tag:blogger.com,1999:blog-23447705.post8402880283327646143..comments2024-03-28T17:49:03.998+11:00Comments on Australian Health Information Technology: Hospital Computing – Why is it so Hard?Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-23447705.post-57047176408369619152007-10-12T12:58:00.000+10:002007-10-12T12:58:00.000+10:00And also Surturz .... we should not overlook the...And also Surturz .... we should not overlook the fact that decentralised procurement not only stimulates much needed market competition, but also helps contribute to ensuring Australia retains a viable health IT community.<BR/><BR/>It is to be hoped the proposal that every hospital have its own Board fails to get up, although, concentrating all control centrally is also folly. Area or Regional Dr Ian Colcloughhttps://www.blogger.com/profile/06986232002282223345noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-19738444789962381392007-10-12T11:59:00.000+10:002007-10-12T11:59:00.000+10:00The reason is that Health IT is a developing indus...The reason is that Health IT is a developing industry, yet the state governments favour centralised procurement. Centralised procurement is fantastic for buying established products such as pencils, milk, computer hardware, etc where there is strong competition and the products are nearly identical.<BR/><BR/>For developing products like Health Software, it is better to have decentralised surturzhttps://www.blogger.com/profile/13907635087706508295noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-47679858498610054992007-10-12T09:35:00.000+10:002007-10-12T09:35:00.000+10:00The bit I found most telling was Dr Wooldridge's c...The bit I found most telling was Dr Wooldridge's comments about the bureaucracy. While the software suppliers bear the brunt of the bureaucracy's ineptitude they aren't without blamel as all too often they overpromise on what they can safely deliver.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-58790436984180807252007-10-12T09:04:00.000+10:002007-10-12T09:04:00.000+10:00Health is quite a hot topic this election. Last ni...Health is quite a hot topic this election. Last night the ABC’s ‘Difference of Opinion” focused on Australia’s health system. Michael Wooldridge made some confessions about his time as Health Minister! That’s two confessions in 24 hours I‘ve heard - must be an election in the wind.<BR/><BR/>The entire panel seemed pretty much in agreement that the focus should be first and foremost on the PrimaryAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-65897073812945208062007-10-12T08:46:00.000+10:002007-10-12T08:46:00.000+10:00David More said: "All over the country it seems we...David More said: "All over the country it seems we have Hospital IT projects that are struggling to actually get started (e.g. WA, SA and to some extent QLD)"<BR/><BR/>The South Australian CareConnect project (formerly Oacis) is not struggling to get started. It is well-established, is being used increasingly and seems to be one of the few large-scale implementations that is actually succeeding Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-44878536286199347872007-10-12T01:25:00.000+10:002007-10-12T01:25:00.000+10:00I agree that a great deal can be learned from a th...I agree that a great deal can be learned from a thoughtful review of Scott Silverstein’s site. There is much to be said in favour of routinely adopting the ‘review and learn’ cycle which underpins the philosophy of ‘constant improvement’. Although it doesn't work for the ostrich.<BR/><BR/>I would add two more reasons to your list:<BR/>1. Corporate memory is often lacking in many organisations Dr Ian Colcloughhttps://www.blogger.com/profile/06986232002282223345noreply@blogger.com