Hi Oliver,

Tim wrote:

>Only indirectly from Bush. It was ONCHIT (Office of National Co-rod of
>Health IT) within the US Dept of Human Services and Health that called
>for an accreditation body and put up funds for its creation. Thus, the
>US equivalent of NEHTA, but located withing the US equivalent of AGDoHA,
>which caused and funded the formation of CCHIT.

The link to Bush is quite direct. President Bush set the objective(s) in his 
State of the
Union Address - for 3 years in a row - and his Office of Management and Budget 
gave funds
to the Department of Human Services to establish the ONCHIT led by David 
Brailer (who had
lobbied Bush for the funds and mention in the SotU speech).

David Brailer was the one who then let the contract to establish the CCHIT.

This is the way policy formation works most places. Ideas are had, lobbying is 
done,
leaders decide and doers get on with it. The lack of the current federal 
leadership and
decision in the issue is why progress here is slower here than in the US and 
the UK etc.

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 Mon, 26 Feb 2007 00:04:12 +1100, Tim Churches wrote:
> Oliver Frank wrote:
>> David More wrote:
>>
>>> The role came from the top..Bush says he want every person to have an EHR 
>>> by 2014..
and there is a US effort to have GPs better automated for that reason
>>> - they realise GP computing is part of the whole picture!.
>>>
>
> Only indirectly from Bush. It was ONCHIT (Office of National Co-rod of Health 
> IT) within
the US Dept of Human Services and Health that called for an
> accreditation body and put up funds for its creation. Thus, the US equivalent 
> of NEHTA,
but located withing the US equivalent of AGDoHA, which caused and
> funded the formation of CCHIT.
>
>>> The US Federal Government funded the startup in about 2004/5 - with the 
>>> outcome of
having GP, Specialist, Hospital and Comms in the sector being sorted
>>> out over 4-5 years
>>>
>>
>> Tim Churches is gloomy about our federal government doing the same for us.
>>
>
> Our *current* Federal govt...
>
>> However, what are the chances of some action if all of the medical 
>> organisations got
together on this and put a united front to the Minister, making it
>> clear that referring it to NEHTA will not do, unless he specifically directs 
>> NEHTA to
devote $Xmillion (or manages to persuade Cabinet to agree to give
>> NEHTA $Xmillion) to make it happen.
>>
>
> Include health care consumer and other patient groups in this too - they are 
> also
stakeholders in a push for software accreditation. Maybe even medical
> defence unions.
>
> Tim C
>
>
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