Hi Tim,

On the second paragraph..

> For me, all this health IT stuff is just a means to an end - the
> improvement and/or protection of the health of the public. Although many of 
> the
technical aspects of the means to that end I find fascinating,
> the task of actual deployment of health IT in the real world is a deary, 
> tedious and
dispiriting business indeed.
>
> Tim C

I agree Health IT is a means to an end - absolutely - the end being to enable 
and
facilitate better and safer care as I would express it.

As far as deployment I would suggest the only way we get better at that is to 
learn the
lessons and hopefully give people with some "war wounds" a second chance to get 
it right
(And I am NOT volunteering). Sadly bureaucracies are often far from the leaning 
and
supportive organisations they should be.

Right now your description "deployment of health IT in the real world is a 
deary, tedious
and dispiriting business indeed." is horribly accurate - and depressingly well 
put.

What are we all going to do to fix it?

The opportunity cost in terms of suffering and lives is too high to do nothing 
I believe.

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 Sun, 17 Dec 2006 10:00:42 +1100, Tim Churches wrote:
> David More wrote:
>> By 2005 a review of Tim's bureaucrats determined this was not a good idea - 
>> was
complex, would cost a bundle etc - so a change management strategy
>> "replaced" Healthconnect.
>>
>
> Hey, they're not my bureaucrats. Wrong level of government to start
> with, and besides, I am a public health bureaucrat (I'd prefer
> "technocrat"), not a senior health IT bureaucrat in charge of 7 and 8
> figure budget health IT projects, like you were, David.
>
> For me, all this health IT stuff is just a means to an end - the
> improvement and/or protection of the health of the public. Although many of 
> the
technical aspects of the means to that end I find fascinating,
> the task of actual deployment of health IT in the real world is a deary, 
> tedious and
dispiriting business indeed.
>
> Tim C
>
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