At 10:39 am +1000 5/6/07, David More wrote:
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
I think it's pretty simple, and it has been said before.....
I think it will take:
1. Standards setting by consensus. If relevant stakeholder needs
aren't part of inclusive decision-making, then implementation will
fail.
2. Legislated compliance with standards framework. If there is no
teeth to standardisation, then there is no serious buy-in to the
standards setting process and implementation will fail.
3. Smaller (rather than larger) projects conforming to standards
framework which can deliver savings in excess of their cost within
12-18 months. Large projects spend lots of money then fail. Only by
consistently producing financial returns will implementation succeed.
4. Creation of a marketplace for information and financial exchange.
A lot of value in information is created by exchange of information.
Information received is valuable. Information created is a cost with
some value. Financial silos (corporate or government boundaries)
prevent potential users/buyers of information from paying for it and
therefore prevent collectors/sellers from bothering to collect it.
Without a marketplace, there is no exchange and nothing happens.
Ian.
--
Dr Ian R Cheong, BMedSc, FRACGP, GradDipCompSc, MBA(Exec)
Health Informatics Consultant, Brisbane, Australia
Internet: [EMAIL PROTECTED]
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