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Title : Do You Think This Is A Credible Analysis Of Where We Are With Secure Messaging And Interoperability?
link : Do You Think This Is A Credible Analysis Of Where We Are With Secure Messaging And Interoperability?
Title : Do You Think This Is A Credible Analysis Of Where We Are With Secure Messaging And Interoperability?
link : Do You Think This Is A Credible Analysis Of Where We Are With Secure Messaging And Interoperability?
Do You Think This Is A Credible Analysis Of Where We Are With Secure Messaging And Interoperability?
This appeared last week:
Australia’s most urgent digital health care issue is appalling interoperability
Severe interoperability problems in the healthcare sector are holding back efficiency, massive cost savings for government, and, most importantly, patient safety.
Each year it is believed that as many as 18,000 deaths are caused or at least expedited in Australia by medical errors. A lot of these errors have their origins in a digital ecosystem beset by bespoke secure communications systems that simply that don’t talk to each other.
In general practice, there are about 18,000 fax machines, which currently do most of the grunt work of secure messaging for things like referral letters to specialists and hospitals, and, at times test results. That gives a very clear picture of how stuck in the dark ages healthcare messaging and data sharing remains.
It’s become a high priority for the recently formed federal body, The Australian Digital Health Agency (ADHA).
The agency is attempting to pull together the various private sector software and secure messaging vendors and healthcare service suppliers in order to get them to ‘burn their boats’ in the name of jumpstarting significantly improved data sharing in the sector, and pave a road to significant improvements in safety and efficiency.
But where there is efficiency and gain for some, there is nearly always a loss somewhere in the system. And while the various software and messaging vendors and the major pathology and service providers, including Sonic Healthcare, our largest Australian healthcare company, are duly attending the peace meetings and making all the right noises, behind the scenes, the commercial strain on these organisations is already obvious.
It is hard to shake the feeling that something is likely to break, thereby dragging out the process even further.
High stakes
In a surprise recent move, Sonic appears to have declared strongly for the peace process, by agreeing with the ADHA to connect their pathology laboratories seamlessly over time to the AHDA’s mega health centralised communication project, the MyHealthRecord (MyHR).
The ADHA will pay for Sonic to do the development. But by agreeing to automatically release pathology data to a centralised live electronic medical record (EMR) of all Australians, Sonic is taking a serious potential step to releasing the hold it and Primary Healthcare have on general practice distribution channels for sending patients to their labs.
The MyHR is the government’s attempt to provide every Australian with a centralised electronic medical record for reasons of safety and system efficiency.
It’s a whole other drama for which the ADHA and its predecessor organisatons have copped a lot of flack. Current and planned investments are not likely to see a respectable ROI for some years based on failures of the program to date. But if the AHDA can get the MyHR fully operational, there will be benefits for the system and a basis for optimism moving forward. One of the benefits would like be helping to inject momentum into efforts to get healthcare interoperability sorted out quicker.
Theoretically, if Sonic rolled out their connection to the MyHR across the country, and if MyHR could connect properly to GP surgeries via their desktop systems, then up to 40 per cent of GP secure messaging might be sorted out. Pathology results could bypass the spaghetti like systems of multiple messaging vendors in between GPs and their various providers, all of whom fight in some way or another over talking to each other in order to retain some commercial stake in the ground.
But this is a very big ‘if’.
The MyHR has its own problems, and some more cynical analysts have suggested that Sonic might just be playing the game of being seen to do the right thing, when ultimately, they, like some others, have very little confidence the MyHR will get that far.
Lots more here:
I would argue we are far more advanced than what is suggested with secure (non-fax) messaging and that the myHR is the last thing you would want to place at the centre of our Digital Health initiatives.
What is your perspective?
David.
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