tag:blogger.com,1999:blog-23447705.post2692728472336028490..comments2024-03-28T17:49:03.998+11:00Comments on Australian Health Information Technology: It Looks Like We Are Spending Way Too Much To Get Much Too Little With The PCEHR.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger14125tag:blogger.com,1999:blog-23447705.post-68219875570457352562015-07-21T19:55:01.348+10:002015-07-21T19:55:01.348+10:00This is a view worth consideration, http://lockste...This is a view worth consideration, http://lockstep.com.au/blog/2015/05/11/pcehr-opt-out Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-68509573356466599062015-07-19T18:54:25.380+10:002015-07-19T18:54:25.380+10:00Paul Madden is in the same bed as Dr Hambleton - n...Paul Madden is in the same bed as Dr Hambleton - neither have anywhere to go except to keep beating their drum louder and louder in the hope that everyone will hear them and believe them. The problem is lack of leadership. A good leader who knows what he is talking bout and has the track record and experience to back it up would say STOP - STOP right now - FREEZE everything - STEP RIGHT BACK and Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-30467150863671956352015-07-19T16:35:05.919+10:002015-07-19T16:35:05.919+10:00Paul Madden has lots of plans and strategies. Most...Paul Madden has lots of plans and strategies. Mostly with him as the beneficiary. As soon as he sees trouble ahead, he will springboard off into something better.<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-75825878126073178482015-07-19T15:50:22.311+10:002015-07-19T15:50:22.311+10:00Paul Madden has publicly stated that, apart from s...Paul Madden has publicly stated that, apart from some enhancements NEHTA have already been planing for the system, there will be no changes before the trials.<br /><br />Considering there is no strategy or any sort of annual plan by NEHTA to be referenced the above statement leaves the boundaries to the imagination. This is for me at least, a symptom of my now long lost trust in EHealth Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-87154654544703624932015-07-18T22:05:18.082+10:002015-07-18T22:05:18.082+10:00AFAIK, the PCEHR contract is with DoH, so it falls...AFAIK, the PCEHR contract is with DoH, so it falls under government procurement laws. <br /><br />Most of these business case/RFT/contract processes are run by project and public service managers who don't understand what it takes to define what a system is supposed to do. Which is why, in this case, they don't understand the difference between Information Technology, Information Systems Bernard Robertson-Dunnhttp://www.problemsfirst.comnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-46448822403661892192015-07-18T20:21:47.028+10:002015-07-18T20:21:47.028+10:00It's classic government procurement practice. ...It's classic government procurement practice. Create some requirements that feed the RFT, buy a bunch of products that may or may not implement all the requirements, but don't rework the requirement documentation.<br /><br />Bernard, I believe the DoH contracts NeHTA to do this, the failure is that of NeHTA, it is not the fault of the architects and analysts, but those responsible for Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-43051867318779869762015-07-18T16:59:05.713+10:002015-07-18T16:59:05.713+10:00Paul Madden has publicly stated that, apart from s...Paul Madden has publicly stated that, apart from some enhancements NEHTA have already been planing for the system, there will be no changes before the trials.<br /><br />This is in spite of all the reviews that have been conducted saying that clinicians want improved "utility". This is code for "the system doesn't actually do anything useful when it comes to supporting health Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-57003113863873839912015-07-18T16:30:45.421+10:002015-07-18T16:30:45.421+10:00Hi Bernard, I can find no new alternate Architectu...Hi Bernard, I can find no new alternate Architecture for PCEHR V2 just months out from the trials, seems a little risky to me have you heard or seen any? Not the sort of thing you should or make up along the way.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-64949602520711388852015-07-18T15:50:43.854+10:002015-07-18T15:50:43.854+10:00I have tried to make sense of the architecture of ...I have tried to make sense of the architecture of the PCEHR from the available documents and occasional conversations with people who hove been involved over the years and have come to this conclusion:<br /><br />If there ever was an architecture, NEHTA is no longer the owner of it. Which is why the publicly available architecture documents are old, inconsistent and half-arsed.<br /><br />This isBernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-8029185742228994702015-07-18T15:16:27.317+10:002015-07-18T15:16:27.317+10:00Hi David, it has been a while since I visited your...Hi David, it has been a while since I visited your blog, good to see it is still alive and kicking, I have recently returned to ehealth and can't believe old daffy is still running architecture, still no surprise a self promoting salesmen always survive.<br /><br />Keep up the good work DavidAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-51961650418584401252015-07-18T11:36:21.177+10:002015-07-18T11:36:21.177+10:00This is my summary: "So much was owed ($$$) t...This is my summary: "So much was owed ($$$) to so many for so little."<br /><br />Where do I go to get my money back?Bruce Farnellhttps://www.blogger.com/profile/03895794526347112930noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-1582708224963054612015-07-18T08:47:07.998+10:002015-07-18T08:47:07.998+10:00Both Anonymous, nothing will change, no one will l...Both Anonymous, nothing will change, no one will listen, if it is still the same by December as far as executives covering eHealth products and services then you will know the future.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-4511847390395277812015-07-18T08:29:15.970+10:002015-07-18T08:29:15.970+10:00I agree a lot has been spent to get to where Austr...I agree a lot has been spent to get to where Australia currently is regarding eHealth and the PCEHR has diverted focus and resources from other areas of eHealth needs, however; Wales is just a part of the UK, it is much the same as thinking that the NT eHealth system will work for the rest of the nation.<br />A lot of trust and respect has been lost over the past four years and NEHTA seems to Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-58420846708926112512015-07-17T18:59:07.497+10:002015-07-17T18:59:07.497+10:00And all the while we still have the same clown res...And all the while we still have the same clown responsible for the concept of operations, then break down and ultimate demise of NEHTA architecture, tiger teams for standards development still at the helm of strategy and architecture in NEHTA. DoH you want change for the better, it won't happen under that team. I bet the are bantering agile for policy and clinical community engagements.Anonymousnoreply@blogger.com