tag:blogger.com,1999:blog-23447705.post99572627362146000..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: I Think It Is Fair To Say Reaction To The New National Digital Health Strategy Has Been Rather Mixed.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger46125tag:blogger.com,1999:blog-23447705.post-45123072624165429482017-08-18T23:27:48.377+10:002017-08-18T23:27:48.377+10:0010:28 PM....
Very entertaining. One of the strea...10:28 PM....<br /><br />Very entertaining. One of the streams of organisational excellence is to 'make the Agency hum'....is that because they don't know the words? Or maybe there is just a lot of static.<br />hmmmmmmmAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-52661933243401087742017-08-18T19:18:22.141+10:002017-08-18T19:18:22.141+10:0011:36, is there any other option? Yes hit the rese...11:36, is there any other option? Yes hit the reset button, admit this is a very complex issue and throwing the baby out with the bath water is not leadership. The are very talented people in Australia and a lot of complex issues to work through. Rushing it on the back of a power point soap box and wishful thinking is taking us in the wrong direction.<br /><br />By all means use the consultation Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-44903402092357617102017-08-18T07:06:58.478+10:002017-08-18T07:06:58.478+10:0011:36 PM. The ADHA went to fast to early in to man...11:36 PM. The ADHA went to fast to early in to many directions with no real sense of why. By doing so eHealth has been drawn and quartered, scattered in a number of competing directions. Through this we have also lost a lost of knowledge, probably just wants some wanted so they could get there own agenda moving.<br /><br />So now the ADHA will find it impossible to pull everything back into Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-33633541298987677292017-08-17T23:36:23.668+10:002017-08-17T23:36:23.668+10:006:47 PM describes a scenario which, if it is only ...6:47 PM describes a scenario which, if it is only partly true, reflects a dysfunctional organisation heading the same way as NEHTA. It raises the question some have been asking for far too long ... What can be done? <br /><br />The politicians don't want to know nor do the most senior health bureaucrats in either Federal or State jurisdictions.<br /><br />Is there any other option?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-23748802880252522312017-08-17T22:28:39.973+10:002017-08-17T22:28:39.973+10:00If you've got nothing better to do and want a ...If you've got nothing better to do and want a good laugh, browse though these ADHA documents on Organisational Excellence:<br /><br />Board Meeting 18 October 2016<br />Item 5.4 - Organisational Excellence PDF (345.8 kB)<br />https://www.digitalhealth.gov.au/about-the-agency/australian-digital-health-agency-board/board-papers/Item%205.4%20-%20Organisational%20excellence.pdf<br /><br />PURPOSEAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-90701226634743619092017-08-17T19:57:37.152+10:002017-08-17T19:57:37.152+10:00I am sure a few catering companies and airlines/ho...I am sure a few catering companies and airlines/hotel would disagree, I am sure they got great benefits Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-46577098296581784302017-08-17T18:47:07.567+10:002017-08-17T18:47:07.567+10:00The cultural bit is funny, you should try working ...The cultural bit is funny, you should try working there, culture this culture that, no focus on running a business or making work predicatable, half sit around waiting, the other half are expected to much of, to many managers are out of there depth and there is no real technical smarts in the place. The one reliable thing is we get feed the same dribble as the rest of you about how brilliant Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-28901706929862566732017-08-17T17:59:24.240+10:002017-08-17T17:59:24.240+10:00The ADHA consultation was a bit like the upcoming ...The ADHA consultation was a bit like the upcoming plebiscite on same sex marriage. It was non-binding and the ADHA only listened to people who said what they want them to say and ignored the others. In the research world it is known as cognitive bias, in politics it's ideology and party politics, in ADHA's case it's cargo culture thinking.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-69360422538768571322017-08-17T17:04:24.144+10:002017-08-17T17:04:24.144+10:003:30 that is a fair perperspective I suspect 6:19a...3:30 that is a fair perperspective I suspect 6:19am was attempting humour as con-sulted is an old one, anyway it still leaves the question around where did to decommissioning and replacement of NASH and the HI service come from, it is certainly not in the strategy. Yes I am sure there are some challenges with it, but throwing your hands in the air because it is hard is not exactly leadership.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-59319388561374658532017-08-17T15:30:01.351+10:002017-08-17T15:30:01.351+10:006:19 AM .. the community was extensively consulted...6:19 AM .. the community was extensively consulted, perhaps they mean the public has been excessively conned and insulted.<br /><br />That's not fair and you know it. The ADHA said the community was extensively consulted. That is true - they were. To suggest otherwise is quite inappropriate.<br /><br />These consultations involved asking 'people' what they wanted. From this approach Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-90516739013274400122017-08-17T06:19:46.824+10:002017-08-17T06:19:46.824+10:00Maybe when the ADHA and its shadowy figures say th...Maybe when the ADHA and its shadowy figures say the community was extensively consulted, perhaps the mean the public has been excessively conned and insultedAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-14387430855835986862017-08-16T20:17:54.620+10:002017-08-16T20:17:54.620+10:00Fully agree Ian, this you would think would be a r...Fully agree Ian, this you would think would be a rather large strategic change with far reaching consequences. The ink is not even dry and they are off working outside the boundaries of the strategy.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-25176905849573627642017-08-16T20:03:58.660+10:002017-08-16T20:03:58.660+10:00I find it quite bewildering that the National Digi...I find it quite bewildering that the National Digital Health Strategy made no mention of Health Identifiers and NASH which have previously been billed as foundation components of the national digital health project. If they are no longer relevant, for whatever reason, surely that should be mentioned as it will have a significant impact on the future directions of the MyHR.Dr Ian Colcloughnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-75347185239635213552017-08-16T20:00:47.577+10:002017-08-16T20:00:47.577+10:00I find it quite bewildering that the National Digi...I find it quite bewildering that the National Digital Health Strategy made no mention of Health Identifiers and NASH which have previously been billed as foundation components of the national digital health project. If they are no longer relevant, for whatever reason, surely that should be mentioned as it will have a significant impact on the future directions of the MyHR.Dr Ian Colcloughnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-45365882426854530912017-08-16T18:49:39.449+10:002017-08-16T18:49:39.449+10:00Not convinced the messaging vendors careless about...Not convinced the messaging vendors careless about any impact to MyHR not their business model, and more than likely happy to push that cost into someone else. As for ADHA architecture review board, do they have one? I do not of anyone seasoned to talk to there anymore. Thankfully David if it was not for this blog and it open conversation mantra I would be in the dark as what the ADHA are Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-49329089216023933052017-08-16T17:49:38.584+10:002017-08-16T17:49:38.584+10:00You are right to be interested, love to see some s...You are right to be interested, love to see some statement tabled from the ADHA architecture review board on this. I trust Martin Bowles will be explaining this to every citizen both current subscribed to the MyHR and those about to be forced on it.<br /><br />Feom ADHA -<br /><br />Operated by DHS Medicare, the Healthcare Identifiers Service is a national system for uniquely identifying Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-80942453265175188992017-08-16T14:23:37.316+10:002017-08-16T14:23:37.316+10:00I am interested in just how they intend to unwind ...I am interested in just how they intend to unwind the HI service, the real issue I thought was the relaxation stupidly given to the Jurisdictions, is the identifier not a key part of my personal privacy controls in the MyHR, if the SMD vendors are now also going to define content standards what impact/cost does that have to the rest of the universe. Seems we have simply created the original Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-86433830425694885012017-08-16T11:34:52.444+10:002017-08-16T11:34:52.444+10:00Will look good on a power point scattered with slo...Will look good on a power point scattered with slogans and moral, human social imperatives. The power point will have versioning issues so it will limit the audience.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-37599798511230216922017-08-16T11:16:02.408+10:002017-08-16T11:16:02.408+10:0010:07 AM You won't get a sensible answer from ...10:07 AM You won't get a sensible answer from Tim. The vendors participating in the pilots probably don't know either. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-2787166129465850562017-08-16T10:58:18.598+10:002017-08-16T10:58:18.598+10:0010:42. That is an amusing testament. 10:42. That is an amusing testament. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-91938754464110415472017-08-16T10:42:27.606+10:002017-08-16T10:42:27.606+10:00So long as we see a reduction in the number of fax...So long as we see a reduction in the number of fax machines. Even by one that is a billion worth spending.<br /><br />The digital revolution has largely bypassed the NHS, which, in 2017, still retains the dubious title of being the world's largest purchaser of fax machines.<br /><br />http://www.telegraph.co.uk/news/2017/07/04/nhs-doctors-use-snapchatto-send-patients-scans-report-says/ <br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-47984990026620122702017-08-16T10:27:05.313+10:002017-08-16T10:27:05.313+10:00The irony is delicious. History will almost certai...The irony is delicious. History will almost certainly repeat itself. The failure of care.data in the UK and the multiple failures in Australia will come back to haunt Tim, a historian by training.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-34380131700297648812017-08-16T10:22:52.652+10:002017-08-16T10:22:52.652+10:00I read the PulseIt article this morning, thought i...I read the PulseIt article this morning, thought it was a misprint or April fools day. The Board has made an almighty error in judgement. How this will pass government security or even uphold MyHR privacy is going to be interesting to watch. At lest they used FHIR to sound relevant and new. Poor HL7 Aus, now just a whipping boy for the ADHA to push through stuff. How a once trusted brand fell so Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-79387086334024237022017-08-16T10:15:05.630+10:002017-08-16T10:15:05.630+10:00Most likely they will deliver the current top vend...Most likely they will deliver the current top vendors a secure market where it is a closed shop. The second deliverable will be two competing universes, secure messaging as dictated by the vendors, and the MyHR. Have a read of this mornings PulseIT seems NASH and HI are to be ditched. Looks like an almighty mess coming soon.<br /><br />The trouble is Tim is neither Clinical or Technical, just Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-57059925170754969772017-08-16T10:07:54.576+10:002017-08-16T10:07:54.576+10:00"Tim talks in technical or IT interoperabilit..."Tim talks in technical or IT interoperability not clinical interoperability or even full interoperability". I'm none the wiser. What are the two interoperability pilots at 6:11 PM going to deliver and when? What will they prove? Will they be compatible from a technology, functional and clinical perspective?Anonymousnoreply@blogger.com