tag:blogger.com,1999:blog-23447705.post7993718540268440707..comments2024-03-28T17:49:03.998+11:00Comments on Australian Health Information Technology: I Think It Is Important We All Express Our View On This. Time Is Running Out.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger19125tag:blogger.com,1999:blog-23447705.post-1063962094153120712017-01-24T12:00:29.252+11:002017-01-24T12:00:29.252+11:00Re Anonymous January 24, 2017 9:42 AM
I don't...Re Anonymous January 24, 2017 9:42 AM<br /><br />I don't think anyone is disagreeing with you. The discussion (at least the comments I've been making) has been on the difference between integration and interoperability.<br /><br />Yes, ineroperability is far more than (but does include) technology, but what is more important is the way the data and processes are integrated.<br /><br />If Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-14311912104219324752017-01-24T09:42:50.552+11:002017-01-24T09:42:50.552+11:00 The lack of interoperability is a business proble... The lack of interoperability is a business problem. It is a policy problem. It is a political problem. It is a healthcare problem. It is a vendor designed proprietary system problem. It is social problem. It is a personal problem. It is a moral problem. It is NOT a technology problem – we have all the technology available right now we need to make it work!<br /><br />I know what some of you Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-37143800349669966302017-01-23T16:14:31.607+11:002017-01-23T16:14:31.607+11:00Anonymous said..." Bernard you are both corre...Anonymous said..." Bernard you are both correct and incomplete ..."<br /><br />I certainly wasn't trying to be complete, I was trying to confirm (or change, if I turn out to be mistaken) the difference between interoperability and integration.<br /><br />Neither was I trying to limit the full scope of either to technology.<br /><br />Looking at the European Interoperability Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-21573463672177823152017-01-23T13:58:13.869+11:002017-01-23T13:58:13.869+11:00Bernard you are both correct and incomplete, you r...Bernard you are both correct and incomplete, you reference technical or technology interoperability, I would suggest you look at the European interoperable framework, ONC interoperability or even the eHealth interoperability framework or the Australian standard version, you also require legislative/policy, business agreements processes etc..<br /><br />If we cannot agree to work together or Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-20727668350197701812017-01-23T13:50:14.758+11:002017-01-23T13:50:14.758+11:00Colleagues this conversation is the type that we h...Colleagues this conversation is the type that we have long wished for. Lots of knowledge and willing contributions. <br /><br />For my part, I have always seen the MyHR as an utter waste of taxpayer's money and a serious threat to the health and well being of individual Australians. Fortunately, as far as we know no one has died from a clinician relying on the information contained in a MyHR John Scotthttps://www.blogger.com/profile/08079976983963894814noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-54276311491420870922017-01-23T12:44:32.681+11:002017-01-23T12:44:32.681+11:00Anonymous January 23, 2017 10:55 AM defined Integr...Anonymous January 23, 2017 10:55 AM defined Integration and Interoperable exactly opposite to my understanding of the terms.<br /><br />That worries me because either I’ve misunderstood the terms or the health industry has a different view of them, or both, or something else.<br /><br />To me interoperable is a technical/interface, data exchange issue whereas integration is the more complex task Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-80607280764331019062017-01-23T11:40:31.491+11:002017-01-23T11:40:31.491+11:00Excellent clarification 10:55 AM. In the PulseIT ...Excellent clarification 10:55 AM. In the PulseIT article Telstra uses ‘interoperable’, ‘integration’ and ‘interface’ in the following context:<br /><br />1. Telstra Health plans to release new interoperable products and platforms built upon the foundational technologies it has acquired, including an app-based patient interactive platform that will plug into the My Health Record.<br /><br />2. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-70628855833413472562017-01-23T10:56:00.843+11:002017-01-23T10:56:00.843+11:008:46 AM said "So a smartphone-based app will ...8:46 AM said "So a smartphone-based app will be the eHealth panacea. It will talk back and forth to My Health Record." Delusional is an understatement Has anyone tried to tell Telstra Health?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-1882987577437381292017-01-23T10:55:36.226+11:002017-01-23T10:55:36.226+11:008:46 am. I think you confuse intergration with int...8:46 am. I think you confuse intergration with interoperability, especially open interoperability in a health care sector<br /><br />Integration is a process of getting disparate technology, such as medical devices and an EMR system, to send and receive intelligible data by the simplest means possible. Interoperability, on the other hand, is far more complex. It is a means of connecting patients,Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-59575533638540611492017-01-23T08:46:15.791+11:002017-01-23T08:46:15.791+11:00Re: 12:12 and previous contributors – “dumping it ...Re: 12:12 and previous contributors – “dumping it (My Health Record) and getting rid of the ADHA”. Are you delusional or are you right, or both? ADHA (Kelsey) is delusional and the delusion is self perpetuating if today’s PulseIT article on the Telstra Health strategy is any indication.<br /><br />“ …… Telstra Health hopes to bring out in near future is its patient interactive platform, which MsAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-70465767990271310702017-01-23T00:12:31.416+11:002017-01-23T00:12:31.416+11:00+1 for dumping it, and getting rid of the ADHA, bu...+1 for dumping it, and getting rid of the ADHA, but felt like a waste of time. They won't listen and the CEO's history with the UK system is a concern. Clearly they want it to appear to be working and couldn't care less about making anything actually work. This is a swamp that needs draining.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-64346455510141345882017-01-22T19:00:11.397+11:002017-01-22T19:00:11.397+11:00Bride I think your remark to dump the GovHR begs t...Bride I think your remark to dump the GovHR begs the question - how many others have also stated this and will it get a mention, what is the criteria for feedback to be used as informed feedback, what will they do if enough ask for it to be dumped. What is an alternative to allow the evolution of an open digital health system into the future based on innovation, policy and standards?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-4208472356334682772017-01-22T17:42:20.244+11:002017-01-22T17:42:20.244+11:00I completed the questionnaire and did not mince my...I completed the questionnaire and did not mince my words. The problem with it is that it was worded in such a way as to entice (seduce) (trick) most unwitting respondents into giving ADHA the answers they wanted which they could subsequently use to support their ongoing activity and in so doing justify their existence.<br /><br />Also I noted that some of the questions were targeted at the healthAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-8792927511893913182017-01-22T13:46:05.965+11:002017-01-22T13:46:05.965+11:00Thanks for alerting us all to this David.
For my ...Thanks for alerting us all to this David.<br /><br />For my part, I did complete the form. My comment regarding the myEHR is that it should be dumped immediately. My key point was that it fails any patient safety test that could be applied. The only reason that no-one has died (that we know of) as a result of a clinician relying on this incomplete record was that no clinician would use or trust Bruce Farnellhttps://www.blogger.com/profile/03895794526347112930noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-34921178558801246862017-01-18T16:18:30.804+11:002017-01-18T16:18:30.804+11:00Terry.
No problem. This blog is a relative haven o...Terry.<br />No problem. This blog is a relative haven of sanity and tolerance (apart for an intolerance of incompetence and self serving behaviour - IMHO).<br /><br />To add to my thesis and your contention "we have a national eHealth model ...", this is from:<br />https://myhealthrecord.gov.au/internet/mhr/publishing.nsf/Content/healthcare-providers-faqs<br /><br />"Clinical Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-16059180753529803442017-01-18T12:25:51.778+11:002017-01-18T12:25:51.778+11:00Bernard and others, firstly Bernard thank you for ...Bernard and others, firstly Bernard thank you for comprehending the meaning behind my typo errors.<br />I agree with all your comments.<br />You are perfectly correct it is not just about the costs it is about patient quality and outcomes which of course are directly linked to costs as clarified by Brent James in his QMMP study. "Quality and costs are two sides of the same coin…..<br />Terry Hannanhttps://www.blogger.com/profile/04068727812313410493noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-77975258737561742302017-01-18T11:46:13.194+11:002017-01-18T11:46:13.194+11:00I have always had it instilled in me to take small...I have always had it instilled in me to take small steps [in the right direction], yet the discussion paper promises the earth. Little is about the immediate problem - creating and sharing health information within the clinical setting for the good of patients and thereby clinicians.<br />Measurement of safety and useage data, quality measures set in collaboration with those who could use them ifCCNethttps://www.blogger.com/profile/00395564567724075424noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-38990821683224089742017-01-18T10:03:28.118+11:002017-01-18T10:03:28.118+11:00Terry, re: "There is no(w) reference to the h...Terry, re: "There is no(w) reference to the how in solving our current health care issues."<br /><br />Can I suggest there is no analysis of exactly what "our current health care issues" are?, other than hand waving such as "help!!! it's all costing too much, we must do something or we'll go broke!!"<br /><br />You can't solve a problem (other than by Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-48825250373504926062017-01-18T09:22:01.995+11:002017-01-18T09:22:01.995+11:00David, I checked the video and completed the surve...David, I checked the video and completed the survey. The video confirms what we already know. There is now reference to the how in solving our current health care issues.<br />There is now mention/acknowledgement that the current tools are not working and there is no uniformity of health care delivery through standardisation and interoperability. <br />The answers and culture of 'sharing'Terry Hannanhttps://www.blogger.com/profile/04068727812313410493noreply@blogger.com