Let’s compare Health’s approach to the PCEHR to that of AGIMO and cloud computing. If you believe the vendor world (and I don’t) cloud computing can save IT departments huge amounts of money and can make them more responsive with respect to system demand for resources. AGIMO (who is primarily interested in internal government IT systems, not Australia’s IT industry) Continue reading Thinking it through: AGIMO and cloud vs Health and the PCEHR
Mandatory reporting is a solution to various problems but has an unfortunate side effect. It changes behaviour. This solution makes the problem into a wicked problem. Other solutions may not have this effect. One example being mandatory reporting by doctors of child abuse. The aim is to help children by alerting the authorities of situations where children are not being Continue reading Mandatory Reporting – How it changes behaviour
Technology can be very powerful. Powerful things need controlling. Vendors and others who promote the benefits of technology very rarely talk about the costs and downsides. In my experience, that’s because they haven’t got a clue of the consequences. This article appeared in the Washington Post http://www.washingtonpost.com/business/technology/web-connected-cars-bring-privacy-concerns/2013/03/05/d935d990-80ea-11e2-a350-49866afab584_print.html Cars will soon be so linked into wireless networks they will be like Continue reading Another solution creating unknown problems: Web-connected cars
The Australian Government’s Department of Health and Ageing has issued an RFT: Request for Tender (RFT) for the provision of Solution Delivery Services to deliver an Aged Care Gateway system. The tender itself can be accessed here, but you need to register: https://www.tenders.gov.au/?event=public.atm.show&ATMUUID=DC791DB6-C72E-F0E5-A27B5DD541C4AE07 There is an overview of the tender here: http://aushealthit.blogspot.com.au/2013/03/doha-has-released-major-ict-tender.html This was my comment on that blog: David, Continue reading Another dumb government IT RFT
I’ve been following the PCEHR for quite a while and commenting on David More’s blog on http://aushealthit.blogspot.com.au/ This is most of what I posted to the Link list.http://mailman.anu.edu.au/mailman/listinfo/link The first is that IT is just a solution, what really matters is the problem. When governments talk about implementing things like the PCEHR, it would be really nice if they explained Continue reading Australia’s Personally Controlled eHealth Record
Vendors sell solutions. Solutions sit in the middle of a chain of domains: Goal -> problem -> solution -> consequential problems -> solutions Evey solution both solves a problem and creates more. People who create solutions tend to work on a minimal understanding of the problem and do not consider what problems their solution may create. Vendors, who are in Continue reading Why vendors don’t like fit for purpose clauses.
Here’s a good example of a solution creating problems. NSW Police settles software licensing battles Quote The NSW Attorney General will this week sign an out of court settlement with software vendor Micro Focus, putting an end to a protracted and expensive dispute between the State’s law enforcement services and the software vendor over licenses. Micro Focus had accused the Continue reading Solutions creating problems: another example