When Wondering What Is Going On It Is Always Wise To “Follow The Money”.
This popped up over last weekend.My Health Record money trail: Questions raised over health lobby groups ‘on payroll’Sue Dunlevy, National Health Reporter, News Corp Australia Network28 July, 2018EXCLUSIVEIN the wake of a growing public backlash and increasing scrutiny of the My Health Record, key health lobby groups backing it are declaring themselves to be on the payroll of the agency rolling it out.We can reveal the Australian Digital Health Agency has spent millions of dollars of taxpayers money trying to co-opt the support of leading health and consumer groups for the government’s online My Health Re...
Source: Australian Health Information Technology - August 1, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Surely It Is Now The Opportunity To Fully Re-Consider The Path Forward With The myHR.
Small thought. Now we see that flexibility is possible, how about we get a full competent strategic review of the myHR with review by the Auditor General, a proper review (evidence-based) of what is actually needed in a National EHR System (if anything), and a proper business case and privacy impact statement of any final design. We have wasted $2 Billion doing this with evidence free dogma - time for a change! Isn't it funny to see all those organisations who said the myHR was wonderful as it, was welcoming change! David. This is the initial part of the post - read more by clicking on the title of the article. David....
Source: Australian Health Information Technology - August 1, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

A Great Insight From Pat Campbell. Got It In One!
David. This is the initial part of the post - read more by clicking on the title of the article. David. (Source: Australian Health Information Technology)
Source: Australian Health Information Technology - July 31, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Commentators and Journalists Weigh In On The MyHR Debate. Lots Of Interesting Perspectives - 2.
Note: I have excluded any commentary taking significant funding from the Agency or the Department of Health on all this to avoid what amounts to paid propaganda. (e.g. CHF, RACGP, AMA, National Rural Health Alliance etc. where they were simply putting the ADHA line – viz. that the myHR is a wonderfully useful clinical development that will save huge numbers of lives at no risk to anyone – which is plainly untrue)-----https://doctorsbag.net/2018/07/26/its-not-just-the-my-health-record-we-should-be-concerned-about/It’s not just the My Health Record we shou ld be concerned about26/07/2018 Edwin Kru...
Source: Australian Health Information Technology - July 31, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 30th July, 2018.
Here are a few I have come across the last week or so. Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General CommentOpt-out Week 2 and what a fiasco – there is little else to say.-----  Opt-Out News Start.https://ajp.com.au/news/minister-moves-on-mhr-privacy/Minister moves on MHR privacyMegan Haggan — 27/07/2018The Health Minister is working with stakeholders such as doctor groups to address concerns about privacy and securityIn a d...
Source: Australian Health Information Technology - July 30, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

There Are Many Groups In The Community Who Will Really Struggle With The myHR Opt-Out.
As we all know with most programs delivered by Government Opt-In is the best way to proceed. You can think everything from Age Pensions to Medicare Claims. No-one forces you to take the money or claim a pension if you don ’t want to.With the myHR it seems it has been decided we are to given a record whether we want it or not unless we take advantage of the period available to opt-out of having a record which only runs till October 15, 2018.The core point is that to stay out of the system you need to know what is go ing on and be able to record your preference via the internet, phone or attendance at an appropriate Go...
Source: Australian Health Information Technology - July 29, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 433 – Results – 29th July, 2018.
Here are the results of the poll.Does The Huge Singapore Health Data Breach (Of A System Technically Similar To The myHR) Doom The Australian Opt-Out Initiative? Yes 86% (175) No 9% (19) I Have No Idea 4% (9) Total votes: 203 Basically most think that the huge Singapore Breach was a game changer! With all that has gone on since last Sunday (disappearing documents, political noise etc.) it will be hard to know overall but I am sure it has had a major impact. Any ins ights welcome as a comment, as usual. A really, great turnout of votes! It must have been a slightly harder question as 9/203 readers were not sure wh...
Source: Australian Health Information Technology - July 29, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 28th July, 2018
Here are a few I came across last week.Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.-----https://www.healthcareitnews.com/news/top-patient-safety-pain-points-and-where-focus-improvement-effortsTop patient safety pain points and where to focus improvement effortsBegin by eliminating the false sense of safety that manual reporting produces and, from there, target these key areas.By Bernie MonegainJuly 20, 2018 08:37 AM Many healthcare organizations ar...
Source: Australian Health Information Technology - July 28, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Your My Health Record Disaster Catch Up For The Week
This appeared late yesterday: The Five Biggest My Health Dramas Of The WeekJosh Butler Ten Daily Senior News ReporterFri 27 Jul 2018 4.23 PMDoctors, police and government at odds over privacy and access to health information.It's been another week of bodyblows to the Federal Government's controversial My Health records system. Leading doctors have publicly lost faith in the framework,  while police and government are at odds over how sensitive information could be accessed. The supposedly independent parliamentary library published, removed then substantially amended a research paper on how the My Health laws ...
Source: Australian Health Information Technology - July 28, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Parliamentary Library "Flagpost" On Law Enforcement Access Returns. The Old Version Moved The Dial I Believe.
We have a new version late yesterday: Law enforcement access to My Health Record dataPosted 26/07/2018 by Nigel Brew Note: This FlagPost was originally published on 24 July 2018. It has since been amended to reference the provisions of the Privacy Act 1988 relevant to the release of health information by private medical practitioners. As an adjunct task, it has also been updated to reflect developments since its original publication. The Library is committed to providing the highest quality information and analysis to the Parliament and always welcomes feedback on its work. My Health Record (MHR) was introduced in June 2...
Source: Australian Health Information Technology - July 27, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Thought It Would Be Fun To Just Do Some Analysis Of The Propaganda Put Out By The ADHA.
This appeared early last week:My Health Record: a health care choice for all AustraliansAuthored by  Meredith MakehamIssue 27 / 16 July 2018 OVER the next 3 months, people around Australia are being offered an important choice about how they want to interact with their own health information. By the end of 2018, all Australians will have a My Health Record created for them, unless they choose not to have one.Their decision will be just that: one for them to make after considering the benefits of having immediate online access to their own data about their health and care, and being able to have their clinicians see th...
Source: Australian Health Information Technology - July 27, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Important MyHR Document Seems To Have Been Taken Down By Someone. Take A Copy To Keep.
This is no longer findable on the Parliament web site …Law enforcement access to My Health Record dataPosted 23/07/2018 by Nigel BrewParliamentary LibraryMy Health Record (MHR) was introduced in June 2012 by the Gillard Labor Government originally as an opt-in system known as the Personally Controlled Electronic Health Record (PCEHR) before legislati ve amendments in 2015 introduced by the Abbott Coalition Government renamed it and laid the groundwork for it to become an opt-out system. Law enforcement access to MHR data is among the privacy concerns raised about the program, but this provision was in the original l...
Source: Australian Health Information Technology - July 26, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.
July 26, 2018 Edition.Last week was truly spectacular for Trump from a failed humiliating summit in Helsinki, backflips by the dozen, threats to almost totally block Chinese trade and the discovery of tapes of he and his lawyers organising to pay of mistresses. What a sad pathetic and ignorant leader he is.Brexit seems to be imploding as each day passes and where it will lob in the end who knows.In Australia, by the time you read this we will only be days away from the 5 by-elections. The outcome is likely to change our politics all the way till the next general election.-----Here are a few other things I have noticed...
Source: Australian Health Information Technology - July 26, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Is The Privacy Policy You Have When You Want Maximum Flexibility.
I spotted this at the bottom of the MyHealthRecord Privacy Policy.Changes to this privacy policy We reserve the right to revise this privacy policy or any part of it from time to time. Please review this Policy periodically for changes. Any revised policy will be placed on our website. Your continued use of our website, the My Health Record system, requesting our assistance, or the provision of further personal information to us after this privacy policy has been revised, constitutes your acceptance of the revised privacy policy.Here is the link and this is the last paragraph:https://www.myhealthrecord.gov.au/abo...
Source: Australian Health Information Technology - July 26, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Breaking News - AMA President Refuses To Insist On Proper Privacy Controls On myHR Data!
At the National Press Club, despite being asked repeatedly, he refused to say he would withdraw AMA support of the myHR roll out unless the Section 70 issues were addressed. Said he would talk with Minister Hunt and ask him to sort it out. He also said that the AMA was speaking out because the ADHA was making such a hash of what he thought was a wonderful initiative that he thought was vital. (i.e. the ADHA Communication Strategy was a flop), He did not mention the A MA MOU from around Budget time that bound the AMA to support the myHR in exchange for an increased Medicare Rebate. To me was a very inglorious and obfusc...
Source: Australian Health Information Technology - July 25, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Think There Is A Deep Underlying Reason Why Opt-Out Might Find Itself Struggling.
I don ’t often bring Paul Kelly – Editor-at-Large of The Australian – onto these pages but his effort on Saturday last week struck a chord with me.Trump and Brexit: Existential crisis torments great democraciesThe Australian12:00AM July 21, 2018Paul KellyThe West lives through an era where democracy is under serious threat from within given the two great democracies — Britain and the US — are sunk in existential trauma over separation from Europe and the Trump phenomenon respectively.It is folly to think Australia is immune from the democratic malaise. Our problems and our symptoms are dif fer...
Source: Australian Health Information Technology - July 25, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Conversation - What A myHR Breach Might Look Like.
This appeared this morning. What could a My Health Record data breach look like? July 24, 2018 4.38pm AEST AuthorCassandra Cross Senior Lecturer in Criminology, Queensland University of Technology Last week marked the start of a three-month period in which Australians can opt out of the My Health Record scheme before having an automatically generated electronic health record. Some Australians have already opted out of the program, including Liberal MP Tim Wilson and former Queensland LNP premier Campbell Newman, who argue it should be an opt-in scheme.  But much of the concern about My Health Records centres ...
Source: Australian Health Information Technology - July 25, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Influential Commentators and Journalists Weigh In On The MyHR Debate. Lots Of Interesting Perspectives.
Note: I have excluded any commentary taking significant funding from the Agency or the Department of Health on all this (CHF, RACGP, AMA, National Rural Health Alliance etc.) Each article is much longer than shown and I just provide a link and the first few paragraphs. -----https://www.theguardian.com/commentisfree/2018/jul/20/there-is-no-social-license-for-my-health-record-australians-should-reject-itThere is no social licence for My Health Record. Australians should reject it Julia Powles The Australian Digital Health Agency’s bullish approach to My Health Record shows it learned no lessons from the UK&rsquo...
Source: Australian Health Information Technology - July 24, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

A Lot Happened On The myHR Front Yesterday. Here Is A Summary.
This appeared this morning: Denham Sadler July 23, 2018  MHR legislation contradicts agency Health Records Catherine King: Government has failed to communicate effectively The agency behind the federal government’s troubled My Health Record service is continuing to maintain that it would not hand over sensitive medical information to authorities wit hout a warrant, despite the legislation underpinning the system not reflecting this. It comes as politicians from both sides of politics raised concerns with the electronic health record and confirmed they would opt-out from the service. The Opposition has bro...
Source: Australian Health Information Technology - July 24, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Bipartisan Approach To The myHR Just Died.
Here is the release from Labor. The game is now very serious - and we have a chance to get it right maybe! David. This is the initial part of the post - read more by clicking on the title of the article. David. (Source: Australian Health Information Technology)
Source: Australian Health Information Technology - July 23, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 23rd July, 2018.
Here are a few I have come across the last week or so. Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General CommentOpt-out Week 1 and what a fiasco – there is little else to say. Note that Commentary will be covered in a second posting tomorrow. -----  Opt-Out News Start.https://www.smh.com.au/technology/breach-inevitable-in-digital-health-records-20180715-p4zrmb.htmlBreach 'inevitable' in digital health recordsBy Ben Grubb& Jenni...
Source: Australian Health Information Technology - July 23, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Wouldn ’t You Have Expected A Press Release From The ADHA On the Singapore Breach Rather Than On Union Discussions?
As we are now all aware there was a rather large and possibly State-Sponsored Cyber Attack on Singapore Health A few weeks ago that has just been revealed.See here:Hackers steal 1.5 million people's personal data in cyber attack on Singapore's health serviceMore than a quarter of city state's population illegally copied by hackers 'looking for embarrassing information about prime minister'Chris Baynes Hackers have stolen personal information about 1.5 million people in a major cyber attack on the Singapore government ’s health database.More than a quarter of the city state’s population was affected by the&...
Source: Australian Health Information Technology - July 23, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Yet Another Reason To Stay Well Away From The myHR. It ’s Essentially Useless!
The objective of the tenth clinical safety review was to examine the current presentation of clinical documents and clinical information in the My Health Record system via connected Clinical Information Systems (CISs). The review offers usability-focused presentation and design recommendations to enhance clinicians ’ interactions with the system in providing patient care.My Health... This is the initial part of the post - read more by clicking on the title of the article. David. (Source: Australian Health Information Technology)
Source: Australian Health Information Technology - July 22, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 432 – Results – 22nd July, 2018.
Here are the results of the poll.Do The Patient And Government Benefits Of The Opt-Out myHR System Outweigh The Risks (Privacy, Discrimination, Data Breach, Security, Inaccuracy etc.)Yes 6% (12) No 94% (205) I Have No Idea 0% (1) Total votes: 218 Basically most think the diverse risks are too much – by a large margin! Any insights welcome as a comment, as usual. A really, great turnout of votes! Largest ever I believe… It must have been a very easy question as only 1/218 reade rs were not sure what the appropriate answer was. Again, many, many thanks to all those that voted! David. This is the init...
Source: Australian Health Information Technology - July 22, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

An Amusing Cartoon On Data Leakage and myHR Opt-Out.
Love it! David. This is the initial part of the post - read more by clicking on the title of the article. David. (Source: Australian Health Information Technology)
Source: Australian Health Information Technology - July 22, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Stark Graphic Outlines The Consequences Of The Singapore Breach!
I spotted this from SingHealth - was worth posting I thought. What an amazing episode. A warning for all large data-bases. David This is the initial part of the post - read more by clicking on the title of the article. David. (Source: Australian Health Information Technology)
Source: Australian Health Information Technology - July 21, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 21st July, 2018
Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.-----https://www.digitalhealth.net/2018/07/matt-hancock-health-secretary-cabinet-reshuffle-jeremy-hunt/Matt Hancock named as health secretary in cabinet reshuffleMatt Hancock has replaced Jeremy Hunt as the Secretary of State for Health and Social Care with the departing secretary of state claiming his successor has a ‘brilliant understanding of the power of technology’.Hanna Crouch – Jul...
Source: Australian Health Information Technology - July 21, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Singapore Suffers A Huge Health DataBase Compromise - Amazing Timing For Australia.
This was reported a few hours ago... Singapore suffers 'most serious' data breach, affecting 1.5M healthcare patients including Prime MinisterGovernment describes attack as "deliberate, targeted, well-planned" and assures no medical data has been tempered with, but security vendors warn compromised data may end up for sale on the Dark Web. By Eileen Yu for By The Way | July 20, 2018 -- 15:55 GMT (01:55 AEST) | Topic: Security  Singapore has suffered its "most serious" data breach, compromising personal data of 1.5 million healthcare patients including that of its Prime Minister Lee Hsien Loong....
Source: Australian Health Information Technology - July 21, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The ADHA Creates A Fanfare But Then Reveals It Is All Still A Work In Progress.
This appeared last week:https://www.myhealthrecord.gov.au/news/media-release-mhr-increases-path-di-connectionsMedia Release: My Health Record increases pathology and diagnostic imaging connections with Victorian and Queensland services11 July 2018Pathology and diagnostic imaging services such as blood tests, x-rays, ultrasounds, and MRIs help healthcare providers make diagnoses and monitor their patients ’ progress. An increasing number of healthcare providers and their patients are now benefiting from convenient, safe, and secure access to these reports via My Health Record where they may not have access to these re...
Source: Australian Health Information Technology - July 20, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

My Health Record Thought For Friday!
Remember: There is no price to opting out - and you can rejoin whenever you want, but there is a risk for doing nothing and getting stuck in it with the associated risks.  Prudence would suggest you opt-out  for now! David This is the initial part of the post - read more by clicking on the title of the article. David. (Source: Australian Health Information Technology)
Source: Australian Health Information Technology - July 20, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Real Clinical Computer Systems Can Make A Huge Difference - Pity The myHR Is Not One Of Them!
This appeared last week:Lucile Packard Children's Hospital Stanford automates medication management to reduce adverse drug eventsIt has seen a 21 percent decrease in missed doses, a 66 percent reduction in wasted doses and zero reportable adverse events in the past 11 months.By Bill SiwickiJuly 06, 2018 01:11 PMLucile Packard Children's Hospital Stanford initiated various safety interventions for medication administration. Moving from a daily medication cart fill – once every 24 hours – to multiple fills per day – every 2 to 3 hours – and implementing a barcode verification system for all medication...
Source: Australian Health Information Technology - July 19, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

A Must See DIscussion Of Opt-Out From First Dog On The Moon - Very Well Informed!
Click this link, read and weep! https://www.theguardian.com/commentisfree/2018/jul/19/opt-out-cassandra-the-information-technology-wobbegong-on-my-health-record David. This is the initial part of the post - read more by clicking on the title of the article. David. (Source: Australian Health Information Technology)
Source: Australian Health Information Technology - July 19, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.
July 19, 2018 Edition.-----Well Trump has really been on the warpath as an obnoxious bully this last week. He is actually turning out to be worse than I feared. With trade, NATO the UK and Putin what can I say. Loved that 12 Russians have been indicted by a Grand Jury for interfering big time  in the US election, especially as he has now met Putin in Helsinki. He should not have won I believe …. This view is confirmed by what happened next - bare-faced lies and all...Brexit has gone from bad to worse and Boris is gone to the backbench to plot.In OZ it is all about energy after the ACCC report on how we have all...
Source: Australian Health Information Technology - July 19, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Tim Kelsey Keeps On Repeating An Apparent Fib? I Wonder Why?
This is a re-print of a late May 2018 blog. He keeps saying there have been no security breaches when the OAIC says there have been. Who do you believe? ----- Is Tim Kelsey Telling An Untruth Here Or Am I Missing Something? At the National Press Club last week Mr. Kelsey said the following in his prepared speech:----- Begin Extract.Tim Ke lsey:                         My Health Record has a range of protocols which mean that all instances of access by a clinician are attributable directly to that perso...
Source: Australian Health Information Technology - July 19, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

There Are A Few Facts About The myHR That Seem To Have Been Missed.
This very interesting research note appeared a while ago but has some really important implications.Your Privacy, My Health HHG Legal Group Australia May 17 2018 It may be surprising to some that, in Australia at least, there is no fundamental right to privacy. There are laws that protect aspects of your confidential information, including the Privacy Act 1988 (Cth) and associated Privacy Principles, that impose sanctions on those who fail to properly deal with private data. Common law remedies also exist in theory, however there is no readily accessible statutory cause of action that allows a privacy breach victim to clai...
Source: Australian Health Information Technology - July 18, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Another Big Reason To Consider Opting Out While You Can.
On the Drum last night a Panel Member (Dr Suelette Dreyfus, Melbourne Uni. I believe) made the point that those who sign up today are at risk of rule changes in the future. An example might be, for example, five years from now, it may be decided by Government that employers can have access to myHR records. Or is may be decided that insurance companies can access myHR data. Make up other undesirable scenarios for yourself.... Given that once the data is in the myHR i t can't be deleted, the only way you can protect yourself from this sort of regulation change in the future it to opt-out. Think about it. David. This is...
Source: Australian Health Information Technology - July 18, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

What Do Consumers Really Want From Digital Health? A Bit More Than The myHR I Believe.
This appeared last week:What Do Patients, Consumers Want in Digital Health Tools?Ninety-two percent of patients said improving consumer experience should be a top goal when deploying digital health tools.By Sara HeathJuly 12, 2018 - As patients continue to assume the role of healthcare consumer, healthcare providers and payers are beginning to leverage healthcare technology that helps connect patients to their care. Those innovations, when utilized correctly, help drive an overall better consumer experience, according to a recent Black Book survey.The survey of nearly 650 healthcare consumers – 40 percent of who...
Source: Australian Health Information Technology - July 18, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The ABC Answers Some Questions On The myHR With A Few Points I Had No Idea About!
This summary appeared on Sunday 15 July.My Health Record: Your questions answered on cybersecurity, police and privacy Ariel Bogle - Science Reporter – ABC News – 15 July, 2018.Australians have lots of questions about My Health Record.Every Australian will soon have a My Health Record — an online summary of their health information — unless they opt out over the next three months.From Monday, Australians will have until October 15 to tell the Government they don't want one. Otherwise, a record will automatically be created. The project aims to give patients and doctors access to timely medical infor...
Source: Australian Health Information Technology - July 17, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 16th July, 2018.
Here are a few I have come across the last week or so. Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General CommentThe big news today is that the myHR opt-out period starts today and goes for 3 months.If you have even the tiniest concern about just letting the government have and gather your personal health information I suggest you visit and read from the following link.https://privacy.org.au/campaigns/myhr/There are many reasons you may want to s...
Source: Australian Health Information Technology - July 16, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Opt-Out Period Seems To Be Starting Pretty Badly.
Nothing fully verified but: 1. Phone calls to opt-out line are taking a long time to be answered if you can get on at all. Waits if 1.5 hours are being widely reported 2. The myGov portal seems to be up and down. 3. Some people are discovering a myHR they never knew they had, and finding some of the contents in error. I gu ess this is the legacy of those sign-up teams that hid in hospital foyers. I also note this is trending on Twitter: #MyHealthRecord @Asher_Wolf is Tweeting about this And so it goes on and on, on Twitter. Seems like a bit of a mess so far. David. This is the initial part of the post - ...
Source: Australian Health Information Technology - July 16, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

A Lot Of People Have Put A Lot Of Thinking Into Consideration Of The Risks And Benefits Of The myHR.
It has been an interesting week to watch various community and lobby groups come out with the pros and cons of opting out from the myHR.We have had everyone from the Scarlet Alliance (with a carefully thought out paper):http://www.scarletalliance.org.au/library/MyHealthRecords/To Crikey weighing in:https://www.crikey.com.au/2018/07/13/my-health-record-potential-data-breach/And a lot in between.Among the interesting ones have been:ABC Radio:http://www.abc.net.au/radio/programs/am/my-health-record-data-access-for-30-years-after-death/9989172Nine News:https://www.9news.com.au/national/2018/07/12/14/32/medical-data-online-aust...
Source: Australian Health Information Technology - July 15, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 431 – Results – 15th July, 2018.
Here are the results of the poll.Do You Have Confidence In The ADHA Board To Lead Digital Health In Australia?Yes 2% (3) No 97% (145) I Have No Idea 1% (1) Total votes: 149 Basically it seems no one thinks the ADHA board is up to it! I suspect the majority may just be right. What a spectacular fail! If anyone knows any of the Board members you might bring these results to their attention as you can be sure the A DHA Executive won't be publicising  them! Any insights welcome as a comment, as usual. A really, great turnout of votes! It must have been a very easy question as only 1/149 readers were not sure wha...
Source: Australian Health Information Technology - July 15, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 14th July, 2018
Here are a few I came across last week.Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.-----https://www.digitalhealth.net/2018/07/happy-birthday-nhs-a-look-back-at-its-digital-milestones/Happy Birthday NHS: A look back at its digital milestonesAs NHS celebrates its 70th birthday today, professor Daniel Ray, director of data at NHS Digital, reflects on the three major milestones in data and technology that have  impacted the health service...
Source: Australian Health Information Technology - July 14, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Looks Like The ADHA Has A Lot Of Work To Do To Persuade Clinicians Of The Benefits Of The myHR.
The following poll has been running on the AMA ’s Doctors Portal for a few days. As of midday June 8, 2018 here is what the poll reveals.My Health Record will improve patient outcomesStrongly disagree (52%, 105 Votes)Disagree (24%, 48 Votes)Neutral (12%, 25 Votes)Strongly agree (7%, 14 Votes)Agree (5%, 9 Votes)Total Voters: 201So 71% think the myHR will not improve patient outcomes while 12% think it will.What more can you say – the docs seem to think it is useless.On a related topic we have had a new statement about the myHR a few days ago from the College of GPs. Here it is:RACGP Position Statement: My Health...
Source: Australian Health Information Technology - July 13, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.
July 12, 2018 Edition.Well the Trump Tariffs have started and China has responded and it still seems the world is on its axis.  What happens next who knows but Trump may be distracted by a huge blimp flying over London when he visits portraying him naked except for a nappy. Otherwise he just stirs bigotry and hate of the rest of the world as far as I can tell – listened to his Montana Speech a day or so ago – and found it deeply depressing. He is a master spinner and liar but is great at stirring up his alienated base.The UK seems to have found a Brexit compromise which might last a week.In OZ we seem to h...
Source: Australian Health Information Technology - July 12, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Do You Think Minister Hunt Understands What The myHR Can And Can ’t Do. I Don’t.
Mr Hunt had a door stop interview with the ADHA, the Guild, a patient and a pharmacist or two.Transcript of Sydney DoorstopTranscript of Minister for Health, Greg Hunt's doorstop in Sydney regarding the A new digital trial to help patients better manage their medication after they leave hospital and My Health Record.3 July 2018 Topics: A new digital trial to help patients better manage their medication after they leave hospital; My Health Record GREG HUNT: Look I’m delighted to be here at the CBD Pharmacy with Jay the pharmacist and Jen and Michelle and (inaudible) who are behind the counter serving and all magnif...
Source: Australian Health Information Technology - July 12, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Wonder Does The myHR Fall Under This Huge Contract With IBM?
This appeared last week:Updated Jul 5 2018 at 3:38 PM Experts question Turnbull government's $1b contract with IBM after census failby Andrew Tillett Information technology analysts have questioned the decision by the Turnbull government to award IBM a $1 billion contract after the 2016 census debacle.The deal, which covers the whole public service, raised concerns the deal could lock out rival vendors and fail to deliver value for money.The government has touted the five-year deal for delivering $100 million in savings and benefits for taxpayers taking advantage of the Commonwealth's buying power to lock in discounts on h...
Source: Australian Health Information Technology - July 11, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Aust. Privacy Foundation Comments On The Imminent Onset Of myHR Opt-Out Period
-- Media Release -- Australian Privacy Foundation 11 July 2018 For Sale - Your Privacy and Your Health Data.  Did you know that the government is already buying health data from your GP? My Health Record (formerly known as the PCEHR) has been working since July 2012. Initially it was hardly used, which raises the question – if it’s so good why was it not promoted and used by GPs? Rather than address the many failings of the system the government decided to do two other things: The first was to change it from an opt-in system to an opt-out. That means rather than you choosing to be registered, the g...
Source: Australian Health Information Technology - July 11, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Should The Government Have Spent Over Two Billion Dollars On The myHR And Still Not Know What It Is Good For?
As part of the excited ADHA announcement with the Health Minister we had the following:Digital Health Test Beds program Media release - Improving patient healthcare through digital trialsPatients from around Australia will benefit from 15 new projects that will utilise information from a consenting patient ’s My Health Record to improve the delivery of their healthcare.The $8.5 million Digital Health Test Beds program will trial new approaches in chronic health, palliative care, and post hospital support.Eastern Health and Monash University are undertaking a trial to help patients better manage thei r medication afte...
Source: Australian Health Information Technology - July 11, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

With myHr Opt-Out Coming More Are Seemingly Concerned About The Personal Risks Of The System.
I came upon this a few days ago from The NSW Users and AIDS Association (NUAA)NUAA Statement on My Health RecordBelow is a statement by NUAA on the My Health Record — a new initiative by the federal government to create an online summary of your health data. A range of groups and experts have raised serious concerns about privacy and security of the data. Everyone will get the chance to opt-out over a three month period from July 16 to October 15, you can reg ister here to receive for information on opting out. At this stage, NUAA recommends if you have concerns, to opt out.Please read the statement for more inf...
Source: Australian Health Information Technology - July 10, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs