Tuesday, September 19, 2017

I Wonder Where The Truth Lies In All This - It Is Not Clear To Me.

Tim Kelsey gave a prepared opening statement to the Senate Enquiry on The Medicare Data Breach on Friday afternoon.
Here is the transcript:
Finance and Public Administration References Committee - 15/09/2017
Protection of personal Medicare information
Mr Kelsey: If I could, first of all, thank the committee for giving us an opportunity to explain the security protocols for My Health Record, in particular, and note that we're here really just to consider item C in the terms of reference:
c. the implications of this breach for the roll out of the opt-out My Health Record system;
The Australian Digital Health Agency was established in July 2016 by all the governments of Australia, and, as I mentioned, is responsible not only for the system operations of the My Health Record but also for the implementation of the National Digital Health Strategy, which was agreed by the governments of Australia in August. If I can initially say that there has been no security breach of the My Health Record and that there is no direct or technical connection between the HPOS system and the record system. There has in fact never been a security breach of the My Health Record system in its five years of operation, with the system currently containing over five million records. At the moment we have on a voluntary basis 5.1 million Australians who have registered to have a My Health Record.
I'm responsible as chief executive officer of the agency for the day-to-day operation of the system, including ensuring that all our legislative requirements are met. In May this year the federal government of Australia announced its commitment for continued and improved operation of the My Health Record system. Significantly, the announcement included a transition to an opt-out model by the end of 2018. This followed unanimous support at the COAG for a national rollout with a My Health Record to be created for every Australian unless they tell us they don't want one.
The transition to opt out will bring forward benefits many years sooner than the current opt-in arrangements. It's the fastest way to realise the significant health and economic benefits of My Health Record through, for example, reduced hospital admissions, reductions in adverse drug events, reduced duplication of diagnostic tests, better coordination of care for people seeing multiple healthcare providers and, of course, more control in the hands of the patient and the citizen of their health and wellbeing.
I believe there has been a conflation of issues surrounding the incident which is the subject of today's hearing and the security of My Health Record. I would like to just address some of that commentary by briefly outlining the security features of My Health Record, if that would be helpful to the committee. First of all—we can discuss this in more detail—we operate to the very highest levels of security, as you can imagine, in terms of cyberprotection. My colleague, Mr Kitzelmann, can detail shortly more about the actual protocols we operate to, but we'll perhaps come back to that. What I wanted to dwell on is the way in which the My Health Record system actually operates if you are a healthcare practitioner and to reassure members of the committee that there is a very rigorous process of protection against unauthorised access into the My Health Record in the way the process, the standard, is designed.
In summary, firstly, in order to access a My Health Record, a healthcare provider needs significantly more information than just the Medicare number. In fact, they would need at least five items of personal information in addition to the Medicare number to be able to access a My Health Record. Secondly, a healthcare provider accessing My Health Record has to have a unique identifier for themselves and also be uniquely attributed to an organisation that they are working for in health care. Thirdly, they need to access the record through what's called conformance software. This is software which we accredit at the Australian Digital Health Agency and which performs a number of checks on the identity and authentication of an individual, a patient, as well as on their healthcare provider, before they are able to access a My Health Record. Fourthly, currently, of course, all people who are registered for a My Health Record have volunteered to do so; they have provided their consent to make medical information where appropriate available to a clinical practitioner who is treating them. There are access controls under the My Health Records Act 2012 which individuals have the right to exercise. These are an important set of protections which allow an individual citizen to, for example, mask a particular clinical document from view, should they choose to; put a PIN number on their entire record and can decide whether or not a particular clinician has access to it; and also, in collaboration with their practitioner, elect not to have a document uploaded into My Health Record. Those, in broad terms, are the protections which mean that a Medicare number on its own cannot suffice for access to the My Health Record and, more importantly, that Australia really is setting a standard globally in providing patients with very important rights to control access to their confidential medical information. I will leave it there by way of introduction, if that's okay. Thank you.
----- End Extract.
The link is here:
See especially the bolded text.
This is to be contrasted with this:
Here we discover (about ½ way down the full report) the following:

Details of mandatory data breach notifications relating to the My Health Record system

Mandatory data breach notifications received during the reporting period

The OAIC received two mandatory data breach notifications from the System Operator during the reporting period, in September 2016 and December 2016. It involved the unauthorised access of a healthcare recipient’s My Health Record by a third party. The review of these notifications was ongoing as at 31 December 2016.
The OAIC also received eighteen mandatory data breach notifications from DHS during the reporting period.
  • Eleven notifications resulted from findings under the Medicare compliance program that certain Medicare claims in the name of a healthcare recipient but not made by that healthcare recipient were uploaded to their My Health Record. These notifications totalled 92 breaches, each of which affected a separate healthcare recipient. Seven of these data breach notifications have been closed, totalling 67 breaches, and the review of the other four notifications, totalling 25 breaches, was ongoing as at 31 December 2016.
  • A further seven notifications, affecting fourteen healthcare recipients, eight with a My Health Record and six without, relate to healthcare recipients with similar demographic information having their Medicare records intertwined. As a result, Medicare claims belonging to another healthcare recipient were made available in the My Health Record of the record owner. Review of these notifications was ongoing as at 31 December 2016.

Mandatory data breach notifications closed during the reporting period

The OAIC completed its enquiries into ten data breach notifications received from DHS between April 2016 and October 2016. These data breach notifications relate to the findings under the Medicare compliance program discussed above.
The OAIC requested further information from DHS regarding the data breaches. Following consideration of the additional material and response provided by DHS, the OAIC considers that DHS has acted appropriately in assessing those incidents, sought to cancel the relevant My Health Records and sought to contact affected individuals.

Mandatory Data breach notifications received in previous reporting periods and still open

Two of the data breach notifications received by the OAIC prior to 1 July 2016 were still open at 31 December 2016. These data breach notifications relate to intertwined Medicare records and affected four healthcare recipients and two My Health Records.
----- End Extract.
So are there any breaches or not?
Hard to say….
Comments welcome!

Monday, September 18, 2017

Weekly Australian Health IT Links – 18th September, 2017.

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

General Comment

A really interesting week with a major step for patient information sharing between a GP practice and a patient.
Elsewhere we have the ongoing consequences of various leaks and stuff-ups with the DHS etc.

Your GP Medical Records in your hands

News / 9 June 2017
MediTracker connects your GP medial record held at this practice to your mobile device.
After hours, in an emergency, or even on holidays, MediTracker makes you and the people you care about safer.
Download the MediTracker app now for an annual fee of $5.99. Please visit meditracker.com.au for further information.
  • Updated Sep 11 2017 at 1:47 PM

Trying to prove it's nimble and smart, Telstra stumbles

Under chief executive David Thodey, Telstra thought electronic health services could help turn itself from a bureaucratic ex-monopoly into a smart and nimble software provider.
Instead, Telstra's start-up health division suffered many of the problems of its parent: infighting, slow decision making and gold-plated spending.
Four years after getting a dynamic CEO, Telstra Health loses money, is trying to coordinate more than a dozen businesses with different cultures, objectives and tech systems, and was forced to write off $77 million from an acquisition binge that made some entrepreneurs rich and cost Telstra shareholders $240 million.
Telstra's failure to create a business that pays its way, at least in the short term, is an example of a problem facing the broader economy: many large Australian companies have a weak record of building new businesses, leading to pressure to divert profits into dividends, which some economists say is holding the economy back.

Who owns your personal, private information? (Hint: not you)

Nicholas Stuart
Published: September 13 2017 - 12:15AM
Wow! Facial recognition – what a blast! At 3am Wednesday, we'll discover – officially – that Apple's new iPhone will recognise its owner and automatically unlock itself at a glance.
Put this way, it sounds terrific, just like an adorable pet that always comes whenever it's called. Naturally, Apple expects users to happily hand over their facial specifications. After all, it's so much easier than a fingerprint.
Put this way, the change appears incremental – just one more step into a wonderful, connected future. In many ways, that's all it is – as long as the user is in control.

NSW Health prepares to launch innovation portal

By Justin Hendry on Sep 14, 2017 6:45AM

Details nine challenges.

NSW Health will shortly invite industry to tackle some of its biggest clinical and business challenges using a new channel to pitch innovative solutions.
The department is preparing to create an innovation portal that provides a space to share challenges where it considers there to be fertile ground for lateral thinking and innovation from its industry and academic partners.
“The idea really is to articulate to the industry the issues that are the most pertinent and most significant for NSW Health at this point in time,” chief executive and CIO of eHealth NSW Zoran Bolevich told an AIIA forum in Sydney yesterday.

Victorian hospitals to trial ‘anti-hacking’ devices

Government funds pilot of Cyber-Nexus ‘anti-hacking’ devices
Rohan Pearce (Computerworld)
Victoria’s Western Health will trial 400 Cyber-Nexus ‘anti-hacking’ devices at its hospitals, as part of what the state government said will be a world-first pilot.
Western Health manages Footscray Hospital, Sunshine Hospital, Williamstown Hospital and Sunbury Day Hospital, as well as a number of community-based health services.
The Cyber-Nexus is developed by Israeli company Bio-Nexus and is designed to securely connect medical equipment to hospital networks. Bio-Nexus says the device can reduce the risk posed by medical systems that rely on out-of-date software or unencrypted communication.

World-first cybersecurity trial to safeguard medical devices from hackers to take place in Victoria

Lynne Minion | 14 Sep 2017
A cutting-edge cybersecurity device designed to protect medical equipment from being controlled or knocked offline by hackers will be trialled in Victoria in a world-first pilot.
Melbourne’s Western Health will connect 400 of the Cyber-Nexus anti-hacking gadgets developed by Israeli firm Bio-Nexus to vulnerable medical devices to protect the IT infrastructure from infiltration and safeguard patient safety.
The six-month trial will secure medical equipment such as heart rate monitors and intravenous pumps, the state’s Minister for Health Jill Hennessy said.

Breast implants and lymphoma: data registry vital

Authored by Nicole MacKee
SURGEONS and breast device manufacturers are being urged to provide data to the Australian Breast Device Registry, in light of growing evidence of a causal link between some breast implants and a rare type of lymphoma.
Writing in the MJA, experts have called on the Australian Society of Plastic Surgeons, the Australasian College of Cosmetic Surgery and Breast Surgeons of Australia and New Zealand to require their members to provide data to the registry as a condition of membership.
The call comes after the Therapeutic Goods Administration (TGA) was the first regulatory authority in the world to confirm the likelihood of a causal link between breast implants and breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) in December of 2016. The TGA confirmed that 53 cases of BIA-ALCL had occurred in Australia between 2007 and 2017, including three deaths in Australia and one in New Zealand. The cases occurred 3–14 years after implantation, with a median interval of 8 years.

6 problems with that new specialist fee-disclosure website

12 September 2017


The site is well-intentioned but more misleading than helpful, argues urological surgeon Dr Henry Woo.​
GP Dr Richard Zhu is reported to be on a mission to “expose” the out of pocket expenses associated with initial consultations to see specialists in Australia.  He has created a website called SeekMedi in his “battle for greater fee transparency”.
His creation of this “one-person army” is with good intent but in its current form is more misleading than helpful. If the website is about transparency, then it needs to practice what is preached. My concerns are as follows:
1. The website should state its funding (even though we know from news reports that he personally funds it) and as to how the data is collected.  We also know from media reports that he personally telephones specialist practices and following discussions with their secretaries will record the cost of initial consultations into an Excel spreadsheet - this methodology should be also be recorded for transparency.

Why my website listing specialist fees is a win for patients and doctors

12 September 2017


Sydney GP Dr Richard Zhu's fee-disclosure website has caused quite a stir. Here's his side of things.
Seekmedi.com has been created to make life easier for the public, patients and especially my hardworking, underpaid GP colleagues.
The reason I created Seekmedi.com is simple: patients, and ultimately the general public, wish to see transparency around specialist fees. 
There is no freedom of choice if the price of a service is unknown and, more importantly, without anything to compare it with. 

Doctors call for Medicare rebates for telehealth and pathology testing in general practices

Lynne Minion | 15 Sep 2017
GPs are expanding their services into pathology testing and telehealth consultations, with the RACGP calling for Medicare to subsidise the new tech approaches or Australian healthcare will linger in the “dark ages”.

In a submission to the Medicare Benefits Schedule Review Taskforce, the RACGP has called for the funding of telehealth consultations conducted by doctors both in and outside of consulting rooms, and at residential aged care facilities. Point of care testing should also be added to the MBS to provide rebates for pathology services conducted at general practices, including tests on blood, urine, faeces and sperm.
“As the world modernises, failure to make changes such as those suggested in our submission will leave Australia’s health system in the dark ages,” RACGP President Dr Bastian Seidel told Healthcare IT News Australia.

6,000 extra high need home care packages and $20 million My Aged Care revamp

The Australian Government has announced major initiatives in home care services and improved access to the My Aged Care system, as it releases the report of the Legislated Review of Aged Care 2017.
Page last updated: 14 September 2017

Joint Media Release

The Hon. Greg Hunt MP
Minister for Health
Minister for Sport

The Hon. Ken Wyatt AM, MP
Minister for Aged Care
Minister for Indigenous Health

14 September 2017
The Turnbull Government has announced major initiatives in home care services and improved access to the My Aged Care system, as it releases the report of the Legislated Review of Aged Care 2017.
An additional 6,000 home care packages will be made available to support more older Australians with higher care needs to remain living in the comfort of their own homes.
At the same time, support for aged care consumers will be streamlined through a $20 million investment in the My Aged Care information system, to improve public access, especially for rural, regional and remote clients.

Doctor warns Govt: Don’t ‘Get Smart’ against Medicare Machine

Medical practitioner groups fear "disproportionate" government response to scandal
George Nott (Computerworld) 15 September, 2017 13:35
A doctor has warned against health systems becoming like the ‘Cone of Silence’ from ’60s spy comedy series Get Smart, as the government considers its response to the darkweb marketplace ‘Medicare Machine’ scandal.
Dr Rob Hosking, representing the Royal Australian College of General Practitioners, told a senate committee hearing today that information security at clinics was adequate, and that too much security could reduce the efficiency of systems like My Health Record.
“We are concerned that this breach will lead to the imposition of tighter security practices by the government which will reduce the day to day functionality required to run an efficient health system,” Hosking told the Senate Finance and Public Administration References Committee this morning.

Medicare details sold on darknet not obtained by hacking but from ‘legitimate channel’

Details from Medicare offered on auction site came from a ‘bad person doing a bad thing’, Senate inquiry hears
Medicare details sold on the darknet were not obtained through hacking but by a “bad person doing a bad thing from a legitimate channel,” a Senate inquiry has heard.
Guardian Australia revealed in July that Medicare card details were offered for sale on a darknet auction site and that the vendor, provided with a journalist’s name and date of birth, was able to produce the requested Medicare number for a fee of 0.0089 bitcoin, or US$22.
Another journalist at SBS repeated the experiment.

Doctors urge restraint over dark web saga

The federal government is being urged not to overreact to the sale of Medicare numbers on the dark web.
Source: AAP
Doctors are urging the federal government not to overreact to the sale of personal Medicare details on the dark web.
Australian Medical Association vice president Tony Bartone has warned a Senate inquiry into the breach against responding by imposing "unnecessary administrative barriers" to the detriment of patients.
"The AMA wants to ensure any response from the government to safeguard information is proportional to the risk and does not increase the administrative burden on practitioners or practices," Dr Bartone told senators on Friday.

Up to 165 Medicare numbers affected by dark web scam

  • The Australian
  • 8:03PM September 15, 2017

Rachel Baxendale

As many as 165 people may have had their Medicare number obtained by people selling the information on the “dark web”.
The Department of Human Services told a Senate inquiry this afternoon it had contacted 165 people “who might conceivably have been affected” after a journalist revealed in July that he had been able to buy his own Medicare number online for $30.
DHS deputy secretary Caroline Edwards said the records of those contacted had been carefully checked and there was no evidence of any inappropriate Medicare claiming activity.

AI implementations creating new jobs and more sales: report

New digital transformation AI research shows that “four out of five companies implementing AI have created new jobs as a result of AI technology".
Consulting, tech and outsourcing gurus Capgemini have released the findings of its “Turning AI into concrete value: the successful implementers’ toolkit”, which shows that organisations deploying artificial intelligence are creating jobs and increasing sales.
The detailed, 28-page report, which can be freely downloaded here, is a “study of nearly 1000 organisations with revenues of more than $500 million that are implementing artificial intelligence, either as a pilot or at scale".
  • Updated Sep 11 2017 at 11:00 AM

Genome.One looks to expand genome sequencing to GP clinics

More Australians will soon be able to afford to have their genome mapped, thanks to a plan by health information company Genome.One to make its service available at specialised GP clinics across the country.
Genome sequencing identifies and maps all of a person's genes and is thought to help identify future health problems, meaning healthcare can focus more on preventing disease, rather than treating it.
However, the cost of the procedure is about $6400, meaning it is only really available to the wealthy, except when a pre-exisiting medical condition requires it.

20,000 people sent Centrelink 'robo-debt' notices found to owe less or nothing

Tom McIlroy
Published: September 13 2017 - 10:45AM
The Turnbull government has admitted it issued robo-debt recovery notices to 20,000 welfare recipients who were later found to owe less or even nothing.
Documents tabled in Parliament by Human Services Minister Alan Tudge showed the use of automated data matching processes by Centrelink and the Department of Human Services resulted in 19,980 debt notices being issued, all of which were either reduced or rescinded.
Data to March 31 showed a total of 12,524 people had their robo-debt demands reduced to a smaller amount, while a further 7456 people were found to have no legitimate debt.

Centrelink corrected 20,000 robo-debt notices by March: Labor

The Department of Human Services had already been forced to correct almost 20,000 notices issued under Centrelink's automated debt-recovery system robo-debt by March, Australia's Labor party has claimed.
By Corinne Reichert | September 12, 2017 -- 08:02 GMT (18:02 AEST) | Topic: Enterprise Software
According to Australia's Labor party, it has received written confirmation from Minister of Human Services Alan Tudge that the Centrelink robo-debt fiasco had resulted in approximately 19,980 incorrectly calculated debts as of the end of March.
Centrelink's automated debt recovery system, dubbed "robo-debt", had erroneously sent letters demanding repayment from welfare recipients using an automated income averaging data-matching tool.
"In an answer to a question in writing filed by Labor MP Steve Georganas, the minister for Human Services revealed that as at 31 March, 20,000 income support recipients who had been contacted as part of the failed robo-debt debacle had their debts corrected or quashed altogether," Shadow Minister for Human Services Linda Burney and Georganas said in a joint statement on Tuesday afternoon.

Using the data revolution to agitate for health policy

Editor: Dr Ruth Armstrong Author: Alan Lopez on: September 15, 2017 In: global health, health inequalities, public health, rural and remote health
A themed edition of The Lancet, published today, marks the 20th anniversary of the Global Burden of Disease (GBD) study, and presents the findings for 2016.
Over the years, you will have seen much of the output of this study, which is the world’s largest scientific collaboration on population health, currently including data from more than 130 countries and territories.
The study tracks life expectancy and mortality, causes of death, overall disease burden, years lived with disability and risk factors that lead to health loss, allowing global and national health bodies to focus their efforts in the right directions.
But it can’t track data that is not collected.

Medical technology investment to improve lives

The Australian Government will fund three medical breakthroughs to help people with severe disabilities walk again and support thousands of Australians facing crippling chronic back pain.
Page last updated: 11 September 2017

Joint Media Release

The Hon. Greg Hunt MP
Minister for Health
Minister for Sport

Senator the Hon. Arthur Sinodinos
Minister for Industry, Innovation and Science

11 September 2017
The Turnbull Government will fund three medical breakthroughs to help people with severe disabilities walk again and support thousands of Australians facing crippling chronic back pain.
A total of $13.3 million will be invested into high potential Australian innovations from the $500 million Biomedical Translation Fund (BTF) – a key initiative of the Turnbull Government’s National Innovation and Science Agenda.
BTF fund manager, BioScience Managers, will invest:
    • $5 million in Rex Bionics to develop a hands-free robotic device to help people with severe disability to walk, exercise and rehabilitate;
    • $3.3 million to Saluda Medical for neuromodulation technologies for people suffering from chronic back pain and other debilitating conditions;
    • $5 million to CHARM Informatics for data aggregation and commercialisation services for makers of ‘smart’ medical devices.

Australian government invests AU$13m in medical technologies

The government is investing AU$13.3 million into three companies building solutions for people living with disabilities and chronic back pain.
By Tas Bindi | September 11, 2017 -- 02:41 GMT (12:41 AEST) | Topic: Innovation
The Australian government has announced that it is investing AU$13.3 million into medical technologies to help people living with severe mobility issues and chronic back pain.
The AU$500 million Biomedical Translation Fund (BTF) will invest AU$5 million into Rex Bionics for the development of a hands-free robotic device to assist in rehabilitation; AU$5 million into Charm Informatics for data aggregation and commercialisation services for smart medical device manufacturers; and AU$3.3 million into Saluda Medical for the development of neuromodulation technologies to help sufferers of chronic back pain.
Health Minister Greg Hunt said funds from the BTF -- a co-investment venture capital program in which government dollars are matched by private equity -- provides a bridge between the lab and patients.

MAESTrO Database healthcare IT secures agreement with Russia

  • Written by Fleur Townley
CEO of MAESTrO Database, Michael Wonder, has today announced that the ROSMEDEX, the HTA agency of the Russian Government’s Department of Health, has signed a ground-breaking subscription agreement for access to the world-leading MAESTrO Database.
“We are really excited to have the ROSMEDEX on board with MAESTrO. It demonstrates that they’re committed to making progress in the field of healthcare and that they can see the enormous benefits our database provides in streamlining the process of bringing new healthcare technologies and treatments to the market,” says Mr Wonder.
One of the largest databases of its kind globally, MAESTrO is the world’s most trusted source of information on regulatory and reimbursement information for new healthcare technologies. The database takes all of the data currently available and converts it into a user-friendly, searchable application, which can be configured to filter entries across multiple fields and develop outcome metrics.

Australian regulator fast-tracking upcoming 5G auction at super-high frequency

Lucy Battersby
Published: September 11 2017 - 8:06PM
 Australia might be getting access to 5G data speeds sooner than expected with the communications regulator fast-tracking preparations to auction the necessary spectrum off to mobile network operators.
Speeding up the long process may bring forward revenue for the government, but also the capital expenditure costs for mobile network operators like Telstra, Optus, Vodafone and TPG.
Spectrum auctions have reaped at least $3.5 billion since 2013, including world-record prices spent on lower frequencies, which are more valuable to Australian operators because they carry signals further and with better penetration.

The experts agree, Turnbull’s NBN is ‘a national tragedy’

The disastrous rollout of Australia’s NBN is a national tragedy, according to new research by one of the country’s most respected engineers.
Professor Rodney Tucker, of Melbourne University, argues that Prime Minister Malcolm Turnbull’s fateful decision as Communications Minister to opt for Fibre to the Node (FTTN), has been an extremely costly disaster.
While the rest of the world is opting for Fibre to the Premises (FTTP), Australia is embracing an obsolete technology.

Cassini’s final quest: solve the mysteries of Saturn’s rings

Cassini: 20-Year Saturn Mission Nears Grand Finale

After 20 years in space, a vintage probe called Cassini is entering its last waltz with Saturn with a series of rhythmical manoeuvres to explore one of the most dazzling planetary features in the cosmos — Saturn’s vast icy rings.
The NASA spacecraft has been swooping back and forth at 123,000 kilometres an hour through the narrow gap between Saturn’s rings and the planet’s cloudy surface before making a suicide plunge into Saturn’s atmosphere on September 15.
Mission managers programmed Cassini’s destruction to avoid contaminating any of Saturn’s moons that might be hospitable to life.

Sunday, September 17, 2017

The Game Has Now Changed And It Is Now Clear That The MyHealth Record is Rapidly Becoming Obsolete.

The following very important announcement appeared last week:

Epic unveils interoperability tool for patients

The EHR vendor says Share Everywhere is designed to empower MyChart users to allow clinicians to view medical records.
September 14, 2017 01:39 PM
Epic Systems introduced its Share Everywhere feature, which enables patients to grant doctors and caregivers access to their data.
Not to be confused with the EHR vendor’s Care Everywhere, which enables health information sharing between providers, Epic’s Share Everywhere gives patients more control over the data sharing process. 
Here’s how it works. A patient already using Epic’s MyChart patient portal can tap into the Share Everywhere feature to generate a one-time access code that the patient would verbally tell the doctor, according to an Epic spokesperson. 
The clinician, in turn, would take that code to a Share Everywhere website and verify it against the patient’s date of birth. 
“In addition to having a view of the patient's record, the doctor would be able to enter a progress note regarding the visit, which would be sent back to the patient's home provider,” the spokesperson said.
Because the patient determines exactly who gets that access, Epic said their privacy is protected. 
John Halamka, MD, CIO of Beth Israel Deaconess Medical Center, which said this year that is merging with Epic customer Lahey Health, said Share Everywhere supports two types of interoperability that hospitals need.   
“Interoperability needs to have two approaches: caregiver to caregiver, if that’s what the patient wants, caregiver to patient to caregiver, for those who want to be stewards of their own data,” Halamka said. 
More here:
There was also coverage here:

Health IT Expert Tripathi Digs Deep on Impact of Epic’s Share Everywhere Release

September 15, 2017
by Rajiv Leventhal
Micky Tripathi feels that patients driving the innovation is the important takeaway from the big Epic news this week
Earlier this week, when Epic Systems Corporation, the Verona, Wis.-based electronic health record (EHR) vendor—a health IT giant company whose platform some 190 million patients have an electronic record on—announced its latest technology upgrade that will allow patients to grant access to their data to any provider they want, there seemed to be an overall sense of optimism amongst industry observers in terms of what this means for interoperability growth.
Micky Tripathi, Ph.D., president and CEO of the Massachusetts eHealth Collaborative, is perhaps as well-connected as anyone when it comes to health information exchange (HIE) and interoperability. Tripathi sits on the board of directors of The Sequoia Project (of which the Carequality interoperability framework is part of) and also does project management work for the CommonWell Health Alliance, which operates a health data sharing network of its own. Tripathi has been a part of countless meetings, conversations and project work within and for these organizations, with the broad goal always being to advance nationwide interoperability.
Tripathi caught up with Healthcare Informatics’ Managing Editor Rajiv Leventhal after the Epic news was released to talk about its impact, what’s specifically unique about it, and more wide-ranging interoperability issues at hand. Below are excerpts of that interview.
What were your initial takeaways from this announcement as it relates to how it could spur interoperability, given the market share presence that Epic has right now?
I think it’s a great, incremental addition to functionality and it [continues] what Epic has already been doing, which is contributing a lot to interoperability growth across the U.S. There isn’t new technology here and I don’t see it as a huge driver of interoperability. I actually think they are doing other things that are better and more important for interoperability that they don’t get as much credit for, such as pushing forward into [efforts] like Carequality, and [helping with] the connection between Carequality and CommonWell. Those things are very critical for interoperability and will have a lot more impact on interoperability compared to this [announcement].
That being said, what’s really cool about this is that Epic is very good at being practical about saying where they are now, and [realizing] what’s an important step to take forward that’s isn’t necessarily trying to be bleeding edge, but rather will offer real value to people in a practical way that they recognize. So let’s implement this in a solid way that we have high confidence people will use, it won’t break anyone’s workflows, and we’re not expecting anyone to do anything heroic. But it does push people to do things differently and think about where these types of technologies can take us.
What I think is really great about this is that Epic, along with other vendors, have always had the ability to allow portal access to a patient’s medical record information for providers who are not using that vendor’s EHR. So that part isn’t unique—the ability to say, you’re not an Epic user but here is a way to issue you credentials so you can log into a portal via a  basic browser and see a patient’s information regardless.  And the vendors all sort of have that; that’s part of the Community Connect solution in Epic.
But that’s something that’s always been provider-driven. The provider himself or herself says, ‘My patient is going to a cardiologist, I know they’re not on Epic, I am going to reach out and see if they’d be willing to get a username and password to come into this portal so they can see this important medical record for this patient who we share.’ And that’s for providers who aren’t able to partake in the interoperability that Epic already has in place, like through Care Everywhere or Carequality.
So the important innovation here is that it’s not the provider who is driving it, but the patient. So you have the patient who might be at the ED and the physician wants to know which medications the patient’s daughter might be allergic to. But the patient can’t remember all of them. Now, that patient can go into the MyChart app, get a code, give it to that provider, and he or she can log onto the Share Everywhere website, type in that code, and up will pop the medical record summary that the patient could have gotten through his or her MyChart portal, but now the provider can look at it. And the provider can also now look at it and type into a text box whatever he or she want, and that [note] will go back to the provider who has the patient’s medical record, and who can then decide if it should be incorporated into the medical record. I think that’s a really cool innovation—the patient is driving it, the patient can decide who gets it, and another provider gets access to it when he or she wouldn’t have before.
Lots more here:
For those who are not aware Epic is one of the largest provider of EHRs to practitioners in the US and along with others we are now seeing a move from centralized systems to permit patient access to their information to much more localized systems located much closer to the patient.
Of recent times the same trend is happening in the UK and now even demonstrably in Australia (see here.)

Your GP Medical Records in your hands

News / 9 June 2017
MediTracker connects your GP medial record held at this practice to your mobile device.
After hours, in an emergency, or even on holidays, MediTracker makes you and the people you care about safer.
Download the MediTracker app now for an annual fee of $5.99. Please visit meditracker.com.au for further information.
Here is the link:
What this approach provides is patient driven access to the current information held by their personal practitioner. Beats reviewing a collection of .pdfs held by the government which are of unknown relevance and which may be incomplete for any purpose I can think of.
By the time the myHR is made compulsory this will be failed initiative as anyone who is really interested in their healthcare will have moved on to a solution like the ones described above.
Pity about the wasted billion dollars!