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
-----
Security and lack
of it was the big feature this week. Other than that there was a pot-pouri of
interesting and somewhat concerning news from all over.
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New post-discharge pilot
A new trial service to help patients better manage their medication after they leave hospital will be launched in Melbourne on Thursday
Poor
medication management during or immediately after a hospital stay is a risk
factor in 28% of potentially avoidable hospital re-admissions within 30 days,
says the Australian Digital Health Agency.
The
new service, DC MedsRec, is a community pharmacy-based initiative for patients
discharged from Melbourne’s Box Hill Hospital with four or more medicines, and
has been designed to help reduce the risk of harm from dangerous drug
interactions.
Eligible
patients will meet with a trained community pharmacist, who will look at their
hospital discharge summary via My Health Record, along with a range of other
medication information.
-----
There's no lung left': Man told he's going to die by doctor on robot video
Ernest Quintana's family knew he was dying of chronic lung disease
when he was taken by ambulance to a hospital, unable to breathe.
Key points:
- The family says the news should have been delivered face to face and not by a machine
- The hospital defended the use of the robot, saying it did not replace in-person conversations
- Mr Quintana died two days later from chronic lung disease
Granddaughter
Annalisia Wilharm was alone with 78-year-old Mr Quintana when a nurse at Kaiser
Permanente Medical Centre emergency department in Fremont, California, popped
in to say a doctor would be making his rounds.
A
robot then rolled in and a doctor appeared on the video screen.
Ms
Wilharm, 33, figured the visit was routine. She was astonished when the doctor
told Mr Quintana he would likely die within days.
"This
guy cannot breathe, and he's got this robot trying to talk to him," she
said.
"Meanwhile,
this guy (the doctor) is telling him, 'So we've got your results back, and
there's no lung left. There's no lung to work with'."
-----
Family’s fury as robodoc told patient he had just days left to live
- By David Charter
- The Times
- 10:27AM March 11, 2019
The march of technology in hospitals has been criticised by a
grieving family after a grandfather was told he would not be going home by a
robot displaying a doctor on a screen.
Ernest Quintana, 78, was admitted to the Kaiser Permanente
hospital in Fremont, California, with difficulty breathing and his family knew
he was dangerously ill. What they were not anticipating was that his prognosis
would be delivered remotely by a doctor who was many miles away and difficult
for the patient to hear.
The machine could only reach the right side of the bed but Mr Quintana
was hard of hearing in his right ear, requiring his granddaughter to repeat
everything the remote doctor said.
“It just should not
happen,” Catherine Quintana, 54, his daughter, said. “If you’re coming to tell
us normal news, that’s fine, but if you’re coming to tell us there’s no lung
left and we want to put you on a morphine drip until you die, it should be done
by a human being.”
-----
'It has exploded': Building a wellness app business
By Cara Waters
March
11, 2019 — 12.01am
Jessica
Sepel says her $7 million business was "a total accident" after she
started blogging about transitioning from dieting to eating whole foods.
After
her blog gained readers, Sepel created an e-book, then a book, followed by a
range of vitamins, an eight-week program and in October last year an app, the
JSHealth Nutrition app.
"It's
about diet and exercise and getting rid of bad diets and extremes and trying to
have a healthy relationship with food," the 29-year-old says. "I tell
people to get rid of scales. The app is quite different as you can text a
nutritionist wherever you are and it's JS recipes and philosophy. It's an
on-demand service."
The
JSHealth Nutrition app costs $14 a month and has had 50,000 downloads so far.
-----
Wearable tech and smart clothes are poised to revolutionise fashion
Clare Press
Updated Mar 13,
2019 — 12.31am, first published at Mar 12, 2019 — 11.00pm
You
can call an Uber with it," grins Paul Dillinger, inviting me to caress his
sleeve. "When the Uber arrives, it vibrates. Then you just brush up and it
will read you the name of the driver and the make of car."
"It"
is the Levi's Commuter Trucker jacket, a collaboration with Jacquard by Google
that launched in late 2017 as one of the first commercially available wearable
tech garments. Six months later, they pushed out new capabilities, including
interfaces for Lyft and Uber.
"Our
Spring 2018 launch was not an object with impact; it was digital collateral
with value," says Dillinger, who heads global product innovation for Levi
Strauss & Co. "Here's the premise: what if instead of fashion being a
physical garment you need to change out every season, the fashion [you've already
bought] just gets better every season, gets more capabilities?"
-----
No 'sexual behaviour': Apps swipe left on startup's sexual health ads
By Emma Koehn
March
12, 2019 — 11.33am
James
Sneddon wants to boost awareness of his startup, Stigma Health, but says he's
facing road blocks from dating apps and social media platforms when promoting
the product.
"It's
been incredibly tricky. I think they [the platforms] could be more
flexible with their social responsibility, rather than just giving a flat out
'no'," he says.
Stigma
Health lets patients book referrals for pathology centres online so they can
undergo sexual health tests and have their results messaged directly to them
without the need for several face-to-face interactions or phone calls.
----
Doctor 'phone booths' offer diagnoses and dispense drugs: US
Patients lock
themselves inside the medical stations for a teleconsult with a remote doctor
13th March 2019
Busy
people, apparently, need healthcare anytime, anywhere, and now an
American company is obliging with a phone-booth-style doctor's office.
The
medical stations developed by OnMed offer consultations with real doctors
who work remotely via ultra-high definition cameras that even allow
doctors to look down a patient’s throat or check out a tiny skin lesion.
The
booths can also dispense hundreds of drugs, print off scripts, take
blood pressures and have in-floor digital scales that
provide the patient’s height, weight and BMI
Thermal
imaging enables measurement of the patient’s temperature and also helps
diagnose infection.
-----
The Garvan Institute brings DNA analysis capabilities to smartphones
New algorithm makes offline disease ID possible.
The
Garvan Institute of Medical Research has partnered with the University of NSW
to take genome analysis ‘offline’ by adapting the algorithms that perform DNA
analysis to require far less compute than current tools.
Medical
practitioners fighting the Ebola and Zika viruses in New Guinea and Brazil have
already used small genome sequencing devices that can clip on to a smartphone,
but these devices still require high-performance computer workstations or
reliable internet connections to identify genes.
Devices
like the Oxford Nanopore Technologies MinION can create over a terabyte of data
in 48 hours, but their use still isn’t commonplace because comparing or
‘aligning’ DNA from an unknown sample to a reference database to figure out
what the sample is requires around 16 GB of RAM, which is beyond the
capabilities of most mid-range laptops and flagship smartphones.
-----
Disrupting the healthcare sector
Kate Quirke is the CEO of a small healthcare IT business called Alcidion. They are basically a disruptor of healthcare IT and healthcare patient records keeping. Alan Kohler spoke to Kate to find out more about the company.
Kate
Quirke is the CEO of a small healthcare IT business called Alcidion. It had a
backdoor listing in 2015 and it didn’t really get anywhere. It went up, it went
down, and back where it was three or four years ago. It took over Kate’s
business called MKM Health and another business called Patient Track which was
part of MKM Health, and now are off and running. Kate is running the business,
and her old partners in MKM are also helping to run the business. Ray Blight,
the founder of Alcidion has stepped back although he still owns a fair few of
the shares along with his partner.
It’s
an interesting story; Alcidion is basically a disruptor of healthcare IT and
healthcare patient records keeping. There is a business in helping
hospitals maintain their patient records and it’s been going on for a long
time; there’s a lot of big American companies that do it and what Alcidion is
doing is bringing artificial intelligence and algorithms into that business and
is disrupting it and presumably doing it on price so I’m not sure about
that.
They
are just off and running, potential obviously for big gains in future but it’s
still got the job ahead of it. As with all of these early stage businesses
there are risks but it’s well-worth listening to Kate Quirke describe what
she’s doing.
-----
WA Health boots Fujitsu for Atos in $124m hybrid cloud shift
Covering 2000 servers, 1000+ applications.
Western
Australia’s health department has handed French IT provider Atos a $124 million
deal to provide cloud infrastructure for the state’s public health system.
The
five-year contract for managed hybrid cloud services is part of WA Health’s
$409 million infrastructure replacement project HealthNext.
It
replaces WA Health’s 2010 centralised computing contract with Fujitsu that has blown
out to $175 million due to poor governance.
Under
the new deal, Atos will work with WA Health’s health support agency, Health
Support Services (HHS), to transition legacy IT infrastructure from
Fujitsu across to Atos cloud platforms.
-----
WA Health signs Atos for hybrid cloud migration
Atos to play key role in HealthNext transition
Atos
will oversee the migration of the WA Department of Health to Oracle-based cloud
services as part of a five-year, $124 million contract.
Atos
said it would provide WA Health with “private cloud, managed public cloud,
hybrid cloud orchestration, co-location and managed services for 2000 servers,
over 1000 applications, and a fully managed Oracle Cloud platform.”
The
Atos Managed Public Cloud (MPC) solution, which uses ServiceNow, will provide a
single “pane of glass” for cloud consumption, the company said.
Atos
said it would work with WA Health’s shared services provider — Health Support
Services (HSS) — on the migration.
-----
https://www.itnews.com.au/news/centrelink-wants-new-software-to-learn-why-it-annoys-customers-520373
Centrelink wants new software to learn why it annoys customers
System to collect, track feedback.
The
Department of Human Services is planning to introduce a customer experience
measurement system to help resolve discontent with its suite of service
offerings.
Last
week it called for commercial-off-the-shelf technology to collect insights and
better understand the pain points across Medicare, Centrelink and Child Support
interactions.
Customer
satisfaction continues to be a bugbear across the three master programs, with
the department missing its own performance target of 85 percent over the last
three financial years.
Last
year just over 75 percent of social security and welfare recipients and 83.7
percent Medibank customers reported satisfaction with the service, though both
have improved steadily over the last two years.
-----
Swinburne Uni looks to robots to extend surgeons’ careers
Reducing RSI in the operating room.
Technology
in healthcare often revolves around improving patient care or modernising
administrative practices, but new research at Swinburne University will examine
how robots could keep surgeons operating room-fit for longer.
The
study is the first of its kind to examine how robot-aided surgery can reduce
the stress on surgeons’ bodies from standing at odd angles and performing
repetitive motions that can lead to career-ending strain injuries.
Researchers,
led by roboticist Dr Mats Isaksson, will compare the biomechanics of a surgeon
operating with a Da Vinci Skills Simulator to that of a traditional
laparoscopic surgical procedure.
-----
New digital tool makes breast cancer journey less overwhelming for Australian women
Today
Breast Cancer Network Australia (BCNA) has launched a new digital tool to make
the breast cancer journey less overwhelming for Australian women.
The
My Journey online tool, which is the first of its kind in the Australian
eHealth breast cancer space, means women diagnosed with breast cancer will have
instant access to trusted and up-to-date information that relates to their own
personal circumstances.
The
pathway that women take through the digital tool is tailored to their own
diagnosis and situation, which means they can use the information to make
decisions about things that are important to them.
“A
breast cancer diagnosis usually comes out of the blue and turns a woman’s world
upside down – many women tell us that everything changes from that moment on,”
said BCNA CEO Kirsten Pilatti.
-----
Melbourne’s Box Hill Hospital trials medication management using EMRs
Under the trial,
eligible patients will meet with a trained community pharmacist, who will look
at their hospital discharge summary via My Health Record, along with a range of
other medication information on their EMRs.
March 14, 2019
02:44 AM
Eastern
Health has rolled out a new trial across its Box Hill Hospital in Melbourne,
Victoria, to help patients better manage their medication after they leave the
hospital.
DC
MedsRec, the community pharmacy-based service for patients discharged from Box
Hill Hospital with four or more medicines, aims to reduce the risk of harm from
dangerous drug interactions.
The
trial, conducted in collaboration with the Australian Digital Health Agency
(ADHA) and Monash University, will enable eligible patients to meet with
trained community pharmacists, who will look at their hospital discharge
summary via My Health Record (MHR), along with a range of other medication
information on their electronic medical records (EMRs).
-----
Joint media release - New trial to improve medicine safety for those leaving hospital
13
March 2019: A new trial service to help patients better manage their
medication after they leave hospital will be launched at Box Hill tomorrow.
Poor
medication management during or immediately after a hospital stay is a risk
factor in 28% of potentially avoidable hospital re-admissions within 30 days.
DC
MedsRec is a community pharmacy-based service for patients discharged from Box
Hill Hospital with four or more medicines, designed to help reduce the risk of
harm from dangerous drug interactions.
Eligible
patients will meet with a trained community pharmacist, who will look at their
hospital discharge summary via My Health Record, along with a range of other
medication information.
The
pharmacist will then check the patient’s understanding of the drugs they are
taking, resolve any potential medicine safety problems and ensure any
medication-related recommendations from hospital are followed up.
-----
Feros Care and Google partnership to give seniors more control at home
New
technology will give seniors living at home up-to-the-minute details about
their care and allow them to manage their appointments – all with a simple
voice command from the comfort of their lounge chairs.
Aged
care provider Feros Care has developed a program that uses Google Assistant
technology in an Australian-first initiative that will allow seniors to manage
crucial aspects of their lives via voice-connected devices.
The
partnership was announced at Google’s Wellbeing Breakfast today, where experts,
researchers and YouTube creators discussed how to get the most out of
technology.
“We’re
delighted that Feros Care is discovering and developing new applications for
the Google Assistant to enhance the lives of Aussie seniors and help them
gain more independence around the home,” Google Assistant Australia
Partnerships Manager Kia Wahl says.
-----
Australian healthcare provider Feros Care integrates Google Assistant to bring clients easy self-service voice commands
Australian
not-for-profit health care provider Feros Care announced an Australian-first
integration with the Google Assistant to provide customers with access to
self-management service options via a voice interface.
The
announcement was detailed this morning at Google Australia’s Wellbeing
Breakfast by the company’s CIO Glenn Payne.
Payne
explained how Feros Care moved from the rollout of a mobile app portal system
through to voice control after testing their system with customers.
Attendees
at the event were asked to imagine themselves at be age 85 – perhaps we’d have
developed some mobility, dexterity or sight issues, and been set up with a
managed care plan for treatment, appointments and assistance. Most such plans
require phone interaction to check or change details, and allowing unknown
staff from your provider into your house, which can be frustrating and
concerning for members.
-----
National Blood Authority CIO takes on new challenge at DTA
Simon Spencer to join Digital Transformation Agency’s Digital
Investment Division
Australia’s
National Blood Authority is on the hunt for a new CIO, with the NBA’s chief
information officer preparing to join the federal government’s Digital
Transformation Agency (DTA).
Simon
Spencer joined the
authority in 2017 after a stint at the Australian Public Service Commission.
Spencer has held a string of IT roles across the federal public sector since
the late ’90s.
The
CIO will depart the NBA in mid-April to become director of the DTA’s Digital
Investment Division. Spencer will report to chief portfolio officer Joanne Hutchinson,
who joined the DTA in October 2018 from the Department of Jobs and Small
Business.
-----
Australian Healthcare Week preview
27
March 2019: The 9th annual Australian Healthcare Week (AHW) expo and
conference in Sydney will cover the full spectrum of health and care in
Australia, including dedicated sub-conferences on digital healthcare, aged
care, and health facilities design and development.
The
Australian Healthcare Week expo and conference is one of the largest healthcare
events on the Australian calendar, and will include an expo of over 250
exhibitors and three sub-conferences addressing digital healthcare, aged care,
and health facilities design and development.
The
Australian Digital Health Agency will be located at Booth #66, supported by
staff who can help expo attendees with any questions they may have about the
Agency’s work on fostering progress on digital health in Australia.
-----
Tech industry must make encryption law repeal an election issue
- 14 March 2019
- Written by Sam Varghese
- Published in Open Sauce
If
the technology industry in Australia is serious about the concerns it has
expressed over the encryption law that was passed in December last year, then
it should come together and make repeal of the law an election issue.
Since
August last year, when the first draft of what was then the encryption bill
surfaced on the Web, there has been an almighty gabfest about it. There have
been numerous hearings by the Parliamentary Joint Committee on Intelligence and
Security, discussions, forums, and enough news articles and op-eds written about
it to fill one of the world's oceans.
An
ongoing inquiry has been receiving submissions, mostly from the same bunch who
made them to the initial inquiry sessions last year.
-----
Department of Parliamentary Services says February attack was 'detected early'
The department admitted it has work to do on fighting external
threats.
The
claimed state
actor that hit Australia's Parliament and its major parties last month
was detected early, Secretary for the Department of Parliamentary Services
(DPS) Rob Stefanic has said.
Writing
in a submission
[PDF] to the Joint Committee of Public Accounts and Audit Cyber
Resilience inquiry, Stefanic said the incident was "addressed
rapidly".
"During
the remediation, the parliamentary network was unavailable for less than three
hours in the early hours of the morning of February 8, highlighting our
resilience to continue operations and respond effectively during a major cyber
incident," he said.
-----
MPs make security hard, says the Department of Parliamentary Services
DPS says “variety of software and services utilised by
parliamentarians” makes it hard to implement ASD’s ‘Essential Eight’
The
variety of applications and services employed by MPs and their staff present a
security challenge that is probably unique across the federal public sector,
according to the Department of Parliamentary Services.
In
a letter to a parliamentary committee scrutinising the cyber resilience of a
number of Commonwealth entities, the department’s secretary, Rob Stefanic, said
that DPS has faced limitations on its ability to implement the Australian
Signals Directorate’s ‘Essential Eight’ security strategies.
The
ASD in late 2017 unveiled the Essential Eight, building on the mandatory ‘Top
4’ mitigation strategies that the organisation says could prevent the
overwhelming majority of security incidents it responds to. The Top 4
comprise OS and application patching, application whitelisting, and locking
down administrative privileges based on user duties.
-----
LandmarkWhite knew of IT weakness in 2017, a year before data breach
Updated Mar 11,
2019 — 10.54am, first published at Mar 10, 2019 — 11.30pm
LandmarkWhite
knew of a security weakness in its valuation platform in 2017, more than a year
before it said it was first alerted to the vulnerability that led to the theft
of records
that were posted on the dark web, according to sources.
At
least 15 people across LandmarkWhite's pool of IT staff, contractors and senior
management knew of the weakness in its valuation platform in mid-2017 after
contractors alerted them to the vulnerability in its API, a piece of software allowing
two different systems to communicate, sources told The Australian Financial Review.
This
was about 18 months before January 2019, when the company said it upgraded the
valuation system that was the subject of the attack.
Far
from being a sophisticated data hack, the breach that left
37,500 unique valuation records and 1680 supporting documents posted on a dark
web forum for 10 days happened because the API connecting the devices of valuers in the
field and LandmarkWhite's server required no authentication and did not
restrict access to data. It was easily discoverable by any network searching
application – software that routinely scrutinises the web for IT system
weaknesses.
-----
'Serious consequences': Big banks key to LandMark White's future
By Carolyn Cummins
March
12, 2019 — 12.00am
Embattled
valuation firm LandMark White faces "serious consequences" if it is
not supported by the big four banks, according to chairman Keith Perrett.
The
major banks all stopped using LandMark White as an independent valuer for
the banks for home loan assessments after a data breach
in late January saw about 137,000 potential loan applications released onto the
internet.
The
ASX-listed valuer has been in a trading halt for weeks and Mr Perrett said
while the group was still solvent, the longer the banks withheld work the
"greater the risk to the company".
-----
Landmark White data disaster claims CEO scalp
Updated Mar 12,
2019 — 4.25pm, first published at 4.15pm
The
chief executive at ASX-listed valuer Landmark White, Chris Coonan, has resigned
in the wake of a cyber security breach
through which thousands of records were posted on the dark web.
Following
Mr Coonan out the door are LMW's co-founder Glen White along with Frank
Hardiman, who have both stood down as non-executive directors.
In
late February LMW
suspended its shares from the stockmarket for as long
as four weeks after a large number of clients, including major banks, pulled
their business from the valuations firm in response to the massive breach.
------
Landmark White's stolen data re-appears on dark web
Australian property valuation company taunted by disclosures.
Data
stolen
from ASX-listed property valuation firm Landmark White
in January was partially re-posted to a dark web forum this week.
In
a statement Thursday night, the company said that its monitoring of the
internet had turned up a link to company data posted on a dark web forum “on or
about 12.50 pm GMT, 13 March 2019, which has since been taken offline on or
about 5.20 pm GMT, 13 March 2019.”
“We
confirm that in total, there are 76,873 files contained in this second dataset,
however can confirm that these documents are a subset of the original 137,500
valuation records initially disclosed on 31 January 2019,” the company said.
“Therefore,
there are no new documents or personal details disclosed.”
-----
Kathmandu customer data may have been stolen during online breach
Updated Mar 13,
2019 — 5.16pm, first published at 12.46pm
Outdoor
clothing retailer Kathmandu is in damage control after discovering its online
store was breached by unidentified parties and sensitive customer information
may have been stolen.
Kathmandu
revealed the breach on Wednesday, saying it had recently become aware that an
unidentified third party gained unauthorised access to Kathmandu's online platform
for more than a month, between January 8 and February 12.
During
this period, the third party may have captured customer personal information,
including payment details entered at the online checkout.
-----
Credit cards cancelled as Kathmandu reveals online store hacked
Month-long breach during peak discount period.
ASX-listed
global outdoors wear and equipment retailer Kathmandu has disclosed it suffered
a data breach during the peak post-holidays sales period that saw customers'
personal and payments information captured.
"Kathmandu
has recently become aware that between 8 January 2019 NZDT and 12 February 2019
NZDT, an unidentified third party gained unauthorised access to the Kathmandu
web platform.
"During
this period, the third party may have captured personal information and payment
details entered at check-out," the company said in a statement to the
Australian Securities Exchange.
-----
Credentials of firm that linked Parliament hack to Iran questioned
- 11 March 2019
- Written by Sam Varghese
Infosec
outfit Resecurity, which has come under scrutiny by some well-known researchers
over its attribution of some recent hacks, has hit back by accusing its
detractors of having ulterior motives for indulging in such criticism.
The
company claimed last
month that an Iranian-linked entity was behind the breach of the
Australian Parliament network. More recently, it claimed
that the same Iranian group was responsible for the breach at multinational
software company Citrix
Systems.
-----
Man behind firm that linked Iran to Citrix hack revealed
- 13 March 2019
- Written by Sam Varghese
Security
firm Resecurity, which was in the news recently when it claimed an Iran-linked
group was behind both the breach of the Australian Parliament network and at
multinational software company Citrix Systems, appears to be headed by a man
who has been in the security industry previously but landed in controversy over
some of his media comments, the researcher who discovered his identity claims.
The
man appears to be one Andrey Andreevich Komarov, aka Andrew Komarov, and he was
identified by a researcher who uses the Twitter handle Deacon Blues.
iTWire
verified that Komarov is part of Resecurity by calling the company early this
morning AEDT — when it was about 11.30 am in Los Angeles, the city mentioned as
its location on its website — only to be told that Komarov was not available.
-----
Labor says fixing NBN will be a long process
- 15 March 2019
- Written by Sam Varghese
The
Australian Labor Party will not make any quick changes to the rollout of the
national broadband network if it comes to power in the Federal Election later
this year, but will take a "responsible" approach to the project.
Shadow
Communications Minister Michelle Rowland told the Sydney Institute, a current
affairs forum, on Thursday night that the multi-technology mix adopted by the
Coalition Government in 2013 had made the rollout more expensive.
"The
irony of this situation is that the Liberal Party promised its multi-technology
mix would be faster and cheaper, yet we now have a business model that is in
more need of cash flows — but has less capacity to generate it because of
inferior technology and higher costs," she said, according to a
report in The Age.
-----
Optus calls for NBN Co to provide minimum service levels
- 14 March 2019
- Written by Sam Varghese
Singtel
Optus has called for the NBN Co to be made responsible for delivering services
that can meet the minimum service levels required by retail standards or 50Mbps
services on lines that can support such speeds.
The
submission was made after the Australian Competition and Consumer Commission
had released a second discussion paper on the NBN wholesale service standards
inquiry issue.
An
additional suggestion made by the telco was that the NBN Co should not be able
to charge for a wholesale service for which retail service providers were not
allowed to charge end-users.
-----
'No quick fix': Labor rules out rapid overhaul of NBN
By Fergus Hunter
March
14, 2019 — 6.00pm
Labor
has played down expectations of a rapid and major overhaul of the National
Broadband Network if it wins government, ruling out a "quick fix" and
instead promising a responsible approach to the vexed $50 billion project.
In
a speech on Thursday, Labor communications spokeswoman Michelle Rowland said
the Coalition's approach had simultaneously driven up the costs of the project
and damaged its revenue potential, arguing her opponents did not anticipate how
complex the NBN was before coming into government in 2013.
She
said the many layers of the massive project meant it would have been "near
impossible for any opposition party to grasp what they were tinkering
with".
-----
Enjoy!
David.
5 comments:
A clip from the long Death By 1,000 Clicks ...
The multimillion-dollar system, manufactured by Epic Systems Corp. and considered by some to be the Cadillac of medical software, had been installed at the hospital about four months earlier. Although the order appeared on Epic’s screen, it was not sent to the lab. It turned out, Epic’s software didn’t fully “interface” with the lab’s software, according to a lawsuit Ronisky filed in February 2017 in Los Angeles County Superior Court. His results and diagnosis were delayed — by days, he claimed — during which time he suffered irreversible brain damage from herpes encephalitis. The suit alleged the mishap delayed doctors from giving Ronisky a drug called acyclovir that might have minimized damage to his brain.
https://khn.org/news/death-by-a-thousand-clicks/
and we have two systems - primary (clinical ehr) and summary (myhr) which just increases the number of clicks.
It's not rocket science - more admin/record keeping, less healthcare.
The raw assumption that more data will help healthcare is wrong. What is needed is better management of and access to relevant data. myhr does not address this problem and neither does interoperability - not on its own.
There needs to be more understanding about the data at the end points. This may be happening in the USA - I have seen no evidence that the ADHA is addressing this issue.
Sounds like an information problem (or data problem if you think that way). So we need semantic and data interoperability to support clinical interoperability.
So who in ADHA is the Chief Architect? Chief Informatician? and Chief Health Data Scientist?
"Sounds like an information problem (or data problem if you think that way). So we need semantic and data interoperability to support clinical interoperability."
Yep, along with processes that support data flows and data usage.
"So who in ADHA is the Chief Architect? Chief Informatician? and Chief Health Data Scientist?"
Pass.
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