tag:blogger.com,1999:blog-23447705.post3934871364004784921..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: AusHealthIT Poll Number 296 – Results – 15th November, 2015. Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger23125tag:blogger.com,1999:blog-23447705.post-63288673690638151962015-11-20T09:22:01.830+11:002015-11-20T09:22:01.830+11:00I look forward to anyone providing any evidence th...I look forward to anyone providing any evidence that Government considered what was actually needed in e-Health. They had a 2008 Strategy but just took its lowest priority need - misunderstood it and then proceeded to spend a $B+ implementing a misunderstanding!<br /><br />What a farce!<br /><br />David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-71007982037188201362015-11-20T09:16:28.907+11:002015-11-20T09:16:28.907+11:00David said - They could have stated by asking them...David said - They could have stated by asking themselves what is it that is needed, who is it for and who might benefit from it?<br /><br />Yes that is a very basic place to start - a simple as one can get. <br /><br />I think if you look back over earlier documents you will find lots of people asking those questions including government. The problem with asking such simple questions is that theyAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-62294707329512414632015-11-19T16:24:39.055+11:002015-11-19T16:24:39.055+11:00Ian, David,
The question they asked themselves wa...Ian, David,<br /><br />The question they asked themselves was:<br /><br />"How can we reduce data fragmentation?", and developed a system that tries, but fails to do even that.<br /><br />In fact they have increased the amount of data fragmentation by creating yet another repository that is not complete, not accurate and which overlaps other data repositories. Everything in the PCEHR Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-29825433638359951262015-11-19T15:20:49.050+11:002015-11-19T15:20:49.050+11:00Ian,
They could have stated by asking themselves ...Ian,<br /><br />They could have stated by asking themselves what is it that is needed, who is it for and who might benefit from it? I doubt the answer would be anything like what they have inflicted on us - which goes to the ignorance and incompetence of most of those who conceived and designed this monster!<br /><br />David.<br /><br /><br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-46379898898815332672015-11-19T15:12:52.384+11:002015-11-19T15:12:52.384+11:00Bernard Robertson-Dunn said... it is impossible fo...Bernard Robertson-Dunn said... it is impossible for the government to force health professionals to use it. Apart from maybe insisting that they put data in, the government can't insist on GPs using the system, especially when they already have local eHealth record systems that more than meet their clinical needs.<br /><br />Yes, indeed Bernard and that has always been the case. <br /><br />Dr Ian Colcloughnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-66405180165348257302015-11-19T13:59:45.319+11:002015-11-19T13:59:45.319+11:00Let's be fair here. The opt-out trials are onl...Let's be fair here. The opt-out trials are only a test of the registration process. Health has improved the usability of the system by making registration easier. The opt-out approach may not be successful if people learn that having a health record that is pretty useless but which is a high risk to privacy breaches.<br /><br />If it is unsuccessful then they will have to rely on opt-in, so Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-13429781795606031152015-11-19T12:19:27.403+11:002015-11-19T12:19:27.403+11:00Today's PulseIT article paints a picture of pa...Today's PulseIT article paints a picture of panic leading to confusion and chaos. It seems the Department is now inviting PHNs to push the voluntary opt-in approach to the PCEHR's My Health Record while at the same time promoting its preferred Opt-out option.<br /><br />Rather than wait to evaluate the outcomes from the Blue Mountains and Far North Qld trials the Department appears to beAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-82124969073274150812015-11-19T10:02:25.683+11:002015-11-19T10:02:25.683+11:00Bernard,
Start here:
http://ozhealthithistory.wi...Bernard,<br /><br />Start here:<br /><br />http://ozhealthithistory.wikispaces.com/Key+National+Strategy+Files<br /><br />Cheers<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-28353585610406471712015-11-19T09:58:31.584+11:002015-11-19T09:58:31.584+11:00Anonymous Anonymous said...
"I have a great ...Anonymous Anonymous said...<br /><br />"I have a great sense of deja vue."<br /><br />Is all this documented anywhere?<br /><br />If I can get help I was thinking of putting it up somewhere, but I don't have the full story. I'd like to include the way NEHTA/Health went about System Architecture (they didn't), design (from an IT perspective, not a health information need) andBernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-7695588238728918392015-11-19T09:35:29.439+11:002015-11-19T09:35:29.439+11:00I have a great sense of deja vue.
ACeH is a class...I have a great sense of deja vue.<br /><br />ACeH is a classic repeat of previous scenarios and absolutely no-one can do anything about it except complain; all to no avail.<br /><br />HealthConnect lost its way and was an embarrassment to the Department and to the Government.<br /><br />NeHTA was set up behind the corporate veil to close down HealthConnect and get DoHA off the hook and out of theAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-67877016479770807002015-11-17T17:57:13.834+11:002015-11-17T17:57:13.834+11:00"Probably the only thing that anyone can do i..."Probably the only thing that anyone can do is to just sit and watch until everything falls apart; which could be many years away."<br /><br />There is a chance that when the population at large finds out the government is creating a huge database with (almost) everyone's health data and making it accessible via the Internet, they may just start complaining.<br /><br />Especially Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-11296165708671818042015-11-17T15:36:52.544+11:002015-11-17T15:36:52.544+11:00David - I (November 16, 2015 1:14 PM)have been fol...David - I (November 16, 2015 1:14 PM)have been following your readers comments for the last few days. They all make good sense. Even so,no matter how much sense they make it would seem, at least to me, that there is nothing they can do to influence a change of thinking. Probably the only thing that anyone can do is to just sit and watch until everything falls apart; which could be many years awayAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-78288616284505751352015-11-17T13:36:54.141+11:002015-11-17T13:36:54.141+11:00Its clear that NEHTA and DOHA are a long way off b...Its clear that NEHTA and DOHA are a long way off being across the issues. I have not met one person from either organisation that is. That is not to say that the individuals are necessarily stupid, its that they do not have the breadth and depth of knowledge to understand the issues. Some are experts in a narrow field with no health experience, most are lacking in real world implementation Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-15361590325845309702015-11-17T09:38:15.183+11:002015-11-17T09:38:15.183+11:00Share your frustration, we said in this latest sub...Share your frustration, we said in this latest submission thst "consultation" with Health and NEHTA only ever went one waykaren dearnenoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-87283649555186251942015-11-16T17:08:52.303+11:002015-11-16T17:08:52.303+11:00"If there are some genuine concerns it might ..."If there are some genuine concerns it might be best for you and your colleagues to request a meeting with the Minister to voice your concerns"<br /><br />Do you guys not read the papers or the submissions to the various reviews/inquiries?<br /><br />Have a look at the Australian Privacy Foundation's submissions and letters to Senators. They are available on the APF website. To saveBernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-80609512338630358092015-11-16T14:25:03.875+11:002015-11-16T14:25:03.875+11:00Its not done, its not working and never will while...Its not done, its not working and never will while we accept the executive summary that would do Sir Humphrey proud.<br /><br />Australia bought into Snomed-CT, but done nothing useful with it since and has completely stuffed up wrt Medications.<br /><br />SMD is an over-engineered bloated green monster that is a monument to the trendy technologies of its birth year. SOAP and xml encryption is soAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-33981489239413317252015-11-16T13:53:34.122+11:002015-11-16T13:53:34.122+11:00"Some of us in the house hear quite a differe..."Some of us in the house hear quite a different story from that described by .....Tim"<br /><br />Just read the last 30-40 comments on the blog and I think you will learn that many e-Health experts think what is being done by NEHTA and the Department are over spun and under done!<br /><br />DavidDr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-27933547460378259182015-11-16T13:14:46.368+11:002015-11-16T13:14:46.368+11:00Some of us in the house hear quite a different sto...Some of us in the house hear quite a different story from that described by .....Tim above in his colorful analogy. As politicians, we can only glean a limited understanding about how well the eHealth project is progressing by questioning NEHTA and Department staff at committee hearings. We haven't heard that it is not on track. If there are some genuine concerns it might be best for you andAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-72575478304426975882015-11-16T12:13:46.109+11:002015-11-16T12:13:46.109+11:00The current status of NEHTA delivery of eHealth in...The current status of NEHTA delivery of eHealth in Australia is incomplete. I would describe it more like "Having a car advertised in the paper and it even looks good as you walk closer to it. But when you try to take it for a test drive you realise the motor starts but won't move the car, theirs only 1 seat, not all the doors open and some metal body parts are actually plastic or paper.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-47668961411808416432015-11-16T08:31:06.834+11:002015-11-16T08:31:06.834+11:00In his CEO report Mr Flemming said:
“the core of...In his CEO report Mr Flemming said: <br /><br />“the core of the national foundation work (has been) to be designing, building and operating the common identifiers, specifications and terminology to establish interoperability and connect healthcare providers and data sources."<br /><br />A worthwhile work activity. He also said:<br /><br />"The national foundations, the bedrock upon Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-58291353733502809442015-11-15T10:30:11.132+11:002015-11-15T10:30:11.132+11:00Have a look at the Annual Report to see the contex...Have a look at the Annual Report to see the context of Mr Fleming's claim.<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-62333957431171911722015-11-15T10:26:16.961+11:002015-11-15T10:26:16.961+11:00Hi David,
I am having problems with your latest q...Hi David,<br /><br />I am having problems with your latest question. What exactly has NEHTA actually done? Its hard to answer because of that. I guess they are good for nothing?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-41939809013188189122015-11-15T09:21:59.441+11:002015-11-15T09:21:59.441+11:00The National e-Health Strategy is still the one pr...The National e-Health Strategy is still the one produced by Deloitte in 2008, adopted by the feds and all states and territories via COAG - and never implemented.<br /><br />http://www.health.gov.au/internet/main/publishing.nsf/Content/National+Ehealth+Strategy<br /><br />Instead, we got the PCEHR<br /><br />Deloitte did an update on the strategy in November 2013 - but this is still a national Karen Dearnenoreply@blogger.com