Monday, October 20, 2014

Weekly Australian Health IT Links – 20th October, 2014.

Here are a few I have come across the last week or so.
Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.

General Comment

Another quiet and pretty news less week. Lots of private sector activity but the Government is just a black hole with no light or information escaping!
Interesting to see Google Glass gradually becoming more mainstream. The impact of health is far from clear and we will only see what the outcome of the technology a good few years from now.

Epic Pharmacy injects $1.5 million into Flamingo for healthcare VRM software

Epic Pharmacy managing partner Cathie Reid to join Flamingo board
Adam Bender (Computerworld) on 14 October, 2014 13:48
Epic Pharmacy has invested $1.5 million in Flamingo, an Australian developer of vendor relationship management (VRM) software.
Under the agreement, Epic – which provides hospital, oncology and aged care pharmacy services – and Flamingo will co-create healthcare services for Australian consumers.
The cloud-based Flamingo software is meant to aid businesses in their retention efforts by connecting the business and customer in a “co-creation laboratory” in which customers can customise how they interact with the company, what they’re looking for in the product, and other elements of the customer service experience.

How social media is changing the healthcare landscape

There seems to be a significant growth of social media usage in the Australian healthcare industry.
In the past years we have seen surprisingly influential social media campaigns, like AHPRAaction, ScrapTheCap, InternCrisis, and very recently NoAdsPlease. These campaigns not only rally for better health care policies; they also signal a shift towards more transparency and accountability.
Characteristics of the social media campaigns are:
  • They spread quickly and generate a lot of media attention
  • The participants are very passionate about their cause
  • They are often supported by different groups including consumers
  • They may or may not be supported by professional organisations
  • They are very effective.

Victorian emergency services’ dispatch system upgraded in response to audit

Emergency Services Telecommunications Authority (ESTA) spends $13 million on computer aided dispatch (CAD)
Hamish Barwick (Computerworld) on 14 October, 2014 16:30
An audit of Victorian emergency response ICT systems by the Victorian Auditor-General’s Office (VAGO) has led to a $13 million upgrade of a computer aided dispatch (CAD) system and associated networks.
The upgrade was completed on 1 October, 2014 and is designed to improved network and CAD resilience. In addition, $15 million has been earmarked this year to upgrade the Emergency Services Telecommunications Authority (ETSA) telephony system for call-taking and dispatch.
An ESTA spokeswoman said that the CAD upgrades now mean that there is greater functionality for call-takers and dispatch staff, more robust technical infrastructure, improved disaster recovery and increased network redundancy across the network to make it more reliable.
15 October 2014

Australian manufacturers of medical devices given a level playing field

The Assistant Minister for Health, Fiona Nash, today confirmed that, under the Government’s Industry Innovation and Competitiveness Agenda, new regulations will be introduced to allow Australian manufacturers to obtain market approval for most medical devices using conformity assessment certification from European notified bodies.
“With these changes, Australian manufacturers can choose to either have conformity assessment conducted by the TGA or an alternative conformity assessment body, such as a European notified body," Minister Nash said.  
“This will cut red tape, provide more flexibility for local medical device manufacturers and, in many cases, enable devices to get to market more quickly, which will benefit the public.” 

National launch of vital signs 2014: the State of safety and quality in Australian health care

Professor Villis Marshall, Chair of the Australian Commission on Safety and Quality in Health Care, today released Vital Signs 2014: The State of Safety and Quality in Australian Health Care.
 Vital Signs 2014 provides an overview of a series of key topics in relation to the safety and quality of Australia’s health care system.
Professor Marshall said “Vital Signs 2014 is structured around three important questions that members of the public may ask about their health care. Will my care be safe? Will I get the right care? Will I be a partner in my care?”
Each question is considered in its own section using examples of key health issues in Australia, such as healthcare associated infections, dementia and delirium, and health literacy. These sections are followed by two case studies, which focus on the quality of care in some important clinical areas. These case studies present a detailed description and analysis of key quality issues that affect outcomes for patients.

Performance data caution

Sarah Colyer
Monday, 13 October, 2014
A SURVEY of senior US hospital managers has reinforced concerns about the worldwide trend to publish hospital performance outcomes on websites such as MyHospitals, with claims by the study participants that the measures used are meaningless.
The survey, published in JAMA Internal Medicine, obtained responses from chief medical officers and other leading executives at 380 US hospitals, who were asked about America’s Hospital Compare website. (1)
Hospital Compare is more detailed than Australia’s more recent MyHospitals site, and includes reports on “processes of care” measures such as the percentage of patients hospitalised for acute myocardial infarction treated with β-blockers, as well as condition-specific mortality and readmission rates, patient experience measures and cost and volume measures.

Orion Health still assessing demand for IPO

Orion Health, a hospital software provider in New Zealand, is still assessing investor demand for its much-anticipated initial public offering that may raise over $NZ100 million ($A90.2m) ahead of its November listing.
It is understood that Orion is meeting fund managers in New Zealand today, after having conducted a round of meetings with Australian fund managers earlier. Orion has not officially set a timeline for the IPO, although sources are expecting the company to list by the end of November.

Cloud solution delivers a clean bill of health

Jennifer Foreshew

HEALTHCARE provider Mercy Health found underinvestment in IT infrastructure had hurt performance and caused a lot of downtime.
The IT team spent inordinate amounts of time dealing with old hardware and software issues, instead of providing service and supporting new implementations and capabilities.
“The capacity of the IT department to engage more dynamically to accommodate the needs of the business was severely hampered,’’ Mercy Health chief information officer Dmitri Mirvis says.
“It became a no brainer for us that we should be going into the cloud for the data centre as a ­cost-effective and future-proof ­approach.’’
Mercy Health, which has 5500 employees, has 31 sites across NSW, Victoria, Western Australia and the ACT.

Pharmacy must take chances to broaden services: Sansom

15 October, 2014 Chris Brooker
The next community pharmacy agreement will provide a vital opportunity to integrate pharmacy into the primary care network and ensure its survival, eminent pharmacist Lloyd Sansom believes.   
Speaking at PAC14 in Canberra last Friday, Emeritus Professor Sansom, the chair of the Pharmaceutical Benefits Advisory Committee, said the political will exists in Australia to increase the scope of pharmacy practice, but the profession must not just expect this to happen as a matter of course.
“In many ways this agreement [6CPA] is more important than any of its predecessors because it provides the opportunity to look at innovative ways of finding additional sources of revenue, and new ways to practice,” he said.

Online symptom checker drawn up by doctors

13 October, 2014
Sponsored Content  Healthdirect Symptom Checker
A new online symptom checker, designed by doctors, will provide credible health information for the growing number of Australians who are to relying on the internet for medical advice.
Based on a program created by the National Health Service in the UK, the healthdirect Symptom Checker is a tool designed to help patients access accurate, safe and clinically validated information and advice about their symptoms, 24 hours a day, 7 days a week.
With approximately 60% of Australians turning to the internet to find answers about diseases and symptoms*, it’s clear that the web is now a key companion to health decision-making.

Updated: Conformance Profiles for Specialist Letter and Common Clinical Document

Created on Thursday, 16 October 2014
NEHTA has released an updated version of the PCEHR Conformance Profile for the Specialist Letter document type.
Specialist Letter documents can now also be generated for the following three usage scenarios:
  • Specialist letters sent that are not in response to a clinician's referral (self-referral)
  • Specialist letters sent to referrers without a known HPI-I or HPI-O
  • Specialist letters containing recommendations for addressees without a known HPI-I or HPI-O.
The Specialist Letter – PCEHR Conformance Profile has been updated to allow for these additional usage scenarios. The Specialist Letter template packages have been adjusted to reflect these changed requirements.

New features and new look for MedicalDirector Clinical and PracSoft Summer release

MedicalDirector is excited to be bringing medical practices a list of fresh functionality and features in our upcoming MedicalDirector Clinical and PracSoft Summer release. We have also have taken the opportunity to refresh the entire business to reflect these changes!
“Bringing our customers solutions that work for them is our priority,” says CEO Phil Offer. “The new release features have been prioritised based on an extensive process to gather customer feedback”, he said.

First reported case of Google Glass internet addiction disorder

Date October 16, 2014 - 10:37AM

Stan Schroeder

When a 31-year-old man receiving treatment for alcoholism was required to remove his Google Glass while completing rehab, he reportedly started to feel frustrated and irritable without the device. He had been wearing Glass for up to 18 hours a day, only taking it off when he slept and bathed.
According to the journal Addictive Behaviors, this was the first case of internet addiction disorder (IAD) involving the use of Google Glass.
"The withdrawal from this is much worse than the withdrawal I went through from alcohol," the journal quotes the man as saying, noting several Behaviours seemingly tied to the man's addiction to Glass, such as dreaming as though he were looking through it. "He would experience the dream through a small gray window," the journal stated.

Doctor Google will see you now: search giant tests live medical advice

Date October 14, 2014 - 10:35AM

Stan Schroeder

It seems Google is trying to bring an end to all the fake "diagnoses" resulting from folks searching for their symptoms and arriving at the wrong conclusions — or at least alleviate the problem.
An image posted to Reddit shows a Google search for knee pain, and an option for the user to video chat with a doctor about their symptoms.
The company has now confirmed to several outlets that it's a new feature Google is trying out. A spokesperson told Gizmodo, "When you're searching for basic health information ... our goal is provide you with the most helpful information available. We're trying this new feature to see if it's useful to people."

$27 a month: Turnbull sets out rules to counter TPG FTTB threat to NBN

Communications minister outlines new rules that would force telcos to open up their superfast broadband network to competing retail service providers
Rohan Pearce (Computerworld) on 15 October, 2014 11:35
Communications minister Malcolm Turnbull has published the draft licence condition for telcos that want to roll out infrastructure that competes with the National Broadband Network.
The licence condition, which will require carriers to offer access to their network to retail service providers for $27 per month per port, was drawn up in the wake of a finding by the Australian Competition and Consumer Commission that TPG had not violated 'anti-cherry-picking' rules with its rollout of fibre-to-the-basement (FTTB) services.
The new licence condition would apply to so-called superfast broadband services — that is, those with a download speed of 25Mbps or faster — delivered to residential customers.

Can HFC be NBN Co's saviour?

NBN Co boss Bill Morrow’s decision to create a separate HFC division was always on the cards. And, as far as connecting Australians to the National Broadband Network (NBN) is concerned, the move can’t come soon enough.
While hiving off the hybrid fibre-coaxial (HFC) network as a separate unit can be interpreted as the first step in a very long journey of splitting up NBN Co, Bill Morrow and his team and have more pressing concerns at the moment.
You have to build the NBN first before you can start thinking about ripping it apart.
The recruitment in July of Dennis Steiger, who brings substantial experience in the HFC space, was an early indication of the sort of role he was destined to play in the new NBN Co regime.

Why Commodity Hardware Isn't Always The Right Choice

October 15, 2014
Most server rollouts are built on commodity hardware: using standard Intel-based systems running general-purpose stacks, which offer the promise of being able to easily switch between providers. That model isn’t disappearing, but in some contexts engineered systems — platforms which have a much tighter integration between hardware, server and application layers — can be more helpful.
The topic of engineered systems was front and centre during an Oracle media briefing in Sydney yesterday (which we’ve already covered in a discussion of developing for Google Glass). Oracle’s regional director for Fusion Middleware Damien Parkes noted that according to Gartner, engineered and integrated systems are currently a $US6 billion a year market. In 2015, Gartner predicts 35 per cent of total server sales will come from this category.
Obviously, Oracle has a vested interest in promoting engineered systems: it will make more money if it can sell its customers both hardware and software. But that doesn’t mean that the benefits aren’t real for some users.
eHealth for NSW, which provides manages IT platforms for health services across the state, is looking to engineered systems to provide further performance improvements on its systems. It has almost completed a massive upgrade to its core payroll systems. That project took three years and covered 140,000 staff. “With that consolidation and the push to move everything to an online presence, we’re seeing the uptake of our platform grow rapidly,” Farhoud Salimi, corporate IT director for eHealth For NSW, told the briefing.

Quantum teams claim world records

John Ross

THE University of NSW is claiming world records in the nascent field of quantum computing, after two teams implanted exceptionally accurate quantum “bits” — the processing units of the theoretical computers — into silicon.
The breakthroughs could help make the super powerful computers a reality in as little as five years. “Until you’re able to show that you’ve got bits that keep their memory without losing it in a flash, you’re not really in the game,” said UNSW physicist Andrew Dzurak, co-author of two papers published this morning in the journal Nature Nanotechnology.
“Now we know how to make incredibly good ones — the best in any solid state system, in terms of accuracy. Now’s the time to work with industry to try and get these (computers) built.”

My computer almost carked it

Date October 16, 2014

The Venture

Tony Featherstone is a specialist writer on small companies and entrepreneurs

The unthinkable happened to my business: a vicious virus almost killed my main computer. Not just one virus, but 43 simultaneously wreaking havoc.
When I woke early to print a boarding pass, the computer screen was purple. No software icons, log-ins or files. Just purple. Several reboots later, a screen appeared saying Windows had not reloaded properly and another restart was needed. Half asleep, I hit okay – only to restart the virus and help it spread. 
Rushing to the airport, I wondered if the computer could be saved, how much work was lost, and which clients needed the “dog-ate-my-homework” excuse. I guessed the worst-case scenario was a week of lost work, given the previous back-up.

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