Andrew McIntyre wrote: > Hello David, > > Friday, November 3, 2006, 3:51:29 AM, you wrote: > snip
> DG> I always thought their task was impossible in the favoured free > DG> enterprise financial model of Australian medical and IT delivery. > > DG> How long before the Feds pull the plug? > > You have to have some sympathy... > > At this point its looking very much like the Matrix where Neo faces > the Architect and realizes this is the fourth version of the the > matrix and its all about to start over again... In this context > replace "The Matrix" with "HealthConnect". At least they dropped that > name and used "NeHTA" instead. > Don't you just hate going back into the Matrix? > Like previous versions, the people involved are probably just about to > a point where they realize what they do NOT know, and its getting a > bit scary. > > Out of the last version we learnt that that "It's a strategy for > change management" - what will the current reincarnation tell us about > eHealth?? > > Real workable practical solutions are being ignored, any head of steam > that is spotted is rapidly doused, and the lack of domain knowledge, > practical experience, consultation and openness is breathtaking. > Snomed-CT licensing is a bright point, but internally a lack of > understanding of what they have is a risk. > The Feds see themselves as providing a framework and creating a market. Snomed-CT is consistent with this approach. However a framework without at least one implementation is a complete wank. It's hard to work out why they are so opposed to the practicalities. There was a funding stream in the Managed Health Networks program that might have been used for software development within the emerging NEHTA framework. Did that go anywhere? > The technology choices proffered seem to be all in the "not ready for > prime time" category, while anything proven to work is just way too > unfashionable to be seen around any ritzy boardroom table. > > I think what is needed is real market forces, not some paternalistic > cashed up monocracy that distorts the market so consultant's can make > a killing. The money poured into EHealth by government over the last > 10 years has done very little good, and has probably done a lot of > harm. > > I am sure there will be some sleepless nights ahead in the ivory > tower. The schedules they have "set" themselves would try the patience > of most politicians. A waterfall approach to the problem is doomed to > failure. > (http://en.wikipedia.org/wiki/Waterfall_model#Criticism_of_the_waterfall_model) > I have not forgotten last month's lesson from Horst on the importance of being agile. David -- "If I’d asked my customers what they wanted, they’d have said a faster horse." Henry Ford
smime.p7s
Description: S/MIME Cryptographic Signature
_______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
