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’

Mandatory Reporting – How it changes behaviour

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

Payment by results – a solution that creates a wicked problem

A story on the UK Guardian site: Payment by results – a ‘dangerous idiocy’ that makes staff tell lies http://www.guardian.co.uk/local-government-network/2013/feb/01/payment-results-staff-fictions Some quotes from the article: The evidence is very clear: if you pay (or otherwise manage performance) based on a set of pre-defined results, it creates poorer services for those most in need. It is the vulnerable, the marginalised, the Continue reading Payment by results – a solution that creates a wicked problem

Australia’s Personally Controlled eHealth Record

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

Complexity, Partitioning and Simplification

The idea that you can understand complex systems through decomposition and simplification is a fallacy. Physics and engineering theory clearly show that complex systems arise out of non-linearities in the real world and that decomposition of non-linear systems into sub-models leads to ineffective models. In other words, you can’t understand the whole system by looking at its parts, individually. An Continue reading Complexity, Partitioning and Simplification