A little PCEHR/My Health Record history

Jane Halton has just resigned. She was Secretary of the Federal Department of Health when Tony Abbott was Health Minister. They set up NEHT which in turn created the PCEHR. The problem with both Tony Abbott and Jane Halton was their perspective. They both looked at healthcare from a Federal and funding position. As such, personal healthcare was not their Continue reading A little PCEHR/My Health Record history

The problems with Healthcare

For the past couple of years I have been educating myself on the problems of Information Systems in the healthcare industry and watching and analysing the Federal Government’s My Health Record initiative. It used to be called the PCEHR and I’ve commented on it before (see the category) I have also become Chair of the Health Committee of the Australian Continue reading The problems with Healthcare

The disconnect between business and IT

Happy New Year. I’ve just spent six months at a small Federal Government agency and, as usual have learned a lot about why IT fails to deliver value to the business. The IT department believes that all it takes is for them to gather requirements, design and build infrastructure and IT systems and its business users will be happy. Unfortunately, Continue reading The disconnect between business and IT

The PCEHR Review

The Department of Health has decided to engage a consultant to help them formulate their response to the PCEHR review. The focus is to be on the implementation of the system. In my view they are asking the wrong question. In eHealth there seems to be an implicit assumption that, by gathering more and more data on a patient, better Continue reading The PCEHR Review

Health Information should be about decision making.

What is health information needed for? IMHO health information is only needed in order to make decisions. A health professional will be primarily interested in the current status of a patient and secondly, in the way in which the patient’s status is changing. Any other information is irrelevant and, potentially, confusing. Health information systems need to be designed and managed Continue reading Health Information should be about decision making.

Why Electronic Health Records can be a Bad Thing

My observation of the healthcare system is that the intention is to make things better for a patient. That means knowing two things: the current status and what to do next. The problem for the healthcare professional is getting the right data for a diagnosis – especially when diagnostic tests are expensive. The only reason that the medical history is Continue reading Why Electronic Health Records can be a Bad Thing

The PCEHR Review

The Federal Government requested a review of the PCEHR last year. It was completed in December and has just been released to the public.This is the report I posted a couple of comments on Dr David More’s blog. My first comment: Recommendation 17: Clarify that the MyHR is a supplementary source of information that may, but does not always need Continue reading The PCEHR Review

Health IT and Health Information

I draw a distinction between the use of technology in health care and long-living health records. I recently went to CebIt and had a long chat with the guy at one of start-up stands. His company makes and sells health monitoring and diagnostic devices. These allow people to monitor the status of their own health and to provide diagnostic information Continue reading Health IT and Health Information

Knowledge and Understanding vs Follow a Recipe

I’ve been learning to bake bread. I’ve baked bread before, both with a machine and by hand. I can also turn my hand to cooking, although I wouldn’t claim to be an expert. I wanted to bake better bread and make a wider variety of loaves so I got a few books and started following recipes. That’s when things started Continue reading Knowledge and Understanding vs Follow a Recipe

Can you cost justify Architecture

There is a discussion on Linked In “You can’t Cost Justify Architecture!!! Can you?” “According to Zachman, cost of Architecture should not be scrutinised. It is not an expense but an asset that help in bringing Alignment, integration, change and mass customisation. As an Architect agree with statement but with a business hat on will I agree to that? Probably Continue reading Can you cost justify Architecture