Weekly Australian Health IT Links – 14th October, 2019.
Here are a few I have come across the last week or so. Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General Comment-----Another week that has seen much emphasis on cyber-security as well as the usual discussions on what is new and might make a difference. The ADHA has continued to keep secret what it is doing. Do you think they are doing anything other than spruiking the #myHealthRecord and does it matter anyway?-----https://www.itnews.com.au/news/...
Source: Australian Health Information Technology - October 14, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The ANAO Audit On The #myHealthRecord Is Coming Soon!
I checked in today. Found this. Report Status - Report preparation Contribution has closed Due to table: October, 2019 Portfolio Health Entity Australian Digital Health Agency; Department of Health Contact Please direct enquiries through our contact page. Sector Health Here is the link: https://www.anao.gov .au/work/performance-audit/my-health-record I am sure it will be interesting to say the least. I am sure there is a big effort on from the ADHA to suppress any critical comments. I am pretty sure that will not work! David. This is the initial part of the post - read more by clicking on the title of the ar...
Source: Australian Health Information Technology - October 13, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 496 – Results – 13th October, 2019.
Here are the results of the poll.If The Australian National University And The Federal Parliament Can Be Infiltrated By "Foreign Actors" Are You Confident The #myHealthRecord Can Be Really Secured Against Cyber Attack - Especially Given All The Personal Data It Holds?Yes 2% (2) No 97% (85) I Have No Idea 1% (1) Total votes: 88 Well that was pretty clear. The vast majority think the #myHealthRecord would not be secure against a sophisticated attack were it to happen. Any insights on the poll welcome as a comment, as usual. A very reasonable turn out of votes. It must have been a fairly easy question as o...
Source: Australian Health Information Technology - October 13, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Wonder Why The Government Is So Secretive With Clinical Usage Statistics For The #myHealthRecord?
As far as I know there are two public sources of data.First we have the information found here:https://www.myhealthrecord.gov.au/statisticsMy Health Record statisticsThe Australian Digital Health Agency publishes a range of statistics about how My Health Record is being used by healthcare provider organisations and consumers. The statistics include information about registrations, document uploads and prescription/dispense documents being recorded. My Health Record statistics dashboard My Health Record statistics dashboard These are the most interesting from my perspective: Clinical document uploadsTotal number...
Source: Australian Health Information Technology - October 13, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 12 October, 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 - October 12, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Government Seems Pretty Keen To Enrol Your Family With Them And Their Services From Day One!
This rather under publicised approach was revealed last week.Digital identity for newborns will remove ‘pain points’4 October, 2019 A pilot baby registration program being coordinated by the Digital Transformation Agency (DTA) will remove some of the ‘pain points’ for new parents in terms of dealing with government, a conference has heard.Under the government’s digital transformation strate gy, the DTA has committed to streamlining a range of complicated and cross-jurisdictional life-event services – like births, starting school, marriage, retirement and death – into a single ...
Source: Australian Health Information Technology - October 11, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Seems That The ‘Axe The Fax’ Program Is Struggling A Little In The UK. What A Surprise!
This appeared last week:Trusts set to miss Axe the Fax deadline due to ‘concerning lack of progress’A new report looking into the number of fax machines still in use across the NHS in England has shown “a concerning lack of progress” amongst trusts working to remove the them ahead of the April 2020 deadline.Owen Hughes30 September, 2019The report reveals that t he trusts with the most fax machines have collectively axed just 42% over the past twelve months, with less than six months to go until the ‘axe the fax’ deadline.The new findings come from a Freedom of Information (FOI) request p...
Source: Australian Health Information Technology - October 10, 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.
October 10, 2019 Edition.-----The question of the year is now about just how bad President Trump ’s mental state is and is it reaching the position that we might see some serious problems from his distraction and anger! Otherwise the threat of impeachment seems to be totally overwhelming any other issues.I have no idea where Brexit is up to – but it will have to be sorted in the next few we eks one way or another!Incidentally what is happening in Hong Kong is both understandable and very sad. The face of Asia is being changed radically I suspect.In Australia the big news is regarding how we are being sucked int...
Source: Australian Health Information Technology - October 10, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

WA Health Lays Out Its 10 Year Digital Health Strategy - There Seem To Be Some Gaps.
This appeared during the week:https://ww2.health.wa.gov.au/Reports-and-publications/Digital-strategyWA Health Digital Strategy 2020 –2030 2 October 2019 The WA Health Digital Strategy 2020–2030 (the Digital Strategy) aims to take advantage of the innovations transforming healthcare to drive better health outcomes for all Western Australians.The Digital Strategy presents an exciting opportunity for the WA health system.​WA Health Digital Strategy 2020-2030 (PDF 3MB) There was commentary here:WA Health plots decade-long IT systems overhaul in new digital strategyBy Justin Hendry on Oct 3, 2019 4:26PM State-wid...
Source: Australian Health Information Technology - October 9, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

There Is Considerable Agreement That The PIP-QI Program Still Needs Some Work.
Recent commentary has included:4 October 2019All aboard the PIP QI exemption! But hang on, who is liable and who pays?Posted by Jeremy Knibbs An increasing number of practice managers and owners are expressing concern and confusion of the Department of Health ’s latest attempt to bridge the complexity around how a practice will share de-identified data with its PHN in order to qualify for the PIP QI.In a possible acknowledgement that the new PIP QI data scheme needs a lot more time and thinking on the part of all parties in order to sort out governance, security, and in some cases, practice technology, the depar...
Source: Australian Health Information Technology - October 9, 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 - October 08, 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 9 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 i...
Source: Australian Health Information Technology - October 8, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 7th October, 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 CommentAgain all sorts of security issues and problems and a fair few red faces. These phishing attacks are really a problem that needs fixing somehow. Must be costing a fortune  - and hurting patients!Otherwise all sorts of interesting odds and ends.-----https://www.governmentnews.com.au/digital-identity-for-newborns-will-remove-pain-po...
Source: Australian Health Information Technology - October 7, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 495 – Results – 6th October, 2019.
Here are the results of the poll.Do You Believe The #myHealthRecord Should Be 'Replatformed' (At An Inevitably Large Cost) Or Simply Be Shut Down Having Failed To Deliver On Expectations?It Should Be Replatformed 4% (5) It Should Be Shut Down 94% (112) I Have No Idea 2% (2) Total votes: 119 Well that was pretty clear. The vast majority think the #myHealthRecord should be shut down. Any insights on the poll welcome as a comment, as usual. A very reasonable turn out of votes. It must have been a fairly ea sy question as only 2/119 readers were not sure what to respond. Again, many, many thanks to all those that v...
Source: Australian Health Information Technology - October 6, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Cyber Capabilities Of Some Cyber Criminals Are Pretty Impressive And Really Worrying.
As a really great public service the Australian National University has made public its review of a major data breach is suffered beginning about a year ago.Here is some coverage of the findings:ANU cyber attack began with email to senior staff memberAndrew Tillett Political CorrespondentOct 2, 2019 — 4.15pmThe Australian National University's investigation into the hacking of students' personal data has failed to identify a culprit or exonerate suspects but the nature of the data stolen suggests fraud may have been a motive.While some in the security community believed China was behind the c yber attack, given past ...
Source: Australian Health Information Technology - October 6, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 05 October, 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.beckershospitalreview.com/quality/cms-issues-final-rule-on-discharge-planning-3-things-to-know.htmlCMS issues final rule on discharge planning: 3 things to knowMackenzie Bean – 26 September, 2019 CMS finalized a rule Sept. 26 that revises discharge planning requirements for hospitals.Three things to know:1. Under the rule, hospitals mu...
Source: Australian Health Information Technology - October 5, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

You Would Really Hope The Data Separation And Controls Are Pretty Robust I Reckon!
Reports of this initiative popped up last week:See here:Government eyes health insurers' data to help uncover Medicare fraudMy Health Data excluded from proposed data-matching pushRohan Pearce (Computerworld) 23 September, 2019 18:08 The Department of Health has launched a public consultation on proposed legislation that would lay the basis for increased data-matching between government entities in order uncover fraudulent or incorrect Medicare claims. The proposal could also see the data provided from private health insurers automatically matched against government data holdings to red flag potential fraud. A consultation...
Source: Australian Health Information Technology - October 4, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

You Really Have To Wonder Why Government Officials Spread "Fake News"?
This appeared a day or so ago.26 September 2019ADHA commits to measuring, reporting MHR effectivenessPosted by Jeremy Knibbs Now the dust has settled on the federal election, everyone seems to be getting used to a government they didn ’t think they’d have – unfortunately, a government no policy agenda on mostly everything, including health.A quick trip to the Australian Digital Health Agency to check on what’s next suggests there might be a few people still getting their heads around the idea that there won’t be any maj or changes taking place now they are staying with their old overseers. So ...
Source: Australian Health Information Technology - October 3, 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.
October 03, 2019 Edition.-----The big news this week – and for the next few months – will be the move by the Democrats to up the ante on the Ukrainian Affair and trying to get rid of him via Impeachment. The stress seem to be getting to Trump and he is becoming more and more erratic. The UK is in utter chaos. Who knows where it will endIn OZ the b iggest issue is management of our relationship with China which right now seems to be spinning out of control. The US / China relationship is the biggest issue of out time I believe and poses all sorts of challenges for Australia. The 70 year anniversary and the chaos...
Source: Australian Health Information Technology - October 3, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The ADHA Are Really High Class Spinners When It Comes To Describing The #myHealthRecord.
This is really a description of the #myHR for the ages. It is a direct quote from RFIDH2298 that was issued a day or so ago. (p28)4. My Health RecordAustralia ’s My Health Record system was purpose built just over six years ago. To date, more than 90.1% of Australians have a My Health Record. The My Health Record is internationally recognised for its consumer protections and the choice and control Australians enjoy over their information.The MHR system is underpinned by two key pieces of legislation: the Healthcare Identifiers Act 2010 (HI Act) and the My Health Records Act 2012 (MHR Act). The MHR Act established th...
Source: Australian Health Information Technology - October 2, 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 - October 01, 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!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 is to let people know what is being said / published that I h...
Source: Australian Health Information Technology - October 1, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 30th September, 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-----Clearly the big news in Digital Health is the ADHA asking who can do what for them with all sorts or emerging technologies with which they have exactly zero experience and whose role and utility is hardly clear – good luck with that! I think I am safe in suggesting we won’t see much from this in the next few years!Othe...
Source: Australian Health Information Technology - September 30, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 494 – Results – 29th September, 2019.
Here are the results of the poll.Should The ADHA Be Forced To Disclose Relevant Clinical Usage Statistics Of The #myHealthRecord So The Actual Clinical Value Of The System Can Be Properly Assessed?Yes 100% (106) No 0% (0) I Have No Idea 0% (0) Total votes: 106 Well that was totally clear. The way the ADHA is behaving with disclosure of what is actually happening with clinical usage of the #myHR is totally inappropriate, is wrong and should stop. It seems clear the statistics are not public because th ey show the #myHR is a huge waste of time and money and is not being used. Any insights on the poll welcome as a comm...
Source: Australian Health Information Technology - September 29, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Request For Information On The Future Support Of National Digital Health Infrastructure Is Just Amazing!
Reading the RFI document I found this list of key technological themes very interesting. Here is the link: https://www.tenders.gov.au/Atm/Show/c120551a-5788-49ac-bae4-7ef26e867c07 Part E: Key ThemesSince its formation the Agency has been undertaking or has participated in a range of consultations and market research which have included consideration of future technologies and capabilities. A number of themes have emerged that may impact the technology and capabilities within the national infrastructure.This document provides a high level overview of these key themes. It is not exhaustive and is provided as lists (in no p...
Source: Australian Health Information Technology - September 29, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 28 September, 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 - September 28, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Rather Looks Like We Have A Big Problem With Clinical Data Capture – Especially When Comprehensive Notes Are Expected.
This appeared a few days ago:ED patient encounters not accurately documented in EHR By Greg SlabodkinSeptember 19, 2019, 12:08 a.m. EDT Documentation in electronic health records did not match observed and recorded physicians' behaviors during patient encounters, according to a study of emergency department residents.The study, published on Wednesday in the journal JAMA Network Open, involved emergency departments in two academic medical centers where residents ’ patient encounters were observed to compare real-time performance with EHR documentation.  “No other study has attempted to quantify the acc...
Source: Australian Health Information Technology - September 27, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

If They Plan To Go Ahead With This The Public Needs A Real Say In What Is Done!
This rather alarming report appeared last week:Accenture's $915m My Health Record deal prepped for marketBy Justin Hendry on Sep 16, 2019 1:09PM Ten-year contract nears expiry. The Australian Digital Health Agency has taken the first step in its plans to replatform the My Health Record system ahead of the 2020 expiry of its deal with national infrastructure provider Accenture.The My Health Record system operator issued an advisory late on Friday to inform industry of its intention to conduct a “potential” request for information for the new platform later this year.The market approach would provide an “op...
Source: Australian Health Information Technology - September 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.
September 26, 2019 Edition.-----The US and Australia came together as a mutual admiration society on the ScoMo State Visit with the trade war and oil issues steaming away in the background. Things are rather uncertain on both these key issues. We know have Trump looking at impeachment over his Ukrainian Conversations. He is plain furious and lashing out. In the UK the Supreme Court is wondering about the legitimacy of Boris ’s recent actions. Time is running out to get all this sorted - but at least Parliament is meeting again - the next few days will be crucial I reckon!In Australia we have all sorts of rather odd l...
Source: Australian Health Information Technology - September 26, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

There Is A Rather Worrying Trend In Opioid Harm That Is Not Really Reversing Just Yet.
This appeared a few days ago.Pharmaceutical opioid harm surges in VicNew data reveals more Victorians are showing up to emergency departments due to pharmaceutical opioid-related harm.Kaitlyn OfferAustralian Associated Press September 19, 20199:17amVictorians are inundating hospital emergency departments suffering from pharmaceutical opioid-related harm at a cost of $16 million over two years.Opioid-related emergency presentations increased annually by an average of 3.1 per cent during the 10-year period of 2008-09 to 2017-18, according to the Monash University Accident Research Centre.The centre's Hazard report released o...
Source: Australian Health Information Technology - September 25, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

There Fertility Apps Seem To Have Rather More Downside(s) Than One Might Expect.
We have a number of articles on these apps this week:First we had this:Fertility app glitches put women out of syncBy Kate AubussonSeptember 17, 2019 — 1.00amFertility apps riddled with "alarming" inaccuracies and "disturbing" misinformation could be inadvertently sabotaging the chances of women conceiving, researchers warn.Thousands of Australian women are using fertility apps to give them the best shot at getting pregnant or avoiding it, but flaws in these trackers are leading some would-be mothers to believe they are infertile.A study presented at the Fertility Society of Australia's Annual Sci...
Source: Australian Health Information Technology - September 25, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Medical Device Webinar 12am 25 Sept, 2019
There will be a webinar lasting about 1.5 hours on the topic of: Medical Device Connection- IHE Profiles& User RequirementsYou can use this link to register and learn more: https://attendee.gotowebinar.com/register/5606686168719862284  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 - September 24, 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 - September 24, 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!-----https://www.hinz.org.nz/news/469242/Clinical-informaticians-key-to-digitised-health-service.htmClinical informaticians key to digitised health serviceTuesday, 10 September 2019   eHealthNews.nz editor Rebecca McBetheHeal...
Source: Australian Health Information Technology - September 24, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 23rd September, 2019.
Here are a few I have come across the last week or so. Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General Comment-----An amazing week with a serial fax receiver just letting patients suffer by not telling the sender he (and his wife) were collecting and reading them and Qld Health trying for a gold medal in the IT stuff ups competition!The NBN also seems to be in a state of flux.Read on!------https://www.brisbanetimes.com.au/national/queensland/q...
Source: Australian Health Information Technology - September 23, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

What Do I See Is The Future For Digital Health As The Blog Reaches 6000 Posts?
The blog was started in 2006 (March) with the intent of providing come clarity as to just was happening in e-Health, which has subsequently been renamed Digital Health, in Australia and to a less extent overseas. To me the progress has been what people term a ‘curate’s egg’ or ‘good in parts’! The good has clearly been the progress made in general practice and in the information providers (pathology and radiology etc.) as well as the progress made in some States with hospital IT (especially NSW and Vic – with the ACT, WA being major laggards and the others still struggling to some deg...
Source: Australian Health Information Technology - September 22, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 493 – Results – 22nd September, 2019.
Here are the results of the poll.Do You Agree With The Plan To Base Secure Clinical Messaging In Australia Largely On Secure Transmission Of .pdf Documents Rather Than Transmission Of Discrete Data That Can Support Clinical Decision Support And Improved Data Analysis?Yes - .pdfs Are Adequate 10% (12) No - The Choice Is An Opportunity Lost 90% (109) I Have No Idea 0% (0) Total votes: 121 Well that was pretty clear. The vast majority believe the plan is flawed – and everyone understood the question! Any insights on the poll welcome as a comment, as usual. A very reasonable turn out of v otes. It must have bee...
Source: Australian Health Information Technology - September 22, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 21 September, 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/2019/09/google-and-others-not-interested-in-electronic-patient-record-market/Google and others ‘not interested in electronic patient record market’Google Cloud’s executive advisor has reaffirmed that Google and other major tech companies are not interested in entering the electronic patient record (EPR) market.Owen ...
Source: Australian Health Information Technology - September 21, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

New Zealand Confirms It Does Not See A National Centralised Electronic Health Record As A Sensible Way Forward.
This appeared late last week:nHIP approved by Cabinet13 September, 2019   eHealthNews.nz editor Rebecca McBethThe high-level business case for the national Health Information Platform has been approved by Cabinet.The Ministry of Health is now developing a detailed business case that is due to go back to Cabinet early next year.The nHIP is founded on the notion of interoperability and replaces the idea of developing a single Electronic Health Record.  “It will have the ability to assemble a virtual electronic record on an “as required” basis from multiple trusted sources, and provide access ...
Source: Australian Health Information Technology - September 20, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

They Really Are Determined To Grab A Much Data As They Can About You And Exploit It To Within An Inch Of Its Life.
This appeared last week:Australian government's data sharing principles far from agreed uponGetting your consent before sharing your personal data between agencies is still "an area of debate", so why is the government planning to go ahead without consent?By Stilgherrian | September 10, 2019 -- 07:17 GMT (17:17 AEST) | Topic: Security "If we required consent, then data would only be shared where consent was given," writes the Australian government. So it plans to go ahead without your consent.Yes, this is the "nuanced" position on consent in the Australian government's Data Sharing and Re...
Source: Australian Health Information Technology - September 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.
September 19, 2019 Edition.-----As I type the Iranians seem to have attacked some major oil facilities in Saudi Arabia and we await the US response. I suspect Trump will not be happy! Otherwise US foreign policy is now in the hands of one man so we have to wait and see what he decides to suggest Trump does and to see what other changes now happen over all the other issues – North Korea, Middle East etc. As of Thursday we still don't know what the Trump will do in response...The Brexit fiasco drags on…too confusing for words and now totally unpredictable. The UK Supreme Court presently is considering what was l...
Source: Australian Health Information Technology - September 19, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Seems We Were All Conned Regarding What The NBN Would Deliver!
This appeared last week.The NBN predictions made in a 2013 report that did not happenRemember when we were told we ’d save $3800 a year by 2020 thanks to the NBN? Things didn’t quite work out the way a 2013 report expected.Charis Chang @CharisChang2news.com.au September 13, 20193:28pmBack in 2013 when Australians were grappling with whether to support the huge investment in the National Broadband Network, th e deal was sweetened by the promise of $3800 a year in benefits.A Deloitte Access Economics report, commissioned by the government and released ahead of the federal election, estimated Australian households...
Source: Australian Health Information Technology - September 18, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

I Really Do Worry About The Na ïve Optimism We See From Some Regarding Digital Health.
In this study, we used the Australian health care system as a model. We reviewed the current landscape of digital health in Australia and discussed how electronic medical records (EMRs) can be further developed into a personalized, integrated health care... 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 - September 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 - September 17, 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!-----https://www.thetimes.co.uk/magazine/the-times-magazine/deepmind-artificial-intelligence-and-the-future-of-the-nhs-r8c28v3j6DeepMind, artificial intelligence and the future of the NHSHealth experts believe artificial intelligence c...
Source: Australian Health Information Technology - September 17, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Australian Health IT Links – 16th September, 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 news of the week is the release from the ADHA that all is pretty much solved in the Secure Clinical Messaging space and that nirvana is just around the corner. Can I suggest that claim seems to be total rubbish and that the 15+ year journey we have all been on has a way to run. I suggest you read closely and make up your o...
Source: Australian Health Information Technology - September 16, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

AusHealthIT Poll Number 492 – Results – 15th September, 2019.
Here are the results of the poll.Is The Government Collection And Use Without Consent Of Citizen's Personal Private Information Going Too Far In Recent Times?Yes 97% (119) No 2% (3) I Have No Idea 1% (1) Total votes: 123 Well that was pretty clear. The Government is taking the view they can just forge ahead collecting private information and would seem to have got ahead of public opinion and comfort! Any insights on the poll welcome as a comment, as usual. A v ery reasonable turn out of votes. It must have been a very, very easy question as only 1/123 readers were not sure what to respond. Again, many, many than...
Source: Australian Health Information Technology - September 15, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

We Are Seeing Yet More Smoke And Mirrors From The ADHA - This Time About Secure Messaging.
This appeared last week from the ADHA.Media release - Helping healthcare providers to share informationCreated on Monday, 9 September 20199 September 2019: Collaboration to develop enhanced secure messaging functionality will ensure healthcare providers can communicate quickly, easily and securely to provide safer and more efficient care.Eliminating paper-based messaging in healthcare is a priority of the National Digital Health Strategy. The Agency has been working with the software industry and healthcare providers to develop standards to improve the secure exchange of healthcare information. Following the successful tri...
Source: Australian Health Information Technology - September 15, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Weekly Overseas Health IT Links – 14 September, 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/2019/09/andy-kinnear-looks-back-at-his-time-at-bcs-health-and-care/Andy Kinnear looks back at his time at BCS Health and CareAfter three years as chair of BCS Health and Care, Andy Kinnear reflects on his time trying to create the infrastructure for the professionalisation of health informatics, while looking towards the challenges t...
Source: Australian Health Information Technology - September 14, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

ACT Health Has A Strategic Vision For Digital Health That Sadly Is So Risky And Complex One Wonders Do They Really Know What They Are Attempting.
This appeared at the APO Portal a few days ago.Digital health strategy 2019 –202930 May 2019Health Directorate (ACT)Government of the Australian Capital TerritoryThe Digital Health Strategy presents a vision and direction to guide future activities and investments in technology across the Territory. It outlines the direction for the ACT public health system in building th e digital capabilities needed to support a sustainable, innovative and world-class health system for the ACT. The strategy also sets principles to guide the design and development of digital health capabilities to support the delivery of safe and hi...
Source: Australian Health Information Technology - September 13, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Is This A Dutton Scare Campaign Or Should We Be Really Worried?
These ominous articles appeared last week.Dutton to warn of evolving cyber threat to transport and powerBen Packham ·         12:00AM September 6, 2019Power stations, transport systems and industrial plants are likely to be the target of a new and ­potentially deadly threat from cyber attacks­, forcing an overhaul of the nation’s cyber security strategy to repel state-sponsored hackers and criminals.A surge in the scale and severity of malicious cyber activity — including­ the “hack and release’’ of sensitive information intended to em...
Source: Australian Health Information Technology - September 12, 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.
September 12, 2019 Edition.-----It has been a rather quiet week or so with Trump – with the trade-war seemingly being cooling a little and causing the markets to rise a little. How long it will last who knows? The peace plans with the Taliban seem to have fallen to bits – we all wonder what come next. Additionally, in a shock move, Trump has fired the uber hawk John Bolton. Will be interesting to see what comes next!Brexit is not able to be predicted at this point as it is total chaos and who knows what is happening from hour to hour. No update as late as Thursday!Parliament is back this week and I am sure head...
Source: Australian Health Information Technology - September 12, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

It Seems The Government Might Have Detached Itself From Its Citizens On What Can Reasonably Be Done With Their Personal Data.
This appeared last week:Consent removed from Australia's proposed data-sharing legislationThe National Data Commissioner won't be able to prevent data from being shared, rather they are tasked with capabilities to 'encourage' data custodians and accredited users to 'safely and respectfully share personal information'.By Asha Barbaschow | September 3, 2019 -- 02:06 GMT (12:06 AEST) | Topic: Security The Australian government has released a discussion paper on Australia's Data Sharing and Release Legislative Reforms, tweaking what it proposed last year by removing a fundamental element of privacy -- consent.The paper [PDF] p...
Source: Australian Health Information Technology - September 11, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Sepsis Alerts Are Becoming Much More Common In EHRs Overseas. What Is Happening Here?
This appeared a few days ago.Guthrie to use AI-based system to help anticipate sepsis By Joseph Goedert September 06, 2019, 3:05 p.m. EDT A four-hospital health system will implement the POC Advisor clinical intelligence platform of Wolters Kluwer Health to aid in quicker detection and treatment of sepsis.Combatting sepsis is an ever-present challenge, says Terri Couts, vice president of Epic program applications at Guthrie, an integrated delivery system serving parts of Pennsylvania and New York. Based on feedback from providers, the organization sought a sepsis detection product with meaningful alerts that provide m...
Source: Australian Health Information Technology - September 11, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs