Just updated to let people now about an important meeting in Brisbane on Digital Disruption in Health 23 September 2015. Looking forward to hearing all the solutions! Click for details – HISA Qld – Digital disruption and the future of health
Arriving in 2030 and we have a problem!
No it’s not rising sea levels – which will of course be an astronomical challenge with new diseases and the spread of new hosts and vectors and drug resistant infections – it is the complexity of our eHealth systems around the world. They are now so complex that they are stagnating and costing unimaginable amounts of money and expert resourcing to maintain. Even the experts are moving to more profitable development spaces and the turnover in the industry is impacting on knowledge retention and the ability to maintain legacy systems once integral to digital health facilities.
There is increasing concern at the steady incidence of adverse occurrences, medication mistakes, genetic splicing errors, privacy and security attacks and a continuing increase in complaints by consumers that their care has become ineffective. Chronic disease sufferers are struggling to understand their personal records and Coroners around the world are criticizing the software giants for decision systems that are out of date, have allowed poor decisions to be made and with rules that do not reflect current evidence for best practice. Governance costs are steadily growing at the expense of direct patient care. We have reached a terminal point. Decisions made, or more correctly not made, have taken us down pathways that are no longer comprehensible.
Previously immensely wealthy developers of health systems are locked in legal conflicts losing millions in settlements and contractual arguments as they find themselves unable to make their systems cope with rapidly emerging demands. Terminologies have become so complex that even small changes bind them into conflicts as decision systems fail abruptly and prevent the upgrading of decision systems. Failed interoperabilty between jurisdictions is causing dissatisfaction with vendors, consumers and regulatory bodies.
Fiction? Yes of course. No one would ever let such important systems get to that point, would they?