Re: [LINK] Urgent: MyHR Opt-Out

2018-07-18 Thread David Boxall
On 19/07/2018 3:44 PM, Jim Birch wrote: This is the version 1.0 product. ... Looks more like an alpha to me. Making a half-baked system opt-out smacks of desperation. First Dog speaks: https://www.theguardian.com/commentisfree/2018/jul/19/opt-out-cassandra-the-information-technology-wobbegong

Re: [LINK] Urgent: MyHR Opt-Out

2018-07-18 Thread Karl Auer
On Thu, 2018-07-19 at 15:44 +1000, Jim Birch wrote: > This is the version 1.0 product. Yep. And Rule Number One is, never deploy v1.0. > Declaring that it is no use and never will be seems perhaps a little > too grandiose to me. That's a straw man. MyHR's usefulness is certainly in serious doubt

Re: [LINK] Urgent: MyHR Opt-Out

2018-07-18 Thread Jim Birch
This is the version 1.0 product. ATM it contains very little information but is obviously going to expand. This will take time given history, legacy systems, resistance to change, risks, etc. Declaring that it is no use and never will be seems perhaps a little too grandiose to me. Change induce

Re: [LINK] Urgent: MyHR Opt-Out

2018-07-18 Thread David
On Thursday, 19 July 2018 11:01:23 AEST Bernard Robertson-Dunn wrote: > I agree [that the fundamental reasons for centralised medical records are > cost savings and better health care]. My Health Record isn't one of them, > its a summary system that required significant GP effort to input and

Re: [LINK] Urgent: MyHR Opt-Out

2018-07-18 Thread Karl Auer
On Thu, 2018-07-19 at 10:04 +1000, Jim Birch wrote: > [some stuff] The whole system is founded on a huge betrayal - saying it would be opt-in, then flipping it to opt-out. The many so-called controls turn out on closer inspection to be useless. Permissions must be applied on a document-by-documen

Re: [LINK] Urgent: MyHR Opt-Out

2018-07-18 Thread Bernard Robertson-Dunn
On 19/07/2018 10:04 AM, Jim Birch wrote: > I would have thought that the fundamental reason for centralised medical > records is cost savings and better health care. I agree. My Health Record isn't one of them, its a summary system that required significant GP effort to input and interpret data.

Re: [LINK] Urgent: MyHR Opt-Out

2018-07-18 Thread Bernard Robertson-Dunn
GPs want clinical handovers, not discharge summaries https://www.doctorportal.com.au/mjainsight/2018/10/gps-want-timely-appropriate-hospital-handovers/ "In the real world, GPs are grappling with being thrown links to hospital electronic records through systems such as “The Viewer”. Investigations

Re: [LINK] Urgent: MyHR Opt-Out

2018-07-18 Thread Tom Worthington
On 18/07/18 10:37, David wrote: ... chronic condition which rendered them unable to talk about it in an emergency situation. ... In 2008 I was found on the floor of my office and taken to hospital by ambulance. It would have been useful to have an electronic medical record, but it would have

Re: [LINK] Urgent: MyHR Opt-Out

2018-07-18 Thread Jim Birch
I would have thought that the fundamental reason for centralised medical records is cost savings and better health care. It isn't just about you personally. It's the aggregate effects that a government should be interested in, i.e. better value from health spending (which if you haven't noticed i

Re: [LINK] Urgent: MyHR Opt-Out

2018-07-18 Thread Peter O'Halloran
Dear Bob Discharge summaries or letters are routinely not finalised at the time a patient is discharged from a hospital. In the case of inpatient wards, the clinician writing up their notes and preparing such clinical documentation is often not physically anywhere near the patient or their Medi

Re: [LINK] Urgent: MyHR Opt-Out

2018-07-18 Thread Dr Bob Jansen
David, The pin or access code needs only to be given to the current clinician and they would use it for the duration of the current treatment. I assume that after a few patients, the clinician would never remember the access codes for all. I agree with your statement about the need though. I

Re: [LINK] Urgent: MyHR Opt-Out

2018-07-18 Thread David
On Wednesday, 18 July 2018 15:01:58 AEST Dr Bob Jansen (in Korea) wrote: > Why not use a chip inside our Medicare card? We need it for treatment anyway > so why not have a system wherein the treating clinician uploads their notes > or discharge summary into that chip. Then security is dependent