KEY ATTRACTIONS ON THE DARWIN HOP-ON HOP-OFF RED BUS - THIS IS AN EXAMPLE OF HOW ON-LINE INFORMATION LINKS
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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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