Weekly Australian Health IT Links – 18th December, 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 CommentThe wind down for Christmas is not underway – but there is still some news emerging. Interesting stuff about the AMA view on the myHR and the chronic care program being slowly developed by the Government. And lastly - and amazingly this is the 5000th post on the blog. My how time has flown! -----http://www.healthcareit.com.au/...
Source: Australian Health Information Technology - December 18, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The AMA Offers Some Input On The Possible Future Of The myHR. They Are Not Yet Convinced By Any Means I Would Say!
It is the season for Pre-Budget Submission for the 2018/19 financial year. Here it the link to that provided by the AMA.https://ama.com.au/gp-network-news/ama-pre-budget-submission-strong-gp-emphasisThere was relevant comment provided here:AMA calls for improvements to My Health Record for it to reach potentialLynne Minion | 15 Dec 2017 My Health Record has the potential to save lives and deliver economic benefits but the system needs improvements and doctors don ’t have time to talk patients through the opt-out process, according to the Australian Medical Association.In its Pre-Budget Submission 2018-19, the doctors...
Source: Australian Health Information Technology - December 17, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 401 – Results – 17th December, 2017.
Here are the results of the poll.Does The myHR Need A Major And Expensive Re-Development To Be Able To Deliver On The Expectations Of The ADHA For Utility, Adoption and Use?Yes 21% (34) No - Minor Mods Are All That Is Needed 2% (4) No - It Is Just Not Fixable 77% (126) I Have No Idea 0% (0) Total votes: 164 Any insights welcome as a comment, as usual. An amazing result evaluating a program that has already taken seven years and cost towards two billion dollars. Most seem pret ty pessimistic anything can be salvaged. I wonder why people feel this way? A really great turnout of votes! We note no respondents who are c...
Source: Australian Health Information Technology - December 16, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 16th December, 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/2018-primed-blockchain-big-data-and-cloud-computing-advancements-all-better-security-plan2018 is primed for blockchain, big data and cloud computing advancements, all with a better security planHere's what you can expect in the year ahead.By Bill SiwickiDecember 07, 2017 03:13 PMHealth IT is in a very fluid state and evolving...
Source: Australian Health Information Technology - December 16, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

An Interesting Article Regarding The Use And Storage Of Genetic Information.
This appeared last week in The Conversation.It ’s time to talk about who can access your digital genomic data December 4, 2017 6.18am AEDT AuthorsCaitlin Curtis Honorary Research Fellow, The University of Queensland James Hereward PostDoc Ecological and Evolutionary Genetics, The University of Queensland We are approaching a time when you might be too scared to have your genome sequenced. Only last week, a US senator called for an investigation into the privacy policies of direct-to-consumer DNA companies. But this is only one piece of a puzzle that is about to get much more connected.As with any kin...
Source: Australian Health Information Technology - December 15, 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.
December 14, 2017 Edition.This week I think the biggest news is around the Chinese reaction to the Australian Government ’s most recent legislation of political interference in Australia by the Chinese Government and diaspora. To me this has the potential to cause our relationship with China considerable harm and needs to be very carefully watched and managed. I note Mr Turnbull is being pretty firm in response!The impact of a damaged relationship could be economically and strategically disastrous!In Trump land there seems to be relative calm though I note Joe Hockey (Our US Ambassador) is very worried about how long...
Source: Australian Health Information Technology - December 14, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Seems To Be A Useful Resource To Help Select A Mental Health App!
This appeared last week.Depression and mental health apps: How to tell the good from the badRN By Antony Funnell for Future TensePosted Wed at 11:12am December 6, 2017There are currently more than 10,000 depression and anxiety-related self-help apps available to download, the American Psychiatric Association estimates. But less than 1 per cent have been professionally evaluated.Cause for concern? Well, yes. But not a cause for depression, says Harvard Medical School's John Torous, who leads the association's working group on smartphone app evaluation. In fact, he sees great promise in digital mental health technologies.&qu...
Source: Australian Health Information Technology - December 14, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Looks Like Telstra Health Might Be Out The Door!
This appeared a few days ago:Telstra turmoil as another exec exitsThe Australian12:00AM December 9, 2017Supratim AdhikariTelstra has lost another senior executive, with the telco ’s group executive for new business, Cynthia Whelan, taking a job at Scentre Group, the owner of Westfield malls.Ms Whelan, who has been the head of Telstra’s new business portfolio since 2015, is also the chairman of Foxtel, Telstra Health and a director at Telstra Ventures.Telstra staff were i nformed of the departure via an internal memo, with Ms Whelan finishing her tenure on December 22.She is expected to stay on in her role at Fo...
Source: Australian Health Information Technology - December 13, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Really Looks Like Prescription Monitoring Can Make At Least A Significant Difference!
This appeared last week:8 December 2017Where are we at with real-time monitoring?Posted by Julie Lambert GPs will play a central role in the first serious attempt to stop doctor shopping and illicit use of pharmaceutical drugs on the Australian mainland.Under legislation passed on October 19, Victoria will have the distinction of becoming the first state to impose a mandatory real-time prescription monitoring regime, giving doctors, pharmacists and nurse practitioners ready access to a patient ’s prescription history.The initiative rides on the back of Tasmania’s successful DORA monitoring system, which has bee...
Source: Australian Health Information Technology - December 13, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Informed Consent Is A Bit Of A Slippery Fish Or A Moveable Feast Whichever You Prefer!
This appeared a few days ago and bears on a lot of discussion we have here on Consent.How much is too much information? The dose response curve of informed consent Barry.Nilsson. Lawyers Australia November 9 2017 “While the over-informed person is inconvenienced, the under-informed has his/her autonomy violated.” – United States Medical Ethicist, Robert Veatch.“A patient may make an unbalanced judgment because he is deprived of adequate information. A patient may also make an unbalanced judgment if h e is provided with too much information and is made aware of possibilities which he is not capable o...
Source: Australian Health Information Technology - December 12, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 11th December, 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 Comment-----A really big week with the regulations to enable myHR opt-out gazetted and now in operation with various start up dates and implications.Otherwise the wind down to Christmas seems to be rapidly taking over!-----http://www.healthcareit.com.au/article/federal-government-authorises-itself-collect-australians%E2%80%99-health-informati...
Source: Australian Health Information Technology - December 11, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

I Am Getting The Feeling Things Are Not Going Well With The Roll-Out Of The myHR and The ADHA.
Why do I think this? First the poll published earlier today makes it pretty clear that the confidence of the savvy audience in this blog that the myHR will be a success has pretty much evaporated.See here:https://aushealthit.blogspot.com.au/2017/12/aushealthit-poll-number-400-results.htmlSecond we are seeing furious d efensive reactions of the ADHA CEO to critical articles in the popular press, which are based on interviews with AHDA staff, being published. I am told this correspondence is being circulated to virtually every editor in the country while some odd claims are being made.See here:https://www.digitalhe alth.go...
Source: Australian Health Information Technology - December 10, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 400 – Results – 10th December, 2017.
Here are the results of the poll.Do The Recent Additions Of Many New Clinical Information Feeds For The myHR Persuade You The System Has A Bright Successful Future Ahead?Yes 1% (1) No 97% (142) I Have No Idea 2% (3) Total votes: 146 Any insights welcome as a comment, as usual, especially regarding where it should go from here? It certainly seems there is definite belief among readers that the myHR is not the way to go and really does not have much of a future. A really g reat turnout of votes that was almost unanimous! Again we note three respondents who are clueless! Again, many, many thanks to all those that vot...
Source: Australian Health Information Technology - December 10, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 9th December, 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.digitalhealth.net/2017/11/nhs-england-backs-11-new-innovative-technologies/NHS England backs 11 new innovative technologiesHannah Crouch27 November 2017A device which spots early signs of Sepsis is among the 11 new innovations NHS England is promoting.The projects are being backed as part of the NHS Innovation Accelerator (NIA) programme which is des...
Source: Australian Health Information Technology - December 9, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Looks Like Another Worthwhile Initiative From Government. Worth Knowing About!
This appeared last week:27 November 2017New cancer database a key resource for GPsCancer Clinical Posted by Felicity Nelson Cancer Australia ’s new searchable database is giving GPs quick access to population data on cancers.The National Cancer Control Indicators website, launched this month, brings together information on 17 cancers from trusted sources.Quick fact cards present up-to-date data on prevention, incidence rates, treatment , and five-year relative survival.“Cancer is a pretty scary word,” says Dr Liz Marles, the director of the Hornsby GP Unit in Sydney and member of Cancer Australia’s ...
Source: Australian Health Information Technology - December 8, 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.
December 07, 2017 Edition.Two huge things are going on around the Trump Administration at present. First Michael Flynn – his recent short lived National Security Adviser has pleaded guilty to misleading the FBI on his dealings with Russia sucking other members of the Administration closer to the flame. This could all go very badly. Secondly the Senate Tax Cut Bill has be passed and lead to s pectacular changes in the US Tax code if reconciled with the House Bill. It is suggested this might also lead to all sorts of problems and that it will be unimaginably expensive. We shall see. And as a wild card late in the w...
Source: Australian Health Information Technology - December 7, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Heat On The Way The NBN Is Being Implemented Is Really Rising. Pollies Take Note!
Last week we had a very disappointing announcement on the NBN that was ‘spun’ as an initiative to improve the ‘customer experience’.Basically the issue was that the Hybrid Fibre Coaxial (HFC) roll out was found to be not fit for use without considerable changes and that the roll-out to about 3 million homes was to be delayed by six to nine months.The Fin Review put it best with this article:Nov 27 2017 at 4:24 PM Glitter-to-the-turd NBN applies world class positivity to our broadband woes by Paul Smith For a supposedly apolitical government-owned business, the company rolling out Australia's beleagu...
Source: Australian Health Information Technology - December 6, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Digital Rights And Privacy Are Important To Many Of Us. Here Is Some Current Evidence.
This appeared a few days ago:It's not too late to fight for our digital rights. Here's how we startBy Ariadne Vromen, Kimberlee Weatherall, Fiona Martin and Gerard Goggin27 November 2017 Uber's admission that it covered up a major data hack affecting 57 million users is the latest example of a mass infringement of digital rights.As our worlds move ever more online, to the benefit of major technology firms such as Uber, Facebook, and Google, the need for a frank and open discussion about our digital rights has become urgent. Government, as a central home to so much of our personal data, must be part of this mix.Why it matte...
Source: Australian Health Information Technology - December 5, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Explanatory Memorandum For Mr Hunt's Rules - A Small Step!
EXPLANATORY STATEMENTIssued by Authority of the Minister for Health My Health Records Act 2012My Health Records (National Application) Rules 2017The My Health Records Act 2012 (the Act) enabled the establishment of the My Health Record system (formerly referred to as the personally controlled electronic health record or PCEHR system). The My Health Record system allows people and their healthcare providers to access their key health information online where and when they need it.  A My Health Record is an electronic summary of a person ’s health records.  The My Health Record system currently oper...
Source: Australian Health Information Technology - December 4, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 4th December, 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 interesting week with the ADHA out all over the place. Will be interesting to see how it all plays out …Otherwise a few other interesting initiatives…-----http://www.theaustralian.com.au/careers/ehealth-revolution-gather-pace-as-more-services-pledge-their-backing/news-story/21e62c17c2d21355e972a61865bcdc22E-health revol...
Source: Australian Health Information Technology - December 4, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Government And The ADHA Are Treating Us All Like Mushrooms. It Really Stinks!
These rules were promulgated a day or so ago! (Sorry about the formatting)My Health Records (National Application) Rules 2017 I, Greg Hunt, Minister for Health, make the following rules. Dated 30 November 2017 Greg Hunt Minister for Health ContentsPart 1—Preliminary                                                         ...
Source: Australian Health Information Technology - December 4, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Is The Way You Conduct Population Research Using Big Data - And It Does Not Involve The myHR!
This appeared during the week:Big data project offers ‘better return’ on health servicesThe Australian12:00AM November 30, 2017In a world first, medical data from an entire generation of Victorian babies will be pooled to fast-track research into diseases like autism, depression and obesity.Parents of all children born in the state in 2020 and 2021 will be invited to join the “Gen V” project and help transform Victoria into a “living laboratory”.The initiative’s architects say it will accumulate medical information at the scale needed to tackle big health issues, allowing researche...
Source: Australian Health Information Technology - December 3, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 399 – Results – 3rd December, 2017.
Here are the results of the poll.Would It Be Preferable If Patients Accessed Their Electronic Health Records From A Portal Provided By Their GP Rather Than Via The myHR?Yes 85% (104) No 5% (6) I Think Both Are Needed 2% (3) I Think Neither Are Needed 5% (6) I Have No Idea 2% (3) Total votes: 122 Any insights welcome as a comment, as usual, especially regarding where it should go from here! It certainly seems there is definite belief that the myHR is not the way to go for patient health information access. A really great turnout of votes! Again we note three respondents who are clueless! Again, many, many thanks t...
Source: Australian Health Information Technology - December 3, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 2nd December, 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.digitalhealth.net/2017/11/special-report-interoperability-2/Special Report: InteroperabilityWith just six short months until the General Data Protection Regulation (GDPR) comes into force, much of the NHS ’s attention remains fixed on the huge penalties that could be levied for organisations found in breach of it. But with its commitment to dat...
Source: Australian Health Information Technology - December 2, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Looks Like The Human Services Minister Has Been A Little Less Than Frank About Medicare Number Leaks Onto The Dark Web!
This appeared last week:11:00pm, Nov 21, 2017 Updated: 11:09pm, Nov 21Revealed: Alan Tudge ’s department knew of Medicare breach prior to bombshell reportExclusiveJohn Power The Department of Human Services flagged the illegal sale of Medicare details on the dark web almost a fortnight before the illicit trade was exposed in a bombshell media report, The New Daily can exclusively reveal .Internal emails, obtained under freedom of information laws, reveal that department officials discussed the security issue as early as June 22 – nearly two weeks before revelations that Medicare numbers were being sold online.O...
Source: Australian Health Information Technology - December 1, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Looks Like The Opioid Epidemic Is Staring To Really Hit Here In Australia.
This week Radio National has run two programs on our increasing problem with opioid over and mis-use.First we have this:Are doctor-shoppers really at the heart of our opioid crisis?Download audioTuesday 21 November 2017 5:30PM Around 600 Australians die each year from prescription drug overdoses, and the figure rises each year. When it comes to prescription opioid overdoses, they involve members of the community we might never normally associate with addiction.To tackle the epidemic, Australia is to introduce Real Time Prescription Monitoring next year, but is it enough?If this program raises any issues for you or anyone c...
Source: Australian Health Information Technology - November 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.
November 30, 2017 Edition.Overseas, in the week this is published we will get a good idea if Trump is going to get the Tax Legislation he wants through. There are many differences between the House and Senate versions and it will be interesting to see if they can be reconciled. Current betting is that something will get through but won ’t look much like what the President was hoping for!In Europe the Irish Government has almost collapsed so that is going to complexify Brexit negotiations! Germany is also still without a Government!In Asia the problems in Myanmar continue and elsewhere the Argentinians seems to have l...
Source: Australian Health Information Technology - November 30, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

I Think I Have Been Making This Point For Years - The myHR Does Not Know What It Wants To Be!
This appeared a few days ago.A GP diagnoses My Health Record's ills21 November 2017 COMMENTThe main problem is that it's a bureaucrat's solution which tries to be all things to all people, an anonymous GP writes.The MyHealth Record is like my garden. You can stick fancy plants in, ask people the flower they want to see blossom and plant those too. It needs money, too, but then it will look very pretty. Then, no matter what you do, the plants suddenly wilt and die and the garden is left barren.There is an alternative to health IT horticulture: you spend your time fertilizing the soil, digging it, nurturing the local ec...
Source: Australian Health Information Technology - November 29, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Rather Looks Like The MyHR Has Broken An Important Rule If Success Is To Be Achieved!
This appeared last week:21 November 2017How to succeed with digital innovation in healthPosted by Felicity Nelson Dr Steve Hodgkinson has a message for digital health innovators: the longer a project takes, the more likely it is to fail.   Dr Hodgkinson, the CIO at Victoria ’s Department of Health and Human Services, has overseen the launch of around 30 new applications in the past 18 months, with products delivered in as little as six weeks, and none taking longer than six months.  The thinking behind a swift roll-out was that it gave stakeholders a sense of how the application would work an...
Source: Australian Health Information Technology - November 28, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 27th November, 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 CommentThe myHR is really in the news for both good and not so good reasons this week. Otherwise some more private sector activity and the NBN still seems to be causing some concern. Happy reading.-----http://www.couriermail.com.au/lifestyle/health/privacy-groups-outraged-over-failure-to-inform-aussies-about-a-new-government-health-record/news...
Source: Australian Health Information Technology - November 27, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Has Been A Really Mixed Week For The myHR. The ADHA Keeps Spruiking It As More And More Issues Emerge.
Last week we saw these announcements about all the new users that were to be connected to the myHR.See here:Chemist Warehouse and Corum connecting to My Health RecordFriday, 24 November 2017 Every Australian with a My Health Record will be able to walk into a community pharmacy and have their Pharmacist upload important medicines information into their secure My Health Record to improve their health care. Chemist Warehouse, representing 30 per cent of the community pharmacy market, and Corum representing 1,000 pharmacies, today announced their upcoming connection to My Health Record system in 2018. Every community pharmacy...
Source: Australian Health Information Technology - November 26, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 398 – Results – 26th November, 2017.
Here are the results of the poll.Where Do You See A Working E-Health Standards Process Can Best Come From?The ADHA 1% (1) HL7 Australia 6% (9) IT-14 44% (69) Industry (MSIA etc.) 10% (16) Somewhere Else 36% (56) Nowhere 1% (1) I Have No Idea 3% (4) Total votes: 156 Any insights welcome as a comment, as usual, especially regarding where we should go from here! It certainly seems there is little confidence in le adership from the ADHA. A really great turnout of votes! Again we note three respondents who are clueless! Again, many, many thanks to all those that voted! David. This is the initial part of the post ...
Source: Australian Health Information Technology - November 25, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 25th November, 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.himssinsights.eu/european-ehealth-patchwork13.11.2017The European eHealth patchworkHealthcare IT continues to be insufficiently funded and supported in many parts of Europe. As a result, a lot of healthcare facilities are not as digitally mature as they could be. This is a key result of the Annual European eHealth Survey, conducted by HIMSS Analytics....
Source: Australian Health Information Technology - November 25, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Looks Like The New National Cancer Registry Is Still Struggling!
This appeared last week:13 November 2017Data delays hinder cancer registerPosted by Ruby Prosser Scully As the Department of Health delays the rollout of the National Cancer Screening Register yet again, clinicians are being urged to be aware that women ’s clinical histories may be separated between state and national registers for several months. The transition from two-yearly Pap smears to five-yearly HPV testing has been almost universally praised as life-saving and cost-effective, but the rollout has been beleaguered by repeated delays and cost blowouts. Now another partial delay to the program has been...
Source: Australian Health Information Technology - November 24, 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.
November 23, 2017 Edition.-----Well the Don has come back from Asia proclaiming a brilliant success but with rather less conviction being expressed by most others!The main news this week and for the next week or so will be the attempt to pass some “Tax Reform”. Currently it is hard to know how that will play out but you can be sure the poor are unlikely to be better off after it is done – if it ever is.The main other issue has been a Senate Candidate who seems to be a child molester (9 women so far have complained) but he still thinks h e can elected! He is hoping to outTrump Trump!In the rest of the worl...
Source: Australian Health Information Technology - November 23, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Push To Try And Ramp Up Use Of The myHR Seems To Be Gathering Pace! I Wish They Would Spend Our Money More Wisely!
Two examples this week.First we had:Men Take Control of Their Health with My Health RecordBy Digital Health Agency17 November, 2017 Australian men need to take greater control of their health, announced the Australian Men ’s Shed Association who is encouraging men to register for a My Health Record during Movember.Gary Green, Community Engagement Manager at the Australian Men’s Shed Association, said they are partnering with the Australian Digital Health Agency to distribute My Health Record toolkits to members a round Australia.“This is an important step and opportunity for men to take more control over ...
Source: Australian Health Information Technology - November 23, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

There Are Lots Of Exciting Visions For Digital Health Out There! I Often Wonder How Real They Are?
Three forward looking articles appeared last week:First we had:How data is ushering in the era of personalised healthcareAI, augmented reality and vast amounts of data will help drive a new revolution in healthcare, Murray Brozinsky says.Rohan Pearce (Computerworld) 15 November, 2017 06:00 Roughly every half century, there ’s an innovation that drives a revolution in healthcare, according to Murray Brozinsky. In the 1840s it was the use of anaesthesia in surgery; in the 1870s, germ theory. Then in the 1920s penicillin was discovered, and in the 1970s evidence-based medicine emerged on the back of the use of rand...
Source: Australian Health Information Technology - November 22, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The ADHA Issues Its First Annual Report - Not Much That Is New I Have To Say.
This appeared last week:Annual Report 2016-17: New momentum for digital health in AustraliaTuesday 14 November, 2017The first Annual Report of the Australian Digital Health Agency has been tabled in Parliament – it highlights a new partnership between governments, clinical and consumer leaders, industry and the research community to put real momentum behind bringing the benefits of digital health services to all Australians. Significant progress has been made in the last year, the report says: Australia has a new National Digital Health Strategy endorsed by all health ministers; My Health Record is on track for natio...
Source: Australian Health Information Technology - November 21, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 20th November, 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 really big week with Consultation on Secondary Use Of myHR Data wrapping up, an ADHA Annual Report and oh so much else! Enjoy.-----https://www.australiandoctor.com.au/news/data-suggests-gps-are-wasting-their-time-my-health-recordData suggests GPs are wasting their time with My Health Record About 70,000 shared health summaries were up...
Source: Australian Health Information Technology - November 20, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Another Test For The Department of Health ’s Tin Ear. Will It Listen To The Experts This Time?
I don ’t know about you but I have found it very hard ever to remember having the Department of Health conduct a consultation and not have the final consultation report say exactly the same things as were said by them before they began. (Think PCEHR Legislation, Opt-Out and the list goes on.)Well the co nsultation on the Secondary Use of myHR Data has just closed following many Submissions.You can download those published up to Sunday 19/11/2017 from this link:https://www.myhealthrecorddata.healthconsult.com.au/public-submissions/Here is the list of commentators so far.Grattan InstituteHuman Geneti cs Society of Aust...
Source: Australian Health Information Technology - November 19, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 397 – Results – 19th November, 2017.
Here are the results of the poll.Does Firm Bipartisan Political Support And Near Unlimited Funding Mean The myHR Will Ultimately Be A Success Despite Its Flaws?Yes 4% (5) No 95% (117) I Have No Idea 1% (1) Total votes: 123 It seems the vast majority do not think the myHR can overcome its fundamental flaws despite the Government enthusiasm and lots of money. Any insights welcome as a comment, as usual, especially regarding what might be done to have the present system changed, updated or whatever and have something more useful brought forward and implemented. A great turnout of votes! Again we note a sole responden...
Source: Australian Health Information Technology - November 19, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 18th November, 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.digitalhealth.net/2017/11/digital-halves-basic-administrative-work-londons-child-health-records/Digital halves basic administrative work for London ’s child health recordsClaire Read3 November 2017Time spent on basic administration of child health records in London has halved following the introduction of a new digital setup, one of the project...
Source: Australian Health Information Technology - November 18, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

It Seems That, Even After A Decade, The Evidence For Value In mHealth Is Still Lacking.
This appeared in the New England Journal Of Medicine last week.The Promise, Growth, and Reality of Mobile Health — Another Data-free ZoneAmira Roess, Ph.D., M.P.H.November 8, 2017DOI: 10.1056/NEJMp1713180The use of mobile communication technologies to improve the health of individuals and populations — dubbed “mobile health,” or “mHealth” — has grown dramatically since 2008, when the term mHealth became widely used. The excitement over the use of mHealth technology especially in low- and middle-income countries (LMICs) stems from the recognition that mobile phones have penetrated t...
Source: Australian Health Information Technology - November 17, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Threat Will Rather Put The ePAS Project Under Some Stress. It Could Get Messy.
This appeared late last week:SA Liberals would halt controversial EPAS electronic patient record system if electedBy Isabel Dayman8th November, 2017South Australia's Opposition Leader would pull the plug on the rollout of the state's controversial electronic patient records system if elected next March.Speaking at a breakfast hosted by the SA branch of the Australian Medical Association (AMA) today, Liberal leader Steven Marshall slammed the State Government's rollout of the EPAS software, describing it as "completely mishandled"."This is a program which needs urgent review," he told the gathering of do...
Source: Australian Health Information Technology - November 16, 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.
November 16, 2017 Edition.-----Trump has wandered off to Asia and has visited China and Japan for significant stays. In China the new Chinese Emperor has wowed him and in Japan the Americans have sold a lot of missiles etc. to protect Japan against North Korea. Also big news it the fact we are now starting to see genuine electoral push-back on Trump policies will some actual election wins from election day a week or so ago. A hopeful sign?Both Brexit and Catalonia are still festering along with no resolution to either! May ’s hold on power is looking ever more tenuous by the day!-----Big Mal went off to Vietnam ...
Source: Australian Health Information Technology - November 16, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Final Submission - Secondary Use Of MyHR Data.
Submission  - Secondary Use Of My Health Record Data  - November 2017.Background to Submission Author.Dr. David G More MB, PhD, FACHI, the author of this submission, is a registered medical practitioner with an over 20 year background in Digital Health implementation and use.Short Summary.Overall I would just like to be sure that whatever Framework the Consultation comes up with we have strong public accountability as to who is doing what with whose data and that it is conducted under ethical supervision - assuming that we decide we agree to proceed with Secondary Use  - which I remain sceptical of - given t...
Source: Australian Health Information Technology - November 15, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The COAG Health Council Addresses Some Issues Around The myHR.
This was released early last week:https://www.coaghealthcouncil.gov.au/Portals/0/CHC%20Communique%203%20November%202017_Final.pdfCommunique 3 November 2017Federal, state and territory Health Ministers met in Canberra today at the COAG Health Council chaired by Meegan Fitzharris MLA, ACT Minister of Health and Wellbeing to discuss a range of national health issues.Health Ministers noted the Queensland Parliament is in caretaker mode and the Queensland Minister was not present.The meeting made progress in protecting patients with items dealing with the health risks associated with cosmetic procedures.Ministers also agreed to...
Source: Australian Health Information Technology - November 15, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Health Affairs Puts The Place Of Technology In Health Care In A Larger Perspective.
This appeared last week:How The Rise Of Medical Technology Is Worsening DeathJessica Nutik Zitter November 6, 2017 10.1377/hblog20171101.612681 Our aging population is at risk from a most benign-appearing source —the medical technologies we trust to keep us healthy.When they were first widely used in the 1930s and 1940s, breathing machines did what humans could never have imagined a generation earlier: They kept young polio victims alive until their bodies cleared the virus that had temporarily weakened t heir respiratory system. Thanks to these miraculous machines, tens of thousands of these patients recovered and ...
Source: Australian Health Information Technology - November 15, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The ADHA Minutes For October 2017 Show The Usage Of The myHR Has Essentially Died.
The ADHA published the Board Minutes last week: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 11 October 2017 - Board Papers (Download)Item 5 - CEO Report - 11 October 2017 (Word, 117kB)Item 6.6 - National Collaborative Network (Word, 104kB)Item 6.6 - Attachment A - NCNCHI (Word, 341kB)Item 6.6 - ...
Source: Australian Health Information Technology - November 14, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 13th November, 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 huge week with a lot of very interesting opinions emerging and lots of private sector activity.Many links to follow here.-----http://medicalrepublic.com.au/grahame-and-the-argonauts/118009 November 2017Grahame and the ArgonautsPosted by Jeremy Knibbs What does it say if the My Health Record project is not agile enough to pivot around ...
Source: Australian Health Information Technology - November 13, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs