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 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

Government procurement – designed to fail

This is what happens in real life: Somebody in government, either a public sector manager or a politician, has a “Good Idea” it might be a goal to achieve or a problem to solve. Let’s take a transport payment system as an example and call it a Teecard. It was claimed Teecard It will replace all existing payment/ticketing mechanisms and Continue reading Government procurement – designed to fail

“Twelve reasons government projects fail” in iTNews

My view is that a good business case would avoid most of the subsequent problems. The rest would be resolved by competent technical leadership – i.e.a good architect. brd. Here’s the iTNews Report Outgoing auditor-general shares his wisdom. When it comes to troubled IT projects in the NSW public sector, few people can claim the same level of expertise as Continue reading “Twelve reasons government projects fail” in iTNews

That dangerous word “complexity”

This was posted to the LinkedIn Enterprise Architecture forum Complexity and Enterprise architecture Jacco Roest Intern graduate at Deloitte Consulting Recently, I have read the book ‘From complexity to simplicity’ of Collinson & Jay, a very interesting book. Do you also think that the enterprise architecture is the tool to counter business complexity in order to improve business performance? I Continue reading That dangerous word “complexity”

Comparing the PCEHR to railway tracks.

This quote was taken from David More’s Australian Health IT blog, referring to the Personally Controlled eHealth Record (PCEHR) “Think of it as a railway, put down the sleepers and the tracks, and lo! the train has something to travel upon.” Link to the full comment This was my response: Let’s look at that simplistic statement. Sleepers and tracks are Continue reading Comparing the PCEHR to railway tracks.

Mater CIO shows QLD Health ‘how it’s done’

An interesting post which demonstrates the difference between thinking about the problem before implementing a solution and and just leaping into a project and hoping ‘requirements gathering” will fix everything. http://www.itnews.com.au/News/343627,mater-cio-shows-qld-health-how-its-done.aspx Quote He (Mater Health chief information officer Malcolm Thatcher) told the inquiry the hospital spent nine months scoping the rostering solution, and an additional six months scoping and planning Continue reading Mater CIO shows QLD Health ‘how it’s done’