tag:blogger.com,1999:blog-23447705.post3263867231691821127..comments2024-03-28T17:49:03.998+11:00Comments on Australian Health Information Technology: Surely This Is A Problem That Can Easily Solved By Proven E-Health Technology. All It Needs Is Will, Proper Sponsorship and Governance.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger16125tag:blogger.com,1999:blog-23447705.post-20556791947939128712015-05-02T17:58:51.742+10:002015-05-02T17:58:51.742+10:00Hi Tom,
My practice contributes 0.5% of the Sunsh...Hi Tom,<br /><br />My practice contributes 0.5% of the Sunshine coast traffic, so we are just like 90+% of the other specialists on the Coast. The tools we use are available for all users and we do look after all sectors of the health landscape. Similar results are seen in other areas we have had established for a while. <br /><br />We are about giving all users the tools they need to enable Andrew McIntyrehttp://www.medical-objects.com.aunoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-89519103357225352802015-05-02T04:43:21.626+10:002015-05-02T04:43:21.626+10:00Andrew,
With the greatest respect and I do have ...Andrew,<br /><br /> With the greatest respect and I do have respect for you and for Medical Objects,your own practice (the world headquarters of Medical Objects) is hardly a typical practice, though with numbers like that you probably do lift the national average. <br /><br />The figures make it plain, Australia is failing to give community health providers eHealth tools. I presented to graphs Tom Bowdennoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-40422701219060173862015-05-01T19:07:17.216+10:002015-05-01T19:07:17.216+10:00Its quite wrong to say its not happening in Austra...Its quite wrong to say its not happening in Australia. Last month my practice sent out 1353 reports to 143 separate practices and they are either clinical messages or lab reports that we forwarded without involving the lab directly.<br /><br />On the Sunshine Coast we are delivering around 200,000 messages a month, and the vast majority of those are clinical. Compare that to 500 views of the Andrew McIntyrehttp://www.medical-objects.com.aunoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-9631105858873045052015-05-01T16:50:27.694+10:002015-05-01T16:50:27.694+10:00K,Oliver, Lets get down to it, in order to make c...K,Oliver, Lets get down to it, in order to make change in the health sector you have to make CHANGE. Governments don't seem to be capable of it.<br /><br />There is a saying "to make an omlette you have to break some eggs"<br /><br />eHealth is aseries of interventions in a very costly, well funded healthcare ecosystem in which most parties do pretty nicely thank-you.<br /><br />Tom Bowdennoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-82237043122928982682015-05-01T12:54:14.627+10:002015-05-01T12:54:14.627+10:00I think that a big part of the problem is state vs...I think that a big part of the problem is state vs federal. In NZ, you can get everyone in the room and have a rational discussion. Here, we just don't see to be able to do that. SKnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-81798068293327891982015-05-01T11:38:20.616+10:002015-05-01T11:38:20.616+10:00Oliver,
Thanks for compliments about NZ, it'd ...Oliver,<br />Thanks for compliments about NZ, it'd be be great if you looked us up when you are over, it is a great place.<br /><br />I don't agree that scale is the key issue. Government needs to lead and paint a broad picture of the outcome it wants, if necessary providing incentives (in my view incentives are dangerous things). There is money enough in the health sector, it is soften Tom Bowdennoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-88760552436191696132015-05-01T08:50:19.833+10:002015-05-01T08:50:19.833+10:00Let's face it - Health Ministers Tony Abbot, N...Let's face it - Health Ministers Tony Abbot, Nicola Roxon and Tanya Plibersek have all been conned to the eyeballs by NEHTA and the Department in regards to eHealth. Hopefully Sussan Ley will seek advice from some less public eHealth experts who have the wisdom, insight and expertise to make change(s)happen from behind the scenes. Her non Departmental staff know how to access these people Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-5300723888752425632015-04-30T23:23:52.911+10:002015-04-30T23:23:52.911+10:00Some years ago, during one of our recurring attemp...Some years ago, during one of our recurring attempts to get eHealth going in our particular sector, I pointed out to the NEHTian then in charge of our area (now long since moved on) that practices would not invest in HW/SW without knowing that they were investing in interoperable products with a long-term future - ie ones backed by agreed and mandated standards - and asked what would be done Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-55934025438932162272015-04-30T23:02:23.292+10:002015-04-30T23:02:23.292+10:00Interoperable messaging relies on compliant messag...Interoperable messaging relies on compliant messages and compliant receivers to allow the smooth flow of messages. We don't have that now, you can't send a compliant message and have it just work. There is a lot of hand holding going on and not a lot of investment in standards compliance at the low level. <br /><br />This is the fundamental block in the free exchange of information, its aAndrew McIntyrehttp://www.medical-objects.com.aunoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-46702350177456578732015-04-30T21:37:23.586+10:002015-04-30T21:37:23.586+10:00Tom, New Zealand is clearly way ahead of Australia...Tom, New Zealand is clearly way ahead of Australia on this, and has been so for ages. I think that being a simple small (and beautiful) country has some great advantages when national schemes and programs are being planned and implmented. Oliver Franknoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-61913498411638882932015-04-30T18:52:05.026+10:002015-04-30T18:52:05.026+10:00Oliver, you and I have been debating this for more...Oliver, you and I have been debating this for more than a decade. I too am surprised we havent moved further faster in Au.<br /><br />In most of Au an average general practice communicates electronically with about 5 entities including labs. In the Easternmost state (NZ)the average practice connects to 70 other parties. All hospital referrals are electronic in most regions. All NZ discharge Tom Bowdennoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-76164041396432920742015-04-30T10:48:36.912+10:002015-04-30T10:48:36.912+10:00My answers:
"What are the obstacles to progr...My answers:<br /><br />"What are the obstacles to progress?"<br /><br />Lack of interoperability between the SMD systems. I understand that some of the reason for this is now a commercial issue, rather than a technical one, with the SMD vendors not yet having reached agreement about in what proportion the sending and receiving SMD systems will pay to troubleshoot and fix problems when Oliver Franknoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-11444733944982643862015-04-30T09:23:19.343+10:002015-04-30T09:23:19.343+10:00Small cost and some will ..... this will fix nothi...Small cost and some will ..... this will fix nothing. There has been more than enough money and plenty of exposure and discussion around SMD not to mention a lot of work by many 'experts'. The end result is still lots of holes.<br /><br />So ask yourselves why is this so? <br /><br />What are the obstacles to progress? Is this a job for many small vendors? Is this a job for Telstra? Why Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-90359198810621789342015-04-30T08:08:57.949+10:002015-04-30T08:08:57.949+10:00Oliver,
You are right. I had in mind pathology an...Oliver,<br /><br />You are right. I had in mind pathology and many radiology providers. <br /><br />Your longer list shows we have holes - but they can all be easily fixed with small cost and some will etc.<br /><br />DavidDr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-90362532755691662452015-04-30T08:03:33.425+10:002015-04-30T08:03:33.425+10:00I believe that your statement: "Already most ...I believe that your statement: "Already most GPs can receive secure clinical messages and already most service providers can send secure clinical messages" is not correct. <br /><br />If 'service providers' includes public and private hospitals, medical specialists in private practice and other health professionals and organisations, in my experience most of them have not yet Oliver Franknoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-68381562935942216902015-04-30T07:58:45.272+10:002015-04-30T07:58:45.272+10:00David, a big topic but an important one so I did a...David, a big topic but an important one so I did a quick search of my bibliographic database and hope the following are of interest to your readers.<br />Also a question I keep asking is that despite >95% GPs having computerised software have those system IMPROVED care and REDUCED adverse events and COSTS? The answer is ............<br />OpenNotes:<br />• Guest and Quincy. Consumers Gaining Terry Hannanhttps://www.blogger.com/profile/04068727812313410493noreply@blogger.com