AusHealthIT Poll Number 394 – Results – 29th October, 2017.
Here are the results of the poll.Do You Agree With Grahame Grieve (And Your Humble Pollster) That The myHR Is Architecturally Fundamentally Badly Flawed And That This Needs Correction If The myHR Is To Succeed?Yes 99% (146) No 0% (0) I Have No Idea 1% (1) Total votes: 147 I think this is the clearest vote ever! The myHR needs architectural change to succeed. Tinkering around the edge is an expensive waste of time and money! Any insights welcome as a comment, as usual, especially regarding what might be done to h ave consent be the norm? I begin to wonder who the single clueless person is who just likes to vote for ...
Source: Australian Health Information Technology - October 29, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 28th October, 2017.
Here are a few I came across last week. Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.-----https://www.healthdatamanagement.com/news/71-of-providers-say-interoperability-not-attainable-by-202071% of providers say interoperability not attainable by 2020 By Greg SlabodkinPublished October 20 2017, 7:08am EDTLess than a third of provider organizations believe that current federal policies, committees and regulations are sufficient to help the country att...
Source: Australian Health Information Technology - October 28, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Researchers Suggest The Value In Hospital System Implementations Is Hard To Pin Down And Failures Are Common!
This appeared last week:The impacts of eHealth upon hospital practice: synthesis of the current literature17 Oct 2017Deeble Institute for Health Policy ResearchCREATORSRebekah Eden, Andrew Burton-Jones, Ian Scott, Andrew Staib, Clair SullivanThe aim of this brief is to provide policy-makers with an analysis of current literature relating to the effects to be expected from hospital implementation of eHealth technologies.Description To increase value from health-care expenditures, governments worldwide are increasingly adopting (or planning to adopt) eHealth technologies (e.g. Electronic Medical Records (EMR), Computer Provi...
Source: Australian Health Information Technology - October 27, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Seems Consumers Will Opt In And Consent To Health Information Exchange When It Offers Value!
This appeared last week:Western New York HIE reaches 1 million patient consents By Greg SlabodkinPublished October 10 2017, 6:36am EDTHEALTHeLINK, the clinical information exchange connecting hospitals, physicians, and payers in Western New York, has secured more than 1 million uniquely consented patients.According to Dan Porreca, executive director of HEALTHeLINK, this achievement represents a significant community milestone for the eight counties the HIE serves, as it continues to improve quality of care, patient safety, while reducing healthcare costs by eliminating redundant tests. “It is the doctors, practices a...
Source: Australian Health Information Technology - October 26, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.
October 26, 2017 Edition.It has been an amazing week globally.President Xi has told us how China is going to return to its original glory by 2035 or so and Trump has been giving himself 10/10 for his fabulous hurricane response in Puerto Rico!Elsewhere Brexit is going very badly and NZ has shocked us all by putting the Labour Government into power.Will amazement and wonders never cease!-----In Australia the Energy Crisis has been solved by the NEG (National Energy Guarantee) and everyone is thrilled this week – next week who knows.Victoria seems to be moving towards legal euthanasia and the SSM vote seems to just rol...
Source: Australian Health Information Technology - October 26, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Seems Data Anonymisation Is Really Hard To Get Right While Making Available Any Data That Is Useful.
This appeared last week:Has somebody shared your 'anonymised' health data? Bad newsHarvard boffins unmask 100% of 'encrypted' S Korean recordsBy Alexander J Martin 2 Oct 2015 at 08:34 Researchers from Harvard University have published a paper claiming a 100 per cent success rate in de-anonymising patients from their supposedly anonymised healthcare data in South Korea.The study, which bears the ronseal title of "De-anonymizing South Korean Resident Registration Numbers Shared in Prescription Data", was published this week in Technology Science.Two de-anonymisation experiments were conducted in...
Source: Australian Health Information Technology - October 25, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Another Thoughtful Contribution To The Secondary Use Of myHR Data Debate.
This appeared over the weekend:Where did our health data go?22/10/2017 Edwin Kruys Data is like garbage, you ’d better know what you are going to do with it before you collect it ~ Mark TwainIt took a while, but the Department of Health is now inviting submissions about the various ways digital health information in the national My Health Record (MyHR) should, and could, be used.By law information in the MyHR can be collected, used and disclosed ‘for any purpose.’ This ‘secondary use’ of health data includes purposes other than the primary use of delivering healthcare to patients.The...
Source: Australian Health Information Technology - October 25, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

There Are Commercial Interests Out There Who Want To Access You myHR Potentially Without Either Your Consent Or Knowledge!
This interview happened last week.Privacy concerns about My Health Record systemBy Eliza Borrello on AMDownload (1.34 MB) You might not be aware, but from next year the Federal Government will have created an electronic file, holding the medical records of every Australian.Proponents say it will give emergency department doctors anywhere in Australia access to information that could save your life.But critics warn it could also see sensitive information - such as whether you've had an abortion - fall into the wrong hands.They're also concerned that patients will have to actively opt out if they don't want a so-called "...
Source: Australian Health Information Technology - October 24, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 23rd October, 2017.
Here are a few I have come across the last week or so.Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General CommentAnother quiet week with gradual progress happening on a number of fronts – none of which seem to have anything to do with the ADHA.Browse the headlines to get a feel for what is happening and do vote on the latest poll. Something needs to bring the myHR juggernaut to a more constructive direction! -----https://ajp.com.au/news...
Source: Australian Health Information Technology - October 23, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

A Very Short And Just Plain Sick Of It Blog! Why Are The Clearly Stated Views Of Readers Here Just Ignored?
While doing a few blogs to go up this week the following comment appearedAnonymous said...Unfortunately David going on previous situation where it is clear from your polls the majority (and usually and large majority) indicate one preference Canberra goes the completely opposite direction. Based on that I guess that consent will not be sort from individuals. I doubt that the system would have the smarts to implement it anyway.October 22, 2017 7:25 AM----- End Comment:Thanks to the commenter for suggesting the obvious question. Just why, when we know the ADHA reads the blog – they are quick enough to phone if there is...
Source: Australian Health Information Technology - October 22, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 393 – Results – 22nd October, 2017.
Here are the results of the poll.Should 'Secondary Use' Of Patient Data Held In The myHR Require Explicit Consent Of The Individual Concerned?Yes 95% (147) No 4% (6) I Have No Idea 1% (1) Total votes: 154 It seems pretty clear individuals want a say about the use of their myHR data Any insights welcome as a comment, as usual, especially regarding what might be done to have consent be the norm? A really great turnout of votes! Again, many, many thanks to all those that voted! David. This is the initial part of the post - read more by clicking on the title of the article. David. (Source: Australian Health Information Technology)
Source: Australian Health Information Technology - October 21, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 21st October, 2017.
Here are a few I came across last week. Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.-----http://www.healthcareitnews.com/news/cerner-tackles-interoperability-two-new-anglesCerner tackles interoperability from two new anglesIts launch of portal-connected consumer health record and extension of free CommonWell exchange services are meant to show commitment to interoperability, "no matter what the definition," said President Zane Burke.By Mik...
Source: Australian Health Information Technology - October 21, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Consumers Still Seem To Be Confident Their Doctors Who Are Technology Enabled Will Improve Their Care.
This appeared last weekConsumers Optimistic that EMRs will Improve Patient Care October 9, 2017 by Rajiv Leventhal About three-fourths of consumers in a recent survey believe that electronic medical records (EMRs) will improve the quality of healthcare in general.The research from The Physicians Foundation, an organization seeking to empower physicians to lead in the delivery of quality and cost-efficient healthcare, included responses from more than 1,700 consumers. Eighty-five percent of respondents said they believe EMRs either help patient care a great deal (42 percent) or help somewhat (43 percent). Six percent of con...
Source: Australian Health Information Technology - October 20, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

A Really Useful Aggregation Of The OAIC Information On The myHR. Bookmark The Link!
This appeared last week:New My Health Record resources released Monday, 09 October 2017 We have published new resources to assist healthcare providers understand their privacy obligations under the My Health Record system.My Health Record is an Australian Government initiative to provide secure online summaries of individuals ’ health information. A My Health Record allows an individual’s doctors, hospitals and other healthcare providers to view the individual’s health information, in accordance with their access controls. Individuals are also able to access their record online.As the independent regulato...
Source: Australian Health Information Technology - October 20, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Grahame Grieve Points Out That The Architecture Of The myHR Is Fatally Flawed And Needs Change!
 Grahame Grieve posted this a day or so ago - and remarked to me that the audience here would expect me to repost it for their consideration and discussion! Argonaut in Australia, and the MyHR Posted on October 17, 2017 by Grahame Grieve Project Argonaut is coming to Australia. That is, at least one major US EHR vendor is planning to make their SMART-on-FHIR EHR extension interface available in Australia during 2018 (discussion about this at Cerner He alth Conference where I was last week). HL7 Australia will work with them (and any other vendor) to describe what the Argonaut interface looks like in Australia (short...
Source: Australian Health Information Technology - October 19, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.
October 19, 2017 Edition.Trump has been pretty busy this week attacking Obamacare with all sorts of attempts to defund it while really failing to get to grips with a range on natural disasters in California etc.It is hard to believe he is making such a mess of being President as it seems is Theresa may who is pretending to be British PM while sliding ever downwards into some abyss. And add to that the Philippines President is about to declare some form of revolutionary council to stop being ousted.. This really continues to be a very bad dream from which we all need to wake up!-----In Australia the SSM Postal Survey seems ...
Source: Australian Health Information Technology - October 19, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Grahame Grieve Points Out That The Architecture Of The myHR Is Fatally Flawed.
 Grahame Grieve posted this a day or so ago - and remarked to me that the audience here would expect me to repost it for their consideration and discussion! Argonaut in Australia, and the MyHR Posted on October 17, 2017 by Grahame Grieve Project Argonaut is coming to Australia. That is, at least one major US EHR vendor is planning to make their SMART-on-FHIR EHR extension interface available in Australia during 2018 (discussion about this at Cerner He alth Conference where I was last week). HL7 Australia will work with them (and any other vendor) to describe what the Argonaut interface looks like in Australia (short...
Source: Australian Health Information Technology - October 19, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Is A Sensible Decision You May Have Missed. A Good Idea I Believe!
This popped up last week:Why Australians won't use myGov to opt out of e-health recordsBy Justin Hendry on Oct 10, 2017 6:30AM Govt builds separate portal.Australians that choose to opt-out of the My Health Record will do so through a standalone portal and not via the myGov online service portal, the Australian Digital Health Agency has revealed.The e-health record operator has created the opt-out portal to remove the need to force individuals to register for a myGov account.It was first tested during the opt-out trials in the Northern Queensland and Nepean Blue Mountains Primary Health Networks last year, a...
Source: Australian Health Information Technology - October 18, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Minister Responsible For The NBN Is In Cloud Cuckoo Land On How It Is Going!
From Wikipedia:Cloud cuckoo land refers to a state of absurdly, over-optimistic fantasy or an unrealistically idealistic state where everything is perfect. Someone who is said to "live in cloud cuckoo land" is a person who thinks that things that are completely impossible might happen, rather than understanding how things really are. It also hints that the person referred to is naive, unaware of realities or deranged in holding such an optimistic belief.Mitch Fifield penned to following for the AFR:Updated Oct 9 2017 at 11:01 AM NBN critics 'disconnected from reality': Communications Minister Mitch Fifieldby Mitc...
Source: Australian Health Information Technology - October 18, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

We Seem To Be Having More Than Our Fair Share Of Data Breaches And Leaks! All Is Not Well!
First this appeared:Corporate tech giant leaves secret data exposed to public internetBen Grubb Published: October 11 2017 - 12:58PMA world-leading corporate consultancy and technology outsourcer left at least four cloud-based storage servers unsecured and publicly downloadable, exposing secret data, authentication credentials, certificates, decryption keys, customer information, and more data that could have been used to attack both the provider and its thousands of clients.Fairfax Media can reveal that Accenture  — one of the world's largest corporate consulting and management firms that has off...
Source: Australian Health Information Technology - October 17, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 16th October, 2017.
Here are a few I have come across the last week or so.Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General CommentA quiet week on the surface but it seems all sorts of things are going on under the radar. You can mine for clues as to what is happening in the following!-----https://www.themandarin.com.au/84593-government-is-sold-on-data-integration-but-needs-to-bring-the-public-along/The feds have caught data fever but does the public share the enth...
Source: Australian Health Information Technology - October 16, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Its Seems No-One Is Meant To Read This Government Report On The Medicare Card Issues With The Final Report Being Released On A Saturday!
Discussion paper and the final... 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 - October 15, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 392 – Results – 15th October, 2017.
Here are the results of the poll.Has The ADHA Lost The Plot On Secure Clinical Messaging?Yes 78% (97) No 3% (4) I Have No Idea 19% (24) Total votes: 125 It seems the community of e-Health cognoscenti who read this blog reckon the ADHA have lost it. There is certainly no evidence I can find to the contrary. Any insights welcome as a comment, as usual, especially regarding what might be done to fix things? A great turnout of votes! Again, many, many thanks to all those that voted! David. This is the initial part of the post - read more by clicking on the title of the article. David. (Source: Australian Health Information Technology)
Source: Australian Health Information Technology - October 15, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Has The ADHA Died And Gone To Heaven?
From the ADHA Website at 8:20am Sunday 15 October, 2017. Latest News Friday, 29 September 2017SNOMED CT AU and Australian Medicines Terminology (AMT) September 2017… Friday, 01 September 2017SNOMED CT AU and Australian Medicines Terminology (AMT) August 2017 Re…… Tuesday, 22 August 2017Register now! Webinars for SNOMED CT-AU termino logy, Australian Medicines… Are all those staff doing so little that all there is to offer is a SNOMED CT Update? I wonder what this absence of news for over six weeks means? Suggestions welcome! David. This is the initial part of the post - read more by c...
Source: Australian Health Information Technology - October 15, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 14th October, 2017.
Here are a few I came across last week. Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.-----https://www.healthdatamanagement.com/opinion/how-the-cloud-can-bolster-a-providers-security-strategyHIT Think How the cloud can bolster a provider ’s security strategy By Paul CaraccioloPublished October 05 2017, 4:32pm EDTThe constant barrage of various studies and reports on cyberattacks on healthcare organizations make security executives anxious, and f...
Source: Australian Health Information Technology - October 14, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The NBN Seems To Have Become Enough Of A Liability That We Even Have The PM Making Excuses!
This appeared last week:Life in the slow lane: Australia has slower internet than KenyaAngus Whitley Published: October 4 2017 - 4:13PMThe $49 billion National Broadband Network was meant to spearhead a digital revolution. Instead, the botched project risks becoming a poster child for government mismanagement.Australia's biggest-ever infrastructure investment has turned into a political football, plagued by cost overruns and construction delays.With the network years behind the original schedule and only about half finished, Australia has slumped to 50th place on a global ladder of internet speeds, behind Kenya and a ...
Source: Australian Health Information Technology - October 13, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

How Long Do You Think It Will Be Before This Moves To Compulsory?
This appeared during the week.Federal government pushing ahead with opt-in digital ID system Tom McIlroy Published: October 5 2017 - 12:00AMThe federal government is taking its plans for an opt-in digital ID system to the private sector for feedback, offering the potential of a nationally-consistent tool for Australians to prove their identities online.Assistant Minister for Digital Transformation Angus Taylor will announce plans to approach industry for expert feedback on standards for the project in Wollongong on Thursday, as it seeks a workable and well-developed framework ahead of wider testing.The move comes as the go...
Source: Australian Health Information Technology - October 12, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.
October 12, 2017 Edition.Trump was having and OK week until he decided – on ideological / religious grounds – to defund contraception for millions of women. He really is a misogynist crepe as far as I am concerned.He has also remarked that he has a surprise for NK, but won’t say what it is! He really is an adolescent idiot with behaviour like this. No wonder his Secretary  of State looks like leaving.This is really a very bad dream from which we all need to wake up!-----In Australia the SSM Postal Survey seems to be working and it looks like the lying nit-wits of the no case are going to lose based o...
Source: Australian Health Information Technology - October 12, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

More Questions Keep Coming About The Security Of The myHR. Maybe A Little More Disclosure Would Help Allay Concerns.
This appeared last week:Are organisations in denial about My Health Record ’s safety?Antony Scholefield6 October 2017 TECH TALKIf you believe the RACGP, the AMA and the Australian Digital Health Agency, the illegal sale of Medicare numbers doesn’t expose any security dangers with My Health Record.All three organisations have fronted a Senate inquiry into how Medicare n umbers ended up for sale on the ‘dark web’ for a bargain rate of about $25 each in July.The prevailing theory is that whoever stole the Medicare numbers exploited legitimate access to the Health Professional Online Services (HPOS) web...
Source: Australian Health Information Technology - October 11, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Has The TV Show “Person Of Interest” Just Become All Too Real? It Sure Seems To Be On The Way!
This appeared last week:Updated Oct 4 2017 at 5:16 PM Facial recognition database pushes us towards Orwellian futureby Paul Smith News that state governments plan to acquiesce to a federal government move to provide the facial biometrics of citizens from driving licences for use in a national security database should set off all kinds of alarms in the minds of law-abiding Australians.The system will work by allowing CCTV cameras everywhere to recognise our faces because of the details taken from our licences. These photographs are used to create a faceprint which, like a fingerprint, can distinguish us based on the unique ...
Source: Australian Health Information Technology - October 11, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

A Very Long Read That Only Makes One More Concerned About The Safety And Reliability Of Critical Systems – In Healthcare and Elsewhere.
This appeared a little while ago.The Coming Software ApocalypseA small group of programmers wants to change how we code —before catastrophe strikes.Lynn Scurfield There were six hours during the night of April 10, 2014, when the entire population of Washington State had no 911 service. People who called for help got a busy signal. One Seattle woman dialed 911 at least 37 times while a stranger was trying to break i nto her house. When he finally crawled into her living room through a window, she picked up a kitchen knife. The man fled.The 911 outage, at the time the largest ever reported, was traced to software runni...
Source: Australian Health Information Technology - October 10, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 9th October, 2017.
Here are a few I have come across the last week or so.Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General CommentA pretty quiet week with some effort to discuss secondary use of myHealth Record data and how far it should be allowed to go. An opportunity exists to have your say for a bit over a month.Otherwise stuff in surveillance to prevent terrorism and a new opt-in digital identity system.-----http://www.healthcareit.com.au/article/government-s...
Source: Australian Health Information Technology - October 9, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Is The Second Time The Government Has Tried To Grab Largely Unfettered Access To The Information In The myHR. Why Did The First Attempt Fail I Wonder?
I first alerted the reader to proposals around the Secondary Use Of The myHR Data here:https://aushealthit.blogspot.com.au/2016/08/the-government-clearly-wants-to-use.htmlThis was late August 2016 – and after a bit it all went quiet!This appeared a few days ago as the project ramped up – and was mentioned in the blog last week:Public input sought on use of health record dataDe-identified My Health Record data could potentially be used by researchersRohan Pearce (Computerworld) 06 October, 2017 07:00 A public consultation has begun on potential uses of de-identified data drawn from Australia’s national e-h...
Source: Australian Health Information Technology - October 8, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 391 – Results – 8st October, 2017.
Here are the results of the poll.After Now 15 Months, Do You Believe The ADHA Is Headed In The Right Direction Overall? Yes 0% (0) No 94% (116) Too Early To Tell 2% (3) I Have No Idea 3% (4) Total votes: 123 What an amazing vote! Seems to me the something must be pretty off the rails to get a result like this. Not even the usual loyal ADHA employees, who we know read here, bother to offer support. Any insights welco me as a comment, as usual, especially regarding what might be done to fix things? A great turnout of votes! Again, many, many thanks to all those that voted! David. This is the initial part ...
Source: Australian Health Information Technology - October 8, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 07th October, 2017.
This article outlines some of the challenges, successes and benefits along the way to developing this environment.Creating the One Acute... 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 - October 7, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

A Stalwart Of The Australian E-Health Scene Reveals Ongoing Frustration With Progress!
This appeared last week:Australian health IT sage looks back to the future and sees what went wrongNatasha Hancock | 29 Sep 2017 He ’s a visionary in the field whose seminal 2004 BMJ paper predicted the ways healthcare would be transformed by technology, but as we approach his 2020 deadline Professor Enrico Coiera says companies have held back progress and patients are still being put at risk.It must have seemed such a long wa y away, but Coiera boldly foretold the future when he described a 2020 in which technology was assimilated into clinical practice.“The world may be such that as a clinician you work in fl...
Source: Australian Health Information Technology - October 6, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Has Implications For All Who Hold Sensitive Personal Information. GPs And Specialists Take Note.
This appeared last week:Privacy Commissioner publishes data breach notification guidelines for commentThe Office of the Australian Information and Privacy Commissioner has published draft resources for the Notifiable Data Breaches scheme, asking for public comment.By Asha McLean | September 29, 2017 -- 04:18 GMT (14:18 AEST) | Topic: Security The Office of the Australian Information and Privacy Commissioner (OAIC) is seeking public comment on draft resources it has published relating to Australia's impending data breach notification laws.The draft resources include guidelines on how to prepare an eligible data breach state...
Source: Australian Health Information Technology - October 5, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.
October 5 , 2017 Edition.All has turned to custard for Trump as people become aware he played golf rather than sorting out relief for the poor unfortunates of Puerto Rico post Hurricane Maria. This is going to blow up into a big story I suspect. Time will tell. This just as it seemed he was seemingly getting the hang of the job – or at least General Kelly was!As far as the Trump tax-cuts that hit the news late in the week – ignore – they will be watered down and massively modified before they see the light of day – if ever! Sadly the US has also had an awful mass shooting in Las Vegas - 59 killed a...
Source: Australian Health Information Technology - October 5, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

I Wonder How This Saga In The NT Will Play Out. There Have Been Some Good Things Happen There In The Past!
To the shock of many this appeared last week.Northern Territory Police Special References Unit investigating Health Department matterMATT GARRICK, NT NewsSeptember 25, 2017 12:30amA CASE involving the Health Department ’s chief information officer has been referred to the police, the NT News can reveal.Stephen Moo resigned this month, with secrecy surrounding the circumstances of his abrupt departure.Mr Moo, a career public servant, was in charge of overseeing of a major new $259 million IT rollout.Public sector media teams were tight-lipped on the reasons behind Mr Moo’s departure, although an NT Police spokes...
Source: Australian Health Information Technology - October 4, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The NEJM Hits A Six With A Great Article On Medicine And AI. Deeply Important Stuff To Me!
This appeared last week:Lost in Thought — The Limits of the Human Mind and the Future of MedicineZiad Obermeyer, M.D., and Thomas H. Lee, M.D.N Engl J Med 2017; 377:1209-1211 September 28, 2017DOI: 10.1056/NEJMp1705348In the good old days, clinicians thought in groups; “rounding,” whether on the wards or in the radiology reading roo m, was a chance for colleagues to work together on problems too difficult for any single mind to solve.Today, thinking looks very different: we do it alone, bathed in the blue light of computer screens.Our knee-jerk reaction is to blame the computer, but the roots of this shif...
Source: Australian Health Information Technology - October 4, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

A Major Consultation Is About To Begin On The Secondary Use Of myHR Information.
This appeared in the e-mail last Friday.-----Subject:   Secondary Uses of My Health Record Systems Data - Factsheet 3Date:        Fri, 29 Sep 2017 16:22:31 +1000From:       Lisa Fodero To:             Name.Dear Name.HealthConsult have been engaged by the Department of Health develop a Framework for the secondary use of data in My Health Record. Public consultations are about to commence.There will be multiple opportunities to contribute to the development of the draft Framework through work...
Source: Australian Health Information Technology - October 3, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 2nd October, 2017.
Here are a few I have come across the last week or so.Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General CommentWell the festival of the boot is over and it is back to a feed of interesting e-Health news.Lots happening but a surprising lack of activity – apparently – from the ADHA. I wonder what is in store for October?We will watch and wait!-----https://www.medicalobserver.com.au/professional-news/this-phn-is-going-it-alone-to-fix-my...
Source: Australian Health Information Technology - October 2, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Really Is Very Hard To Change Human Nature It Seems. Relevant To All State Health Systems With Hospital EHRs As Well As Many Practices!
This appeared last week:73 Percent of Medical Professionals Share Passwords for EHR AccessA vast majority of surveyed medical professionals and students report having used another staff member ’s password for EHR access.By Kate MonicaSeptember 26, 2017 - A recent study examined the prevalence of password sharing among healthcare providers and found nearly three-quarters of surveyed medical professionals have used another staff member ’s password to obtain EHR access at work.The study by Hassidim et al. was published in Healthcare Informatics Research and assessed survey responses from 299 healthcare profes...
Source: Australian Health Information Technology - October 1, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Having The Rest Of The Day Off To Celebrate The Festival Of The Boot!
And holidays all over (NSW, SA, ACT and QLD)! Back tomorrow. Comments on Poll from last week welcome as ever! I need more rest with the onset of Daylight Saving! 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 - October 1, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 390 – Results – 1st October, 2017.
Here are the results of the poll.Do You Believe Telstra Health Will Be A Viable And Profitable Business Into The Future?Yes 15% (18) No 49% (59) I Have No Idea 36% (43) Total votes: 120 Interestingly a split vote with the a clear lack of confidence being in evidence overall. Any insights welcome as a comment, as usual. A great turnout of votes! Again, many, many thanks to all those that voted! David. This is the initial part of the post - read more by clicking on the title of the article. David. (Source: Australian Health Information Technology)
Source: Australian Health Information Technology - September 30, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 30th September, 2017.
Here are a few I came across last week. Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.-----http://www.healthcareitnews.com/news/87-healthcare-execs-rank-telehealth-priority-study-finds87% of healthcare execs rank telehealth as a priority, study findsMore than half are already seeing success with improving outcomes and patient satisfaction while uncertain fate of the ACA appears to be making telemedicine more important.By Bill SiwickiSeptember 21, 2017...
Source: Australian Health Information Technology - September 30, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Artificial Intelligence And Medicine - A View From The Conversation And Another Perspective.
This appeared last week.Artificial intelligence won ’t replace a doctor any time soon, but it can help with diagnosis September 19, 2017 2.16pm AEST Author Luke Oakden-Rayner Radiologist and PhD candidate, University of Adelaide In the next few years, you will probably have your first interaction with a medical artificial intelligence (AI) system. The same technology that powers self-driving cars, voice assistants in the home, and self-tagging photo galleries is making rapid progress in the field of health care, and the first medical AI systems are already rolling out to clinics. Thinking now about the interacti...
Source: Australian Health Information Technology - September 29, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The ADHA Publishes Board Notes From Early August At The End Of September 2017.
For your reading pleasure over the long weekend: Board Meeting 10 August 2017 - Board Papers (Download)Item 5 - CEO Report - 10 August 2017 (Word, 117kB)Item 6.1 - My Health Record Expansion Program Update - 10 August 2017 (Word, 387kB)Item 6.2 - My Health Record Expansion Benefits - 10 August 2017 (Word, 170kB)Item 6.2 - Attachment A - Benefits Measurement Overview (PDF, 1.41MB)Item 6.3 - Research and Evaluation - 10 August 2017 (Word, 112kB)Item 6.3 - Attachment A - Research Programs - Agency Board Update August 2017 (PDF, 1.23MB)Item 6.5 - Attachment A - Global Digital Health Partnership (Word, 78kB)Item 6.5 - Interna...
Source: Australian Health Information Technology - September 29, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

A Bit Of A War Seems To Have Broken Out Regarding Provision Of GP Services On Line!
First we have had articles like this:Online GP and pharmacy services “second best”Sheshtyn Paola — 21/09/2017Doctor and pharmacy groups criticise websites that offer online consultations, scripts and medication deliveryFollowing the announcement that Qoctor – formerly known as Dr Sicknote – is now expanding its services, the RACGP has stated that the increa sing prevalence of medical online services fragments care.Qoctor is an online medical hub that offers medical certificates, specialist referrals and online consultations, and this week announced it is expanding into providing online prescri...
Source: Australian Health Information Technology - September 28, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.
September 28th , 2017 Edition.Internationally things looked better with no new hurricanes for at least 72 hours and then the nit-wit threatened to explode an H-Bomb in the Pacific! The usual brief reaction as seen, the adults managed it and Trump wandered off to comfort Maria victims. Situation as normal as possible with Trump in the White House. The real worry is Puerto Rico which seems to have suffered catastrophic damage – so bad we have yet to get a full damage assessment. 3+ million people are in dire straits.I liked the suggestion we call ‘Rocket Man’ ‘Missile Boy’ instead! I note the NK...
Source: Australian Health Information Technology - September 28, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs