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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 - 3.2.2 CONSENSUS

2 CONSENSUS

Developing consensus standards is an inherently complex process.  

Interested parties need to become aware of a Standard under development, understand its contents, 
explore the potential consequences and provide reasoned feedback.  

There may be considerable negotiation between the stakeholders when striking a balance between 
competing factors.   
 
Thus although there are ways to accelerate the development of standards [20], there are 
natural limits associated with the processes of transparency and consensus.  

It should be noted, however, that this is quite analogous to policy, strategy or system development 
processes, where good practice during the requirement analysis and development phases 
can circumvent much more time consuming and costly implementation issues. 
 
Means of accelerating standards development in a consensus environment include 
sponsorship of the development process or targeted components of it e.g. initial drafting, 
consultation, enabling full-time resources to be deployed rather than the more usual 
volunteer-based, part-time efforts [21]

NEHTA is an example of this approach, by providing full-time resources to priority areas. 
 
Further means of accelerating standards development include: 

a Interim Standards, which are sometimes prepared where there are still some issues 
  to be decided or where national consensus has yet to be achieved.  

  They provide both a guide to the direction that future standardization may take, and a 
  mechanism to collect public feedback on the subject; 

b Technical Specifications, which are normative [22] documents that do not have full 
  consensus.  

  They may be prepared where the subject matter is undergoing rapid 
  technical development and speed of delivery, rather than full consensus, is of 
  paramount importance;  

c Technical Reports, Handbooks, Rulings and Interpretations and other miscellaneous 
  publications are informative documents that contain supplementary information. 
 
The speed of standards development is not universally accepted as problematic, 
however.  

Swann, in a work on the economics of standardization produced for the British 
Department of Trade and Industry, notes that: 
 
1 When the rate of change is rapid, producers need standards quickly, but 
  customers need the confidence offered by high quality standardization. 

  What appears to be undue slowness on the part of standards institutions could equally 
  well be re-interpreted as excess haste by those who would set standards. 

  There is a mismatch between the rate of innovation, the requirements for rapid 
  standardization on the part of suppliers and the need for quality standardization 
  on the part of empowered customers.  

  Speeding up the standardization process is not necessarily the right answer to this 
  mismatch.[23]

Key elements of these principles are detailed in 3.2.1 - 3.2.5 
 
		3.2.1	Code of Good Practice
		3.2.2	Consensus
		3.2.3	Collaboration
		3.2.4	NEHTA’s Involvement in Standards Development
		3.2.5	Quality 


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