tag:blogger.com,1999:blog-23447705.post5976348556793315149..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: It Seems That In the UK Patients Are Not All That Interested in Their Health Records. Important Lesson for Proposed PCEHR Possibly!Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger15125tag:blogger.com,1999:blog-23447705.post-22695249132111558062011-02-14T09:37:20.143+11:002011-02-14T09:37:20.143+11:00Monday, February 14, 2011 8:32:00 AM said "T...Monday, February 14, 2011 8:32:00 AM said "To even be spotted walking into the Minister's office would run the risk of being stigmatised."<br /><br />If what you say holds true then this sort of short sighted insecure paranoid attitude explains why the Minister gets shit advice from so many incompetents. If you are so inadequate the Minister would be better off not meeting with you.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-5872933533449845802011-02-14T08:55:47.441+11:002011-02-14T08:55:47.441+11:00Last month I bumped into a guy I worked with [loca...Last month I bumped into a guy I worked with [location removed to protect identity- David] and he's with one of the big consultancy firms. Although he now lives in Sydney, he told me that he spends most of his time working on projects elsewhere than Australia (and from reading this blog - most of them have been mentioned on here), and that he was seriously considering moving away from here asAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-45645095156426476622011-02-14T08:32:10.311+11:002011-02-14T08:32:10.311+11:00Like anything here is confidential. Who is going ...Like anything here is confidential. Who is going to talk to the Health Minister (confidentially or otherwise)? The risk of being blackballed in the procurement process is just too high. To even be spotted walking into the Minister's office would run the risk of being stigmatised.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-77417961893391592082011-02-13T17:28:15.580+11:002011-02-13T17:28:15.580+11:00How can we find those people whom you say could he...How can we find those people whom you say could help us in the public sector?<br /><br />You would probably need to get the Minister for Health to invite them to come forward and meet with her for a confidential chat.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-67708270677909480362011-02-13T17:14:24.794+11:002011-02-13T17:14:24.794+11:00"see PCEHR specifications and an evaluation o..."see PCEHR specifications and an evaluation of same"<br /><br />The rest of us would love to!<br /><br />David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-14666964426002054122011-02-13T17:12:13.202+11:002011-02-13T17:12:13.202+11:00You could get the bureaucrats the hell out of the ...You could get the bureaucrats the hell out of the way and let us get on with it! It's half-witted, managerialism gone mad - see PCEHR specifications and an evaluation of same. Apparently they have fairies at the bottom of their garden as well as a money tree.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-71706917311116640572011-02-13T14:36:59.901+11:002011-02-13T14:36:59.901+11:00How can we find those people whom you say could he...How can we find those people whom you say could help us in the public sector?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-18509656596658834762011-02-13T11:08:50.706+11:002011-02-13T11:08:50.706+11:00The terms of engagement come with a penalty clause...The terms of engagement come with a penalty clause just like we have in the private sector. "Fool me once" - initiates the penalty clause. It's that clear cut.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-2553787107167851752011-02-13T10:28:30.374+11:002011-02-13T10:28:30.374+11:00"if the circumstances for the terms of their ..."if the circumstances for the terms of their engagement was appropriate and came with genuine high level backing and support."<br /><br />Never seen that actually happen - as they say 'fool me once - bad luck - fool me twice - I am to blame".<br /><br />David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-43155002018229953742011-02-13T10:11:46.585+11:002011-02-13T10:11:46.585+11:00"they seem to love engaging IT people without..."they seem to love engaging IT people without health IT experience, as they don't initially know enough to know that the plan is fatally flawed".<br /><br />After decades of experience in IT and in health spread across almost every major sector of the primary care, hospital and health department worlds in both the public and private sectors I can quite confidently state that such Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-60682273747499412082011-02-12T18:50:43.914+11:002011-02-12T18:50:43.914+11:00And this is exactly what many good people have don...And this is exactly what many good people have done. The options are to look overseas for opportunities or try another line of work in Australia.<br /><br />This has white-anted the Health IT skills pool to the point that should the government actually propose something sensible they would struggle to find anyone with experience to implement it. <br /><br />Mind you, they seem to love engaging ITAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-39915335938238595672011-02-12T14:18:26.397+11:002011-02-12T14:18:26.397+11:00You should try another line of work then, sounds l...You should try another line of work then, sounds like you we be a risk not worth having. It is still a free labour marketAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-49505431332548547532011-02-11T12:25:03.905+11:002011-02-11T12:25:03.905+11:00Being employed to implement things like PCEHR I am...Being employed to implement things like PCEHR I am constantly having to beat my head against the wall on the complete stupidity and lack of any brains of the people pushing this PCEHR garbage.<br /><br />An opt-in PCEHR? what drugs are these people on? a program doomed to fail before it starts, people don't really care about, need or even want, the pushers of this 'concept' having no Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-2973961952142875342011-02-11T08:25:40.739+11:002011-02-11T08:25:40.739+11:00Again, the need to do the infrastructure and provi...Again, the need to do the infrastructure and provider before the so called PCEHR.<br /><br />Sorry I am a cracked record but the necessary critical success factors are not available in Australia and it is as simple as that!<br /><br />David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-85470729990117854762011-02-11T05:53:53.947+11:002011-02-11T05:53:53.947+11:00...whereas the personal health record offered by K......whereas the personal health record offered by Kaiser Permanente, as part of their EPIC EMR system is used by 3 million people and its functionality and value are growing and growing.<br /><br />Key of course is that the Kaiser PHR is the icing on a cake, baked with rich and useful information.<br /><br />In the far eastern state of Australasia (the shaky isles of NZ) we are making a lot of Tom Bowdenhttp://www.healthlink.netnoreply@blogger.com