Quote Of The Year

Quote Of The Year - Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"

Tuesday, February 19, 2019

Commentators and Journalists Weigh In On The MyHR Debate And Related Matters. Lots Of Interesting Perspectives - Week 31.

Note: I have excluded (or marked out) 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) (This signifies probable ADHA Propaganda)
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Note: I have broadened this section to try to cover all the privacy compromising and impacting announcements in a week – along with the myHR. It never seems to stop!
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Introduction to My Health Record: current state including recent updates to legislation for mental health professionals

Details

·  Webinar ADHA Propaganda
Hosted by : Australian Digital Health Agency
Thursday, February 28, 2019 - 12:30 to 13:30
Online
Sydney NSW 2000
Following recent changes to the legislation and the completion of the opt-out period, this webinar aims to provide an overview of the system, obligations of clinicians engaging with My Health Record and the rights of the consumer.
After participating in this webinar, you will be able to:
  • Explain key features of My Health Record system, including different mechanisms to access the clinical information
  • Identify the various types of clinical information contained within the My Health Record
  • Describe key legislation underpinning the use of My Health Record in practice
  • Register for the My Health Record and access the National Provider Portal
  • Communicate to your patients/clients benefits of having a My Health Record and how that information may assist in clinical decision-making
Target audience: Mental health professionals
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My Health Record 'minor glitch' still generating thousands of pages of internal files

Exclusive: agency in charge wants to charge $14,000 to release details of documents
Thousands of pages of internal documents are still being created about a My Health Record technical glitch that the government said was minor and resolved years ago.
But the agency in charge of My Health Record wants to charge $14,000 to release details on the files through Australia’s freedom of information regime.
Guardian Australia revealed last month that a technical problem with the My Health Record system had hampered attempts by some doctors to upload clinical information about their patients to the system.
According to a leaked briefing, some doctors in clinics using older IT systems were left oblivious to the problem, leading them to believe patient information had been properly updated when it hadn’t. The briefing warned it created risks of “missing clinical information in a consumer’s My Health Record” and “amendments not uploading resulting in out-of-date or incorrect information”.
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Online privacy has flown out the window

  • 12:00AM February 15, 2019
Apple didn’t attend CES, the biggest consumer technology festival, this year, but it did have a presence. It paid for a huge billboard near the event in Las Vegas last month, one that attendees found hard to miss, given it covered about 13 floors of a building.
“What happens on your iPhone stays on your iPhone,” the ad read, along with a link to Apple’s privacy website.
Google and Amazon, despite controversies surrounding both companies, had a strong presence at CES and unveiled a host of new products related to Google Assistant and Amazon Alexa.
However, Apple — which tends to stay away from CES — tried to rise above its peers both literally and in the context of the privacy rows plaguing them.
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Why has a national real-time prescription monitoring system been delayed?

Greg Hunt promised an Australia-wide system by the end of 2018, but most states have been slow to come to the table.
On 3 May last year, Federal Health Minister Greg Hunt told the Australia Pharmacy Professional Conference that a national real-time monitoring system would be delivered in the coming months.

‘What we see is that there is a real focus now to deliver real-time prescription monitoring by the end of the year,’ he said.

‘We’re funding it for $16 million and only two weeks ago all of the states agreed at the Council of Australian Governments health meeting to sign up to be part of real-time prescription monitoring.’

While the Federal Government’s National Data Exchange (NDE) component – which will receive and distribute dispensing information across all states and territories – rolled out in December 2018, the full system has not met the ambitious timetable.

Bee Mohamed, the chief executive officer of prescription drug misuse advocacy group ScriptWise, has called on the Government to push for a clear timeline at a state level.
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My Health Record in general practice

Tuesday, 12 February 2019 ADHA Propaganda

Cringila-based GP, Dr Rakesh Bahl, shares his thoughts on the potential of digital health and says the more we utilise My Health Record the more useful it will become.

Cringila-based GP, Dr Rakesh Bahl, shares his thoughts on the potential of digital health and says the more we utilise My Health Record the more useful it will become.
Cringila Medical Centre has been using My Health Record for a number of years, and has realised the potential the system has to improve patient care. Having access to a patient’s up-to-date electronic record, means that Dr Bahl and other treating healthcare providers can access information required to make the best clinical decisions.
“Digital health benefits me as a GP – there is no doubt about that,” said Dr Bahl.
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Twitter CEO says his and other tech firms have not combated abuse enough

By Staff Writer on Feb 13, 2019 12:23PM

Dorsey calls Silicon Valley's response to online abuse a "huge fail."

Twitter chief executive Jack Dorsey said on Tuesday that Silicon Valley companies, including his own, have not done enough to protect victims of online abuse, calling it a "huge fail."
Interviewed via Twitter by Kara Swisher, co-founder of the tech news site Recode, Dorsey tweeted that he would give himself a 'C' grade for what Swisher termed "tech responsibility."
"We've made progress, but it has been scattered and not felt enough," he tweeted in response to Swisher's questions.
"Changing the experience hasn't been meaningful enough. And we've put most of the burden on the victims of abuse (that's a huge fail)."
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Medications misadventure is a $1.4 billion problem – and how digital health can help

12 February 2019:  ADHA Propaganda
My Health Record can play an important role in facilitating pharmacists to reduce the number of medication-related hospital admissions and adverse medication events in Australia.
The Medicine Safety: Take Care Report, developed for the Pharmaceutical Society of Australia by the Quality Use of Medicines and Pharmacy Research Centre at the University of South Australia, calculates the annual cost of medication-related problems in Australia at nearly $1.4 billion – equivalent to 15 per cent of total PBS expenditure.
It says that discharge summaries available in My Health Record will provide pharmacists another opportunity to proactively prevent and resolve medication-related problems post discharge.
“Use of My Health Record will enable pharmacists to proactively monitor dosages according to renal function, potentially reducing medication-related hospital admissions.”
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Home loan details of 100,000 customers hacked in major data breach

By Carolyn Cummins
February 12, 2019 — 6.24pm
The nation's biggest banks are scrambling to contact up to 100,000 customers who may have been caught up in a major data breach at property valuation firm, LandMark White.
The breach, which LandMark White first revealed late on Friday, could include property valuations and personal contact information of home owners, residents, and property agents, including first and last names, residential addresses and contact numbers.
LandMark White is one of the biggest valuation firms used by banks and other lenders across the country for services such as assessing mortgage applications.
On Tuesday night Commonwealth Bank of Australia and ANZ Bank revealed they had suspended LandMark White from their panels of valuers while National Australia Bank said it was still assessing the impact on its customers. Westpac did not respond by deadline.
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Australian bank customers caught in valuation firm data breach

By Ry Crozier on Feb 13, 2019 12:19AM

Caused by undisclosed 'security vulnerability'.

Australia’s banks have started notifying customers that may have been caught up in an “industry-wide” data breach at an ASX-listed property valuation firm.
The incident at LandMark White was notified to the market on February 5 but appears to have gone largely unnoticed until a report by Fairfax Media late Tuesday.
Fairfax reported that CBA and ANZ had suspended use of LandMark White’s valuation services and that NAB was also considering its position.
ANZ is the only one of the big four banks to so far go public on its exposure to the data breach, confirming both the incident and its extent.
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LandMark White blames exposed API for data breach

ANZ confirms it has suspended use of the property valuer
Rohan Pearce (Computerworld) 13 February, 2019 08:51
Property valuer LandMark White Limited has blamed an exposed API for the leak of a dataset that included property valuation details and contact information of a range of individuals held by the company.
The security vulnerability responsible for the breach — “an exposed programming interface on one of our valuation platforms” — was closed on 23 January, according to the company.
“At that point, we were not aware that there had been any data disclosure,” an update released today for people affected by the breach states.
“Having since become aware of the disclosure on 4 February 2019, we have worked to confirm that the data disclosure relates to the vulnerability which had been previously secured.”
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'My Aged Care' not suited to vulnerable, remote Australians: witness

Supplied video obtained Tuesday, February 12, 2019 of Craig Gear, Chief Executive Officer of Older Persons Advocacy Network Limited, speaks at the Royal Commission into Aged Care Quality and Safety. Mr Gear says the consumer gateway 'My Aged Care' has been successful in centralising information but is only accessible by people with access to IT infrastructure or those with the time to wait on the phone. Mr Gear says this does not suit people without "connection to technology", vulnerable Australians or those in remote locations. (AAP Video/Supplied/Royal Commission)
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Government holds off on attribution for parliament hack

Investigating into security incident involving parliamentary computing network still ongoing, Senate president says
Rohan Pearce (Computerworld) 12 February, 2019 13:00
Senate president Scott Ryan has said that he is “not in a position to provide any information regarding attribution of responsibility” for a security breach involving the parliamentary computing network.
Last week the passwords of MPs were reset, with a statement issued by Ryan and House of Representatives speaker Tony Smith revealing that a “security incident” had taken place.
“As soon as the incident was identified the Department of Parliamentary Services [DPS] worked with the Australian Signals Directorate and its Cyber Security Centre to investigate and remediate the situation,” Ryan today told the Senate.
“As a consequence of this, the decision was taken late last week to implement a number of measures to protect both the network and its users. One specific measure was to reset all the network user-, administrator- and system-level passwords. The reset occurred between the hours of 3am and 6.30am last Friday February 8.”
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Healthcare comes under sustained email fraud attack

Healthcare organisations were targeted in 96 email fraud attacks on average in the fourth quarter of 2018 - a 473% jump from the first quarter of 2017, according to a new global cybersecurity report.
The report by security firm Proofpoint reveals that more than half of healthcare organisations globally were attacked more often, with incidents up between 200 and 600% during the two-year period.
Proofpoint says email fraud, also known as Business Email Compromise (BEC), is one of today’s biggest cyber threats, and according to the FBI, BEC has cost organisations across the world US$12.5 billion – or over A$17.5 billion - since the end of 2013.
As part of these attacks, Proofpoint says cybercriminals often use identity deception tactics, such as domain spoofing, to pose as trusted colleagues and business partners, and in Q4 2018, 95% of healthcare organisations were targeted by an attack using their own trusted domain.
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Google search ranking boss warns against algorithm oversight

By Jennifer Duke
February 12, 2019 — 12.00am
Search giant Google has warned that the Australian competition watchdog's proposal for a regulator to oversee its algorithm could increase risks from spammers.
One of the Google's top executives, vice-president of search Pandu Nayak, said the Australian Competition and Consumer Commission’s proposal to impose oversight on the way search engines rank information and news articles through a review authority could invite trouble.
 “The more open you are about how the algorithm works the more tools you give spammers to mess with it and the very people you’re trying to support with your transparency are the ones who get hurt,” said Mr Nayak, who is visiting Google’s Pyrmont offices from California this week.
With this in mind he said he did not think algorithm oversight was a good idea, saying he wasn’t sure “what would be involved” in making the concept workable.
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Is it really a myth that our data isn’t safe?

New legislation aims to expose the communications of serious criminals, but it might undermine our security too
By Associate Professor Vanessa Teague, University of Melbourne
Late last year, the Australian parliament hurriedly passed the TOLA Act (commonly known as the AA Bill).
The Act aims to give law enforcement access to information, especially end-to-end encrypted services, for which the company providing the service normally wouldn’t have the cryptographic keys necessary to read the information.
In 2018, Apple turned off the group chat feature on its end-to-end encrypted FaceTime service. Picture: Getty Images
Maybe the timing is coincidental, but two interesting things also happened this summer.
The first was that the UK’s intelligence agency published a specific mechanism for reading end-to-end encrypted communications. Their proposal is to add themselves silently to group chats.
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The Age of Surveillance Capitalism exposes tech giants' social engineering

Feb 11, 2019 — 3.00pm
Shoshana Zuboff, a social scientist and professor emerita at Harvard Business School, doesn't do Facebook.
She doesn't use Google Maps, nor Google Assistant, Amazon's Alexa nor Microsoft's Cortana.
Naturally, "there are certain things that for the sake of social participation I'm stuck with from time to time," she says. "Like when a journalist insists on Skype, I try to comply."
For the record, though, this journalist didn't insist on using Microsoft's Skype communications app to talk to Professor Zuboff about her new book, The Age of Surveillance Capitalism, a withering expose of the unchecked social engineering experiment that lies at the heart of Google, Facebook, Amazon and Microsoft, and of social media in general.
That was her New York publicist who insisted.
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Telemedicine for diabetes and heart failure: an evidence review

Authored by
Denise O'Connor
Leonard C Gray
Bianca Phillips
THIS fourth article in a series on the digital health revolution discusses the evidence from systematic reviews of randomised controlled trials relating to remote monitoring and telemedicine interventions for people with diabetes and heart failure.
The majority of randomised controlled trials in this area focus primarily on the health outcomes arising from telemedicine interventions; however, there are also important questions beyond the scope of this article relating to whether telemedicine secures equity of access to health care and reduces costs.
Definitions
“The delivery of health care services, where distance is a critical factor, by all health care professionals using information and communication technologies for the exchange of valid information for diagnosis, treatment and prevention of disease and injuries, research and evaluation, and for the continuing education of health care providers, all in the interests of advancing the health of individuals and their communities”.
In light of this broad definition, the World Health Organization has tended to use the terms “telemedicine” and “telehealth” interchangeably and synonymously. However, many studies distinguish between these terms on the basis of the level of intervention by the doctor or other health provider.
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Comments welcome!
David.

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