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."

Monday, February 28, 2022

Weekly Australian Health IT Links – 28 February, 2022.

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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Huge number of articles to catch up on this week so will let you at it without interruption!

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https://www.healthcareitnews.com/news/anz/queensland-health-releases-10-year-digital-strategy-rural-remote-health

Queensland Health releases 10-year digital strategy for rural, remote health

It is guided by the principle of leaving no one behind in the delivery of care.

By Adam Ang

February 22, 2022 03:47 AM

Queensland Health has recently published a decade-long strategy to digitally transform the state's healthcare services in rural and remote areas. 

WHAT IT'S ABOUT

The Digital Strategy for Rural and Remote Healthcare is a result of a consultation process involving over 400 clinical, business, and patient representatives across Queensland's hospital and health services.

It has identified infrastructure and technology challenges, including:

·         Less access to technology, slower internet, less connectivity

·         Data-silos and lack of interoperability

·         Extremes of heat, dirt, dust, salt and weather with significant impact on technology

·         Scarcity of local, skilled technicians and experienced ICT operators

·         Less reliable and advanced ICT infrastructure, connectivity. Less funding for contemporary technologies

·         Long lead times when technology needs repair or replacement 

Some health services challenges were also highlighted, such as the difficulty in sharing information and accessing community care services; paper-based medications history and physical distance creating a "barrier" to efficient prescribing and delivery of medications; and "distant and time-consuming" medical imaging. 

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https://www.hospitalhealth.com.au/content/technology/news/health-remains-most-breached-sector-human-errors-rise-by-43--772525017

Health remains most breached sector; human errors rise by 43%


Wednesday, 23 February, 2022


Health care remains the most breached sector, reporting around 18% of all notified data breaches, according to the Office of the Australian Information Commissioner’s (OAIC) latest report.

The Notifiable Data Breaches Report for July to December 2021 shows the OAIC received 464 data breach notifications during this period, an increase of 6% compared with the previous period.

The health sector notified of 83 data breaches, with providers reporting an equal number of breaches resulting from malicious or criminal attack and human error (47% each).

The OAIC is urging organisations to put accountability at the centre of their information handling practices.

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https://www.healthcareitnews.com/news/asia/adopting-cloud-first-policy-upskilling-among-ways-further-cloud-adoption-apac-report

Adopting cloud-first policy, upskilling among ways to further cloud adoption in APAC: report

A report published yesterday by AWS Institute and ACCESS Health identifies the enablers and barriers to cloud adoption in the region.

By Adam Ang

February 21, 2022 11:50 PM

A report published yesterday has offered recommendations on how public health systems in Asia-Pacific can address roadblocks in adopting cloud technologies.

Titled "Overcoming Barriers to Cloud Adoption in Public Healthcare in Asia Pacific", the report was developed by AWS Institute, the thought leadership programme of Amazon Web Services, in partnership with health innovation advisory firm ACCESS Health International.

FINDINGS

A study was conducted in 12 APAC countries: Singapore, Australia, New Zealand, South Korea, Japan, Malaysia, Thailand, Indonesia, Vietnam, Philippines, India, and Bangladesh. It engaged almost 40 policymakers, CIOs, CMIOs, and digital health experts to gain insight into the progress of healthcare digitisation in the region.

It was found that among high-income countries, Singapore, Australia, New Zealand, and South Korea were most advanced in terms of cloud readiness and adoption for healthcare. Among the two countries that were classified as upper-middle-income countries, Thailand has wider adoption than Malaysia, although the latter has made more progress in terms of policies. India and Vietnam were found to have greater cloud adoption than their peers in the lower-middle-income bracket.

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https://www.itnews.com.au/news/wa-health-appoints-new-cio-from-within-575881

WA Health appoints new CIO from within

By Justin Hendry on Feb 22, 2022 7:00AM

Second tech chief in a year.

WA Health has appointed Jonathan Smith as its chief information officer after a brief stint as acting technology chief.

Smith took the job at the department’s shared services arm, Health Support Services (HSS), on a permanent basis in December.

He had been HSS’ interim CIO since the departure of former chief Christian Rasmussen, who left the agency after less than 10 months in October.

Smith comes to the CIO role with four years’ experience at HHS, most recently as its executive director for program delivery.

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https://www.hospitalhealth.com.au/content/technology/news/db-results-and-thai-hospital-extend-digital-transformation-partnership-1249381007

DB Results and Thai hospital extend digital transformation partnership

Friday, 18 February, 2022


The Faculty of Medicine Siriraj Hospital Mahidol University has signed an agreement with digital consultancy DB Results to continue their digital transformation partnership.

With more than 2,800,000 outpatient visits and 80,000 inpatient admissions a year, Siriraj Hospital is said to be Thailand’s largest public hospital.

Gavin Bunshaw, Co-CEO, DB Results, said, “We started our journey with Siriraj hospital with an MoU in 2020. The MoU’s principles and guidelines were to make a difference in healthcare services through innovation and technology with the OutSystems Low-Code platform in collaboration with the Siriraj Hospital team. We have followed these principles and guidelines with the implementation of the ‘Pathology system’ and ‘Enhanced Recovery After Surgery’ platform (ERAS).”

The company leveraged its agile methodology coupled with design thinking to build efficiencies and streamline hospital processes. The OutSystems Low-Code platform was used with an aim to build solutions four to seven times faster than traditional development.

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https://www.healthcareitnews.com/news/anz/australia-launch-new-covid-19-case-reporting-tool-aged-care

Australia to launch new COVID-19 case reporting tool for aged care

This comes amid the rise in COVID-19 deaths in residential aged care facilities.

By Adam Ang

February 17, 2022 04:17 AM

Australia's Department of Health is setting up a new reporting tool in which aged care service providers can report their COVID-19 cases.

The COVID-19 Support Portal on the My Aged Care provider website will allow aged care services to submit de-identified data about COVID-19 outbreaks or exposures at their facilities.

WHY IT MATTERS

Case reporting through the new online site will begin on 28 February. Before then, providers will still have to submit their counts to the government by email. 

"The information collected via the new COVID-19 Support Portal is the same as the existing information required to be reported by providers to the Department of Health. We are simply making it more streamlined and effective," the department said in a recent update. The portal, it added, will help "expedite the provision of support to providers when an outbreak occurs".

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https://www.itnews.com.au/news/medibank-reports-50-percent-lift-in-ai-customer-interactions-576544

Medibank reports 50 percent lift in AI customer interactions

By Kate Weber on Feb 25, 2022 11:35AM

Digital investments begin to yield results.

Health insurer Medibank has reported its analytics investments saw its customer interactions rise significantly over the half, as customers increasingly switch to digital channels.

Medibank CEO David Koczkar said in the company’s 2022 half year result technology investments have proven rewarding as “more customers are choosing to use our digital channels”.

“Our recent platform investments are paying off, with our leading analytics capability driving a 50 percent increase in the number of AI enabled customer interactions in the last six months,” Koczkar said.

“As a result that customer advocacy milestone is in great shape and is well above our benchmark for the half.”

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https://www.ausdoc.com.au/news/govts-cost-finder-website-finally-list-specialists-fees-soon

Govt's cost finder website to finally list specialists' fees... soon

But it will be voluntary, and officials won't say how many doctors are signing up

25th February 2022

By Antony Scholefield

The Federal Government’s specialist fees website is finally going to reveal the fees charged by individual specialists — as long as they agree first.

Touted as a fix for 'bill shock', the Medical Costs Finder website launched three years ago but was dubbed a waste of time because it only lists average out-of-pocket costs for about 1300 in-hospital and out-of-hospital procedures.

But next month, testing will start on an upgraded version allowing individual specialists to list their fees for a limited number of procedures.

Plastic surgeons, obstetricians, ENT specialists, urologists and gastroenterologists would be first in line, with the ability to list their fees for approximately 100 MBS-rebated procedures, the Department of Health said.

It has not said how many doctors have so far signed up, but if the testing goes as planned their fees will be made public by the end of July.

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https://www.innovationaus.com/pwc-doubles-health-department-work-in-bumper-year-of-govt-contracts/

PwC doubles Health department work in bumper year of govt contracts


Denham Sadler
National Affairs Editor

23 February 2022

PwC more than doubled its revenue from the federal Health department in the last financial year as it cashed in on pandemic work outsourcing, with the global professional services giant enjoying an overall 20 per cent increase in government work.

An investigation of contract documents by InnovationAus has found that PwC earned $228 million from federal government contracts in the 2020-21 financial year, up from $191.9 million in the previous year.

This relates to the actual dollar amount paid to PwC in the financial year, rather than the value of the contracts awarded to the firm in this time.

This equates to an increase of nearly 20 per cent year-on-year in 2020-21, the first full reporting year since the onset of the Covid-19 pandemic, a boost of $36 million in revenue from government work.

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www.Alcidion.com

Alcidion - H1 FY2022 Results and Webcast Recording

 

Melbourne, Australia – Alcidion Group Limited (‘Alcidion’ or the ‘Company’) today releases its financial results for the six-month period ending 31 December 2021 (H1 FY22) and a business update detailing operational highlights. 

Highlights:

  • $30.4M of new contracted sales in the half resulting in contracted revenue able to be recognised in FY22 increasing to $27.1M, up 25% on the prior corresponding period (pcp)
  • H1 FY22 revenue of $12.9M, up 16% on pcp
  • Gross profit of $10.9M (85% gross profit margin), up from $9.8M on pcp
  • Underlying EBITDA loss of $3.2M, is in line with management expectations given planned investment in growth
  • Milestone $23.3M contract with the Commonwealth of Australia as part of Consortium led by Leidos Australia
  • Material contracts signed with Sydney Local Health District, Queen’s Hospital Burton and a 3-year extension for support and maintenance with Royal Derby Hospital
  • Acquisition of Silverlink PCS Software Ltd, positioning Alcidion to deliver a cloud-native, modern and modular Electronic Patient/Medical Record (EPR/EMR)
  • Cash balance of $18.9M as at 31 December 2021

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https://www.digitalhealth.gov.au/newsroom/events-and-webinars/connecting-consultant-pharmacists-to-my-health-record-national-provider-portal

Connecting Consultant Pharmacists to My Health Record: National Provider Portal

Event details

When Thursday, 3 March 2022 6:30pm - 7:30pm (AEDT)

Where Online

Hosted by Australian Digital Health Agency

General enquiries

Phone: 1300 901 001
8am - 5pm (AEST/AEDT) Monday - Friday
Email: 
help@digitalhealth.gov.au

The Australian Digital Health Agency is hosting a webinar for independent consultant pharmacists interested in connecting and accessing My Health Record.

Having access to health information contained in My Health Record can support accredited pharmacists in the delivery of Home Medicines Reviews, reduce the instance of adverse medication events (including hospital re-admissions) and improve continuity of care for patients across the primary and secondary care sectors.

The session will explain the process of connecting to the National Provider Portal which enables web-based view-only access to a patient’s My Health Record without the need for additional software. The host will take you through the registration process completed via PRODA/HPOS step-by-step and provide assistance and direction if you require additional support. In this session we will also provide an overview of the My Health Record system and key documents that can be accessed along with a live demonstration of the National Provider Portal.

The webinar will provide information about ongoing participation requirements and obligations for your continued access to the My Health Record system. There will be an opportunity for Q+A at the end of the session and a recording will be provided to all registrants.

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https://www.dayhospitalsaustralia.net.au/my-health-record-system-upgrade-2/

My Health Record system upgrade

My Health Record will be upgraded on 24 February 2022 to allow clinical information system software developers to enhance their systems so that event summaries, discharge summaries and specialist letters can be subtyped on upload to My Health Record.

This release also updates the timing of onscreen alerts and SMS/email notifications to support different interval durations between the first and second doses of each COVID-19 vaccine by age group.

For assistance contact the My Health Record Help line on 1800 723 471 (Select Option 2).

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https://www.news.com.au/sponsored/dlfFhfbehmxb2ulJzHf0/a-rare-silver-lining-of-the-pandemic-online-therapy-finally-mainstream/

A rare silver lining of the pandemic: Online therapy, finally mainstream

During the grim months of lockdowns, the number of people in need of mental health services surged. If there is a silver lining to the devastation of the pandemic, it’s the expansion and adoption of online and tele health services.

Amy Marnie

news.com.au is highlighting the support is available at Beyond Blue’s Coronavirus Mental Wellbeing Support Service.

Online health services have long been promoted as a solution to many barriers for Australians seeking help: affordability, accessibility and stigma. Despite this, the uptake of online therapy has been low.

But the pandemic changed that.

For Anita Aherne, the changing world, all five members of the family learning and working from home and caring for a son with special needs created a pressure cooker situation.

“I had lost all my own space, and I was juggling everybody else's problems, and I found that I was really struggling. I was very teary, I just couldn't see a way out,” she says.

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ADHA - Software Developer Community Announcement

Discontinuation of TLS 1.1 access to Verizon certificates-australia websites

Verizon Australia is a third party organisation who manages the issuance of both Medicare and NASH PKI certificates that are used by Healthcare Organisations to undertake electronic business with Services Australia.

Verizon have notified Services Australia that they must make an upgrade to the Transport Layer Security that’s used on their website www.certificates-australia.com.au from TLS1.1 to TLS1.2. The proposed date of upgrade is 31 March 2022.

Software vendors who are currently using TLS1.1 will need to upgrade to TLS1.2 to avoid any impact.

Who does this affect?

All systems that use NASH or Services Australia (Medicare) PKI certificates, that have also been hardcoded to use TLS 1.1, or are running on Windows Server 2008 or Windows 7 or earlier.

These systems may experience issues with the following digital health services:

  • The My Health Record B2B gateway
  • The Healthcare Identifiers service
  • Electronic Prescribing
  • Secure Messaging
  • Medicare-related services
  • Any other use of the NASH or Services Australia (Medicare) PKI

Required action

Please ensure that your software has not been hardcoded to use TLS 1.1. and provide advice to any customers that may be running on Windows Server 2008 or Windows 7 or earlier.

Ensure your software is compatible with TLS 1.2 or 1.3 and that your customers’ operating systems are configured to default to TLS 1.2 or TLS 1.3.

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https://marketplace.service.gov.au/2/digital-marketplace/opportunities/19309

Australian Digital Health Agency

Development of visualizations for the new National Digital Health Strategy

Opportunity ID 19309

Deadline for asking questions Wednesday 23 February 2022 at 6pm (in Canberra)

Application closing date Friday 25 February 2022 at 6pm (in Canberra)

Published Monday 21 February 2022

Panel category Marketing, Communications and Engagement

Additional terms

Comprehensive terms apply

Overview

Require visualizations for the new Strategy and Plan: • visual representation of the Strategy framing and Plan framework • infographics to demonstrate initiatives and elements of the Strategy (15) and Plan (10) • infographics to demonstrate current and future state consumer and clinician journeys under the Strategy (8) and Plan (2) • data visualisation of benefits that can be updated over time for the Strategy (25) and Plan (6) The Strategy and Plan will be hosted on the Agency website . The visuals must be compatible with existing Microsoft office applications and will be provided to website developers for inclusion on the website. A designed pdf version of the complete Strategy and Plan are required. We require a presentation pack to accompany the release of the Strategy and Plan that provides a toolkit to 6 stakeholder groups on the adoption of the Strategy and Plan. An engagement plan is required to support endorsement and adoption of the Strategy and Plan by key stakeholders prior to and post release. The supplier will work in an iterative way to develop the deliverables including an onboarding workshop to agree infographic requirements deliverable timeframes and weekly meetings with the delegate.

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https://www.mwhpn.com.au/event/my-health-record-best-practice-qa-session/

My Health Record – Best Practice Q+A session

23 February @ 8:00 am - 8:30 am

These 30 minute sessions are aimed at GPs, Specialists, Practice Managers, Practice Nurses and Aboriginal Health Workers interested in learning more about My Health Record and how to use it most effectively in routine practice. Using a software simulation platform the instructor will answer questions or demonstrate available features of My Health Record using Best Practice.

REGISTER HERE 

Details

Date:  23 February

Time:  8:00 am - 8:30 am

Event Category:

Health

https://www.digitalhealth.gov.au/newsroom/events-and-webinars/my-health-record-best-practice-qa-session-2022

Organiser Australian Government

Venue  Webinar

WA Australia + Google Map

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https://wildhealth.net.au/do-workout-apps-mean-squat/

25 February 2022

Do workout apps mean squat?

Apps COVID-19

By Fran Molloy

Physical activity dropped in most populations over the pandemic, as shutdowns closed gyms and sports facilities, and school and work closures kept entire populations at home – with one UK study estimating a 30% decline in exercise in over-16s

Researchers at the Caring Futures Institute at Flinders University surveyed more than 400 Australian adults following the initial covid lockdown in April/May 2020 and found that more than half (53%) reported a corresponding decline in physical activity. 

However, about a quarter of respondents (24%) reported an increase in activity during the pandemic, many taking time to walk or exercise outdoors, while around half of this group used fitness apps. 

“Social support is certainly important to maintaining exercise behaviour,” says Associate Professor Ivanka Prichard, a co-author of the Flinders University study.  

Motivation and self-efficacy (a person’s belief in their own ability) were other factors that prompted the active respondents to keep exercising, she adds.  

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https://www.usanz.org.au/news-updates/our-announcements/services-australia--update-on-digital-channel-upgrades-february-2022

Services Australia: Update on Digital Channel Upgrades February 2022

Over the last 12 months, Services Australia has been updating its digital health and aged care channels in the Adaptors to Web Services (A2WS) Project.

Services Australia are working with software developers to: 

  • upgrade our digital health channels to web services
  • replace Public Key Infrastructure (PKI) site certificates with Provider Digital Access (PRODA). 


Services Australia acknowledges that recent events have placed additional pressures on industry, impacting their ability to transition to web services and PRODA by 13 March 2022.  

To help alleviate this, we’re renewing all Medicare and PBS PKI site certificates. This will ensure healthcare locations can continue to access our digital health channels from 13 March 2022.

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https://itwire.com/your-it/avast-survey-australian-elderly-highest-among-internet-non-users.html

Friday, 25 February 2022 11:22

Avast survey: Australian elderly highest among internet non-users

By Kenn Anthony Mendoza

The proportion of internet non-users is highest among the Australian elderly, revealing a digital generation gap, according to a global survey conducted by Avast.

Of the 2,700 people aged 55 and older surveyed worldwide by telephone, 42% use the internet regularly, 31% occasionally, and 27% never.

Half of the respondents are retired and the proportion of people who do not use the internet increases with age: While only 17% of people aged 55-60 do not use the internet, the proportion goes up to 39% among people aged 75 and over.

In a country comparison, respondents in Russia (66%), the UK (61%), Japan (58%), and New Zealand (58%) are the most active online; in Australia (36%), Mexico (28%), France (20%), many people still use the internet little or not at all, and 88% of all people globally have not used the internet.

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https://www.hinz.org.nz/news/596443/Free-telehealth-service-for-abortion-support-.htm

Free telehealth service for abortion support

Tuesday, 22 February 2022  

NEWS

The government has launched a national abortion telehealth service called Decide.

Associate Health Minister Ayesha Verrall says the service will connect people to abortion information, advice and counselling over the phone, from health practitioners anywhere in the country.

Abortion telehealth services are already offered by some DHBs and expanding this service nationally is a huge step in improving access to abortion services, she says.

“In-person care will always be offered, but it’s important that other options are available as well where suitable,” says Verrall.

“Telehealth makes it easier for people to reach the services and support that already exist, particularly those who find it difficult to visit a doctor or clinic. It also gives assurance to health practitioners that their patients have additional sources of support.”
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https://www.theaustralian.com.au/nation/use-nbn-as-an-asset-not-a-money-maker-warns-accc-boss/news-story/520e3717e16c06f3cb5ede21542cbf1d

Use NBN as an asset not a money maker, warns ACCC boss

Greg Brown

7:15PM February 23, 2022

Outgoing competition tsar Rod Sims says the National Broadband Network should not be run with the objective of making a commercial return on the government’s $50bn investment.

Mr Sims, who will next month step down as chair of the Australian Competition & Consumer Commission, said the focus of the NBN should be “making the best use of this great asset”.

“After spending $50bn on the NBN, the objective must not be a commercial return on the sunk ­investment,” Mr Sims told the ­National Press Club in Canberra. “The prices that allow the NBN to get a commercial return on all its outlays, and the prices that make best use of this expensive asset, are very likely quite different.

“We all saw the benefit of having the NBN completed in time for the pandemic lockdowns. That is just a taste of the benefits if we get NBN pricing right.

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https://itwire.com/telecoms-and-nbn/households-favour-high-speed-nbn-plans-as-smaller-retailers-increase-share.html

Wednesday, 23 February 2022 11:06

Households favour high speed NBN plans as smaller retailers increase share

By Chris Coughlan

Almost 8.6 million residential broadband services are now on the NBN and 58% are on high speed services of 50 Mbps, with an additional 15% of customers on speeds of over 50 Mbps, the ACCC’s latest NBN Wholesale Market Indicators Report reveals.

As the majority of the ‘Focus on Fast’ promotional discounts have now ended, the number of very high speed services over 100 Mbps fell by about 108,000 services, or 24%, in the quarter. However, almost half of the households that took up very high speed plans in 2021 remain on services above 100 Mbps.

“We encourage consumers to trial new services, but it’s important that they think about their internet usage and choose the speed tier that best fits their needs,” ACCC Commissioner Anna Brakey said.

The report showed that Aussie Broadband continued to make gains in the December 2021 quarter, increasing its customer base by about 46,000 and lifting its wholesale market share to 5.6%, up from 5.1% in September 2021. Superloop also increased its share in the quarter to 1.7%.

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https://itwire.com/telecoms-and-nbn/telco-expert-backs-accc-call-to-treat-nbn-costs-as-sunk.html

Tuesday, 22 February 2022 18:49

Telco expert backs ACCC call to treat NBN costs as sunk

By Sam Varghese

A well-known telecommunications consultant has thrown his support behind a call by ACCC chairman Rod Sims for the government to treat the costs of the NBN as sunk and focus on getting the best use out of the network.

Paul Budde said in a blog post on Tuesday that Sims had made the statement during a recent Senate inquiry. He cited the head of the Australian Competition and Consumer Commission as saying it would be "bad economics" to try to recover "every last dollar spent” on the NBN rollout.

He quoted Sims as saying: "Obviously the NBN was built by the government, and now that it’s built, I think it’s appropriate to treat its costs as sunk, what matters for Australia is getting the best use out of the NBN.”

When the NBN was first announced, back in 2009, the Australian Labor Party said fibre-to-the-home was earmarked for 93% of premises and fixed wireless or satellite for the remainder. In 2013, when the Coalition was elected, it brought in what it called a multi-technology mix that provides fibre-to-the-node for most premises.

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Enjoy!

David.

 

Sunday, February 27, 2022

A Fascinating Article Showing How The Russian Invasion Of Ukraine Weaponising Our Networks And Social Media.

I noticed this interesting and insightful article a short time ago.

Welcome to World War Wired

Thomas L. Friedman

Feb 26, 2022 – 1.16pm

The seven most dangerous words in journalism are: “The world will never be the same.” In over four decades of reporting, I have rarely dared use that phrase. But I’m going there now in the wake of Vladimir Putin’s invasion of Ukraine.

Our world is not going to be the same again because this war has no historical parallel. It is a raw, 18th-century-style land grab by a superpower — but in a 21st-century globalised world. This is the first war that will be covered on TikTok by super-empowered individuals armed only with smartphones, so acts of brutality will be documented and broadcast worldwide without any editors or filters. On the first day of the war, we saw invading Russian tank units unexpectedly being exposed by Google maps, because Google wanted to alert drivers that the Russian armor was causing traffic jams.

You have never seen this play before.

Yes, the Russian attempt to seize Ukraine is a throwback to earlier centuries — before the democracy revolutions in America and France — when a European monarch or Russian czar could simply decide that he wanted more territory, that the time was ripe to grab it, and so he did. And everyone in the region knew he would devour as much as he could and there was no global community to stop him.

In acting this way today, though, Putin is not only aiming to unilaterally rewrite the rules of the international system that have been in place since World War II — that no nation can just devour the nation next door — he is also out to alter that balance of power that he feels was imposed on Russia after the Cold War.

That balance — or imbalance in Putin’s view — was the humiliating equivalent of the Versailles Treaty’s impositions on Germany after World War I. In Russia’s case, it meant Moscow having to swallow NATO’s expansion not only to include the old Eastern European countries that had been part of the Soviet Union’s sphere of influence, like Poland, but even, in principle, states that were part of the Soviet Union itself, like Ukraine.

I see many people citing Robert Kagan’s fine book The Jungle Grows Back as a kind of shorthand for the return of this nasty and brutish style of geopolitics that Putin’s invasion manifests. But that picture is incomplete. Because this is not 1945 or 1989. We may be back in the jungle — but today the jungle is wired. It is wired together more intimately than ever before by telecommunications; satellites; trade; the internet; road, rail and air networks; financial markets; and supply chains. So while the drama of war is playing out within the borders of Ukraine, the risks and repercussions of Putin’s invasion are being felt across the globe — even in China, which has good cause to worry about its friend in the Kremlin.

Welcome to World War Wired — the first war in a totally interconnected world. This will be the Cossacks meet the World Wide Web. Like I said, you haven’t been here before.

“It’s been less than 24 hours since Russia invaded Ukraine, yet we already have more information about what’s going on there than we would have in a week during the Iraq War,” Daniel Johnson, who served as an infantry officer and journalist with the US Army in Iraq, wrote in Slate on Thursday afternoon. “What is coming out of Ukraine is simply impossible to produce on such a scale without citizens and soldiers throughout the country having easy access to cellphones, the internet and, by extension, social media apps. A large-scale modern war will be livestreamed, minute by minute, battle by battle, death by death, to the world. What is occurring is already horrific, based on the information released just on the first day.”

The outcome of this war will depend in large part on the will of the rest of the world to deter and roll back Putin’s blitzkrieg by primarily using economic sanctions and by arming the Ukrainians with anti-aircraft and anti-tank weaponry to try to slow his advance. Putin may also be forced to consider the death toll of his own comrades.

Will Putin be brought down by imperial overstretch? It is way too soon to say. But I am reminded these days of what a different warped leader who decided to devour his neighbours in Europe observed. His name was Adolf Hitler, and he said: “The beginning of every war is like opening the door into a dark room. One never knows what is hidden in the darkness.”

In Putin’s case, I find myself asking: Does he know what is hiding in plain sight and not just in the dark? Does he know not only Russia’s strengths in today’s new world but also its weaknesses? Let me enumerate them.

‘Tell me how this war ends?’

Russia is in the process of forcibly taking over a free country with a population of 44 million people, which is a little less than one-third the size of Russia’s population. And the majority of these Ukrainians have been struggling to be part of the democratic, free-market West for 30 years and have already forged myriad trade, cultural and internet ties to European Union companies, institutions and media.

We know that Putin has vastly improved Russia’s armed forces, adding everything from hypersonic missile capabilities to advanced cyberwarfare tools. He has the firepower to bring Ukraine to heel. But in this modern era we have never seen an unfree country, Russia, try to rewrite the rules of the international system and take over a free country that is as big as Ukraine — especially when the unfree country, Russia, has an economy that is smaller than that of Texas.

Then think about this: Thanks to rapid globalisation, the EU is already Ukraine’s biggest trading partner — not Russia. In 2012, Russia was the destination for 25.7 per cent of Ukrainian exports, compared with 24.9 per cent going to the EU Just six years later, after Russia’s brutal seizure of Crimea and support of separatist rebels in eastern Ukraine and Ukraine’s forging of closer ties with the EU economically and politically, “Russia’s share of Ukrainian exports had fallen to only 7.7 per cent, while the EU’s share shot up to 42.per cent,” according to a recent analysis published by Bruegel.org.

If Putin doesn’t untangle those ties, Ukraine will continue drifting into the arms of the West — and if he does untangle them, he will strangle Ukraine’s economy. And if the EU boycotts a Russia-controlled Ukraine, Putin will have to use Russia’s money to keep Ukraine’s economy afloat.

Was that factored into his war plans? It doesn’t seem like it. Or as a retired Russian diplomat in Moscow emailed me: “Tell me how this war ends? Unfortunately, there is no one and nowhere to ask.”

But everyone in Russia will be able to watch. As this war unfolds on TikTok, Facebook, YouTube and Twitter, Putin cannot closet his Russian population — let alone the rest of the world — from the horrific images that will come out of this war as it enters its urban phase. On just the first day of the war, more than 1,300 protesters across Russia, many of them chanting “No to war,” were detained, the Times reported, quoting a rights group. That’s no small number in a country where Putin brooks little dissent.

And who knows how those images will affect Poland, particularly as it gets overrun by Ukrainian refugees. I particularly mention Poland because it is Russia’s key land bridge to Germany and the rest of Western Europe. As strategist Edward Luttwak pointed out on Twitter, if Poland just halts truck and rail traffic from Russia to Germany, “as it should,” it would create immediate havoc for Russia’s economy, because the alternative routes are complicated and need to go through a now very dangerous Ukraine.

Anyone up for an anti-Putin truckers strike to prevent Russian goods going to and through Western Europe by way of Poland? Watch that space. Some super-empowered Polish citizens with a few roadblocks, pickups and smartphones could choke Russia’s whole economy in this wired world.

This war with no historical parallel won’t be a stress test just for America and its European allies. It’ll also be one for China. Putin has basically thrown down the gauntlet to Beijing: “Are you going to stand with those who want to overturn the American-led order or join the US sheriff’s posse?”

China holds a very big swing vote

That should not be — but is — a wrenching question for Beijing. “The interests of China and Russia today are not identical,” Nader Mousavizadeh, founder and CEO of the global consulting firm Macro Advisory Partners, told me. “China wants to compete with America in the Super Bowl of economics, innovation and technology — and thinks it can win. Putin is ready to burn down the stadium and kill everyone in it to satisfy his grievances.”

The dilemma for the Chinese, added Mousavizadeh, “is that their preference for the kind of order, stability and globalisation that has enabled their economic miracle is in stark tension with their resurgent authoritarianism at home and their ambition to supplant America — either by China’s strength or America’s weakness — as the world’s dominant superpower and rules setter.”

I have little doubt that in his heart China’s president, Xi Jinping, is hoping that Putin gets away with abducting Ukraine and humiliating the US — all the better to soften up the world for his desire to seize Taiwan and fuse it back to the Chinese motherland.

……

 That is, I wish that I could blithely predict that Ukraine will be Putin’s Waterloo — and his alone. But I can’t, because in our wired world, what happens in Waterloo doesn’t stay in Waterloo.

Indeed, if you ask me what is the most dangerous aspect of today’s world, I’d say it is the fact that Putin has more unchecked power than any other Russian leader since Stalin. And Xi has more unchecked power than any other Chinese leader since Mao. But in Stalin’s day, his excesses were largely confined to Russia and the borderlands he controlled. And in Mao’s day, China was so isolated, his excesses only touched the Chinese people.

Not anymore — today’s world is resting on two simultaneous extremes: Never have the leaders of two of the three most powerful nuclear nations — Putin and Xi — had more unchecked power and never have more people from one end of the world to the other been wired together with fewer and fewer buffers.

So, what those two leaders decide to do with their unchecked power will touch virtually all of us directly or indirectly.

Putin’s invasion of Ukraine is our first real taste of how crazy and unstable this kind of wired world can get. It will not be our last.

This article originally appeared in The New York Times.

Vastly more here:

https://www.afr.com/world/europe/welcome-to-world-war-wired-20220226-p59zx6

With our social networks and communications connecting us what we are seeing is our world order being re-shaped and the exercise of brutal power being reported to us in real time from every possible angle and this is both dividing the world into two camps – the Russia / China and possibly India axis and what we see as the West (Europe / US / UK / Australia / NZ / Japan) and being forced to actions which may shape our lives for decades.

Never before has such huge change been so rapid and so full of risk.

Like the author I have no idea where this will all end but I fear this will not end well and we have to hope Putin will be the loser!

What do you think? This is the best and worst of our connectivity!

David.

 

AusHealthIT Poll Number 620 – Results – 27th February, 2022.

Here are the results of the poll.

How Do You Rate Telstra Health As A Provider Of Digital Health Products And Services?

Excellent 0% (0)

OK 29% (15)

Neutral 35% (18)

Poor 29% (15)

Hopeless 4% (2)

I Have No Idea 2% (1)

Total votes: 51

A mostly neutral and equally balanced vote with many feeling Telstra Health should lift its game.

Any insights on the poll are welcome, as a comment, as usual!

A fair number of votes. but a clear outcome. 

1 of 51 who answered the poll admitted to not being sure about the answer to the question!

Again, many, many thanks to all those who voted! 

David.

 

Saturday, February 26, 2022

Weekly Overseas Health IT Links – 26th February, 2022.

Here are a few I came across last week.

Note: Each link is followed by a title and 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.

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https://www.digitalhealth.net/2022/02/health-education-england-ai-roadmap/

Health Education England publishes NHS AI roadmap

Health Education England has published the first roadmap into the use of artificial intelligence (AI) across the NHS and the impact this could have on the workforce.

Cora Lydon 16 February, 2022

The roadmap forms part of a report which aims to understand the use of AI and data-driven technologies that are currently being used in the NHS, the uptake of these technologies and the impact they are having on the staff using them.

In particular, the report is trying to determine how long AI projects take to implement, the different uses of the technology and how they’re distributed through the health service, what clinical areas are using AI, and which parts of the workforce are using AI the most.

Dr Hatim Abdulhussein, clinical lead for the Digital, Artificial Intelligence and Robotics Technologies in Education (DART-Ed) programme at Health Education England, said: “The AI Roadmap is an invaluable asset in helping to understand the AI and data driven landscape in healthcare, and the implications this will have on our staff and learners.”

The roadmap was developed in cooperation with Unity Insights, with support from NICE, NHS AI Lab and the NHS Accelerated Access Collaborative (AAC). The aim is to provide valuable insights for leaders into AI policy, education, regulation, innovation, digital transformation and workforce strategy.

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https://www.mckinsey.com/business-functions/risk-and-resilience/our-insights/ransomware-prevention-how-organizations-can-fight-back

Ransomware prevention: How organizations can fight back