It's birthday time again for Australia's My Health Record system, which will next week celebrate eight years in operation following two years of gestation. And a difficult birth it was, as we not-so-fondly remember. Our reminiscing was inspired not just by its approaching birthday on July 1 but by a press release from the Australian Digital Health Agency, proudly boasting of a surge in use of the system during the COVID-19 crisis.
The term “surge in use” took us back to 2011 and 2012, when we were breathless with anticipation about the new baby, then known as the PCEHR. Some of our first online stories were about how the medical software industry was approaching the impending birth: first with trepidation, followed by alarm, and then with horror.
As the saying now goes, the coronavirus has brought the digital health sector 10 years of change in 10 days, but this week also brought us a reminder that some things haven't changed all that much. We refer to a return to the old normal, in which state health departments regularly struggle to procure and implement clinical IT systems large and small, as the repeated tendering for a statewide chemotherapy prescribing system in South Australia has shown us. It did it again this week.
Significant under-investment in IT systems and holding on to legacy platforms for far too long is also a constant refrain. This week, the New Zealand Ministry of Health released a current-state assessment of NZ's health assets, including buildings, infrastructure and IT, and it's not a pretty sight. The ministry is estimating that the DHBs will need $2.3 billion over the next 10 years to fix some of their legacy problems and reap the benefits of digital health systems, although even that seems a bit unambitious.