Oliver, Tim, David and all, Just 3 comments:
1. I agree the hard technical work needs to be done 2. I suggest it is self evident Australian e-Health is not self-organising - otherwise we would not be having this conversation. 3. I also agree with Tim about the risks of the grand plan..we need some organising principles and direction and then to get on with it - Strategy Lite maybe..but we need some clear sensible frameworks etc. The strategic vacuum approach has not been seen to work. 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 Tue, 05 Jun 2007 10:27:40 +1000, Tim Churches wrote: > David Guest <[EMAIL PROTECTED]> wrote: > >> Oliver Frank wrote: >>> David More's blog today at: >>> >>> >> http://aushealthit.blogspot.com/2007/06/ahic-survey-will-they-hear-what-t >> hey.html >>> >>> >>> tells us: >>> >>> "Last week the President of the Australian College of Health Informatics >>> (ACHI) was sent a survey which had been developed for the Australian Health >>> Information Council out to ACHI members for comment. The survey â which >>> was developed by the Nous Group (www.nousgroup.com.au) - had the following >>> introduction and process description: >>> >>> âThe Australian Health Information Council (AHIC) >>> >>> eHealth future directions stakeholder survey >>> >>> Purpose of survey: >>> >>> In its role of providing advice to inform national policy direction for >>> health information to the Australian Health Ministerâs Advisory Committee >>> (AHMAC), AHIC wishes to look strategically at the development of the >>> national health information program out to 2013." >>> >>> David's reply with twelve important points is excellent. >>> >>> We seem to simply keep having enquiries, committees and task forces that >>> are supposed to set the e-health agenda, without very much actually happening to >>> implement that agenda. This enquiry sounds like >>> >> >>> just another one - a way to appear as if the government is doing something >>> while in fact doing little, a bit like the national broadband issue in the >>> news today. >>> >> <RexMossop> Let me reiterate back to what I said before </RexMossop>, IT >> consultants do what they get paid to do, consult. It sounds like AHIC is >> fulfilling its defined role. >> >> Only software developers develop software. If you want software you need to >> pay them to do their job. If you don't, don't. >> > > Yes, I have more than a little sympathy for David Guest's view of things: one > can strategise, scheme, plan, plot, have visions, workshop, consult, survey, > evaluate, theorise, research, blog, bitch and pontificate to one's heart's > content, but ultimately this health informatics stuff happens when people engage > in boring activities like writing software code, working out code sets, > writing localised user manuals, holding training sessions, doing system testing, > changing back-up tapes and so on. Yes, there needs to be guidance and > governance of all that honest toil, but most of that needs to be at the tactical level, > at the level of "Hell, we have 123 more bugs to squash" or "Bugger, we have > to train 68 users by Friday...". > > David More's view is that it isn't all self-organising. Maybe so, but I am > not convinced that Grand Plans work any better. If they were still alive, we could > ask Comrades Stalin, Malenkov, Khrushchev, Brezhnev, Andropov and Chernenko > about that. I can't help feeling that Comrade Gorbachev had the right idea. He is > available for consulting, by the way: http://www.mikhailgorbachev.org/ > >> The vision thing is much more fun. >> > Yes, one never even has to leave one's armchair, what with wi-fi and laptops > and the Net and things. > > Tim C > _______________________________________________ > Gpcg_talk mailing list > [email protected] > http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk > > __________ NOD32 2308 (20070604) Information __________ > > This message was checked by NOD32 antivirus system. http://www.eset.com
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