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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 Australian E-Health Standards

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


A	NATIONAL E-HEALTH STANDARDS DEVELOPMENT - EXECUTIVE SUMMARY 15 MAR 2006

This Management Framework has been developed by NEHTA to guide changes in the 
Australian e-health standards development environment.  

These changes include the establishment of a new national effort to develop, 
maintain and disseminate a range of clinical data standards and terminologies.

Its purposes are to inform key stakeholders – the suppliers, purchasers and 
implementers of e-health technologies as well as organisations associated with 
standardization – and other interested parties about future directions for the 
development of e-health standards in Australia, and to encourage wider participation. 
 
E-health standards have substantial benefit potential on two fronts.  

They underpin cross-sectoral health service improvement.  

Until health information technology (IT) standards are more fully implemented, the 
health care industry cannot ensure that its systems will be capable of exchanging data 
with other systems when needed, and consequently will not be able to reap the efficiency, 
clinical care, and public health benefits associated with interoperability. 

Standards can also provide a lever for economic development via greater and faster expansion 
of health software markets.  
 
Standards development organisations (SDOs) worldwide are facing challenges to their 
traditional modes of operation.  

They are not restricted to e-health, but are associated with factors such as globalisation, 
the increasing pace of change and greater use of market mechanisms by governments.  

These challenges include perceptions that:

1	standards development is too slow; 

2	over-reliance on “voluntary” involvement from individuals or organisations, and 

3	steady, long-term declines in the resourcing provided by governments and large corporations.

There are also many different organisations engaged in e-health standardization, and their 
activities are not always well coordinated.  

An additional challenge for Australia is that a substantial amount of health software is 
imported, embodying international standards and potentially requiring expensive modification 
to meet Australian requirements. 
 
Responses to these changes and challenges in Australia will include: 

1 Clarifying the roles and responsibilities of standards development organisations, 
  particularly NEHTA and Standards Australia.   

  In managing clinical terminologies and clinical data sets for electronic communication 
  nationally, NEHTA is likely to become Australia’s largest source of e-health 
  specifications, and will publish, manage and maintain standards and related material 
  on an ongoing basis.  

  NEHTA will also develop or commission a range of technical specifications and a 
  standards catalogue, the latter providing national direction on standards adoption and 
  application.   

  Standards Australia will continue to develop health informatics standards through its 
  Health Informatics Technical Committee (IT-014). 

2 Establishing an E-Health Standards Forum, involving the participation of peak agencies 
  engaged in standardization, to assist with ensuring a coherent national agenda that spans 
  the public and private health sectors as well as the health information technology 
  industry.   

3 For standards required for national e-health infrastructure, encouraging strong adherence 
  to the disciplines of project management and the active engagement of all interested parties, 
  rather than just the more motivated.  

  Closer alignment will also be sought between health IT projects and standards development.  

  This will require  suppliers, purchasers and implementers to schedule standards development 
  activities into their work programs, but is nonetheless more efficient and effective than 
  subsequent modification to incorporate standards.
 
4 Using existing international and national standards where feasible.  

  This means seeking to ensure that Australian requirements are incorporated into high 
  priority international standards, and that the multiple uses of standards e.g., as a 
  basis for administrative reporting and research as well as electronic communication and 
  decision support, are taken into account during their development.  

  Selecting the most appropriate standards products is also important.  

  Technical specifications and reports based on lower levels of consensus but delivered more 
  rapidly will be appropriate in some circumstances. 

5 Resourcing standards development at a level commensurate with expectations.   

  This document is the first in a series of three outputs that will comprise NEHTA’s National 
  E-Health Standards Plan.  

  The others will address the support necessary for implementation of national e-health 
  standards, and provide a catalogue of standards to which public sector and publicly funded 
  health services will be expected to migrate. 

  Progress towards this Management Framework will commence with: 

  • Organising the first E-Health Standards Forum; 

  • Elaborating the arrangements between NEHTA and Standards Australia; and 

  • Raising awareness amongst key stakeholders (suppliers, purchasers, implementers 
    and SDOs) about standards development and the processes and mechanisms for participation.  
 
 
            GREATER STANDARDIZATION IS CENTRAL TO AUSTRALIA'S E-HEALTH AGENDA.
 


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