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, July 31, 2023

Dr Louise Schaper Has Left The Aust, Institute Of Digital Health After 13 Years!

 This is all a bit sudden after about 13 years and I am sure many will be wondering why?

There may be more to this story than meets the eye, given how sudden and unheralded the announcement is.

I will leave it to others to assess her legacy and impact.

Here is the announcement e-mail. Dated 31/07/2023 - 5.00 pm

-----

Dear David,


I'm writing to introduce myself in the capacity of Interim CEO of the Australasian Institute of Digital Health.

 

You will probably have seen that Dr Louise Schaper left the position of CEO of the Institute last week after nearly 14 years leading the Health Informatics Society of Australia and later AIDH after its 2019 merger with the Australasian College of Health Informatics. I would like to start by recognising all of Louise’s achievements during that time and her huge contribution to the field of digital health. 

 

I’m a Fellow of AIDH and was a member of HISA beforehand. I’ve seen the Institute go from strength to strength. We have a solid strategy in place, our membership is committed, the digital health community supports our agenda to advance the workforce, and our networking and events program has resumed, mostly in person. On that, the MedInfo 2023 global congress was a great success on all measures and a catalyst for international policy discussion in our sector. Thank you to everyone who attended or contributed to its success. 

 

I am greatly looking forward to working with you in coming months to keep up the momentum of work underway and keep our sights firmly set on the AIDH vision for “healthier lives, digitally enabled”. 

Regards,


Mark Nevin FAIDH

Interim CEO

Australasian Institute of Digital Health

-----

I am sure we will hear more in due course! Extra info. and comments welcome!

David.


Sunday, July 30, 2023

It Looks Like Digital ID Is Really Coming To Australia This Time.

 This appeared a few days ago.

Eight things businesses and customers need to know about digital ID in Australia

Tegan Jones

July 28, 2023

This week has seen a resurgence in discussions around the roll out of a national digital ID in Australia, after Finance Minister Katy Gallagher spoke on the subject at the Australian Financial Review Government Services Summit. This has sparked a fresh round of questions and concerns around digital IDs, including how they would work and if they would be secure.

It’s a big subject that has been kicking around for around a decade. And it’s an important one because a digital ID proposes a great deal of benefits when it comes to convenience and privacy. But with that comes valid concerns around how it would work, availability for people who aren’t digital natives, and security, considering the Australian government’s track record with digital ‘solutions’ such as My Health Record and Robodebt.

With that in mind, we have pulled together answers for some of the most common and pressing questions around an Australian national digital iID.

What is an Australian national ID?

The national digital identity scheme will allow Australians to condense all of their official licenses and forms of identification on a single platform that is regulated by the government.

From there, government departments and third-party organisations — such as a bank, insurance company or even a retailer — could access it to verify your identity

An ideal version of this platform would allow this verification without the need for the third-party to capture personal information, such as your birthdate, address or signature.

Doesn’t the MyGov app already do this?

The MyGov app does already let you store digital versions of Medicare, Centrelink concession and health care cards and your international COVID-19 vaccination certificate in its ‘wallet’.

It also allows you to link up a number of government-related services.

However, not all cards and ID are captured by this service (for example, a digital passport). The government itself says on the MyGov website that there is still a way to go.

“It may take some time before all providers are ready to accept digital cards from the myGov app. It’s a good idea to carry your physical cards with you.”

There’s also the issue of being able to use these digital cards widely and consistently with services outside of the government ecosystem.

“From the everyday person’s point of view, we’ve got the system; it’s just not regulated and not in a shape I think that will allow us to drive it forward and give the interoperability and the economy-wide benefits that come from having a national system, but we’re very committed to it,” Gallagher said this week.

“We want to see an economy-wide system, and in a sense we’ve got that operating now, without regulation. We’ve got some private digital ID providers and then you’ve got myGov.”

Could a national digital ID mean sharing less personal information with businesses?

That’s a strong potential possibility, and one that is being advocated for by the former NSW minister for customer service and digital government, Victor Dominello.

For years he has been pushing for a form of digital identification that doesn’t force Australians to hand over personal information, like birth dates.

Let’s say you are signing for a package, the idea is that you could show your digital ID (which has been verified by the government) to a delivery driver and have it verified without the need for your signature. Or perhaps you want to prove you’re over 18 at a pub. In this case, a national digital ID would prove you are the age you say you are, without revealing your actual birth date.

What possibilities would a national digital ID have for businesses?

There are plenty of ways in which a digital identity could affect businesses.

For example, it could be an alternative to the controversial proposals to roll out facial recognition in pubs and clubs to identify people who have been banned.

There are also arguments for it improving user experience for customers when logins are simpler and removing time-consuming manual labour.

And as there is a push for stricter privacy laws around how long businesses hold onto customer records, a digital identity could mitigate this issue. Businesses won’t need to spend the time or storage on holding onto records that they don’t need.

Deloitte also states that it could mean increased customers and revenue for businesses, especially those that adopt early, due to the ease of use, efficiency, and how it will position a brand as one that values the privacy of its customers.

Would I have more control over my digital ID than the government?

That’s certainly the theory, and one that has been pushed for by Dominello.

“You hold the golden keys,” he said at a Tech Council of Australia event in March.

“So the customer genuinely – not just in language – informs the centre of [this] rather than rather than governments and banks.”

While we don’t yet know exactly how a nationwide digital identity would play out in practice, Katy Gallagher did reflect a similar perspective when questioned about it this week.

“It’s really about you having control as citizens; control of their information that allows them to access government systems in a very easy, secure, voluntary and efficient way. But you know, I’m going in with my eyes open that there’s a fair bit of work to do on this, and hopefully bipartisan support.”

While some states in Australia already offer digital driver’s licenses (as well as trials around digital work credentials), they’re more of a stepping stone towards an eventual national digital ID.

Some scenarios still don’t allow for digital drivers licenses to be used as ID, and at the present time they’re all state-based. The digital ID of the future would be nation-wide, meaning it would work and be accepted across all of Australia — and hopefully overseas as well.

As an example, on a recent trip to the US, a colleague found that bars would not accept a New South Wales digital license as a form of ID but would accept a physical one.

From Dominello’s perspective, digital drivers licenses are a “crude defacto” and reveal too much information.

“Fit for purpose digital ID would give more control to the individual on what information they share and for how long,” Dominello said on LinkedIn.

Are there privacy and security concerns around a national digital ID?

Absolutely.

The ethos behind digital IDs is improved privacy and security for individuals through minimising how many companies and institutions have access to their information.

This has become of particular concern over the last 12 months in the wake of major breaches from Optus, Medibank and Latitude, especially because Australia lacks specific data privacy laws.

These are all great arguments for a national digital ID.

However, the federal government has an extremely poor record when it comes to implementing digital systems. The two biggest in recent years have been the catastrophic results of Robodebt, as well as the rushed rollout of My Health Record despite glaring privacy concerns. This included the inability of many Australians to opt out after discovering records had already been automatically made for them.

Australians can’t be blamed for being wary of government infrastructure being relied upon for something as important as a central point of digital identification.

Just this week it was revealed that scammers have gotten away with over $500 million in an ATO fraud due to a flaw in the MyGov system.

So the fact that Gallagher has pencilled in mid-2024 as a possibility for roll out is understandably concerning for some.

When will national digital ID launch in Australia?

There is no firm timeline right now, but at the AFR‘s summit this week, finance minister Katy Gallagher said the government has cabinet approval to release an exposure draft “hopefully by September”, which she hopes to then get into Parliament by the end of the year.

More here:

https://www.smartcompany.com.au/startupsmart/startupsmart-technology/what-businesses-customers-digital-id-australia/

It is true to say there have been more than more that one false dawn on this and also that it is a complex implementation to get right with many, many stake-holders.

That said many other nations have succeeded so it is about time we wound up with a simpler and more trusted system in OZ. The time has well and truly passed for success to be achieved, given the benefits that are possible and the ultimate simplicity and security that can be achieved.

The health sector can be made both safer and more efficient with a national ID I believe.

David.

 

AusHealthIT Poll Number 707– Results – 30 July, 2023.

 Here are the results of the poll.

Do You Think The Catastrophic Heat Waves Seen In This European Summer Bode Ill For Australia In A Few Months Time?

Yes                                                                28 (80%)

No                                                                   7 (20%)

I Have No Idea                                                  0 (0%)

Total No. Of Votes: 35

A pretty clear outcome suggesting in that a majority of readers felt we are in for a very hot summer!

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

A good number of votes. But also a pretty clear outcome. 

0 of 35 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.

 

Sunday, July 23, 2023

I Am Not Sure How Important It Is We Don’t Fully Understand Some AI Systems.

As I thought about the following article it seemed clear that there are many situations where we receive value but are not sure how exactly it was achieved. What, for example, do we really know of the details of the art of writing a novel or a symphony?

Here is the article:

Even the scientists who build AI can’t tell you how it works

 “We built it, we trained it, but we don’t know what it’s doing.”

By Noam Hassenfeld Jul 15, 2023, 7:00am EDT

Artificial intelligence systems like ChatGPT can do a wide range of impressive things: they can write passable essays, they can ace the bar exam, they’ve even been used for scientific research. But ask an AI researcher how it does all this, and they shrug.

“If we open up ChatGPT or a system like it and look inside, you just see millions of numbers flipping around a few hundred times a second,” says AI scientist Sam Bowman. “And we just have no idea what any of it means.”

Bowman is a professor at NYU, where he runs an AI research lab, and he’s a researcher at Anthropic, an AI research company. He’s spent years building systems like ChatGPT, assessing what they can do, and studying how they work.

He explains that ChatGPT runs on something called an artificial neural network, which is a type of AI modeled on the human brain. Instead of having a bunch of rules explicitly coded in like a traditional computer program, this kind of AI learns to detect and predict patterns over time. But Bowman says that because systems like this essentially teach themselves, it’s difficult to explain precisely how they work or what they’ll do. Which can lead to unpredictable and even risky scenarios as these programs become more ubiquitous.

I spoke with Bowman on Unexplainable, Vox’s podcast that explores scientific mysteries, unanswered questions, and all the things we learn by diving into the unknown. The conversation is included in a new two-part series on AI: The Black Box.

This conversation has been edited for length and clarity.

Noam Hassenfeld

How do systems like ChatGPT work? How do engineers actually train them?

Sam Bowman

So the main way that systems like ChatGPT are trained is by basically doing autocomplete. We’ll feed these systems sort of long text from the web. We’ll just have them read through a Wikipedia article word by word. And after it’s seen each word, we’re going to ask it to guess what word is gonna come next. It’s doing this with probability. It’s saying, “It’s a 20 percent chance it’s ‘the,’ 20 percent chance it’s ‘of.’” And then because we know what word actually comes next, we can tell it if it got it right.

This takes months, millions of dollars worth of computer time, and then you get a really fancy autocomplete tool. But you want to refine it to act more like the thing that you’re actually trying to build, act like a sort of helpful virtual assistant.

There are a few different ways people do this, but the main one is reinforcement learning. The basic idea behind this is you have some sort of test users chat with the system and essentially upvote or downvote responses. Sort of similarly to how you might tell the model, “All right, make this word more likely because it’s the real next word,” with reinforcement learning, you say, “All right, make this entire response more likely because the user liked it, and make this entire response less likely because the user didn’t like it.”

Noam Hassenfeld

So let’s get into some of the unknowns here. You wrote a paper all about things we don’t know when it comes to systems like ChatGPT. What’s the biggest thing that stands out to you?

Sam Bowman

So there’s two connected big concerning unknowns. The first is that we don’t really know what they’re doing in any deep sense. If we open up ChatGPT or a system like it and look inside, you just see millions of numbers flipping around a few hundred times a second, and we just have no idea what any of it means. With only the tiniest of exceptions, we can’t look inside these things and say, “Oh, here’s what concepts it’s using, here’s what kind of rules of reasoning it’s using. Here’s what it does and doesn’t know in any deep way.” We just don’t understand what’s going on here. We built it, we trained it, but we don’t know what it’s doing.

Noam Hassenfeld

Very big unknown.

Sam Bowman

Yes. The other big unknown that’s connected to this is we don’t know how to steer these things or control them in any reliable way. We can kind of nudge them to do more of what we want, but the only way we can tell if our nudges worked is by just putting these systems out in the world and seeing what they do. We’re really just kind of steering these things almost completely through trial and error.

Noam Hassenfeld

Can you explain what you mean by “we don’t know what it’s doing”? Do we know what normal programs are doing?

Sam Bowman

I think the key distinction is that with normal programs, with Microsoft Word, with Deep Blue [IBM’s chess playing software], there’s a pretty simple explanation of what it’s doing. We can say, “Okay, this bit of the code inside Deep Blue is computing seven [chess] moves out into the future. If we had played this sequence of moves, what do we think the other player would play?” We can tell these stories at most a few sentences long about just what every little bit of computation is doing.

With these neural networks [e.g., the type of AI ChatGPT uses], there’s no concise explanation. There’s no explanation in terms of things like checkers moves or strategy or what we think the other player is going to do. All we can really say is just there are a bunch of little numbers and sometimes they go up and sometimes they go down. And all of them together seem to do something involving language. We don’t have the concepts that map onto these neurons to really be able to say anything interesting about how they behave.

Noam Hassenfeld

How is it possible that we don’t know how something works and how to steer it if we built it?

Sam Bowman

I think the important piece here is that we really didn’t build it in any deep sense. We built the computers, but then we just gave the faintest outline of a blueprint and kind of let these systems develop on their own. I think an analogy here might be that we’re trying to grow a decorative topiary, a decorative hedge that we’re trying to shape. We plant the seed and we know what shape we want and we can sort of take some clippers and clip it into that shape. But that doesn’t mean we understand anything about the biology of that tree. We just kind of started the process, let it go, and try to nudge it around a little bit at the end.

Noam Hassenfeld

Is this what you were talking about in your paper when you wrote that when a lab starts training a new system like ChatGPT they’re basically investing in a mystery box?

Sam Bowman

Yeah, so if you build a little version of one of these things, it’s just learning text statistics. It’s just learning that ‘the’ might come before a noun and a period might come before a capital letter. Then as they get bigger, they start learning to rhyme or learning to program or learning to write a passable high school essay. And none of that was designed in — you’re running just the same code to get all these different levels of behavior. You’re just running it longer on more computers with more data.

So basically when a lab decides to invest tens or hundreds of millions of dollars in building one of these neural networks, they don’t know at that point what it’s gonna be able to do. They can reasonably guess it’s gonna be able to do more things than the previous one. But they’ve just got to wait and see. We’ve got some ability to predict some facts about these models as they get bigger, but not these really important questions about what they can do.

This is just very strange. It means that these companies can’t really have product roadmaps. They can’t really say, “All right, next year we’re gonna be able to do this. Then the year after we’re gonna be able to do that.”

And it also plays into some of the concerns about these systems. That sometimes the skill that emerges in one of these models will be something you really don’t want. The paper describing GPT-4 talks about how when they first trained it, it could do a decent job of walking a layperson through building a biological weapons lab. And they definitely did not want to deploy that as a product. They built it by accident. And then they had to spend months and months figuring out how to clean it up, how to nudge the neural network around so that it would not actually do that when they deployed it in the real world.

Noam Hassenfeld

So I’ve heard of the field of interpretability. Which is the science of figuring out how AI works. What does that research look like, and has it produced anything?

Sam Bowman

Interpretability is this goal of being able to look inside our systems and say pretty clearly with pretty high confidence what they’re doing, why they’re doing it. Just kind of how they’re set up being able to explain clearly what’s happening inside of a system. I think it’s analogous to biology for organisms or neuroscience for human minds.

But there are two different things people might mean when they talk about interpretability.

One of them is this goal of just trying to sort of figure out the right way to look at what’s happening inside of something like ChatGPT figuring out how to kind of look at all these numbers and find interesting ways of mapping out what they might mean, so that eventually we could just look at a system and say something about it.

The other avenue of research is something like interpretability by design. Trying to build systems where by design, every piece of the system means something that we can understand.

But both of these have turned out in practice to be extremely, extremely hard. And I think we’re not making critically fast progress on either of them, unfortunately.

Noam Hassenfeld

What makes interpretability so hard?

Sam Bowman

Interpretability is hard for the same reason that cognitive science is hard. If we ask questions about the human brain, we very often don’t have good answers. We can’t look at how a person thinks and explain their reasoning by looking at the firings of the neurons.

And it’s perhaps even worse for these neural networks because we don’t even have the little bits of intuition that we’ve gotten from humans. We don’t really even know what we’re looking for.

Another piece of this is just that the numbers get really big here. There are hundreds of billions of connections in these neural networks. So even if you can find a way that if you stare at a piece of the network for a few hours, we would need every single person on Earth to be staring at this network to really get through all of the work of explaining it.

More here:

https://www.vox.com/unexplainable/2023/7/15/23793840/chat-gpt-ai-science-mystery-unexplainable-podcast

I found the issues raised here fascinating and clearly above my pay pay-grade, but nevertheless important to wonder about.

My guess is that it is the complexity of these systems that allow them to work and to be so hard to really understand. Given the importance of the tasks AI is now addressing it is important to have some idea of what is actually going on!

Other thoughts welcome!

David.

 

AusHealthIT Poll Number 706– Results – 23 July, 2023.

 Here are the results of the poll.

Do You Find You Personally Get A Reasonable Amount Of Value From Conferences Like Medinfo etc. For The Expense And Time Involved?

Yes                                                                26 (60%)

No                                                                 15 (35%)

I Have No Idea                                                 2 (5%)

Total No. Of Votes: 43

A pretty clear outcome suggesting in that a majority of readers felt conferences were a useful way to spend time.

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

A good number of votes. Also a pretty clear outcome.  

2 of 43 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.

Sunday, July 16, 2023

The Pace Of Change Is Really Quite Scary!

 It rather looks like AI in Healthcare is already very much on the move!

Opinion

The AI revolution in health care is already here

By Leana S. Wen

Contributing columnist

July 11, 2023 at 2:56 p.m. EDT

 

Pay attention to the media coverage around artificial intelligence, and it’s easy to get the sense that technologies such as chatbots pose an “existential crisis” to everything from the economy to democracy.

These threats are real, and proactive regulation is crucial. But it’s also important to highlight AI’s many positive applications, especially in health care.

Consider the Mayo Clinic, the largest integrated, nonprofit medical practice in the world, which has created more than 160 AI algorithms in cardiology, neurology, radiology and other specialties. Forty of those have already been deployed in patient care.

To better understand how AI is used in medicine, I spoke with John Halamka, a physician trained in medical informatics who is president of Mayo Clinic Platform. As he explained to me, “AI is just the simulation of human intelligence via machines.”

Halamka distinguished between predictive and generative AI. The former involves mathematical models that use patterns from the past to predict the future; the latter uses text or images to generate a sort of human-like interaction.

It’s that first type that’s most valuable to medicine today. As Halamka described, predictive AI can look at the experiences of millions of patients and their illnesses to help answer a simple question: “What can we do to ensure that you have the best journey possible with the fewest potholes along the way?”

For instance, let’s say someone is diagnosed with Type 2 diabetes. Instead of giving generic recommendations for anyone with the condition, an algorithm can predict the best care plan for that patient using their age, geography, racial and ethnic background, existing medical conditions and nutritional habits.

This kind of patient-centered treatment isn’t new; physicians have long been individualizing recommendations. So in this sense, predictive AI is just one more tool to aid in clinical decision-making.

The quality of the algorithm depends on the quantity and diversity of data. I was astounded to learn that the Mayo Clinic team has signed data-partnering agreements with clinical systems across the United States and globally, including in Canada, Brazil and Israel. By the end of 2023, Halamka expects the network of organizations to encompass more than 100 million patients whose medical records, with identifying information removed, will be used to improve care for others.

Predictive AI can also augment diagnoses. For example, to detect colon cancer, standard practice is for gastroenterologists to perform a colonoscopy and manually identify and remove precancerous polyps. But some studies estimate that 1 in 4 cancerous lesions are missed during screening colonoscopies.

Predictive AI can dramatically improve detection. The software has been “trained” to identify polyps by looking at many pictures of them, and when it detects one during the colonoscopy, it alerts the physician to take a closer look. One randomized controlled trial at eight centers in the United States, Britain and Italy found that using such AI reduced the miss rate of potentially cancerous lesions by more than half, from 32.4 percent to 15.5 percent.

Halamka made a provocative statement that within the next five years, it could be considered malpractice not to use AI in colorectal cancer screening. But he was also careful to point out that “it’s not AI replacing a doctor, but AI augmenting a doctor to provide additional insight.” There is so much unmet need that technology won’t reduce the need for health-care providers; instead, he argued, “we’ll be able to see more patients and across more geographies.”

Generative AI, on the other hand, is a “completely different kind of animal,” Halamka said. Some tools, such as ChatGPT, are trained on un-curated materials found on the internet. Because the inputs themselves contain inaccurate information, the models can produce inappropriate and misleading text. Moreover, whereas the quality of predictive AI can be measured, generative AI models produce different answers to the same question each time, making validation more challenging.

At the moment, there are too many concerns over quality and accuracy for generative AI to direct clinical care. Still, it holds tremendous potential as a method to reduce administrative burden. Some clinics are already using apps that automatically transcribe a patient’s visit. Instead of creating the medical record from scratch, physicians would edit the transcript, saving them valuable time.

Though Halamka is clearly a proponent of AI’s use in medicine, he urges federal oversight. Just as the Food and Drug Administration vets new medications, there should be a process to independently validate algorithms and share results publicly. Moreover, Halamka is championing efforts to prevent the perpetuation of existing biases in health care in AI applications.

This is a cautious and thoughtful approach. Just like any tool, AI must be studied rigorously and deployed carefully, while heeding the warning to “first, do no harm.” Nevertheless, AI holds incredible promise to make health care safer, more accessible and more equitable.

 Here is the link:

 https://www.washingtonpost.com/opinions/2023/07/11/ai-health-care-revolution

 If the penetration and use of AI at the Mayo Clinic is anything to judge by its all over bar the declaration of victory. It really feels that things are running too fast for all our benefit! Those asking for a short pause may not be that wrong!

Is you head spinning or are you relaxed at the pace of progress?

David.


AusHealthIT Poll Number 705– Results – 16 July, 2023.

Here are the results of the poll.

Should There Be An Inquiry Into The Failure, Harm, Waste And Mismanagement Surrounding The #myHR Program?

Yes                                                                26 (68%)

No                                                                 19 (42%)

I Have No Idea                                                0 (0%)

Total No. Of Votes: 45

A pretty clear outcome suggesting in that a majority of readers felt a close look may be a good idea.

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

A good number of votes. But also a pretty clear outcome. Not sure why so many wanted to give a free pass to ADHA and the Government!

0 of 45 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.

 

Wednesday, July 12, 2023

I Reckon This Is A Little Hard To Prove And Is Really Just A Troll!

Australia must look to Canada for world’s best-practice in digital health

Orion Health

 Wednesday, 12 July, 2023

 

Australia’s federal and state governments should look to Canada as the template for how best to implement a successful digital health strategy, CEO of the world's number one health data platform provider, New Zealand’s Orion Health, Brad Porter said in Sydney today.

 

Mr Porter was speaking on the sidelines of the MedInfo23 conference in Sydney, where Orion Health provided an overview of its central role in the roll out of the highly successful Digital First for Health strategy in Canada’s most-populous province, Ontario, and its work delivering integrated patient-family community-centred care in the province of Alberta.

 

“I have publicly praised the Albanese Government’s healthcare funding initiatives in the May Budget as an example of what New Zealand’s political parties should be promising ahead of the 14 October election.

 

“Australia’s States and Territories are also committed to implementing digital health initiatives but like their federal counterparts, and New Zealand, they need to be bolder and move faster.

 

“Australian governments are investing many hundreds of millions of dollars in digital health, strengthening Medicare - which they should - but if they want to see a real return on investment, they need to look at proven market disruption that has made an impact - that’s Canada.”

 

Mr Porter said governments shouldn’t be seeing digital as 'just another IT project' but rather a way of transforming care delivery, relieving pressure on GPs, Emergency Departments (EDs) and workers in acute settings by triaging needs and directing people to the care they need rather than funnelling through ED waiting rooms - so straight to radiology or a virtual nurse consult. 

 

Examples north of the 49th parallel include the successful use of Orion Health’s Health Information Exchange in the Canadian province of Alberta, which has led to:

 

·         A reduction in Hospital wait times of up to 90 per cent.

·         A reduction in in-person patient visits - in 42 per cent of cases, full in-personal referral appointments were avoided.

·         Clinicians having vastly improved visibility on referral status and waiting times, enabling appropriate triaging and patient expectation management.

·         Configurable referral templates with required fields to eliminate incomplete referrals and clerical issues.

 

Mr Porter has spent much of the past year on the road meeting with Orion Health’s customers across the world. He has road tripped from Texas to Oklahoma to Albuquerque. 

He attended major healthtech events in Nashville, Chicago and Boston and spent time in the Middle East visiting cutting edge ‘Virtual Hospitals’ and the rollout of the world’s largest ever Health Information Exchange. He has spent time in Scotland, Northern Ireland and England seeing first hand the NHS in action. 

 

“Canada boasts bold approaches like Ontario’s Digital First Healthcare transformation - which has seen Orion Health deliver its world first at scale Digital Front Door solution to a population of 15 million - as well as Alberta and other provinces rolling out seamless shared care records and province-wide Health Information Exchanges. 

 

“The Canadian approach has put interoperability at the heart of digital health, and they are now seeing the benefits.

 

Australia should look at how Ontario Health Teams are being introduced to organise and deliver care that is more connected to patients in their local communities, Mr Porter said. 

 

“There are 54 Ontario Health Teams across the province that have been approved through a standardised intake and assessment process.”

 

The Ontario Digital First for Health strategy provides:

 

·         More virtual care options: Expanded availability of video visits and other virtual care tools such as secure messaging. Additionally, providers can use a variety of virtual care technologies that best meet the needs of their patients.

·         Expanded access to online appointment booking: Patients can book appointments that best meet their needs.

·         Greater data access for patients: More patients can review their secure health record online, give providers all the information they need wherever they need it and make informed choices about their care.

·         Better, more connected tools for frontline providers: More providers can access patient records stored across multiple health service providers to provide better, faster care.

·         Data integration and predictive analytics: Providers face fewer barriers to integrating and using secure health information to manage health resources and improve patient care. This has led to improvements such as earlier intervention and better management of chronic disease, and reduced the cost of healthcare

“Digital First for Health is central to the government’s efforts to transform the health care system so that it is integrated, sustainable and patient-centred,” Mr Porter said.

 

“Strong digital capabilities are a critical enabler for system integration and information sharing within health teams and the healthcare system so that patients have a choice on how they engage with the healthcare system and receive seamless care.”

About Orion Health
Orion Health is a leading global technology company that develops software to support the delivery of optimised healthcare. We provide flexible technology solutions that bring together all types of health data to support the management of individualised patient care across a health system. With 30 years’ experience, Orion Health has the global healthcare experience and capabilities to help organisations realise value quickly, without compromising on the local touch required for successful delivery and support. Find out more at
www.orionhealth.com.

 Media contacts:

More information: Benjamin Haslem - benjamin.haslem@iconagency.com.au ; 0408 887 742

 

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Here is the link:

 

https://www.hospitalhealth.com.au/content/technology/article/opinion-australia-must-look-to-canada-for-digital-health-best-practice-1563538329

 

What do others think? Masters of exaggeration or realists? Are there 2 Orions given the comments??

 

David 

Sunday, July 09, 2023

The Robo-Debt Saga Has Some Interesting Parallels For The myHR.

For those who came in late Robo-Debt programme was at its core a plan to use technology to control financial waste in the Social Services department that used a flawed algorithm to identify that waste / debt and to then demand some half million people pay back money they did not owe.

The myHR was a plan to use inadequate and flawed technology at a national scale to store patient clinical records with no clear plan or purpose for their use and any real idea what value these records would deliver.

In both cases we see an unevaluated, poorly designed and flawed system pushed on the unsuspecting citizenry with minimal consultation and no care for the harm that might be caused.

Of especial concern is the following:

Robo-debt bureaucrat on leave amid doubts over her $900k job

By Anthony Galloway

Updated July 8, 2023 — 11.00pmfirst published at 5.05pm

Former top public servant Kathryn Campbell went on leave from her $900,000 a year job with the Defence Department last week – a day before the robo-debt royal commission made damning findings against her.

There are now doubts within Defence over whether Campbell will return from leave after the royal commission made a range of scathing findings including that she repeatedly failed to act when the scheme’s flaws and illegality became apparent.

Pressure is also mounting on former prime minister Scott Morrison with Prime Minister Anthony Albanese on Saturday accusing his predecessor of failing to show any contrition despite the royal commission ruling he had allowed cabinet to be misled over the legality of the scheme.

In an interview with this masthead, Government Services Minister Bill Shorten said he didn’t want to comment on specific individuals in the public service as that would be dealt with by “other jurisdictions and other people”.

But Shorten said he understood “the general sense of the anger” from robo-debt victims.

“They feel that people have got away with it,” he said. “I just want to assure them that they haven’t got away with it.”

Government Services Minister Bill Shorten has addressed the findings of the robodebt royal commission report.

Senior Defence sources confirmed that Campbell was on leave from her role with Defence on Thursday and Friday as the damning findings were handed down by royal commissioner Catherine Holmes, SC.

Campbell served as secretary of the Department of Human Services between 2011 and 2017, the period in which the illegal income averaging scheme was introduced.

The royal commission found that Campbell kept the true nature of the income-averaging scheme secret when advising cabinet because she knew then-social services minister Morrison wanted to pursue the program.

Much more here:

https://www.smh.com.au/politics/federal/robo-debt-public-servant-on-leave-amid-doubts-over-whether-she-will-stay-in-900k-job-20230707-p5dmn4.html

Basically it is clear that the politicians and bureaucrats knew Robo-debt was a pile of harmful abusive crock but just let it run. Same goes for the useless and wasteful myHR. They know it is a waste of space and money but just press on.

In both cases we must ask WHY?

I am stu…d if I know!

David.

 

AusHealthIT Poll Number 704 – Results – 09 July, 2023.

Here are the results of the poll.

Are You Expecting The National Health Interoperability Plan From The ADHA To Make A Significant Positive Difference To Information Handling In Australia?

Yes                                                                0 (0%)

No                                                               36 (100%)

I Have No Idea                                              0 (0%)

Total No. Of Votes: 36

A pretty clear outcome suggesting that most readers are not seeing much value in the Jnterop. Plan

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

An OK number of votes. But also a pretty clear outcome. 

0 of 36 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.

Sunday, July 02, 2023

AusHealthIT Poll Number 703– Results – 02 July, 2023.

Here are the results of the poll.

Is Having The MyHealthRecord Sort Of Operational In Australia A Help Or Hindrance To Digital Health Progress Nationally?

A Help                                                                    1 (2%)

A Hindrance                                                        47 (98%)

I Have No Idea                                                       0 (0%)

Votes: 48

A pretty clear outcome suggesting that most readers think the MyHealthRecord is not much help

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

A good count of votes. But also a pretty clear outcome. 

0 of 48 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.

The ADHA Is Having Another Try At Extracting Value From Siloed Clinical Data.

 This appeared a few days ago.

ML project to unlock siloed data on chronic diseases

The project will "bring machine learning to data" while protecting privacy and integrity.

By Adam Ang

June 30, 2023 03:02 AM

A new project led by the University of Queensland seeks to create a national data network that will support the development of novel solutions for managing chronic diseases.

Recently, the National Infrastructure for Federated Learning in Digital Health (NINA) project secured A$6 million ($3.9 million) funding from the federal government's Medical Research Future Fund. It also received an additional A$7.7 million ($5 million) in contributions from UQ, Monash and Macquarie universities, and the Queensland Cyber Infrastructure Foundation.

WHAT IT'S ABOUT

According to a media release, the five-year project will enable researchers to use machine learning to access siloed information on debilitating chronic diseases, such as diabetes, rheumatoid arthritis and osteoarthritis. It will prepare and harmonise the data to global standards while protecting individual privacy. Analyses will also be generated and shared across health organisations and states.

UQ will collaborate with 23 Australian and global partners to co-design the conceptual framework for NINA and speed up the translation and adoption of the data model at a national scale. 

WHY IT MATTERS

Researchers across Australia find it difficult to access health databases and move their research forward on digital health. 

"Australia has excellent digital health records, but data is siloed across health systems, preventing talented researchers from accessing millions of records about treatments and trends in crippling chronic conditions," noted Clair Sullivan, associate professor at UQ’s Queensland Digital Health Centre.

Chris Bain, Professor of Practice in Digital Health at Monash University Faculty of IT, said various privacy and data sharing restrictions hinder the meaningful use of such databases. 

"This has ultimately led to an almost insurmountable divide across healthcare sectors, including a lack of data connectivity across primary, secondary and tertiary care," he said in a separate statement.

The NINA project intends to "put data to work" to find solutions for better managing chronic conditions. "Rather than attempting to merge different data sets to enable machine learning centrally, the project will bring machine learning to the data," Sullivan added.

THE LARGER TREND

Despite having the will to pursue digital transformation using data and analytics, most healthcare organisations across Australia and New Zealand lack the ability to share real-time data and integrate disparate systems, according to a recent study commissioned by InterSystems. They are also analysing a limited number of data despite having tons of it as multiple datasets are not interoperable.

Nevertheless, most providers wanted a standardisation of data exchange. The Australian Digital Health Agency is helping fulfil this through its National Healthcare Interoperability Plan, which envisions a more connected Australian health system by 2027. 

As part of this endeavour, the agency recently partnered with Health Level Seven Australia to promote the consistent adoption of FHIR standards in the country. It also tied up with CSIRO's Australian e-Health Research Centre to create the National Clinical Terminology Service, which will provide terminology services and tools that will enable connectivity across the health system.

Here is the link:

https://www.healthcareitnews.com/news/anz/ml-project-unlock-siloed-data-chronic-diseases

This is surely a project to watch to see what value is obtained for the $12 million being spent. I really struggle to bring to mind any similar data aggregation projects in OZ that have provided some significant value.

Let me know of any you are aware of!

David.