Their mantra was "interoperability" and it seemed to me they were on a
ruthless path towards that true end.   This indeed might have rattled the
MISA for all I know.

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Richard Hosking
Sent: Friday, 3 November 2006 2:12 PM
To: [EMAIL PROTECTED]; General Practice Computing Group Talk
Subject: Re: [GPCG_TALK] Re: NEHTAs Annual Report What We are Not Being
Told!

Yes fair criticism. In their defence they do provide a newsfeed and 
appear to have been to many meetings some open some not. John says he 
was impressed by their presentation - I guess I will have to attend one 
of these meetings and see. They appear to have decided on a number of 
standards and I would agree with all as they are open and generally 
accepted. This seems to be a good start - the challenge will be of 
course in getting anyone to adopt these standards
What are they trying to achieve anyway?

R

David More wrote:

> Hi Richard,
>  
> Thanks for that..just one question (two barrels - sorry)
>  
> Do you clearly understand just what NEHTA is trying to achieve and do 
> you think they are going about it the right way?
>  
> All my experience suggests that if you are trying something like this, 
> and want it to succeed, you communicate, communicate and communicate 
> and build trust, confidence etc.
>  
> I leave it as an exercise for the reader to say if they think NEHTA 
> has met that performance metric.
>  
> For John - as single question also..if this direction is correct (and 
> I am sure much of it is - although without a top level strategy and 
> funds it may not be implementable in our lifetime) why all the secrecy?
>  
> 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]
> HealthIT Blog - www.aushealthit.blogspot.com
>
>
> On Fri, 03 Nov 2006 10:30:12 +0800, Richard Hosking wrote:
>> At the risk of being seen as a contrarian, I think you guys are being 
> a bit unfair to NEHTA and putting a black spin on things
>> OK there is fluff in the report, and the detailed financial 
> statements are not publicly available - I cant see why this should be 
> so. They do have
>> "receiveables' as assets - presumably unpaid grants. OTOH they do 
> have $7M in cash so they are presumably not short of money for 
> immediate purposes. It might
>> be significant if some states are not paying up while others are - 
> this would be useful to know. They seem to have been active in 
> recommending standards in
>> various areas, though to be fair some of them are just the status 
> quo. They have decided on a clinical termionology and paid for it - 
> the wrangling over this
>> (however important it may be - this has always eluded me) has gone on 
> interminably. They have decided on a web based messaging format and a 
> European standard
>> for an EHR structure. They appear to have recommended an open 
> security framework (WS-services - is this open?). I presume this means 
> that PKI is not to be
>> used for health messaging. HL7 V2 is still recommended as an interim 
> standard for messaging. It appears that work towards V3 will be 
> abandoned. (Again I have
>> never been really clear where HL7 fits in - it appers to be an 
> attempt to model health information as a schema while being a standard 
> for wrapping messages
>> at the same time - perhaps someone could enlighten me)
>> They have been active in various meetings though I must confess I 
> havent been to any as I would have to pay for myself
>> Certainly there doesnt seem to have ben much opportunity for 
> grassroots providers to have input - it has been a cabal of 
> bureaucrats and industry people. OK
>> they were a bit blunt to the MSIA - I wouldnt necessarily hold that 
> against them as the industry hasnt exactly been helpful in setting 
> standards as one would
>> expect of a commercial industry. What has happened since re industry 
> consultation?
>>
>> R
>>
>>
>> David More wrote:
>>
>>> Oliver,
>>> I am stunned and deeply saddened to find any information in this 
> domain (i.e e-Health) should be classified in any form. I thought the 
> purpose of all this
>>> was saving lives not secretly empowering bureaucrats...
>>> Your revelation is a faith in the goodness of man challenging 
> experience. 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]
>>> HealthIT Blog - www.aushealthit.blogspot.com
>>>
>>>
>>> On Fri, 03 Nov 2006 08:33:42 +1030, Oliver Frank wrote:
>>>
>>>> Aus HIT Man wrote:
>>>>
>>>>> It then concludes with the usual statements of audit independence
>>>>>
>>> and a "concise financial report" - the real report seems to be secret
>>>
>>>>
>>>>> "The full financial report is available to Members free of charge
>>>>>
>>> upon request." (p20). That means we want to keep the public away I 
> would suggest - the
>>>
>>>>> members being the jurisdictional CEOs are to be the only ones who
>>>>>
>>> know what is going on!.
>>>
>>>>
>>>> Perhaps this is a growing fashion. HealthConnect SA has released the
>>>>
>>> Executive Summary of its "High Level "Connectivity" Options Paper" 
> which is labelled on
>>>
>>>> the front cover as having been re-classified as being "'C1 Low'
>>>>
>>> Public information and unrestricted access", with a note below 
> saying that the complete
>>>
>>>> document has been classified as "'C3 high' Limited "need to know"
>>>>
>>> access" and available by application to the HealthConnect SA office. 
> 007, where are you
>>>
>>>> now?
>>>>
>>>> I was disappointed by the Executive Summary which seemed to say
>>>>
>>> nothing new and managed to insult GPs and the Health Provider 
> Registry run by the Divisions
>>>
>>>> in South Australia while doing so. I am not going to chase the
>>>>
>>> complete document. Either it says something useful and we can all 
> read it freely or
>>>
>>>> doesn't, in which case it stay unread.
>>>>
>>> ------------------------------------------------------------------------
>>>
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>>>
>>>
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