Basil Bekdash

[Basil Bekdash @BasilBekdash]

@bookingcom Here's hoping. I have sent a DM but as I said over a year of patient private multi-target communication met with "computer says no" at best.
I hope you'll restore some faith this time.

[Basil Bekdash @BasilBekdash]

@bookingcom can't deal with a deleted email account. Customer support, their data protection office, DM to socials and CEO email all silent.
After years & £1000s of use, a registered and active credit card & phone number only access to the deleted account will allow login update.

[Basil Bekdash @BasilBekdash]

@MedicsMoney @Oohgpwales @Abi_Rimmer Depends on whether any single role is nominal full time or not. Keeping employment/pay with one organisation and getting the other tonbuy back your time can help workaround the problem. But you're right the pain is real!

[Basil Bekdash @BasilBekdash]

@Abi_Rimmer How about......What if they won't appoint you?
Alternatively What if I'm not cut out for X or picked the "wrong" specialty (but I'm not sure!)
Lots of mileage in either so long as the stock responses aren't given.

[Basil Bekdash @BasilBekdash]

@haroldthimbleby @HayleyGrafton Exactly! I've never understood this......now I realise it's largely an issue of proprietary formats and the lack of a universal data format.
Separation of data from application is much talked about but unless it allows this it won't be real.

[Harold Thimbleby @haroldthimbleby]

@HayleyGrafton Why isn't the EPR run in parallel with the existing system so go live isn't a jerk? Like, I can transfer from MS Word to OpenOffice any time I like, or from Excel to Numbers, and report bugs and go back if they don't work for me....

[Basil Bekdash @BasilBekdash]

@mwardle @alliterateant Interoperable of course.....interoperabile is something that happens during surgery and usually not in a good way!

[Basil Bekdash @BasilBekdash]

@mwardle @alliterateant It always feels like the rush to an outcome shortcuts the need for some radical rethinking.
The specific "code" should be almost irrelevant and recreatable from scratch from the data at will. Sustainable, "open", portable and inherently interoperabile data requires that shift.

[Basil Bekdash @BasilBekdash]

@dochawking @GaryMcAllister @ianmcnicoll @phcsg @UrgentCarePlan I always find it interesting/disappointing that a forward longview informed by the past perspective isn't more central to strategy.
Completely agree with the US dominance being unsuited to more general needs and in my view a more ideal focus.
It is complex but not too complex.

[Basil Bekdash @BasilBekdash]

@dochawking @GaryMcAllister @ianmcnicoll @phcsg @UrgentCarePlan Things have certainly changed since the 90s but although they will be better there is probably still something fundamentally wrong.
I'm not sure, but I think the design heirarchy is wrong and we need Individual care>Operational performance>Population Health>Academic discovery.

[Basil Bekdash @BasilBekdash]

@mwardle 12yrs isn't that old in the grand scheme of things.....it's not as if the problem is solved!
I shall take a look at the current effort.
The strategy and policy need to acknowledge the limitations of current "interoperability" thinking which is why this stood out to me.

[Basil Bekdash @BasilBekdash]

@MarkBaileyCI @CompareSoftware System convergence may well be the talk of the day but it was also clear in the FCI webinar that convergence of purpise was key to the GNCR

Not enough said about the purpose of the record and what in fact it is. And of course.....cui bono