I Know The Recent Comments App Has Stopped Working!
It has done this before and recovered in a day or so. Nothing has been changed at this end. Sorry for the service interruption! 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 - April 26, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Eight Pillars Of The Digital Health Revolution – Bianca Phillips
This article, and last of a series of five and reproduced with permission.The eight pillars of the digital health revolutionAuthored by  Bianca PhillipsIssue 14 / 15 April 2019 This article is the final in a series on the making of the digital health revolution. It provides an overview of what has been discussed to date as well as some additional thoughts. Personalised medicineIn the article Digital health success hinges on four principles, co-authored with Dr Bernard Robertson-Dunn, we provided an overview of personalised medicine and an overview of pharmacogenomics, epigenomics, exposomics, transcriptomics, proteomi...
Source: Australian Health Information Technology - April 26, 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.
April 25, 2019 Edition.-----The election campaign has had a bit of a breather and it looks as though it will really be on in earnest after ANZAC day (today). It also looks like it will be furious and noisy!In the US it is all about the Mueller Report and what is means for Trump and what the Democrats will do. There is a lot of discussion about impeachment etc.Brexit is taking an Easter Break and in Indonesia the incumbent has been returned – a good thing I believe.----- Major Issues.https://www.afr.com/news/world/asia/china-s-coal-users-importers-shifting-away-from-australian-suppliers-20190410-p51czkChina's coal use...
Source: Australian Health Information Technology - April 25, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Digital Health Can Allow A Health System Transformation Done Right It Seems.
This appeared last week:Why Denmark is reducing hospitals while we are building moreJill MargoUpdated Feb 19, 2019 — 3.48pm, first published at 3.03pmDenmark has become a world leader in healthcare because, long before others, it realised the existing model was broken.While other countries have been responding to growing demand by building more hospitals along traditional lines, the Danes have been reducing th em.In 1999, Denmark had 98 hospitals. Today it has 32."About 15 years ago, we realised the solution to these problems is not more hospitals but to think about how we can deliver healthcare in a different w...
Source: Australian Health Information Technology - April 24, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Will The Incoming Board Members Of The ADHA Make A Difference To What Happens Going Forward?
This pretty solid analysis appeared last week:15 April 2019The devil in the detail of digital healthcarePosted by Penny Durham (Lots omitted including some comments from yours truly)And our health system isn ’t completely different from America’s in this regard, though there’s no evidence of anything like the disastrous outcomes logged in the Thousand Clicks report.Emma Hossack, CEO of Australia’s Medical Software Industry Association (MSIA), says the local digital health industry was also injec ted with global financial crisis stimulus cash, but on a scale that was orders of magnitude smaller.&ldqu...
Source: Australian Health Information Technology - April 24, 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 40.
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 - April 23, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 22nd April, 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-----With Easter and ANZAC day looming everyone seems to have disappeared – so only a few items to report.Enjoy the break!-----https://www.ausdoc.com.au/news/gps-demand-fix-hopeless-new-death-certificate-systemGPs demand fix for 'hopeless' new death certificate system There are concerns that funerals could have to be rescheduled ...
Source: Australian Health Information Technology - April 22, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 471 – Results – 21st April, 2019.
Here are the results of the poll.Which Major Party Will Deliver The Best Outcomes For Patients And Clinicians In Digital Health Over The Next Three Years?The Coalition 1% (1) Labor 2% (3) Neither Can Be Expected To Do Well 30% (37) The ADHA Will Just Steam On Regardless Ignoring Government 63% (79) I Have No Idea 4% (5) Total votes: 125 What an interesting poll again. It seems you think that the ADHA is outside of anyone’s control! And that the usual hopes for improvement are not of any use. This has to be the most despairing poll result ever! Any insights on the poll welcome as a comment, as usual. A...
Source: Australian Health Information Technology - April 21, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Is The Big News In Digital Health For This Week Globally I Reckon. Important Stuff!
This appeared a day or so ago.Trusted Exchange Framework and Common Agreement Draft 2 of the Trusted Exchange Framework and Common Agreement (TEFCA), released on April 19, 2019, outlines a common set of principles, terms, and conditions to support the development of a Common Agreement that would help enable nationwide exchange of electronic health information (EHI) across disparate health information networks (HINs). The TEFCA is designed to scale EHI exchange nationwide and help ensure that HINs, health care providers, health plans, individuals, and many more stakeholders have secure access to their electronic health info...
Source: Australian Health Information Technology - April 21, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 20th April, 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.statnews.com/2019/04/11/electronic-health-records-lag-clinical-care/Electronic health records are still waiting to be transformedBy Lloyd B. Minor April 11, 2019Early in my career as an ear, nose, and throat physician and surgeon, two different patients came to me with the same set of bizarre symptoms. Certain noises made their eyes move involuntarily...
Source: Australian Health Information Technology - April 20, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Are We Being Told Something By The Australian Digital Council. It Is Hard To Not Think So.
This appeared last week:State of the data and digital nationAn overview of data and digital government initiatives across the nation5 Apr 2019Australian Digital CouncilDepartment of the Prime Minister and Cabinet (Australia)Abstract:The State of the Data and Digital Nation provides an overview of the main data and digital transformation initiatives taking place across our country, at both Commonwealth and State and Territory government levels. Jurisdictions are striving to make Australians ’ lives  better, developing and implementing data and digital transformation initiatives to ensure Australia is at the foref...
Source: Australian Health Information Technology - April 19, 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.
April 18, 2019 Edition.-----The big news is that we are entering the 2nd week of the election campaign and this far – other than a load of nonsense on electric cars things are rolling on. Only 4 and a bit weeks to go. The battle-lines of Tax vs Health are now pretty clear!Brexit is on hold as the Parliament takes a short Easter break. The outcome is pretty unclear as seems to be the health of the world economy – with the IMF suggesting all is not well, Brexit aside.Trump seems to have had a quiet week and nothing really grabbed my attention. In late breaking news is seems the North Koreans have just launched a ...
Source: Australian Health Information Technology - April 18, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Ethics Of AI Is Receiving A Lot Of Attention. This Seems Like A Good Place To Start.
This appeared last week:AI systems should be accountable, explainable, and unbiased, says EUThe European Union has published new guidelines on developing ethical AI By James Vincent Apr 8, 2019, 12:03pm EDT The European Union today published a set of guidelines on how companies and governments should develop ethical applications of artificial intelligence. These rules aren ’t like Isaac Asimov’s “Three Laws of Robotics.” They don’t offer a snappy, moral framework that will help us control murderous robots. Instead, they address the murky and diffuse problems that will affect society as we inte...
Source: Australian Health Information Technology - April 18, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Are The Public Really The Right Target For Consultation On A Matter As Technical As Interoperability?
This release appeared a little while ago.Media release - Better Connected: a national conversation begins on a roadmap for a more modern, digitally connected health system5 April 2019: The Australian Digital Health Agency has today opened an online consultation for all Australians, including frontline clinicians, consumers, healthcare organisations and the technology sector to have their say on a more modern, digitally connected health system.The online consultation is part of a nationwide series of discussions used to co-design the National Health Interoperability Roadmap, which will agree the standards and priorities req...
Source: Australian Health Information Technology - April 17, 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 39.
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 - April 16, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 15th April, 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-----Again a sadly quiet week with even the Senate Estimates being pretty boring.Again the NBN is in lots of news – there must be an election coming One bit of fun was the MJA Supplement mentioned earlier in last week which has largely been exposed as a paid ‘puff piece’ from the ADHA. I wonder why money is spent when...
Source: Australian Health Information Technology - April 15, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Really Is Just A Farce How The ADHA Is Being Run. It Needs Urgent And Meaningful Repair!
First we need a bit of background. Take this partial page:-----Board PapersThe intent of the Australian Digital Health Agency Board (Board) is to publish as many Board documents as is feasible. Generally Board papers are published after the minutes for that meeting have been accepted. This is usually at the next Board meeting. When clarification or correction of the minutes is required, publication of the Board papers may be delayed.Board documents that are draft, not finalised or sensitive will not be published. Board Meeting 6 December 2018 – Board Papers (Download)Item 4 - CEO Report, December 2018 (PDF, 602KB) a...
Source: Australian Health Information Technology - April 14, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 470 – Results – 14th April, 2019.
Normal 0 false false false EN-AU X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Calibri","sans-serif"; mso-bidi-font-family:"Times New Roman";} Here are the results of the poll...
Source: Australian Health Information Technology - April 14, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 13th April, 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/2019/04/great-north-care-record-cerner/Great North Care Record selects Cerner to deliver shared recordsThe Great North Care Record has selected Cerner to securely connect patient information across the North East and North Cumbria.Andrea Downey2 April 2019Led by Newcastle Hospitals. the partnership will deliver connected care records...
Source: Australian Health Information Technology - April 13, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Community Are Not The Only Ones Amazed At The Slowness Of The Roll Out Of Real Time Prescription Monitoring.
This appeared last week:What are they waiting for?Angelo Pricolo 03/04/2019Why are some jurisdictions dragging their feet on real-time monitoring? asks Angelo PricoloAs Victoria powers ahead with the Australia ’s first automated Real-Time Prescription Monitoring (RTPM) system, the elephant in the room is “What are the other states and territories waiting for?”The Guild president in the ACT, Simon Blacker, said last week that ACT doctors and pharmacists could now track patient use of some prescriptio n medicines in real time. It comes after the ACT Government introduced real-time prescription monitoring le...
Source: Australian Health Information Technology - April 12, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

A View Of Digital Health In Denmark - Going A Slightly Different Way!
This appeared last week:Enhanced data sharing and continuity of care in Denmark1st April 2019 MedCom ’s Anna Seeberg Hansen and Janne Rasmussen present an overview of MedCom’s role in the Danish healthcare system and its priorities in the area of digital health.The demographic changes most countries are facing make healthcare a topic with extraordinarily high priority these years. At the same t ime, advances in, for example, medicine and technology provide new opportunities but also complexity to the present and future health and wellness domain. One aspect, which is currently prevailing in Denmark, is enhanced...
Source: Australian Health Information Technology - April 11, 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.
April 11, 2019 Edition.-----Trump is being his appalling worst trying to heavy pretty much everyone while claiming vast victories. This week we are all more persuaded he is not a reliable ally and I reckon that should worry us a lot.Brexit is now destroying a once great nation and I fear it will not recover sadly. The once great and really quite worthwhile nation that gave us the Enlightenment and the Industrial Age has really fallen low indeed. Just today the whole process has been extended to Oct 31 - Halloween! What a total fiasco.The General Election has been announced for the 18th of May.  With the odds being $1....
Source: Australian Health Information Technology - April 11, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Senate Estimates - Community Affairs Committee - April 5, 2019 – Transcript.
The ADHA were at a session last Friday.The time was a little after 11.00 AMBegin Extract of Hansard:Senator WATT: Still in outcome 1: My Health Record. Thanks again for coming today. I'm sure you were expecting to front up. Are you able to tell me on how many occasions someone has had a My Health Record created for them without their consent? Mr Kelsey : My Health Records have historically, until opt-out was enacted, been created only with the consent of an individual. During the period of the opt-out trial we discovered that quite a number of people seemed not to have known that they had had a record created. In some case...
Source: Australian Health Information Technology - April 10, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Is An Example Of The Sort Of Thing That Should Change With A New ADHA Board.
This Freedom Of Information Request Review was processed last week:Technical design documents for data deletion from MHR including backupsJustin Warren made this Freedom of Information request to Australian Digital Health Agency This is the link to the outcome.https://www.righttoknow.org.au/request/technical_design_documents_for_d#incoming-14466And this is the link to the final decision letter.https://www.righttoknow.org.au/request/5264/response/14466/attach/3/IR%20190303%20Final%20Signed%20Decision%20Letter.pdfThe decision basically says that a November 2018 document which describes how Accenture will delete records will ...
Source: Australian Health Information Technology - April 10, 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 38.
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 - April 9, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 08th April, 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-----An interesting week with a large scale change in the ADHA Board – which I suspect will lead to executive change after the election.The other theme this week has been messy and rushed legislation and regulation. One gets the feeling no-one exactly knows what they are doing.-----https://www.computerworld.com.au/article/659453/...
Source: Australian Health Information Technology - April 8, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 469 – Results – 07th April, 2019.
Here are the results of the poll.Does The ADHA Have Realistic Expectations For The Rate Of Phasing Out Fax Machines (2-3 Years) Given The Barriers To Universal Use Of Secure Electronic Messaging Throughout The Health System? Yes 6% (10) No 92% (151) I Have No Idea 2% (4) Total Votes: 165 What an clear-cut poll again. Most seem to think that the axe the fax program is more spin than substance and that it will happen once a good alternative is in place. Any insights on the poll welcome as a comment, as usual. A more than reas onable turnout of votes! It must have been a fairly easy question as just 4/165 readers wer...
Source: Australian Health Information Technology - April 7, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Really Do Wonder Just What The Purpose Of All This Was. It ’s Hardly Advanced The State Of The Art In Digital Health.
This appeared a little while ago.Medical Journal Of Australia. Volume 210 Issue 6 Supplement31 March 2019Expanding the evidence base in digital healthCoordinating editors:Meredith Makeham and Angela RyanSharing information safely and securely: the foundation of a modern health care systemMeredith AB Makeham and Angela RyanMed J Aust 2019; 210 (6 Suppl): S3-S4 Open AccessAustralia's digital health journeySteven J Hambleton and John Aloizos AMMed J Aust 2019; 210 (6 Suppl): S5-S6 Open AccessTowards routine use of national electronic health records in Australian emergency departmentsPaul Miles, Andrew Hugman, Angela Ryan, Fio...
Source: Australian Health Information Technology - April 7, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

If I Was Part Of The Old ADHA Board I Would Be Embarrassed About This!
Just noticed this: Australian Digital Health Agency Board A new Australian Digital Health Agency Board was announced on 3 April 2019. This page will be updated on 20 April 2019 at the commencement of the new Board ’s term.Download 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 So while announcing a new Board they confess the old one were a stunningly secretive lot. Not a peep of Boar d communication in 8 months. All the members of the old Board should have left - not just a few! David. This i...
Source: Australian Health Information Technology - April 6, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 6th April, 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://patientengagementhit.com/news/allscripts-partnership-to-deliver-integrated-patient-portal-toolAllscripts Partnership to Deliver Integrated Patient Portal ToolThe integration will allow patients to access the patient portal and other tools on one platform.By Sara HeathMarch 27, 2019 - EHR vendor Allscripts will be partnering with Ephraim McDowell Heal...
Source: Australian Health Information Technology - April 6, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Seems The ADHA Has Known For A Good While What Other Polls Say. Many Doctors Don ’t Think Much Of The #myHR!
This appeared last week:FOI documents reveal what GPs are getting out of My Health Record Internal report suggests (some) doctors have found (some) clinical benefit Antony Scholefield29th March 2019Only one in two GPs using My Health Record think its clinical value justifies the time and effort involved in maintaining the system, the government ’s own internal research has found.Documents released under freedom of information laws suggest the Australian Digital Health Agency was aware it had a serious perception issue among its GP users in the months before the system went opt-out last year.The agency commissioned tw...
Source: Australian Health Information Technology - April 5, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The ADHA Pushes The MyHealthRecord For A Use Where There Is Little Evidence To Support It.
This was splashed by the ADHA team last week:My Health Record best place for Advance Care Directives29 March, 2019 - 9:45With National Advance Care Planning Week occurring 1-5 April, medical leaders are reminding Australians to make sure their future health care preferences are uploaded to My Health Record, where they can be easily accessed when needed. “National Advance Care Planning Week reminds us all of the importance of making your loved ones aware of your wishes in regards to health treatment, for a time in future where you may no longer be able to express your preferences. When you are sick, the burdens and st...
Source: Australian Health Information Technology - April 4, 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.
April 4, 2019 Edition.-----Trump has had a wonderful week or two from his perspective with the pressure on him from the Democrats being somewhat reduced and no obvious political issues threatening to derail the 2020 election. However there seems to be a looming recession in the US and that would be bad news for Trump!Brexit has gone utterly pear-shaped and we have no idea what happens next.By the time you read this we will know what happened. The big news was----- Major Issues.https://www.theaustralian.com.au/business/financial-services/short-bets-on-banks-point-to-slump/news-story/fd329fd852f7acd5690950761466222aShort bet...
Source: Australian Health Information Technology - April 4, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Surely We Must Wonder About Conflicts Of Interest And Competency With All This?
Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-bidi-f...
Source: Australian Health Information Technology - April 3, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

A Virtually Total Clean Out Of The ADHA Board Says Something I Believe!
This release has just appeared: Normal 0 false false false EN-AU X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman","serif";} https://www.digitalhealth.gov.au/news-and-events/news/appointments-to-the-australian-digital -health-a...
Source: Australian Health Information Technology - April 3, 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 37.
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 - April 2, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 01st April, 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-----It has been quiet a big week with a big ADHA push on what I see as a purely symbolic ‘axe the fax’ campaign. I guess it keeps them busy. Elsewhere a lot of angst on encryption issues and other more strategic issues.-----https://www.brisbanetimes.com.au/national/queensland/desperate-risk-delayed-electronic-medical-recor...
Source: Australian Health Information Technology - April 1, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Grahame Grieve Has A Look At Where We Are With Secure Clinical Messaging.
This went up a day or so and it is reproduced with permission.Clinical Messaging in Australia Posted on March 28, 2019 by Grahame Grieve The Australian Digital Health Agency is working hard on replacing faxing with secure messaging. Peter MacIsaac discusses one of the ancillary challenges this causes in Pulse IT today: “The second barrier to successful cross-transfer of messages is that the messages sent by almost all health services do not comply with Australian messaging or vocabulary standards.Likewise the major clinical system vendors are not capable of processing a standard HL7 message, if one were to be de live...
Source: Australian Health Information Technology - March 31, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 468 – Results – 31st March, 2019.
Here are the results of the poll.Do Electronic Health Records Need A Fundamental Re-think In The Light Of The Range Of Problems That Have Now Become Apparent In Their Implementation And Use?Yes 96% (138) No 3% (5) I Have No Idea 1% (1) Total votes: 144 What an clear-cut poll again. Most seem to think the EHR needs much more work to make it more useful for clinicians and patients. Any insights on the poll welcome as a comment, as usual. A more than reasonable turnout of votes! It must ha ve been a fairly question as just 1/144 readers were not sure what the appropriate answer was. Again, many, many thanks to all t...
Source: Australian Health Information Technology - March 31, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 30th 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/the-future-is-now-when-it-comes-to-digital-communication-with-patientsThe future is now when it comes to digital communication with patientsText messaging transformed the way many of us communicate, and the next generation of such communication promoses to do the same again. Here Kenny Bloxham argues the NHS valuably could &n...
Source: Australian Health Information Technology - March 30, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Other Than The Name There Is Something More Not Quite Right About All This. Is It Real Other Than A Website?
This page came up in an alert.Do you have a Medicare Card?March 20, 2019 In Australia, if you have a Medicare Card or if you are an armed forces veteran have a DVA card, you also have a My Health Record, unless you have opted out.If you have recently received a My Health Record and you login via MyGov you will notice that there is not much in it.  This makes sense, it ’s a bit like a bank account when you first open it.And like a bank account you need to make ‘transactions’ to make it useful – for My Health Record, those ‘transactions’ are visits to a healthcare service provider.Wha...
Source: Australian Health Information Technology - March 29, 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.
Normal 0 false false false EN-AU X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-bidi-f...
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