Considering the dysfunction observed in the HSE, privatization may not necessarily be a bad thing.The same unions run the HSE, the Dept of Health, etc. solely for the benefit of their members. It is a fallacy that any Minister or HSE head has any degree of control or influence over any aspect of our health service. They want the HSE to kill itself off and hand the whole kit and kaboodle over to private enterprise a la the USA.
Given that the various hospitals and hospital organizations, voluntary, private, public, HSE, etc can't (won't?) share clinical data digitally, could the Minister or his next IT guru commit to making my health records available to me as Clinical Document Architecture files, CDAs, so I can carry them with me on my iPhone?
Rather than carry bits of paper with details of my medicines around with me from hospital to hospital and doctor to doctor, I now have these available digitally on my iPhone and I want to add the CDAs so I am independent of the various nefarious IT systems in misuse
You're both very welcome.Thanks.
Thanks.
The same unions run the HSE, the Dept of Health, etc. solely for the benefit of their members. It is a fallacy that any Minister or HSE head has any degree of control or influence over any aspect of our health service. They want the HSE to kill itself off and hand the whole kit and kaboodle over to private enterprise a la the USA.
Given that the various hospitals and hospital organizations, voluntary, private, public, HSE, etc can't (won't?) share clinical data digitally, could the Minister or his next IT guru commit to making my health records available to me as Clinical Document Architecture files, CDAs, so I can carry them with me on my iPhone?
Rather than carry bits of paper with details of my medicines around with me from hospital to hospital and doctor to doctor, I now have these available digitally on my iPhone and I want to add the CDAs so I am independent of the various nefarious IT systems in misuse
My observation is the same as @Protocol’s.
If Mr Curley found his task was made impossible then it is reasonable to ask whomever made it impossible to explain themselves, regardless of union representation.
Who appoints hospital administrators? Are there different grades of administrator. To whom do they report?
The instance you mentioned is extreme. That is not the case with most employees.The questions that you need to ask are: how can they be bought to heel and what sanctions would they face if found not to be delivering.
Supplementary question: if they were threatened with dismissal and sought a High Court injunction how long would the full dismissal process take?
(If you want some help with the timings, then you only need to think of a case involving a certain educator which is currently crawling its way through the High Court! Meanwhile he remains on full salary).
In particular, I am thinking of the continued maintenance of paper records when those records have already been digitized.
That is a complete waste of public money which would be difficult for any administrator, union or indeed anyone to justify.
I agree.I'm in the HSE and in the last few years we've had PPARs, the X Ray system, iPMS, a new annual leave counter, ( I really don't know what else it does), a record management system introduced.
Using the term administrator is very old school. We now call them hospital managers, business managers, COOs, CFOs, General Manager etc.
This guy gave no notice so obviously there was a big row. He's doing the usual it's all the administrators fault but all the nurses and doctors are marvellous.
I'd like more specifics.
Perhaps they were back in the day.
So are stand-by batteries and generatorsAnd they're quite handy whenever there's a long power outage too.
This is exactly the conclusion that right-wing governments want their citizens to arrive at; just look at what's happening to the NHS at the moment. Look at the track record of those who own private healthcare in Ireland at the moment, and tell me there is not a powerful lobby interested in running the HSE (competition) into the ground, in order to then declare it not fit for purpose. This is exactly the method that was used to destroy competition in the construction sector (in the form of local authority house building), resulting in a homelessness crisis in what is allegedly one of the wealthiest countries in the world.Considering the dysfunction observed in the HSE, privatization may not necessarily be a bad thing.
A 77% increase in funding in the past decade is a peculiar way of running something into the ground.. Look at the track record of those who own private healthcare in Ireland at the moment, and tell me there is not a powerful lobby interested in running the HSE (competition) into the ground, in order to then declare it not fit for purpose.
No, firstly the old racket of councils building what were literally ghettos, and getting political crony contractors (some of whom were councillors themselves or close family members of councillors) to build them and then letting them fall into decrepitude within as little as 15 years was the antithesis of competition.This is exactly the method that was used to destroy competition in the construction sector
(in the form of local authority house building), resulting in a homelessness crisis in what is allegedly one of the wealthiest countries in the world.
All of which is indicative of a lack of competition rather than a surfeit of it.If the current government was in fact serious about implementing Sláintecare -- which clearly they are not, as evidenced by numerous recent high-profile resignations -- then there would be consequences for those who allowed things like the 2021 HSE cyberattack to happen; who got fired over that? What about the three-fold increase in the cost of building what will now be the most expensive hospital on the planet, for which nobody is apparently accountable? The list goes on.
It's actually 23 thousand million Euro every year, and going to escalate as our population ages.It's actually quite difficult to spend twenty thousand million Euro every year, and still end up with citizens dying because basic healthcare was not available to them when they needed it.
Agreed.Maybe, just maybe, the HSE with its oodles of money, ludicrous inefficiencies and bizarre work practices, just isn't fit for purpose?
I'm more interested in the track record of the Public healtcare sector at the moment & their accountability in terms of value returned or lack therof. I & probably most of us on AAM are paying for it every month through our tax contributions. The words I'd use to describe the efficacy of the Irish healtcare system would get my post deleted & perhaps get me banned.Look at the track record of those who own private healthcare in Ireland at the moment, and tell me there is not a powerful lobby interested in running the HSE (competition) into the ground, in order to then declare it not fit for purpose.
I genuinely don't understand the parallel, or what was allegedly done to destroy compteition in construction sector, could you spell it out for me? (sincere)This is exactly the method that was used to destroy competition in the construction sector (in the form of local authority house building), resulting in a homelessness crisis in what is allegedly one of the wealthiest countries in the world.
Agreed. Doesn't this illustrate that there is room to consider privatisation? Between the Health Board 7 the HSE model I have no memory of the health service in Ireland ever really being good. Let's start with good. Excellent, world class & all that jazz can come later - let's start with good.If the current government was in fact serious about implementing Sláintecare -- which clearly they are not, as evidenced by numerous recent high-profile resignations -- then there would be consequences for those who allowed things like the 2021 HSE cyberattack to happen; who got fired over that? What about the three-fold increase in the cost of building what will now be the most expensive hospital on the planet, for which nobody is apparently accountable? The list goes on.
It's actually quite difficult to spend twenty thousand million Euro every year, and still end up with citizens dying because basic healthcare was not available to them when they needed it.
Why in a State of 5 million people do we need a HSE?
Surely the Dept of Health should be running the public health system?
As for the system as it is - we took something like 3,000 beds out of the Public Hospitals in 1987.
Less than half of them have, I hear, been restored.
Population in 1987 c3.5m
Population in 2023 c5m.
You can't fit a Quart into a Pint bottle (or for younger readers) 2 litres into a litre bottle
"There is a “risk of error” in the accident and emergency department of University Hospital Limerick (UHL) because it is using two different patient record systems, according to an expert report. The expert patient flow report, which was carried out by Deloitte and commissioned by UHL hospital management, said the department is using two different electronic patient management systems, Maxims and the Integrated Patient Management System (iPMS). It said there was “no obvious rationale” for this, and said it was leading to “duplication and complexity”. (Business Post).
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