyway I went looking via dr Google and cake across this interesting blog - https://tvren.wordpress.com/tag/myhr/<br /><br />The questions are very valid as is the guidance provided. The readers might also be interested in the email at the Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-86629035827512103872018-01-11T14:50:04.882+11:002018-01-11T14:50:04.882+11:00This is precisely the type of analysis and assessm...This is precisely the type of analysis and assessment needed in relation to the myHR. <br /><br />However, we won't get this. Instead, it will be more of the same spin and style over substance. Alternative views will be discouraged or ignored. Is it just me or does this sound like 'business as usual'?<br /><br />It seems to me that a core principle behind the myHR train wreck is:<br /Bruce Farnellhttps://www.blogger.com/profile/03895794526347112930noreply@blogger.com