tag:blogger.com,1999:blog-23447705.post362308576591249895..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: It Looks Like NEHTA Delivery Is Slipping A Little. We Really Should Be Getting Better For Our Money!Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger26125tag:blogger.com,1999:blog-23447705.post-91599681878954161372011-01-18T10:12:32.780+11:002011-01-18T10:12:32.780+11:00Why would anyone think the software industry would...Why would anyone think the software industry would unilaterally cooperate to achieve a solution for the commons problem of shareable health information? Most of the business value for the incumbents is not from sharing data, but from keeping it inside the institution where they sold their solution. This is a commons problem and needs a central strategy. Getting the IT and standards approach Thomas Bealehttp://wolandscat.netnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-52779430565431549212011-01-17T11:49:56.180+11:002011-01-17T11:49:56.180+11:00Monday, January 17, 2011 12:00:00 AM said "I ...Monday, January 17, 2011 12:00:00 AM said "I am happy to have a go at these as they are the alternative plan."<br /><br />I agree - it looks like an excellent alternative plan - albeit in its infancy. <br /><br />After reviewing the responses above I think it an excellent first pass effort and the contributor of Monday, January 17, 2011 12:00:00 AM is to be congratulated. <br /><br />I Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-71664510441126470012011-01-17T00:00:54.700+11:002011-01-17T00:00:54.700+11:00I am happy to have a go at these as they are the a...I am happy to have a go at these as they are the alternative plan.<br /><br />1. What is an incentive?<br /><br />It is income received after you achieve a goal. In this case its proven standards compliance. That may be compliance with eg an AS4700 standard. It should not be paid to do the work but only when the work is done.<br /><br />2. How will it motivate people?<br /><br />There needs to beAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-54384527593990912112011-01-16T21:04:36.650+11:002011-01-16T21:04:36.650+11:00It sounds reasonable but I doubt anyone will be ab...It sounds reasonable but I doubt anyone will be able or prepared to to construct a sound set of answers to your questions 1 to 7 leaving this discussion thread in a state of perpetual limbo.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-9862062279033943332011-01-16T18:39:24.282+11:002011-01-16T18:39:24.282+11:00So easy to say - so difficult to do.
How about st...So easy to say - so difficult to do.<br /><br />How about starting from this end.<br /><br />1. What is an incentive?<br />2. How will it motivate people?<br />3. What sort of incentive does a health software vendor need?<br />4. What conditions should be tied to the incentive?<br />5. What conditions should not be tied to the incentive? <br />6. Who should receive incentives?<br />7. Who should Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-29581254075735663072011-01-16T17:50:26.368+11:002011-01-16T17:50:26.368+11:00I guess you'd have to start by defining what e...I guess you'd have to start by defining what exactly the "perverse ways" are, as you see them.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-65854109240830541932011-01-16T15:35:56.018+11:002011-01-16T15:35:56.018+11:00The "perverse ways the industry is incentivis...The "perverse ways the industry is incentivised" is certainly a major obstacle to progress. But this has been pointed out to Government and the Department on numerous occasions however they simply do not want to know. So how do you overcome that problem?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-59244983792156399082011-01-16T14:11:06.146+11:002011-01-16T14:11:06.146+11:00To a point the comment made 2:00pm Jan 16 is true ...To a point the comment made 2:00pm Jan 16 is true but I would suggest that this is because of the perverse ways the industry is incentivised and the lack of a proper e-Health governance framework that recognises who should be doing what and how they can be properly remunerated in a way that is sustainable and leads to industry growth and consolidation where that makes sense.<br /><br />We really Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-27536060639617804732011-01-16T13:02:53.819+11:002011-01-16T13:02:53.819+11:00http://aushealthit.blogspot.com/2010/12/it-is-now-...http://aushealthit.blogspot.com/2010/12/it-is-now-clear-pcehr-is-nothing-but-pr.html?showComment=1294261142728#c7950044238187712463<br /><br />In the context of this current discussion John Johnston’s comment of Thursday, January 06, 2011 7:59:00 AM is very relevant.<br /><br />In particular:<br />(a)Government initiatives encourage collaboration between parties with a common focus on a better Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-17418463926326622502011-01-16T10:42:03.953+11:002011-01-16T10:42:03.953+11:00I see what is being done by Roxon and Halton as il...I see what is being done by Roxon and Halton as ill-planned, ill-managed, ill-conceived and just plain political window dressing. Remember we never heard anything about e-Health until pretty much just before the last election and the biggest achievement to date has been a totally inconclusive gabfest!<br /><br />To use another quote "they don't know what they don't know" and so Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-71534281606968900412011-01-16T09:54:21.988+11:002011-01-16T09:54:21.988+11:00David, Sunday, January 16, 2011 8:37:00 AM said &q...David, Sunday, January 16, 2011 8:37:00 AM said "Right now I don't see any serious political will to do it properly!"<br /><br />Properly ... mmm. Serious political will .... mmm.<br /><br />Well, there is political will (apparently) just look at what Jane Halton and Nicola Roxon said at the eHealth Summit in December. Let's accept the fact that there is political will and Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-87283834218312396532011-01-16T08:37:00.021+11:002011-01-16T08:37:00.021+11:00I believe that all of this is possible. But it tak...I believe that all of this is possible. But it takes real political commitment and real understanding of how e-Health can assist in improving health service delivery.<br /><br />At the layer below you then need the leadership, governance, skills and funding - and a plan to deliver what is needed.<br /><br />Its not rocket science but all those 6 ducks need to be aligned!<br /><br />If any are Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-59468831082477583032011-01-16T07:33:07.240+11:002011-01-16T07:33:07.240+11:00Saturday, January 15, 2011 8:10:00 PM said "w...Saturday, January 15, 2011 8:10:00 PM said "we need to lift our game with Standards and need to focus on the clinical coal face".<br /><br />What can our local health industry software developers do to expedite this? Or is it all too hard from them too?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-15679167441228542882011-01-16T00:10:37.321+11:002011-01-16T00:10:37.321+11:00We should take the cheap but realistic road of imp...We should take the cheap but realistic road of improving the quality of what we already have by insisting on standards compliance with the existing standards we have had for years.<br /><br />This will increase the cost of software, but thats what needs to happen to fund the engineering work that needs to be done. Hacking together something for a trial for a pot of $$ is one of the problems. We Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-72916340615165517972011-01-15T22:54:36.135+11:002011-01-15T22:54:36.135+11:00Hey hang about there - it is irrelevant whether or...Hey hang about there - it is irrelevant whether or not Deloitte had some 'quick hits' to address the impatience problem if the Government, DOHA and NEHTA don't want to acknowledge that and do something about it. <br /><br />So how about stopping using that as an excuse - you are beginning to sound just like Government. <br /><br />Why don't all those experts get together and find Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-9963268248440689482011-01-15T21:01:07.740+11:002011-01-15T21:01:07.740+11:00Sadly, reality is that this stuff takes time, is c...Sadly, reality is that this stuff takes time, is complex and difficult and is fraught with risk.<br /><br />We need to start - but start with a coherent plan that consumers, clinicians and Health IT experts are happy with.<br /><br />The PCEHR is not that! NEHTA secrecy and DoHA incompetence add to the problem. There are some really smart people out there who could bring all this together - but Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-91117964949081589602011-01-15T20:50:23.131+11:002011-01-15T20:50:23.131+11:00Saturday, January 15, 2011 8:10:00 PM said "w...Saturday, January 15, 2011 8:10:00 PM said "we need to lift our game with Standards and need to focus on the clinical coal face".<br /><br />I agree. But how should this be done?<br /><br />Standards evolve over time. The clinical coal face is elusive. So that all sounds like something on the never never.<br /><br />Given that the Deloitte strategy, even if implemented now, could take Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-64398675742711501542011-01-15T20:10:23.135+11:002011-01-15T20:10:23.135+11:00Sorry, keep your shirt on!
I believe the Deloitte...Sorry, keep your shirt on!<br /><br />I believe the Deloittes work is as relevant today as far as what is needed as it was when released.<br /><br />What is utter rubbish is that DoHA/NEHTA keep saying they are implementing it when they are not.<br /><br />I suggest you go and read the document to see why. Basically they say NEHTA needs to be radically restructured, we need to lift our game with Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-36951476808616705822011-01-15T19:45:19.985+11:002011-01-15T19:45:19.985+11:002008 was 3 years ago. Get real. It wasn't fund...2008 was 3 years ago. Get real. It wasn't funded then, it hasn't been funded since so it won't be funded now. Whether the reason is one of cost, or that the Government and the Department don't want to know, or they want to put it off because of other priorities like the National Broadband initiative - who knows. <br /><br />But let's face the fact - the Deloitte strategy has Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-44914605778462459862011-01-15T16:02:53.350+11:002011-01-15T16:02:53.350+11:00I don't claim super smartness - but a very goo...I don't claim super smartness - but a very good 1st step would be to actually fund implement the 2008 Deloittes National E-Health Strategy rather than pretending you are and doing something totally different (namely doing the easy bits but not taking on leadership and governance issues!)<br /><br />David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-21495790029412576532011-01-15T15:53:18.836+11:002011-01-15T15:53:18.836+11:00So what should be done? It seems to me you people ...So what should be done? It seems to me you people want to dismantle NEHTA because you say it hasn't achieved anything worthwhile. You want to can the $50M million earmarked by DOHA for eHealth projects because you say that approach failed last time DOHA went down that path.<br /><br />How about one of you oh-so-smart commentators come up with something constructively positive and tell us whatAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-69031639228512028282011-01-15T10:53:59.746+11:002011-01-15T10:53:59.746+11:00Hey, stop deluding yourself. A whole lot of little...Hey, stop deluding yourself. A whole lot of little pilots with a disparate conglomeration of multiple players under the 'direction' of DOHA will achieve nothing. That is simply a repeat of DOHAs simplistic mentality which resulted in a whole lot of itty bitty HealthConnect projects set up 5 years ago none of which achieved anything of note.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-18732404599516604832011-01-14T21:51:27.030+11:002011-01-14T21:51:27.030+11:00Let's look at it this way and see what conclus...Let's look at it this way and see what conclusion we come to.<br /><br />NEHTA has achieved very little yet cost the Governments of Australia hundreds of millions of dollars.<br /><br />If NEHTA is closed down $400++++ million could be allocated to the impact of floods in QLD, NSW, VIC - a very big step forward.<br /><br />In parallel DOHA has $50 million earmarked for eHealth projects with Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-2593672814556052732011-01-14T17:50:04.902+11:002011-01-14T17:50:04.902+11:00That's a fantastic idea. I'll second that ...That's a fantastic idea. I'll second that as it can only help us achieve some real progress. Otherwise we we have to wait 2 years for it to happen anyway and cost $467M in the process.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-80921525448674045012011-01-14T16:33:01.162+11:002011-01-14T16:33:01.162+11:00I wonder whether the Queensland flood situation wi...I wonder whether the Queensland flood situation will see the whole NEHTA initiative placed on hold. Significant immediate funding will be required for essential infrastructure replacement / repairs. Federal and State funding will need to be redirected from existing initiatives. Existing projects which are only in the planning stages and have been going for many years without delivering Anonymousnoreply@blogger.com