Weekly Australian Health IT Links – 08th April, 2019.
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-----An interesting week with a large scale change in the ADHA Board – which I suspect will lead to executive change after the election.The other theme this week has been messy and rushed legislation and regulation. One gets the feeling no-one exactly knows what they are doing.-----https://www.computerworld.com.au/article/659453/...
Source: Australian Health Information Technology - April 8, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 469 – Results – 07th April, 2019.
Here are the results of the poll.Does The ADHA Have Realistic Expectations For The Rate Of Phasing Out Fax Machines (2-3 Years) Given The Barriers To Universal Use Of Secure Electronic Messaging Throughout The Health System? Yes 6% (10) No 92% (151) I Have No Idea 2% (4) Total Votes: 165 What an clear-cut poll again. Most seem to think that the axe the fax program is more spin than substance and that it will happen once a good alternative is in place. Any insights on the poll welcome as a comment, as usual. A more than reas onable turnout of votes! It must have been a fairly easy question as just 4/165 readers wer...
Source: Australian Health Information Technology - April 7, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Really Do Wonder Just What The Purpose Of All This Was. It ’s Hardly Advanced The State Of The Art In Digital Health.
This appeared a little while ago.Medical Journal Of Australia. Volume 210 Issue 6 Supplement31 March 2019Expanding the evidence base in digital healthCoordinating editors:Meredith Makeham and Angela RyanSharing information safely and securely: the foundation of a modern health care systemMeredith AB Makeham and Angela RyanMed J Aust 2019; 210 (6 Suppl): S3-S4 Open AccessAustralia's digital health journeySteven J Hambleton and John Aloizos AMMed J Aust 2019; 210 (6 Suppl): S5-S6 Open AccessTowards routine use of national electronic health records in Australian emergency departmentsPaul Miles, Andrew Hugman, Angela Ryan, Fio...
Source: Australian Health Information Technology - April 7, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

If I Was Part Of The Old ADHA Board I Would Be Embarrassed About This!
Just noticed this: Australian Digital Health Agency Board A new Australian Digital Health Agency Board was announced on 3 April 2019. This page will be updated on 20 April 2019 at the commencement of the new Board ’s term.Download the latest Board Meeting 22-23 August 2018 - Board PapersHere is the link: https://www.digitalhealth.gov.au/about-the-agency/australian-digital-health-agency-board So while announcing a new Board they confess the old one were a stunningly secretive lot. Not a peep of Boar d communication in 8 months. All the members of the old Board should have left - not just a few! David. This i...
Source: Australian Health Information Technology - April 6, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 6th April, 2019.
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://patientengagementhit.com/news/allscripts-partnership-to-deliver-integrated-patient-portal-toolAllscripts Partnership to Deliver Integrated Patient Portal ToolThe integration will allow patients to access the patient portal and other tools on one platform.By Sara HeathMarch 27, 2019 - EHR vendor Allscripts will be partnering with Ephraim McDowell Heal...
Source: Australian Health Information Technology - April 6, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Seems The ADHA Has Known For A Good While What Other Polls Say. Many Doctors Don ’t Think Much Of The #myHR!
This appeared last week:FOI documents reveal what GPs are getting out of My Health Record Internal report suggests (some) doctors have found (some) clinical benefit Antony Scholefield29th March 2019Only one in two GPs using My Health Record think its clinical value justifies the time and effort involved in maintaining the system, the government ’s own internal research has found.Documents released under freedom of information laws suggest the Australian Digital Health Agency was aware it had a serious perception issue among its GP users in the months before the system went opt-out last year.The agency commissioned tw...
Source: Australian Health Information Technology - April 5, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The ADHA Pushes The MyHealthRecord For A Use Where There Is Little Evidence To Support It.
This was splashed by the ADHA team last week:My Health Record best place for Advance Care Directives29 March, 2019 - 9:45With National Advance Care Planning Week occurring 1-5 April, medical leaders are reminding Australians to make sure their future health care preferences are uploaded to My Health Record, where they can be easily accessed when needed. “National Advance Care Planning Week reminds us all of the importance of making your loved ones aware of your wishes in regards to health treatment, for a time in future where you may no longer be able to express your preferences. When you are sick, the burdens and st...
Source: Australian Health Information Technology - April 4, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Macro View – Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
April 4, 2019 Edition.-----Trump has had a wonderful week or two from his perspective with the pressure on him from the Democrats being somewhat reduced and no obvious political issues threatening to derail the 2020 election. However there seems to be a looming recession in the US and that would be bad news for Trump!Brexit has gone utterly pear-shaped and we have no idea what happens next.By the time you read this we will know what happened. The big news was----- Major Issues.https://www.theaustralian.com.au/business/financial-services/short-bets-on-banks-point-to-slump/news-story/fd329fd852f7acd5690950761466222aShort bet...
Source: Australian Health Information Technology - April 4, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Surely We Must Wonder About Conflicts Of Interest And Competency With All This?
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Source: Australian Health Information Technology - April 3, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

A Virtually Total Clean Out Of The ADHA Board Says Something I Believe!
This release has just appeared: Normal 0 false false false EN-AU X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman","serif";} https://www.digitalhealth.gov.au/news-and-events/news/appointments-to-the-australian-digital -health-a...
Source: Australian Health Information Technology - April 3, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Commentators and Journalists Weigh In On Digital Health And Related Privacy And Security Matters. Lots Of Interesting Perspectives - Week 37.
Note: I have excluded (or marked out) any commentary taking significant funding from the Agency or the Department of Health on all this to avoid what amounts to paid propaganda. (e.g. CHF, RACGP, AMA, National Rural Health Alliance etc. where they were simply putting the ADHA line – viz. that the myHR is a wonderfully useful clinical development that will save huge numbers of lives at no risk to anyone – which is plainly untrue) (This signifies probable ADHA Propaganda)-----Note: I have also broadened this section to try to cover all the privacy and security compromising and impacting announcements in the ...
Source: Australian Health Information Technology - April 2, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 01st April, 2019.
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-----It has been quiet a big week with a big ADHA push on what I see as a purely symbolic ‘axe the fax’ campaign. I guess it keeps them busy. Elsewhere a lot of angst on encryption issues and other more strategic issues.-----https://www.brisbanetimes.com.au/national/queensland/desperate-risk-delayed-electronic-medical-recor...
Source: Australian Health Information Technology - April 1, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Grahame Grieve Has A Look At Where We Are With Secure Clinical Messaging.
This went up a day or so and it is reproduced with permission.Clinical Messaging in Australia Posted on March 28, 2019 by Grahame Grieve The Australian Digital Health Agency is working hard on replacing faxing with secure messaging. Peter MacIsaac discusses one of the ancillary challenges this causes in Pulse IT today: “The second barrier to successful cross-transfer of messages is that the messages sent by almost all health services do not comply with Australian messaging or vocabulary standards.Likewise the major clinical system vendors are not capable of processing a standard HL7 message, if one were to be de live...
Source: Australian Health Information Technology - March 31, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 468 – Results – 31st March, 2019.
Here are the results of the poll.Do Electronic Health Records Need A Fundamental Re-think In The Light Of The Range Of Problems That Have Now Become Apparent In Their Implementation And Use?Yes 96% (138) No 3% (5) I Have No Idea 1% (1) Total votes: 144 What an clear-cut poll again. Most seem to think the EHR needs much more work to make it more useful for clinicians and patients. Any insights on the poll welcome as a comment, as usual. A more than reasonable turnout of votes! It must ha ve been a fairly question as just 1/144 readers were not sure what the appropriate answer was. Again, many, many thanks to all t...
Source: Australian Health Information Technology - March 31, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 30th March, 2019.
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/2019/03/the-future-is-now-when-it-comes-to-digital-communication-with-patientsThe future is now when it comes to digital communication with patientsText messaging transformed the way many of us communicate, and the next generation of such communication promoses to do the same again. Here Kenny Bloxham argues the NHS valuably could &n...
Source: Australian Health Information Technology - March 30, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Other Than The Name There Is Something More Not Quite Right About All This. Is It Real Other Than A Website?
This page came up in an alert.Do you have a Medicare Card?March 20, 2019 In Australia, if you have a Medicare Card or if you are an armed forces veteran have a DVA card, you also have a My Health Record, unless you have opted out.If you have recently received a My Health Record and you login via MyGov you will notice that there is not much in it.  This makes sense, it ’s a bit like a bank account when you first open it.And like a bank account you need to make ‘transactions’ to make it useful – for My Health Record, those ‘transactions’ are visits to a healthcare service provider.Wha...
Source: Australian Health Information Technology - March 29, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Macro View – Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
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Source: Australian Health Information Technology - March 28, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Is An Excellent Summary Of How Electronic Health Records Have Let Us Down.
This radio show aired in the US last week:Why The Promise Of Electronic Health Records Has Gone Unfulfilled March 18, 20193:15 PM ET Heard on All Things Considered Fred Schulte The reality of electronic medical records has yet to live up to the promise. A decade ago, the U.S. government claimed that ditching paper medical charts for electronic records would make health care better, safer and cheaper. Ten years and $36 billion later, the digital revolution has gone awry, an investigation by Kaiser Health News and Fortune magazine has found. Veteran reporters Fred Schulte of KHN and Erika Fry of Fortune spent months digging ...
Source: Australian Health Information Technology - March 28, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

From The Country That Gave Us The ADHA CEO Comes A Stern Warning About Health Information Protection And Use.
This appeared last week:Lack of clarity around data sharing risks ‘irreparable mistrust’, NHS Digital chief warnsAbsolute clarity is needed around how the NHS will use patient data or we risk “deep and almost irreparable mistrust”, the NHS Digital chief has said.Andrea Downey15 March 2019Sarah Wilkinson said the NHS needs to formalise its position on the s econdary use of patient data in order to fully benefit from the insights already available within the national data set.Speaking at a Kings Fund and IBM Watson event on artificial intelligence in healthcare on Tuesday, Wilkinson said we need to &l...
Source: Australian Health Information Technology - March 27, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Commentators and Journalists Weigh In On Digital Health And Related Privacy And Security Matters. Lots Of Interesting Perspectives - Week 36.
Note: I have excluded (or marked out) any commentary taking significant funding from the Agency or the Department of Health on all this to avoid what amounts to paid propaganda. (e.g. CHF, RACGP, AMA, National Rural Health Alliance etc. where they were simply putting the ADHA line – viz. that the myHR is a wonderfully useful clinical development that will save huge numbers of lives at no risk to anyone – which is plainly untrue) (This signifies probable ADHA Propaganda)-----Note: I have also broadened this section to try to cover all the privacy and security compromising and impacting announcements in the ...
Source: Australian Health Information Technology - March 26, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 25th March, 2019.
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-----Another pretty scrappy week with lots of commercial activity and a recognition that the ADHA has no real clue as to just how hard to meet will be their interoperability objectives. Watch this space!-----https://www.canberratimes.com.au/national/queensland/alerts-warn-of-patient-risk-software-glitches-in-electronic-medical-record-2...
Source: Australian Health Information Technology - March 25, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 467 – Results – 23th March, 2019.
Here are the results of the poll.Is The Number And Type Of Different Individuals (Docs, Nurses, Clerks etc.) Who Can Access The #myHealthRecord Properly Managed, Monitored and Regulated?Yes 1% (1) No 97% (142) I Have No Idea 2% (3) Total votes: 146 What an clear-cut poll again. Access of all sorts of individuals is not properly managed according to those who read here. Any insights on the poll welcome as a comment, as usual. A more than reasonable turnout of votes! It must have b een a fairly question as just 3/146 readers were not sure what the appropriate answer was. Again, many, many thanks to all those that v...
Source: Australian Health Information Technology - March 24, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Seems That App Providers Have A Rather Relaxed Focus On Protecting Your Health Information.
This appeared a few days ago:Researchers Create Fake Profiles On 24 Health Apps And Learn Most Are Sharing Your DataEd Cara Mar 22, 2019, 10:00am Using apps to keep track of your medication or look up the symptoms of your latest mysterious illness might be convenient. But a new study out this week highlights the hidden privacy risks of plugging sensitive health information into your smartphone. Namely, that medical apps love to collect your data, but are only sometimes upfront about what they ’re doing with it and with whom they’re sharing it. Researchers in Canada, the U.S., and Australia teamed up for the stu...
Source: Australian Health Information Technology - March 24, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 23rd March, 2019.
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/2019/03/national-institute-health-care-excellent-standards-digital-health-technology/NICE publishes updated standards for digital health technologyThe National Institute for Health and Care Excellence (NICE) has published an updated version of its evidence standards framework for digital health technologies.Andrea Downey – 11 M...
Source: Australian Health Information Technology - March 23, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

A Useful Article Comparing The Australian And US Approaches To Electronic Health Records.
I am re-publishing this with the author ’s permission. The differences from the US are quite telling.Comparison of e-health records: Australia versus the USAuthored by Heather Deixler Bianca PhillipsIssue 9 / 11 March 2019 This is the fifth article in a series on the digital health revolution.AS debate continues over the implementation of the My Health Record for Australian patients, perhaps it would be instructive to compare it with the United States’ system. We provide an overview of the US federal laws that govern the privacy and security of electronic health records, including the Health Insurance Portabili...
Source: Australian Health Information Technology - March 22, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

In The US The Peak Digital Health Regulator Comes Cheap Compared With The ADHA It Seems!
This appeared last week:ONC funding slashed by $17M in FY 2020 under WH budget By Greg SlabodkinPublished March 12 2019, 7:25am EDTThe Office of the National Coordinator for Health Information Technology has a lot on its plate in Fiscal Year 2020, but the agency may have to do more with less.The Trump administration on Monday released the President ’s FY 2020 budget request for the Department of Health and Human Services, which includes a total of $43 million for ONC—a reduction of $17 million from FY 2019.“In FY 2020, ONC will continue to reduce operational and administrative costs in information technol...
Source: Australian Health Information Technology - March 21, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Macro View – Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
March 21, 2019 Edition.-----For the first time ever the review this week opens with the awful and worrying events in New Zealand. We have no seen the catastrophic outcome of far-right hate speech and extremism and it needs to be called out and fought. I will watch our pollies for what they actually do – concerned they will wimp it. Ms Ardern has turned out to be a hero and has major gun law changes underway. ScoMo rather less so and the Turks are being particularly offensive - maybe just their President!In the US Trump keeps fighting for his wall and is rather half-hearted with his condemnation of right-wing extremis...
Source: Australian Health Information Technology - March 21, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Is A Major Article On The Failure Of EHRs In The US - Republished With Permission - An Important Read.
Death By 1,000 Clicks: Where Electronic Health Records Went WrongFred Schulte, Kaiser Health News and Erika Fry, Fortune The pain radiated from the top of Annette Monachelli ’s head, and it got worse when she changed positions. It didn’t feel like her usual migraine. The 47-year-old Vermont attorney turned innkeeper visited her local doctor at the Stowe Family Practice twice about the problem in late November 2012, but got little relief. Two months later, Monachelli was dead of a brain aneurysm, a condition that, despite the symptoms and the appointments, had never been tested for or diagnosed until she turned...
Source: Australian Health Information Technology - March 20, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Honestly You Really Have To Wonder About These Trials And What Has Really Been Thought Through.
This appeared last week:Joint media release - New trial to improve medicine safety for those leaving hospital13 March 2019: A new trial service to help patients better manage their medication after they leave hospital will be launched at Box Hill tomorrow.Poor medication management during or immediately after a hospital stay is a risk factor in 28% of potentially avoidable hospital re-admissions within 30 days.DC MedsRec is a community pharmacy-based service for patients discharged from Box Hill Hospital with four or more medicines, designed to help reduce the risk of harm from dangerous drug interactions. Eligible patient...
Source: Australian Health Information Technology - March 20, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

ADHA Webcast On Interoperablility From 18 March 2019 - Recording Now Available!
I have kindly been provided with the following link for the approximately 2hr Opening Session. The video may be seen at: https://www.webcasts.com.au/7111/player/index.php?player_id=11487 It is well worth a watch if you have not seen it to see where the ADHA is going in this area. 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 - March 19, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Commentators and Journalists Weigh In On Digital Health And Related Privacy And Security Matters. Lots Of Interesting Perspectives - Week 35.
Note: I have excluded (or marked out) any commentary taking significant funding from the Agency or the Department of Health on all this to avoid what amounts to paid propaganda. (e.g. CHF, RACGP, AMA, National Rural Health Alliance etc. where they were simply putting the ADHA line – viz. that the myHR is a wonderfully useful clinical development that will save huge numbers of lives at no risk to anyone – which is plainly untrue) (This signifies probable ADHA Propaganda)-----Note: I have also broadened this section to try to cover all the privacy and security compromising and impacting announcements in the ...
Source: Australian Health Information Technology - March 19, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Access To ADHA Webcast. Here Is How To Do It At 10.00 AM. Official Word.
Here is the official word: "No issued username or password is required.  30 minutes before the event, a sign-in link will go live to the event page." Here is the link to use. https://login.redbackconferencing.com.au/landers/page/3840b6 Enjoy. 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 - March 18, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Submissions To The Australian National Audit Office Re: myHealthRecord Program Close 14 April, 2019.
Here is the link to respond: https://www.anao.gov.au/work/performance-audit/my-health-record They want to know what the experts think of what the ADHA is doing and has done. Get thinking and writing. You country deserves your input! 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 - March 18, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 18th March, 2019.
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Source: Australian Health Information Technology - March 18, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 466 – Results – 17th March, 2019.
Here are the results of the poll.Do You Believe Most (>90%) Of Individuals Would Be Able To Log Into myGov, Access Their myHR, And Understand, Decide On And Then Implement The Access And Security Controls They Desire For Their Health Information?Yes 2% (3) No 98% (119) I Have No Idea 0% (0) Total votes: 122 What an clear-cut poll again. Most seem to think we have a major public access and understanding gap in the Digital Health domain. Any insights on the poll welcome as a comment, as usual. A more than reasonable turnout of votes! It mus t have been a really question as just 0/122 readers were not sure what th...
Source: Australian Health Information Technology - March 17, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Webcast / Webinar Update.
I am reliably informed that the session on Monday is going ahead as mentioned in the previous blog which is found here: https://aushealthit.blogspot.com/2019/03/this-should-be-very-worthwhile-viewing.html I am waiting for an e-mail regarding who and how interested parties can access the session. It maybe worthwhile clicking the link about 15-20 mins before the session - say about 9:30 am on Monday 18/3/2019. htt ps://login.redbackconferencing.com.au/landers/page/3840b6 I will update this page if I learn more. Anyone else who knows feel free to tell us all via a comment! David. Update: As recently as 3pm 17/3/2019 t...
Source: Australian Health Information Technology - March 17, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Seems The #myHealthRecord And The Parliamentary Network Have a Similar And Hard To Fix Vulnerability.
This appeared a few days ago.MPs make security hard, says the Department of Parliamentary ServicesDPS says “variety of software and services utilised by parliamentarians” makes it hard to implement ASD’s ‘Essential Eight’Rohan Pearce (Computerworld) 15 March, 2019 12:19 The variety of applications and services employed by MPs and their staff present a security challenge that is probably unique across the federal public sector, according to the Department of Parliamentary Services. In a letter to a parliamentary committee scrutinising the cyber resilience of a number of Commonwealth entities, t...
Source: Australian Health Information Technology - March 17, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Should Be Very Worthwhile Viewing To Discover If The ADHA Gets It Or Not - Assuming You Can Work Out How To Register!
I spotted this yesterday.Consultation Launch and Vision and Principles Workshop - ADHAWhen?MON 18 MAR 2019What Time?10:00 AM - 11:45 AM AEDTWhere?ONLINEAlready registered? Login below:Access commences 30 mins prior to the start timeEvent has not started yet. Please see event date and time for details. Sharing the right health information at the right time is critical to high quality, sustainable health and care. Australia's National Digital Health Strategy – Safe, seamless and secure: evolving health and care to meet the needs of modern Australia  – highlights the importance of connected health services a...
Source: Australian Health Information Technology - March 16, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 16th March, 2019.
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/2019/03/what-matt-hancock-got-right-and-wrong-about-the-pager-purge/What Matt Hancock got right – and wrong – about the pager purgeNo one could disagree with Matt Hancock’s contention that the pager is an outdated pieces of technology. But Joost Bruggeman fears a blanket ban on their use in the NHS is a blunt tool &...
Source: Australian Health Information Technology - March 16, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Wonder How Many Will Snoop On The #myHealthRecord When Most People Have A One. Even Now We See The Numbers Of Accesses Rising Again.
This appeared a little while agoFewer Human Services staff caught accessing customer dataBy Sally WhyteMarch 4, 2019 — 11.58amThe number of Human Services staff found to be accessing customer data without authorisation has been steadily dropping over the past two years, but has increased slightly this year.In the first half of this financial year, seven public servants have been sacked for breaching the APS code of conduct relating to unauthorised access, the same amount who were sacked in the whole 2017-18 year.In that year two staff pulled the plug themselves before their employers could.The Department of Human Ser...
Source: Australian Health Information Technology - March 15, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Macro View – Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
March 14, 2019 Edition.-----In the US the big news is that the share-market had its worst week in a number of years and that has infuriated Trump more than somewhat. In related news Kim Jong Un appears to be preparing to start launching missiles again after the Summit failed. Things are going to hell in a handbasket it seems. The Boeing aircraft crashes are awful and people are now wondering about systemic issues with the aircraft...a real worry!Brexit seems to have run out of runway and we are now seeing panic as to what to do! In the mean time the European economy is losing altitude at an alarming rate …As late a ...
Source: Australian Health Information Technology - March 14, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Does The World Health Organisation Establishing A Digital Health Unit Signify Peak Digital Health?
We had some alarming news during the week:World Health Organization announces new Department of Digital HealthThursday, 7 March 2019   (0 Comments) WHO has announced the most wide-ranging reforms in the organisation ’s history to modernise and strengthen the institution to play its role more effectively and efficiently as the world’s leading authority on public health.One of the key changes is “harnessing the power of digital health and innovation by supporting countries to assess, integrate, regulate and maximise the opportunities of digital technologies and artificial intelligence, supported b...
Source: Australian Health Information Technology - March 14, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Seems Like A Big, And Rather Slow Win, Until You Review The Fine Print! There is Still A Way To Go!
This appeared last week:Health ends limbo over Telstra's $220m national cancer registerBy Justin Hendry on Mar 6, 2019 7:02AM Go-live for last major component planned for November.The protracted period of uncertainty over the replacement of Australia ’s outdated bowel cancer screening register has finally been lifted, after the Department of Health issued a firm go-live date for the second-half of its troubled national cancer register being built by Telstra.The major component of the $220 million single national record for the screening of cer vical and bowel cancers has been languishing without a go-live for the las...
Source: Australian Health Information Technology - March 13, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Commentators and Journalists Weigh In On Digital Health And Related Privacy And Security Matters. Lots Of Interesting Perspectives - Week 34.
Note: I have excluded (or marked out) any commentary taking significant funding from the Agency or the Department of Health on all this to avoid what amounts to paid propaganda. (e.g. CHF, RACGP, AMA, National Rural Health Alliance etc. where they were simply putting the ADHA line – viz. that the myHR is a wonderfully useful clinical development that will save huge numbers of lives at no risk to anyone – which is plainly untrue) (This signifies probable ADHA Propaganda)-----Note: I have also broadened this section to try to cover all the privacy and security compromising and impacting announcements in the ...
Source: Australian Health Information Technology - March 12, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 11th March, 2019.
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-----Quite a busy week with all sorts of odds and ends being exposed to public gaze. There were coroner ’s reports and other bad news as well as some good software news and further revelations on the NBN and its tortuous progress!-----https://www.brisbanetimes.com.au/national/queensland/baby-born-with-brain-damage-after-fragmente...
Source: Australian Health Information Technology - March 11, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 465 – Results – 10th March, 2019.
Here are the results of the poll.The ADHA Was Apparently Planning To Spend $100,000+ On A Full Staff Meeting For 450 Staff And Guests At The Sydney Cricket Ground? Is This Reasonable Given Modern Communications And Other Options?Yes 5% (6) No 95% (116) I Have No Idea 0% (0) Total votes: 122 What an clear-cut poll. Most seem to think it was not a great idea although a few felt the ADHA needed a lot more investment in its staff etc. Any insights on the poll welcome as a comment, as usual. A more than reasonable turnout of vote s! It must have been a really question as just 0/122 readers were not sure what the approp...
Source: Australian Health Information Technology - March 10, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

What A Surprise US CIOs Realise That Many Can ’t Use Their Digital Health Tools And That There Are All Sorts Of Problems.
This appeared a few days ago:Are all patients up to the task of managing their own health data? Some CIOs say no by Heather Landi Mar 7, 2019 11:09am With the Centers for Medicare and Medicaid Services introducing policies to drive interoperability and CMS Administrator Seema Verma recently making it clear that “patient data belongs to patients,” there is increasing discussion about giving patients easier access to their health data.But, will all patients truly be up to the task of managing their own health data?Some CIOs say definitely not, especially those patients who are chronically ill or those wi thout in...
Source: Australian Health Information Technology - March 10, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 9th March, 2019.
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.technologyreview.com/s/613050/stick-on-sensors-will-let-premature-babies-get-the-skin-contact-they-need/Stick-on sensors will let premature babies get the skin contact they needBabies born too soon have to be closely monitored, but all that equipment stops parents from getting close. A new wireless sensor could help.by Charlotte Jee February 28, 2019...
Source: Australian Health Information Technology - March 9, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The ADHA Sets A Personal Best For Delay In Publishing Of Board Notes!
Checked today 09/03/2019 and here is what I found: Australian Digital Health Agency BoardDownload the latest Board Meeting 22-23 August 2018 - Board Papers Here is the link: https://www.digitalhealth.gov.au/about-the-agency/australian-digital-health-agency-board This means they have thumbed their noses at the curious public for over 6 months! They really are just a hopeless Board that I am sure the incoming Labor Government (which seems odds on) will replace ASAP, especially given to total hash they made of the opt-out transition. They would all be just waiting for the axe to fall I reckon! David. This is the initial...
Source: Australian Health Information Technology - March 9, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

A Highly Regarded Medico-Legal Adviser Says The #myHealthRecord Has Real Issues For Clinicians.
This appeared last week:My Health Record: 5 problems and 1 solution In an ideal world, e-health records are a terrific idea - in real life, however, there are several medicolegal issues that are of concernDr Craig Lilienthal28th February 2019I have been trying to get my head around the medicolegal implications of My Health Record for some time now.I have studied the legislation (which is confusing for a non-lawyer) and statements from the Minister for Health (which change every time pressure is applied by diverse, interested groups).In an ideal world, e-health records would be terrific if they could be relied upon and...
Source: Australian Health Information Technology - March 8, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs