eHealth - when "We told you so" gives no satisfaction

First it was privacy concerns which headed the list of reasons why the proposed eHealth scheme could be one of the worst ideas Federal Labor has come up with in the last one hundred years – now it seems the very wheels are thought to be falling off the national database wagon and it may even be dangerous to patient health.

The Australian 6 February 2012:

THE private corporation established by the federal and state governments to roll out the proposed electronic health records system has been savaged by the software industry and privacy advocates.

Both the Medical Software Industry Association (MSIA) and the Australian Privacy Foundation have told a Senate inquiry hearing in Canberra that personally controlled e-health records should not go live on July 1 as planned.

MSIA president Jon Hughes says industry has lost confidence in the ability of the National eHealth Transition Authority (NEHTA) to deliver the program.

"There is evidence of a lack of probity, ineffective governance and an inability to deliver targeted programs," he told the inquiry.

"The program risks falling into disuse from the very first day of live operation."

Industry argues the federal health department has not provided the support needed to maintain the e-health records in the longer-term………

Dr McCauley told the committee if data was reformatted as envisaged it could create havoc when it came to listing medications on e-health records because the so-called Australian medicine terminology still had serious issues.

"That medication list (on records) is going to become a major mish-mash of sources of information from different people in different places describing the medication using different names and it's going to be extremely confusing."

Senate Community Affairs Committees Inquiry into Personally Controlled Electronic Health Records Bill 2011 and one related bill

MSIA has repeatedly asked for the information contained in the comprehensive safety report that NeHTA has stated was performed prior to the Health Identifier service going live. This has not been made available. The results of a recent FOI request to DoHA by The Australian, demonstrated that DoHA does not have such a report. The recently discovered design flaws suggest that the safety report, if completed, was not sufficiently comprehensive.
[Medical Software Industry Association submission (PDF 438KB)]

A brief history of the debate on North Coast Voices:

Friday, 17 April 2009  So you want to look through my medical records?

Wednesday, 10 June 2009  Federal Labor and Health Minister Roxon crossing a bridge too far

Thursday, 28 January 2010  e-Health: something's rotten in the State of Kevin

Sunday, 7 March 2010  And these are the people Rudd & Co intend to trust with access to a national database containing all your sensitive personal information?

Monday, 15 March 2010  Who's guarding the guards guarding your personal information?

            Thursday, 14 April 2011  PCEHR opt-in provision expected to allay privacy concerns. Pull the other one!