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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It has been a pretty quiet week!
Note the poll asks if you found something clinically useful when you had reason to check the #myHR and actually did because you thought it might help. If you did the hit rate was not all that high! A measure of how incomplete records made the system pretty useless.
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St Vincent's Hospital Sydney to deploy SNAC's AI diagnostic solutions
The AI deployment will focus on triaging cerebral haemorrhage cases and enhancing the monitoring of brain disorder patients.
By Adam Ang
June 12, 2022 09:54 PM
St Vincent's Hospital Sydney has entered into a multi-year collaboration with imaging solutions developer Sydney Neuroimaging Analysis Centre to co-develop and deploy novel AI diagnostics solutions.
According to a media release, the partnership will bring together AI engineers, radiologists, imaging analysts, expert clinicians and data, utilising SNAC's technology platform to drive large-scale deployment of AI clinical applications in a major public Australian hospital.
WHY IT MATTERS
The deal, in particular, will see AI embedded in SVHS to enable the rapid triage of critical imaging abnormalities in emergency patients, according to SVHS CEO Anthony Schembri. Trained using 40,000 clinical cases, SNAC's VeriScout software does automatic real-time detection and triaging of cerebral haemorrhage cases found in non-contrast head CT images.
Another AI solution to be deployed is meant to enhance the monitoring of patients with chronic neurological disorders, Schembri said. SNAC's iQ (intelligent quantification) solution makes quantitative analysis of brain structures from MRI images. It assists radiologists and doctors in accurately assessing changes in a patient's brain structure in real-time, enabling personalised monitoring and precision management.
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https://wildhealth.net.au/decade-long-wait-over-for-rural-and-regional-patients/
16 June 2022
Decade-long wait over for rural and regional patients
A novel collaboration between GPs and dermatologists in North Queensland is bringing services to patients with inflammatory skin disorders – some of whom have been waiting more than a decade to be seen.
And the doctors running the Mackay-based service, which combines telehealth with in-person appointments, say the model has potential to be used for other diseases in places where access to specialists is a challenge.
Dr Scott Temple, a GP with special interest in dermatology, spoke about the implementation of the Mackay Public Dermatology Service at the recent Australasian College of Dermatology’s annual meeting.
Dr Temple said that he and the other doctors providing the one day a week service recognised the massive problem rural and regional Queenslanders faced in accessing a public dermatology service.
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https://medicalrepublic.com.au/telehealth-cuts-hurt-the-most-vulnerable/71295
17 June 2022
Phone rebate cuts hurt the most vulnerable
With Level C phone consults on the chopping block, GPs are sounding the alarm bell for disadvantaged patients.
Over the past two years, the Department of Health has played chicken with temporary telehealth rebates, renewing them days or hours before they were set to expire or – as in January this year – phasing them out for two weeks before reviving them.
Unlike most telehealth items, a general Level C phone consult (item number 92746) was not made a permanent part of the MBS.
The current extension, which was put in place in response to the Omicron variant, is set to expire at the end of June.
A new extended phone consult item will be available for rural and remote communities (Modified Monash Model 6 and 7 areas only), and a 20-minutes-plus telehealth item will also remain.
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Meet the Best Health Project Award finalists in the 2022 iTnews Benchmark Awards
By Staff Writers on Jun 13, 2022 9:25AM
Finalists in the 2022 Benchmarks Health category
The concept of combining digital technology and personal health enablement underpins the thinking of each of the projects in the health category of the 2022 iTnews Benchmark Awards.
Whilst the systems designed by the three finalists were part of community-wide digital investments, they all align on the fundamental objective of bringing innovation in health technology to the individual.
And the three finalists in the category are:
- Barwon Health for its CoVax for the South West Victoria eVaccine Management System
- Covid-19 Smart IoT Screening System Pilot at Sydney Children’s Hospitals Network and University of Sydney
- eHealth NSW Patient-Reported Measures
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Roundup: Interim Health NZ names temporary digital chief and other digital health appointments
Hyland and Vantari VR have also announced key senior appointments.
By Adam Ang
June 16, 2022 11:31 PM
Waitematā, Counties Manukau DHB official assigned to interim Health NZ post
Stuart Bloomfield, chief digital officer of Waitematā and Counties Manukau District Health Boards, has temporarily been appointed to the role of chief of data and digital at the interim Health NZ.
Health NZ is an upcoming health service that is set to replace the 20 district health boards of New Zealand starting July.
According to Health Informatics New Zealand, Bloomfield is replacing Shayne Hunter, deputy director for general data and digital at the Ministry of Health, who stepped down from his post in May.
Margie Apa, chief executive of the interim Health NZ, was quoted as saying that Bloomfield's role will focus on assembling a leadership team of people involved in the data and digital investments in the country's health system. They will be working on the design of an operating model and the implementation of agreed change recommendations.
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https://www.itnews.com.au/news/barwon-healths-covax-app-wins-best-health-project-581390
Barwon Health's CoVax App wins best health project
By Staff Writer on Jun 16, 2022 6:59AM
Benchmark Awards 2022: Helped citizens receive vaccinations.
Barwon Health has won the best health project award in the 2022 iTnews Benchmark Awards for its CoVax electronic vaccine management system.
The Victorian regional health service was identified in February 2021 as the first in the state to deliver Covid-19 vaccinations.
However, It came at a time when the state’s department of health’s Covid-19 vaccination management system (CVMS) platform was still under development, so an alternative system was required.
The CoVax App was designed internally and built by Barwon Health and CircleT in just four days.
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App Review: A tool for Australia’s most common genetic disorder
30th May 2022
It’s estimated one in 200 people of northern European origin are at risk of haemochromatosis, making it Australia’s most common genetic disorder.
For those with a diagnosis, Haemochromatosis Australia’s latest app might help.
Called My Iron Manager, the online tool helps patients manage their condition by allowing them to keep records of their blood test results and venesection history, as well as to set treatment goals, including serum ferritin and transferrin saturation targets.
Information collected by the app is converted into graphs so patients can easily track their progress. There’s also the option of downloading reports for GPs and specialists.
Another useful feature is a map of venesection locations, such as Lifeblood donor centres, where patients can enter in their postcode or city to find their closest clinic.
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+Undoctored
RANZCR and ADIA release radiology referral set to enhance interoperability of digital imaging services for Australian patients
Media release from RANZCR and ADIA
Thursday 16 June 2022, 10:48 AM
The Royal Australian and New Zealand College of Radiologists (RANZCR) and Australian Diagnostic Imaging Association (ADIA) are pleased to announce the release of the Radiology Referral Set (RRS). The RRS is a set of SNOMED CT-AU terminologies that can be used in the background of referrers’ software systems, providing greatly enhanced interoperability and data accuracy between referrers and radiology providers. It marks a milestone in the development of radiology in the digital health space, laying a solid foundation for a more connected, digitalised heath care system.
The RRS whilst still in its infancy is standards-based and easy to update and maintain. It includes an initial set of 20 radiology services codes; machine-readable artefacts to support the adoption of the terminology set by software vendors; as well as guiding principles and standards for the development of a full Australian Radiology Referral Set.
Introducing the RRS into digital health system operations will improve clinical practices and patient outcomes through enabling clinical decision support, data analytics, and facilitating improved communication and interoperability.
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https://wildhealth.net.au/dont-fear-the-online-doctors/
16 June 2022
Don’t fear the online doctors
As a GP scrolling my social-media feed, I see the ads every day.
Need a medical certificate? Get one sent straight to your inbox. Want a script? Just fill out this form and our online doctors will send it to your pharmacy. Suffering from hair loss? Complete some details and we will deliver the medication straight to your door. Thinking about starting the pill? Text our doctor and we’ll sort out the rest.
Every time another online-only provider pops up, there is a collective groan from the general practice community. The marketing is invariably the same: a barrage of complaints about wasting time at the GP or not being able to get an appointment. Just go to our website, give some details (and a credit card) and all your problems are solved. These providers are often addressing a very specific patient problem and typically do this in a very convenient way, albeit for a price. As a GP group, we cry foul and lament the lack of proper process. But why do we fear this change?
Our profession has had total control over primary care for decades. But much like the taxi industry, we have become complacent. We continue to demand patients return to the clinic for scripts. We refuse to have results released to patients without a consultation. We leave paperwork at the front desk to be picked up and refuse to engage with our patients outside of a Medicare-rebatable consult. Patients expect more.
The banking industry is a great benchmark for the situation we find ourselves in. Ten years ago, there was no digital solution to most banking problems; however, I now set foot in a branch only when it’s completely necessary. Why shouldn’t patients expect the same from us? Why shouldn’t safe, asynchronous consultations be occurring? And more importantly, why shouldn’t this be with their regular GP?
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https://www.digitalhealth.gov.au/careers/aps5aps6-project-officer-multiple-positions
APS5/APS6 Project Officer (Multiple Positions)
APS5
($90,901 - $98,303), APS6 ($101,757 - $114,800)
Multiple
divisions > Project Management
Brisbane,
Canberra, Sydney
Closing - 3 Jul 2022
Division Overview
Policy programs and engagement – responsible for informing policies, managing external stakeholder relationships, and being the place of excellence for driving program delivery, reporting and outcomes.
Technology services – responsible for the operation of high quality, trusted, reliable and secure national digital health infrastructure and health support systems.
Primary purpose of position
Working within the Agency’s project management policies, framework and procedures, an APS5/APS6 Project Officer will provide initiative and judgment in the application of project and operations management practices and provide technical, professional, and policy advice. Working closing with key external and internal stakeholders to understand, negotiate and resolve project outcomes. A Project Officer is accountable for:
- Acquiring, maintaining and applying an in-depth knowledge of the Agency’s project management framework, methodologies and activities.
- Providing accurate and specialised advice for project related activities including consultation, planning, schedules, reporting, change control, and administrative and logistical support.
- Engaging and collaborating with key internal and external stakeholders to achieve project outcomes.
- Providing support to ensure an Agency’s project and operations are compliant with the assurance and governance processes for policy, security, clinical safety, and design.
- Managing contracts, service agreements and purchase orders and ensure expenditure is monitored.
- Undertaking risk management activities for area of responsibility, ensuring compliance and delivery of outcomes.
- Monitoring and maintaining awareness of the mid and longer-term project outcomes.
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https://events.humanitix.com/my-health-record-and-your-privacy-g0wa9y0u
Good Things Foundation Australia
My Health Record & your Privacy
Wed 17th Aug 2022, 10:00 am - 11:00 am GMT+10
Event description
My Health Record and your Privacy
Managing your privacy online is a common concern for many people. Join our free webinar to learn about the privacy settings in your My Health Record, an Australian government digital health website. Learn how to apply them so only the people you choose can access your information. Deepen your understanding of privacy issues and why it’s so important when using digital health tools.
This is an online event held via Zoom. You will receive a link by email to join the event after you register.
To join this event, you will need:
- Enough data to stream a 1 hour video
- A device that can access the internet eg smartphone, tablet or computer
- A quiet place to sit with headphones or speakers to listen to the event (your device may have a speaker built in)
- An email address to get your link to join the event
- Be able to access Zoom on your device (watch this video tutorial for hints if you are new to Zoom)
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Jun 24
Carers Victoria My Health Record Carers Webinar #8940
by Carers Victoria - Events Free
Date and time
Fri., 24 June 2022
10:30 am – 11:30 am AEST
Location
Online event
Carers talk about My Health Record and how they use it in their caring role…
About this event
Come and speak with three experienced carers at the My Health Record Carers Webinar, hosted by Carers Victoria in partnership with Australian Digital Health Agency.
Listen to carers talk about how they use My Health Record to support their role as a carer. Ask questions, hear their opinions and share your own experiences about managing health information in your role as a carer.
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My Health Record - Portal Operator – Production Environment Access Request (PEAR) Form v3.6
The purpose of this form is for mobile app developers to request access to the My Health Record Production Environment by providing information about the developer’s organisation, details of their application (app), declaring that the app conforms to the mandatory My Health Record requirements and technical specifications and has undergone the necessary testing. This version includes the Immunisation History Statement.
For further information about connecting with the My Health Record system, please refer to the My Health Record - App Vendor Guide to the Connection Process.
Identifier: DH-3628:2022
Date: 14-04-2022
Size: 134.89 KB
Type: application/vnd.openxmlformats-officedocument.wordprocessingml.document
SHA256 Checksum: 4da1c7e06fd24f7242d8eb4bad9ca367eddbf655d3fa9db30d24d9ebee032acf
My Health Record Mobile Developer Welcome Pack v1.6
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Goals of care document
Your medical treatment and preferences for end-of-life treatment, created and uploaded to your record by your healthcare provider.
What is a goals of care document?
A goals of care document can be created by your healthcare provider to explain the goals of your medical treatment and your preferences for end-of-life treatment. If you agree, your healthcare provider can upload this document to your record.
Only your healthcare provider can upload a goals of care document with your instruction
How to view your goals of care documents
What's the difference between advance care planning documents and a goals of care document?
Learn about advance care planning
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https://www.itnews.com.au/news/telstra-optus-vodafone-ready-multi-factor-authentication-581120
Telstra, Optus, Vodafone ready multi-factor authentication
By Richard Chirgwin on Jun 14, 2022 1:05PM
Gear up to meet new customer verification rules.
Australia’s major mobile carriers are getting close to using multi-factor authentication for SIM-related activities, ahead of new ACMA mobile customer verification rules that come into force at the end of this month.
The ACMA is introducing new customer verification rules to try and tackle "SIM swap" frauds, in which customers lose control of their devices to scammers.
Optus has updated its support page to alert customers to the upcoming implementation of multi-factor authentication.
“We're going the extra mile to make sure your Optus account is more secure than ever before. That's why we're introducing multi-factor authentication, so you can continue to enjoy the same peace of mind you can always expect from us when it comes to the safety of your personal information," it said.
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Enjoy!
David.
15 comments:
QUESTION: Is a Goals of Care Document the same as an Advanced Care Plan?
The ADHA says they are different. It is unclear to me in what way they are different?
Could someone please enlighten me.
And if they are not radically different is this 'new ADHA' terminology contributing to a world of confusion?
At the moment there does not appear to be anywhere in MyHR you can upload a Goals of Care Document.
If you do a Google search for the term, most hits are Australian.
There would seem to be quite a bit of overlap.
This is what it says on MyHR
What is an Advance Care Plan?
An advance care planning document details your future medical care preferences. It provides guidance to your family, close friends and healthcare providers if you can no longer speak for yourself or make your own decisions. Adding your advance care plan to your My Health Record can ensure this information is available to your treating doctors if it’s ever needed.
What is a Goals of Care Document?
A goals of care document includes medical and non-medical goals of care information determined through a shared decision-making process between healthcare providers, patients and families or carers in relation to an episode of care. This is consistent with the national guidelines which are currently being developed.
A Goals of Care Document could include:
* Whether you have elected or declined life sustaining treatment such as cardiopulmonary resuscitation.
* Types of comfort care you may want if you are transitioning into terminal illness.
* Who you would like to speak on your behalf if you can't speak for yourself.
A lot of similarities and grey areas. Oddly no guidance as to which document is the legally dominant, or who is legally accountable. So what is the correct position of a patient? Is it the Care Document or Advanced Care Plan? Is it time of creation related?
All that aside, who asked for this and why?
Did they conjure it up on their own or copy it from somewhere overseas? Will it lead to clarity or confusion? NFR following a cardiac arrest and withholding antibiotics should be included in a person's Advanced Care Plan - they are expressed wishes not goals.
NFR in the medical / hospital context means Not For Resuscitation rather than Not For Resale or Non FunctionaL Requirement.
The first 9 hits I get for a google search for
+"Goals of Care Document"
are all Australian.
The next two are Canadian and both return pdfs dated 2011.
They are both on this site:
https://professionals.wrha.mb.ca/
Which is not for the general public
https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwjP8KrGmL34AhXzSGwGHduBDIk4ChAWegQIEBAB&url=https%3A%2F%2Fprofessionals.wrha.mb.ca%2Ffiles%2Facp-faq.pdf&usg=AOvVaw3YMTzT2OrzbhcuPfGLvsJI
https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwjP8KrGmL34AhXzSGwGHduBDIk4ChAWegQIGhAB&url=https%3A%2F%2Fprofessionals.wrha.mb.ca%2Ffiles%2Facp-policy-summary.pdf&usg=AOvVaw1qb7bi7bNfYARaV7biDLLK
In New Zealand 2020, Canterbury Clinical Network picked up the same idea
Communicating patient preferences and key medical decisions
02 Apr, 2020
https://ccn.health.nz/Our-Work/Other-groups-and-enablers/Shared-Care-Planning/ArticleID/5550
Goals of Care!
Sounds very much flip-flop-slap.
As a carer and health professional it would probably be presumptuous of me to suggest the Goals of Care could quite reasonably be:
- to monitor the person's health status
- help to maintain a reasonable state of wellbeing
- to treat the illness and underlying conditions
- to be cognizant of the person's wishes as expressed in their advanced care plan.
We already have a (Chronic) Care Plan I am not persuaded there is anything to be gained by a Goals of Care Plan.
Ian, MyHr is all about the optics and politics, not healthcare.
The government must do something, this is something, so let's do it.
It's not the government and it's not Mark Butler, he's far to sensible. It's the work of some uncontrolled bureaucrats, wrestling with a sense of irrelevance, as they seek to impose their silly ideas in the misguided belief they can improve the health system.
"The government must do something, this is something, so let's do it. " was pre-2012. Just about everyone involved in NEHTA/PCEHR has moved on. Now it's the sunk cost fallacy.
Nobody knows how to fix the thing and nobody outside DoH/ADHA knows enough to realise they should put it out of our misery. A lack of competency all round.
I suppose the new regime could call for a review but who is independent enough, competent enough and untainted enough?
Independent, competent, untainted and with broad deep experience. All essential qualities. I am confident The Minister is quite capable of enrolling 2 or 3 discrete individuals to conduct the Review.
You mean like all the previous reviews? Those qualities you describe are in the eye of the beholder
No, I don't mean, as you say, "like all the previous reviews". The people who possess those qualities are not easily identified. It is a very difficult task.
I say we get Liz Cheney over to ask a few questions
@6:46PM That is quite an insulting 'suggestion' as you are inferring we don't have anyone in Australia capable of doing the job.
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