An experienced industry participant and observer sent along the following a few days ago.
It seemed to me there were some interesting questions to which I had not much in the way of answers. So with permission here it is.
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Hi David
I think the COAG outcome has some significant ramifications for NEHTA, in that it has already been given whatever money it is going to get for quite some time
- hence it had better use it expeditiously
- with the new arrangement some of that money might possibly evaporate (but I doubt it)
Now that the Feds are to be responsible for funding ALL 100% of the Primary Care sector plus 60% of the hospital sector why should the states continue to pay 50% of the cost of funding NEHTA?
And take THE BIG projects like Vic's HealthSmart. What does the new COAG agreement do to the development and service delivery model of the one-size-fits-all approach of HealthSmart?
Is this a good time to stop for a rain check on IT development in health in each state?
In Vic does the HealthSmart strategy complement the concept of PHCOs and Hospital Networks as envisaged by the Rudd government?
Does each state need to develop a 'different' Hospital and Primary Care IT strategy or should the same strategy apply to all?
Who should be funding (this) these strategies?
Where does NEHTA fit?
What does it mean for the health software vendors?
Is it business as usual for the foreseeable future or is it timely to review the status quo pronto before events of recent days unravel too far?
I mean, let's face the fact(s), 'for health reforms to be effective they must be underpinned by the delivery of fast, high quality, integrated, health software solutions across the whole of health.
Should Australia be waiting for NEHTA or should a different approach be adopted?
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Anyone got some views, comments etc. I am sure there are also other questions that arise from this non e-Health outcome from COAG.
Have a great ANZAC Day Weekend – Lest We Forget!
David.
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