As we alluded to last week, the Australian Digital Health Agency has come back to the table this week with a bit of cash for clinical software vendors that weren't involved in the two secure messaging proof-of-concept trials it sponsored in Victoria to update their systems to incorporate new standards for interoperability.
While the money on offer was the headline, no one is under any illusion that this is the end of the road for what has been an intractable problem for well over a decade. In fact, pretty much everyone agrees it's just the start. Pulse+IT has written numerous screeds about the many challenges – technical, financial, cultural and practical – that face the healthcare industry in achieving a secure system of electronic communication so we won't repeat them again, but we will point you to an opinion piece we published yesterday by by Peter MacIsaac, who does a great job outlining some of the many challenges that remain, particularly around aspects such as message content and vocabulary adoption.
As the hoo-ha over My Health Record dies down, this week the industry turned its attention back to a problem that has dogged the Australian healthcare system for well over a decade: secure messaging interoperability, or lack thereof, and the continued reliance on paper for clinical communication between different settings.
New Zealand is well on the way to solving this problem because it primarily uses one messaging service but also because its Health Information Standards Organisation (HISO) has managed to get consensus within the industry on standards for messaging along with code sets, security and privacy. New Zealand also has the benefit of a mature National Health Index (NHI) patient identifier and its associated health practitioner index.
For those among us who have despaired at the bungled, fumbled, laborious roll-out of the My Health Record over the last seven years, have we got news for you! The Australian National Audit Office (ANAO) has decided to take a look at the implementation of the system in all its gory details, and you get to have your say.
The ANAO has announced it is holding an audit to “assess the effectiveness of the Australian Digital Health Agency's implementation of the My Health Record system”. The audit will not cover the merits of government policy, it says, but it does have a role in assessing the efficient and effective implementation of government programs. You have until April 14 to have a say, with a report to be delivered in October.