Senate Estimates - Community Affairs Legislation Committee - February 28, 2018. ADHA - Questions And Responses. Worth A Close Read!
Here is a transcript of what went on very late last Wednesday evening in Canberra.Community Affairs Legislation Committee 28/02/2018 Estimates HEALTH PORTFOLIO Australian Digital Health Agency [22:50] Senator GRIFF: When is the universal automatic enrolment of the My Health Record expected to go live? Mr Kelsey : The timing of the opt-out is a matter for government. Ministers are considering it at the moment. The legislative instrument that the budget measure determines that the opt-out has to have occurred before the end of 2018. Senator GRIFF: You don't actually have a nominal go-live date at this point? Mr Kelsey : ...
Source: Australian Health Information Technology - March 4, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 03rd March, 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/hhs-taking-aim-at-reducing-the-administrative-burden-of-ehrsHHS takes aim at reducing the administrative burden of EHRs By Greg Slabodkin Published February 23 2018, 7:20am EST The Department of Health and Human Services is firmly committed to reducing the regulatory and administrative burdens on clinicians who use electr...
Source: Australian Health Information Technology - March 3, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

They Are At It Again - Spruiking The Digital Health Future As Awesome Wonderful Fact - It Isn ’t!
This appeared last week: Updated Feb 21 2018 at 7:00 PM Data and technology to transform the medical system This content is produced by The Australian Financial Review in commercial partnership with the Commonwealth Bank of Australia. "We collect one billion times more data on our cars than our bodies," Murray Brozinsky recently stated at the Commonwealth Bank's Future of Health Conference.A recognised digital health leader, and chief strategy officer at Conversa, Brozinsky advises some of the world's leading healthcare organisations on the changing nature of health.Comparing cars with humans ...
Source: Australian Health Information Technology - March 2, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Your Last Warning - The Data Breach Penalty Regime Is Now Operational And Coming For You!
This appeared last week and carries a rather ominous warning …Data breach law: 60% of businesses 'unaware of basics' 20 February 2018 Written by  Sam Varghese Nearly 60% of Australian businesses are not aware of the details of the data breach law that takes effect on Thursday, a survey by GfK Australia for imaging solutions provider Canon claims.Additionally, the survey, named the Business Readiness Index, found that small businesses, in particular, were seen to be least concerned about data security, stemming from a lack of awareness where only one in five (19%) were conscious of, and prepared for, the new reg...
Source: Australian Health Information Technology - March 1, 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.
March 01, 2018 Edition.In Trump world the big news is that the Special Prosecutor has indited yet more and had a few plead guilty to all sorts of financial and other crimes. This really is not going to end well for Trump I reckon and just in the week when Mr Turnbull was visiting! In OZ the Barnaby saga has fully reached escape velocity and he has fallen on his sword. Lord knows what happens next but one must hope our system has considerable powers of self repair. What an utter fiasco - only exceeded by Michaelia Cash's rabid meltdown on Wednesday! The coalition seems to wa nt to self-destruct! -----Here are a few other ...
Source: Australian Health Information Technology - March 1, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

There Is Little Doubt The Game Is Changing - And Maybe Faster Than We Expect.
This appeared last week:Google's neural networks detect heart attack risk by looking at patients' eyesDrew Harwell& Carolyn Y. Johnson Published:February 20 2018 - 1:50PMBy looking at the human eye, Google's algorithms were able to predict whether someone had high blood pressure or was at risk of a heart attack or stroke, researchers at the company have confirmed, opening a new opportunity for artificial intelligence in the vast and lucrative global health industry.The algorithms didn't outperform existing medical approaches such as blood tests, according to a study of the finding published in the journal Nature Biomed...
Source: Australian Health Information Technology - February 28, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Is There Something Worrying About The Fact That The Privacy Commissioner Bails Just As National Breach Legislation Commences And With Opt-Out In The Wings?
Last week we had the rather sad news that the Privacy Commissioner has handed in his baton.Last man standing: information and privacy commissioner Timothy Pilgrim to retireByStephen Easton • 20/02/2018 Timothy Pilgrim has announced his resignation from his dual-role as privacy and information commissioner, effective March 24.Pilgrim started as the privacy commissioner in 2010, when the Office of the Australian Information Commissioner was a much better resourced body with a separa te commissioner for FOI and an overarching information commissioner in John McMillan, who left in 2015, when the Abbott government intended...
Source: Australian Health Information Technology - February 28, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Its Been A Really Big Week For Bureaucratic Swanning And Preening - I Wonder What Will Actually Come Of It?
I first got wind of something happening in Digital Health when all these obscure Indian links began to appear.India building digital health ecosystem: NaddaCanberra (Australia), Feb 19 (IANS) Union Minister for Health and Family Welfare J.P. Nadda on Monday said India is committed to reforms in health services delivery using Information and Communication Technology (ICT).Addressing delegates from around a dozen countries at the Global Digital Health Partnership Summit, he said the ICT had great potential to improve delivery of healthcare services and "India will take advantage of it under the Digital India programme&q...
Source: Australian Health Information Technology - February 27, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 26th February, 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 CommentNot much happening except the RACP debacle - fire the CEO I say - and the Global Gabfest where Australia suggests it is an a position to offer advice to others in Global Digital Health! Put your own house in order I would suggest - but then I would say that!-----https://www.itwire.com/government-tech-policy/81803-data-breach-law-takes-...
Source: Australian Health Information Technology - February 26, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 411 – Results – 25th February, 2017.
Here are the results of the poll.How Well Do You Believe The GP Community Is Being Served By The Current Generation Of Practice Systems?Great 1% (2) Not Bad 52% (74) Neutral 36% (51) Not Well 9% (12) Badly 1% (1) I Have No Idea 1% (1) Total votes: 141 This is an interesting poll suggesting that there is room for more work but that mostly people are going reasonably well with their present systems. Any insights welcome as a comment, as usual. A really great turnout of votes! It must have been an easy question with just 1 not sure what the appropriate answer was. Again, many, many thanks to all those that voted!...
Source: Australian Health Information Technology - February 25, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Just To Continue The Outrage For A Moment Or Two Longer - The CEO Has No Place To Go But Out!
After the blog this morning this appeared I found these:'Budget' contractor behind bungled RACP exam has a long record of failure The low-cost operator has a well-documented history of mishapsGeir O'Rourke22nd February 2018 10 Comments The company employed by the Royal Australasian College of Physicians to run its botched fellowship examination is known as a “budget” option and has been involved in dozens of testing mishaps over the past two decades, a US exam watchdog says. The contractor, Pearson VUE, is yet to explain the "unknown technical fault" that locked registrars out of Monday's five-ho...
Source: Australian Health Information Technology - February 25, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Talk About An Appalling IT Stuff-Up - I Really Feel For The Victims!
This story broke in the middle of last week.Trainee doctors forced to resit exam after 'technical fault' By Allie Coyne on Feb 20, 2018 6:22AM First computer-based test failed, results voided.Trainee doctors who sat a basic exam yesterday have had their results voided after a "technical fault" locked some students out of the second half of the test. It was the first time the Royal Australasian College of Physicians (RACP)'s divisional written exam had been delivered online, managed by computer-based testing solutions provider Pearson Vue. The medical college apologised to students for yesterday's technical ...
Source: Australian Health Information Technology - February 24, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 24th February, 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.irishtimes.com/news/ireland/irish-news/investment-in-e-health-proposed-under-development-plan-1.3395390Investment in e-health proposed under development planPrevious estimates for electronic health record suggest it will cost up to €875 million17 February, 2018Elaine Edwards Digital health services will enable the right information about the rig...
Source: Australian Health Information Technology - February 24, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Not Quite Digital Health But An Anti-Scientific Outrage Nevertheless!
This appeared last week:Thank God, Australia is now licensed to ‘moisten intestines’ and ‘replenish the gates of vitality ’16/02/2018Edwin Kruys A while back I spoke with a politician who was very cross about the decision by the Therapeutic Goods Administration (TGA) to make codeine products no longer available without prescription. When I asked why, the answer was, “Codeine is great for jet lag, especially wit h a Scotch.”Clearly there was some confusion here about the indication of (the painkiller) codeine, which can cause serious side effects, especially in combination with oth...
Source: Australian Health Information Technology - February 23, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Looks Like The Telstra Health Developed National Cancer Registry Is Almost There!
This popped up a few days ago: Major component of Australia's cancer register still without go-live By Justin Hendry on Feb 14, 2018 1:37PM Planning will recommence after delivery of first phase.The replacement of Australia ’s outdated bowel screening register remains without a go-live date almost a year after a complex data migration process stalled the original launch. Australia ’s new Telstra-built cancer screening register is a single platform that will replace the paper-based national bowel screening register as well as the eight separate cervical cancer screening registers operated by the state...
Source: Australian Health Information Technology - February 22, 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.
February 22, 2018 Edition.In Trump world the big news is that the Special Prosecutor has indited 13 Russians with systematic interference with the US Election. Heaven knows where this goes from here but I suspect it won't end well for many people!In OZ the Barnaby saga has reached escape velocity and who knows what will happen when it returns to Earth, as surely it must! Maybe by the time you read this we will know more.-----Here are a few other things I have noticed.-----Major Issues.http://www.afr.com/news/world/volatility-bets-should-not-be-available-to-retail-investors-20180210-h0vw44Feb 11 2018 at 11:24 AM Volatility ...
Source: Australian Health Information Technology - February 22, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Is An Area Where The myHR Might Help But Only With A Lot Of Work.
This appeared last week and got me thinking: 'Anything to save them': Medics reveal human cost of our denialEmma Young Published: February 15 2018 - 11:48AM One day in an Australian hospital ward, two men were dying. Both lay in rooms off the same corridor. But their stories unfolded very differently. The first was 95 years old. He had end-stage diabetes and heart disease. He had collapsed during a heart attack and was taken to hospital unconscious. There was no advanced care directive to indicate how he felt about treatments. His daughter arrived, shocked and distraught, and insisted on all possible treatment. D...
Source: Australian Health Information Technology - February 21, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

I Wonder If These Changes Will Avoid More Hacking Of The Medicare Number Database?
This appeared a few days ago:Government to crack down on access to patients ’ Medicare numbersAccelerates shift away from PKI for HPOS Rohan Pearce (Computerworld) 16 February, 2018 12:44 The government has endorsed the recommendations of a review into health providers’ access to Medicare card numbers. The government commissioned the review of the Health Professio nals Online Services (HPOS) system after revelations that a Tor-protected service was offering to retrieve the Medicare numbers of individuals. The ‘Medicare Machine’ service on the now-defunct AlphaBay marketplace site offered a...
Source: Australian Health Information Technology - February 21, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Good To See The Medical Republic Doing Lots On Technology And Pointing To The Inevitable Future!
Last week we had the Medical Republic run two long articles of relevance to Digital Health. First we had: 16 February 2018 Cloud patient management systems come of agePosted byMatthew Galetto Across our country, thousands of practices, including GPs, specialist and allied health, own and maintain a practice server. The practice server is the powerhouse of the clinic, the primary function of which is to host the clinical and practice management software. Other critical functions include the hosting of a myriad of add-ons and plugins that connect to, and extract from, the practice management software. As a secondary fun...
Source: Australian Health Information Technology - February 20, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 19th February, 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 CommentSeems to have been a pretty quiet week other than the to-ing and fro-ing between the ADHA and the MSIA. Elsewhere we learn a little more about opt-out and watch the Barnaby saga! ------ https://www.medicalobserver.com.au/professional-news/doctor-shopper-reforms-all-but-compel-gps-to-join-script-exchangesDoctor-shopper reforms all bu...
Source: Australian Health Information Technology - February 19, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 410 – Results – 18th February, 2017.
Here are the results of the poll.How Would You Rate The Value For Money Being Delivered By The ADHA To The Australian Community?Excellent 0% (0) OK 1% (1) Neutral 1% (2) Not Much 52% (78) Non-Existent 45% (67) I Have No Idea 1% (2) Total Votes 150 This is a definitive poll with readers seeing the ADHA as adding very little to no value so far. I wonder what the Board would make of this result? Any insights welcome as a comment, as usual. For those who are counting there have now been 14,800 comments on the blog . (There a total of 5100 posts). A really, great turnout of votes! It must have been an easy questi...
Source: Australian Health Information Technology - February 18, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

A Few More Details A Gradually Leaking Out On How Not To Get Stuck WIth A myHR.
This appeared last week: How to opt out of Australia's e-health record schemeBy Allie Coyne on Feb 12, 2018 4:45PM Get in within three months.The federal government has released guidance on how Australians will be able opt out of having a personal electronic health record created under the country's My Health Record scheme.It ends a period of uncertainty for those who have expressed concern about privacy and data sharing in the scheme.A policy change from opt-in to opt-out e-health records was first mulled in 2015 when the government starting trialling the automatic creation of electronic health records...
Source: Australian Health Information Technology - February 18, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 17th February, 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://www.healthcareitnews.com/news/tips-tackle-biggest-cyber-challenge-hospitals-face-medical-device-securityTips to tackle the biggest cyber challenge hospitals face: medical device securityExperts from a leading nonprofit ranked device cybersecurity as the single biggest challenge hospital face today.By Bernie MonegainFebruary 08, 2018 11:40 AM The ECRI Ins...
Source: Australian Health Information Technology - February 17, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

South Australia Again - It Really Seems It Is Getting Political And Messier All At The Same Time.
First we have had the overt political threat to the EPAS.SA-Best wants EPAS investigated as Xenophon releases health policiesNick Xenophon is calling for an immediate pause and investigation into the controversial electronic health records system EPAS, among a series of brief SA-Best health policy proposals released this morning.Bension Siebert @Bension1 The Enterprise Patient Administration System was designed to replace paper with electronic records in public hospitals and health care settings across South Australia, and has been credited with reducing the frequency of medication errors.However, doctors have repeatedly w...
Source: Australian Health Information Technology - February 16, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Even Apple Suspects The Fax Machine Is A Long Way From Dead It Seems!
This appeared last week:Apple's iOS push could change healthcare data sharing, still won't kill the faxApple may have finally found a way to enable the large-scale sharing of electronic medical record information on mobile devices. But its tools won't replace the old tried-and-true fax for data-sharing in healthcare.Lucas Mearian (Computerworld (US)) 06 February, 2018 07:55 Apple's Health Records feature in the upcoming iOS 11.3 rollout may be the most high-profile attempt at sharing healthcare data between caregiver and patient, but it won't succeed without industry's cooperation.What is new is the mass market Apple comma...
Source: Australian Health Information Technology - February 15, 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.
February 15, 2018 Edition.The big news globally has been the wobbles that have assailed global equity markets. Losses have been between 5 and 10% with Asian markets suffering a lot, developed a little less and ours holding up fairly well as it had not gone up all that far.In related news the US has just added $350B or so to the national debt and must be at some risk of simply going broke in the next decade or two.Trump has not skited about how high the Dow Jones is for a week now! – mostly since it has been falling!In Oz there has been handwringing about Barnaby’s pregnant girlfriend and the inability of the Go...
Source: Australian Health Information Technology - February 15, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Now Here Is A Digital Health Project That Looks Likely To Make A Real Difference!
This appeared a few days ago:WA mum of six creates 'one stop shop' for childrens' health recordsDavid Allan-Petale Published: February 7 2018 - 11:17AM A WA psychotherapist and mother to six has launched an app that allows parents to slash the huge paper trails that come with tracking their child's health, education and social wellbeing.Babies born in WA have doctors appointments and development notes recorded in a 'purple book' issued to parents, who then continue collecting information as the child grows in whichever method they use best, including a range of government apps.However, for Per...
Source: Australian Health Information Technology - February 14, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

As We All Know We Have To Work Hard To Avoid The Downside Of Technology In Health Care. Here Is A Digital Health Disaster We All Need To Learn From!
This appeared last week:Paul Lau died at Sydney hospital after wrongly being prescribed fentanyl: inquestGeorgina Mitchell Published: February 5 2018 - 4:58PMA patient who went to a north-west Sydney hospital for an "uneventful" day surgery died within hours after an anaesthetist accidentally prescribed him a potent opioid meant for someone else, an inquest has heard.Paul Lau, 54, was a keen skier who went to Macquarie University Hospital on June 18, 2015, for a reconstruction of the anterior cruciate ligament on his left knee.Mr Lau, a father of two, had a successful surgery and was taken to recovery. ...
Source: Australian Health Information Technology - February 14, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Has Been One Of Those Good and Bad News Weeks For The Digital Health Proponents.
First the good news:Health IT adoption has positive effect on medical outcomes By Greg Slabodkin Published February 07 2018, 7:29am EST There is a positive association between the adoption of health information technology and its effect on medical outcomes in terms of efficiency or effectiveness. That ’s the conclusion of a new study published this week in the Journal of Medical Internet Research that analyzed the current literature on the subject over the last five years. Researchers queried the Cumulative Index of Nursing and Allied Health Literature and Medical Literature Analysis and Retrie val System Online by P...
Source: Australian Health Information Technology - February 13, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 12th February, 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 CommentA week that started slow and built. All sorts of problems everywhere it would seem. Read on!I have to say the confected guff about the myHR and its great qualities is betting a bit tiring!-----https://www.itnews.com.au/news/qld-picks-supplier-for-state-wide-pathology-system-overhaul-484758Qld picks supplier for state-wide pathology sys...
Source: Australian Health Information Technology - February 12, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Talk About What Goes Around Comes Around!
A very long time ago I was involved in a project to try and define what a decent GP system might be able to do and how it might be architected. This was in fact late last century!!!This page contains a lot of interesting history and some ideas which still do not look that silly:http://ozhealthithistory.wikispaces.com/General+Practice+Related+FilesIn the light of the various memos going around with the ADHA, the MSIA, the RACGP and so on it is worth just seeing for how long all this has been discussed etc.Enjoy the browse. The last entry (a paper describing what went on in the project) is a good introduction and still looks...
Source: Australian Health Information Technology - February 11, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 409 – Results – 11th February, 2017.
Here are the results of the poll.Is The ADHA Board Providing Sufficient And Timely Disclosure So Stakeholders Can Properly Assess The Level And Quality Of Progress Being Made By The ADHA?Yes 1% (1) No 98% (168) I Have No Idea 1% (2) Total votes: 171 This is a definitive poll with readers seeing little more than lip-service being paid to openness and transparency by the ADHA Board. It seems they don’t want the public to understand just what they do and why they are doing it! Any insight s welcome as a comment, as usual. A really, really great turnout of votes! It must have been an easy question with just 2 not...
Source: Australian Health Information Technology - February 10, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 10th February, 2018
Here are a few I came across last week. Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.-----https://www.digitalhealth.net/2018/01/special-report-shared-care-records/Special Report: Shared Care RecordsIn June last year, NHS England chief executive Simon Stevens named eight accountable care systems, meant to spearhead efforts towards closer, more integrated means of working. Even though there is uncertainty on when the systems will get formalised, most a...
Source: Australian Health Information Technology - February 10, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Looks Like There Is Still A Problem In South Australia. There Is An Election In Seven Weeks!
I noted this the other day:SA health system 'still in crisis', AMA warns 8:04pm Feb 1, 2018The nation ’s peak medical body has warned work conditions and stress levels in South Australia’s hospitals are at dangerous levels.The state’s health system is still in crisis despite hospitals, including McLaren Vale, recently receiving a significant investment from the government, the Australian Medic al Association (AMA) said.“We are hearing failure after failure within the health system, and I think there's no doubt that the health system is still in crisis,” William Tam from AMA SA told 9NEWS.&ldqu...
Source: Australian Health Information Technology - February 9, 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.
February 08, 2018 Edition.Trump continues to astound with this week with a State Of The Union Speech which was both long and to my ears pretty nasty. Late last week he released a secret document saying that the Dems had contrived to have the FBI investigate some aspects of the campaign – just as they had done with their claims on the Hilary e-mail server. Pure politics but shows how worried they are about Mueller and his probe!In passing this new US Strategic Posture to focus on China and Russia (rather than terrorism)  is a pretty big deal I believe and pretty worrying.Brexit has descended into farce with offic...
Source: Australian Health Information Technology - February 8, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Looks Like One Really Good Hospital Is Doing Its Best With High-Tech. Moving The Right Way With GP And Patient Information Access!
This appeared a day or so ago:Hi-tech health to benefit patientsThe Australian12:00AM February 3, 2018Sarah-Jane TaskerHospitals without patients, NASA-style command centres in healthcare facilities, 3D-printed organs — it sounds like something from a sci-fi novel but it could be part of Australia’s healthcare system in less than 10 years.With healthcare budgets reaching unsustainable levels as people live longer, using technology better is now at the forefront of innovation in the healthcare sector.The issue is being tackled globally. Last week at the World Economic Forum in Davos, the chief executive of Nokia...
Source: Australian Health Information Technology - February 8, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Seems MPs From All Over Are Lining Up To Spruik The MyHR – With Exaggeration and Simplification And A Push From The ADHA!
This release appeared a few days ago:Policy& Politics | 31/01/2018 8:00:17 PM Department of HealthEmbrace My Health Record for simpler, safer care wherever you areThe Hon Ken Wyatt AM, MPMinister for Aged CareMinister for Indigenous HealthMember for HasluckMEDIA RELEASE31 January 2018Embrace My Health Record for simpler, safer care wherever you areAged Care Minister Ken Wyatt has called on Australians, especially senior Australians, to embrace the rollout of the My Health Record, for secure, safer, more convenient care.Joining Australian Digital Health Agency CEO Tim Kelsey for the first community information session f...
Source: Australian Health Information Technology - February 7, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

When Thinking About Having A myHR Or Not It Is Worth Remember This Headline!
This appeared a few days ago:Australian government cannot handle its own data securely, why give it yours?Australia has performed an amazing act of self-leakage, selling a pair of locked filing cabinets of its own secret Cabinet documents.By Chris Duckett for Null Pointer | January 31, 2018 -- 21:34 GMT (08:34 AEDT) | Topic: Security It turns out the best way to get your hands on secret government documents in Australia is to head down to a furniture store and buy a locked cabinet or two full of them.This sounds like the plot of a bad sitcom, but thanks to the reporting of Australia's ABC, we know it is the truth.The gravi...
Source: Australian Health Information Technology - February 7, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Economist Weighs In On Digital Health. It has Not Gone Well In The Past But They Think This Time Will Be Different.
There are a Leader and 2 articles in this week ’s issue on Digital Health.First we have:Data and medicine: A revolution in health care is comingWelcome to Doctor YouFeb 1st 2018NO WONDER they are called “patients”. When people enter the health-care systems of rich countries today, they know what they will get: prodding doctors, endless tes ts, baffling jargon, rising costs and, above all, long waits. Some stoicism will always be needed, because health care is complex and diligence matters. But frustration is boiling over. This week three of the biggest names in American business—Amazon, Berkshire Ha...
Source: Australian Health Information Technology - February 6, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 5th February, 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 CommentAnother really quiet week with the occasional highlights – like the loss of a whole heap of Cabinet Papers! Enjoy!-----http://www.zdnet.com/article/australian-government-cannot-handle-its-own-data-securely-why-give-it-yours/Australian government cannot handle its own data securely, why give it yours?Australia has performed an ama...
Source: Australian Health Information Technology - February 5, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Push For Pharmacists To Become Major Users Of The myHR. There Are Still Some Questions To Be Answered.
This release appeared a few days ago:Consultation begins on My Health Record GuidelinesJanuary 29, 2018Consultation has started on the My Health Record Guidelines for Pharmacists developed by the peak national body for pharmacists, the Pharmaceutical Society of Australia (PSA).The Guidelines provide guidance to pharmacists on meaningful clinical use of the My Health Record system.By the end of 2018, all Australians will have a My Health Record unless they choose not to have one.Pharmacists have a professional responsibility to review their practice and, where necessary, build on their digital health competency to ensure th...
Source: Australian Health Information Technology - February 4, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 408 – Results – 4th February, 2017.
Here are the results of the poll.Are You Expecting An Exodus Of Senior Federal E-Health Bureaucrats Over The Next Year Or Two? Yes 9% (14) No 9% (14) They Will Just Be Shuffled Around. 78% (115) I Have No Idea 3% (5) Total votes: 148 This is a fun poll with bureaucratic shuffling seen as the anticipated outcome. It does not suggest we are going to see much change or progress with all that hunkering down. Any insights welcome as a comment, as usual. A really great turnout of votes! It must have been a fairly easy question with just 3% not sure what the correct answer was. Again, many, many thanks to all those that...
Source: Australian Health Information Technology - February 3, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 3rd February, 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://www.healthcareit.com.au/article/chaos-it-systems-two-nhs-health-areas-are-brought-down-technical-problems Chaos as IT systems in two NHS health areas are brought down by technical problemsLynne Minion | 25 Jan 2018 Technical issues have been blamed for a ‘major incident’ that caused outages across NHS systems in Wales and Manchester yes...
Source: Australian Health Information Technology - February 3, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Why Is There So Little Real Evaluation Happening In Australia and E-Health / Digital Health?
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Source: Australian Health Information Technology - February 2, 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.
February 01, 2018 Edition.Trump continues to astound with this week the a 36 hour visit to hob-nob with the super-rich in Davos, where he said he was MAGA and showed his thin-skin in question time while getting caught out lying about having tried to fire the Russian Special Counsel. I am sure his favourite coal miners were impressed with the Davos visit.We are now just over a ¼ of the way through this nightmare and I have to say I am sick of it already – with a State Of The Union Speech this week! Can you imagine the boasting?In passing this new US Strategic Posture to focus on China and Russia (rather than te...
Source: Australian Health Information Technology - February 1, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Guest Comment - What the cloud holds for healthcare providers
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Source: Australian Health Information Technology - February 1, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

A Very Interesting Survey Of Australians On Digital Health And Other Matters.
This appeared last week:Most Australians would not sign up to an online health record, survey findsLynne Minion | 23 Jan 2018 Almost two-thirds of Australians want their healthcare records to be shared more effectively across healthcare providers but only 38 per cent would consider signing up to a secure online summary of their health information, a new study has found.As the Australian Digital Health Agency moves towards this year ’s creation of a My Health Record for every Australian who doesn’t opt-out, the research into digital technology in healthcare commissioned by GlaxoSmithKline shows that 51 per cent ...
Source: Australian Health Information Technology - January 31, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Talk About A Non-Committal Release From The AMA On The myHR And Digital Healt. I Reckon They Don ’t Want A Bar Of It.
This was released a few days ago.Update From The Australian Digital Health Agency25 Jan 2018 The Australian Digital Health Agency (ADHA) has provided the AMA with updates relevant to GPs and My Health Record. The ADHA receives considerable input and advice from AMA members.Former AMA President, Dr Steve Hambleton, has outlined the importance of My Health Record in allowing for the straightforward and secure sharing of information. Up-to-date shared health summaries can easily be accessed by other healthcare practitioners, allowing for patients to receive continuity of care. Read more about Dr Hambleton ’s experienc...
Source: Australian Health Information Technology - January 31, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Looks Like The Big IT Of The DHS Are Struggling Again With The Little Things.
This appeared last week:DHS offers one-time passcodes for myGov loginBy Allie Coyne on Jan 23, 2018 2:52PM Updated: But early reviews aren't good.Australians can now continue using two-factor authentication on their myGov accounts when overseas or out of mobile range through new one-time access codes.But early reaction to the service has not been as positive as the Department of Human Services might have hoped.The myGov Access mobile app - available on Android and iOS as of last month - replaces the SMS code or secret questions and answers that have until now been required with a person's username and password to log into&...
Source: Australian Health Information Technology - January 30, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Has To Be A Real Step Forward And May Even Save A Few Lives!
This appeared last week:How the ACT is eliminating hospital errorsBy Justin Hendry on Jan 22, 2018 6:00AM New systems cross-reference patient with process.ACT Health has embarked on a clinical systems transformation that will see patients electronically cross-referenced with pathology orders and medication at their bedside in an effort to eliminate errors at the point of care.The territory's health directorate has completely overhauled how it interacts with patients to banish the paper-based records and processes that are the traditional causes of mixed up blood samples and medications in hospitals.Despite having...
Source: Australian Health Information Technology - January 30, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs