George,
 
It does not, and will not, apply to Australia and most of the developed world.
 
It doesn't surprise me coming from the US where it is probably true among the high profilers who set their agendas. It underlies the reason US-originated HL7 doesn't cut it for Community Based Health, General Practice and Collaborative Care in general,  and it's  the reason the Australian groups at HL7 have been driving the organisation to meet the wider need through HL7's Patient Care and Community Based Health groups. This HL7 reflection of the US model  is also  the reason IT 14/6/6 has mounted a major effort to radically alter  the HL7 Version 2 standard to make it clinically-ready as required in Referral and Discharge Communication by Australian stakeholders, particularly State Governments and GP groups. The GPCG has been one of the main resourcers of this work until it's scale-back in June 05.
 
The comment does surprise  me in that Neil Calman represents 'Urban Family Health' where I would have thought that such a view would not have much currency.
 
 
David.
 
 
 
David Rowed
 
Co-chair HL7 Patient Care Technical Committee.
Chair Standards Australia IT 14/6/6 Collaborative Care Communications
 
----- Original Message -----
Sent: Wednesday, January 11, 2006 2:24 PM
Subject: [GPCG_TALK] Your comments on this quote for discussion

Hi everyone

 

I was wondering if any of you would like to comment on this quote I saw this week:

 

"Ninety-nine percent of the benefit [of health IT] will come by internal use within health organizations. There will be some marginal benefit of cross-organization data sharing, but by-and-large, the concept of widespread interoperability at this time seems to be the product of groupthink. Maybe in 20 years there will be significant benefit, but right now we should be focused on implementing health IT within our own organizations to improve the quality of care."

-- Neil Calman, M.D., president and CEO of the Institute for Urban Family Health, in the January 2006 issue of the American Health Information Management Association's Journal of AHIMA.

Dr George Margelis


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