tag:blogger.com,1999:blog-23447705.post9207972929075856758..comments2024-03-28T17:49:03.998+11:00Comments on Australian Health Information Technology: An Uncomfortable Truth: Digital Health In Australia Is Trapped By Politics And Its History.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger17125tag:blogger.com,1999:blog-23447705.post-82922504646301219002017-08-08T18:56:33.868+10:002017-08-08T18:56:33.868+10:008:22 AM - and god forbid distilling there informat...8:22 AM - and god forbid distilling there information models into something less than a PDF or contradictions and misalighnement, there is so much value to be gained in that area but seem leaderless and stuck in a bygone age.<br /><br />Fresh from some great presentations and discussion at HIC, the ADHA really needs to think strongly about there health informatics capability it is requirements Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-6048368589056108862017-08-08T10:39:10.730+10:002017-08-08T10:39:10.730+10:00It's worth having a look at the Digital Transf...It's worth having a look at the Digital Transformation Agency's Digital Service Standard<br /><br />https://www.dta.gov.au/standrd/<br /><br />"The Digital Service Standard ensures digital teams build government services that are simple, clear and fast.<br /><br />All services which were designed or redesigned after 6 May 2016 fall within the scope of the standard and must be Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-91754084255208123812017-08-08T10:28:06.931+10:002017-08-08T10:28:06.931+10:00Give it a year and things will fall back to APS BA...Give it a year and things will fall back to APS BAU. The DTA tried innovative and agile and that lasted how long?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-66466976117190513812017-08-08T09:22:50.696+10:002017-08-08T09:22:50.696+10:00What Accenture Orion and Oracle contribute would b...What Accenture Orion and Oracle contribute would be in public ally available architure, costs for functionality and features along with licensing would be a dark secret, after all it's only tax money and the public has no right to see it. That would be transparency. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-29412552359313993412017-08-08T08:56:07.283+10:002017-08-08T08:56:07.283+10:00And I would also ask that with the huge expenditur...And I would also ask that with the huge expenditure, ?? > $1.5 Billion, what are each of these three companies contracted to deliver and how much has each been paid annually since their respective contracts were executed?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-38655944160131653612017-08-08T08:41:41.153+10:002017-08-08T08:41:41.153+10:00You mentioned ORACLE. Others have mentioned ORION,...You mentioned ORACLE. Others have mentioned ORION, and ACCENTURE. What is not clear to me is what exactly do each of these large powerful technology providers actually do in regards to the MyHR?<br /><br />And a secondary question is Who is actually doing the development of the My Health Record? Is it being developed or is it an off-the-shelf package?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-19689351544011985512017-08-08T08:22:04.591+10:002017-08-08T08:22:04.591+10:0010:16 PM. The ADHA may not be thinking SSO type st...10:16 PM. The ADHA may not be thinking SSO type standards but more towards what the RACGP or ACSQHC term standards. Perhaps they are looking to harmonise technical stands in iscolatiin of the international community, perhaps they simply mean depleting and replacing specifications, and god forbid distilling there information models into something less than a PDF or contradictions and Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-85351609099338435072017-08-08T08:11:45.622+10:002017-08-08T08:11:45.622+10:00On the government picking winners - They would be ...On the government picking winners - They would be homeless now if they were betting on horses!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-33056579327128863222017-08-07T22:16:38.494+10:002017-08-07T22:16:38.494+10:00Good pickup Bernard, that does appear to be a cont...Good pickup Bernard, that does appear to be a contradiction. It also raises two questions:<br /><br />How can the Agency remain technology neutral and still develop valid standards under internal and national standards development principals, or even stay true to international trade agreement relating to standards?<br /><br />How can the government avoid being seen as interfering in the market, Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-91030883789233039772017-08-07T19:50:59.966+10:002017-08-07T19:50:59.966+10:00Sperating the boy from the ball. If nothing else t...Sperating the boy from the ball. If nothing else this document lays out enough to have a good insight into those positioning themselves as leaders in digital healthcare, it also lays out just enough to allow suffient lenses onto an age old set of problems. This work I see has two possible uses, either a frame for which tough discussions can be hung and worked through sensibly in an open and Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-29854794952081745012017-08-07T19:04:18.764+10:002017-08-07T19:04:18.764+10:00Bernard, yeah but no but yeah but anyway big data ...Bernard, yeah but no but yeah but anyway big data so there.<br /><br />If you had the misfortune of working at the ADHA under him you would better appreciate how he can misrepresent facts and completely dissolve himself from reality, people are simply there to be harvested for his own personal ego trip. The strategy is all very well but the ADHA is not in a position to lead anything, it could notAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-52910492672299695332017-08-07T17:44:56.378+10:002017-08-07T17:44:56.378+10:00And while we are asking for explanations how about...And while we are asking for explanations how about this quote from the strategy:<br /><br />“To rapidly accelerate the impact of digital health, the Strategy should specifically recognise that the role of government is to facilitate private sector development of innovative digital products and services – through establishing the right infrastructure and environment for innovation, rather than Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-75242033222484739492017-08-07T17:08:17.157+10:002017-08-07T17:08:17.157+10:00Can anyone help explain what this means please,
H...Can anyone help explain what this means please,<br /><br />However, there is currently no overarching standard in place to govern the sharing of data, with a public consultation on draft interoperability standards to determine an agreed vision and roadmap for implementation of interoperability slated to occur "by the end of 2018".<br /><br />I have read it a few times and don't get Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-6617916533394933902017-08-07T13:10:32.419+10:002017-08-07T13:10:32.419+10:00"The first step is to freeze the project and ..."The first step is to freeze the project and conduct a thoroughly comprehensive independent audit as the highest priority."<br /><br />Why would ADHA do that? They never have (not an independent one - too many vested interests). A really independent one would start with the question "How much and what has the government (or anyone else) got for $1.5 billion?".<br /><br />Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-32517114766345898772017-08-07T09:20:13.169+10:002017-08-07T09:20:13.169+10:008.11 AM The first step is to freeze the project an...8.11 AM The first step is to freeze the project and conduct a thoroughly comprehensive independent audit as the highest priority.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-37458346508360885642017-08-07T08:11:27.674+10:002017-08-07T08:11:27.674+10:00Well summed up David. How they now dig themselves ...Well summed up David. How they now dig themselves out of this is a really good question. I guess the first step would be co-designing options?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-87065930509453807322017-08-07T08:03:48.692+10:002017-08-07T08:03:48.692+10:00I also believe that the whole transition was used ...I also believe that the whole transition was used by some inside the Agency and beyond to silence many and to some extent remove completely. This leaves the ADHA with a huge strategic black hole, a large percentage of the ADHA are not overly experienced in eHealth. Tim has another problem, who in the ADHA can actually architect and negotiate a better way forward and relieve the tax payer of this Anonymousnoreply@blogger.com