Re: [GPCG_TALK] FW: [HL7Info] FW: NEHTA

David More Fri, 17 Mar 2006 19:09:58 -0800

Hi Tim,

Just where in the document did NEHTA say they were about to use open web-based W3C style standards development. I got no such message from the document. The last page has all the old committees listed out and no discussion of change I noted The next steps were:

Organising the E-Health Standards Forum;
Developing and documenting an Agreement between NEHTA and Standards Australia concerning the publication, maintenance and management of technical specifications and other NEHTA products, and their public availability. Supporting processes will also need to be developed and documented;
Raising awareness amongst key stakeholders (suppliers, purchasers, implementers and SDOs) about standards development and the processes and mechanisms for participation, including the development of targeted resource materials; and
Ongoing monitoring and assessment of the level of resourcing for national e-health standards development.

No mention I can see of change of the sort you mention - albeit they list the various standards sources such as W3C etc on page 25. Curious to know where this reform is talked about - I could have course missed it....

I agree about the transition to NEHA or some equivalent - as the work they are taking on requires long term effort (maintained SNOMED CT for Australia is the obvious example).

My disappointment was that both InfoWay and the US CHI have already published standards inventories - why do we have to wait for the same much later in 2006..NEHTA has been around for plenty long enough to have sorted this out IMHO.

It seems odd that only now should they be working out how to work with Standards Australia..that should have been sorted out in the first six months, given NEHTA's role as a standards taker as well as developer - i.e. by the start of 2005 I reckon.

I also wonder why they are monitoring and assessing the adequacy of standards funding - since they know it has been cut to ribbons in the last few years - seems to me they should be saying we will provide more.

Cheers

David
----
Dr David G More MB, PhD, FACHI
Phone +61-2-9438-2851 Fax +61-2-9906-7038
Skype Username : davidgmore
E-mail: [EMAIL PROTECTED]

On Sat, 18 Mar 2006 13:00:51 +1100, Tim Churches wrote:

> David More wrote:

>> Hi Tim,

>> The PWC GTC is based in Menlo Park, California USA

>> "Produced by PwC's Global Technology Center in Menlo Park, Calif., Technology Forecast: 2002-

>> 2004, Volume 2: Emerging Patterns of Internet Computing, highlights advancement in computing

>> and communication technologies, in response to enterprise computing and use of the Internet."

> Sure, but the PwC report which NeHTA is citing, available from here

> http://www.pwcglobal.com/extweb/insights.nsf/docid/e37500d7b7d65a7885256ff8006e0cb3 (after

> registering as Mickey Mouse...), says the following on its title page:

> "Reactive to Adaptive

> Transforming Hospitals with Digital Technology

> March 2005

> Global Technology Centre

> Health Research Institute

> Thus I think that you owe NeHTA an abject public apology with respect to that particular

> criticism.

>> But all this is silly

> Indeed, I am reminded of what Ralph Waldo Emerson said:

> "A foolish consistency is the hobgoblin of little minds..."

> (See http://www.brainyquote.com/quotes/quotes/r/ralphwaldo101115.html )

>> - the key thing is the quality of the framework...any views?

> As many people (myself included) have observed on this list (and its

> predecessor) over the years, the health IT standards (cottage) industry in Australia definitely

> needs reform, in particular the tendency for

> participation in standards development to be restricted to those who are funded or otherwise able

> to attend standards development committee meetings in person. Movement towards a Web-enabled,

> more transparent standards development fishbowl, similar to that used by the IETF (Internet

> Engineering Task Force) with its RFC (request for comment)

> process, would be most welcome. Similarly I applaud the recognition for prioritisation and a

> clear timetable for standards selection or development. So the document is a pretty good effort,

> IMHO. Now, if

> NeHTA (whoops, I mean NEHTA - the mixed capitalisation of their acronym is now passé, I am told)

> can just make it actually happen...

> One thing though: point one in the ExecSumm says:

> "In managing clinical terminologies and clinical data sets for

> electronic communication nationally, NEHTA is likely to become

> Australias largest source of e-health specifications, and will publish, manage and maintain

> standards and related material on an ongoing basis. NEHTA will also develop or commission a range

> of technical

> specifications and a standards catalogue, the latter providing national direction on standards

> adoption and application."

> OK, but from the tone of that it seems likely that there are plans to

> drop the T from NEHTA.

>> Cheers

>> David

>> ps funny NEHTA did not notice the squiggly red lines <grin>

> In the case of Centre/Center, perhaps they did notice them but correctly ignored them. However,

> the use of US spelling elsewhere in the document, as pointed out by Graeme Miller, is a bit of a

> mystery, particularly the stern admonition given in large bold letters at the end of the

> executive summary to the document:

> "Greater standardization (sic) is central to Australias e-health agenda."

> Tim C

>> On Sat, 18 Mar 2006 10:24:17 +1100, Tim Churches wrote:

>>> David More wrote:

>>>> Hi Tim,

>>>>

>>>> Amazing the problem of cut and paste!

>>>>

>>>> 2 x Center

>>>>

>>> That's a bit unfair, David, because the the two instances of "Center" in the document

>>>

>> both refer

>>> to US organisations.

>>>

>>>> 1 x Centre

>>>>

>>> Which refers to a PriceWaterhouseCoopers Global Technology Centre -

>>> given that PwC has its roots in two London-based firms, "centre" would seem to tbe the

>>> correct usage.

>>>

>>>> Need I go on.

>>>>

>>> No.

>>>

>>>> Cheers

>>>>

>>>> David

>>>>

>>>> ----

>>>> Dr David G More MB, PhD, FACHI

>>>> Phone +61-2-9438-2851 Fax +61-2-9906-7038

>>>> Skype Username : davidgmore

>>>> E-mail: [EMAIL PROTECTED]

>>>>

>>>> On Fri, 17 Mar 2006 17:44:57 +1100, Tim Churches wrote:

>>>>> [EMAIL PROTECTED] wrote:

>>>>>> I note that the NEHTA document is in American spelling. Is this a new NEHTA standard

>>>>>>

>>>> for

>>>>>> Australian English in the health sector?

>>>>>>

>>>>> Hmm, i's a bit mid-Pacific in its spelling, actually. For example, on page 2, it says:

>>>>>

>>>>> "...Organising the first E-Health Standards Forum;....Greater standardization is

>>>>>

>>>> central..."

>>>>> I also note that it is a document ahead of its time: in the front matter

>>>>>

>> (immediiatrely

>>>> following

>>>>> the title page), it says:

>>>>>

>>>>> Tim C

>>>>>

>>>>>> Peter MacIsaac wrote:

>>>>>>> NEHTA have just released 'National E-Health Standards Development - A

>>>>>>>

>>>> Management>Framework' at

>> http://www.nehta.gov.au/component/option,com_docman/task,cat_view/gid,133/Itemid,139/

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Re: [GPCG_TALK] FW: [HL7Info] FW: NEHTA

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