Senate Estimates - Community Affairs - November 20 2013 - Live Blog.

Just a few notes - Errors and Omissions my fault.

Started Late 5.48 Pm

Straight to e-Health.

Jane Halton brushing back her hair as usual..

The PCEHR Review.

Is announced. Has the 3 people we already know.

Team has started and TOR have been announced.

Quick review is happening.

How is it operating? - has a secretariat but DOH is not involved.

Review funded out of Department of Health - budget is $15,000 each per day for 2/3 consultants / reviewers.

No Global Budget.

No public submissions have been asked. Are staying quiet on who has been approached.

Review - Asked lots but did not ask me until they called!

Why was it not advertised via e-System?

Halton - no idea if it will be published when done.

Estimates Committee wants to know whether public or not.

Mr Fleming - will providing submission from NEHTA.

Halton - No idea will be made public.

Total Cost - Rapid Integration Project - lots of components - ID + interfaces - So many systems to deal with Fleming - Cost $13 Million

Middle next year 50% covered. 75% of admissions covered.

Basically ACT and only SA and maybe NSW with Qld off and running.

Total Hospitals that can view and add - for Discharge Summaries.

Hospitals upload Discharge Summaries. No one else.

Have not worked with private hospitals at all.

Madden - are creating middleware to set up communications..

Total PCEHR Registrations: 1,100,500 or so

Shared Summaries 11,036 so far

Software available since April - so very slow uptake and use.

Halton - claims very quick adoption…NT was slower - claims reasonable rate.

Boyce - asks what is needed - 1% not enough - what is happening.


Halton - claims NT works so well….but 40,000 involved.


Halton - No target users numbers.


Halton - claims lots of the $1.0 Billion is mostly spent on standards - not the PCHER. (just nonsense I reckon.)


Will middleware cause issues?


Madden says not. He had no idea in my view - testing for a few months.


He claims no problems


Halton - claims being ripped off by big vendors.


Boyce - mail out to GPs - encouraging use and input - not much of a response.


Health - No idea how many specialists are involved.


Health - Seems have no idea of take-up rate.


113 summaries to PCEHR from Qld Health in 2 days. How many discharges in Qld in 2 days - thousands (8000 per day).


Madden - looking keen to defend but has no idea given such low activity..


Madden - claims needs more information - no claiming to chat about Meaningful Use.


44383 records have been looked up of some sort of a document in the PCEHR - no idea how many users that means.


Acute care setting - no idea how many viewed


Halton - really no idea what is happening in terms of real use.


Aspen delivered 580,000 registrations!!!! NEHTA have similar contract to deliver 150,000 by end December.

They are clearly just chasing people - can’t say cost.

Accessed after registration - no idea - (Meaning - no one is really using the system).

Are asking when admitted - do you want discharge summary to happen via GP. (Grasping at straws)

System Cumbersomeness - Still bad - hoping to improve (Madden)

Madden - trying to make easier to register. No idea really how to fix…

Boyce - Accenture Payment - $1.5 Million a month - ends 30 June 2014.

Madden -Child registration downloaded 14,900 times - all of 7,000 have the app.

Halton - is giving evidence to PCHER review.

----- End E-Health 5.33pm

What a joke. Asked when will lose T in NEHTA - decision for Government says - Fleming!

David.

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