tag:blogger.com,1999:blog-23447705.post4099838944572674045..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: The ADHA Creates A Fanfare But Then Reveals It Is All Still A Work In Progress.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger28125tag:blogger.com,1999:blog-23447705.post-33687498651591184772018-07-22T15:37:08.537+10:002018-07-22T15:37:08.537+10:00If you have to tell people you are an innovative d...If you have to tell people you are an innovative disrupter, then it is highly likely you are not, more likely a buzzword bingo player.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-35008137420928792932018-07-22T10:14:06.447+10:002018-07-22T10:14:06.447+10:00Of course the myhr is disruptive.
It disrupts a p...Of course the myhr is disruptive.<br /><br />It disrupts a patient/GP consultation while the poor GP consults the AMA's guidelines, all 27 pages of it, accesses the patient's myhr to ensure that what they put up is consistent with all that is there (as the government advises) talks with the patient about the content of the SHS and then, in just a few clicks finally uploads the revised SHSBernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-40337871486512293242018-07-22T08:58:30.809+10:002018-07-22T08:58:30.809+10:00To confronting and too disruptive. Yet those how p...To confronting and too disruptive. Yet those how push the MyHR believe they are innovative disrupters. Yet their narrative betrays their grasp on modern technologies or medicine. They talk of the fax and the filing cabinet as arguments for the MyHR, yet the MyHR breaks the GIGO aspect of information- garbage in garbage out. GPS already use powerful software ( other than apparently key advisors toAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-62033613793048244472018-07-21T22:03:55.826+10:002018-07-21T22:03:55.826+10:00"they come from the old way of thinking"..."they come from the old way of thinking" @7:23 PM. They do indeed Bernard. <br /><br />I have been advocating new ways of thinking about the 'problem' for over decade and I do not resile from that. <br /><br />From time to time I have met with all the senior management of NEHTA and the ADHA and no-one has shown the slightest interest in even wanting to step forward to first baseDr Ian Colcloughnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-4558938909533874062018-07-21T19:23:50.072+10:002018-07-21T19:23:50.072+10:00Ian, Don't forget, PM's and government cha...Ian, Don't forget, PM's and government change. If it isn't killed it will probably just starve to death as GPs ignore it. Over 80% of existing myhrs are effectively empty. That ratio is probably going to stay constant.<br /><br />Researchers, ED departments etc will discover there's no value in the data. Even in the 20% that have some it is likely to be stale and very (as opposed Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-31736336009936319572018-07-21T18:06:12.180+10:002018-07-21T18:06:12.180+10:00I agree with all that you just said Bernard (5:19 ...I agree with all that you just said Bernard (5:19 PM). Even so I doubt there will be any change in the status quo unless the public and the doctors make their voices heard, and that includes the peak bodies which have been both neglectful and complicit in saying what the bureaucracy has wanted to hear rather than what should have been said. <br /><br />I have often said the peak bodies, through Dr Ian Colcloughnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-65022737318160977482018-07-21T17:19:08.610+10:002018-07-21T17:19:08.610+10:00The one question that David and I (mostly David) h...The one question that David and I (mostly David) have been asking for years is - who is this system for?<br /><br />It serves neither clinicians nor the pubic well, because it tries to serve both.<br /><br />In order to engage and appease patients, control over content has been ceded to the patient. Not just in terms of who can see what, but over what is in it. Both are deal breakers.<br /><br />Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-11258301783344321632018-07-21T16:23:52.216+10:002018-07-21T16:23:52.216+10:00Opt-out will not go away. The three bigger non-cli...Opt-out will not go away. The three bigger non-clinical beneficiaries of centralised aggregate health data are public health, financing and pharmaceuticals. We've heard from #2 - PHI via NIB. <br />#3 operates through tame mouthpieces and the stuffing of party coffers. Key phrases to look out for include "life-saving", but the test will come when incapacitated citizens are being Trevor3130https://www.blogger.com/profile/08148555743063226957noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-30841678541143785252018-07-21T15:59:59.721+10:002018-07-21T15:59:59.721+10:00@Bernard - It's not actually Tim's fault, ...@Bernard - It's not actually Tim's fault, but what is his fault....<br /><br />Well yes and no. The Royal Report gave Tim Kelsey, the Board and the Minister many options, they collectively (mostly on advice from Tim Kelsey) to go optout on the current system design, all it needed was a bit of user design and national tour it seemed. They achieve the national tour bit and did some UX Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-18453704585328047772018-07-21T14:30:46.370+10:002018-07-21T14:30:46.370+10:00And remember 500,000 punters are voting in 5 bye-e...And remember 500,000 punters are voting in 5 bye-elections on Saturday. Wonder what they all think?<br /><br />DavidDr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-74066244484932409862018-07-21T14:15:52.304+10:002018-07-21T14:15:52.304+10:00The story so far: Tim has embarrassed Greg. Greg a...The story so far: Tim has embarrassed Greg. Greg and Tim have embarrassed the PM. Not good. It's not actually Tim's fault, but what is his fault is taking on the job in the first he should have known better.<br /><br />The gov't must be hoping this week is a spike. It may well calm down a bit but my guess is it will either plateau or snowball. It's not going to go away.<br /><br /Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-31323399315939677132018-07-21T13:56:29.729+10:002018-07-21T13:56:29.729+10:0012:06, I as many would welcome such a move that en...12:06, I as many would welcome such a move that engages subject matter experts for an open and honest debate. I believe however the government and ADHA will hide and hope this blows over. Faced with actual evidence their argument is on fragile ground. It’s proven to not be safe (clinical), nothing is secure and seamless might work for a garment but further inforces the fact once your in you have Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-25934333263251592292018-07-21T12:46:43.262+10:002018-07-21T12:46:43.262+10:00they have split the community and excited those th...they have split the community and excited those that could have helped.<br /><br />They have also sent many into exile.<br /><br />They way this has been stufffed up I would hope the DtA be given temporary oversight of the contract for MyHR operations and everyone from SES3 to SES1 level be released of the employment. It has been clearly 2 years of evidence the ADHA was unable to operate as an Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-45014557645194457692018-07-21T12:15:31.205+10:002018-07-21T12:15:31.205+10:00I think NIB understand that the Government and Tim...I think NIB understand that the Government and Tim zkelsey are desperate to cling to anyone who will say this is worth it. Mr Hunt is just being playedAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-90762379424520255162018-07-21T12:06:29.469+10:002018-07-21T12:06:29.469+10:00Maybe they could engage some of the persons in thi...Maybe they could engage some of the persons in this article<br /><br />https://www.theguardian.com/commentisfree/2018/jul/20/there-is-no-social-license-for-my-health-record-australians-should-reject-it<br /><br />I recall David you asked this question on social license sometime ago. The ADHA has nowhere to run, they have been warned many times, rather than take notice, they have split the Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-18923163093526382542018-07-21T11:18:23.870+10:002018-07-21T11:18:23.870+10:00Mark Fitzgibbon is on the MyHR bandwagon.
Does th...<a href="https://www.smh.com.au/business/consumer-affairs/we-desperately-need-this-data-nib-boss-wants-members-digital-health-records-20180719-p4zsha.html" rel="nofollow">Mark Fitzgibbon</a> is on the MyHR bandwagon. <br />Does that mean NIB members will get a discounted premium if they comply with Govt, or will insurers use a high opt-out rate to jack up premiums all round?<br />BTW I will Trevor3130https://www.blogger.com/profile/08148555743063226957noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-44959572223494408832018-07-21T10:40:55.563+10:002018-07-21T10:40:55.563+10:00Tygrus...
Are you suggesting My Health Record is n...Tygrus...<br />Are you suggesting My Health Record is not fit for purpose?<br /><br />OMG, if only the gov't had known about this earlier, they may not have been so stupid to try and make a broken system opt-out and be accused of running a useless and dangerous system.<br /><br />Shakes head sadly and wanders back to twitter, where ADHA/Gov't/Dr Swan are being torn to pieces.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-58221758479638258872018-07-21T10:30:39.192+10:002018-07-21T10:30:39.192+10:00Tygrus not even with the most prolific gambling ha...Tygrus not even with the most prolific gambling habit would that seem a worthy bet. It will be the same for ADHA, cabinet ministers, they will ignore this, the ADHA will treat it as nice but dim and The Librals will either blame the Nationals or Labour.<br /><br />The silence will be deafening Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-105228806613358992018-07-21T10:19:27.173+10:002018-07-21T10:19:27.173+10:00You can't rely on the summary reports from the...You can't rely on the summary reports from the radiologists and sonographers. About 30% in this household, and probably 15% overall, contain errors (from minor to major). The specialist's always review and make their own notes which are not sent back to the health professionals conducting these tests (and writing these reports). The MyHR is probably not built to store all of the images intygrushttps://www.blogger.com/profile/18354203314623070783noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-68922352708201551402018-07-21T10:15:08.265+10:002018-07-21T10:15:08.265+10:00Anyone care to risk a small wager that Norman Swan...Anyone care to risk a small wager that Norman Swan's 'The Health Report' will <b>not</b> make as much as a passing reference to the <a href="https://www.cio.com.au/article/644117/cyber-crooks-hit-singapore-health-ministry/" rel="nofollow">Singapore data theft</a>?Trevor3130https://www.blogger.com/profile/08148555743063226957noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-73635668839862678192018-07-21T08:46:23.301+10:002018-07-21T08:46:23.301+10:00And for those who think concerns are just scaremon...And for those who think concerns are just scaremongering and isolated to tin foil hat wearers - https://www.smh.com.au/technology/errors-and-incompetence-australians-split-over-government-s-opt-out-digital-health-records-20180720-p4zsnc.html<br /><br />I put to those who are advocating this health record ATM, are your opinions grounded in the fact you are being held to ransom? If you don’t spout Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-86358562165024223192018-07-20T23:14:51.661+10:002018-07-20T23:14:51.661+10:00For those late to the party, Accenture, Oracle an...For those late to the party, Accenture, Oracle and Orion built Singapore's eHealth system. They also built the PCEHR, which was the original name of myhr<br /><br />It was opt-in in those days<br /><br />https://www.theaustralian.com.au/business/technology/accenture-oracle-bags-major-pcehr-deal/news-story/6d2a0b2eb48376561db145c5a2d0d158<br /><br />There may or may not be anything in common Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-35214727169740613592018-07-20T23:05:12.460+10:002018-07-20T23:05:12.460+10:00The ADHA and all those champions of MHR will be ha...The ADHA and all those champions of MHR will be hard pressed to address this one. Saying we are not the same would be a mistakeAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-59935610791453634852018-07-20T22:44:28.079+10:002018-07-20T22:44:28.079+10:00Good thing everyone is just being paranoid, denial...Good thing everyone is just being paranoid, denial is the best defenceAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-19854512483750459092018-07-20T20:29:45.945+10:002018-07-20T20:29:45.945+10:00Breaking news - Singapore Personal data hack hits ...Breaking news - Singapore Personal data hack hits 1.5 Million health authority reports<br /><br />They broke into the government health database in a "deliberate, targeted and well-planned" attack, a government statement says.<br />Those targeted visited clinics between 1 May 2015 and 4 July of this year.<br />Data taken include names and addresses but not medical records, other than Anonymousnoreply@blogger.com