The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
February, 06 2020 Edition.-----I have to say this last few weeks have really felt like the “End Of Times” with disease, fires and floods and so on raining down on us. The feeling is being supported by the sense that the honesty of our political system has basically been trashed.   Australia you are really suffering right now..I really hope we can find a way out! The whole system has a smell of corruption to me...In the US it is worse in my view with the key institutions seemingly determined to utterly corrupt themselves – funny how hegemons fall! Trump is certainly accelerating the process. He i...
Source: Australian Health Information Technology - February 6, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Do Not Think The Public Would See This As Reasonable In Many Circumstances. Improvement Is Needed!
This appeared last week.27 January 2020Police ’s secret access to our health dataGovernment MBS Patients Posted by Felicity Nelson The Department of Human Services has decided to release the guidelines governing the disclosure of private health data to the police, one year after rejecting a Freedom of Information request by The Medical Republ ic.The thought of the police rifling through private health documents makes many Australians feel uncomfortable, as evidenced by the furore surrounding access to the My Health Record, but our investigation has revealed police can access other private health data relatively easil...
Source: Australian Health Information Technology - February 5, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - February 04, 2020.
-----This weekly blog is to explore the larger issues around Digital Health, data security, data privacy, AI / ML. technology, social media and related matters.I will also try to highlight ADHA Propaganda when I come upon it.Just so we keep count, the latest Notes from the ADHA Board are dated 6 December, 2018! Secrecy unconstrained! This is really the behaviour of a federal public agency gone rogue – and it just goes on! When you read this it will be close  to 14 months of radio silence, and worse, while the CEO, COO and the Chief of Staff have gone, still no change. I wonder will things improve at some po...
Source: Australian Health Information Technology - February 4, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 03 February, 2020.
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 quiet shortened week because of the Australia Day holiday with the air being polluted by the outrageous spin of the ADHA spruiking the #myHealthRecord as well as the smoke of seemingly endless bushfires and floods up north. The smoked and flooded out will be all grateful for their #myHR I am sure! You can tell me where the coron...
Source: Australian Health Information Technology - February 3, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Really Is A Total Betrayal Of Public Trust The Way The ADHA Is Madly Trying To Spin The MyHR As A Raging Success - And Many Uncritical Journalists Just Lap It Up!
In the last week or so we have had the ADHA ramp up its spin supporting the #myHealthRecord.First we had this:Media Release: My Health Record sees a 62 per cent increase in general practitioners viewing documents23 December 2019: According to data released by the Australian Digital Health Agency (the Agency), general practices increasingly lead the way in using My Health Record, with usage (viewing and uploading) rising substantially since March 2019. In data released in December as part of a refreshed My Health Record statistics dashboard, general practices averaged around 200,000 My Health Record views per month througho...
Source: Australian Health Information Technology - February 2, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 512 – Results – 2nd February, 2020.
Here are the results of the poll.Do You Believe The ADHA Is Actually Making Real Progress With The Implementation Of Secure Clinical Messaging In Australia Or Are They Mostly Just Exaggerated Claims And Spin?They Are Making Real Progress 1% (1) They Are Mostly Spin With Little Progress 97% (107) I Have No Idea 2% (2) Total votes: 110 An definite result! The ADHA is all spin and little substance. This is a very sad assessment of what is meant to be an impartial Government agency. Any insights on the poll welcome as a comment, as usual . A very reasonable turn out of votes. It must have been a very easy question as ...
Source: Australian Health Information Technology - February 2, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 01 February, 2020.
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/2020/01/key-ces-digital-health-wellness-tech-trends/Key CES digital health and wellness tech trends to watchLast week, more than 170,000 people attended CES 2020, the world ’s gathering place for all things consumer technology. Digital Health editor-in-chief, Jon Hoeksma, reports on the key digital health and wellness trends wh...
Source: Australian Health Information Technology - February 1, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Our Plans To Sustain Services And Safety In The Face Of Technology Failure Need Work.
In the midst of bad fires in the ACT we had this:AWS outage cripples ACT Emergency Services Agency website as Canberra bushfire ragesBy Julian Bajkowski on Jan 23, 2020 6:00PM Wobble drags on through Thursday The ACT Government ’s Emergency Services Agency (ESA) has attributed a website outage that hit in the middle of a rapidly escalating bushfire between Canberra Airport and Queanbeyan to Thursday’s AWS outage in Sydney.Capping off an already bad day for AWS after significant availability problems hit its Sydney regi on, the ESA took to twitter to redirect Canberrans to Facebook and local media to obtain curr...
Source: Australian Health Information Technology - January 31, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
January 30 2020 Edition.-----In Australia, with Parliament to return in the next week or so, we have the Sen. Bridget McKenzie saga and the bushfires competing for top billing. For what it is worth both are pretty awful and distressing in their own ways. Sadly anything hopeful and uplifting seems to be drowning with ongoing rancour regarding our national treatment and recognition of our ‘first peoples’. It is also hard to believe Australia is going to escape a recession with tourism stuffed by the coronavirus and bushfires and the economic damage we are seeing internally with the fires and national morale. We a...
Source: Australian Health Information Technology - January 30, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Is The ADHA Board Actually Thinking Properly About What It Needs In A CEO?
This came across my desk last week:Chief Executive OfficerDelivering the benefits of digitally enabled healthcare together  Overview The Australian Digital Health Agency (Agency) is responsible for national digital health services and systems, with a focus on engagement, innovation and clinical quality and safety. The focus is on putting data and technology safely to work for patients, consumers and the healthcare professionals who look after them. Established as a statutory authority in the form of a corporate Commonwealth entity, the Agency reports to State and Territory Health Ministers through the COAG Health Co...
Source: Australian Health Information Technology - January 30, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Am Not Sure The Department Of Health Has Actually Ever Admitted To This Huge Cost.
This appeared last week: My Health Record: almost $2bn spent but half the 23m records created are empty The Australian government has spent $1.97bn since the system was introduced as the e-health record in 2009 Josh Taylor and Amy Corderoy Thu 23 Jan 2020 03.30 AEDT A decade since it was first announced, the federal government has spent close to $2bn on its troubled My Health Record system, and half of the 23m records created lie empty almost a year after the government made the system opt-out. The fo rmer Labor government first proposed the e-health record system in 2009 as a means for patients, doctors and special...
Source: Australian Health Information Technology - January 29, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - January 28, 2020.
-----This weekly blog is to explore the larger issues around Digital Health, data security, data privacy, AI / ML. technology, social media and related matters.I will also try to highlight ADHA Propaganda when I come upon it.Just so we keep count, the latest Notes from the ADHA Board are dated 6 December, 2018! Secrecy unconstrained! This is really the behaviour of a federal public agency gone rogue – and it just goes on! When you read this it will be well over 13 months of radio silence, and better still the CEO, COO and the Chief of Staff have also gone. I wonder will things improve now – so far seems no...
Source: Australian Health Information Technology - January 28, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 27th January, 2020.
---- 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--- --The fiasco that is the #myHealthRecord gets a going over by the Guardian this week among all sorts of stories on the progress of secure messaging and the fragile nature of our high tech infrastructure. We also have a breaking story coming on police access to PBS / MBS data. See here: https://ww w.theguardian.com/world...
Source: Australian Health Information Technology - January 27, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 511 – Results – 26th January, 2020.
Here are the results of the poll.Do The Distortions, Untruths And Propaganda Mediated By Social Media Pose A Real Threat To Our Social Coherence, Democracies And Way(s) Of Life?Yes 57% (64) No 42% (47) I Have No Idea 1% (1) Total votes: 112 An interesting quite split result with a reasonable majority thinking that social media, in their present largely unregulated form, are a real threat. Any insights on the poll welcome as a comment, as usual. A very reasonable turn out of vote s. It must have been a very easy question as only 1/112 readers were not sure how to respond. Again, many, many thanks to all those tha...
Source: Australian Health Information Technology - January 26, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Is There Any Real Clarity As To Just Where Australia Is With Secure Clinical Messaging?
This release appeared a few days ago.Media release - Secure messaging standards to be mandatory20 January 2020: State, Territory and Commonwealth Governments have released a joint statement in support of new standards for secure messaging, stating that the standards will be mandatory in future procurement for applicable systems.The joint statement was shared with industry at a workshop in December 2019 which was attended by over 50 representatives from clinical and secure messaging software suppliers, governments and clinical representatives. The Australian Digital Health Agency has been working with industry and governmen...
Source: Australian Health Information Technology - January 26, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 25th January, 2020.
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/2020/01/electronic-prescription-error-lead-to-womans-death-coroner-finds/Electronic prescription error lead to woman ’s death, coroner findsA woman died after a mix-up with an electronic prescription caused her to continue taking the wrong medication for an infection, a coroner has found.Andrea Downey – 15 January, 2020Da...
Source: Australian Health Information Technology - January 25, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Am Not Sure This Could Sensibly Be Described As Progress. More Regulation Is Surely Needed.
This appeared a few days ago.The Secretive Company That Might End Privacy as We Know ItA little-known start-up helps law enforcement match photos of unknown people to their online images — and “might lead to a dystopian future or something,” a backer says.By Kashmir Hill·         Jan. 18, 2020Updated 2:25 p.m. ETUntil recently, Hoan Ton-That ’s greatest hits included an obscure iPhone game and an app that let people put Donald Trump’s distinctive yellow hair on their own photos.Then Mr. Ton-That — an Australian techie and onetime model &mdas...
Source: Australian Health Information Technology - January 24, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Clinicians Seem To Be Spending An Amazing Amount Of Time Working With Their Electronic Health Records.
This appeared last week:Original Research |14 January 2020 Physician Time Spent Using the Electronic Health Record During Outpatient Encounters: A Descriptive Study J. Marc Overhage, MD, PhD; David McCallie Jr., MD Article, Author, and Disclosure Information Abstract Background: The amount of time that providers spend using electronic health records (EHRs) to support the care delivery process is a concern for the U.S. health care system. Given the potential effect on patient care and the high costs related to this time, particularly for medical specialists whose work is largely cognitive, these findings warrant more preci...
Source: Australian Health Information Technology - January 23, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
January 23 2020 Edition.-----The big news is that we have at least has some rain that has acted to help a little with the fires, but sadly as of Thursday we are having bas fires again and look to have had a major air accident with a tanker. We have also plumbed the Australian political depths with the good Senator McKenzie refusing to resign despite being found to have acted corruptly as far as I can tell.In the US we have a Trade Deal signed but not really implemented and we have the impeachment trial. Should be enough to keep the Donald flat out. I wonder if there will be blowback on the Iranians now we know they caused ...
Source: Australian Health Information Technology - January 23, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Does Anyone Know If This Contract Has Actually Been Let?
I noticed this today in this article: Data#3, Fujitsu, NTT named biggest govt winners of 2019By Brendon Foye on Jan 22, 2020 12:35PMHere is the link:https://www.crn.com.au/news/data3-fujitsu-ntt-named-biggest-govt-winners-of-2019-536810Here is the para of interest - towards the end."And finally, the consultants. Typically, we've only included the 'Big Four' (Deloitte, EY, KPMG and PWC). However this time we're mentioning Accenture to recognise its $1 billion deal to replatform the the My Health Record system."True or false???David.  This is the initial part of the post - read ...
Source: Australian Health Information Technology - January 23, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Mental Health Apps May Need A Better Evidence Base Than Is Currently Available.
This appeared last week:Don ’t judge a mental health app by RCT aloneAuthored by  Samineh Sanatkar Samuel HarveyIssue 1 / 13 January 2020 THE randomised controlled trial (RCT) model is a vital tool in clinical practice and helps establish, with reasonable precision, the usefulness of novel drugs and therapeutic techniques. As is implied in the name, RCT models are characterised by employing randomisation techniques and the presence of a control group. Successful randomisation to experimental and control groups ensures that all participant characteristics are equally distributed across the experimental conditions...
Source: Australian Health Information Technology - January 22, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Breaking News - The Secretary Of The Department Of Health To Retire.
Ms Gladys Beauchamp PSM leaves on 28 February. More senior changes in and around the #myHealthRecord! Additionally Crikey is reporting she was on the Board of the Sports Commission of Sport Rorts fame. Good time to go? The following has just appeared on Twitter (9:20am) "The Prime Minister will be recommending to the Governor-General, tha t he appoint Chief Medical Officer Professor Brendan Murphy as Secretary of the Department of Health, with effect from 29 February 2020" David. This is the initial part of the post - read more by clicking on the title of the article. David. (Source: Australian Health In...
Source: Australian Health Information Technology - January 22, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - January 21, 2020.
-----This weekly blog is to explore the larger issues around Digital Health, data security, data privacy, AI / ML. technology and related matters.I will also try to highlight ADHA Propaganda when I come upon it.Just so we keep count, the latest Notes from the ADHA Board are dated 6 December, 2018! Secrecy unconstrained! This is really the behaviour of a federal public agency gone rogue – and it just goes on! When you read this it will be well over 13 months of radio silence, and better still the CEO, COO and the Chief of Staff have also gone. I wonder will things improve now – so far seems not?Note: Appear...
Source: Australian Health Information Technology - January 21, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 20th January, 2020.
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 quiet week, but signs of live emerging with the response to the poll from last week.Enjoy the odd item you may have missed!-----https://www.theaustralian.com.au/news/latest-news/windows-7-users-warned-to-upgrade/news-story/870af401b749e53bfe64902a3d971571Windows 7 users warned to upgrade ·    &nb...
Source: Australian Health Information Technology - January 20, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 510 – Results – 19th January, 2020.
Here are the results of the poll. Do You Believe Digital Health Would Be A Good Career Choice / Focus For The Next Decade Or Two?Yes 56% (71) No 43% (54) I Have No Idea 1% (1) Total votes: 126 An interesting quite split result with a slight majority thinking Digital Health would be a good career choice into the future. Any insights on the poll welcome as a comment, as usual. A very reasonable turn out of votes. It must have been a very easy question as only 1/126 readers were not sure how to respond. Again, many, many thanks to all those who voted! David. This is the initial part of the post - read more by c...
Source: Australian Health Information Technology - January 19, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Is Interesting That The Backlash Against All Pervasive Tech And Its Ills Is Really Growing!
This appeared on the weekend:  ‘Tech is tearing us apart’The balance between humankind and technology has reached a tipping point, says this Silicon Valley insider – and we all stand to lose.By Ben HoyleFrom The Weekend Australian MagazineJanuary 17, 2020Reporting can be a scary job. I have had nervous moments with warlords, gangsters and neo-Nazis. I have been shot at and threatened. Once I had to endure, without displaying any outward sign of panic, the whole of Tonight ’s the Night, the Rod Stewart musical. But if Tristan Harris is right, the presentation playing now on his phone is the...
Source: Australian Health Information Technology - January 19, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 18th January, 2020.
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/2020/01/three-in-ten-gps-recommend-apps-to-ease-pressure-on-camhs/Three in ten GPs recommend apps to ease pressure on CAMHSThree in 10 GPs are advising parents of children with mental health problems to use apps, as NHS services struggle to cope with a growing number of young patients, a survey has found.Andrea Downey – January...
Source: Australian Health Information Technology - January 18, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Is Now Clear That Our Rather Non-Resilient Telecommunications Infrastructure Is A Problem For Digital Health and A Lot More Besides.
This appeared a day or so ago.Increasing fire threat to vulnerable telecommunications networksBy Fergus Hunter and Zoe SamiosJanuary 11, 2020 — 12.00amAustralia's unprecedented bushfire crisis has exposed the vulnerability of phone and internet networks, prompting Communications Minister Paul Fletcher to warn telecommunications giants to prepare for increasingly severe disasters.As dozens of mobile towers went dark during this summer's catastrophic bushfires, people have been cut off from contact with emergency services and in some cases unable to pay for essential supplies. Telcos have scrambled to bolster their net...
Source: Australian Health Information Technology - January 17, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Seems To Me We Need To Work Harder To Call Out Deceptive Misinformation From Social Media.
There has been a lot of commentary in the last week or two regarding the way social media have handled the bushfire emergency. Much has been well done and responsible but we have also seen a dark side emerge.Typical of the dark have been the following.Bushfires: ‘Twitter bots’ hijack online debate over causesMatthew Denholm·         7:45AM January 10, 2020Concerns about bushfire misinformation on social media have heightened, with experts pointing to the use of “Twitter bots” and urging Australians to be more discern­ing in sourcing and spreading in...
Source: Australian Health Information Technology - January 16, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
January 16 2020 Edition.-----The US assassination of a very senior Iranian general and the aftermath have been all consuming internationally. We have seen a missile response and Trump seems to have stood down for now. What this week will bring is hard to guess – but calm may break out for a few months, but it seems unlikely to last. Good to see the Phase 1 Trade Deal between the USA and China has finally been signed. It won't make a huge actual difference but Trump needed a win optically!In Australia it has been all about the bushfires and its consequen ces. As of Sunday it does seem that ScoMo is gradually shifting ...
Source: Australian Health Information Technology - January 16, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Think This Is A Major Truth That Is Often Forgotten – Medical Care Has Become Too Complex For The Unaided Human Brain To Safely Deliver!
This is a topic I have often discussed with friends so I was very interested to read the following.AI can reinvent clinical decision support, but obstacles remain By Greg SlabodkinJanuary 06, 2020, 12:03 a.m. EST While artificial intelligence has the potential to address the epidemic of diagnostic errors in healthcare, the industry must overcome the challenges and limitations of these new digital tools. That ’s the contention of a new book on clinical decision support co-authored by John Halamka, MD, president of the Mayo Clinic Platform, and healthcare writer Paul Cerrato.“Algorithms that take advantage o...
Source: Australian Health Information Technology - January 15, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - January 14, 2020.
-----This weekly blog is to explore the larger issues around Digital Health, data security, data privacy, AI / ML. technology and related matters.I will also try to highlight ADHA Propaganda when I come upon it.Just so we keep count, the latest Notes from the ADHA Board are dated 6 December, 2018! Secrecy unconstrained! This is really the behaviour of a federal public agency gone rogue – and it just goes on! When you read this it will be well over 13 months of radio silence from the Board, and better still the CEO, COO and the Chief of Staff have also gone. (With the COO bouncing back it seems!) I wonder will things ...
Source: Australian Health Information Technology - January 14, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 13th January, 2020.
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-----The system is slowly coming back to life, but it is clear the awful bushfires are totally dominating the news cycle. I feel this is some sort of watershed for our nation and am at once very sad for the victims and amazingly proud of the work of the firefighters. They are a pretty special bunch!-----https://www.dailytelegraph.com.a...
Source: Australian Health Information Technology - January 13, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The ADHA To Houston - It Seems We Have A Problem – Not Many Use Our Flagship System Despite Bribes and Spin!
This appeared yesterday.Doctors refuse to use the $1.5 billion My Health RecordSue Dunlevy, National Health Reporter, News Corp Australia NetworkJanuary 10, 2020 8:00pmExclusive: It ’s cost taxpayers $1.5 billion but the online My Health Record is at risk of becoming a white elephant, with barely more than one per cent of patients accessing it.The record, which was created for any Australian who did not actively opt out last January, is also being ignored by doctors who don’ t trust it to be up to date.The Australian Digital Health Agency (ADHA) reports there are now 1.6 billion medical documents on the records...
Source: Australian Health Information Technology - January 12, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 509 – Results – 12th January, 2020.
Here are the results of the poll.What Are You Expecting Overall For Digital Health In Australia In 2020?A Better Year 6% (5) Much The Same 51% (39) A Worse Year 43% (33) I Have No Idea 0% (0) Total votes: 77 Well that was clear in the sense that it is obvious we are not seeing overall optimism for the new year in Digital Health and that people are far less optimistic regarding Digital Health than more generally fro m the week before. Any insights on the poll welcome as a comment, as usual. A very reasonable turn out of votes given the Holiday season. It must have been a very easy question as 0/77 readers were no...
Source: Australian Health Information Technology - January 12, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 11th January, 2020.
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/2019/12/digital-healths-2019-review-top-10-most-read-news-stories/Digital Health ’s 2019 Review: Top 10 most read news storiesWith the decade drawing to a close and 2020 mere hours away (scary, isn’t it?) it’s that time of year when we take a look back at Digital Health’s most popular stories of the year.Owen ...
Source: Australian Health Information Technology - January 11, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Push For Using Your Data Without Your Explicit Consent To Help The Government Manage The Health Sector Just Grinds On!
This appeared last week, with the UK seemingly trying again after the Kelsey led care.data debacle:Alarm at ‘secret’ NHS meeting with tech firms on sharing patient dataMark Bridge, Philip AldrickDecember 31 2019, 12:01am, The TimesNHS chiefs held a closed meeting with giant technology and pharmaceutical companies to consider how billions of pounds could be made from a central database of patient records.The scheme better to harness anonymised medical data would address concerns that the health service had given away intellectual property rights too cheaply in existing deals with companies such as Goog...
Source: Australian Health Information Technology - January 10, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
January 9 2020 Edition.-----Two really huge stories this week.In Eastern Australia the bushfires are just apocalyptic. Hopefully by the time this is available things will have settled a bit and the heat on the weekend will be less, but sadly Friday is looking grim.In the US Trump has decided give a serious shot at kicking off WW III by assassinating a key Iranian General and a few Iraqi leaders. We have to hope we don ’t see an extreme Iranian response, as has turned out to be the case and Trump seems to have calmed down a little. Breath! ----- Major Issues.-----https://www.theaustralian.com.au/nation/political-warfa...
Source: Australian Health Information Technology - January 9, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

You Can Be Sure The ADHA Is Watching This Data Breach With Some Concern!
This appeared very recently. Personal health data remains secure after ransomware attack, says Saskatchewan’s eHealth CEO Pragya Sehgal@itworldca  Published: January 8th, 2020The computer system storing confidential health data of the residents of Saskatchewan was attacked over the weekend, disrupting a number of eHealth Saskatchewan ’s services, according to eHealth’s website. The attack on eHealth, which leads all IT services for the Saskatchewan Health Authority, began Sunday morning and is now being examined by the employees of eHealth, Cisco Systems and Microsoft. Jim Hornell, chief executiv...
Source: Australian Health Information Technology - January 9, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Is The End Of The Beginning Rather Than The Beginning Of The End.
This appeared a few days ago.Google AI system beats doctors in detection tests for breast cancerHannah KuchlerJan 2, 2020 — 3.19pmNew York | Google Health has developed a system that can identify breast cancer more accurately than radiologists, in the latest sign that artificial intelligence could improve early detection of disease in images.In a paper published in the scientific journal Nature, experts from Google H ealth, Alphabet’s DeepMind unit, and UK and US universities showed the AI model reduced both false positives, in which patients are wrongly told they have cancer, as well as false negatives, where ...
Source: Australian Health Information Technology - January 8, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - January 07, 2020.
Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; ... 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 - January 7, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 6th January, 2020.
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-----We are in full ‘silly season’ and there is very little news to report for the week. What I have found follows. Enjoy!-----https://www.abc.net.au/news/2019-12-30/government-health-website-out-of-pocket-hospital-costs/11832410Labor criticises Government decision to launch health website without promised featureB y politi...
Source: Australian Health Information Technology - January 6, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 508 – Results – 5th January, 2020.
Here are the results of the poll.What Are You Expecting Overall In 2020 For Australians?A Better Year 8% (6) Much The Same As 2019 63% (46) A Worse Year 27% (20) I Have No Idea 1% (1) Total votes: 73 Well that was clear in the sense that it is obvious we are not seeing overall optimism for the New Year and a majority were pessimistic vs optimistic (27% to 8%) Any insights on the poll welcome as a c omment, as usual. A very reasonable turn out of votes given the Holiday season. It must have been a very easy question as 1/73 readers were not sure how to respond. Again, many, many thanks to all those that voted! ...
Source: Australian Health Information Technology - January 5, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The #myHealthRecord May Not Be Much Use When You Really Need It!
The last few weeks have been pretty sobering in Australia due to the combination of bushfire and drought. The number of lives lost and property destroyed has been truly awful but additionally, in a number of areas, we have seen a quite devastating loss of communications infrastructure with mobile and fixed line services out and internet access lost. It was only while this was being reported and we we re hearing about the 3-4000 people who were trapped at Mallacoota in East Gippsland did I realise just how totally useless the #myHR would be in such an emergency. Without internet access and remembering your complex usern...
Source: Australian Health Information Technology - January 5, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 4th January, 2020.
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/2019/12/digital-health-review-2019-january-june/Digital Health ’s Review of 2019 Part One: January to JuneIt’s been a roller coaster of a year in the NHS technology sphere, and we daresay elsewhere as well. We’ve had the creation of NHSX, lost several high-profile technology leaders to the private sector and, of cou...
Source: Australian Health Information Technology - January 4, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

That There Are Errors In Care Related To EHR Use Is Not A Surprise. There Are Also Errors When They Are Not Used!
This appeared last week:Health documents reveal patient harm linked to Queensland's new medical record systemExclusive by state political reporter Josh Bavas24 December, 2019Almost 100 cases of patient harm have been linked to Queensland's new electronic medical record system in just over a year, including instances of patients being administered incorrect doses of drugs.Key points:Documented cases include child given 10 times the amount of insulin they were prescribed and a patient administered morphine in milligrams, not microgramsOne patient in severe pain was unable to be given pain relief because of a 'computer sy...
Source: Australian Health Information Technology - January 3, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Plot On Advanced Care Directives Is Seeming Even Murkier. Make Sure You Know The True Provenance Before Acting On One!
This appeared last week:Advance care directives frequently written by someone other than the patient About 18% have been completed by someone else, survey shows27th December 2019By Siobhan CalafioreNearly one-fifth of advance care directives (ACD) for end-of-life care are completed by someone other than the patient, putting their legal validity in doubt, a new survey has revealed.Last year, researchers examined the health records held at 15 GP clinics, 27 hospitals and 58 aged care facilities.Among the 4200 patients aged over 65, they found 1100 had a written advance care directive.In most cases, the directives can only be...
Source: Australian Health Information Technology - January 2, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
January 2 2020 Edition.-----The most interesting thing I saw this week was that while Trump getting kicked out of office is pretty unlikely, if just 4 of the 53 GOP Senators decide to cast Trump adrift the Senate Impeachment Trial could suddenly become very real and cause him a lot of damage. Would make it very interesting indeed for effect on 2020 election.In the UK there is a month till they leave the EU and 11 months to sort out a trade deal. A big ask I suspect.In OZ the fires rage on with the weather seemingly getting hotter, but at least ScoMo is going to try and help the firefighters financially if they need it! ---...
Source: Australian Health Information Technology - January 2, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Spin Just Keeps Flowing From A Now Really Discredited ADHA. Secrets Are Still Being Kept.
This popped up last week:https://www.digitalhealth.gov.au/news-and-events/news/media-release-my-health-record-sees-a-62-per-cent-increase-in-general-practitioners-viewing-documentsMedia Release: My Health Record sees a 62 per cent increase in general practitioners viewing documentsCreated on Monday, 23 December 2019According to data released by the Australian Digital Health Agency (the Agency), general practices increasingly lead the way in using My Health Record, with usage (viewing and uploading) rising substantially since March 2019. In data released in December as part of a refreshed My Health Record statistics dashboa...
Source: Australian Health Information Technology - January 1, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Is 2020 - Happy New Year!
If only it would rain and put the fires out! Best wishes and stay safe to all! 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 - December 31, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs