Weekly Overseas Health IT Links – 30 November, 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/will-smart-the-nhs-has-proven-it-can-do-digital-well/Will Smart: The NHS has proven it can do digital wellWhen Will Smart took up the role of NHS England CIO in 2016, he did so with the view that three years would be enough time to make a different to the NHS ’s technical landscape.Owen Hughes – 21 November, 2019H...
Source: Australian Health Information Technology - November 30, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

A Reminder That Advanced Technology Needs To Be Spread As Equitably As Possible.
This appeared a few days ago.Perspective Global HealthArtificial intelligence for global health1.       Ahmed Hosny1,2, 2.       Hugo J. W. L. Aerts1,2,3Science  22 Nov 2019: Vol. 366, Issue 6468, pp. 955-956 DOI: 10.1126/science.aay5189 Artificial intelligence (AI) has demonstrated great progress in the detection, diagnosis, and treatment of diseases. Deep learning, a subset of machine learning based on artificial neural networks, has enabled applications with performance levels approaching those of trained professionals in tasks including the interpretati...
Source: Australian Health Information Technology - November 29, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Is Worth Highlighting Just How The ADHA Overeggs And Exaggerates The Benefits Of The #myHealthRecord.
This release appeared last week:More support for frontline emergency care staffMonday, 18 November 2019A national initiative launched today will support the time-critical work and informed decision making of frontline hospital emergency department (ED) clinicians through the use of patients ’ My Health Record.With over 22 million Australians now having a My Health Record, a suite of clinical tools and resources released today at the Australasian College for Emergency Medicine (ACEM) 36th Annual Scientific Meeting 2019 will support ED staff using the system to inform clinical decision -making on the frontline of emerg...
Source: Australian Health Information Technology - November 28, 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.
November 28, 2019 Edition.-----The public hearings in the Impeachment Inquiry have finished for now and they really seem to have taken their toll on Trump and his associates with increasing rifts appearing internally. Elsewhere Mike Pompeo is looking more and more like a looser and may be the next to go. The run up to the 2020 election in November will be very interesting indeed!In the UK we are just waiting for the election on Dec. 12 to see what happens next!In OZ there is some slight winding down in the bushfires, Robo-debt has been abandoned and the Government is kicking off some fiscal stimulus. Parliament is back so ...
Source: Australian Health Information Technology - November 28, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Think If People Knew About This There Would Be Very Considerable Outrage.
This appeared a few days ago.UK regulator to assess claims that UK health websites shared users ’ sensitive data with third partiesAn investigation by the Financial Times found popular sites disclosed personal information to third party companies. By Tammy LovellNovember 18, 2019 11:28 AMUK data protection regulator, the Information Commissioner’s Office (ICO), is assessing a Financial Times (FT) investigation which claimed UK health websites share people ’s sensitive data with third party companies.The FT study, which used open-source tools to analyse 100 health websites, found 79% dropped cookies a...
Source: Australian Health Information Technology - November 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, Safety And Security Matters. Lots Of Interesting Perspectives - November 26, 2019.
-----This weekly blog is to explore the larger issues around Digital Health, data security, data privacy 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 behavior of a federal public agency gone rogue – and it just goes on! When you read this is will be 11 months + of radio silence. Note: Appearance here is not to suggest I see any credibility or value in what follows. I will leave it to the reader to decide what is worthwhile and what is not! The point...
Source: Australian Health Information Technology - November 26, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Sometimes The ADHA Spin Is So Obvious Even They Should Be Embarrassed!
After the release of the ANAO Audit on The My Health Record yesterday we had a release from the ADHA.From the ADHA we got.Media Release: The Australian National Audit Office Findings On The Implementation Of My Health Record WelcomedThe Australian Digital Health Agency (Agency) welcomes the findings in the report and agrees with all recommendations made by the Australian National Audit Office (ANAO). The ANAO ’s conclusion that the implementation of the My Health Record was largely effective, and that planning, governance and communication was appropriate will provide the community with an important perspective on th...
Source: Australian Health Information Technology - November 26, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Initial Press Responses To The Auditor General Report On The #MyHealthRecord.
The first we had was the AAP report.Agencies fail My Health privacy audit By Finbar O'MallonNovember 25, 2019 — 3.07pmMost of the emergency access requests made by third parties to Australians' digital health records were unjustified, the national auditor has found.The Australian National Audit Office (ANAO) said government agencies overseeing Australians' digital health records didn't properly manage or consider the cyber security and privacy risks.The auditor made a number of recommendations to improve privacy and cyber security in its report released on Monday.   It recommended agencies develop sh...
Source: Australian Health Information Technology - November 26, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 25th November, 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-----This is surely the most interesting day in quite a while in OZ Digital Health where we will see just what the Aust. National Audit Office thinks of the way the ADHA has done the myHR! Will be fascinating.Quiet week last week with lots of the usual odd and ends!-----https://www.dailytelegraph.com.au/lifestyle/health/lawyers-called-...
Source: Australian Health Information Technology - November 25, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Here Are The ANAO Audit Of The My Health Record Recommendations – Interesting Holes Identified.
These summary recommendations are from Page 10 of the 66 page Audit Report published today. Recommendations Recommendation no. 1Paragraph 3.27 ADHA conduct an end-to-end privacy risk assessment of the operation of the My Health Record system under the opt-out model, including shared risks and mitigation controls, and incorporate the results of this assessment into the risk management framework for the My Health Record system.Australian Digital Health Agency response: Agreed. Recommendation no. 2Paragraph 3.45 ADHA, with the Department of Health and in consultation with the Information Commissioner, review the adequacy ...
Source: Australian Health Information Technology - November 25, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Here Are The Details Of The ANAO Review Of The #MyHealthRecord - Sadly No Comment Regarding If It Is Working Or Not And If Any Real Benefits Are Flowing.
Conclusion6.  Implementation of the My Health Record system was largely effective.7. Implementation planning for and delivery of My Health Record under the opt-out model was effective in promoting achievement of its purposes. Implementation planning and execution was appropriate, and was supported by appropr iate governance arrangements. Communication activities were appropriate to inform healthcare recipients and providers.8. Risk management for the My Health Record expansion program was partially appropriate. Risks relating to privacy and the IT system core infrastructure were largely well managed, and wer...
Source: Australian Health Information Technology - November 25, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 502 – Results – 24th November, 2019.
Here are the results of the poll.Are You Expecting That There Will Be Significant Patient And Clinician Adoption Of E-Prescribing (50% of Prescriptions Electronic) By The End Of 2021?Yes 31% (33) No 65% (70) I Have No Idea 4% (4) Total votes: 107 Well that was an interesting bur rather split view overall. A majority thinks that the wide adoption of e-prescribing will take a good few years. Any insights on the poll welcome as a comment, as usual. A very reasonable turn out of votes. It must have been a relatively easy question as only 4/107 readers were not sure how to respond. Again, many, many thanks to all th...
Source: Australian Health Information Technology - November 24, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

A Very Sad Saga Where Good Initial Intentions With Digital Health Were Subverted With Harm Now Obvious.
This appeared a few days ago. It is a long and important read with many lessons. ------ No Safety Switch: How Lax Oversight Of Electronic Health Records Puts Patients At Risk By Fred Schulte and Erika Fry, Fortune November 21, 2019 Plans for putting patient safety first — and for building a comprehensive injury reporting and reviewing system — have stalled fo r nearly a decade.KEY TAKEAWAYSOver the past 10 years, stakeholders have squabbled over how best to collect injury data, over who has the power to require it, over who should pay for it, and over whether to make public damning findings and the...
Source: Australian Health Information Technology - November 24, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 23 November, 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/how-technology-can-transform-end-of-life-care/How technology can transform end-of-life careIan Bailey, a district nurse and clinical director at EMIS Health, explores how technology can help transform care for the increasing number of terminally ill patients being cared for at home.DHI News Team – 12 November, 2019Every...
Source: Australian Health Information Technology - November 23, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

My Health Record Agency in Workplace Dispute - More Info - Updated.
https://starspost.com/my-health-record-agency-in-workplace-dispute/ My Health Record agency in workplace disputeBy starspost- November 21, 2019 Exclusive: The government agency charged with looking after your most sensitive health data is embroiled in an explosive workplace dispute that has already co st taxpayers more than $88,000. ----- Core of article apparently. David. p.s. The article also points out there have been multiple rejected FOI requests and closed Board sessions. No wonder we see no Board Notes these days. They are running a dysfunctional madhouse! D. This is the initial part of the ...
Source: Australian Health Information Technology - November 22, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Here Is A Working Link To Full ADHA Legal Turmoil Article In The Daily Telegraph.
https://twitter.com/Health_Privacy/status/1197700667344900097 Just click on the text under the description to see full article. 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 - November 22, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Here Is A Really Sensible Article On AI In The Healthcare Domain.
This report from The Brookings Institution ’s Artificial Intelligence and Emerging Technology (AIET) Initiative is part of “AI Governance,” a series that identifies key governance and norm issues related to AI and proposes policy remedies to address the complex challenges associated with emerging technologies.IntroductionArtificial int elligence (AI) is rapidly entering health care and serving major roles, from automating drudgery and routine tasks in medical practice to managing patients and medical resources. As developers create AI systems to take on these tasks, several risks and challenges emerge, in...
Source: Australian Health Information Technology - November 22, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Looks Like Fun - Does Anyone Have Access? - It's Behind A Firewall Sadly....
https://www.dailytelegraph.com.au/lifestyle/health/lawyers-called-in-over-workplace-problems-at-agency-in-charge-of-youre-my-health-record/news-story/6abb3f48d85cbc82a2e98f9f3c8300b8Lawyers called in over workplace problems at agency in charge of you're MyHealth RecordDaily TelegraphNine in 10 Australians were given a My Health Record in February. Health Minister Greg Hunt has asked the public put faith in the agency.  ----- And with the audit out Monday! More info welcome! 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 - November 21, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

A Couple Of Interesting Articles On EHR Use and Usability And The Associated Impacts.
First we had this which shows how user hostile systems hurt the user and increase the risk of burnout.Mayo Clinic study links EHR usability with clinician burnoutResearchers sought to assess and benchmark how physicians view electronic health record usability, as defined by a standardized metric, and use that to evaluate how poor UX correlates with feelings of job frustration and burnout.By Mike MiliardNovember 15, 2019 09:20 AMHere's a sentence that does not mince words: "The usability of current EHR systems received a grade of F by physician users when evaluated using a standardized metric of technology usability. A...
Source: Australian Health Information Technology - November 21, 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.
November 21, 2019 Edition.-----In Trumpland the main issue has been the beginning of the Public Impeachment Hearings that have gone pretty badly for Trump and has seriously exposed the mess that is the internals of the current White House. Rudy Giuliani seems very likely to be in pretty bad trouble and may wind up in jail I reckon.The Brexit election rumbles on – outcome unclear.Bushfires are consuming the polity and the level of common sense from them all is sadly terribly low. I suspect we are basically doomed with the current lot of pollies on both sides and I have no idea what will cause any real change. Pity abo...
Source: Australian Health Information Technology - November 21, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

ANAO audit status update - Implementation of the My Health Record System
Report has been scheduled for tabling in the Parliament of Australia on Monday 25 November 2019  Update published Nov 21, 2019 03:27 pm  View on the ANAO website » 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 - November 21, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

ACHI / HISA Merger Special General Meeting Announced - For Information.
NOTICE OF SPECIAL GENERAL MEETING Dear Member / Fellow, The Council of the Australasian College of Health Informatics (ACHI) and the Board of the Health Informatics Society of Australia (HISA) are pleased to invite you to vote on the proposal to combine our two organisations and form a new peak body for digital health and health informatics.  A Special General Meeting for ACHI Fellows and members will be held on:  Monday 16 December at 6:00pm at the Australian Digital Health Agency,L25, 175 Liverpool Street, Sydney.    The agenda and meeting ...
Source: Australian Health Information Technology - November 21, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Could Be Very Wrong About This But!
I am hearing the No 2. at the ADHA has resigned, with no apparent plan for further APS positions currently. Confirmation or informed denials welcome...follows the loss of the Chief of Staff, if true, and seems to be part of a possible pattern leading up to the ANAO Audit Report. 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 - November 20, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Seems The Commission Watching The Quality And Safety Of The myHealthRecord Has Gone To Sleep!
From the page covering that work:My Health Record clinical safety program The My Health Record clinical safety program aims to improve quality, safety and efficiency in the Australian healthcare system through the My Health Record system. Consumers can control the content of, and access to, their healthcare record, and share their health information with their clinicians.History of the My Health Record systemThe Australian Digital Health Agency (the Agency) was established on 1 July 2016 and is the My Health Record System Operator.The Agency appointed the Commission to undertake a clinical safety program for the My He...
Source: Australian Health Information Technology - November 20, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Google Seems To Have Really Hit A Nerve With Its Plan For The Health Data From A Large Hospital System.
The fuss all started with a report from the WSJ early last week.Google ’s ‘Project Nightingale’ Gathers Personal Health Data on Millions of Americans Search giant is amassing health records from Ascension facilities in 21 states; patients not yet informed By Rob Copeland Updated Nov. 11, 2019 4:27 pm ET Google is engaged with one of the country’s largest health -care systems to collect and crunch the detailed personal health information of millions of Americans across 21 states.The initiative, code-named “Project Nightingale,” appears to be the biggest in a series of efforts by Silicon V...
Source: Australian Health Information Technology - November 20, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Looks Like Real-Time Access To Current Health Information Really Makes A Difference!
This release appeared last week:Statewide Network for Clinical Data Sharing Reduces Healthcare Costs by an Estimated $160-195 Million AnnuallyPosted on November 12, 2019 by NYeC Staff FOR IMMEDIATE RELEASE: November 12, 2019 New analysis estimates potential savings of $1 billion once the Statewide Health Information Network for New York is fully leveraged ALBANY, NY – Today the New York Health Collaborative (NYeC) announced that use of the Statewide Health Information Network for New York (SHIN-NY) is reducing unnecessary healthcare spending in New York State by $160-$195 million annually—including significant ...
Source: Australian Health Information Technology - November 20, 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 - November 19, 2019.
-----This weekly blog is to explore the larger issues around Digital Health, data security, data privacy 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 behavior of a federal public agency gone rogue – and it just goes on! When you read this is will be 11 months + of radio silence. I wonder how far the ANAO report is away?Note: Appearance here is not to suggest I see any credibility or value in what follows. I will leave it to the reader to decide what ...
Source: Australian Health Information Technology - November 19, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 18th November, 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-----Really a quiet week with the feature being – from my perspective – just how few see #myHealthRecord as in any way central to healthcare delivery in Australia. I think the ADHA has a rather inflated view of its role and importance. Otherwise we have the usual titbits from all over.-----https://www.cso.com.au/article/668...
Source: Australian Health Information Technology - November 18, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 501 – Results – 17th November, 2019.
Here are the results of the poll.Do You Agree With The Claim From The ADHA (In Their Annual Report) That 'Today The #myHealthRecord Is A Fundamental Feature Of Australia ’s Health Infrastructure'? Yes 2% (2) No 98% (102) I Have No Idea 0% (0) Total votes: 104 Well that was pretty clear. Pretty much everyone thinks that the ADHA is dreaming regarding the importance of the #myHealthRecord. Any insights on the poll welcome as a comment, as usual. A very reaso nable turn out of votes. It must have been a very easy question as only 0/104 readers were not sure how to respond. Again, many, many thanks to all thos...
Source: Australian Health Information Technology - November 17, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Can You Confirm The Apparent Funny Business Going On With People Who Have Opted Out Of The #myHealthRecord?
This appeared a couple of days ago on Reddit.Opted out of my health record last year but its there in 'your services' when I log into mygov.It asks my for medicare details and recent doctor visits to sign in to access "my" health record. Not going to do that incase it reactivates or something. Can anyone confirm that this is normal for someone who opted out? Here is the link to the conversation: https://www.reddit.com/r/australia/comments/dvzx6i/opted_out_of_my_health_record_last_year_but_its/ Typical comments under this header say things like: “I also opted out, and I also have it showing up in MyGov ...
Source: Australian Health Information Technology - November 17, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 16 November, 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/a-reflection-on-the-state-of-the-art-by-a-cnio/A reflection on the state of the art by a CNIOFollowing on from being crowned CNIO of the Year at the Digital Health Awards 2019, Natasha Phillips discusses her health informatics career. The CNIO at University College London Hospitals NHS Foundation trust explores why nurses are...
Source: Australian Health Information Technology - November 16, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

What Are The Regulations For The New Electronic Prescribing Regime?
This very useful summary appeared a few days ago.https://www.lexology.com/library/detail.aspx?g=6492731f-eea1-45f7-81a5-19398a1e969bNew regulations for e-prescribing and their impact on patent litigation in Australia Minter Ellison Australia October 30 2019 We provide an update on changes to electronic prescribing of medicines in Australia, and how this might impact on patent disputes.Key takeoutsNew regulations come into effect on 31 October 2019 that affect electronic prescribing for PBS-listed medicines. The changes do not apply to handwritten prescriptions and certain other types of prescriptions.The key change is that...
Source: Australian Health Information Technology - November 15, 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.
November 14, 2019 Edition.-----In the US the tempo of the impeachment program seems to be increasing and the public hearings look to be likely to be very interesting indeed. Trump has also been fined regarding the management of his charitable foundation and is apparently a bit worried about a Bloomberg run for the presidency. Trump is also so unhinged he has been heard to remark that the Turkish Presdent is a great friend of the Kurds - the man is mad!The UK election is winding up in intensity and we all await the outcome.In Australia the raging bushfires have pretty much overwhelmed all other news. I hope things will get ...
Source: Australian Health Information Technology - November 14, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

You Don ’t Really Believe You Can Trust People Who Have Access To Government Databases Of Your Personal Information To Do The Right Thing Do You?
This appeared last week:Queensland police 'brought into disrepute' by computer system misuse, says commissioner Exclusive: Katarina Carroll ’s statement was emailed to officers across the state on WednesdayBen SmeeThu 7 Nov 2019 11.59 AEDT Last modified on Thu 7 Nov 2019 13.22 AEDT The misuse of Queensland police computer systems by current and former officers has “brought our organisation into disrepute”, the police commissioner, Katarina Carroll, has said.Carroll’s statement, emailed to police across the state on Wednesday night, was made ahead of hearings by the Crime and Corruption Commission in...
Source: Australian Health Information Technology - November 14, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Suddenly We Have A Better Idea Why The #myHealthRecord Is So Long-lasting!
It seems to me the explanation came into clear view last week:Labor leadership devoid of tech talent: ALP autopsyBy Julian Bajkowski on Nov 8, 2019 1:26PM Bemoans “lack of digital literacy within Labor’s senior ranks.”“Few, if any, Party officials have genuine expertise in how digital platforms work and how progressive organisations can make the most of the opportunities they offer.”“Labor employs very few digital specialists and often the default position is to define digital as the responsibility for managing some social media accounts and to allocate this to relatively junior staff an...
Source: Australian Health Information Technology - November 13, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Think The ADHA Might Have Overestimated The Usefulness Of Holding Advanced Care Directives In The #myHealthRecord.
This appeared a few days ago.Treatable conditions, family tensions can see advance care directives overruled Directives are meant to enshrine patient autonomy near the end of life, but doctors may be inclined to act in what they consider the patient ’s best interest, new research has found. Doug Hendrie 07 Nov 2019A new study has found that many doctors experience internal conflict when carrying out a patient’s legally binding wishes, particularly when the directives are vague or not current, or when the medical condition seems reversible. The BMJ Open study led by Advance Care Planning Australia researchers g...
Source: Australian Health Information Technology - November 13, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Vale Joan Edgecumb - Health Informatics Legend And HISA Stalwart.
Very sad to hear of her passing a day or so ago. She was a great lady who contributed hugely to the growth of the HI discipline! Rest In Peace, Joan. 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 - November 12, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

This Is The Prize Winner For Coverage Of The ADHA Annual Report For 2018-19
Sorry but this is just wonderful in its awfulness!Digital health carePublished On 07 Nov 2019 04:24 PMThe nation of Australia has been working on making its healthcare system better, and the efforts to make this happen are just rising and there has been significant improvement in the system and with the rise of digitization and technology the integration of digital tech with the medical and health care systems of the nation just becomes essential to the growth of the sector.The Australian Digital Health Agency (ADHA) has stated that it is making “significant progress” towards the main priorities of the national...
Source: Australian Health Information Technology - November 12, 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 - November 12, 2019.
-----This weekly blog is to explore the larger issues around Digital Health, data security, data privacy 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 behavior of a federal public agency gone rogue – and it just goes on! When you read this is will be 11 months + of radio silence. I wonder how far the ANAO report is away?Note: Appearance here is not to suggest I see any credibility or value in what follows. I will leave it to the reader to decide what ...
Source: Australian Health Information Technology - November 12, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Seriously Good Riddance To Bad Rubbish!
HIStalk has done the Digital Health community a great service by passing this on! "I haven’t thought of Robert Lorsch of MMR Global very much since I interviewed him in 2013 after his company filed lawsuits against EHR vendors, Walgreens, non-profit hospitals, and the government of Australia for developing personal health record technology that he claimed – not very conv incingly — infringed on his intellectual property. Turns out he died in May 2017 and the company seems to have met its maker before Bob." Here is the link to the page: https://histalk2.com/2019/11/10/monday-morning-update-11...
Source: Australian Health Information Technology - November 11, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 11th November, 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-----The big event of the week was the release of the ADHA Annual Report for 2018-19. Despite being released on Melbourne Cup Day there was a lot of coverage in both general and specialist press – especially regarding breach numbers – which were claimed to be utterly innocuous – but which still seem to be happening.Ot...
Source: Australian Health Information Technology - November 11, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Messages From The ADHA Chair In The Annual Report And Associated Release Require Close Scrutiny.
Here is what Dr Elizabeth Deveny writes. (p9)Chair ’s message On behalf of the Australian Digital Health Agency Board I would like to recognise the immense efforts of everyone who has worked with us over the past year and extend our thanks to all of the Agency’s staff for their achievements, dedication, and resilience. I am especially honoured t o Chair the Agency’s Board and would like to acknowledge the work of the previous Chair, Jim Birch, and our outgoing Board members [Robert Bransby, Dr Eleanor Chew, Stephanie Newell, Michael Walsh, Professor Johanna Westbrook] all of whom were pivotal to the achie...
Source: Australian Health Information Technology - November 10, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 500 – Results – 10th November, 2019.
Here are the results of the poll.The Chief Operating Officer Of The Australian Digital Health Agency Recently Claimed It Is Very Transparent With The #myHealthRecord. Do You Agree?Yes 3% (3) No 94% (94) I Have No Idea 3% (3) Total votes: 100 Well that was pretty clear. Pretty much everyone thinks that the ADHA is about as un-transparent as you can get. Really this mob are just totally out of touch and struggle with the use of plain English! Any insights on the poll welcome as a comment, as usual. A very reasonable turn out of votes for the 500th poll. It must have been a fairly easy question as only 3/100 readers...
Source: Australian Health Information Technology - November 10, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

My How Time Rushes By With The ADHA! 11+ Months Of Radio Silence And Counting!
Just a reminder it is now over 11 months since the ADHA Board let the public know what it was doing - other than via their overly glossy (and badly formatted for printing) Annual Report that was released this week - because the LAW says they have to release an Annual Report each year! I am pretty sure we would not even see this piece of puffery otherwise! From the Annual Report we discover that the Board Members are being paid nearly $100,000 a year to keep the ADHA's secrets! Just so you know! David. This is the initial part of the post - read more by clicking on the title of the article. David. (Source: Australian H...
Source: Australian Health Information Technology - November 9, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 09 November, 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/2019/10/why-good-cyber-hygiene-can-help-fight-nhs-data-breaches/Why good cyber hygiene can help fight NHS data breachesIn September, NHS Digital launched an a campaign to raise staff awareness around basic cyber security. Following on from this, the organisation ’s deputy chief executive and senior information risk owner, Rob S...
Source: Australian Health Information Technology - November 9, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

What Do You Think Is In The Water In Queensland And Is It The Cause Of All These Stuff-Ups?
This amazing yarn appeared a few days ago.Exclusive: 'Inappropriate' email reveals Queensland Health's ploy to avoid political scrutiny of hospital IT outagesBy Rob Morrison • Senior Reporter6:30pm Oct 31, 2019Government decides against Queensland health upgradeDamning emails have revealed a government plan appearing to prioritise politics over the care of Queensland hospital patients.Messages and emails obtained by 9News prove Queensland Health staff were ordered not to perform vital upgrades to critical digital hospital systems during parliamentary sitting weeks – when government ministers or the Premier would...
Source: Australian Health Information Technology - November 8, 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.
November 7, 2019 Edition.-----What can one say about the US. Sadly nothing good as Trump is getting more out of control by the week. It is hard to see where this all ends, but the public hearings on planned impeachment will be must watch TV when they occur.Next week I hear We now have an election on December 12 and the carry on between then and now I am sure we will be fascinating… ScoMo is totally off on a frolic trying to supress the public concern regarding climate change by banning protest and boycotts. How il-liberal can you be for a so called Liberal Govern ment who has all its advisors telling it how dange...
Source: Australian Health Information Technology - November 7, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Tyranny Of Electronic Medical Records - A Cry From The Heart For Improvement.
This appeared earlier in the week.Our Hospital ’s New Software Frets About My ‘Deficiencies’But the patient records system, called Epic, has a few shortcomings of its own, including a voice that amplifies the insecurities that come with being a doctor. By Emily Silverman, M.D.·         Nov. 1, 2019We had been waiting for this day for years — the day our hospital in San Francisco would shed its antiquated electronic health records system in favor of a more modern alternative called Epic, which has been, or will soon be, adopted by many of the nation&rsqu...
Source: Australian Health Information Technology - November 7, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Senate Estimates – Community Affairs Committee - Transcript - October 23, 2019 - More Obfuscation On Show!
Here is the Senate Hansard Transcript of the relevant ADHA sections.The session reported here occurred around midday of that day. Comments after the transcript..Part 1.Senator GRIFF: Chair, I just have a few questions in relation to My Health Record, which is the next section, but if I can ask them now for the record because I think they will have to be taken on notice?CHAIR: A question on notice. Okay.Senator GRIFF: So if you're okay with me asking those questions in relation to the My Health Record?CHAIR: Are you comfortable with that? Yes.Senator GRIFF: The questions I have in relation to that are: what percentage of pa...
Source: Australian Health Information Technology - November 6, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The ADHA Provides An Annual Report That Omits Any Useful Clinical Usage Stats - As Usual!
For your reading pleasure the Annual Report (2018-2019) for the ADHA is found here: https://www.digitalhealth.gov.au/about-the-agency/publications/reports/annual-report/Annual_Report_Australian_Digital_Health_Agency_2018-2019_Online.pdf Feel free to download to find out a lot of information you really did not need to know! There are a few tidbits like the salaries of senior sta ff and the advertising and market research spending however! They also mention a few data-breaches. I thought there weren't any? There is a proper press report on the Annual Report here: https://www.itnews.com.au/news/my-health-record-data-br...
Source: Australian Health Information Technology - November 5, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs