Sunday, 12 February 2012
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IT has provided the opportunities for governments to remodel the entire process of tax collection over the last decade. It is, however, a continuously evolving process and governments the world over need to constantly upgrade their tax systems to optimise their revenue workflows.
A recent SAP study confirmed that those organisations which adopt best practices in the areas of scope and adoption, process standardisation, technology and customer governance, do perform better, and do so as their best practice maturity increases.
The advent of social media has seen governments hopping onto the bandwagon in a bid to further engage citizens.
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Vendors in New Zealand are rushing to estimate the cost of the country’s national Electronic Health Record system and how it should be built. A request for information was issued last year, to which 30 suppliers have responded.
Bennett Medary, Manager Directo of The Simpl Group, which is managing the procurement process of seven District Health Boards (DHBs), estimates that the cost of a nationwide system is likely to fall between $50 million (US$33 million) and $150 million (US$100 million).
The seven DHBs, which have formed Health Management System Collaborative, plan to issue a tender for the system next year.
A nationwide EHR system is expected to save the healthcare sector hundreds of millions of dollars.
Suggesting a ‘middle path’ whereby DHB would maintain a summary record of patient data at a regional level instead of interconnecting comprehensive medical records, Ian McCare, Chief Executive of local health IT company Orion Health, believes the national system would cost as high as NZ$100m to US$300 million (NZ$459 million).
Meanwhile, Australian eHealth company iSoft thinks that such a system would cost at least US$300 million.
Gary Cohen, iSoft’s Chief Executive says that given the US has allocated US$19 billion HER funding for 300 million people, New Zealand would have to pay at least US$300m to establish a nationwide system.
Cohen also believes the country should set up a system holding complete patient records, rather than a summary as suggested by Orion Health, so that health provides would not need to hunt for detailed information on patients.
The Simpl Group’s Medary says that clinicians and patients, “rather than vendors and IT folk”, should decide what is required.
He also dismisses the idea of translating the American situation to New Zealand, saying that the latter’s size and ready acceptance of technology make it easier for a national system to be implemented.
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