Quote Of The Year

Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"


H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Tuesday, August 14, 2018

Commentators and Journalists Weigh In On The MyHR Debate. Lots Of Interesting Perspectives - 4.

Note: I have excluded any commentary taking significant  funding from the Agency or the Department of Health on all this to avoid what amounts to paid propaganda. (e.g. CHF, RACGP, AMA, National Rural Health Alliance etc. where they were simply putting the ADHA line – viz. that the myHR is a wonderfully useful clinical development that will save huge numbers of lives at no risk to anyone – which is plainly untrue)

How are GPs using My Health Record?

Monday 6 August 2018 5:52PM (view full episode)
Dr Ewen McPhee is a rural general practitioner who says My Health Record is invaluable to his practice.
He says it helps to provide continuity of care to people moving across the region who see multiple practitioners and don't necessarily keep good records.
Dr McPhee says there are legitimate concerns around privacy issues, especially for minors and people with dementia, and argues there's a need for further careful thought around how those areas are addressed.
Dr Ewen McPhee
Rural General Practitioner

Unions urge members to opt out of MyHealth Record

By Anna Patty
10 August 2018 — 12:10am
Uncertainty over the potential for employers to gain access to the private health data of workers from doctors has sparked fresh calls for a boycott of the new MyHealth Record system and warnings that current laws are unclear.
Unions have urged tens of thousands of members to opt out of the controversial system arguing that employer doctors - used for pre-employment health checks or insurance purposes - could get access to and pass on a worker's entire medical history under the new system.
The claim sparked a strong denial from the government and the My Health Record System operator, but legal experts said the unions could have a case because the laws governing access were spread across several pieces of legislation and the rules were unclear.
Tom Ballantyne, from Maurice Blackburn Lawyers, said doctors who examine employees would have access to their medical health records unless the worker changed their privacy settings.

My Health Record: A Further Erosion of Civil Liberties

The Turnbull government oversaw the 2015 implementation of a system that allows 21 government agencies warrantless access to all citizens’ metadata, while last year, it announced a national facial recognition system that will allow all citizens’ ID photos to be matched with CCTV footage images.
The government is currently in the process of rolling out a national health data scheme that will automatically link all citizens’ private health information – which will potentially include genomic data – to a centralised system unless individuals opt-out by 15 October.
My Health Record is being spruiked as a system that will allow doctors convenient access to a patient’s medical history. However, privacy advocates and health professionals are warning of the security and privacy threats posed by the scheme, which allows for the secondary use of data.

AMA 'monumentally' wrong to back My Health Record: Professor Kerryn Phelps

The AMA and RACGP should have been less enthusiastic before offering their 'breathless support', she says
9th August 2018
The AMA and RACGP’s public support for My Health Record has been a monumentally bad idea, says former AMA president Dr Kerryn Phelps.
Her comments follow Minister for Health Greg Hunt’s promise to redraft the legislation so that clinical records on the system are covered by the same legal protections as those held by doctors.
Under the current My Health Record Act (2012), the Australian Digital Health Agency can hand over a patient’s medical records to law enforcers and government agencies without a warrant, providing it “reasonably believes” the request is necessary to prevent a law being breached.

The Bartone Ultimatum: – “Fix The My Health Record”

09 Aug 2018

During a private twilight meeting in Melbourne three weeks ago, AMA President, Dr Tony Bartone, put a strong demand directly to Health Minister Greg Hunt – fix the privacy provisions of the legislation or the My Health Record (MyHR) will remain in limbo for years to come.
Dr Bartone had made public his intentions a week earlier at the National Press Club in Canberra when he declared to journalists that he would do ‘whatever it takes’ to force the Government to take action to make the privacy protections of health information as watertight as possible in the digital health age.
The new AMA President stayed true to his word.
With the blessing and support of the AMA Federal Council, Dr Bartone, a Melbourne GP, took a four-point shopping list to the Minister – amend the Act to ensure health data is not disclosed without a warrant or court order; ensure that people who opt-out do not end up with a permanent MyHR; run a public information campaign; and extend the opt-out period.

My Health Record — a flawed initiative

Information Technology Professionals Association (ITPA)

By Robert Hudson, President, ITPA
Wednesday, 08 August, 2018
One of the biggest IT issues ongoing at present is the Australian Government’s My Health Record project. It was designed as an opt-in service, where you would have to explicitly provide a healthcare provider with authority to create a record on your behalf. The primary benefit of the service was that a ‘single source of truth’ copy of your medical records (or a summary of them) would be available to any health provider nationally. So if you were away from home within Australia and required treatment, your records would be available to medical professionals, who would be able to learn your medical history, allergies etc, with the idea being that you would receive better and more appropriate medical care as a result.
Unfortunately, the benefits of the service were not well sold to the public, and the percentage of people who had opted-in to the service was very low — so low as to make it largely useless. (Oddly, the current My Health Record website claims that 5.9 million Australians already have a record — so the take-up is already at approximately 25% of the Australian population.)
The current federal LNP government decided to change this, and passed legislation that meant that unless people opted-out of the service within a very small window of time, they would have a record created by default, and once that record was created, there was no way to delete it except by dying (records being kept for 30 years after a recorded date of death, or 130 years from birth if a date of death was not formally established and entered into the record).

Using My Health Record data for research could save lives, but we must ensure it’s ethical

August 8, 2018 1.27pm AEST
David Hunter  Associate Professor of Medical Ethics, Flinders University
There has been considerable debate about the merits and risks of the My Health Record (MHR) scheme – ranging from the deep inefficiencies in the current system, to privacy issues and control of data.
There has been less discussion of some down-the-track intended uses of this data for secondary purposes – such as for research.
A rich dataset of health information could be used in studies that generate enormous benefits to society, but medical research is carried out under strict ethical guidelines.
Unfortunately, a consent process where people are required to opt out rather than opt in doesn’t meet ethical standards for research.

My Health Record: everything you need to know about the central database

Pilar Mitchell | August 08, 2018
Privacy concerns have some people opting out, but are do the benefits outweigh the
The deadline to opt out of My Health Record (MHR) is quickly approaching. Anyone who doesn’t choose to opt out by October 15, 2018 will have a digital copy of their medical records made and stored in a central database.
It will hold things like medical history, mental health plans, prescribed medications and can be shared across GPs and other health care providers.
There are good arguments for centralising this information, especially for people with ongoing health issues. But there are also legitimate concerns about privacy and security. Should you and your family opt out or join the nearly six million Australians already in the database?

Cyberattacks and the Value of Medical Data Blog

On July 20, 2018, SingHealth, a Singapore healthcare institution consisting of four public hospitals, five national specialty centers and a network of nine polyclinics, reported that it had been the target of a cyberattack resulting in the information of around 1.5 million individuals being compromised.
This is not an isolated incident as statistics compiled from the U.S. Department of Health and Human Services (HHS) indicate that more breaches involving healthcare data were reported in 2017 than any other year since records first started being published. In Experian’s 2018 Data Breach Industry Forecast, Experian noted that from January through June of 2017, 233 healthcare data breach incidents were reported to HHS, the media or state attorney generals. For the 193 attacks for which there are numbers, 3,159,236 patient records were affected. In a 2016 Data Breach Industry Forecast, Experian predicted that healthcare companies remain one of the most targeted sectors by attackers, driven by the high value that compromised data can command on the black market, along with the continued digitization and sharing of medical records.

The troubling implications of My Health Record's genetic info plans

By Wendy Bonython
8 August 2018 — 12:00am
It is not surprising there are plans to include genetic information, in the form of genomic pathology reports, in My Health records.
Precision medicine – using insights obtained from genomics and other "big data" analysis – enables treatment and prevention strategies to be customised, potentially revolutionising healthcare. The government has committed financially to precision medicine. Genomic pathology testing is an increasingly important tool in the diagnostic arsenal. The inclusion of genomic testing results in the My Health record is consistent with inclusion of other pathology test results, increasing the amount of clinically useful information available to healthcare providers in My Health, but also contributing to a valuable research dataset.
But genetic pathology test results are fundamentally different from other pathology results. The shared nature of genetic material – received by individuals, along with their siblings, from their parents, and in turn transmitted to their children – means that information about the genetics of a patient necessarily reveals, or allows educated inferences about, the genetics of other people not the subject of the My Health Record.

Making an extra effort to improve My Health is worth pursuing

7 August 2018 — 7:18pm
When Canberra man Matthew Toohey, who has had three rounds of brain surgery, told reporter Andrew Brown that he has opted out of the federal government's My Health Record scheme, an alarm should have sounded somewhere in the nation's capital.
The benefits that are supposed to flow from the scheme – which has run for six years without any significant security breach – are greatest for those with serious health problems and those from sections of society that struggle to engage with health services. As Adrian Pokorny, a doctor in the Northern Territory, pointed out, for many of these people having to opt in simply adds one more administrative barrier to much-needed care.
Mr Toohey did not question any of this. "Not enough has been done to assure us that the data will be secure and won't be used for purposes other than of health professionals," he said. "The concept is good, but the execution of it is poor."

Not-for-profit sector can lead on data privacy

  • 12:00AM August 7, 2018
The not-for-profit sector has an opportunity to lead from the front when it comes to data privacy, as public awareness of the issue takes centre stage in Australia, according to the latest analysis into data governance from Perpetual and Stanford University.
According to Lucy Bernholz, senior research scholar and director of the digital civil society lab at Stanford, Australians are finally starting to take the use of their data seriously. “Public attitude and awareness on this issue has changed dramatically, especially compared to three years ago when the government announced the census was going to be put online.
“But you look at the conversation around My Health Record and the government has had to change the law and it could very well be an election issue.”
7:29pm, Aug 6, 2018 Updated: 8:03pm, Aug 6

My Health Record prompts concerns over storage of DNA data

Alana Mitchelson @AlanaMitchelson
Your risk of developing a certain type of cancer and susceptibility to particular mental health problems could be forever stored in the My Health Record online database.
This comes after a Fairfax report revealed that Australian genetic information company Genome.One is able to upload DNA data to My Health Record, which The New Daily later confirmed with federal Health Minister Greg Hunt’s office.
It has raised questions as to whether the thousands of Australian consumers who have purchased a home DNA kit could effectively upload their test results to My Health Record.
Biotechnology expert Dr Wendy Bonython told The New Daily it won’t be long before other companies also look at uploading data to My Health.

Business playing Russian roulette with cybersecurity

  • By Michael Connory
  • 12:00AM August 7, 2018
Russian roulette is an interesting game of dare, jockeying against chance.
One bullet in a six-barrel chamber hoping the squeeze of the trigger isn’t a fatal shot.
And that’s exactly what Australian businesses are playing with our data.
The release of the OAIC notifiable data breaches second quarterly report last week revealed disturbing trends around the security of our information and what value is placed on its protection. None, it seems!
As harsh a comment as it may be, valuing protection can only ever be measured by commitment to invest in initiatives to ensure its safeguard. Information into our lives is now a biddable auction given the failure by businesses to secure our data.
  1. Bronwyn Howell

Data privacy debacle down under: Is Australia’s My Health Record doomed?

Technology and Innovation
Australia — the “lucky country” whose foray into building a government-funded nationwide fiber network has resulted in cost blowouts, uptake disappointments, regulatory wrinkles, and system redesigns — may be on the cusp of yet another government-funded, centrally planned, nationwide-coverage information and communications technology debacle. In the spotlight this time is the A$4 billion database of citizens’ health information, dubbed My Health Record.
The viability of the nationwide system is at stake. An unexpectedly large numbers of citizens have opted out of participating in My Health Record, as sufficient concerns have been raised about the security and privacy of the sensitive information the database holds. When the three-month opt-out window opened last month, the system crashed under the sheer weight of applications for the “right to be forgotten” by the giant government health data repository. The 1.9 percent trial defection rate indicated 500,000 Australians in total would opt out. Either they all chose to do so in the first few days, or the developers have vastly underestimated the extent to which citizens do not want to participate in the government-mandated system. The latter may well be a function of the high volume of bad publicity recently — with citizens likely getting the message “if in doubt, opt out.”

Expert pours cold water on My Health Record genomics fears

Doug Hendrie 6/08/2018 3:28:14 PM
An RACGP e-health expert has poured cold water on fears that genomic data will not be safe if uploaded to My Health Record.
Genomic medicine is in the news.
Chair of the RACGP Expert Committee – eHealth and Practice Services (REC–eHPS) Dr Nathan Pinskier believes recent reports that genomic data would be uploaded to the government’s health data repository should not trigger concerns.

‘[Genomic data] is the same as other pathology tests. It goes to My Health Record based on consent. They’re not uploading the DNA, but just a summary of findings,’ Dr Pinskier said.

‘Consumers have control. They can upload or not upload – it’s up to them. If they want to remove the data afterwards, they can.


ACOSS Welcomes Commitment to Protect Privacy of My Health Record

ACOSS welcomes the Federal Government’s commitment to make changes to the My Health Records legislation to protect the privacy of people with a My Health Record.
ACOSS believes that My Health Record has the potential to deliver better coordinated care and allow people more control over their health information. However, the current My Health Records Act 2012 fails to adequately protect the use of a person’s health information and is out of step with community expectations of privacy.
ACOSS CEO Dr Cassandra Goldie said: “The Minister’s commitment to make changes to the My Health Records Act to protect the privacy of people with a My Health Record is welcome news.
  • Updated Aug 6 2018 at 11:00 AM

Security fears are still too high, so I'm opting out of My Health Record

by Carlo Minassian
I've opted out of My Health Record and I'd urge anyone concerned about their privacy and security to do the same.
While the recent move to enshrine in legislation the need for a court order before releasing records to police or government agencies is positive for privacy, criminals don't care for court orders. To put it simply, not opting out of My Health Record before the October 15 deadline will expose your private health data to being hacked or compromised.
While ample assurances have been given by Health Minister Greg Hunt, much of these are based on claims of apparently infallible, "military-grade security" protecting our data.
My Health Record's biggest benefit is the greater accessibility it offers to Australians and their health care professionals. Ironically, it is this greater accessibility that makes the system so vulnerable.

Privacy, Trust and My Health Record, or The Spy in The Consulting Room

This was first published in Privacy Unbound, the Journal of the International Association of Privacy Professionals ANZ (iappANZ) Edition no. 85, August 2018

1    Introduction

Dr Bernard Robertson-Dunn is an electronic and automation engineer, has a PhD in modelling the electrical activity in the human small intestine and has had over forty years modelling, architecting and designing large scale information systems, mostly in government environments.
These include the Departments of Health, Finance, Immigration, Defence Bernard has been following the progress of, and has contributed to, the debate on the My Health Record for over ten years. He has no association or affiliation with any vendor or government organisation. Bernard is chair of the Health Committee of the Australian Privacy Foundation.

We need new ways to protect people in the digital era

By Dhananjayan Sriskandarajah
6 August 2018 — 12:18am
In an age of ever-advancing, ever-encroaching technology, how do we ensure that our basic rights are protected? New technologies and the speed of progress these days may have many positive impacts on our lives but the fact that they are poorly regulated and hardly understood by the public, poses serious threats.
In Australia, the importance and complexity of this issue is best demonstrated by the growing controversy surrounding the My Health Record system. Many Australians are sceptical of joining for fear that sensitive personal information could fall into the wrong hands and exploited. Hundreds of thousands have already opted out, in defence of their right to privacy protection. And despite government assurances, it’s clear more is required to address an increasingly concerned public’s need for cybersecurity.
So Health Minister Greg Hunt has announced changes to the legislation that will allow people to withdraw from My Health Record after the opt-out period ends and have their electronic health record deleted. Originally, all records were to be kept for up to 130 years, even after a patient requests they be deleted. Also, the authorities now cannot access information against a patient’s wish without a court order – a growing concern.

Is it possible to delete information on My Health Record?

Experts say it is challenging to permanently delete information from a digital system. Image by Pixabay
Minister Greg Hunt stepped up and spoke about the My Health Record controversy, saying Australians can opt out and ask for their information to be deleted permanently. However, experts in the topic are concerned about his statements because deleting information from a digital system is a challenge.

MyHealthRecord: Why this GP opted in

Authored by Linda Mann
I JOINED what was then the Patient Controlled Electronic Health Record, now known as My Health Record (MyHR), as soon as it was available. I won’t be opting out.
In addition to working in urban Sydney, I have worked in the Northern Territory since 2006, using the statewide (albeit very old) medical record, which has been instrumental in permitting continuity of care for patients who move around the NT. Of course, if they have care outside the NT, their treatment is blind to me.
I have been really impressed with the value of knowing who has had treatment already for a condition I thought I was seeing for the first time, of knowing what medications the patient is prescribed, in addition to the ones I thought I knew, and of having specialist access more easily.
Sunday, 5 August 2018

Tell me again why the Turnbull Government is insisting My Health Record will become mandatory by the end of October 2018?

It is not just ordinary health care consumers who have concerns about the My Health Record database, system design, privacy issues and ethical considerations.

It is not just the Turnbull Government which has not sufficiently prepared public and private health care organisations for the nationwide rollout of mass personal and health information collection - the organisations themselves are not ready.

My Health Record can store genomic data but critics say it's not ready

Esther Han   6 August 2018 — 12:01am
The federal government's My Health Record system is capable of storing genomic information, such as a person's genetic risk of developing cancer, which could turbocharge medical research but has intensified privacy and security fears.
Fairfax Media can reveal Sydney-based whole genome sequencing company Genome.One developed “necessary infrastructure” in order to upload highly sensitive genomic information onto My Health Records.
The Australian Digital Health Agency (ADHA), which for weeks has been deflecting privacy and data security concerns, handed the for-profit company $40,000 in September last year to support the development of the software.
Comments welcome!


Anonymous said...

David this article taken from your list is quite interesting


The stats are interesting and there is something very fishy with this health care homes.

Andrew McIntyre said...

MyEHR has been, and will continue to be a negative force in advancing health care via eHealth in this country because it diverts attention from the real issues of data quality and interoperability via standards compliance. The data in MyEHR is of insufficient quality, atomicity and completeness to provide for any decision support and is only suitable for manual human consumption, while threatening the privacy of every individual, while taking time out of the clinical interaction for minuscule, if any, benefit.

"Fixing it" is impossible because its the fundamental antithesis of what is actually required and scraping it is the only sensible option. The supporters all appear to be mostly ignorant of what eHealth is and what it can do now and there has been no depth to any analysis, especially the Royle review.

Success can be built on failure, but only if failure is accepted and a back to basics approach of simple governance of standards is adopted by government. Running the system is likely to be a huge expense and without any evidence of clinical benefit it does make you wonder about the true motivation. I think hubris might be enough of an explanation however?

Anonymous said...

August 14 2018 4:48 PM - you mean like this little forgotten nugget - https://view.joomag.com/australian-doctor-australian-doctor-26-may-2017/0987865001495607539?page=3

Digital Health really does have a lot in common with banking

Anonymous said...

6:56 AM. Thank you that is interesting and shines a light on possible motivations. My local news paper the Gladstone Observer ran an article this morning in the back pages with one of the Doctors (if he still has time). Here are something he had to say

FORMER president of the Australian Medical Associa- tion Dr Steve Hambelton is putting out a call to Gladstone GPs to put patients first and embrace the digital benefits of the My Health Record. Deputy chair of the My Health Record, Dr Hambelton said general practitioners make two million errors each year, placing 235,000 patients in hospital for ‘medication mis- adventures’.
“It’s been studied and real data has been recorded of how many mistakes GPs make when they don’t know a pa- tient’s history,” Dr Hambelton said.
“We kill more people than a road toll each year.
“The Health Record will save peoples lives, especially people with complicated med- ical history and serious aller- gies to different medicines. “Gladstone doctors need to realise that we as doctors have a responsibility to save lives.”

This I found concerning

Dr Hambelton said in a few years, GPs won’t be able to work without access to the My Health Record.

Dr David G More MB PhD said...

He seems to be becoming a little hysterical, unhinged and absurd to me.


Anonymous said...

@10:47 PM. For a Government and ADHA to claim to be agile and innovation driven they don’t apply the principles of either. A key theme is “Innovate quickly, fail quickly, move on.”

I don’t recall a principle being “ Flog a dead hoarse, flog quickly, flog repeatedly, artificially force users in to hoarse and flog them all’

Anonymous said...

Perhaps Labour or Peter Dutton could look into these conflict of interest matters. It seem to be a common and recurring theme these days and something the ADHA CEOseems happy to support even within his own organisation. The Government and APS is being done an Eme we disservice here.

Not a great foundation for trust.

Anonymous said...

In agreement with Andrew and as is evident from this blog a large majority of the actors (I question this with ADOHA), want products and services that are high quality, reliable, consistent and safe. Reliance upon Standards and conformity assessment activities helps to demonstrate these important characteristics, earning customer loyalty and medical professions trust.
Standards and related compliance programs help save money and improve performance, quality, safety, and reliability – whether we’re talking about the competitiveness of the Australian eHealth vendor industry, private and public health organisations or their respective funder’s procurement processes. The process of standards and conformance (including compliance to legislation and other instruments) also ensures an open and transparent playing field in which consensus agreements form the foundation for community alignment and innovation.
Medical professionals’ involvement in standardisation not only promotes safer, and sounder products and services, it also increases confidence in the quality and reliability of products and services available, and provides the clinical community a greater selection of goods and services at lower costs, while reducing the risk of being left un-interoperable resulting in loss of opportunities within the health community.
While it is commonly believed that Standards obstruct innovation, the evidence suggests a rather different story. Surveys of innovating firms find many enterprises say that Standards are a source of information that helps their innovation activities. Moreover, while many say that regulations do also constrain their innovation activities, these constraints do not necessarily prevent innovation. These ‘informing’ and ‘constraining’ effects tend to occur together with an implication that the most innovative firms are good at finding information in Standards, and, because they are ‘pushing the boundary’, they also find that regulations constrain their innovative activities - but do not prevent these. FHIR is a good example of how standards are innovating new ways to participate and consumer the process and outputs ( although probably no longer new it could be award transformational status).
Many Standards Development Organisations at an international, regional and national level, including independent international Standards organisations, are actively collaborating. An example being the Joint Initiative Council (JIC), consisting of HL7, ISO TC215, GS1, IHE, CEN TC251, IHTSDO and CDISC. Another important relationship is the collaboration between SNOMED International and HL7 International’s Fast Healthcare Interoperability Resources (FHIR). The nation will benefit from a harmonised office identifying, co-ordinating and supporting current and future collaborations that benefit digital health in Australia. I do not believe ADHA can fill this role, it’s brand is damaged.
If the MyHR was to quietly be archived, releasing government from being a solution operating seeking to dominate the market, if would be free (and independent) to take up the mantel of leading Standards Development in Australia and put in place a business model that supports the digital health community going forward. Disconnected intellectual property constraints, unsustainable business models, and limited scale are all contributing to a roadblock for digital health standards supporting Australian health outcomes.

Bernard Robertson-Dunn said...

Stepping back just a bit, let's ask a basic question

What use are health records and to whom?

As usual there are multiple answers.

1. When a GP or specialist interacts with a patient, the health provider needs to keep track of that interaction: history, test results, diagnoses, treatment plans.

The HR is primarily for the health provider. It's in their language and is part of the on-going process of patient health care.

2. Hospitals need to monitor the status and progress of the patients they are treating. When the patient is discharged, most if not all responsibility is transferred to someone else. That transfer should be accompanied by an appropriate hand-over.

3. Patients have wildly different needs and interests. Some couldn't care less, others are very interested in their test results, treatment etc. Can this be satisfied by giving them access to type 1) or 2) Probably not. What might be more useful is a translated (into their language) summary, dependent on the capability of the patient to understand the material.

Are any of these types of health records critical? Some more than others, depending on a variety of things such as the status of the patient when last seen (e.g. undergoing active treatment).

With most most patients. most of the time. access to historical health records is pretty useless. Is it critical for most first encounters (i.e. not part of active treatment) No. A Health provider will need to spend significant time and effort bringing an old HR up to date.

Are old test results critical? No. Useful? depends. Is a patient likely to do that on an ongoing basis? Most would say - why bother?

Given all that as a starting point, the next question is: where does the government owned and run My Health Record fit in?

The short answer is: It doesn't. A longer answer is: It never will.

Would better exchange of health data in almost any form help? (e.g. pdfs) Probably.

Would highly focused applications that addressed very specific needs help? (e.g. allergies, adverse reactions, end-of life)

Yes. They exist in other countries



My Health Record tries to be all things to all people and fails to be of any value to anyone.

Many readers of David's blog have been of this view for many years. The rest of Australia is very slowly coming to the same conclusion.

Anonymous said...

@ August 15, 7:33. If this was cricket that Dr would be selected to play left-right-out.


There is a pattern emerging and ADHA and its senior responsible whatever’s are completely lost.

Perhaps it is true that some of the blame falls to whoever runs HR and operations as clearly their recruitment methods are not screening for talent and they do not seem to have created the right balance of skills.

MyHR, HCH - all out for a duck

Anonymous said...

Let’s not forget cancer screening registry, another great success.