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IN THE PUBLIC INTEREST - IS MEDICARE GOING TO BE PRIVATISED OR ARE THE COSTS GOING TO ICT COMPANIES ?

On 01 Jul 2016 the "National E-Health Transistion Authority [NEHTA]" vested all its Assets
and Liabilities in the "Australian Digital Health Agency [ADHA]" ref ADHA Web-site

Here is the Blog of Dr David MORE MB PhD FACHI on "waste of money" with Australian E-Health Standards

SURELY TAX-PAYERS OF EACH STATE & TERRITORY ARE DUE A SHARE OF THE ASSETS IN PROPORTION TO THE FINANCE PROVIDED !


NATIONAL E-HEALTH STANDARDS DEVELOPMENT - 2.1 HEALTH SERVICE IMPROVEMENT 15 MAR 2006

2.1	HEALTH SERVICE IMPROVEMENT

Health service delivery is both information rich and information critical.  

Modern healthcare is increasingly recognised as an information business as well as a set of 
services, although investment remains relatively low.  

PricewaterhouseCoopers (PWC) depict the digital health system continuum [1] as follows. 
 
Figure 1 – The Digital Health System Continuum 
 
	Present Norm 			  Digital Hospital 		  Digital Health Community 

Non-integrated systems, mostly 		Broad and deep integration of	Interconnected networks of 
financial and back office.  Some 	all information systems with 	healthcare delivery 
departmental clinical applications 	medical devices and other 	organisations, securely passing 
(laboratory, radiology, pharmacy). 	technologies (imaging, 		standards-based information 
					monitoring, smart beds).	freely as required. 

   Most Hospitals Today 		   Best Practice Today    	   Desired Future Practice 
 
It is difficult to envisage how the transformation of the heath care system – with higher 
quality, patient-centric and cost-effective care - could possibly take place without the 
capacities ICT brings. 

Health ICT can bind the system together, while preserving its diversity.  
 
The US-based Rand Health, in a comprehensive study of health information technology 
diffusion, gave strong support for the US National Committee on Vital and Health 
Statistics finding that “the greatest impediment to the adoption of healthcare information 
technology is the lack of complete and comprehensive standards for patient medical 
record information”[2].  

The Rand report listed immediate coordination of standards activities as its first (of 
seven) policy recommendations.  

The Lewin Group’s Health Information Technology Leadership Panel also noted recently that 
inadequate standards are a significant inhibitor of health information technology diffusion 
and benefit realisation[3]. 

Some efforts have been made to quantify the impacts of standardization in e-health.  

A study conducted by the Center for Information Technology Leadership (CITL) inferred 
that interoperability standards could be valued at $US 60 billion per year in the USA [4], 
and two Australian studies have applied the CITL methodology to the Australian context.  

Schloeffel estimates the extrapolated annual benefit of interoperability standards in 
Australia at $A3.7 billion, representing approximately 5% of total Australian health 
expenditure [5], while Sprivulis et al estimate total net savings from the national 
implementation of fully standardized interoperability for health information exchange 
transactions in which Australian Governments have a financial interest at over $2 billion 
annually or 4.1% of the expenditure by Australian Governments on healthcare [6] 
 
These study findings align with decisions in many countries [7], and in other 
industries/sectors, that greater standardization is a prerequisite to unlocking service 
and productivity improvements.  

As articulated by the US Government Accountability Office: 
 
“… much work remains to reach further consensus on the definition and use of standards. 

Until this successfully occurs and health IT standards are more fully implemented, 
… agencies and others throughout the health care industry cannot ensure that their systems 
will be capable of exchanging data with other systems when needed, and consequently will 
not be able to reap the cost, clinical care, and public health benefits associated with
interoperability [8]


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