ADHA Transparency Watch - July 24, 2017.
Current Board Minutes available on the website are as follows: ----- Board PapersThe intent of the Board is to publish as many Board documents as is feasible. Information and attachments to Board documents that are draft, not finalised or sensitive will not be published. An exception is made for draft material already in the public domain (in this instance the Board Advisory Committee Charters released on 16 September 2016). Board Meeting 4 April 2017 - Board Papers (Download)Item 5 - CEO Report (Word, 105kB)Item 5 - CEO Report (PDF, 200kB)Item 7.2 - Delivery Highlight Report (Word, 79.7kB)Item 7.2 - Delivery Highlight R...
Source: Australian Health Information Technology - July 24, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Medical Observer Offers An In Depth Interview With Tim Kelsey. Worth A Read.
This appeared a few days ago:Can this man turn around one of Australia's costliest policy disasters?Antony Scholefield20 July 2017 NEWS REVIEWCan Tim Kelsey resuscitate the moribund My Health Record system?Time Kelsey doesn ’t smile much when you meet him. But then his job probably means he doesn’t have much to smile about. He is the man tasked with rescuing Australia from one of the most expensive policy disasters in the nation ’s history — the My Health Record system.Ten months ago, the Federal Government hired Mr Kelsey, a former journalist and one-time Telstra Health bigwig, to head up the ...
Source: Australian Health Information Technology - July 23, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 390 – Results – 23rd July, 2017.
Here are the results of the poll.Do You Plan To Opt-Out Of The myHR System When The National Roll-Out Occurs?Yes 63% (105) No 7% (12) I Have Not Decided 29% (48) I Have No Idea 1% (2) Total votes: 167 The numbers speak for themselves. There seem to be a majority of people who know about the myHR who really don’t want a bar of it while a few want to wait and see. Sensible. 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 - July 23, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 22nd July, 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.fiercehealthcare.com/it/mayo-begins-1-5-billion-ehr-implementationMayo Clinic Health System begins $1.5B EHR rollout, moving from Cerner, GE, to Epic system by Matt Kuhrt  Jul 14, 2017 10:10am The Mayo Clinic's $1.5 billion EHR implementation involves technology upgrades and a move to Epic.The Mayo Clinic has launched its $1.5 billion electronic ...
Source: Australian Health Information Technology - July 22, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The New England Journal Of Medicine Looks At The Risks To Health And Health Services From IT Issues.
This article appeared last week:Threats to Information Security — Public Health ImplicationsWilliam J. Gordon, M.D., Adam Fairhall, A.L.M., and Adam Landman, M.D., M.I.S., M.H.S. July 12, 2017DOI: 10.1056/NEJMp1707212In health care, information security has classically been regarded as an administrative nuisance, a regulatory hurdle, or a simple privacy matter . But the recent “WannaCry” and “Petya” ransomware attacks have wreaked havoc by disabling organizations worldwide, including parts of England’s National Health Service (NHS) and the Heritage Valley Health System in Pennsylvania. T...
Source: Australian Health Information Technology - July 21, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.
July 20, 2017 Edition.It has been a big week with Trump Jr and his e-mails letting us know he was keen to dig dirt of Hilary Clinton and Trump himself having a sojourn in Paris with the French President and his wife.Just how illegal or not any of this is we will have to wait and see. There has already been on call for impeachment, predictably from the Democrats.In Australia we have ongoing energy difficulties and huge fondness for coal. I really would like to some apolitical sanity to appear but I fear I am dreaming. I really despair of our polity at present.The energy ministers had a COAG meeting last Friday – and b...
Source: Australian Health Information Technology - July 20, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Data Governance Australia - They Might Be Way More Invasive And Privacy Destructive Than It Seems
Recently there has been a new report released on the use of all sorts of personal data captured during ordinary daily life.The main players seem to be big business and they seem to want to make our life easier through mega-data capture everywhere – with some controls in place in the form of a voluntary code of conduct.You can read all about the plans here:DGA chair pushes back against ‘joint ownership’ model for dataFormer ACCC chair pushes for industry self-regulation of data handlingRohan Pearce (Computerworld) 12 July, 2017 15:01 Th e chair of Data Governance Australia, Graeme Samuel, has argued agains...
Source: Australian Health Information Technology - July 20, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

I Think The E-Health Community Would Like Just A Few More Details About This.
This popped up late last week:Fax machines on the way out for Australian healthcareCreated on Friday, 14 July 2017Fax-free healthcare is one step closer today, as the Australian Digital Health Agency (the Agency) and clinical information systems vendors work together to progress secure electronic messaging between healthcare providers. This technology will enable health data to flow securely from one healthcare provider to another – irrespective of the software they are using, the organisation they work for, or with whom they are communicating.Dr Nathan Pinskier, Chair of the RACGP Expert Committee on eHealth and Pra...
Source: Australian Health Information Technology - July 19, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

I Have Yet To Read Anything That Makes Me Feel We A Going To Wind Up With A Good Implementation of the NBN.
This appeared last week:NBN: the download lowdownThe Australian12:00AM July 13, 2017Anthony KlanEight years since its inception, the $49 billion National Broadband Network reached its halfway point this week with one in two Australians now able to connect.But a major technical shift in direction by the Coalition federal government — which it claims will see up to $30bn slashed from the ultimate bill — is expected to see more problems emerge with many users already finding they are achieving speeds slower than before they had the NBN but are paying more for the service.The Kevin Rudd ALP government in 2009 launc...
Source: Australian Health Information Technology - July 18, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 17th July, 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 with the big news being the Government recognising it needs to make access to Medicare numbers more secure while not imposing too much red tape.Otherwise the ADHA has been out and about on disposing of faxes and so on. Time will tell how that goes.Enjoy the browse!-----https://www.theguardian.com/australia-news/2017/jul/10/...
Source: Australian Health Information Technology - July 17, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Has The ADHA Not Kept The Right And Left Hand In Synch – It Rather Looks Like It.
We had this appear yesterday from the ADHA.Fact Check: Security of My Health RecordCreated on Friday, 14 July 2017What is My Health Record?My Health Record is a secure online summary of your health information. An individual can control what goes into it, and who is allowed access. Individuals can choose to share their health information with their doctors, hospitals and other healthcare providers.https://myhealthrecord.gov.au/internet/mhr/publishing.nsf/Content/find-out-benefitsWhy is there a need for a digital record system?One in three General Practitioners (GPs) will see a patient for whom they have little or no health...
Source: Australian Health Information Technology - July 16, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 379 – Results – 16th July, 2017.
Here are the results of the poll.Has The Medicare Number Leak Increased Concern Regarding The Security Of Personal Data Held In The myHR?Yes 76% (120) Maybe 20% (31) No 3% (5) I Have No Idea 1% (2) Total votes: 158 The numbers speak for themselves. The vast majority are now rather less comfortable with myHR security. 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 - July 16, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 15th July, 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.wsj.com/articles/the-smart-medicine-solution-to-the-health-care-crisis-1499443449The Smart-Medicine Solution to the Health-Care CrisisOur health-care system won ’t be fixed by insurance reform. To contain costs and improve results, we need to move aggressively to adopt the tools of information-age medicineBy  Eric Topol July 7, 2017 12:04 ...
Source: Australian Health Information Technology - July 15, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Looks Interesting. Pity It Is So Expensive For People To Browse. There Are Also Some Scope Issues.
This publication was released last week:SA HB 163:2017Digital Hospitals HandbookStandards AustraliaAbstract  This Handbook develops a set of principles and recommendations that inform the design and implementation of digital hospitals, both new and refurbished, that enables innovative ways for providing healthcare services and supports positive outcomes for stakeholders now and into the future. Scope  This Handbook provides guidance on what a digital hospital is and proposes a set of principles (in Section 3) that provide the basis for the development of a Digital Hospital Program. Sections 5 to 9 of this Handb...
Source: Australian Health Information Technology - July 14, 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.
July 13, 2017 Edition.The G20 meeting has wrapped up and we see Trump as an isolated and distrusted and see world policy development basically on hold. Now, with the story of what must be close to treason re his son's working with the Russians during the campaign to damage Hilary Clinton it seems all bets are off. Where is goes from here who knows?? The North Korean problem is yet to be sensibly addressed and is seemingly utterly intractable. Trump is being noisy and chest beating but clearly has no solution.In Australia we now have discussions regarding missile defence while seeing the SA Government buying a great big bat...
Source: Australian Health Information Technology - July 13, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Wall Street Journal Looks At Some Digital Health Futures. Fun Stuff.
This appeared from a well-known Guru last week:The Smart-Medicine Solution to the Health-Care CrisisOur health-care system won ’t be fixed by insurance reform. To contain costs and improve results, we need to move aggressively to adopt the tools of information-age medicineBy  Eric Topol July 7, 2017 12:04 p.m. ET The controversy over Obamacare and now the raucous debate over its possible repeal and replacement have taken center stage recently in American politics. But health insurance isn ’t the only health-care problem facing us—and maybe not even the most important one. No matter how the debate in ...
Source: Australian Health Information Technology - July 13, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Recent Breaches Are Focusing Attention On The Need To Think About Your Privacy.
This appeared after all the breaches got into the news:Breaches serve as a reminder of your rights to privacyAlison and Jillian Barrett Published: July 6 2017 - 9:59PMThe "Mediscare" event this week, where it is alleged Australians' Medicare details can be purchased online, has no doubt made many of us question to whom we provide our personal information.It seems our children may not be immune, with fears that students' personal and educational information is being shared to private companies who contract to schools.In an age where we entrust so many different people, businesses and government departments wi...
Source: Australian Health Information Technology - July 12, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

A Press Release From eHealth Privacy Australia - More Grist To The Mill
I was sent this today: ------ MEDIA RELEASE Medicare data breach and My Health Records: Inquiry is not enough. (For immediate release) While the government's announced inquiry into a problem with Medicare data access is to be applauded, fundamental questions remain. “A centralised eHealth database accessible over the Internet to over 100,000 legitimate access points, (#1) each of which has access to the entire database, is fundamentally indefensible,” said eHealth data consultant and eHealth Privacy Australia principal, Paul Power, as quoted in the media. (#2) Unless a public inquiry urgently investi gates ...
Source: Australian Health Information Technology - July 12, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Seems At Least One Medical Student Is Not At All Fond Of The myHR.
This appeared last week:Data, distrust, and the disastrous My Health RecordAmy Coopes |  05 July 2017Plagued by sluggish uptake, clinician reticence and a substantial privacy backlash, the $1.2 billion My Health Record has proven, thus far, something of a lemon.No amount of rebranding away from the unfortunately-acronymed PCEHR ('pecker') to My Health Record, or push to a coercive opt-out model can overcome the simple fact that it isn't very popular. After five years just five million Australians — one in five of us — have signed up for a record, and only 10,000 doctors, hospitals and other health pro...
Source: Australian Health Information Technology - July 12, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Just When You Thought News On Government System Leaks Might Stop We Get This! What A Mess.
Since Tuesday was have seen a lot of column inches spent on the leak of Medicare Numbers and their purchase from the ‘dark web’Here is the first exclusive article.The Medicare machine: patient details of 'any Australian' for sale on darknet Exclusive: A trader is offering Medicare card details for less than $30 each on a popular auction site for illegal productsA darknet vendor is offering Medicare patient det ails of any Australian on a popular auction site. Photograph: AAP Paul FarrellTuesday 4 July 2017 04.00 AEST Last modified on Tuesday 4 July 2017 06.32 AEST A darknet trader is illegally selling the Medic...
Source: Australian Health Information Technology - July 11, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 10th July, 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 CommentAn amazing week with 2 major stories running regarding the leaking of personal data and the possible dangers of aggregating all that health data in a single government system.Elsewhere all sorts of other stuff adding to the concern regarding the government ’s capability to protect our personal data.-----https://www.theguardian.com...
Source: Australian Health Information Technology - July 10, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Vale Niel Patterson - Co-Founder Of Cerner
Sad news to hear of his death at 67 from complications of cancer. I met him once over 20 years ago when at NSW Health and we were deciding on new lab systems for NSW Health. Cerner then was a tiny company compared to today. It seemed clear Cerner was going places even then. Here is a link: http://histalk2.com/2017/07/09/cerner-ceo-neal-patterson-dies-of-cance r-complications/ 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 - July 10, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

A Security Expert Points Out Some Holes In The myHR Defences. Should We Be Concerned?
This appeared a few days ago.Health records ‘vulnerable to hacking’, expert warnsSue Dunlevy, National Health Reporter, News Corp Australia NetworkJuly 3, 2017 10:00pmEXCLUSIVETHE health records of every single Australian, including the Prime Minister, will be vulnerable to a hacking attack from next year, an IT expert has warned.The priv ate health information of every Australian will be put into a centralised data base when the government automatically creates a digital My Health Record for everyone in 2018 unless they opt out.The record will reveal whether people have had an abortion, a sexually transmitted ...
Source: Australian Health Information Technology - July 9, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 378 – Results – 9th July, 2017.
Here are the results of the poll.Should The Australian National Audit Office Undertake A Five Year Review Of The myHR Program?Yes 98% (189) No 1% (1) I Have No Idea 2% (3) Total votes: 193 The numbers speak for themselves. The vast majority want to see an ANAO Audit of the myHR Program soon. Hard to disagree. 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 - July 9, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The ADHA Has Not Published Any Board Papers Since April 4, 2017
So much for even partial openness and transparency or has there not been a Board meeting in 3 months. How would anyone know? Looks to me like we are rapidly going back to the old NEHTA days - as may predicted, Post dated 9 July, 2017 8.00am 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 - July 9, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 8th July, 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-epic-shops-begin-electronic-exchange-patient-recordsCerner, Epic shops begin electronic exchange of patient recordsCompetitors Novant Health, Carolinas HealthCare say it boosts patient safety.By Bernie MonegainJune 29, 2017 04:16 PMTwo North Carolina-based rival healthcare systems, Novant Health and Carolinas HealthCar...
Source: Australian Health Information Technology - July 8, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Ban Really Should Be Nation Wide I Believe – No Excuses!
This appeared last week:Hospital moves to ban snapchat videos of live surgery and doctors want a national banSue Dunlevy, National Health Reporter, News Corp Australia NetworkJuly 1, 2017 12:30amEXCLUSIVE: Doctors are calling for a national ban on Snapchat videos of live surgery claiming they present an infection and privacy risk and could jeopardise surgical outcomes.One major private hospital ’s clinical committee has already moved to ban the videos and Facebook has taken down at least one live surgery video because it was too graphic.Westmead Private Hospital has confirmed its Medical Advisory Committee banned sna...
Source: Australian Health Information Technology - July 7, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

We Need To Keep The Progress In AI And Machine Learning In Perspective. Manage The ‘Hype Cycle’!
This appeared least weekStanford researchers: Bring expectations for artificial intelligence back down to earth by Evan Sweeney Jun 29, 2017 8:40am Healthcare needs to recalibrate its expectations of AI and find ways for the technology to work with physicians.Artificial intelligence is hitting its stride —at least when it comes to hype. The unbridled excitement surrounding AI and machine learning technology is higher than ever before, so much so that it’s become a distraction for the medical community, according to two Stanford researchers.Arguing that AI has reached the “peak of inflated expe ctations,&r...
Source: Australian Health Information Technology - July 6, 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.
July 6, 2017 Edition. In the USA the big news is the attempt from the Senate Republicans to repeal and replace Obamacare. Amazingly the effect of what they want to do is basically give the poor less health care coverage while giving the rich huge tax cuts. This is apparently what Republicans do. The effect is just to widen inequality and suffering which Trump was meant to help remedy. Plan B now seems to repeal Obamacare now but replace it later when they can figure what to do. It is getting madder and madder as are Trump ’s tweets. He is really not fit to govern IMVHO. Of course with the July 4 ICBM missile launch...
Source: Australian Health Information Technology - July 6, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Is Anyone Thinking About The Privacy Implications Of All This Information Sharing On An Automatic And Routine Basis?
A couple of articles popped up this week that made me ask just what was going on. First we had this:28 June 2017NSW throws some serious money at digital healthPosted by Julie Lambert NSW will inject more than half a billion dollars in digital systems to bring patient health records, medications management and the sharing of pathology results into the 21st century.NSW treasurer Dominic Perrottet said the $536 million outlay over eight years reflected the position of e-health as the “most important revolution in healthcare”, adding the investment would lift efficiency.Specific spending items include $236 million ...
Source: Australian Health Information Technology - July 5, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Step Would Seem To Be A Little Later Than It Might Have Been! One Global Ransomware Attack Should Have Been Enough!
This appeared last week:Microsoft to help users guard against ransomware 30 June 2017 Written by  Sam Varghese Microsoft will introduce a feature in its next build of Windows 10 to allow users to protect folders in order to prevent their contents being encrypted in the case of a ransomware attack.The feature is in Windows 10 Insider Preview Build 16232 for PCs which is being released to Windows Insiders in the Fast ring today (Australian time).The build is expected to be released to all Windows 10 users later this year.Called controlled folder access, the feature is part of Windows Defender, Microsoft's own anti-malw...
Source: Australian Health Information Technology - July 5, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Seems It Is On For One And All With DHS Security – They Seem To Have Sprung A Leak.
This appeared a few minutes ago:Hackers are offering to sell the Medicare details of Australians on the dark web, government confirmsHACKERS are selling the Medicare card numbers of Australians on the ‘dark web’, which experts say could be used to steal your private health records. Claire Bickers, Sue Dunlevy and Tom Minear News Corp Australia Network July 4, 201710:54am HACKERS are selling the Medicare card numbers of Australians on the ‘dark web’, which could be used to steal privat e health records. The Federal Government has confirmed it’s urgently investigating the security breach an...
Source: Australian Health Information Technology - July 4, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Government Seems To Have A Bit Of A Blind Spot As Far As Citizen ’s Privacy Is Concerned.
This came to my attention last week:Balancing the ledger: accounting for the year in privacyJune 28, 2017, Anna JohnstonThis Friday it will be the end-of-financial-year here in Australia, which means it ’s time for a stock-take: see where we are at, count the positives and negatives, and determine our net position.  Are we in the red or the black?So today, rather than reconcile the Salinger Privacy petty cash receipts, I thought I would do a stock-take of the year in privacy, reviewing both positives and negatives.Herewith I present to you the Privacy Ledger for the Australian Government, FY 2016-17.First, the p...
Source: Australian Health Information Technology - July 4, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 3rd July, 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 very quiet week with the most news about large Government mess ups in IT and ransomware running loose all over the world …Enjoy the browse!-----https://www.theregister.co.uk/2017/06/29/who_botched_oz_cancer_registry_rollout_pretty_much_everybody/Who botched Oz cancer registry rollout? Pretty much everybodyAnother day, another b...
Source: Australian Health Information Technology - July 3, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Sunlight Is A Great Disinfectant - It Helps Get To The Truth And Stops Exaggeration And Deception!
This week we have seen the release of a couple of reports from the Australian National Audit Office (ANAO) and this, as far as I am concerned has been all to the good!First we had the release of a report on the controversial government portal myGOV.There is a report of the findings here:Audit gives myGov a tick, despite budget blowoutBenefits of service are hard to quantify however, audit findsRohan Pearce (Computerworld) 27 June, 2017 13:38 The government ’s myGov digital service portal has been the subject of a largely positive audit, despite the project costing more than estimated and its benefits being difficult ...
Source: Australian Health Information Technology - July 2, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 377 – Results – 2nd July, 2017.
Here are the results of the poll.Do You Believe The myHR Can Be Made Clinically Useful And Become Widely Adopted By Patients and Clinicians Over The Next Few Years? Yes - It Just Needs More Work And Money 2% (4) Neutral 3% (6) No - It Is Fundamentally Flawed 94% (168) I Have No Idea 0% (0) Total votes: 178 The numbers speak for themselves. The vast majority seem to think the myHR is not fixable. Taken with last week's poll it is pretty clear the readership here thinks the myHR program needs fundam ental change. A really great turnout of votes! Again, many, many thanks to all those that voted! David. This ...
Source: Australian Health Information Technology - July 1, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 1st July, 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/healthcare-ai-poised-explosive-growth-big-cost-savingsHealthcare AI poised for explosive growth, big cost savingsAccenture report expects robot-assisted surgery, virtual nursing assistants, workflow tools and more offering huge potential to make patient care more efficient.By Mike MiliardJune 22, 2017 03:03 PMArtificial intel...
Source: Australian Health Information Technology - July 1, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Northern Territory Goes For A Huge Project To Do It All In Health IT.
This appeared a few days ago:NT prepares for mammoth overhaul of health IT$259 million to be delivered by InterSystemsRohan Pearce (Computerworld) 23 June, 2017 14:24 InterSystems Australia has been chosen by the Northern Territory government to replace the NT ’s key health IT systems.The $259 million Core Clinical Systems Renewal Program (CCSRP) involves replacing four separate clinical IT systems used by the NT’s health service.The program was originally expected to cost $185.9 million, but the territory’s government in this year’s budget upped funding for the CCSRP.The project involves implementi...
Source: Australian Health Information Technology - June 30, 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.
June 29, 2017 Edition.In the USA the big news is the attempt from the Senate Republicans to repeal and replace Obamacare. Amazingly the effect of what they want to do is basically give the poor less health care coverage while giving the rich huge tax cuts. This is apparently what Republicans do. Sadly they have to face elections to it is all getting a bit fraught. Some want a harsher outcome and others are terrified of the electoral backlash. Fun times ahead with all this I suspect.In Australia we are giving a Gonski while trashing our international economic respectability. A very sad scene on all sorts of levels (Sovereig...
Source: Australian Health Information Technology - June 29, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Is A Pretty Salutary Story About The Risks Out There – And How To Protect Yourself.
This appeared a few days ago.TIMES INVESTIGATION ‘It’s the mother lode’: inside the black market for stolen recordsA vast hacked database available online for just £2 has been linked to RussiaLouis Goddard, Times Data TeamJune 23 2017, 12:01am, The Times  “800 million cracked email and password combinations from tons of hacks,” wrote one user of a shady online hacking forum in October last year. “It’s the mother lode.” On offer was a huge database of stolen credentials for sale for the equivalent of about £2.The price was low because the d atab...
Source: Australian Health Information Technology - June 29, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Is Anyone Else Getting The Feeling Was Have Recently Just Swapped One Unresponsive Telco (Telstra) For Another (The NBN)?
This appeared a few days ago.NBN withholds individual internet speedsThe Australian8:00PM June 20, 2017Anthony KlanThe National Broadband Network has details of the achievable internet speeds for every home it has connected but refuses to release the information despite widespread confusion among consumers seeking to connect. The fact NBN Co has both “theoretical” speeds — the speeds it expects homes not yet connected will achieve — and actual speeds post-connection also raises questions as to the necessity of a $7 million federal government program to monitor connection speeds in 4000 homes.Industr...
Source: Australian Health Information Technology - June 28, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The South Australians Are As Bad On Taxation As They Are With Health IT. Seems To Be A Bit Of A Competence Deficit In Cabinet!
Last week the SA Government sprang a small Bank Levy surprise on five unsuspecting banks. The banks, and the rest of the business community are less than impressed.South Australia bank tax an act of 'economic vandalism'Shock announcement: South Australian Treasurer Tom Koutsantonis delivers the state budget yesterday. By Simon Evans James Frost ·         Updated Jun 22 2017 at 9:21 PM The Business Council of Australia has warned that Australia is rapidly becoming a "laughing stock" in global investment circles because of new taxes on banks as erratic decisions b...
Source: Australian Health Information Technology - June 27, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The ADHA National Digital Health Strategy Is Due Very Soon. What Do We Need To Learn?
In a blog published about 4 months ago I showed the Dec 2016 plans for release of the National Digital Health Strategy.Here is the link:https://aushealthit.blogspot.com.au/2017/03/fascinating-steps-and-timetable-for-new.htmlThe part that now matters is this part of the blog:-----Timetable.First draft: National Digital Health Strategy core document + Framework for Action - No CBA - End March 2017 AHMAC draft: National Digital Health Strategy core document + Final draft of Framework for Action + Cost Benefit Analysis - Mid May 2017 Final CHC draft: National Digital Health Strategy core document + Final draft of ...
Source: Australian Health Information Technology - June 27, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 26th June, 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 CommentIt seems to be the budget week or two and e-Health seems to have done pretty well. Otherwise a big decision in the NT and a few other things – enjoy the browse! -----https://www.computerworld.com.au/article/621063/nt-prepares-mammoth-overhaul-health-it/NT prepares for mammoth overhaul of health IT$259 million to be delivered by In...
Source: Australian Health Information Technology - June 26, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

I Believe They Are Getting A Little Ahead Of Themselves With This One. Needs A Bit More Planning.
This article appeared a day or so ago.GP support for mandatory 'paperless' prescriptions Antony Scholefield | 23 June, 2017A call to phase out paper-based prescriptions has been backed by one of the RACGP's e-Health experts.Integrated electronic prescriptions should become mandatory for “any prescriber of a PBS-listed medicine, any pharmacist wishing to dispense a PBS-listed medicine”, according to a Federal Government review of the pharmacy industry.In its interim report, released on Thursday, the review says the current paper-based system is outdated and inconvenient, and inc reases the risk of adverse medica...
Source: Australian Health Information Technology - June 25, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 376 – Results – 25th June, 2017.
Here are the results of the poll.The myHR Has Been Operational For 5 Years. How Do You Rate It So Far?A Great Success Saving Many Lives 1% (2) So So 0% (0) Could Have Done A Lot Better 4% (7) An Expensive Disaster 94% (176) It Is Still Too Early To Tell 1% (2) I Have No Idea 1% (1) Total votes: 188 The numbers speak for themselves. The vast majority think the myHR is presently an expensive disaster. Hard to disagree. The real ques tion now is, given right now it is clearly a disaster, can something clinically useful and worthwhile be salvaged from the present mess? Vote on the current poll to express your view! A...
Source: Australian Health Information Technology - June 25, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 24th June, 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/supercomputers-help-mine-cancer-data-to-identify-risk-factorsSupercomputers help mine cancer data to identify risk factors By Greg SlabodkinPublished June 15 2017, 7:12am EDTFor researchers exploring the complexity of cancer genomes linked to mutations that carry increased risks for the disease, it can be like searching ...
Source: Australian Health Information Technology - June 24, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

I Wonder What Is Going On With The ADHA's Openness. Becoming Closed I Guess!
I thought I would have a look to see what the new ADHA Board Minutes had to tell us. Sadly the latest minutes were rather old. (Captured 2:45 pm 23/6/2017) ------ Board PapersThe intent of the Board is to publish as many Board documents as is feasible. Information and attachments to Board documents that are draft, not finalised or sensitive will not be published. An exception is made for draft material already in the public domain (in this instance the Board Advisory Committee Charters released on 16 September 2016). Board Meeting 4 April 2017 - Board Papers (Download)Item 5 - CEO Report (Word, 105kB)Item 5 - CEO Report...
Source: Australian Health Information Technology - June 23, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

A Few Ideas Are Starting To Emerge To Assist With EHR Frustrations. A Good Thing.
This appeared a few days ago:Why doctors hate electronic records — and what could change thatBy Dominic Fracassa June 12, 2017 Updated: June 12, 2017 3:19pm The health care industrial complex has spent billions of dollars and untold amounts of time trying to make medical records as flexible, invisible and unobtrusive as possible for patients and clinicians al ike. The results will be well worth the expense, the thinking goes, if the records — tracking patients in the vast and complicated health care system — could help clinicians spend more time caring for people and less on paperwork. But after near...
Source: Australian Health Information Technology - June 23, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

A Good Reminder Of The Basics Of System Implementation. Great Read.
This appeared a little while ago.What Health Systems, Hospitals, and Physicians Need to Know About Implementing Electronic Health RecordsRobert M. PearlJune 15, 2017 A decade ago, Kaiser Permanente installed the nation ’s most comprehensive electronic health record (EHR). The decision was made by the health plan and medical group together. Due to the large size of our organization, implementation was challenging and expensive: The process took two years, and the cost at the time was estimated to be around $4 billion. But there is no question that the price tag and the effort required to train and motivate physic...
Source: Australian Health Information Technology - June 22, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs