The Problems With EPAS At SA Health Do Not Seem To Be Easing Off Just Yet, But Some Positive Impacts Are Being Seen.
This appeared a few days ago:EPAS cost blows out againEXCLUSIVE | The cost of SA Health ’s troubled electronic patient records system EPAS has blown out to almost half a billion dollars after the department was forced to ask Cabinet for another $49 million to pour into it, InDaily can reveal.Bension Siebert @Bension1 Adelaide Friday November 03, 2017 The department approached Cabinet last month to request the extra funding for EPAS, raising the cost to taxpayers from $422 million to $471 million over the 10 years to 2021.SA Health confirmed the increased cost to InDaily this morning. InDaily understands Cabinet has a...
Source: Australian Health Information Technology - November 7, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 6th 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 very quiet week I have to say – but many comments on the blog so many seem engaged which is great!Enjoy the Melbourne Cup as the main feature of the week – as well as the RBA interest rate decision for the month and hour or two before.-----https://grattan.edu.au/news/making-better-use-of-my-health-record-data-submission/Ma...
Source: Australian Health Information Technology - November 6, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Sorry To Harp But We Really Need To Rethink The myHR – It’s Just Plain Stupid Not To!
This appeared just a few days ago:3 November 2017First the rugby, now national e-health recordsGovernment Technology Posted by Jeremy Knibbs What is it about small countries that are cold, wind beaten, have highlands, and lots of woolly hooved livestock? Both New Zealand and Scotland punch well above their weight in sport, especially rugby. And both do the same in digital health.If you ’d like a few answers to the digital health side of this strange cultural phenomenon Dr Libby Morris, clinical lead on Scotland’s SPIRE program, the pragmatic and so far successful equivalent to our My Health Record saga, mi...
Source: Australian Health Information Technology - November 5, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

AusHealthIT Poll Number 395 – Results – 5th November, 2017.
Here are the results of the poll.Has The NBN Turned Into A Disastrous, Increasingly Obsolete and Expensive 'White Elephant'?Yes 56% (66) No 15% (17) it Is Too Early To Tell 20% (23) I Have No Idea 9% (11) Total votes: 117 It seems a majority think the NBN is not going well with only a few true believers! Any insights welcome as a comment, as usual, especially regarding what might be done to get back on track. 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 Heal...
Source: Australian Health Information Technology - November 5, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Overseas Health IT Links – 4th 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.healthcareitnews.com/news/epic-go-live-umass-memorial-masterclass-getting-staff-behind-ehr-switch-cio-saysEpic go-live at UMass Memorial a masterclass in getting staff behind an EHR switch, CIO saysEngagement across the health system, starting with the selection and eventual design of the system, helped $700 million project go off without a hitch.By B...
Source: Australian Health Information Technology - November 4, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Remember This When You Are Repeatedly Told That The myHR Is Secure And Has Not Been Breached!
This appeared a few days ago.My Health Record data breaches caused by “fraudulent behaviour or human error”Lynne Minion | 25 Oct 2017 Fraudulent behaviour or human error were responsible for My Health Record data breaches, the Australian Digital Health Agency has confirmed, following the release of the Australian privacy commissioner’s annual report containing d etails of the security failures."This year we received six data breach notifications from the My Health Record System Operator,” the Office of the Australian Information Commissioner’s annual report says.“These notifications...
Source: Australian Health Information Technology - November 3, 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.
November2, 2017 Edition.-----Internationally Catalonia seems to be going from bad to worse with a risk that the Madrid Government will overreact and make the crisis even worse. It is already looking pretty messy.In the US Trump has finally realised there is an opioid crisis with 64,000 people dying a year of overdoses and millions more in trouble with addiction. There seems to have been some movement of the Tax Cut front – making Wall St happy – while it seems Janet Yellen (The present Chair of the Federal Reserve) will be replaced by Trump after February.As for China, now the 19th Plenum is over, we can just w...
Source: Australian Health Information Technology - November 2, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Looks Like A Really Useful Initiative To Keep Abreast Of What Is Going On That Is New In The Digital Health Space.
This appeared last week:HISA joins digital health showcase HealthHorizonOct 26, 2017 | InnovationMTPConnect – the Medical Technologies and Pharmaceuticals Industry Growth Centre – today announced it will provide a proposed $100,000 provisional funding to a National MedTech, Pharmaceutical and Digital Health Showcase over one year, with proposed matched funding of $100,000 coming from the sector. The f unding will allow the project to catalogue and track the progress of health innovations under development in Australia and make the information accessible to all on a public online platform.The project consortium ...
Source: Australian Health Information Technology - November 2, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Interesting The Things That Go On Largely Under Radar. Not Sure This Is An Optimal Approach?
This appeared last week.How big data is shaping the future of general practiceEmily Dunn25 October 2017 INSIDE STORYThe GPs at Dr Malcolm Clark ’s group practice in suburban Melbourne felt confident in their management of diabetic patients. Then they received a data report that got them thinking.“When we got the data back we could see this smaller group that we could do a better job with,” Dr Clark says. “We were able to identify pa tients who were good at dealing with their diabetes and those who were not.”The data in question was in the form of a report produced by MedicineInsight, a data co...
Source: Australian Health Information Technology - November 1, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

This Seems Like A Very Interesting Step Forward In Digital Health For Patients And Their Professionals.
This press release appeared a few days ago:HICAPS Go set to improve cost transparency for patientsPatients can now locate a practitioner, get a quote, pay for their consultation and claim their private health insurance benefit using a new one-stop healthcare app.HICAPS Go, which has launched in Melbourne, provides patients with a simple and transparent experience which gives them more visibility on their out of pocket expenses before they see their healthcare practitioner and facilitates a completely digital process to pay their bill.The app also and makes it easy for patients to locate, book and manage a health practition...
Source: Australian Health Information Technology - November 1, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

I Reckon The NBN Jumped The Shark In Its Present Form This Week. The Pressure For Major Change And Improvement Is Enormous.
Rather than bore everyone with a gale of the NBN articles I am going to stick to one which really seems to say it all.Problems plague transition to NBN for Aussie households: survey 23 October 2017 Written by  Peter Dinham Over one million (45%) Australian households who have connected to the national broadband network experienced issues when transitioning across to the service, according to a newly published research report.Online comparison website iSelect says a new Galaxy Research study it commissioned to assess the attitudes of Australian households towards broadband services, reveals that 1.3 million Australian...
Source: Australian Health Information Technology - October 31, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 30th 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 CommentIt has all been about the NBN (and Barnaby) during the last week of so … Seems people have noticed it is not turning out as promised. It is actually pretty sad IMVHO.Lots of other stuff as well.-----https://www.medicalobserver.com.au/professional-news/how-big-data-is-shaping-the-future-of-general-practiceHow big data is shaping t...
Source: Australian Health Information Technology - October 30, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Somehow Even The August Productivity Commission Has Been Drinking The Kool-Aide!
This report was sent to Government on 3 August 2017, then tabled in Parliament and publicly released on 24 October 2017.This is the first document of its kind for the Productivity Commission — a look out across the landscape of factors and influences that may affect Australia's economic performance over the medium term, in order to offer advice on where our priorities should lie if we are to enhance national welfare.Do wnload the reportShifting the Dial: 5 year productivity review - Inquiry report (PDF - 5444 Kb)Here is the link to the Report page.http://www.pc.gov.au/inquiries/completed/productivity-review/reportHe...
Source: Australian Health Information Technology - October 29, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

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