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"

or

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

Friday, November 01, 2019

Does Anyone Know Why These Bizarre, Barely English Articles Are Appearing?

Having one nutty article occasionally is strange enough but look closely at these from last week.
First this gibberish:

The Australian Health Agency to upgrade ‘My Health Record’ summary

Shreyas Tanna
The Australian Digital Wellbeing Organization today reported the update of My Health Record, an online, electronic summary of one’s key wellbeing data, with improved clinical work process abilities, which will empower social insurance suppliers to more effectively recognize and bunch together significant tests and results and give the most ideal medicinal services. This incorporates the monitoring tests, knowing when they were done and checking patients’ outcomes after some time.
As indicated by ADHA, in excess of 31 million clinical archives and more than 1.3 billion Medicare records have just been transferred to MHR. The update implies that Pathology and Analytic Imaging Reviews are naturally accessible from Clinical Data Framework applications that implemented the My Health Record Report List.
Before this overhaul, CIS sellers needed to do advancement work to execute the Pathology and DI Perspectives. Presently CIS applications that have actualized the MHR Report Rundown will have the option to give the Pathology and DI Reviews without extra improvement work from the CIS merchants.

THE LARGER TREND
Not long ago, ADHA cooperated with 42 associations to guarantee they can undoubtedly share data when utilizing distinctive secure informing stages crosswise over 56 separate programming items. In June, statewide pathology suppliers in the Northern Region and South Australia associated with MHR, giving patients and clinicians quicker and direct access to pathology reports.
Educator Meredith Makeham, Boss Therapeutic Guide, ADHA, in an announcement, said that a significant number of us have symptomatic tests requested by various medicinal services suppliers and attempted at various areas after some time. As a GP, it very well may be trying to monitor these reports with our patients and decide if, where and when a specific test has been done, especially when a patient is seeing a scope of human services experts to deal with various conditions.
Here is the link:
Earlier there was this:

HIMSS, ADHA to Organize Australia Digital Health Summit Focusing on Interoperability

By Larry Mccarty on October 21, 2019 10:59 AM EDT
HIMSS is joining hands with the Australia Digital Health Agency (ADHA) to host the upcoming HIMSS Australia Digital Health Summit (ADHS) from 20-21 November this year, taking place in Sydney, Australia. The conference is expected to deliver together representatives from ADHA, public, and private healthcare chiefs from Australia, as well as from the APAC region.
The central theme of the Summit is “Interoperability and Connected Care”, which is mainly relevant to the implementation of My Health Record (MHR) within the nation, an online, digital summary of 1’s key health information. ADHA has been progressively improving the MHR, such as joining hands with software vendors to transfer information safely across different software products and enhancing its clinical workflow abilities.
Hal Wolf, CEO and President of HIMSS, Tim Kelsey, CEO of ADHA and Professor Mary Foley, Managing Director of Telstra Health will amass for a CXO hearth chat at the Summit on the topic of connected care – what it means in the context of Australia, its most recent developments in the healthcare sector and a number of the challenges in creating a single view of the patient for higher connected care.

The Data track will touch on the potential advantages of developing a network of shared knowledge throughout Australia and case studies of how the use of information analytics tools can bring out better health outcomes. One of many prime issues in managing healthcare data is cybersecurity – Richard Staynings, Chief Security Strategist, CYLERA shall be sharing his experience and insights.
In healthcare’s consumer-centric move, patients are knowledgeable and well informed of their health conditions, which can no doubt result in higher care outcomes.
Here is the link:
The bio included for Larry is really odd.
Read closely and you will see they both must be the product of the writing of a pretty English challenged soul or is there another explanation?
David.

11 comments:

Anonymous said...

Probably written perfect well in another language and translated to English automatically by ‘google’ or the like

Anonymous said...

Larry Mccarty isn't a real person he's a bot, powered by the sort of AI they want to use in healthcare.

Bernard Robertson-Dunn said...

Have a look at the Bio of the author of the first article: Shreyas Tanna

The winner of Mr. Pune 2009 Pageant, Mr. Shreyas Tanna is currently the young, dashing, and dynamic CEO of a market research company called Research N Reports in Pune.

Fondly known as RNR, the company specializes in market research as well as industry analysis, and is closely associated with its parent company Absolute Markets Insights (AMI).

Mr. Shreyas Tanna began his corporate journey as the Head of Corporate sales & PR at RED Entertainment while pursuing his degree for MMS (Marketing) from the MGM College of Management, Mumbai.

After accomplishing the tedious task of balancing his work and education, he further polished his skills in Corporate Sales, Public Relations, Channel Development, Global Client Engagement, Strategic Consulting, and Brand Development by working with HDFC Life and ResearchMoz Global Pvt. Ltd. His dedication towards his work has even won him accolades such as the National Level Performer 2013 – HDFC Life and Mr. ResearchMoz 2015.

A disciplined individual with a loving heart, he is often seen taking crisp walks with an engrossed look and a gentle smile within the premises of his company to interact with the various departments. And he will be usually followed by an adorable trail of his beloved trio of Shih Tzu babies proudly known as Gucci, Drake, and Paris. The most enticing thing that you will notice about this content and proud pet parent is his infectious positivity and the firm belief in his eyes, a reflection of his favorite quote, “LIFE IS BEAUTIFUL!”


He has his own website
https://www.shreyastanna.com/

Bernard Robertson-Dunn said...

If you want real madness browse this site:
https://www.biopharmapress.com/

This is over the top:
https://www.biopharmapress.com/is-it-racism-in-medicare/

Is it racism in medicare?
Shreyas TannaOctober 31, 2019

There's an image of the Australian Medicare brand and the content mentions neither racism or Medicare.

"Human Services’ current procuring practices can restrain endeavors from accomplishing this objective. We might not have a predisposition against individuals with a quick toss. However, we have robust biases about race, class, and instructive fulfillment. A large number of our shows originate from a time when medicinal services were conveyed necessarily by specialists and attendants with world-class preparing whose achievement depended, for the most part, on content aptitude. The new social insurance workforce needs more than biomedical information; it needs compassionate, cooperative individuals at all levels who can bolster patients comprehensively.

There has been a little spotlight on procuring human services experts with the attributes expected to prevail in this new reality. With not many individual cases, most associations center around preparing staff on capabilities — from collaboration to social affectability — when they are employed and trust the exercises stick. Human Services’ inability to put resources into employing for the full range of characteristics required has brought about a workforce that isn’t improved for the activity and adds to high turnover rates — 20.6% as per an ongoing overview.

Here are a few stages social insurance associations can take to construct a different workforce that produces essential results.

The initial step is to comprehend what the workforce needs to do to accomplish the wanted results. What assists individuals with getting to be and remain solid — particularly the individuals who are at the most severe hazard for weakness results? At the point when we started planning the IMPaCT people group wellbeing laborer program, we solicited thousands from high-hazard patients these inquiries at the bedside, on patios, and in covers.

When does an association know who it needs, where would it be advisable for it to look? Customary supplier associations regularly publicize openings for work on their — frequently awkward — business sites, or other occupation advertising locales.

Resumes, confirmations, and preparing authentications are usually assessed accreditations therapeutic services associations use to survey applicants. While these do mirror a candidate’s preparation and clinical abilities, they shed minimal light on character qualities or demeanors."

Anonymous said...

He sounds impressive, huge expweience, someone well worth listening to and taking advice from. We should all try to be like him, and if we were lile him just think where we could be!!!!! A real breath of fresh air and an intellectual challenge. Keep up the good work.

Anonymous said...

Makes as much sense as ADHA.

The article this week by the ADHA COO makes claims around transparency. I find it amusing that a few consultations around a product is a diversion or excuse for the lack of transparency by the organisation. An example being the FOI and board papers.

Bernard Robertson-Dunn said...

How about the ADHA answers a few questions that arose out of the RACGP’s eHealth forum in August as reported here

https://www1.racgp.org.au/newsgp/professional/changes-likely-for-gp-generated-summaries-in-my-he

"Tim Kelsey said there is an opportunity to ‘modernise My Health Record’s infrastructure’.

Mr Kelsey was speaking in response to a question from prominent RACGP digital health advocate Dr Nathan Pinskier, who had asked whether it was now time to reassess the 'value proposition' of shared health summaries."

Maybe Tim could tell us how modernising the infrastructure can have anything to do with the value proposition of shared health summaries?

Of course, we know that when he says "modernise My Health Record’s infrastructure" he actually means completely redesign the system because it is not fit for purpose, but Dr Pinskier's question still needs answering, whatever the ADHA is thinking of doing.

Dr Pinskier made some excellent points which have not yet been addressed.

"We don’t want to make more work for GPs; we want to consolidate existing workflows.

GPs don’t see them as part of their routine workflow. They don’t derive an immediate benefit. It creates additional work and sends information to a government repository for a future use for an unknown provider in unknown circumstances.

It’s got a really unclear clinical use case."

However, he does not seem to understand that creating a summary is not a matter of extracting data. A summary is not a subset, it requires analysis, abstractions, priorities and, potentially, conditional opinions/prognosis - if the patient does one thing this may happen, if they don't then this might happen.

What he suggests is naive:

"Dr Pinskier said a revised health summary useful to GPs could borrow from models in other countries where data is directly extracted from existing clinical software.

In this model, only important information that had changed between two points in time would be uploaded, meaning My Health Record would act as a living document rather than generating new documents with much repeated information after every consultation.

‘If you made it semi-automated, where new medications or allergies were automatically identified and pushed up to the national record, it would take away complexity and angst,’ Dr Pinskier said."

A question to Dr Pinskier, and Mr Kelsey - define "important information".

Just because patient has been prescribed a particular medication does not tell you the reason for it.

IMHO, there is a lack of transparency because they know they are struggling to make a case for anything other than implement technology hoping to achieve something.

It's the equivalent of throwing mud at a brick wall hoping some will stick. In this case the mud is little more than dirty water and all it will do is make a mess of the wall.

Bernard Robertson-Dunn said...

And while I'm in the mood - what information is myhr supposed to be gathering and why?

The ADHA would do well to read this and try and understand what it means to them.

The Heroism of Incremental Care
New Yorker
January 23, 2017
https://www.newyorker.com/magazine/2017/01/23/the-heroism-of-incremental-care

“Our ability to use information to understand and reshape the future is accelerating in multiple ways.

We have at least four kinds of information that matter to your health and well-being over time:

information about the state of your internal systems (from your imaging and lab-test results, your genome sequencing);

the state of your living conditions (your housing, community, economic, and environmental circumstances);

the state of the care you receive (what your practitioners have done and how well they did it, what medications and other treatments they have provided); and

the state of your behaviors (your patterns of sleep, exercise, stress, eating, sexual activity, adherence to treatments).

The potential of this information is so enormous it is almost scary.”

myhr may or may not contain some of the first and third categories. What is absolutely certain is that it will contain very little, if anything, of the second and fourth.

Neither can these be derived from your medical records.

For ADHA to blithely claim the myhr is a summary of your health information is not only misleading (it won't even contain much of your medical information) it is a downright lie.

The challenge for the minister will be to propose a strategy for myhr that will withstand such observations which, BTW, were made in response to the draft PCeHR ConOp.

The government may claim that lessons have been learned and he will be right, but not only by the government.

Furthermore, anything they propose will not be greenfield but will have to cope with the %2billion spent on the system so far. They couldn't get it right in the past (the PCeHR was not the first), why will they get it right the next?

The expression "pushing a rope up a hill" comes to mind.

Anonymous said...

How about the ADHA answers a few questions - it is becoming more apparent (IMHO) that the ADHA is unable to crash the basic fundamentals of what they claim or the falsehoods those statements cement. Recently this shortcoming has been on display with claims of transparency, standards and terminology not being mandatory for successful models and the way they are replatforming/modernising/extending/sticking-random-bits-to, a system that is clearly no longer able to operate in a modern and constantly changing information landscape.
So in answer to the question - I do not believe ADHA can answer the question, nor do I believe they can understand the question.

Another question: with over 3 years and nearly half a billion dollars later do we have nothing to show? Other than reducing CDA to PDF? Why is there no FHIR investments and strategy? all I see is the dumbing down of a national digital health capability and a bunch of stakeholder now to scared to say anything, instead those remaining appease through shallow niceties waiting for a handout.

Nice but Dim said...

Don’t hold your breath, remember they belong to the broader set of “health bureaucrats” that have delivered our current aged care crisis the NDIS debacle and never ending HIT failures, long waiting times, overworked health staff etc....

Anonymous said...

and don't forget the mental health crisis that is costing us an estimated $500million per day.

By any measure the Federal Department of Health is a miserable failure.

As the inquiry into aged care said - the Commonwealth is missing in action. They are too busy playing with their toys. They've been blinded by the flashing lights.