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

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - December 31, 2019.
-----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 12 months of radio silence, and better still the CEO, COO and the Chief of Staff have also gone. I wonder will things improve now?Note: Appearance here is not to sugge...
Source: Australian Health Information Technology - December 31, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 30th December, 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-----Not surprisingly a very quiet week with just a few interesting items popping up.-----https://www.abc.net.au/news/2019-12-24/health-documents-reveal-dozens-of-cases-of-patient-harm/11824370Health documents reveal patient harm linked to Queensland's new medical record systemExclusive by state political reporter Josh Bavas24 December...
Source: Australian Health Information Technology - December 30, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 507 – Results – 29th December, 2019.
Here are the results of the poll.Do You Believe The Commonwealth Government SHOULD Continue To Invest Large Amounts Of Funds ($100M+p.a.) In The #myHealthRecord Going Forward?Yes 2% (2) No 98% (82) I Have No Idea 0% (0) Total votes: 84 Well that was pretty clear. Most believe the Government should stop it before they go blind. Sad that so much of our money is just being wasted! Any insights on the poll welcome as a comment, as usual. A very reasonable turn out of votes give n the Holiday season. It must have been a very easy question as 0/84 readers were not sure how to respond. Again, many, many thanks to all ...
Source: Australian Health Information Technology - December 29, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The EHR Reporting Team At Kaiser / Fortune Strike Again!
Here is the article. -----  Electronic Health Records Creating A ‘New Era’ Of Health Care Fraud By Fred Schulte and Erika Fry, Fortune December 23, 2019  The federal government funneled billions in subsidies to software vendors who overstated or deceived the government about what their products could do, according to whistleblowers. Derek Lewis was working as an electronic health records specialist for the nation ’s largest hospital chain when he heard about software defects that might even “kill a patient.” The doctors at Midwest (City) Regional Medical Cent...
Source: Australian Health Information Technology - December 29, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 28 December, 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/2019/12/nhs-risks-repeat-care-data-commercialise-medical-records/NHS ‘risks repeat of care.data in talks to commercialise medical records’The NHS risks repeating the failures of the care.data programme if it’s not transparent about meetings to potentially commercialise millions of medical records, a LCHRE lead has s...
Source: Australian Health Information Technology - December 28, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Wonder Why This Press Release From The ADHA Was Sent Out On A Friday Less Than A Week Before Christmas?
Here is the release:Media release : Another milestone reached - Webstercare becomes the first organisation to start using the Pharmacist Shared Medicines List20 December 2019: The Australian Digital Health Agency, together with Webstercare – the creator of the Webster-pak® – has today launched a new clinical document within My Health Record to reduce medication-related problems in Australia, and specifically those experienced by Australia’s older population. The Pharmacist Shared Medicines List (PSML) is a consolidated list of medicines prepared by a pharmacist and uploaded to a patient’s My He...
Source: Australian Health Information Technology - December 27, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Seems That Patients All Over Really Are Not Wanting To Browse Their Electronic Medical Records Very Often.
This appeared last week:National hospital data shows patients not accessing EHRs By Greg SlabodkinDecember 16, 2019, 12:05 a.m. EST While more than 95 percent of patients discharged from hospitals were able to view, download and transmit their electronic health records, just 10 percent actually used the information, according to national hospital data.A study published in the journal Health Affairs leveraged nationwide data from 2,410 hospitals and found that patient use of EHRs was disproportionately low across all hospital types —although access rates were highest among system-member, teaching and for-profit h...
Source: Australian Health Information Technology - December 26, 2019 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.
December 26, 2019 Edition.-----Well, as predicted Trump has been impeached, and will presumably have a Senate trial in January, 2020. He is furious and is lashing out all over. Little good will come of any of this.Brexit, after parliamentary approval, is now going to happen Jan 31, 2020. This will be followed by negotiations on trade etc until the end of 2020.ScoMo is back in OZ from a holiday in Hawaii. He has managed to annoy almost everyone by sloping off and is apologising to anyone who will listen! Will be interesting to see if the fires cause any policy change over the next few months.----- Major Issues.-----https://...
Source: Australian Health Information Technology - December 26, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Happy Christmas And A Great 2020!
To all who bother reading here - have a great holiday season. I hope you can all avoid the numerous disasters that seem to be surrounding us at present and spend a safe and peaceful time with those you love. 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 25, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Recovery Of Victorian Hospitals From Malware Seems To Be Taking A While.
This appeared on Saturday las week:Victoria vows ransoms from cyber criminals will be ignored as battle to access hospital data continuesAlex White, Exclusive, Sunday Herald SunDecember 21, 2019 9:00pmSubscriber onlyHackers demanding hundreds of thousands of dollars in ransoms have infiltrated government computer systems in Victoria.The Sunday Herald Sun can ­reveal ransomware has infiltrated several government agencies since July last year.Statewide there is one cyber ­attack on government bodies every 45 seconds. But the names of those targeted remains secret.Government cyber security principal adviser ...
Source: Australian Health Information Technology - December 25, 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, Safety And Security Matters. Lots Of Interesting Perspectives - December 24, 2019.
-----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 12 months of radio silence, and better still the CEO, COO and the Chief of Staff have also gone. I wonder will things improve now?Note: Appearance here is not to sugge...
Source: Australian Health Information Technology - December 24, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Tom Bowden Offers A Way Forward For Digital Health Now We Know Just How Badly The #myHealthRecord Has Failed.
Here is his paper - comments are mandatory! ----- Changing the Direction of Electronic Health Record Sharing By Tom Bowden I have spent much of the past five years studying shared electronic health records in pursuit of a PhD at Macquarie University, while under the supervision of Professor Enrico Coiera.  Since retiring as Managing Director of HealthLink a year ago I have been working on this full-time. Why? Because I have realised for many years that sharing of patient records is a complex issue that will one day need to be solved properly.  The views below are my own, not those of Macquarie University ...
Source: Australian Health Information Technology - December 23, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Consumer Health Forum (CHF) Finds The #myHealthRecord Way Below What Might Be Hoped For.
A kind commenter pointed this out. What Australia ’s Health Panel said about My Health Record- July 2019For the July 2019 Australia’s Health Panel survey, we asked the Panel what their experiences and perceptions were of My Health Record as we reflected on the first 6 months of operation following the opt-out period. 143 panellists participat ed to share their experiences with My Health Record. Women made up the majority of participating panellists (64%, n=85), while participants also skewed older than the general population (see Table 1). Table 1- Age breakdown of participants in AHP July 2019 surveyOnly 38%...
Source: Australian Health Information Technology - December 23, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 23rd December, 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-----There seems to be something odd going on at the ADHA with the resigned COO coming back in a month or two as the CEO for an indeterminate period while a new CEO is dragooned into service.Seems really odd indeed. You really have to wonder who would want the job – as the previous COO (Bettina) clearly does not – an she kn...
Source: Australian Health Information Technology - December 23, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 506 – Results – 22nd December, 2019.
Here are the results of the poll.Do You Believe The Commonwealth Government Will Continue To Invest Large Amounts Of Funds ($100M+p.a.) In The #myHealthRecord Going Forward?Yes 69% (59) No 21% (18) I Have No Idea 9% (8) Total votes: 85 Well that was pretty clear. Most believe the Government is just going to press on with spending. See follow-up question on whether they should! Any insights on the poll welcome as a comment, as usual, especially when result is split. A very r easonable turn out of votes. It must have been a relatively hard question as 8/85 readers were not sure how to respond. Again, many, many t...
Source: Australian Health Information Technology - December 22, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Seems The Mainstream Media Has Noticed The #myHealthRecord Is A Flop!
This appeared this morning – from the SMH and The Age among others.Australians shun My Health Record with only 9 per cent ever logging inBy Dana McCauleyDecember 21, 2019 — 9.00pmPatients, medical specialists and pathologists are shunning the federal government's $1.7 billion My Health Record system with only a small mino rity accessing the digital health records almost a year into its rollout.Less than one in 10 Australians with a My Health Record have ever logged in to access their digital health record, federal health bureaucrats revealed in data supplied last week in response to questions taken on notice at...
Source: Australian Health Information Technology - December 22, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 21 December, 2019.
v\:* {behavior:url(#default#VML);} o\:* {behavior:url(#default#VML);} w\:* {behavior:url(#default#VML);} .shape {behavior:url(#default#VML);} Normal 0 false false false EN-US X-NONE X-NONE ... 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 21, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Are Things On The Improve With The Quality And Useability Of Electronic Medical Records?
This appeared on the Australian Medical Association ’s web site few days ago.02 Dec 2019EMR – Friend Or Foe?By Dr Bernadette Wilks, Co-Chair, Ama Council Of Doctors In Training  By now, most have been exposed to the electronic medical record (EMR), also known by a number of related terms such as electronic health record (EHR) and electronic patient records (EPR). I have presented twice within a fortnight on the topic of EMR, with a focus upon the EMR ’s impact upon medical education and training. However, like all things in medicine; this impact is not limited to teaching and training but extend...
Source: Australian Health Information Technology - December 20, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Hope This Is The Last Appalling Act Of An ADHA Which Is About To Dramatically Reform And Improve!
This appeared a few days ago:Where's the evidence My Health Record improves outcomes? The Australian Digital Health Agency, and its departing CEO, Tim Kelsey, refused Australian Doctor's access to their studies10th December 2019By Antony ScholefieldThe government agency running My Health Record is refusing to release five reports on whether the system is improving clinical care, saying interested parties will have to submit a Freedom of Information request to read them.Questions about the future benefit of the multibillion-dollar system were addressed by the Australian National Audit Office, which last month ...
Source: Australian Health Information Technology - December 19, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Breaking News - ACHI And HISA Resolve To Merge
Here is the announcement e-mail. Vote passed! HISA and ACHI will unite in 2020 as the Australasian Institute of Digital Health Dear David, The digital health community is making history. The Board of HISA and the ACHI Council are pleased to advise you that the proposal to form a new organisation has been passed by a majority vote with more than 89% of members and Fellows voting for the merger. Planning is now underway for the transition to the new organisation, the Australasian Institute of Digital Health, with a launch date set for 24 February 2020. What happens now?We will keep you updated on transition arrangeme...
Source: Australian Health Information Technology - December 19, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Bettina McMahon To Act As ADHA CEO - Is Still Leaving After Replacement Found.
From ITNews. "Outgoing Australian Digital Health Agency chief operating officer Bettina McMahon has delayed her departure from the agency to become interim chief executive." Here is the link: https://www.itnews.com.au/news/australian-digital-health-agency-names-interim-chief-535816 So same old, same old f or a while at least it would seem! 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 19, 2019 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.
December 19, 2019 Edition.-----This week Trump will get impeached by the House and the acquitted by the Senate. Fire and fury but necessary to show him someone is watching. He also has achieved a partial trade deal with China which may calm things down for a while. North Korea continues to protest by firing missiles! Even more serious is that the implementation of the Paris Climate Accords seems to be getting further away from success. Very scary!Boris won big in the election this time last week and we can now be sure Brexit will happen. Stand by for extended negotiations over the next few years to see what it actually mea...
Source: Australian Health Information Technology - December 19, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Major Adoption Of Digital Health Is Still Somewhat Of A Fantasy In The Real World. What Do We Know Now?
Normal 0 false false false EN-US X-NONE AR-SA ... 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 18, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Seems My Old Clinical Speciality Is Wondering About Using The #myHealthRecord. Oh The Shame Of Publishing ADHA Propaganda Unfiltered!
Normal 0 false false false EN-US X-NONE AR-SA /* 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 - December 18, 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, Safety And Security Matters. Lots Of Interesting Perspectives - December 17, 2019.
-----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 12 months of radio silence, and better still the CEO, COO and the Chief of Staff have also gone. I wonder will things improve now?Note: Appearance here is not to sugge...
Source: Australian Health Information Technology - December 17, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Digital Health Agency Confirms The #myHealthRecord Is A Failure! GPs Hardly Use It!
First the release! Media release - Update to the My Health Record statistics16 December 2019: The Australian Digital Health Agency (the Agency) today published updated statistics showing more detailed activity on My Health Record. Agency Chief Medical Adviser, Professor Meredith Makeham, says, “While we have pu blished general participation statistics in the past, this update has been tailored for consumers following research which showed that more insight and relevance was needed about the statistics. The update provides a more granular view of how My Health Record is being used and how this is changi ng over time...
Source: Australian Health Information Technology - December 16, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 16th December, 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-----News this week was clearly dominated by the management changes at the ADHA. While the blog received a lot of comments – 51 to be exact by Saturday on the topic there was apparent silence from the RACGP / AMA / CHF/ Minister Hunt. I wonder why?Elsewhere there seemed to be deck clearing before the silly season proper starts!--...
Source: Australian Health Information Technology - December 16, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Does This Show Us Just Where The ADHA And Its Late CEO Were Heading?
This appeared last week in the UK. NHS bosses meet with tech giants to discuss commercial patient database Key players from the NHS, big tech and pharma have held meetings to discuss how to commercialise tens of millions of medical records culled from a massive new proposed national patient record database. Andrea Downey – 12 De cember, 2019 Papers from the meeting organised by the Office of Life Sciences estimate the NHS patient data could be valued at up to £10 billion a year. NHS England chairman, Lord David Prior, chief executive Simon Stevens and NHSX chief executive, Matthew Gould, met with big tech ...
Source: Australian Health Information Technology - December 15, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 505 – Results – 15th December, 2019.
Here are the results of the poll.Do You Think The ADHA Will Be Merged Into The Department Of Social Services In The Ongoing Public Service Shakeup For Their Efforts At Causing Public Concern During Opt-Out? Yes 13% (13) Maybe 51% (53) No 30% (31) I Have No Idea 6% (6) Total votes: 103 Well that was pretty unclear. Most are not sure with those that are sure saying possibly. Any insights on the poll welcome as a comment, as usual, especially when result is split. A very reasonable turn out of votes. It mu st have been a relatively hard question as 6/103 readers were not sure how to respond. Again, many, many tha...
Source: Australian Health Information Technology - December 15, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 14 December, 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/2019/12/putting-trust-at-the-heart-of-patient-personal-data/Putting trust at the heart of (patient) personal dataFollowing on from reports US healthcare provider Ascension, the largest non-profit system in the US, was providing Google with access to 50 million private medical records, Finn Raben, director general at ESOMAR, a me...
Source: Australian Health Information Technology - December 14, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

You Really Do Wonder What Minority The ADHA Is Going To Decide The #myHealthRecord Is Good For Next?
This appeared last week from your favourite spinners.Media release - Improving digital health literacy for Aboriginal and Torres Strait Islanders people6 December 2019: The Australian Digital Health Agency met with representatives from state and territory Aboriginal and Torres Strait Islander health services on 4 December to support improvements in digital health literacy.The national partnership of Affiliates meets quarterly to progress strategic digital health priorities that contribute to Closing The Gap.This meeting was held in Tasmania and was hosted by the Tasmanian Aboriginal Centre, and was attended by representati...
Source: Australian Health Information Technology - December 13, 2019 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.
December 12, 2019 Edition.-----Not much has changed in Trump land as the Impeachment process grinds on and there seems to be increasing concern how this process may be increasing Trump ’s chance of re-election as the nation polarises. President Trump went to the NATO Summit in London and caused chaos as usual. We now are awaiting what will happen with the planned new Dec. 15 tariffs.In the UK the election happens today – so the results may bring clarity as to what next!In OZ t he bushfires continue to rage and we have the politicians off till early February, 2020. Hardly a great look! What pollies that are abou...
Source: Australian Health Information Technology - December 12, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Facts Are Really Important When Discussing Life And Death Topics. You Don ’t Know What You Don’t Know!
A few weeks ago I wrote a blog on the #myHR and Advanced Care Directives. See here: https://aushealthit.blogspot.com/2019/11/i-think-adha-might-have-overestimated.html This was my concluding paragraph: “Getting your wishes properly honoured takes a good deal more than a .pdf upload to your #myHR! I think there are other and better ways to get what you want, if you are concerned. That said, placing your ACD on the #myHR as a backup can do little harm as long as you are fully aware of the limitat ions of doing it.” During the week this appeared: Nearly a third of Advance Care Directives are invalidA nationwid...
Source: Australian Health Information Technology - December 12, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Article Does Raise Some Interesting Questions About #myHealthRecord Data.
In recent times there has been a steady drum beat from Health Insurer NIB asking for access to #myHR data, which, as we all know, is specifically illegal.Here is a very recent example:Insurer NIB wants access to members ’ genetic informationNatasha Robinson·         8:04PM December 6, 2019Health insurer NIB wants to use genetic information and My Health Record data to calculate the risk profiles of its members, in a major push towards person ­alised preventive medicine. The listed insurer has created a data science and health services company in partnership with US p...
Source: Australian Health Information Technology - December 11, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Let Us Not Get Misty Eyed About The Tim Kelsey Legacy – He Has Been A Failure For Australian Digital Health I Believe.
In the brief statement regarding the Kelsey departure from the ADHA we read the following. "During [Kelsey's] time, the agency has done much to be proud of, particularly working with stakeholders and the community to provide more than 22 million Australians with an online summary of their key health information through their My Health Record, and to support the introduction of e-prescri bing," ADHA said in a statement.” I think a small fact check of his actual achievements is in order. In his 3 year tenure. 1. He managed one of the worst Government policy implementations of a major initiative that left...
Source: Australian Health Information Technology - December 10, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

So Mr Kelsey Is Moving Out With HIMSS. What Do You Think? - Updated
So HIMSS is taking Mr Kelsey on! Make of this what you will. Thanks to the eager reader of the NT News for letting us all know! Here is the release: HIMSS Appoints Tim Kelsey, Senior Vice President, International Analytics Posted on December 10, 2019  HIMSS, a global advisor and thought leader in health information and technology, announced today the appointment of Tim Kelsey to Senior Vice President, International Analytics. As Senior Vice President, Kelsey will lead the HIMSS international analytics team that develops the world ’s most trusted and effective measures of digital maturity for h...
Source: Australian Health Information Technology - December 10, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

So Mr Kelsey Is Moving Out With HIMSS. What Do You Think?
So HIMSS is taking Mr Kelsey on! Make of this what you will. Thanks to the eager reader of the NT News for letting us all know! I wonder does HIMSS know just the level of appreciation we all have for Mr Kelsey in OZ? 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 10, 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, Safety And Security Matters. Lots Of Interesting Perspectives - December 10, 2019.
-----This weekly blog is to explore the larger issues around Digital Health, data security, data privacy, AI / ML 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 12 months of radio silence. I wonder will things improve with the CEO and COO gone?Note: Appearance here is not to suggest I see any credibility or value in what follows. I will l...
Source: Australian Health Information Technology - December 10, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 9th December, 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 is hard to not believe that the beginning of the ‘Silly Season’ is upon us with the amount of news we are seeing at present in the Digital Health Space.Time to shut up shop for a few weeks I reckon soon!I can’t do that however till we see just what the ADHA has done to properly secure end-point access to the #...
Source: Australian Health Information Technology - December 9, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

If Not Now, When? I Think It Is Time For Some Political Leadership On These Busfires And Their Causes!
This is not a political blog, and anyway this issue seems to have moved way beyond politics. I do really feel the need to say something about these lethal and terrifying bush-fires that are engulfing Qld, NSW and WA. It is totally clear that we have a major drought in Eastern Australia and very hot weather which is making a huge difference to fire risk. In the background we have scientifically proven anthropomorphic climate change which is just making an awful time even worse. I have lived in and around Sydn ey for 70 years and what is going on now is beyond my experience and is frankly terrifying. The way things look ...
Source: Australian Health Information Technology - December 9, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Breaking News From Pulse + IT - Tim Kelsey Has Resigned From The ADHA!
I have to say, from my perspective, I am hardly surprised - as indicated by my last few blogs! Here is the release: Media release - Australian Digital Health Agency announces resignation of CEO9 December 2019: The Australian Digital Health Agency Board today announced the resignation of CEO, Tim Kelsey, effective 17 January 2020. Mr Kelsey has been the CEO of the Agency since 2016. Dur ing that time the Agency has done much to be proud of, particularly working with stakeholders and the community to provide more than 22 million Australians with an online summary of their key health information through their My Health...
Source: Australian Health Information Technology - December 9, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

What Do You Reckon Could Be Coming For The ADHA In Coming Weeks?
As reported in the last few days there has been a huge shake-out and purge of the Australian Public Service (APS) in the last few days.Here is the start of the Australian ’s reporting:https://www.theaustralian.com.au/nation/politics/pm-in-biggest-bureaucracy-overhaul-in-30-years/news-story/5867ed6041f4d3e080d84ca9dd61817bGet lean: Scott Morrison wields the axe on bureaucracyFive Mandarins have been axed in a move to implement a "lean and mean" bureaucracy.Simon Ben sonGeoff ChambersDecember 6, 2019 Scott Morrison has ordered the biggest shake-up of the public ­service in more than 30 years, axing four ...
Source: Australian Health Information Technology - December 8, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 504 – Results – 8th December, 2019.
Here are the results of the poll.Do You Believe The ADHA Is On Top Of, And Properly Managing, The Shared Cyber-Security Risks Associated With The #myHealthRecord, As Identified By The ANAO Recently?Yes 4% (4) No 94% (95) I Have No Idea 2% (2) Total votes: 101 Well that was pretty clear. A huge majority thinks that the ADHA is not fully across the #myHealthRecord security risks. Any insights on the poll welcome as a comment, as usual. A very reasonable turn out of votes. It must have been a re latively easy question as only 2/101 readers were not sure how to respond. Again, many, many thanks to all those that vo...
Source: Australian Health Information Technology - December 8, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It's Hard Not To Be Proud Of Such A Collection Of Secretive, Obfuscating, Excessively Paid Board Members.
The ADHA have finally done it. A whole year of radio silence at Board Level while the Agency spews misleading exaggerated spin at every turn! Captured just now from their site - Dec 7, 2019 12.00am. Download the latest Board Meeting 6 December 2018 - Board Papers https://www.digitalhealth.gov.au/about-the-agency/australian-d igital-health-agency-board Can you really believe they are genuinely working in the interests of the Australian Digital Health with this sort of behaviour? You can read all about them from the link above! David. This is the initial part of the post - read more by clicking on the title of the ar...
Source: Australian Health Information Technology - December 7, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 07 December, 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/2019/11/is-the-third-sector-the-solution-to-24-7-mental-health-care/Is the third sector the solution to 24/7 mental health care?In the last few years there has been significant progress in advocating against social stigma of mental health but could the third sector be the key to providing more convenient access to services? Ian Jacks...
Source: Australian Health Information Technology - December 7, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

There Seems To Be Some Problems With The Security / Privacy Controls Of The iEMR in Queensland.
This yarn appeared a few days ago.How two British shark victims posed a challenge for Queensland patient confidentialityBy Lucy StoneNovember 24, 2019 — 9.33pmConfidentiality "flags" were placed on the private medical records of two British shark attack victims treated at Mackay Hospital, warning curious staff they should only access the records for valid medical reasons.The incident was one of several case studies presented to the Crime and Cor ruption Commission’s public hearings for Operation Impala, investigating the misuse of private data in public organisations.Mackay Hospital and Health Service...
Source: Australian Health Information Technology - December 6, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs