Pulse+IT Blog

Archetype collaboration building an eHealth infostructure

For the past decade, a growing and vibrant community of international eHealth experts with representation from 86 countries has been successfully collaborating to create an independent knowledge base of computable clinical specifications, ready to use and share in eHealth projects and health records.

Each clinical knowledge specification is based upon ISO 13606 and is freely accessible to anyone for download. Participation in the development of these computable specifications is also open to anyone with an interest in eHealth and with a willingness to share their knowledge amongst the community.

Letter to the editor: eHealth – where we are now

I have just returned from the AMIA scientific meeting with great enthusiasm as to how health professionals can use e-health solutions to improve care provision to patients. Each day since returning I have been looking for opportunities in my own workplace to complete the e-health puzzle.

Today I was reminded just how far we are from completing the puzzle but we must persist as technology can help.

Pulse+IT website access now available

This post is devoted entirely to our new website, which launched a few weeks ago with quite a few additional features and refinements to be rolled out in the weeks ahead.

Whether it be as a reader or as an advertiser, our plans for the new website are more than cosmetic so please take the time to review this post and be sure to get in touch if you have any queries or feedback.

Crowd-sourcing the cost of the PCEHR

A billion dollars is such a nice, round figure. It is also a nice, big figure. So big in fact that it seems to have attached itself to every mention of the PCEHR despite it being difficult to find evidence that it is in fact the true cost of the system.

A recent example is an article by News Corp's veteran health reporter Sue Dunlevy following a Senate Estimates hearing, in which Greens health spokesman Richard Di Natale asked a few pertinent questions about the hold up in the government's response to the Royle review into the PCEHR.

Ms Dunlevy calculated that if the PCEHR cost $1 billion to build, and there were currently about 42,000 shared health summaries on the system, then that would mean each shared health summary cost $24,000.

That sounds about right on the face of it, but that also means accepting that the $1 billion price tag is correct. There are some questions over this, despite it having become an article of faith.

In Senate Estimates, Senator Di Natale asked the Department of Health's first assistant secretary for eHealth, Linda Powell, how much both governments had invested in the system so far.

“It depends on what you count and when you want to count it from, Senator,” Ms Powell replied, rather mysteriously.

Filling in the gaps in PCEHR expenditure

As we mentioned last week, Pulse+IT is conducting an exercise that aims to gather as much data as possible on expenditure on eHealth activities in Australia, starting with the cost so far of the PCEHR.

We plan to take the headline figures and break them down to hopefully provide an accurate assessment of where the money has gone, for what purpose, and ultimately what the investment has delivered to the health sector.

As you'll see from our preliminary figures, we still have quite a few gaps to fill in before we can come close to a realistic breakdown, and it has become obvious that the main challenge will be finding out how much the states and territories have contributed from their own budgets beyond their share of funding for NEHTA.

It's pretty easy to outline the headline figures: since the announcement by Nicola Roxon in 2010, the federal budget papers show there have been three allocations for the build and operation of the PCEHR adding up to $739 million. However, it is not clear exactly where that money has gone, particularly the first tranche of $466m over two years announced in the 2010-11 budget.

PCEHR lost in the political turmoil

It seems like just yesterday that Department of Health CIO Paul Madden was taking great delight in taking the mickey out of Pulse+IT's seemingly obsessive reporting on all things PCEHR.

In fact, it was at the Rural Medicine Australia (RMA) conference in Sydney last November, when Mr Madden, responding to our question as to why most people found out about what was happening with the PCEHR through the pages of Pulse+IT rather than official channels like NEHTA or DoH itself, gently mocked us for writing about its slings and arrows so constantly.

We're still writing about it, but it's getting harder and harder to keep up the enthusiasm for what now seems to be considered a forgotten relic of previous adventures. Figures on the tiny amount of shared health summaries on the system seem to show that most GPs have lost their enthusiasm entirely. (After one year of operation, the PCEHR contained 2000 SHSs; by the end of two years of operation, this had grown to 23,000. Last December, the number was 38,200.)

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