The Macro View – Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
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Source: Australian Health Information Technology - March 28, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Is An Excellent Summary Of How Electronic Health Records Have Let Us Down.
This radio show aired in the US last week:Why The Promise Of Electronic Health Records Has Gone Unfulfilled March 18, 20193:15 PM ET Heard on All Things Considered Fred Schulte The reality of electronic medical records has yet to live up to the promise. A decade ago, the U.S. government claimed that ditching paper medical charts for electronic records would make health care better, safer and cheaper. Ten years and $36 billion later, the digital revolution has gone awry, an investigation by Kaiser Health News and Fortune magazine has found. Veteran reporters Fred Schulte of KHN and Erika Fry of Fortune spent months digging ...
Source: Australian Health Information Technology - March 28, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

From The Country That Gave Us The ADHA CEO Comes A Stern Warning About Health Information Protection And Use.
This appeared last week:Lack of clarity around data sharing risks ‘irreparable mistrust’, NHS Digital chief warnsAbsolute clarity is needed around how the NHS will use patient data or we risk “deep and almost irreparable mistrust”, the NHS Digital chief has said.Andrea Downey15 March 2019Sarah Wilkinson said the NHS needs to formalise its position on the s econdary use of patient data in order to fully benefit from the insights already available within the national data set.Speaking at a Kings Fund and IBM Watson event on artificial intelligence in healthcare on Tuesday, Wilkinson said we need to &l...
Source: Australian Health Information Technology - March 27, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Commentators and Journalists Weigh In On Digital Health And Related Privacy And Security Matters. Lots Of Interesting Perspectives - Week 36.
Note: I have excluded (or marked out) 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) (This signifies probable ADHA Propaganda)-----Note: I have also broadened this section to try to cover all the privacy and security compromising and impacting announcements in the ...
Source: Australian Health Information Technology - March 26, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 25th March, 2019.
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 Comment-----Another pretty scrappy week with lots of commercial activity and a recognition that the ADHA has no real clue as to just how hard to meet will be their interoperability objectives. Watch this space!-----https://www.canberratimes.com.au/national/queensland/alerts-warn-of-patient-risk-software-glitches-in-electronic-medical-record-2...
Source: Australian Health Information Technology - March 25, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 467 – Results – 23th March, 2019.
Here are the results of the poll.Is The Number And Type Of Different Individuals (Docs, Nurses, Clerks etc.) Who Can Access The #myHealthRecord Properly Managed, Monitored and Regulated?Yes 1% (1) No 97% (142) I Have No Idea 2% (3) Total votes: 146 What an clear-cut poll again. Access of all sorts of individuals is not properly managed according to those who read here. Any insights on the poll welcome as a comment, as usual. A more than reasonable turnout of votes! It must have b een a fairly question as just 3/146 readers were not sure what the appropriate answer was. Again, many, many thanks to all those that v...
Source: Australian Health Information Technology - March 24, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Seems That App Providers Have A Rather Relaxed Focus On Protecting Your Health Information.
This appeared a few days ago:Researchers Create Fake Profiles On 24 Health Apps And Learn Most Are Sharing Your DataEd Cara Mar 22, 2019, 10:00am Using apps to keep track of your medication or look up the symptoms of your latest mysterious illness might be convenient. But a new study out this week highlights the hidden privacy risks of plugging sensitive health information into your smartphone. Namely, that medical apps love to collect your data, but are only sometimes upfront about what they ’re doing with it and with whom they’re sharing it. Researchers in Canada, the U.S., and Australia teamed up for the stu...
Source: Australian Health Information Technology - March 24, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 23rd March, 2019.
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/2019/03/national-institute-health-care-excellent-standards-digital-health-technology/NICE publishes updated standards for digital health technologyThe National Institute for Health and Care Excellence (NICE) has published an updated version of its evidence standards framework for digital health technologies.Andrea Downey – 11 M...
Source: Australian Health Information Technology - March 23, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

A Useful Article Comparing The Australian And US Approaches To Electronic Health Records.
I am re-publishing this with the author ’s permission. The differences from the US are quite telling.Comparison of e-health records: Australia versus the USAuthored by Heather Deixler Bianca PhillipsIssue 9 / 11 March 2019 This is the fifth article in a series on the digital health revolution.AS debate continues over the implementation of the My Health Record for Australian patients, perhaps it would be instructive to compare it with the United States’ system. We provide an overview of the US federal laws that govern the privacy and security of electronic health records, including the Health Insurance Portabili...
Source: Australian Health Information Technology - March 22, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

In The US The Peak Digital Health Regulator Comes Cheap Compared With The ADHA It Seems!
This appeared last week:ONC funding slashed by $17M in FY 2020 under WH budget By Greg SlabodkinPublished March 12 2019, 7:25am EDTThe Office of the National Coordinator for Health Information Technology has a lot on its plate in Fiscal Year 2020, but the agency may have to do more with less.The Trump administration on Monday released the President ’s FY 2020 budget request for the Department of Health and Human Services, which includes a total of $43 million for ONC—a reduction of $17 million from FY 2019.“In FY 2020, ONC will continue to reduce operational and administrative costs in information technol...
Source: Australian Health Information Technology - March 21, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Macro View – Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
March 21, 2019 Edition.-----For the first time ever the review this week opens with the awful and worrying events in New Zealand. We have no seen the catastrophic outcome of far-right hate speech and extremism and it needs to be called out and fought. I will watch our pollies for what they actually do – concerned they will wimp it. Ms Ardern has turned out to be a hero and has major gun law changes underway. ScoMo rather less so and the Turks are being particularly offensive - maybe just their President!In the US Trump keeps fighting for his wall and is rather half-hearted with his condemnation of right-wing extremis...
Source: Australian Health Information Technology - March 21, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Is A Major Article On The Failure Of EHRs In The US - Republished With Permission - An Important Read.
Death By 1,000 Clicks: Where Electronic Health Records Went WrongFred Schulte, Kaiser Health News and Erika Fry, Fortune The pain radiated from the top of Annette Monachelli ’s head, and it got worse when she changed positions. It didn’t feel like her usual migraine. The 47-year-old Vermont attorney turned innkeeper visited her local doctor at the Stowe Family Practice twice about the problem in late November 2012, but got little relief. Two months later, Monachelli was dead of a brain aneurysm, a condition that, despite the symptoms and the appointments, had never been tested for or diagnosed until she turned...
Source: Australian Health Information Technology - March 20, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Honestly You Really Have To Wonder About These Trials And What Has Really Been Thought Through.
This appeared last week:Joint media release - New trial to improve medicine safety for those leaving hospital13 March 2019: A new trial service to help patients better manage their medication after they leave hospital will be launched at Box Hill tomorrow.Poor medication management during or immediately after a hospital stay is a risk factor in 28% of potentially avoidable hospital re-admissions within 30 days.DC MedsRec is a community pharmacy-based service for patients discharged from Box Hill Hospital with four or more medicines, designed to help reduce the risk of harm from dangerous drug interactions. Eligible patient...
Source: Australian Health Information Technology - March 20, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

ADHA Webcast On Interoperablility From 18 March 2019 - Recording Now Available!
I have kindly been provided with the following link for the approximately 2hr Opening Session. The video may be seen at: https://www.webcasts.com.au/7111/player/index.php?player_id=11487 It is well worth a watch if you have not seen it to see where the ADHA is going in this area. 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 - March 19, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Commentators and Journalists Weigh In On Digital Health And Related Privacy And Security Matters. Lots Of Interesting Perspectives - Week 35.
Note: I have excluded (or marked out) 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) (This signifies probable ADHA Propaganda)-----Note: I have also broadened this section to try to cover all the privacy and security compromising and impacting announcements in the ...
Source: Australian Health Information Technology - March 19, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Access To ADHA Webcast. Here Is How To Do It At 10.00 AM. Official Word.
Here is the official word: "No issued username or password is required.  30 minutes before the event, a sign-in link will go live to the event page." Here is the link to use. https://login.redbackconferencing.com.au/landers/page/3840b6 Enjoy. 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 - March 18, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Submissions To The Australian National Audit Office Re: myHealthRecord Program Close 14 April, 2019.
Here is the link to respond: https://www.anao.gov.au/work/performance-audit/my-health-record They want to know what the experts think of what the ADHA is doing and has done. Get thinking and writing. You country deserves your input! 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 - March 18, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 18th March, 2019.
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Source: Australian Health Information Technology - March 18, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 466 – Results – 17th March, 2019.
Here are the results of the poll.Do You Believe Most (>90%) Of Individuals Would Be Able To Log Into myGov, Access Their myHR, And Understand, Decide On And Then Implement The Access And Security Controls They Desire For Their Health Information?Yes 2% (3) No 98% (119) I Have No Idea 0% (0) Total votes: 122 What an clear-cut poll again. Most seem to think we have a major public access and understanding gap in the Digital Health domain. Any insights on the poll welcome as a comment, as usual. A more than reasonable turnout of votes! It mus t have been a really question as just 0/122 readers were not sure what th...
Source: Australian Health Information Technology - March 17, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Webcast / Webinar Update.
I am reliably informed that the session on Monday is going ahead as mentioned in the previous blog which is found here: https://aushealthit.blogspot.com/2019/03/this-should-be-very-worthwhile-viewing.html I am waiting for an e-mail regarding who and how interested parties can access the session. It maybe worthwhile clicking the link about 15-20 mins before the session - say about 9:30 am on Monday 18/3/2019. htt ps://login.redbackconferencing.com.au/landers/page/3840b6 I will update this page if I learn more. Anyone else who knows feel free to tell us all via a comment! David. Update: As recently as 3pm 17/3/2019 t...
Source: Australian Health Information Technology - March 17, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Seems The #myHealthRecord And The Parliamentary Network Have a Similar And Hard To Fix Vulnerability.
This appeared a few days ago.MPs make security hard, says the Department of Parliamentary ServicesDPS says “variety of software and services utilised by parliamentarians” makes it hard to implement ASD’s ‘Essential Eight’Rohan Pearce (Computerworld) 15 March, 2019 12:19 The variety of applications and services employed by MPs and their staff present a security challenge that is probably unique across the federal public sector, according to the Department of Parliamentary Services. In a letter to a parliamentary committee scrutinising the cyber resilience of a number of Commonwealth entities, t...
Source: Australian Health Information Technology - March 17, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Should Be Very Worthwhile Viewing To Discover If The ADHA Gets It Or Not - Assuming You Can Work Out How To Register!
I spotted this yesterday.Consultation Launch and Vision and Principles Workshop - ADHAWhen?MON 18 MAR 2019What Time?10:00 AM - 11:45 AM AEDTWhere?ONLINEAlready registered? Login below:Access commences 30 mins prior to the start timeEvent has not started yet. Please see event date and time for details. Sharing the right health information at the right time is critical to high quality, sustainable health and care. Australia's National Digital Health Strategy – Safe, seamless and secure: evolving health and care to meet the needs of modern Australia  – highlights the importance of connected health services a...
Source: Australian Health Information Technology - March 16, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 16th March, 2019.
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/2019/03/what-matt-hancock-got-right-and-wrong-about-the-pager-purge/What Matt Hancock got right – and wrong – about the pager purgeNo one could disagree with Matt Hancock’s contention that the pager is an outdated pieces of technology. But Joost Bruggeman fears a blanket ban on their use in the NHS is a blunt tool &...
Source: Australian Health Information Technology - March 16, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Wonder How Many Will Snoop On The #myHealthRecord When Most People Have A One. Even Now We See The Numbers Of Accesses Rising Again.
This appeared a little while agoFewer Human Services staff caught accessing customer dataBy Sally WhyteMarch 4, 2019 — 11.58amThe number of Human Services staff found to be accessing customer data without authorisation has been steadily dropping over the past two years, but has increased slightly this year.In the first half of this financial year, seven public servants have been sacked for breaching the APS code of conduct relating to unauthorised access, the same amount who were sacked in the whole 2017-18 year.In that year two staff pulled the plug themselves before their employers could.The Department of Human Ser...
Source: Australian Health Information Technology - March 15, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Macro View – Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
March 14, 2019 Edition.-----In the US the big news is that the share-market had its worst week in a number of years and that has infuriated Trump more than somewhat. In related news Kim Jong Un appears to be preparing to start launching missiles again after the Summit failed. Things are going to hell in a handbasket it seems. The Boeing aircraft crashes are awful and people are now wondering about systemic issues with the aircraft...a real worry!Brexit seems to have run out of runway and we are now seeing panic as to what to do! In the mean time the European economy is losing altitude at an alarming rate …As late a ...
Source: Australian Health Information Technology - March 14, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Does The World Health Organisation Establishing A Digital Health Unit Signify Peak Digital Health?
We had some alarming news during the week:World Health Organization announces new Department of Digital HealthThursday, 7 March 2019   (0 Comments) WHO has announced the most wide-ranging reforms in the organisation ’s history to modernise and strengthen the institution to play its role more effectively and efficiently as the world’s leading authority on public health.One of the key changes is “harnessing the power of digital health and innovation by supporting countries to assess, integrate, regulate and maximise the opportunities of digital technologies and artificial intelligence, supported b...
Source: Australian Health Information Technology - March 14, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Seems Like A Big, And Rather Slow Win, Until You Review The Fine Print! There is Still A Way To Go!
This appeared last week:Health ends limbo over Telstra's $220m national cancer registerBy Justin Hendry on Mar 6, 2019 7:02AM Go-live for last major component planned for November.The protracted period of uncertainty over the replacement of Australia ’s outdated bowel cancer screening register has finally been lifted, after the Department of Health issued a firm go-live date for the second-half of its troubled national cancer register being built by Telstra.The major component of the $220 million single national record for the screening of cer vical and bowel cancers has been languishing without a go-live for the las...
Source: Australian Health Information Technology - March 13, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Commentators and Journalists Weigh In On Digital Health And Related Privacy And Security Matters. Lots Of Interesting Perspectives - Week 34.
Note: I have excluded (or marked out) 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) (This signifies probable ADHA Propaganda)-----Note: I have also broadened this section to try to cover all the privacy and security compromising and impacting announcements in the ...
Source: Australian Health Information Technology - March 12, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 11th March, 2019.
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 Comment-----Quite a busy week with all sorts of odds and ends being exposed to public gaze. There were coroner ’s reports and other bad news as well as some good software news and further revelations on the NBN and its tortuous progress!-----https://www.brisbanetimes.com.au/national/queensland/baby-born-with-brain-damage-after-fragmente...
Source: Australian Health Information Technology - March 11, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 465 – Results – 10th March, 2019.
Here are the results of the poll.The ADHA Was Apparently Planning To Spend $100,000+ On A Full Staff Meeting For 450 Staff And Guests At The Sydney Cricket Ground? Is This Reasonable Given Modern Communications And Other Options?Yes 5% (6) No 95% (116) I Have No Idea 0% (0) Total votes: 122 What an clear-cut poll. Most seem to think it was not a great idea although a few felt the ADHA needed a lot more investment in its staff etc. Any insights on the poll welcome as a comment, as usual. A more than reasonable turnout of vote s! It must have been a really question as just 0/122 readers were not sure what the approp...
Source: Australian Health Information Technology - March 10, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

What A Surprise US CIOs Realise That Many Can ’t Use Their Digital Health Tools And That There Are All Sorts Of Problems.
This appeared a few days ago:Are all patients up to the task of managing their own health data? Some CIOs say no by Heather Landi Mar 7, 2019 11:09am With the Centers for Medicare and Medicaid Services introducing policies to drive interoperability and CMS Administrator Seema Verma recently making it clear that “patient data belongs to patients,” there is increasing discussion about giving patients easier access to their health data.But, will all patients truly be up to the task of managing their own health data?Some CIOs say definitely not, especially those patients who are chronically ill or those wi thout in...
Source: Australian Health Information Technology - March 10, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 9th March, 2019.
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.technologyreview.com/s/613050/stick-on-sensors-will-let-premature-babies-get-the-skin-contact-they-need/Stick-on sensors will let premature babies get the skin contact they needBabies born too soon have to be closely monitored, but all that equipment stops parents from getting close. A new wireless sensor could help.by Charlotte Jee February 28, 2019...
Source: Australian Health Information Technology - March 9, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The ADHA Sets A Personal Best For Delay In Publishing Of Board Notes!
Checked today 09/03/2019 and here is what I found: Australian Digital Health Agency BoardDownload the latest Board Meeting 22-23 August 2018 - Board Papers Here is the link: https://www.digitalhealth.gov.au/about-the-agency/australian-digital-health-agency-board This means they have thumbed their noses at the curious public for over 6 months! They really are just a hopeless Board that I am sure the incoming Labor Government (which seems odds on) will replace ASAP, especially given to total hash they made of the opt-out transition. They would all be just waiting for the axe to fall I reckon! David. This is the initial...
Source: Australian Health Information Technology - March 9, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

A Highly Regarded Medico-Legal Adviser Says The #myHealthRecord Has Real Issues For Clinicians.
This appeared last week:My Health Record: 5 problems and 1 solution In an ideal world, e-health records are a terrific idea - in real life, however, there are several medicolegal issues that are of concernDr Craig Lilienthal28th February 2019I have been trying to get my head around the medicolegal implications of My Health Record for some time now.I have studied the legislation (which is confusing for a non-lawyer) and statements from the Minister for Health (which change every time pressure is applied by diverse, interested groups).In an ideal world, e-health records would be terrific if they could be relied upon and...
Source: Australian Health Information Technology - March 8, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Macro View – Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
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Source: Australian Health Information Technology - March 7, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Has Been A While Coming But The Findings Show Once Again What Rubbish Data May Wind Up In The #myHealthRecord!
This appeared a while ago but it matters:Electronic health records and online medical records: an asset or a liability under current conditions?Judith Allen-Graham A B G , Lauren Mitchell B , Natalie Heriot A , Roksana Armani A , David Langton A C , Michele Levinson A D , Alan Young A E , Julian A. Smith A F , Tom Kotsimbos A B and John W. Wilson A B + Author Affiliations Australian Health Review 42(1) 59-65 https://doi.org/10.1071/AH16095 Submitted: 28 April 2016  Accepted: 13 November 2016  Published: 20 January 2017 Journal compilation © AHHA 2018 Open Access CC BY-NC-NDAbstract:Objective The aim of the ...
Source: Australian Health Information Technology - March 7, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Senate Estimates Is Always Fun When There Has Been A Good Leak! What A Huge ADHA PR Fail Despite All The Spinners They Employ!
I put this up last week from Senate Estimates of the 20th Of February:----- Begin Extract.Senator WATT: So there are about 140 or so in each. Do you often have all-staff meetings? Mr Kelsey : Actually, we haven't had an all-staff meeting since the agency started. We have all-staff virtual meetings, as you would expect we'd do as a digital agency. We do have office based meetings, but we are concerned about the costs of bringing staff together, so, at this point, we have not had an all-staff briefing. I'm just mindful of the public —the taxpayer—interest. Senator WATT: Sure. But you have had virtual all-staff me...
Source: Australian Health Information Technology - March 6, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Commentators and Journalists Weigh In On The #myHealtRecord Debate And Related Matters. Lots Of Interesting Perspectives - Week 33.
Note: I have excluded (or marked out) 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) (This signifies probable ADHA Propaganda)-----Note: I have broadened this section to try to cover all the privacy compromising and impacting anno uncements in the week – alon...
Source: Australian Health Information Technology - March 5, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 4th March, 2019.
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 CommentIt almost went through to the keeper but the ADHA has sprung all those unsuspecting citizens with a Government held record of their health information.Do you reckon the ADHA will tell us about how many deletions and additions they have each week. The should among a wide range of other useful metrics.-----https://www.myhealthrecord.gov....
Source: Australian Health Information Technology - March 4, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 464 – Results – 3rd March, 2019.
Here are the results of the poll.Has The ADHA Honestly And Accurately, And Without Spin, Reported To The Australian Public The Outcomes Of The Recently Conducted Opt-Out Process?Yes 2% (2) No 96% (121) I Have No Idea 2% (3) Total votes: 126 What an clear-cut poll. Most seem to think the ADHA are full of spin and could not report the truth if it hit them across the face. Any insights on the poll welcome as a comment, as usual. A more than reasonable turnout of votes! It mu st have been a pretty easy question as just 3/126 readers were not sure what the appropriate answer was. Again, many, many thanks to all those ...
Source: Australian Health Information Technology - March 3, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

FOI Request Response On The MyHR Deletion Mechanism Raises Some Very Interesting Questions!
Here is the response page:Australian Digital Health AgencyMarch 01, 2019 FOI.190218 Signed decision letter.pdf 242KDownload View as HTML Dear Mr Warren,Good afternoon. Please see the attached signed decision letter in response to your FOI request.Regards,CeciliaFOI Officer  FOI Officer, FOI Team  Strategic Service Design and DeliveryAustralian Digital Health Agency  Scarborough House, Level 6, 1 Atlantic Street, Woden ACT 2606Phone [1]+61 22230780 Mobile [2]+61 Email [3][ADHA request email] Web [4]www.digitalhealth.gov.auThe Australian Digital Health Agency acknowledges the traditional owners of...
Source: Australian Health Information Technology - March 3, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

They Really Are An Unacceptably Secretive Lot Are The ADHA.
Captured today - 2 March 2019. Australian Digital Health Agency BoardDownload the latest Board Meeting 22-23 August 2018 - Board PapersHere is the link: https://www.digitalhealth.gov.au/about-the-agency/australian-digital-health-agency-board  And they don't even do a release to announce they are lumping millions of people with a useless Secondary Data Record for them to store YOUR Health Information! I wonder might that be because they don't want to remind their victims what they have done so close to a Federal Election? I hope the Audit Office is watching! David. This is the initial part of the post - rea...
Source: Australian Health Information Technology - March 2, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 2nd March, 2019.
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/2019/02/hancock-calls-for-nhs-clinicians-to-be-able-to-email-patients-directly/Hancock calls for NHS clinicians to be able to email patients directlyMatt Hancock is calling for clinicians to be able to directly email information to patients in a bid to increase data security and reduce delays and wastage.Hanna Crouch 15 February 2019...
Source: Australian Health Information Technology - March 2, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

What Do You Think Is Going on With System Security At Present. We Seem To Be Hearing About A Lot Of Problems!
First we had this:Australia ’s major political parties victims of cyber attack by a ‘sophisticated state actor’, PM saysAustralia's major political parties hit by cyber attackPrimrose RiordanRichard FergusonFebruary 18, 2019The computer networks of Australia’s major political parties have been the subject of a cyber-at tack by a “sophisticated state actor”, the Prime Minister has told Parliament. The news comes after the attempted hack of Australia’s parliamentary network in early February.“Members will be aware that the Australian Cyber Security Centre recently identified a ...
Source: Australian Health Information Technology - March 1, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Macro View – Economics, and Politics and the Big Picture. News Relevant To E-Health And The Health Sector In General Among Other Things.
February 28, 2019 Edition.-----Trump flies to Vietnam for a Summit with Kim, the Emergency has 16 States suing to stop it, he is fiddling to make abortion harder and the Mueller Inquiry draws ever closer. Testimony from Michael Cohen added spice to Trump's week!Brexit is still a mess with both major parties now losing members to the 2nd Referendum push.In Australia the pork-barrel is being rolled out across the country while scandals and data-leaks abound. Additionally we have Snowy 2.0 and a Royal Commission into the disability sector!----- Major Issues.https://www.afr.com/real-estate/huge-sentiment-shift-sydney-melbourne...
Source: Australian Health Information Technology - February 28, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Senate Estimates - Community Affairs Committee - ADHA Testimony - February 20, 2019
The session ran for about 1 hour from 2:30pm to 3:30pmThose there for the ADHA were  Mr Kelsey, Ms Edwards, Ms McMahon and  Mr O ’Connor.Begin Transcript -----Senator WATT: All right. I'll leave it at that. Should we get on to My Health Record? Senator GRIFF: There are a couple of things I'd like to check off. I just want to first clarify: I understand practices have been provided with an incentive of up to $12,000 per quar ter or $50,000 a year to sign patients up to My Health Record. Is that correct, not correct? Ms Edwards : Senator, take a step back. I think what you're referring is we have an incentive...
Source: Australian Health Information Technology - February 28, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Have The Feeling That The CEO Of The ADHA Has Become Seriously Detached From Reality.
As evidence I cite apparent quotes from the two articles linked below:Article 1.https://www.afr.com/technology/my-health-record-reflects-new-consensus-says-ceo-20190219-h1bfjmMy Health Record reflects 'new consensus', says CEO Tim KelseyBy Bo SeoUpdated Feb 19, 2019 — 1.31pm, first published at 1.14pmThe government's controversial My Health Record was part of a "new consensus" on digital health, said chief executive of the Australian Digital Health Agency (ADHA), the government body tasked with its implementation.Tim Kelsey told The Australian Financial Revie w Healthcare Summit on Tuesday that despite many...
Source: Australian Health Information Technology - February 27, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Great To See One Government Agency Providing Marketing Services For Another - Hardly A Balanced Statement IMVHO
This appeared in my inbox this morning: AHPRA Email – Sent 25 FebruaryThe Australian Health Practitioner Regulation Agency (AHPRA) is sending you this important information on behalf of the Australian Digital Health Agency (the Agency). The information in this email belongs to the Agency, which is responsible for it. Dear David More, Between 16 July 2018 and 31 January 2019, Australians had the opportunity to choose to have a My Health Record or to opt-out if they did not want a record created for them. Strengthened privacy protectionsOn 26 November 2018, the Australian Parliament passed new laws to strengthen My H...
Source: Australian Health Information Technology - February 26, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Great To See One Government Providing Marketing Services For Another - Hardly A Balanced Statement IMVHO
This appeared in my inbox this morning: AHPRA Email – Sent 25 FebruaryThe Australian Health Practitioner Regulation Agency (AHPRA) is sending you this important information on behalf of the Australian Digital Health Agency (the Agency). The information in this email belongs to the Agency, which is responsible for it. Dear David More, Between 16 July 2018 and 31 January 2019, Australians had the opportunity to choose to have a My Health Record or to opt-out if they did not want a record created for them. Strengthened privacy protectionsOn 26 November 2018, the Australian Parliament passed new laws to strengthen My H...
Source: Australian Health Information Technology - February 26, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Commentators and Journalists Weigh In On The MyHR Debate And Related Matters. Lots Of Interesting Perspectives - Week 32.
Note: I have excluded (or marked out) 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) (This signifies probable ADHA Propaganda)-----Note: I have broadened this section to try to cover all the privacy compromising and impacting anno uncements in a week – along ...
Source: Australian Health Information Technology - February 25, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs