tag:blogger.com,1999:blog-23447705.post86979512958424181..comments2024-03-28T17:49:03.998+11:00Comments on Australian Health Information Technology: Australia’s National E-Health Strategy – An Obvious and Disappointing Hoax.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger19125tag:blogger.com,1999:blog-23447705.post-78842717234391599512008-12-15T20:08:00.000+11:002008-12-15T20:08:00.000+11:00Pulling on another hat, I've had another look at t...Pulling on another hat, I've had another look at the problem - how to convince those in control of the agenda to have a good go at mapping at a proper ten year plan. <BR/>Well, "they" will not do that, it's too big. Instead of a blunderbus approach, it may be more politically useful (and strategic) to break IT applications down so they fit into existing funding templates.<BR/>A group such as Trevor3130https://www.blogger.com/profile/08148555743063226957noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-4805346675430055502008-12-15T16:56:00.000+11:002008-12-15T16:56:00.000+11:00Re Comment Monday, December 15, 2008 2:06:00 PMOf ...Re Comment Monday, December 15, 2008 2:06:00 PM<BR/><BR/>Of course the funds would be available if it was seen as important! A few hundred million per annum in a $trillion budget can be found if there is the will - or the understanding of how important it is.<BR/><BR/>Bottom line is that there is no understanding of the importance and value of Health IT among the clowns who claim to be our Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-33138540092948699032008-12-15T14:14:00.000+11:002008-12-15T14:14:00.000+11:00Refer to the question on page 13 "What can be...Refer to the question on page 13 "What can be delivered nationally?” It says “Two pieces of high priority E-health solutions infrastructure where a national approach to implementation appears worthy of serious consideration.<BR/>(a) Health knowledge portals<BR/>(b) Prescriptions service.”<BR/><BR/>The NHHRC’s Booz & Co Report probably provides a good part of the answer to where we are Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-27195764360917492052008-12-15T14:06:00.000+11:002008-12-15T14:06:00.000+11:00As you say "we have not been given the full docume...As you say "we have not been given the full document because the bureaucrats / government is not prepared to sponsor and fund the implementation as would be needed to have it succeed".<BR/><BR/>That sounds like a case of heads you win, tails they lose. But think about it this way - I don't think it should be a case of whether or not "the bureaucrats / government is .... prepared to sponsor and Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-85282150507625627002008-12-15T13:44:00.000+11:002008-12-15T13:44:00.000+11:00Careful Teki - didn't you know that all AHAC Memb...Careful Teki - didn't you know that all AHAC Members are issued with a fly swat. Splat.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-51675864788329470362008-12-15T13:43:00.000+11:002008-12-15T13:43:00.000+11:00Whether Deloitte have delivered what was required ...Whether Deloitte have delivered what was required in the 1.3 million dollar contract can only be determined by comparing back to the scope of work as defined in the original tender for this work, plus any subsequent changes to the actual contract. Perhaps whoever tendered did not ask for costs and tactical implementation plans....another tender gone wrong?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-56902444009539466442008-12-15T13:42:00.000+11:002008-12-15T13:42:00.000+11:00All good questions.My view was that the consultant...All good questions.<BR/><BR/>My view was that the consultants had a pretty good grasp of what was needed.<BR/><BR/>The other questions are all really, really good questions. My assessment is we have not been given the full document because the bureaucrats / government is not prepared to sponsor and fund the implementation as would be needed to have it succeed.<BR/><BR/>Close reading of my Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-59724690762637230572008-12-15T13:40:00.000+11:002008-12-15T13:40:00.000+11:00Does anyone know where we are being led (heading)?...Does anyone know where we are being led (heading)?<BR/><BR/>“A National investment fund is proposed to develop high quality, scalable Australian e-Health priority solutions.”<BR/><BR/>“In order to progress activity as quickly as possible, it is envisaged that national progress towards the development of richer and more scalable E-Health solutions should occur concurrently.”<BR/><BR/>What does Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-55309963205941685082008-12-15T13:32:00.000+11:002008-12-15T13:32:00.000+11:00It looks more like 20 pages of shallow rhetoric wi...It looks more like 20 pages of shallow rhetoric with most of the grit and substance removed. This leads one to ponder the (ir)relevance of the other 100 pages to which you refer. What is the competence of the consultants? How deeply have they grasped the problems? How viable is ‘the strategy’? Even more important is the multi billion dollar question(s):-<BR/><BR/>- What are we being asked to Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-80356401273147546052008-12-15T13:16:00.000+11:002008-12-15T13:16:00.000+11:00Looks like the House of NEHTA is about to undergo ...Looks like the House of NEHTA is about to undergo another renovation which it is suggested will take 6 months or more to put into place!! That should give plenty of breathing space for ‘doing nothing’. You know, the old game of ‘let’s wait and see what …. blah, blah, blah.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-74395865337663230882008-12-15T10:28:00.000+11:002008-12-15T10:28:00.000+11:00The contents of the other 100 pages are not commer...The contents of the other 100 pages are not commercially sensitive - but they sure are politically sensitive to those who hold the purse strings - or so it would seem!<BR/><BR/>I wonder how long it will be before a copy of the full report makes it to the public domain. Many within the bureaucracy have copies - as it was circulated with the AHMAC papers a month or so ago!<BR/><BR/>David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-75040863138629191932008-12-15T10:21:00.000+11:002008-12-15T10:21:00.000+11:00$1.3 million! Is a lot of money to spend. And wha...$1.3 million! Is a lot of money to spend. And what have we got to show for it?<BR/><BR/>The report says “The challenges and issues facing the Australian health care sector will not be solved by doing more of the same”.<BR/><BR/>The National eHealth Strategy Summary doesn’t say much of substance so it looks very much like ‘more of the same’ is the way it will be. As you say David it is a very Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-48362500162302255492008-12-15T10:20:00.000+11:002008-12-15T10:20:00.000+11:00And what do the other 100 pages contain? Surely th...And what do the other 100 pages contain? Surely there is nothing in there that could be construed as commercially sensitive. is there?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-90216758619595448942008-12-15T10:05:00.000+11:002008-12-15T10:05:00.000+11:00Your not the only one shaking your "head in comple...Your not the only one shaking your "head in complete bewilderment and utter depair". So is Deloitte. So too are all the people and organisations that put so much time and effort into stakeholder interviews and consultations. We too feel feel short changed and badly let down. Who made the stupid decision to do a Summary? Surely it wasn't all the members of the AHMAC - someone suggested and pushedAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-47401956089300895422008-12-15T09:57:00.000+11:002008-12-15T09:57:00.000+11:00The bureaucrats have taken a big step backwards. Y...The bureaucrats have taken a big step backwards. You have heavily promoted the Deloitte Strategy on this site in recent weeks but there is not much in this summary document to justify your conviction. <BR/><BR/>You may have noticed it said: “There is a widespread recognition within the sector that better use of information technology should play a critical enabling role in implementing national Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-45211354798747741972008-12-15T09:31:00.000+11:002008-12-15T09:31:00.000+11:00It doesn’t reflect very well on Deloitte. Summary ...It doesn’t reflect very well on Deloitte. Summary it may be but no recommendations, no cost estimates, no substance, no Executive Summary! Absolutely amazing. Is this the best Deloitte has to offer? I shake my head in complete bewilderment and utter depair.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-4889541303141702722008-12-15T09:15:00.000+11:002008-12-15T09:15:00.000+11:00The states will never be truly collaborative (as T...The states will never be truly collaborative (as Teki suggests they should be) because they are all subject to different political pressures and agendas. It is naïve to think they will collaborate until political imperatives force them to do so. They are each at different stages of maturity in their use of health IT - which is predominantly in the state hospitals.<BR/><BR/>They will leave the Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-70730907197040868982008-12-14T22:05:00.000+11:002008-12-14T22:05:00.000+11:00Oh, to be a fly on the wall at an AHMAC meeting. L...Oh, to be a fly on the wall at an AHMAC meeting. Let's say Jane Halton will not be at DoHA for another ten years. It's likely one of the State heads would be on the short list to replace her. Let's make it someone like Tony Sherbon, who's CV includes "Board member and past Chair of National E-Health Transition Authority, a past Chair of the Australian Health Ministers Advisory Council and a BoardTrevor3130https://www.blogger.com/profile/08148555743063226957noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-91861549822849100952008-12-14T20:56:00.000+11:002008-12-14T20:56:00.000+11:00We agree with you David, this is a very sad outcom...We agree with you David, this is a very sad outcome for all Australians.<BR/><BR/>The Health Ministers cannot be blamed for the shortsighted stupidity of the AHMAC whose members, in their wisdom, have chosen to summarise Deloitte’s 120 page, $1.3 Million e-Health Strategy, down to a simplistic 20 pages.<BR/><BR/>In our collective view each and every Health Minister in Australia has been Anonymousnoreply@blogger.com