tag:blogger.com,1999:blog-23447705.post7099054824979196572..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: It Seems Delivery Of Benefits Is A Bit Harder Than People Imagine. More Thought Required.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-23447705.post-52023173519640614002013-01-14T08:16:13.299+11:002013-01-14T08:16:13.299+11:00"The NEHRS concept was good." Can I say ..."The NEHRS concept was good." Can I say I disagree profoundly with that assertion. Is was a badly flawed concept.<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-20893477326118657362013-01-14T07:20:14.022+11:002013-01-14T07:20:14.022+11:00And now Qld Health is being told it will cost at l...And now Qld Health is being told it will cost at least $440 MILIION to replace HBCIS - this much for a PAS? (yes, I know HBCIS does more than just ADT) Surely it is time for government to look to SME's in the local market (per the earlier comment) and realise that the big guys just aren't cutting it any more. There are solutions in the market today that will give public health PAS and Paul Fitzgeraldnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-49888586664412184672013-01-13T19:34:22.053+11:002013-01-13T19:34:22.053+11:00It's just too sad.
The NEHRS concept was good....It's just too sad.<br />The NEHRS concept was good.<br />And there was plenty of money to do it.<br />And now we don't know if it is/will make a difference.<br />Nor will we ever know if it has failed.<br /><br />The winners seem to be the bureaucrats that sing their own praises and get promoted, and their friends the big consultants that won the big contracts driving their next model Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-73192140704902314292013-01-13T15:16:13.818+11:002013-01-13T15:16:13.818+11:00Two relevant facts:
Most large IT projects fail
S...Two relevant facts:<br /><br />Most large IT projects fail<br />Study: 68 percent of IT projects fail<br />http://www.zdnet.com/blog/projectfailures/study-68-percent-of-it-projects-fail/1175<br /><br />Most government initiatives re Health IT fail to deliver<br />e.g. see: Unfulfilled Promises Of Health Information Technology<br />http://content.healthaffairs.org/content/32/1/63.abstract<br /><brBernard Robertson-Dunnhttp://www.problemsfirst.comnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-10951753787991799112013-01-13T14:31:48.723+11:002013-01-13T14:31:48.723+11:00"How will we ever know if the NEHRS makes a d...<i>"How will we ever know if the NEHRS makes a difference?"</i><br /><br />Surely the answer to this question is already available and widely published <b>prior</b> to the <b>$467M+</b> of taxpayers monies spent on the NEHRS/PCEHR.<br /><br />If not, anyway of getting the taxpayers' money back?<br /><br />Suggest both questions are tabled at the next scheduled Senates Estimates Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-12815983637777194382013-01-13T14:00:02.267+11:002013-01-13T14:00:02.267+11:00Now that many of the vendor systems are PCEHR-comp...Now that many of the vendor systems are PCEHR-complint, I can an hardly wait until the first 'good news' story about the NEHRS! Perhaps a patient going to ED, and the emergency doctors get into the NEHRS to find some vital information about current medications and allergies? Or a patient visits a GP and the GP is able to look up the NEHRS and see the details of recent admissions, and Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-6715293415608605512013-01-13T12:00:08.378+11:002013-01-13T12:00:08.378+11:00Lets be clear here, IMHO, the "vendors" ...Lets be clear here, IMHO, the "vendors" aren't the real problem. It is the fact that we can:<br /><br />1. accept paying 150million dollars of work before we even start to see any reality of benefits to consultants, that are nothing more than labor hire companies with overseas sweat shops delivering open loop projects where the emphasis is on getting huge sums of money for marketingAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-26965361420128783302013-01-11T22:41:14.420+11:002013-01-11T22:41:14.420+11:00And what's worse than charging a fortune for p...And what's worse than charging a fortune for poor ROI and very little delivered, is that there is absolutely no accountability at any level in any organisation for it - hence the vendors et al all keep getting away with it time and time again.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-56041537633512780112013-01-11T16:08:41.035+11:002013-01-11T16:08:41.035+11:00I think one of the other problems with adoption is...I think one of the other problems with adoption is the ridiculously high cost of entry to healthcare IT. The big vendors and their SI partners charge a fortune and deliver a very poor return on investment. Average projects take twice as long as planned and cost up to 4x the budgeted cost.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-41556436854285718292013-01-10T13:17:31.212+11:002013-01-10T13:17:31.212+11:00Of course present NEHTA and DOHA leadership do not...Of course present NEHTA and DOHA leadership do not get it. It is self-evident from their bumbling behaviour, incoherent narrative and blatant waste of taxpayers monies that gives every indication that they never will.<br /><br />While the incumbents remain and continue as the inmates running the national ehealth asylum, no progress of any measureable, meaningful and beneficial form will be Anonymousnoreply@blogger.com