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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 - 3.3 COMPLIANCE

3.3 COMPLIANCE

NEHTA’s role includes the development of specifications for inclusion in Government and 
potentially other health sector procurement processes.  

These specifications will be technical in nature, normative, and incorporated into commercial 
contracts. 
 
On their own standards or technical specifications have no legal status and are free to be 
followed or not by manufacturers, consumers or the public. 

However, if a Standard or specification is referenced in legislation or written into a commercial 
contract it becomes enforceable by virtue of that legislation or contract.  

When this happens, Standards become mandatory and their reasonableness, quality and impact can be 
subject to the scrutiny of the courts. 

Accordingly, standards development organisations make every attempt to ensure that the principles 
and processes used to develop standards are based on good practice. 
 
In respect of “specifications” such as those produced by NEHTA, the WTO Agreement on 
Government Procurement states that: 
 
	 Technical specifications prescribed by procuring entities shall, where appropriate: 

	(a) be in terms of performance rather than design or descriptive characteristics; and 

	(b) be based on international standards, where such exist; otherwise, on 
            national technical regulations, recognized national standards, or building 
            codes.[25]
 
Further to this the Council of Australian Governments (COAG) recently committed to: 
 
	“promoting compliance with nationally-agreed standards in future government 
	procurement related to electronic health systems and in areas of healthcare 
	receiving government funding.[26]
 
 

Standardization is a cyclical process that must incorporate continuous quality 
improvement.  

A systematic approach and consistent, widespread commitment are required to 
deliver benefits.  

Key result areas for effective standardization generally include: 
 
1 Clear and well communicated national agreement on e-health implementation 
  priorities; 

2 Timely, efficient and sustainable standards development processes, including clear 
  articulation of requirements; 

3 Consistent and coherent policy settings driving the uptake of national e-health 
  standards i.e., agendas must be aligned to ensure that intentions are clear and 
  unambiguous, and the incentives to standardize outweigh the disincentives; 

4 Capacity and leadership within the health sector to support standardization; 
 
5 Conformance assessment and certification; 

6 Impact assessment and feedback; and 

7 Effective governance. 
 
Critical success factors for the achievement of desired results in these key areas will 
include: 

A Consistent and concerted leadership from people who make decisions about the 
  availability, acquisition and deployment of health information systems and standards 
  across the sector; 

B Availability of resources for standardization, including economic, human, and 
  knowledge; 

C Communication and feedback between standards organisations and other stakeholders. 

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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