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
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Judging by he coverage it seems the HealthEngine selection to track vaccine admin was the big news – followed by the issues with telehealth use and possible misuse and the IT in Aged Care.
Lots to follow!
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https://www.itnews.com.au/news/healthengine-to-build-australias-vaccine-booking-platform-561889
HealthEngine to build Australia's vaccine booking platform
By Justin Hendry on Mar 8, 2021 4:41PM
Expected to be live within weeks.
The Department of Health has selected HealthEngine to build the booking platform that will underpin the federal government’s Covid-19 vaccination information and booking service.
The platform, which is expected to be up and running in time for the next phase of the vaccine rollout in the coming weeks, will allow patients to locate and book appointments with clinics.
GPs clinics, as well as other approved health service providers like pharmacies and state-run vaccination clinics, will be able to use the platform where they don’t already have a booking system.
GPs are expected to administer the bulk of Australia's vaccinations, with more than 4500 clinics signed-up to take part in what will be one of Australia’s largest-ever peacetime logistics events from later this month.
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Tuesday, 09 March 2021 15:14
Department of Health picks HealthEngine for Covid-19 vaccination bookings
The Australian Government Department of Health has selected local health booking provider HealthEngine to build the booking platform for the COVID-19 Vaccination Information and Booking Service.
HealthEngine's platform will be part of the system that allows patients to locate and book appointments with designated vaccine clinics via a service finder based on the HealthDirect-run National Health Services Directory (NHSD).
Approved health service providers will include GP clinics, pharmacies and state-run vaccination clinics.
HealthEngine's platform can be used as a standalone booking option for providers who don't already have an online booking system. Those who do are encouraged to continue using their existing systems.
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https://www.zdnet.com/article/healthengine-to-build-australias-covid-vaccination-booking-platform/
HealthEngine to build Australia's COVID vaccination booking platform
The company, for a separate matter, was ordered by the Federal Court in August to pay AU$2.9 million in penalties, following allegations it had shared patient information and skewed its reviews.
By Asha Barbaschow | March 9, 2021 -- 03:24 GMT (14:24 AEDT) | Topic: Innovation
HealthEngine has on Tuesday announced being selected by the federal government to build its COVID-19 vaccination booking platform.
The COVID-19 Vaccination Information and Booking Service will be launched by the Department of Health in the coming weeks to support the vaccination rollout.
HealthEngine said Health's "end-to-end COVID-19 vaccination solution" would allow patients to locate and book appointments with designated vaccine clinics via a service finder based on the HealthDirect-run National Health Services Directory (NHSD).
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HealthEngine selected to support the Australian Government Department of Health’s vaccination efforts
Roy Chiang | 10 Mar 2021
In the following weeks, the Australian government will be launching the platform in an effort to support the various phases of its nation-wide vaccination plan as part of the Department of Health’s (DOH) end-to-end COVID-19 vaccination solution. Being the pioneer when it comes to providing online bookings for healthcare services, HealthEngine has a wealth of experience which the federal government can leverage on. It has developed a robust and scalable system to cater to the DOH’s needs for the vaccination programme simply by modifying its platform.
In order to meet the tight deadlines set by the DOH, HealthEngine has expedited its efforts in developing the system to contribute to the nation’s COVID-19 management efforts. The platform will serve to allow patients to locate designated clinics which they can go to for the vaccination via a Service Finder which is based on the National Health Services Directory (NHSD) as well as allow them to schedule an appointment with these clinics.
THE
LARGER TREND
Countries all over the world are scrambling to either develop their own
vaccines or obtain it from external sources. Several COVID-19 vaccines have
been developed and approved for use either by individual nations or groups of
them, such as the European Union and World Health Organisation. Most countries are prioritising
the administration of vaccines to the elderly who 60 and above,
healthcare workers as well as those who are susceptible to the virus.
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Queensland’s ‘TripAdvisor for healthcare’ delayed a year
By Lydia Lynch
March 9, 2021 — 11.00pm
A $7.5 million website allowing patients to compare staff levels and surgical wait times across all private and public hospitals has been delayed by at least a year.
The website, Inform My Care, was due to go live in April 2020, but has been pushed back until April 30, 2021.
Despite no evidence of community transmission in Queensland for more than six months, meaning cases with no known source, Queensland Health blamed the COVID-19 pandemic for the delay.
“While we are of course focused on getting back to business as usual, our first priority is and will remain to be protecting Queenslanders,” a spokeswoman said.
The TripAdvisor-style website would allow patients and their families to compare information about public and private health facilities.
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https://medicalrepublic.com.au/where-art-thou-telehealth/41572
10 March 2021
Where art thou, telehealth?
COVID-19 General Practice Telehealth
GPs are once again being left in the dark about telehealth, with the government yet to follow through on its promise to make the services permanent on the MBS.
And the deadline is close, with the temporary telehealth items set to expire on 31 March.
It’s been more than three months since federal Health Minister Greg Hunt said that telehealth would become a permanent fixture on the Medicare Benefits Schedule and praised medical professionals for the success of those services during the pandemic.
But exactly a year on from their introduction and just three weeks from their expiry, doctors are waiting for the items to become truly permanent and to find out whether there will be any changes to the rebate structure.
TMR asked the Department of Health for an update on the status of telehealth, and whether GPs could continue booking in bulk-billed consults for dates beyond the current expiry date.
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https://medicalrepublic.com.au/fact-check-have-30000-gps-misused-telehealth/41639
11 March 2021
FACT CHECK: Have 30,000 GPs misused telehealth?
ACRRM AMA MBS RACGP Telehealth TheHill
The government is warming up to send compliance letters to GPs about their use of the temporary telehealth item numbers, the RACGP says.
The campaign could begin as early as this month, according to a piece on the RACGP’s news website newsGP, written by Dr Michael Wright, Chair of the RACGP Expert Committee on Funding and Health System Reform.
He wrote that the RACGP had been informed that following a Medicare Benefits Scheme analysis by the Department of Health “30,000 GPs had potentially breached telehealth MBS rules”.
Dr Wright and president Dr Karen Price had conveyed their “concerns” to the DoH about a potentially huge compliance campaign in the middle of the vaccine rollout.
It bodes ill for the long-awaited transition of the temporary telehealth item numbers into permanent Medicare features if the department believes nearly all GPs have abused them.
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https://www.ausdoc.com.au/news/1000-gps-could-face-medicare-audit-suspected-telehealth-breaches
1000 GPs could face Medicare audit for suspected telehealth breaches
The Federal Health Department says it has already begun audits on a small number of practitioners
12th March 2021
By Antony Scholefield, Kemal Atlay
Up to 1000 GPs could be audited for suspected breaches of Medicare’s ‘existing relationship’ rules for telehealth consults.
The Federal Department of Health’s compliance blitz is focussed on requirements that patients must have seen the same GP, or a GP at the same practice, face-to-face in the 12 months before the remote consult.
Health officials say all the GPs, who were identified based on an analysis of claims data rather than tip-offs, will be asked to review their claiming to “confirm if they have met the relevant item requirements”.
The precise number of GPs to be audited has not been finalised, but the department says it has already begun audits of “a small number” of them.
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https://wildhealth.net.au/hundreds-of-gps-to-be-pinged-on-telehealth
12 March 2021
Hundreds of GPs to be pinged on telehealth
DoH Government Insights Telehealth
Hundreds of doctors – but not thousands, and certainly not 30,000 – will be sent compliance letters in the coming weeks for billing telehealth items for ineligible patients, the Department of Health says.
A representative from the DoH told TMR on Thursday evening that it would not, and was never planning to, send letters to 30,000 GPs.
The news comes two days after a piece on the RACGP’s news website newsGP, written by Dr Michael Wright, Chair of the RACGP Expert Committee on Funding and Health System Reform, said that “30,000 GPs had potentially breached telehealth Medicare Benefits Scheme rules”.
Dr Wright and president Dr Karen Price had conveyed their “concerns” to the DoH about a potentially huge compliance campaign in the middle of the vaccine rollout.
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https://www.hinz.org.nz/news/555554/FHiNZ-founding-fellows-announced.htm
FHiNZ founding fellows announced
Tuesday, 9 March 2021
NEWS - eHealthNews editor Rebecca McBeth
Twenty-one people will become
the founding fellows of the Fellow of Health Informatics NZ (FHiNZ) programme.
HiNZ announced the establishment of the Fellowship Programme at a networking event in Auckland on 19 November 2020.
The programme recognises health informatics leaders who demonstrate
“significant digital and data achievement and contributions, leadership and
service for the health and disability sector of Aotearoa New Zealand”.
The HiNZ board identified the founding fellows who have a significant legacy of
service and leadership in health informatics. These fellows will be
acknowledged at the Digital Health Leadership Summits
in late March.
HiNZ board member Karen Blake says, “a small working group of the board has
developed this programme over the past few months to honour those people in New
Zealand who are working at the peak of our health informatics profession.
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https://wesleytraining.edu.au/my-health-record/
My Health Record and Patient Consent
The Royal Australian College of General Practitioners (RACGP) supports the vision for a national electronic health record. The current national system is My Health Record. In 2017, the Australian Government announced that in 2018, every person with a Medicare or Department of Veterans’ Affairs (DVA) card who has not already registered for a My Health Record will automatically have one created for them, unless they choose to opt out of the system.
People often ask about the rights of patients and consent with respect to the My Health Record.
In the health industry, there are 3 types of consent :
- Implied
- Express
- Standing
Standing consent means any health care professional can access My Health Record without asking permission every time of the patient.
This method doesn’t impact on patient rights however. At any time, patients can request that certain medical treatment or records not be uploaded to My Health Record, and further are able to remove documents from the Record, or even lock down the Record, by opting out of My Health Record.
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My Health Record Update Webinar: Accessing Immunisation Records and Enabling Pathology Result Uploads – 20 April
Topics:
- My Health Record update highlighting key clinical information available through My Health Record
- Viewing Allergy and Adverse Reactions information via Medicines View
- Viewing Australian Immunisation Register (AIR) data using My Health Record through general practice clinical software
- Latest Immunisation viewing enhancements available through the National Provider and Consumer Portals
- Pathology eRequesting and relevance to My Health Record
- Q and A
Speaker:
- Jenny Snegovaya – Digital Programs and Engagement
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New digital platform reports vaccinations to the register
Monday, 08 March, 2021
Vaccination providers can now meet their legislative requirements to report vaccinations to the Australian Immunisation Register (AIR) using a new digital platform developed by the Australian Digital Health Agency. Designed to manage vaccinations and report vaccination information to the AIR, the Clinician Vaccine Integrated Platform (CVIP) will support the Australian Government’s COVID-19 vaccination program which started in February.
“CVIP is expected to be particularly useful for vaccination providers who don’t currently have digital systems in place to report to the AIR,” Agency Chief Digital Officer Steve Issa said.
NT Health was the first jurisdiction to start using CVIP in their Alice Springs vaccination clinic. The Agency is having discussions with other jurisdictions about how it might be used at clinics within other states and territories while they are upgrading their clinical systems to meet the new AIR reporting legislative requirements.
Vaccination information reported to the AIR is uploaded automatically to My Health Record.
The latest upgrade to My Health Record in late February included a consolidated immunisation view so people can easily see details of all immunisations, including their first COVID-19 vaccination received and next vaccination due date. Immunisation history statements are also available from Medicare Online and the Express Plus Medicare Mobile app.
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12 Mar 2021 12:48 PM AEST –
Report reveals 72,500 rural and remote Australians admitted to hospital each year due to medicine-related problems
EMBARGOED UNTIL 12.01am 13/03/2021: A new report has revealed 1.3 million rural and remote Australians do not take their medicines at all or as intended adding an estimated $2.03 billion to our annual health care costs.
The Medicine Safety: Rural and remote care report, developed for the Pharmaceutical Society of Australia by Charles Sturt University, also found that 72,500 rural and remote Australians are admitted to hospital each year due to problems with their medicines, costing the health care system $400 million.
The report will be launched by NSW Health Minister Brad Hazzard in Sydney on Saturday 13 March.
PSA National President Associate Professor Chris Freeman said the report’s findings showed significant health discrepancies for those living in rural and remote Australia compared to those residing in metropolitan areas.
“The seven million Australians living in rural and remote Australians deserve better,” A/Prof Freeman said.
The report found:
· the rate of unintentional drug-induced deaths is higher than in capital cities
· there is an increased disease burden and potentially preventable hospitalisations is up to 2.4 times more than that of non-rural Australians
· the rates of medicines supplied for mental health conditions are lower in remote and very remote areas despite the higher incidence of mental health issues in these areas
· the rate of preventable hospitalisations for Indigenous Australians is three times higher than that of non-Indigenous Australians and
· 53 per cent of the Indigenous Australians participants in a regional Australian study were affected by suboptimal prescribing, polypharmacy and inappropriate or under-prescribing.
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https://www.ausdoc.com.au/news/racgp-launches-practice-matchmaking-gps
RACGP launches 'practice matchmaking' for GPs
The initiative involves setting up an online profile to find the perfect match
9th March 2021
Could a matchmaking website for GP practices overcome the fears of some doctors that rural general practice is 'a little bit scary'?
The RACGP is trialling a new program where GPs create online profiles of their practices to connect with their urban or rural counterparts — a little like a dating app.
Photographs of the practice can be uploaded to the college website. There are also questions such as “tell us about your practice” and “what type of relationship are you interested in?”.
The hope is that matched practices will develop long term relationships.
How that relationship develops is up to each 'couple', but according to the college it could involve mentoring opportunities, peer support and the chance to work with a partner practice through locum services.
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Ransomware ‘on the rise’
Amid growing fears thousands of Australian businesses have been caught up in a massive China ransomware attack, a new joint report from Home Affairs Minister Peter Dutton and Telstra chief executive Andy Penn has found 62 per cent of Australian businesses have experienced a cyber-security attack — a figure that’s on the rise.
The report — Locked out: Tackling the ransomware threat, released on Wednesday — highlights ransomware as one of Australia’s fastest growing threats given businesses spend an increasing amount of time participating in the digital economy.
Poor cyber-security hygiene and the proliferation of cryptocurrencies like bitcoin and ethereum are also making ransomware more difficult to tackle, given they’re impossible to trace.
“Protecting your organisation and your customers is the digital equivalent of locking your front door at night,” Mr Penn, the chair of the federal government’s cyber security advisory committee, said on Wednesday.
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https://marketplace.service.gov.au/2/digital-marketplace/opportunities/11560
Australian Digital Health Agency
RFQ DH3265 - Cost benefit analysis of Australian healthcare identifiers
Opportunity ID
11560
Deadline for asking questions
Thursday 11 March 2021 at 6pm (in Canberra)
Application closing date
Monday 15 March 2021 at 6pm (in Canberra)
Published
Monday 8 March 2021
Panel category
Strategy and Policy
Overview
• Document benefits and disbenefits for Australian healthcare identifiers – HPI-I, HPI-O, IHI • Develop methodology/cost model to assign to benefits • Complete cost benefit analysis for HPI-I for each state and territory governments, based on costs to be provided by the Australian Digital Health Agency
Estimated start date
29 March 2021
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https://soundcloud.com/adhapodcast/electronic-prescriptions-answering-the-big-questions-part-1
Australian Digital Health Agency Podcast
Electronic prescriptions: Answering the big questions (Part 1)
10 March, 2012
Australian Digital Health Agency Podcast
Follow Australian Digital Health Agency Podcast and others on SoundCloud.
Find out how repeats work and hear advice from professionals currently using electronic prescriptions as they answer questions raised by pharmacists.
Speakers:
Dr Andrew Rochford (Facilitator), Regina Cowie (Australian Pharmaceutical
Industries National Health Services Manager), Ben Wilkins (Clinical Reference
Lead, Community Pharmacist) and Dr Chris Moy (Clinical Reference Lead, AMA Vice
President).
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https://www.lexology.com/library/detail.aspx?g=c1edf52d-8963-4ee4-9d2d-893671d36c06
Transformational Reform Required: Significant Changes Ahead for the Aged Care Sector
Clyde & Co LLP - Lucinda Lyons, Ganga Narayanan, Nicole Wearne and Jehan-Philippe Wood
March 8 2021
The final report of the Royal Commission into Aged Care Quality and Safety was published on 1 March 2021 (the Final Report). The Final Report's conclusions are stark: substandard care is widespread in Australia's aged care system. The system is unacceptable and unsustainable in its current form and "is not worthy of our nation". The Commissioners believe that transformational reform is required to ensure the protection and promotion of the rights of the people who need support and care.
Both Commissioners propose a systemic redesign of the aged care system. However, they disagree on how the new system should be governed:
- Commissioner Pagone concluded that an independent statutory body should be responsible for aged care; and
- Commissioner Briggs favoured a "governmental leadership model", with a newly named Department of Health and Aged Care where a senior cabinet minister would remain responsible for the aged care sector.
Fully implemented, the Commissioners’ recommendations will have a considerable impact on the industry. Operators will be required to fund significant investment into technology, training of staff and regulatory compliance. The Commissioners accept that many of their recommendations will have financial implications in the order of hundreds of millions of dollars per year.
In its initial response, the Government has agreed to invest $452.2 million into the sector and replace the Aged Care Act 1997. The Government's proposed legislative and regulatory changes focus on increasing transparency, oversight and accountability. Further Government reforms will be announced in May 2021.
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https://www.australianageingagenda.com.au/royal-commission/rc-calls-to-mandate-digital-care-systems/
RC calls to mandate digital care systems
by Sandy Cheu March 10, 2021
The aged care royal commission’s recommendations on technology are a good starting point that need to be implemented via a well-structured and evidence-based approach, a technology expert tells Australian Ageing Agenda.
In the Royal Commission into Aged Care Quality and Safety’s final report released last week, Commissioners Tony Pagone and Lynelle Briggs said the future aged care sector “will need to operate in a technology-enabled environment for efficient clinical, business and operational systems,” the commissioners said in their report.
“These [systems] need to be designed to identify older people’s needs and preferences and to provide care tailored most effectively to their needs.”
They recommend that aged care organisations use a digital care management system that includes electronic medication management and is interoperable with My Health Record.
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Future of Ageing webinar: The Royal Commission’s Final Report – Data, Technology and Innovation
By Sean McKeown
8 March 2021
The Royal Commission into Aged Care Quality and Safety’s long-awaited final report released on the 1st of March revealed a need for innovation in the use of information, data and technology among its 148-recommendations. This included universal adoption of data recording and analysis, digital technology and the My Health Record – aiming to improve transparency and decision-making capabilities among healthcare services, the Government and residential aged care facilities.
The Aged Care sector must now balance the adoption of new technological solutions, while ensuring their usability as they navigate the future of the industry off the back of the commission’s recommendations. History is full of companies that have failed despite being leaders in technology. Nokia was technologically focussed and led the world with their inventions until Apple struck a balance between technology, data and innovation to achieve optimal usability through data.
What does the Future of Ageing look like now that the industry has full insight into the commission’s final recommendations, and as we await the government’s full response in May? We hope to explore these implications in this panel discussion featuring an expert lineup from across the aged care sector, including leading providers tasked with innovatively transforming their businesses.
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https://www.lexology.com/library/detail.aspx?g=e68db991-b4b1-4071-bacf-2a24de53a7cc
TGA implements stricter regulation of software-based medical devices
Australia March 10 2021
DLA Piper - Joanne Lim and Eliza Jane Saunders
The Australian Therapeutic Goods Administration (TGA) has implemented reforms to the regulation of software-based medical devices, including software that functions as a medical device in its own right (i.e. it is not attached to any physical medical device).
Amendments to the Therapeutic Goods (Medical Devices) Regulations 2002 (Regulations) include:
- clarifying the boundary of regulated software products;
- introducing new classification rules for software based medical devices that:
- provide a diagnosis or screens for a disease or condition;
- monitor the state or progression of a disease or condition, or the parameters of a person with a disease or condition;
- specify or recommend a treatment or intervention; or
- provide therapy through the provision of information; and
- providing updates to the essential principles to more clearly express the requirements for software-based medical devices.
The new classification rules will subject these software-based medical devices to more stringent pre-market requirements (such as external conformity assessments) depending on the function of the device, risk of harm and whether the user is a health professional or patient. Software-based medical devices are classified from Class I (low risk) to Class III (high risk).
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Aged-care reform puts technology on the table
Monday, 08 March, 2021
After a two-year investigation, the Royal Commission into Aged Care Quality and Safety has made 148 recommendations to overhaul Australia’s aged-care system.
Summarising the extensive Final Report, The Conversation outlined four takeaways:
- Australia needs a rights-based aged-care system.
- The system needs stronger governance.
- Workforce conditions and capabilities need to improve.
- A better system will cost more.
Technology reform has been identified as an important part of delivering a new and improved aged-care system. Epicor Software Regional Vice President for ANZ Greg O’Loan said that the technology recommendations put forward from the Commission’s final report were encouraging.
“It’s important to acknowledge these recommendations aim to bring a universal standard to aged care, he said. “We are satisfied with the number of technology-focused recommendations that were put forward — specifically, a whole section of the report looks at improving aged care through data, research and technology — but we do wonder if the additional investment of $452 million to meet these improvements falls short of what is required.”
Recommendation 34 states that, “The Australian Government should implement an assistive technology and home modifications category within the aged-care program that provides goods, aids, equipment, technologies and services that promote a level of independence in daily-living tasks and reduces risks to living safely at home.”
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Newly developed platform sends vaccination records to Australian Immunisation Register
Roy Chiang | 10 Mar 2021
Set to commence in February, the Clinician Vaccine Integrated Platform (CVIP) will support the Australian Government’s COVID-19 vaccination program. It supplies the required technology for those providing the vaccination to meet their legislative requirements to report the inoculation status of individuals to the Australian Immunisation Register (AIR). In addition, all vaccination information reported to the AIR will be automatically uploaded to My Health Record.
NT Health was the first to adopt the CVIP in one of their vaccination clinics. Since then, the Digital Agency has been looking to expand the use of the CVIP at clinics in other states and jurisdictions within Australia whilst upgrading their clinical systems to ensure that they are aligned with the new AIR reporting legislative requirements.
THE
LARGER TREND
In light of the COVID-19 pandemic, governments all over the world have also
begun efforts to inoculate their citizens as well as develop an integrated
vaccination system to document this process. This is especially so in
low and middle-income countries which have begun to implement electronic
immunization systems to replace the traditional pen and paper-based tools and
aggregate reporting systems in medical facilities.
While Australia has already developed a vaccination record system, it is imperative to also ensure that additional functionalities such as vaccine management, interoperability with other electronic systems as well as the ability to generate reminder and recall notifications have been integrated into the system in order to ensure that their digital vaccination platform remains scalable as well.
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https://www.itwire.com/telecoms-and-nbn/telstra-turns-on-low-band-5g.html
Thursday, 11 March 2021 00:19
Telstra turns on low-band 5G
In an important milestone on Telstra's roadmap to bring 5G to more Australians sooner, Australia's biggest telco has completed testing on its low-band 5G spectrum and it is now ready for commercial use.
This low band uses 850MHz, spectrum that Telstra currently use for its 3G network, which was the frequency championed by its Next-G network.
However, as 3G traffic declines, Telstra reports being able to re-purpose part of the spectrum for more efficient and higher value 5G services while still maintaining its 3G services in operation.
The tests and rollout, which started last November, have added another dimension to Telstra's 5G offering with "parts of the network now able to do a 5G data session over distances exceeding 80km."
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How Vocus could be the proving ground for an NBN bid
Lucas Baird Reporter
Mar 8, 2021 – 12.00am
Vocus Group is no stranger to a takeover attempt but this time it is markedly different.
The reformed telecoms company is the ideal proving ground for Macquarie Infrastructure and Real Assets Management to display its credentials, before the privatisation of the national broadband network.
While this is still some years away, MIRA has spent recent times beefing up its global telco portfolio to include tower infrastructure and data centres. Vocus – with its vast optic-fibre network – is likely the $3.4 billion capstone.
MIRA and consortium partner Aware Super will enter their fourth week of due diligence on Monday. It shows the parties are keen to make a deal, a stark contrast to previous bids in 2018 from AGL Energy and private equity group EQT, which collapsed after initial looks at the books.
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Moscow and Beijing take small step to a moon base
· The Times
Russia has struck a deal with China to build a lunar research station as the Kremlin seeks to emulate Soviet-era space triumphs following years of decline.
Roscosmos, the Russian space agency, said the International Lunar Research Station would be built on the surface of the moon or in its orbit.
China’s CNSA space agency said the project would “promote humanity’s exploration and use of outer space for peaceful purposes”.
Neither country said when construction would begin or gave a deadline for its completion.
A Russian media report suggested that Moscow intends the project to be a rival to US-led lunar mining plans that also involve Canada, Japan and some European countries.
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Enjoy!
David.
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