The Privacy Foundation Comments On The Health Department ’s Incompetence In Handing Open Data Releases.
This appeared last weekend:January 7, 2018 by Bernard Robertson-DunnMEDIA RELEASE: ‘Open Data’: Too much sharing, too little care? Who’s reading your health information now?There can be benefits from the ‘sharing’ (distribution) of health and other personal information  among health care professionals and researchers. Any such ‘sharing’ must, however, be based on an understanding of potential risks. It must only occur within an effective legal framework, and controls appropriate for those risks. A ‘Trust me, I’m from the government!’ approach is a recipe for ...
Source: Australian Health Information Technology - January 17, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Some Seem To Be Taking A Sensible Approach To Digital Health. Good To See A Little Balance.
I came across this site the other day – from the Brisbane South Primary Health Network and was quite impressed.http://bsphn.org.au/running-your-business/digital-health/eDigital Health – Health ProfessionalsConsumers want greater control over and better outcomes for their health, and healthcare providers want access to the right info rmation when and where they need it. Digital health technologies contributes to improving health care quality and outcomes through facilitating effective information management, communication, decision making, and better care coordination and continuity of care.The Australian digita...
Source: Australian Health Information Technology - January 17, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

I Must Have Missed The Announcement All These Apps Accessing The myHR. So To Make Up Here Is What I Know So Far And A User Review Of myHR Access.
This appeared at some time in the past:Apps that Connect to your My Health RecordYou are now able to interact with your My Health Record using mobile apps. This means that with your permission information uploaded by you, your healthcare providers, or by Medicare could be accessed with an app. The My Health Record system is committed to strong security and safeguarding your privacy. We require apps to obtain your informed consent before accessing your My Health Record. You can set access controls in your My Health Record to remove apps if you no longer wish for them to access your data.You will need to have a My Health Rec...
Source: Australian Health Information Technology - January 16, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 15th January, 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 CommentAgain a quiet week with little going on as the summer daze rolls on and on. This week may see a bit more activity.Enjoy the read – there is more than I realised!-----https://ajp.com.au/news/medsassist-discontinued-time-good/MedsASSIST to be discontinued… this time, for goodSheshtyn Paola — 09/01/2018With the Guild&rs...
Source: Australian Health Information Technology - January 15, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Government ’s Claims Regarding Their Concern For Your Personal Data Security Is A Farce. They Seem To Be Facilitating Data Leakage!
This appeared a few days ago:Payday lenders ask customers to share myGov and banking passwords, putting them at riskABC ScienceBy technology reporter Ariel BoglePayday lenders are asking applicants to share their myGov login details, as well as their internet banking password — posing a security risk, according to some experts.It also goes against the advice of the government website.As spotted by Twitter user Daniel Rose, the pawnbroker and loan provider Cash Converters asks people receiving Centrelink benefits to provide their myGov access details as part of its onli ne approval process.External Link: Daniel Rose t...
Source: Australian Health Information Technology - January 14, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 405 – Results – 14th January, 2017.
Here are the results of the poll.Do You Expect The ADHA To Be Able To Successfully Implement Opt-Out With The myHR?Yes 4% (6) No 96% (153) I Have No Idea 1% (1) Total votes: 160 Any insights welcome as a comment, as usual. It really seems that in the eyes of those that read here there is not much of a chance of opt-out being successfully implemented for the myHR by the ADHA A really great turnout of votes! We no te there was one respondent who was clueless! Again, many, many thanks to all those that voted! 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 - January 14, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 13th January, 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.-----http://sobserver.ws/en/06_01_2018/local/28543/Pushing-for-better-health-care.htmPushing for better health careBy Joyetter Feagaimaali ’i-Luamanu , 05 January 2018 Timely and quality health information will improve healthcare service delivery and provide routine evidence performance of Samoa’s health services.  That is according to the Minister o...
Source: Australian Health Information Technology - January 13, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It ’s Worth Keeping These Threats At The Front Of Mind! They Seem To Be Ever Present.
This appeared a few days ago.Six Cyber Threats to Really Worry About in 2018From AI-powered hacking to tampering with voting systems, here are some of the big risks on our radar screen.by Martin Giles January 2, 2018Hackers are constantly finding new targets and refining the tools they use to break through cyberdefenses. The following are some significant threats to look out for this year.More huge data breaches The cyberattack on the Equifax credit reporting agency in 2017, which led to the theft of Social Security numbers, birth dates, and other data on almost half the U.S. population, was a stark reminder that hackers ...
Source: Australian Health Information Technology - January 12, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

I Wonder Is The ADHA Going To Send A Team To Help?
This appeared last week:Pushing for better health careBy Joyetter Feagaimaali ’i-Luamanu , 05 January 2018 Timely and quality health information will improve healthcare service delivery and provide routine evidence performance of Samoa’s health services.  That is according to the Minister of Health, Tuitama Dr. Leao Tuitama, on the Samoa ’s Health Sector eHealth Policy and Strategy 2017-2022.  The vision behind the launching of the Samoa eHealth Policy will guide the Samoa eHealth Strategy implementation. The report says the Government of Samoa is committed to using eHealth to deliver quality he...
Source: Australian Health Information Technology - January 11, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.
January 11, 2018 Edition.Well, here we are in the second week 2018 and it seems almost nothing has changed. Trump is still in the Whitehouse smarting at the release of Fire and Fury by a Mr Wolff. He seems to have captured what many believe about Trump and the President does not like it! Worse he is now claiming to be a ‘stable genius’. Not in this universe – won’t this soon end? (#stablegenius)This rather summarises the reaction:http://www.smh.com.au/world/fire-fury-and-factual-errors-book-on-trump-feels-alarmingly-accurate-20180105-h0ec58.htmlFire, fury and factual errors... book on Trump feels al...
Source: Australian Health Information Technology - January 11, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Seems Portals Allowing Access to Health Information Do Not Make Much Of A Clinical Difference.
This appeared last week:Study shows patient portals have no impact on hospital readmissions or mortality by Evan Sweeney  Jan 3, 2018 10:33am Previous research has have tackled patient portal usability and satisfaction among users, but few studies have looked at the impact of portals on hospital outcomes.A new study out of the Mayo Clinic Hospital in Jacksonville, Florida, does just that with relatively uninspiring results.Researchers found that 30-day readmissions, inpatient mortality and 30-day mortality were virtually the same when comparing hospitalized patients that used portals versus those that did not, le...
Source: Australian Health Information Technology - January 10, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Seems Blockchain For Health Data Ideas Are Popping Up Everywhere. It ’s Getting Crowded!
This popped up a few days ago:01.04.18Can This App That Lets You Sell Your Health Data Cut Your Health Costs?CoverUS wants to use the blockchain to let healthcare companies reward you for the data they now buy from your insurance company. By Ben Schiller Americans could do with new ways to save on healthcare. Obamacare-administered plans are set to get more expensive by up to 50% this year amid uncertainty around federal subsidies that help pay for premiums. The cost of employer-sponsored insurance, meanwhile, continues to jump well above inflation. Many of us are hit with surprise medical bills we can &rsqu...
Source: Australian Health Information Technology - January 10, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Some Extra Questions and Thoughts On Re-Platforming From Grahame Greive
Here is the post:  Australian Digital Health Strategy Question Posted on January 8, 2018 by Grahame Grieve On the subject of replatforming the MyHR, the Australian Digital Health Strategy has this to say: Every healthcare provider will have the ability to communicate with other professionals and their patients via secure digital channels by 2022. Patie nts will also be able to communicate with their healthcare providers using these digital channels. This will end dependence on paper-based correspondence and the fax machine or post. I’m doing some consulting to the Agency around Secure messaging, and I&rsq...
Source: Australian Health Information Technology - January 9, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Seems Health Information Exchange and Record Location Without A Central Data Base Is Practical and Useful!
This appeared last week:Strategic Health Information Exchange Collaborative launches new initiative to share patient records nationally by Evan Sweeney  Jan 5, 2018 10:01am SHIEC's new initiative lays the foundation for interoperability between regional HIEs.A national trade association for health information exchange organizations has launched a new initiative that allows regional HIEs to share patient medical records across the country.The Patient Centered Data Home (PCDH), launched by the Strategic Health Information Exchange Collaborative (SHIEC) on Thursday, expands several smaller regional implementations design...
Source: Australian Health Information Technology - January 9, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 8th January, 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 CommentAgain a very quiet week with little going on as the summer daze rolls on.Enjoy the quick read!-----http://www.couriermail.com.au/news/opinion/opinion-amaq-calls-for-realtime-monitoring-for-codeine-prescriptions-to-tackle-addiction/news-story/2a7aaca15a67ce04a66809f3127c4174Opinion: AMAQ calls for real-time monitoring for codeine prescr...
Source: Australian Health Information Technology - January 8, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Looks Like Health Information Exchange Can Be Done Well With A Proper Interoperability Framework Like That Provided By ONC in the US.
This appeared last week:ONC releases its Trusted Exchange Framework establishing a single ‘on ramp’ for interoperability by Evan Sweeney Jan 5, 2018 1:14pm After several months of public meetings and industry input, the Office of the National Coordinator for Health IT has released its Trusted Exchange Framework and Common Agreement designed to improve data sharing between health info rmation networks.The framework (PDF), mandated by the 21st Century Cures Act, provides the policies, procedures and technical standards necessary to exchange patient records and health information between providers, state and regio...
Source: Australian Health Information Technology - January 7, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 404 – Results – 7th January, 2017.
Here are the results of the poll.Overall, How Would You Assess The Progress Made In 2017 In Australian Digital Health?Great 1% (2) Minor 27% (58) Non Existent 56% (121) Gone Backwards 17% (36) I Have No Idea 0% (0) Total votes: 217 Any insights welcome as a comment, as usual. It really seems that in the eyes of those that read here 2017 did not go all that well for the ADHA. A really great turnout of votes! We note th ere were no respondents who were clueless, but two seemed a little confused! Again, many, many thanks to all those that voted! David. This is the initial part of the post - read more by clicking ...
Source: Australian Health Information Technology - January 7, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 6th January, 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.healthdatamanagement.com/news/artificial-intelligence-identifies-bacteria-images-quickly-accuratelyArtificial intelligence identifies bacteria images quickly, accurately By Greg SlabodkinPublished December 29 2017, 7:45am ESTResearchers at Beth Israel Deaconess Medical Center are using artificial intelligence to identify images of bacteria quickly an...
Source: Australian Health Information Technology - January 6, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Now Here Is A Question I Am Sure The ADHA CEO Is Wondering About During January.
This appeared last week:Will Gathering Vast Troves of Information Really Lead To Better Health?December 28, 20173:55 PM ET Heard on All Things Considered Richard Harris The Mayo Clinic is building its future around high-tech approaches to research known as "precision medicine." This involves gathering huge amounts of information from genetic tests, medical records and other data sources to ferret out unexpected ideas to advance health. But one longtime scientist at the Mayo Clinic isn't playing along. Dr. Michael Joyner is a skeptical voice in a sea of eager advocates. Joyner's lab studies exercise. It is, fittin...
Source: Australian Health Information Technology - January 5, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.
January 4, 2018 Edition. Well, here we are in 2018 and it seems almost nothing has changed. Trump is still in the Whitehouse having signed the Tax Bill which many are now noticing has a few nasties. I note with some horror Trump is now saying has nuclear button is bigger that Kim-Jong Un's one. What a pathetic child he is! Keep an eye on what is going on in Iran – it might be really important! Europe is in a post – festive haze and Australia is all at the beach believing life is good! Global Risks For 2018 This link of Global Risks for 2018 is a really worthwhile summary of the risks we face: https:/...
Source: Australian Health Information Technology - January 4, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It ’s Amazing To See Just How Much Seems To Have Happened In A.I. in Twelve Months
This appeared last weekIt Was a Big Year for A.I.By Christina Bonnington AlphaGo beat the world's best Go player in May. A few months later, a new version beat the human-defeating version 100 to 0. 2017 has been a booming year for the field of artificial intelligence. While A.I. and data-focused machine learning have been around for decades, the algorithmic technologies have made their presence known in a variety of industries and contexts this year.Microsoft UK ’s chief envisioning officer Dave Coplin has called A.I. “the most important technology that anybody on the planet is working on today,” and Sili...
Source: Australian Health Information Technology - January 3, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Sometimes Things Just Seem To Come Together In A Good Way! Ireland Is Setting An Example Of How To Do It I Believe!
This appeared last week:Personas and Scenarios for the National Electronic Health RecordEdina Zejnilovic December 29, 2017Over 500 citizens of Ireland, including clinicians, patients, healthcare workers, carers and others from across the Health Service and broader society, all contributed to the publication of the finalised Personas and Scenarios. The Personas and Scenarios will form a key foundation for the National Electronic Health Record programme and the Clinical Strategy programme. A total of 168 Personas and Scenarios have been created and have been held up as best in class by WHO as a method of engagement.The user-...
Source: Australian Health Information Technology - January 2, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 1st January, 2018.
800x600 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 CommentWell the tiniest collection ever for last week.The only consolation was the huge number of comments and ideas flowing from Grahame Grieve ’s blog. Since it was posted there have been well over 60 comments bearing on the topic in just over a week.It made me wonder just what really mattered for the future of Digital Health...
Source: Australian Health Information Technology - January 1, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

A New Year ’s Eve Bon-Bon That Says It All – Pull At Your Peril!
Grahame Grieve has given us all a masterful one paragraph summary of where we are at, at the end of 2017, in response to a query about “What is going on?”! To quote: “I think it's pretty simple - the first round of development didn't quite meet the original goals, and the lack of consensus around the system - specifically, whether to consolidate or redesign - has prevented the government doing anything to address the actual concerns, so we end up in a situation where we have a half-done system that was baked in a hurry, but at the political level it's being treated as ready for prime-time. We're stuck.&...
Source: Australian Health Information Technology - December 31, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 403 – Results – 31st December, 2017.
Here are the results of the poll.Do You Believe 'Replatforming' Can Solve The Issues That Presently Beset The myHR?No - It Should Be Scrapped 84% (154) No - More Fundamental Changes Are Needed 13% (24) Yes 2% (4) I Have No Idea 1% (2) Total votes: 184 Any insights welcome as a comment, as usual. It seems that the vast majority think more than just updating the platform on which the myHR runs is required to save it. This is consistent with al l the discussion that has gone on in the comments last week. It seems there are a range of fundamental questions around the myHR and where it fits / should fit in the Digital He...
Source: Australian Health Information Technology - December 31, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 30th December, 2017.
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.healthdatamanagement.com/news/app-monitors-symptom-severity-in-patients-undergoing-chemotherapyApp monitors symptom severity in patients undergoing chemotherapy By Greg SlabodkinPublished December 22 2017, 7:04am ESTUsing a smartphone and Fitbit device, cancer patients undergoing chemotherapy were able to be remotely monitored in real time by their p...
Source: Australian Health Information Technology - December 30, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Looks Like The ePIP Program Has Created Quite A Few Unhappy Campers!
This appeared last week:'We're becoming unviable,' says GP hit with $22k e-PIP repaymentAntony Scholefield20 December 2017 General practice has lost a total of almost $11 million in e-health cash incentives since new requirements were introduced in 2016, the Department of Health has revealed.The Practice Incentive Program (PIP) payments were linked to uploading My Health Record shared health summaries for 0.5% of patients every quarter - starting from the quarter ending July 2016.However, health department figures show that of the 5000 practices registered for the so-called e-PIP, ab...
Source: Australian Health Information Technology - December 29, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.
December 28, 2017 Edition.By the time you read this Christmas will have passed and we will all be waiting for 2018.Trump has gone to the Whitehouse in the South with his coterie and hopefully will stay out of trouble.There are some early rumblings of the European Union beginning to splinter in the East as well as Brexit in the West. It feels like it just might go badly and worse still Catalonia has just voted in the pro-independence team again.In OZ a madman has injured a lot of pedestrians with a SUV and otherwise the Christmas / New Year Snooze is in full swing!-----Here are a few other things I have noticed.-----Major I...
Source: Australian Health Information Technology - December 28, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

I Am Not Sure Why This Has All Of A Sudden Become News Again But It Sure Has!
This appeared last week:Re-identification possible with Australian de-identified Medicare and PBS open dataUsing publicly known information, a team of researchers from the University of Melbourne have claimed to re-identify seven prominent Australians in an open medical dataset.By Chris Duckett | December 18, 2017 -- 01:01 GMT (12:01 AEDT) | Topic: Security The dataset containing historic longitudinal medical billing records of one-tenth of all Australians, approximately 2.9 million people, has been found to be re-identifiable by a team from the University of Melbourne, with information such as child births and professiona...
Source: Australian Health Information Technology - December 27, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

There Seems To Be A Bit Going On In Computing At The Department Of Human Services.
It ’s an exciting time for news at the Department.First we have:Medicare payments system given $17m to keep the lights onBy Justin Hendry on Dec 18, 2017 2:12PM MYEFO: Govt tries to breathe new life into 30-year-old system.The federal government will spend $16.6 million this year on its 30-year-old M edicare payments system to keep the platform running while it continues to search for a replacement.The Department of Health will use the funding for “remediation and essential maintenance of the health and aged care payments systems”, it said in its 2017-18 mid-year economic and fiscal outlook (MYEFO) r...
Source: Australian Health Information Technology - December 26, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 25th December, 2017.
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 CommentI hope you all had (are having) a great Christmas and will have a great New Year.Just a few titbits to note as you wander past! -----https://www.australiandoctor.com.au/news/practices-repay-average-9k-each-my-health-record-failuresPractices repay average of $9k each for My Health Record failures GPs forfeit $11m in e-PIP incentives for...
Source: Australian Health Information Technology - December 25, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Is The Strangest Story I Have Come Across This Year. I Still Am Not Sure What Is Going On.
Early last week Google threw up this alert.https://myaccount.news.com.au/sites/dailytelegraph/subscribe.html?sourceCode=DTWEB_WRE170_a_GGL&mode=premium&dest=https://www.dailytelegraph.com.au/news/nsw/roxy-jacenkos-hubby-oliver-curtis-joins-hitech-family-venture-funded-through-bitcoin-trading-in-medical-records/news-story/cd18e280578ab3a8b6f740b07a3c1957&memtype=registeredJailbird Curtis ’ $60m cryptocoin schemeCORPORATE crook Oliver Curtis is back in business as the boss of a hi-tech venture trading in your personal medical records — which he is kickstarting via $60 million raised through the super-...
Source: Australian Health Information Technology - December 24, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 402 – Results – 24th December, 2017.
Here are the results of the poll.Do You Expect The myHR To Ultimately Be Abandoned In Favour Of Other Methods Of Health Information Sharing And Access?Yes 63% (104) No 36% (59) I Have No Idea 2% (3) Total votes: 166 Any insights welcome as a comment, as usual. A pretty strong vote for going in a different strategic direction with the myHR. A really great turnout of votes! We note three respondents who are clueless! Again, many, many thanks to all those that voted! Hard to believe there have been 400 polls! David. This is the initial part of the post - read more by clicking on the title of the article. David. (Sou...
Source: Australian Health Information Technology - December 24, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 23rd December, 2017.
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.-----http://www.healthcareitnews.com/news/here-are-12-healthcare-issues-will-define-2018-according-pwcHere are the 12 healthcare issues that will define 2018, according to PwCArtificial intelligence, IoT, cybersecurity, disaster preparedness and the patient experience are some of the prime concerns, according to the PwC Health Research Institute.By Bill SiwickiDecemb...
Source: Australian Health Information Technology - December 23, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Graheme Grieve Blog: Seeks Input On Important Aspects Of The Future Of The myHR
This was published yesterday and Grahame asked that it be re-posted here: ----- Re-platforming the MyHR Posted on December 22, 2017 by Grahame Grieve A couple of months ago I made a post proposing that the MyHR could be reworked to use the Argonaut interface. This change could open up the MyHR infrastructure so that providers and vendors could collaborate to build innov ative local solutions without being bound to national political concerns about what is possible or not. That caused quite a bit of discussion and media interest (e.g. in Pulse IT). This week I met with Tim Kelsey (CEO, Australian Digital Health Agency) as...
Source: Australian Health Information Technology - December 22, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Artificial Intelligence Is Starting To Turn Up All Over The Place And Is Becoming Almost The Norm!
This appeared last week:nib claims Aussie first with health insurance chatbot launch 12 December 2017 Written by  Peter Dinham nib health funds is claiming first mover rights as the first Australian health insurer to introduce artificial intelligence technology and chatbots to assist Aussies with their health insurance inquiries.Known as nibby, the chatbot provides customers with access to simple responses regarding their health insurance.And, according to nib, unlike many other chatbots, nibby is integrated into its web platform – allowing it to intelligently move customers to the right sales or claims consult...
Source: Australian Health Information Technology - December 22, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Really Looks Like A Good News Story For Queensland Health And Its Patients.
This appeared last week:Connected wisdom: Queensland claims online GP portal success storyLynne Minion | 12 Dec 2017 Queensland Health ’s online patient information portal has led to more comprehensive and better coordinated care, saved GPs time otherwise wasted on paperwork, and attracted surprisingly low opt-out rates in the six months since its launch.The Viewer provides general practitioners with access to their patients’ p ublic hospital records and is already being billed as a success by the state government, with more than 1550 GPs signed up and 35,800 interactions in the Health Provider Portal.Queenslan...
Source: Australian Health Information Technology - December 21, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.
December 21, 2017 Edition.On the global scene it the Trump Tax Plan (it isn ’t reform) will be signed soon after having been passed.This tweet reflects the informed views on the plan, and I agree…Kurt Eichenwald ‏Verified account @kurteichenwaldNo country in the history of humanity has EVER cut taxes in a relatively strong economy with full employment and massive gove rnment debt. EVER. There is NO economic theory that supports doing it. It is madness. THIS is when you raise taxes and cut spending to attack debt problem.10:34 AM - 16 Dec 2017As far as Brexit is concerned it seems enough has been done with ...
Source: Australian Health Information Technology - December 21, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

I Really Feel Sorry For The Academics Who Made A Mistake And Were Jumped On By The ADHA.
This appeared a few days ago:Why we removed an article on the My Health Record December 13, 2017 5.07pm AEDT AuthorSasha Petrova Deputy Editor: Health + Medicine The Conversation published a story earlier today that was incorrect.The story, titled “We have less than three months to opt out before the My Health Record system has our details, and no-one told us”, asserted that a three-month period to opt out of being registered for a My Health Record had already begun. This is incorrect. According to the Australian Digital Health Agency, wh ich is responsible for the My Health Record, the date the perio...
Source: Australian Health Information Technology - December 20, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Making Patient Pathology Results Available Via The myHR May Not Be That Valuable Without Some Extra Work.
This appeared last week:Study: Online portals fall short on offering context, explanations for test results by Paige Minemyer  Dec 13, 2017 11:20am Patients often do online searches to understand test results posted in portals, according to a new study.Patients can, and often do, access test results and other healthcare information through online portals, but more work could be done to help them understand what the results mean, according to a new study. Researchers interviewed 95 patients who had accessed test results through a patient portal between April 2015 and September 2016, according to data pub...
Source: Australian Health Information Technology - December 19, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 18th December, 2017.
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 wind down for Christmas is not underway – but there is still some news emerging. Interesting stuff about the AMA view on the myHR and the chronic care program being slowly developed by the Government. And lastly - and amazingly this is the 5000th post on the blog. My how time has flown! -----http://www.healthcareit.com.au/...
Source: Australian Health Information Technology - December 18, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The AMA Offers Some Input On The Possible Future Of The myHR. They Are Not Yet Convinced By Any Means I Would Say!
It is the season for Pre-Budget Submission for the 2018/19 financial year. Here it the link to that provided by the AMA.https://ama.com.au/gp-network-news/ama-pre-budget-submission-strong-gp-emphasisThere was relevant comment provided here:AMA calls for improvements to My Health Record for it to reach potentialLynne Minion | 15 Dec 2017 My Health Record has the potential to save lives and deliver economic benefits but the system needs improvements and doctors don ’t have time to talk patients through the opt-out process, according to the Australian Medical Association.In its Pre-Budget Submission 2018-19, the doctors...
Source: Australian Health Information Technology - December 17, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 401 – Results – 17th December, 2017.
Here are the results of the poll.Does The myHR Need A Major And Expensive Re-Development To Be Able To Deliver On The Expectations Of The ADHA For Utility, Adoption and Use?Yes 21% (34) No - Minor Mods Are All That Is Needed 2% (4) No - It Is Just Not Fixable 77% (126) I Have No Idea 0% (0) Total votes: 164 Any insights welcome as a comment, as usual. An amazing result evaluating a program that has already taken seven years and cost towards two billion dollars. Most seem pret ty pessimistic anything can be salvaged. I wonder why people feel this way? A really great turnout of votes! We note no respondents who are c...
Source: Australian Health Information Technology - December 16, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 16th December, 2017.
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.-----http://www.healthcareitnews.com/news/2018-primed-blockchain-big-data-and-cloud-computing-advancements-all-better-security-plan2018 is primed for blockchain, big data and cloud computing advancements, all with a better security planHere's what you can expect in the year ahead.By Bill SiwickiDecember 07, 2017 03:13 PMHealth IT is in a very fluid state and evolving...
Source: Australian Health Information Technology - December 16, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

An Interesting Article Regarding The Use And Storage Of Genetic Information.
This appeared last week in The Conversation.It ’s time to talk about who can access your digital genomic data December 4, 2017 6.18am AEDT AuthorsCaitlin Curtis Honorary Research Fellow, The University of Queensland James Hereward PostDoc Ecological and Evolutionary Genetics, The University of Queensland We are approaching a time when you might be too scared to have your genome sequenced. Only last week, a US senator called for an investigation into the privacy policies of direct-to-consumer DNA companies. But this is only one piece of a puzzle that is about to get much more connected.As with any kin...
Source: Australian Health Information Technology - December 15, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.
December 14, 2017 Edition.This week I think the biggest news is around the Chinese reaction to the Australian Government ’s most recent legislation of political interference in Australia by the Chinese Government and diaspora. To me this has the potential to cause our relationship with China considerable harm and needs to be very carefully watched and managed. I note Mr Turnbull is being pretty firm in response!The impact of a damaged relationship could be economically and strategically disastrous!In Trump land there seems to be relative calm though I note Joe Hockey (Our US Ambassador) is very worried about how long...
Source: Australian Health Information Technology - December 14, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Seems To Be A Useful Resource To Help Select A Mental Health App!
This appeared last week.Depression and mental health apps: How to tell the good from the badRN By Antony Funnell for Future TensePosted Wed at 11:12am December 6, 2017There are currently more than 10,000 depression and anxiety-related self-help apps available to download, the American Psychiatric Association estimates. But less than 1 per cent have been professionally evaluated.Cause for concern? Well, yes. But not a cause for depression, says Harvard Medical School's John Torous, who leads the association's working group on smartphone app evaluation. In fact, he sees great promise in digital mental health technologies.&qu...
Source: Australian Health Information Technology - December 14, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Looks Like Telstra Health Might Be Out The Door!
This appeared a few days ago:Telstra turmoil as another exec exitsThe Australian12:00AM December 9, 2017Supratim AdhikariTelstra has lost another senior executive, with the telco ’s group executive for new business, Cynthia Whelan, taking a job at Scentre Group, the owner of Westfield malls.Ms Whelan, who has been the head of Telstra’s new business portfolio since 2015, is also the chairman of Foxtel, Telstra Health and a director at Telstra Ventures.Telstra staff were i nformed of the departure via an internal memo, with Ms Whelan finishing her tenure on December 22.She is expected to stay on in her role at Fo...
Source: Australian Health Information Technology - December 13, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Really Looks Like Prescription Monitoring Can Make At Least A Significant Difference!
This appeared last week:8 December 2017Where are we at with real-time monitoring?Posted by Julie Lambert GPs will play a central role in the first serious attempt to stop doctor shopping and illicit use of pharmaceutical drugs on the Australian mainland.Under legislation passed on October 19, Victoria will have the distinction of becoming the first state to impose a mandatory real-time prescription monitoring regime, giving doctors, pharmacists and nurse practitioners ready access to a patient ’s prescription history.The initiative rides on the back of Tasmania’s successful DORA monitoring system, which has bee...
Source: Australian Health Information Technology - December 13, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Informed Consent Is A Bit Of A Slippery Fish Or A Moveable Feast Whichever You Prefer!
This appeared a few days ago and bears on a lot of discussion we have here on Consent.How much is too much information? The dose response curve of informed consent Barry.Nilsson. Lawyers Australia November 9 2017 “While the over-informed person is inconvenienced, the under-informed has his/her autonomy violated.” – United States Medical Ethicist, Robert Veatch.“A patient may make an unbalanced judgment because he is deprived of adequate information. A patient may also make an unbalanced judgment if h e is provided with too much information and is made aware of possibilities which he is not capable o...
Source: Australian Health Information Technology - December 12, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs