tag:blogger.com,1999:blog-23447705.post8670239280541065971..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: Well The Election Is Done - What Now For E-Health?Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger16125tag:blogger.com,1999:blog-23447705.post-4458317504437030882013-09-10T16:58:43.319+10:002013-09-10T16:58:43.319+10:00Bernard, you mean, like the pcEHR does?
;-)Bernard, you mean, like the pcEHR does?<br /><br />;-)Knoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-54810479877448467952013-09-10T16:42:35.354+10:002013-09-10T16:42:35.354+10:00The Pick OS took a very technical approach to data...The Pick OS took a very technical approach to data storage. The goal was to make it very efficient in data access time.<br /><br />SQL, on the other hand started by modelling the information and left implementation issues to technologists.<br /><br />SQL is alive and doing very well, thank you. It has more than just survived and has few if any serious competitors. Pick never really got going and Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-49211555174458948332013-09-10T15:50:57.755+10:002013-09-10T15:50:57.755+10:00You are a very lucky person then. One of the most ...You are a very lucky person then. One of the most endearing features I recall was that if you had even the most trivial disk failure the next step was a total system reload! The entire system was just one huge pile of data with a zillion - easily corrupted - pointers.<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-26798330743801261362013-09-10T15:43:58.864+10:002013-09-10T15:43:58.864+10:00David, I've never touched a PICK system :-)David, I've never touched a PICK system :-)Grahame Grievehttps://www.blogger.com/profile/08635283945076545993noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-26557971776313109102013-09-10T15:20:11.498+10:002013-09-10T15:20:11.498+10:00Trevor,
Grahame is right for most systems but I s...Trevor,<br /><br />Grahame is right for most systems but I seem to recall the way data was held in PICK systems this sort of transfer was no mean feat. Other oldies may remember the details but I just have a feeling this is why those systems were kept in use for so long.<br /><br />I could of course be dead wrong and suffering from early dementia!<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-64637165400352727282013-09-10T15:12:19.950+10:002013-09-10T15:12:19.950+10:00Ah, yes, Graham, thanks. Don't know how that h...Ah, yes, Graham, thanks. Don't know how that happened. Maybe I meant to say "ported all data from legacy systems". Back to the sidelines.Trevor3130https://www.blogger.com/profile/08148555743063226957noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-6779819700485934412013-09-10T11:18:47.218+10:002013-09-10T11:18:47.218+10:00Yes it was PICK running on McDonell Douglas hardwa...Yes it was PICK running on McDonell Douglas hardware which was Ahmdahl plug compliant. There was an $80m project to "customise" the generic HOMER system to HBCIS and there was a specialised unit established to perform this task. Concurrently smaller hospitals used Burroughs BTOS systems (I kid you not). first implementations were Royal Brisbane and Gold Coast hospitals.Jim Cocksnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-9869528141833819092013-09-10T10:38:54.111+10:002013-09-10T10:38:54.111+10:00"no-one has ported essential clinical data ac..."no-one has ported essential clinical data across from *any* legacy system"<br /><br />Vendors do this as a matter of routine all the time. It's nothing to shout from the rooftop, it's a base requirement for any system replacement - i.e. Nearly every single sale (every sale that isn't made to a brand new hospital or clinic). Grahame Grievehttps://www.blogger.com/profile/08635283945076545993noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-29139226100897507032013-09-10T10:13:53.864+10:002013-09-10T10:13:53.864+10:00It was PICK - not sure if it is much used these da...It was PICK - not sure if it is much used these days - has some real technical limitations for hospital use.<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-33443652237897632482013-09-10T10:05:19.112+10:002013-09-10T10:05:19.112+10:00I did wonder if it is PICK. Shades of Victoria'...I did wonder if it is PICK. Shades of Victoria's "HOMER replacement" project, and where that finished up!<br />I'll stick my neck out to say that no-one has managed to port clinical data out of a PICK system, and, further, no-one has ported essential clinical data across from *any* legacy system. I reckon I'm pretty safe with that, because if it had been done successfully (Trevor3130https://www.blogger.com/profile/08148555743063226957noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-70063667313459237082013-09-09T23:01:49.309+10:002013-09-09T23:01:49.309+10:00The last comment is correct as I recall it to. MD ...The last comment is correct as I recall it to. MD were not a wonderful company and the system should have been replaced long before it was!<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-24964749727124850832013-09-09T21:43:50.183+10:002013-09-09T21:43:50.183+10:00I think the HBCIS Clinical Admin operating system ...I think the HBCIS Clinical Admin operating system was PICK using the old McDonnell Douglas software when Richard Jackson was CEO.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-34108852066498433042013-09-09T16:16:18.932+10:002013-09-09T16:16:18.932+10:00From 'Public Hearing—Examination of the Audito...From 'Public Hearing—Examination of the Auditor-General’s Report to Parliament No. 4: Queensland Health eHealth Program' http://www.parliament.qld.gov.au/documents/committees/HCSC/2013/AG-eHealth/trns-ph07Aug2013-eHealth.pdf<br />--<br />Dr Cleary: For the committee’s information, I was involved in the user group that selected HBCIS some many years ago. HBCIS is a system, as you would Trevor3130https://www.blogger.com/profile/08148555743063226957noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-59571322503795757092013-09-08T23:06:52.121+10:002013-09-08T23:06:52.121+10:00They need to be very careful where they get the ad...They need to be very careful where they get the advice from and what questions are asked as "Fixing the PCEHR" may not be the appropriate thing to do. The government needs to find ways of encouraging standardization and innovation to progress eHeath. It has surely proven that it can't do it itself and further attempts are doomed to failure. I think government should govern what is Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-61996173312186555142013-09-08T22:41:17.758+10:002013-09-08T22:41:17.758+10:00The Government has changed BUT the management of e...The Government has changed BUT the management of eHealth remains the same.<br /><br />Jane Halton, Secretary Department of Health, established NEHTA when Abbott was Health Minister. The only think that has changed is that Tony Abbott is now Prime Minister.<br /><br />Unless Prime Minister Abbott appoints a new Departmental Secretary for Health nothing will change. <br /><br />As the saying goes .Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-91139451309477102972013-09-08T22:07:34.647+10:002013-09-08T22:07:34.647+10:00Will Abbott redeem himself and direct his appointe...Will Abbott redeem himself and direct his appointed new Health Minister to drown his beloved NEHTA puppy, midwifed into existence on his personal Health Ministerial watch?<br /><br />Will be interesting to see how fast (or slow) decisions are made and the rate of change (if any) visible in this eHealth space now that it is under "New Management"!Anonymousnoreply@blogger.com