PCEHR

Government

Clinicans

Consumers

Who is the Customer?

Imagine you want a new website for your business.

You ask a web design professional.

But your designer is using…

Paint, instead of Photoshop…

Professionals must have access to professional tools

The government wants clinicians to use

an eHealth record system that is not

designed for clinicians

PCEHR

You don’t ask your plumber to use a Swiss army knife either

Result: 60% of GPs will never use

the eHealth records.

Source: Online Poll by Australian Doctor Magazine July 2013

The current PCEHR does not make the doctor’s job easier

…but is very expensive

TAX

There is chaos, confusion & frustration

Clinicians may not have full access to clinical data

PCEHR

Consumer

Government

Clinicians

?

There are concerning liability issues for clinicians

Question

Do consumers understand what it

means that our health data is collected & used

by the government?

Government owns the intellectual property rights,not the patient or clinician

“We’ve got a hell of a lot of data”. The PCEHR will

“join up the boxes”

!Source: “Potential for big data through the PCEHR”. Pulse+IT magazine 18 April 2013

Who checks the government?

And the real customer is…

a. Consumers

b. Clinicians

c. Software companies

d. The government

How do we make sure clinicians will use the

PCEHR?

Answer: Make it clinician-centred

When clinicians are happy

Happy doctors

PCEHR uptake

eHealth benefits

Quality outcom

es

Happy patients

When clinicians are unhappy

Unhappy

doctors

Low PCEHR uptake

Less eHealth benefits

Less quality outcom

es

Unhappy

patients

Did you know?

An Australia-wide alternative is available for under 10M

per year!

Savings could be used to incentivise clinicians

Pushing is not going to work

Source: www.damnfunnypictures.com

Australia needs a better eHealth solution.

4 take home

messages

Take-home message 1

Patient-centred care needs a clinician-

centred eHealth record.

Take-home message 2

Governmentshould not have

access to patient data.

Take-home message 3

IP rights of patient datado not belong to the

government.

Take-home message 4

Improve governancewith help from clinicians, consumers & technicians.

“Be a yardstick of quality” Steve Jobs

Click here to read what doctors have said about the PCEHR

Or go to: http://doctorsbag.wordpress.com/2013/07/17/money-pcehr-wishlist (comments)

2013 Edwin Kruys (Twitter: @EdwinKruys). No conflicts of interest declared