tag:blogger.com,1999:blog-23447705.post326504248130417795..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: Finally Some Real Confirmation As To The Mess The PCEHR Program Actually Was.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-23447705.post-10717837131623887232016-10-15T17:12:37.839+11:002016-10-15T17:12:37.839+11:00and it's not exactly hard to understand some o...and it's not exactly hard to understand some of the stupidities and risks.<br /><br />For example, if you have no allergies or take no medication, you cannot put that information in your Personal Health Summary (I believe it's the same withe the Shared Health Summary)<br /><br />There is a huge difference between "No Allergies" and "No allergy information has been recorded&Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-85776499171429635322016-10-15T13:10:20.556+11:002016-10-15T13:10:20.556+11:00...... because they won't do anything until th......... because they won't do anything until there is a disaster - business as usual. The view is that whistle blowers and expert commentators don't need to be heeded until a disaster happens because there is no evidence it will happen until it happens. This blog is a prime example.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-46029157667904904712016-10-15T11:28:55.277+11:002016-10-15T11:28:55.277+11:00October 14, 2016 8:52 PM - What can be done?
&quo...October 14, 2016 8:52 PM - What can be done? <br />"Duty of care relates to quality and safety of care" - says it all.<br /><br />The Duckett Review found that the Department of Health and Human Services has failed to provide adequate oversight of quality and safety across Victoria's health services. It indicated gaps and failings in the quality and safety systems had been Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-40698417960260552132016-10-14T20:52:21.743+11:002016-10-14T20:52:21.743+11:00John Scott, surely to goodness Mr Madden, Secretar...John Scott, surely to goodness Mr Madden, Secretary Bowles, Minister Ley should be obligated as the highest priority to make a crystal clear statement regarding this issue of 'Duty of Care'.<br /><br />And even more importantly surely the AMA, the RACGP, the Medical Defense Organisations should also be insisting that unless and until this issue is thoroughly explained and covered to the Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-77861941945789804412016-10-14T19:42:55.421+11:002016-10-14T19:42:55.421+11:00David,
The one key principle that seems to have ...David, <br /><br />The one key principle that seems to have eluded both DOH and the consultants and vendors working on the PCEHR / MHR is the principle of 'Duty of Care'. <br /><br />Doctors, nurses and other registered health professionals have a legal duty of care. <br /><br />This legal obligation is clearly not shared.<br /><br />Hence, what is the point of over $1 billion of John Scotthttps://www.blogger.com/profile/08079976983963894814noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-32779924575323830362016-10-12T10:34:30.281+11:002016-10-12T10:34:30.281+11:00October 12, 2016 9:09 AM
and ePIP.October 12, 2016 9:09 AM<br /><br />and ePIP.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-44598438043082326052016-10-12T09:09:33.469+11:002016-10-12T09:09:33.469+11:00.... I am sure that there are many (individuals an....... I am sure that there are many (individuals and companies) that have (or continue to receive) remuneration from the government for the PCEHR/MHR project that would like to see this continue - nothing like a vested interest in keeping the gravy train rolling !!<br /><br />You mean like ADHA? Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-90428075253018312132016-10-12T08:12:55.071+11:002016-10-12T08:12:55.071+11:00Don't you worry Tim will fix it, it's not ...Don't you worry Tim will fix it, it's not a technology issue just and change and communication problem. A few power points, a couple of booths at choice events and some photos shoots with innovative clinics and a few consumer stories will do the trick. I can see the lunch of the new digital health strategy involving leisurely strolls amongst the working class masses and perhaps a few Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-67831757473266569452016-10-12T00:09:52.868+11:002016-10-12T00:09:52.868+11:00Grahame,
You appear to be missing the point. I c...Grahame, <br />You appear to be missing the point. I concur with Andrew but would hasten to add that it was clearly a case of the blind leading the blind ... as far as I can see the rot started as a pipe dream by the health bureaucrats and the that the PCEHR would be highly valued and used by the GPs and other clinicians (in addition to patients), the grossly inadequate,ill-conceived Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-1638481135255188822016-10-11T20:46:11.062+11:002016-10-11T20:46:11.062+11:00I am sorry Graham, but a project like this (PCEHR)...I am sorry Graham, but a project like this (PCEHR), that handles peoples health information requires extensive testing and I don't think its making a mountain out of a mole hill at all. Testing of complex systems is vital as its almost never correct when the developers think it is. A $2 billion budget should have allowed testing and You can only release what you test. I might try experiments Andrew McIntyrehttps://www.blogger.com/profile/17821423221138467536noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-12526135817937277902016-10-11T20:42:15.767+11:002016-10-11T20:42:15.767+11:00update based on an offline comment: of course the ...update based on an offline comment: of course the project had it's own testing environment. Environments many. And still does. And the software vendors had (have) their own test environment. It was the end users / production users that didn't get a test environment right way.Grahame Grievehttps://www.blogger.com/profile/08635283945076545993noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-47266728404777424672016-10-11T18:10:37.585+11:002016-10-11T18:10:37.585+11:00hi David, thanks for making a mountain out of a mo...hi David, thanks for making a mountain out of a mole hill. <br /><br />The project control group made a choice to invest what capital it had - operating under political constraints, remember - on what features they could. Creating a test environment was not in the first round of development, but was made a priority as soon as the initial goals had been achieved. I do not see that my technical Grahame Grievehttps://www.blogger.com/profile/08635283945076545993noreply@blogger.com