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."

Sunday, April 19, 2020

What On Earth Is Going On With The Absurd And Deceptive Over-Promotion Of The #myHealthRecord?

I noticed this yesterday.

Digital Health Tools Webinar

Digital health tools to securely access and share health information 

This professional development will assist Accredited Exercise Professionals to be aware of and understand digital health tools to securely access and share health information. A specific walk through of the new fast track HPI-I registration process and tools such as My Health Record, Secure Messaging and cyber security considerations will be covered.

Build an understanding of digital health tools to securely access and share health information including:
* Use new fast track forms for allied health.
* Set up their practice for My Health Record.
* Understand next steps to integrate secure messaging into workflow.
* Understand where to go for further information about Cyber Security.
Presented by Joshua Warlow, BHlthSc(Nutr&Diet) - Australian DIgitial Health Agency (ADHA)
Better use of data and technology can help people live healthier, happier and more productive lives. Digital health can make a real difference to people’s health by giving them greater control and better access to information.

Tasked with improving health outcomes for Australians through the delivery of digital healthcare systems and the national digital health strategy for Australia, the Australian Digital Health Agency (the Agency) commenced operations on 1 July 2016.

The Agency is responsible for national digital health services and systems, with a focus on engagement, innovation and clinical quality and safety. Our focus is on putting data and technology safely to work for patients, consumers and the healthcare professionals who look after them.

Established as a statutory authority in the form of a corporate Commonwealth entity, the Agency reports to State and Territory Health Ministers through the COAG Health Council.

digitalhealth.gov.au/about-the-agency

Date & Time 

Wednesday, 17 June 2020
12:00pm - 1:30pm AEST

Please note, the times listed are in Australian Eastern Standard Time.
Your local time will be:
ACT: 
     
12:00pm - 1:30pm 
NSW:

12:00pm - 1:30pm
NT:

11:30am - 1:00pm
QLD:

12:00pm - 1:30pm
SA:

11:30am - 1:00pm
TAS:

12:00pm - 1:30pm
VIC:

12:00pm - 1:30pm
WA:

10:00am - 11:30am

Rates per person

ESSA Member

$30.00 
Non-Member
     
$50.00
ESSA Student Member

$15.00
Student Non-Member

$25.00 

Please see terms & conditions for registration type definitions.

Access to Webinar

You will be provided all information to access this webinar within your registration confirmation email.

Target Audience

Any Accredited Exercise Scientist, Accredited Exercise Physiologist, Accredited Sports Scientist and/or Accredited High Performance Manager.

ESSA CPD Points 1.5

Registration

Online: After signing into your ESSA profile, select the blue" Register Myself" button below
Manual Formclick here

Registration for this professional development will close at 10:00am AEST on Wednesday, 17 June 2020.

Please note:
* Credit card payment is required with online registration which holds a 1.0% merchant fee. Merchant fee included in registration cost below.
* If a tax invoice is required for payment to be made, please use the manual form.
* Upon registering to any ESSA professional development, you automatically agree to our terms & conditions.

Disclaimers

  • All accredited persons, regardless of any professional development completed/ attended must refer to their accreditation’s Scope of Practice/Standards, and only treat/practice within the same.  
  • ESSA confirms that at the date of release, this professional development meets the requirements of the ESSA Continuing Professional Development Points Guidelines. The information contained in this professional development is of a general nature only, and while every effort and care has been taken to ensure that all representations are accurate as at the date of its release, ESSA accepts no legal liability for any loss or damage suffered as a result of any information provided in this professional development. 
  • ESSA recommends that its members seek appropriate independent professional advice specific to their particular purposes and circumstances (including the provision of medical advice to patients) before relying on it. 
When: 17/06/2020
Where: Webinar Online
-----
Here is the link:
Just a few points.
1. Since when was it that non-AHPRA registered professionals were given access to the #myHealthRecord.
Checking with the AHPRA Allied Health was missing – i.e. are not fully regulated:

National Boards of Australia

Here is the link:
It seems there is a loophole from 2010 IHI Act to slip all sorts of people in.
-----

CONNECTION GUIDE FOR MY HEALTH RECORD

Health professionals not registered with AHPRA

What you need to know to connect to My Health Record
Allied health professionals registered with the Australian Health Practitioner Regulation Agency (AHPRA)are automatically registered with the Health Identifier Service and assigned a Health Provider Identifier–Individual (HPI-I) number.
Health professionals working in a field of practice not regulated by AHPRA will need to apply for an HPI-I number to be able to connect to the My Health Record System.
You may be eligible to obtain an HPI-I provided you meet the criteria for an individual healthcare provider set out in the Healthcare Identifiers Act 2010 which states:
“To be eligible,a healthcare professional must be a current member of a professional association that:
•Relates to the healthcare that has been, is, or is to be provided by the member; and
•Has uniform national membership requirements, whether or not in legislation.”
Here is the link to the page with this information.
Looks like we now provide access to social workers, rehab councillors and the like:
See here:
The bottom line here is that your exercise physiologist (and their staff) – among all sorts of others- can have read / write access to your #myHR!  I am not sure that was actually intended.
2. I have not heard of the accelerated / fast track applications for Allied Health. Does anyone know what this is about?
Note this also confirms these professionals are not AHPRA registered (but it seems they don’t need to be):

NASRHP - The National Alliance of Self Regulating Health Professions  

The National Alliance of Self Regulating Health Professions (NASRHP)  provides a quality framework for self regulating health professions.  Australian peak bodies of self regulating allied health professions wishing to join NASRHP must meet benchmark standards for regulation and accreditation of practitioners within that profession. NASRHP standards have been closely modelled on AHPRA standards.
Here is the link:
3. One really does wonder just what call there is for exercise physiologists to have access to Secure Messaging.
4. Just why is this seminar being delivered at a cost? Seems odd and I wonder who is pocketing the money?
5. I had not realised there was official encouragement and support in marketing a practice and their use of digital health and the #myHR.
See here:
Now a bit more research has found the following from the Government:

Who can access your record

Apart from you, the only people who can view or access your My Health Record are:
  • Your healthcare providers (e.g. GPs, specialists or hospital staff)
  • People you invite to help you manage your record (nominated representatives)
  • People who manage your record for you if you are not able to (authorised representatives)

Access by a healthcare provider

Only healthcare provider organisations involved in your care, who are registered with us, are allowed by law to access your My Health Record.

Treating healthcare providers can view documents in your My Health Record as part of the default preferences.

You can add extra privacy controls, so you can choose which healthcare organisations can access your record, or individual documents in it.

Here is the link:
So basically this content is misleading as to the scope of who can access the record (it is much wider) and the ADHA is promoting this wider and un-advertised (to the public) access!

What dishonest jerks they are!
David.
p.s. Does anyone know where exactly in the legislation any one with an HPI and an HPO is authorised to have full access (read / write and presumably delete) to the #myHealthRecord system?
D.

15 comments:

Anonymous said...

After all that effort and promise, these health professionals are going to be very disappointed when they discover the lack of useful data in the behemoth of an IT system that is My Health Record

Anonymous said...

Timmie has surfaced after a suitable silence:
https://www.youtube.com/watch?time_continue=5&v=zNDQi5-GNIA&feature=emb_logo

Go to 20' 30" to hear the broken record of someone who looks as though he has aged a decade since arriving in Australia.

The sad thing is he probably doesn't know the untruths he is spouting.

And all that international travel he was hoping to do has been cruelly taken away from him.

Anonymous said...

And he still cannot operate Even the most basic digital tools. The crap he has sent to IT teams because he can’t manage a simple video conference call. Best he is sent back to the UK.

Anonymous said...

Target Audience
Any Accredited Exercise Scientist, Accredited Exercise Physiologist, Accredited Sports Scientist and/or Accredited High Performance Manager.

Spare me please.This ADHA mob are a bunch of incompetent pr-cks.

My colleagues (15 dr General Practice) are disgusted at the huge waste of money. At such a critical time for the nation's health system how can the government allow the ADHA to continue? We think this is probably the biggest health scandal ever yet no-one in authority wants to do anything about it.

Anonymous said...

"Exercise Scientist"?

Another stupid meaningless label that devalues the worth of real scientists. Rather like "data scientist" and "artificial intelligence". Pure advertising exaggeration. That ADHA would try and leverage it says a lot.

Anonymous said...

tell you what, if we can’t make My Health record great again, we will make a new site. It will be so good -and let me tell you something- people will say it is a very good site. Our citizens will have the best site, we kid you not. It will be so good, it will come with trust, powerful trust, trust like never been done before, the biggest trust ever.
And you know what? I will build a great, great firewall around this site. It will keep all the hackers out - won’t even have to deport them to NZ! I tell you what, this site will be so amazing. It will be the best site. In fact- It will be so great, I’m going to insert Digital into it. I’m going to call it My Digital Health. com.au and it will be the greatest. Isn't it the greatest? Am I right?
Oh boy, I tell you what- this is absolutely fantastic and I will pay anyone and any organisation to say so. I have so many upvotes, because -really- I write the best answers. Look at the comments, everybody says it’s a very good answer. And by the way, everybody said we couldn’t do it, but we did. Oh, I tell you, we’re going to make this site so big again, so strong. It will be unbelievable. We’re going to make digital health great again, you mark my words.

Anonymous said...

The child man has been advised by Jared. You know, this one:

Jared Kushner says 'Trump administration has a new plan for interoperability'
The President’s senior advisor said the government’s strategy will involve unleashing data to spark innovations such as AI and machine learning with the ultimate goal of interoperability for all Americans.

March 2018.
https://www.healthcareitnews.com/news/jared-kushner-says-trump-administration-has-new-plan-interoperability

Published by that well known organisation HIMSS. They make quite a triumvirate. But don't tell Donnie, he probably thinks a triumvirate is a threesome.

Anonymous said...

Will it kill the Coronavirus and make Australia great again?

Anonymous said...

David and readers, it is little things like the ADHA and the office of Peter Dutton that erode our collective trust in government. As a result the release of an app to support contact tracing as proven effective in Singapore, has here resulted in a lot of suspicion and push back. This push back is both deserved and costly. Wake up Morrison and co.

11:39 AM. Nice Trumpian spin

Anonymous said...

Will it kill the Coronavirus

When you say Coronavirus, do you mean the poor and low paid workers?

I find it a little disturbing how some in our Government are quick to condemn and threaten China, but fall silent on a very pressing need to close boarders to the US for 18 months to prevent ongoing infections across the globe. The US have demonstrate it present a very real threat to global security.

Stop data exploration said...

April 20, 2020 2:10 PM. I raised a similar question to the Health Minister G Hunt Using his offical web channel. Did not even get an auto generate acknowledgment. Don’t hold you breath waiting for anything from this generation of cardboard cutouts.

Anonymous said...

With a target of 40%bfor app uptake, I wonder if it is more to do with an inability to actually reach those most at risk rather than anything above board.

The particular kind of Bluetooth “low energy” chips that are used to detect proximity between devices without running down the phone’s battery are absent from a quarter of smartphones in active use globally today, according to analysts at Counterpoint Research. A further 1.5 billion people still use basic or “feature” phones that do not run iOS or Android at all.
“In all, close to 2 bilion [mobile users] will not be benefiting from this initiative globally,” said Neil Shah, analyst at Counterpoint. “And most of these users with the incompatible devices hail from the lower-income segment or from the senior segment which actually are more vulnerable to the virus.”

Bernard Robertson-Dunn said...

Australia is not the rest of the world.

IMHO, the biggest problem facing the government is a lack of trust.What they say about privacy may or may not be true. No amount of code auditing or inspection can prove anything.

Dr Swan laid it out in yesterday's podcast. He even mentioned the controversy around MYHR.

https://www.abc.net.au/radio/programs/coronacast/why-cant-i-test-myself-for-coronavirus-at-home/12163200

Nice but Dim said...

That does present the Government a challenge if they (and they will) go compulsory. There is also a question over liability, what happens if my mobile device is compromised through the installation of this government app? I am sure bluejacking will be possible. I appreciate the ASD and DTA are working on this, but that is also what worries me.

Bernard Robertson-Dunn said...

If the government thinks the public have got over the myhr opt-out debacle, all they need to do is read the papers.

This is typical coverage.

It pains me to say this, but when it comes to the virus app Barnaby Joyce has a point

https://www.smh.com.au/national/it-pains-me-to-say-this-but-when-it-comes-to-the-virus-app-barnaby-joyce-has-a-point-20200420-p54lh0.html

"There is one problem, though, for a government attempting to roll out a new application that isn’t tested in the market. Australians don’t trust governments to manage technology. We don’t fear conspiracy but we do think our leaders will foul it up. "Australians don’t think that the government is going to do anything creepy [but] we don’t trust the government to 'know where the on switch is on a computer'," says (Deborah) Lupton, quoting one of her research participants.

There is a health app tension between our various rights. We want the right to be free, to be private, but we also want the right to stay healthy.

And there’s our problem. Australians recognise two big government stuff-ups in the last five years – #censusfail and the My Health Record public relations and privacy-assurance catastrophe. Lupton says we see those as evidence of the government doing this work badly. She reminds me that 2.5 million people opted out of My Health Record. So how can the government restore that confidence? I am not yet reassured by the Cyber Security Cooperative Research Centre’s positive review of the app where it found "nothing particular disturbing".

Would I download a COVID app? I opted out of My Health Record because I was unsure my information would be safe. This app would be different, though. It’s for a specific purpose, right? And the government would control-alt-delete as soon as it could, right? Suelette Dreyfus, an academic at the University of Melbourne, who specialises in digital privacy, did not comfort me. For various family reasons, having to tell the government about my personal details freaks me out. States abuse powers."