[LINK] Centralised IHI architecture [was: Building the Australian National Health Network]

[Marghanita da Cruz]

Stephen Wilson wrote:
<snip>
> My real beef is not actually with Medicare, it's with the centralised 
> IHI architecture arrived at by NEHTA.  Whomever operates a centralised 
> IHI directory, I think the structural privacy problem is that this 
> architecture centralises IHI resolution and creates needless event 
> logs.  Why should *anyone* know about my consultation with a family 
> planning clinic, ER, drug & alcohol service or mental health service, 
> apart from me and my clinician, and secondarily, other clinicians that I 
> have consented to be involved? 
<snip>

Are you speculating or do you have concrete counter examples 
- to
disprove the proposed model?

For those not up on the TLAs,
From
<http://www.nehta.gov.au/component/docman/cat_view/49-publications/48-connecting-australia/128-ehealthid/129-fact-sheets>
 >    How will the IHI improve healthcare communication?
 > A: There are four key areas where the use of IHIs to 
support the safe and secure electronic
 >    exchange of information will deliver immediate 
benefits for you and your family:
 >    Discharge summaries ? When a patient leaves hospital, 
and information about ongoing care
 >    is communicated to their healthcare provider/s, the 
provider will be able to more accurately
 >    match the information to the correct patient.
 >    Pathology Tests ? When a patient?s tests results are 
sent to their healthcare provider/s,
 >    the provider will be able to more accurately match the 
test results to the correct patient
 >    record.
 >    Prescriptions ? Pharmacists can be more confident when 
receiving electronically lodged
 >    scripts that the script is matched to the correct 
patient, resulting in safer dispensing of
 >    medications.
 >    Referrals ? When patient records and case histories 
are communicated between the referring
 >    healthcare provider and a specialist, the specialist 
can more efficiently check they have the
 >    correct information for the correct patient.

-- 
Marghanita da Cruz
http://ramin.com.au
Tel: 0414-869202