tag:blogger.com,1999:blog-23447705.post6629558177389921923..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: AusHealthIT Poll Number 163 – Results – 17th April, 2013. Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger20125tag:blogger.com,1999:blog-23447705.post-44673335907726150132013-04-19T20:58:05.892+10:002013-04-19T20:58:05.892+10:00Hi Graham,
well in the medical world that is not ...Hi Graham,<br /><br />well in the medical world that is not health IT related there are quality standards mandated all over the place. Australian Standards are enforced for Cars and building materials etc etc. I am sure none of that is perfect, but an IT vendor can do an atrocious HL7 implementation and there is no one who even cares currently.<br /><br />We have to have a huge list of proven Andrew McIntyrehttp://www.medical-objects.com.aunoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-44019471270549871162013-04-19T19:48:14.766+10:002013-04-19T19:48:14.766+10:00Andrew, I certainly agree that the core problem is...Andrew, I certainly agree that the core problem is the quality of the implementations and the lack of interest in the users in doing something better (and buying something better). <br /><br />But what's the solution? Your's appears to be mandating improved quality standards - but I don't really believe in that. It really sounds just too much like your pet hate, which is the Grahame Grievehttps://www.blogger.com/profile/08635283945076545993noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-51021062215710307122013-04-19T18:11:06.911+10:002013-04-19T18:11:06.911+10:00"The pcEHR has tended to fall back to trying ..."The pcEHR has tended to fall back to trying to specify better quality data formats"<br /><br />The problem is the quality of the implementations of the current data formats and lack of incentive to fix those problems rather than a problem with the standards. We don't need new standards, just quality implementations and attention to detail. Given that V2 is not going away any time Andrew McIntyrehttp://www.medical-objects.com.aunoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-57770077978513331952013-04-19T15:56:53.636+10:002013-04-19T15:56:53.636+10:00Personally CON-TROLLED?
Personally I feel 'C...Personally CON-TROLLED? <br />Personally I feel 'Conned' and 'Trolled'.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-14548603269702967222013-04-19T09:18:53.891+10:002013-04-19T09:18:53.891+10:00"we need better, higher quality data in stand..."we need better, higher quality data in standard formats"<br /><br />yes, this is true. If we do nothing but work on this for 20 years, it will still be true, though perhaps the bang for the buck will tail off gradually.<br /><br />The important thing, though, is that specifying better quality data formats isn't the same as specifying better quality data. The pcEHR has tended to Grahame Grievehttps://www.blogger.com/profile/08635283945076545993noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-39500144635347129252013-04-19T08:57:23.934+10:002013-04-19T08:57:23.934+10:00We've been waiting for good quality data in st...We've been waiting for good quality data in standard formats for 20 years. Until people start trying to use that data there is no driver for anyone to actually put it into standard formats, nor to fix the quality. <br /><br />Too many people consistently say that we can't do anything until everything is perfect, but the reality is that (as others on this site have noted) you can do a Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-48290128525520516072013-04-18T23:47:49.177+10:002013-04-18T23:47:49.177+10:00However, first of all we need clinicians to have t...However, first of all we need clinicians to have the data, good data, unlike we have now. When clinicians have good data and can exchange it its a small step to give patients access to that data. To give patients access first, to data that is not very good is no a solution. If the PCEHR proves anything it is that we need better, higher quality data in standard formats. Building on top of bad dataAndrew McIntyrehttp://www.medical-objects.com.aunoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-30382233788808044722013-04-18T22:41:44.633+10:002013-04-18T22:41:44.633+10:00I disagree, I believe that the clear message from ...I disagree, I believe that the clear message from both other jurisdictions and from the ongoing increase in health care costs is that treating health as something that your clinician does to you is the wrong long term approach.<br /><br />The clear direction in the future is increasing patient involvement in their health care, with that empowerment also leading to them understanding the impacts Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-20424463995473714762013-04-18T21:43:29.345+10:002013-04-18T21:43:29.345+10:00I was one of the ones that does not want to see ce...I was one of the ones that does not want to see central control of eHealth. We have seen the folly of trying to do this for the last 10 years and I don't want to repeat that.<br /><br />Central input to standards is just as bad, if not worse. No one person, selected by the clueless public service, can drive this. What we need is real vendors with a real IT department to engage in the Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-18284749216615557672013-04-18T12:38:19.380+10:002013-04-18T12:38:19.380+10:00I wholeheartedly agree with you Bernard. You have ...I wholeheartedly agree with you Bernard. You have made a number of very valuable points stemming from Dr Karin Garrety's comment which is the essential starting point:<br /><br />“A better approach would have been to ask, what is it that would help people do their work better - and then to build something up from what people would find useful to help them to deliver health care.”<br /><br />Dr Ian Colcloughnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-30972439451552488522013-04-18T10:46:15.894+10:002013-04-18T10:46:15.894+10:00David asked:
"OK..what would you all like to ...David asked:<br />"OK..what would you all like to see?"<br /><br />I suggest taking note of Dr Karin Garrety's comment:<br /><br />“A better approach would have been to ask, what is it that would help people do their work better - and then to build something up from what people would find useful to help them to deliver health care.”<br /><br />The focus of the PCEHR is on the whole Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-12376976757463018262013-04-18T10:02:12.429+10:002013-04-18T10:02:12.429+10:00I'd like to see the politicians appoint a bunc...I'd like to see the politicians appoint a bunch of people give them a mission and accountability, and then stop interfering with the process for political reasons. <br /><br />I'd also like to see pigs fly. Knoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-52378257969148696312013-04-18T10:01:39.060+10:002013-04-18T10:01:39.060+10:00For me, less focus on tearing down what's alre...For me, less focus on tearing down what's already been done, and more constructive thought on how to use it. The reality is that it's done, and that there isn't going to be the money to replace it for 5 years or more. By continuing to stand outside and declare it bad, you're condemning yourself to marginalisation.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-83059022094157518432013-04-18T09:50:10.881+10:002013-04-18T09:50:10.881+10:00OK..what would you all like to see?
David.OK..what would you all like to see?<br /><br />David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-58620938207426288772013-04-18T09:24:19.833+10:002013-04-18T09:24:19.833+10:00In other word David - 4/18/2013 09:01:00 AM - want...In other word David - 4/18/2013 09:01:00 AM - wants to shuffle the deckchairs across to another ship, dare I say Titanic, which will have the effect of giving nearly all the existing bureaucrats another job and a new life where they will continue doing what they have always been doing delivering nothing much of value. <br /><br />Think again.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-29591399849205289912013-04-18T09:01:06.637+10:002013-04-18T09:01:06.637+10:00In no way do I want control centralised in NEHTA. ...In no way do I want control centralised in NEHTA. I want a new structure which absorbs DoHA e-health, NEHTA and the relevant parts of Medicare led by people who are committed to clinical safety and quality and see e-Health as an important enabler - not an end in itself.<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-77410807400903367582013-04-18T08:51:13.352+10:002013-04-18T08:51:13.352+10:00So David, how do you square that with your posts t...So David, how do you square that with your posts that "about 65% feel we need an improved Governance Framework for Australian E-Health" in the context of "Should A New Revised National E-Health Strategy Recommend An Integrated and Simplified E-Health Governance Framework With All National E-Health Activities Under One Roof?."<br /><br />I'm struggling with how to read thatAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-87503795563175938842013-04-17T23:30:42.419+10:002013-04-17T23:30:42.419+10:00"David,
Your apparent blind faith in nationa..."David,<br /><br />Your apparent blind faith in national and state bureaucrats and the questionable ministers of both stripes appointed to govern their (in)effectiveness seems paradoxical with the targeted criticisms of their incompetence and ineffectiveness published daily on this blog.<br /><br />Doing the same thing and expecting a different outcome results in what exactly?<br /><br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-32601220573299283472013-04-17T22:45:57.286+10:002013-04-17T22:45:57.286+10:00Previous Anonymous:
Exactly!
The one roof should...Previous Anonymous:<br /><br />Exactly!<br /><br />The one roof should in no way exist let alone housing the sorry incompetent souls most likely to be deposited there by self-serving mandarins and consulting clingers-on.<br /><br />David,<br /><br />Your apparent blind faith in national and state bureaucrats and the questionable ministers of both stripes appointed to govern their (in)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-89889515505501397072013-04-17T19:56:00.802+10:002013-04-17T19:56:00.802+10:00I think the correct conclusion is that "30% o...I think the correct conclusion is that "30% of responders disagree with me that putting all eHealth under one roof would be an improvement." Perhaps they thought about where that one roof would be likely to be.Anonymousnoreply@blogger.com