Thanks Michael,
Good to have someone from NEHTA here.
There are a few small issues it would be fun to hear answers on.
The ones I am keen on are:-
What is NEHTA's overall strategy for e-health in Australia? Who does, who pays, what are the costs and benefits etc (or has NEHTA been going two years and it is still not done?)
What funds does NEHTA expect to mobilise to implement this strategy we hope it has?
Where does GP fit in all this?
What sort of efforts in NEHTA planning to support and fund GP computing over the next few years until all the benefits (if they happen) of provider ID, Patient ID and SNOMED are actualised?
I note the current budget had not an additional cent for e-health other then the COAG money (just renamed HC money) announced a few years ago and that stops in 2009/10. Are there plans for more later and when will we hear about it?
I hear implementations of SOA etc in the health sector are both complex and expensive.Why is NEHTA not adopting a walk before run strategy given the 1997 Health On Line stuff has resulted 8 years later in e-mailed notifications of discharged initiated by ward clerks as I understand it and little else. As I hear it, behind the barrier of secrecy and government obfuscations there not ONE proven case of a Government initiative showing any positive clinical outcome.
Love to hear how all this is wrong.
Get them to start chatting and letting us know here!
I am sure others have all sorts of other questions - fire away team!
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 Wed, 10 May 2006 19:10:58 +1000, Michael Tooth wrote:
> Hugh,
>
> This is very close to the model used by the Tasmanian HealthConnect Trial in terms of emergency
> access. The vast majority of the benefits of having accessable information come from Current
> Medications, Allergies/Alerts, Path results and Admission/Discharge notifications. Having it a
> central repository as summary data means that it is available when the doctor is not. Medical
> Director generated this data with little operator input, and once the patients realised that
> there was little threat, the privacy issues settled very quickly.
>
> But, once you get the enthusiasts and "planners" involved, then it starts to get the typical
> software bloat problems; why can't we have the discharge BP, what about when their next clinic
> appointment is ; why can't we message them about their appointment? Before you know it, non-
> clinicians are writing frighteningly inaccurate scenarios about the inflated benefits and finally
> the bubble bursts.
>
> It would seem to me that NeHTA is working steadily and methodically towards the implementation of
> realisable implementations by making sure that the foundations are actually there instead of
> building a palace in mid-air. Perhaps when the foundations are in and the software industry can
> feel sure that there are some believable applicable standards then they and not the government
> will be able to develop the applications we are all looking for.
>
> Dr Michael Tooth
> GP Hobart
> NeHTA Clinical Advisory Group
>
> Dr Hugh Nelson wrote:
>> Hi Peter,
>>
>> I was impressed by the report of the Scottish approach to allowing access to an emergency
>> medical summary - this means that the GP still has the patients record, but the summary is
>> created by software and posted somewhere where it is able to be accessed by appropriately
>> authorised entities like A&E medicos etc. Is NEHTA looking at anything like this?
>>
>> cheers,
>>
>> Hugh.
>>
>> Peter MacIsaac wrote:
>>
>>> With regard to discussion arising on GPCG list re: recent HL7 workshop on Webservices and
>>> SOA.
>>>
>>
>> ------------------------------------------------------------------------
>>
>> _______________________________________________
>> Gpcg_talk mailing list
>>
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