Dear Readers,
Just to highlight the blog user poll and to ask for votes so I can assess how I and the blog are doing, and what views readers have on important matters related to the overall blog topic.
I plan to have a weekly question and to try and get views on all the matters that are of interest to readers.
Suggestions for polls that are balanced and allow readers to express their view clearly welcome!
As always any other suggestions are also keenly received!
Enjoy.
David.
Friday, November 27, 2009
Thursday, November 26, 2009
Talk About a Non Document from NEHTA. The Introduction to National e-Health Services Document is Really a Joke.
Regular readers will know that I have been complaining that I could not seem to find a document which was referenced in the HI Services Documentation.
I was kindly given a link earlier today. I also had an e-mail from NEHTA letting me know of the link six days after I asked by e-mail (20/11/2009 3pm). I hope the support for the HI Service is going to be a trifle better than this!
The document was published on the 24th November. The link is here:
http://www.nehta.gov.au/component/docman/doc_download/886-introduction-to-national-e-health-services
Despite the grand title:
NEHTA, Introduction to National e-Health Services, version 1.0, November 1 2009
The document turns out the be a riveting 13 page read explaining how someone with an apparently clinically fractured wrist can be passed between GP, Radiologist, Surgeon, (not Hospital but having surgery anyway – where who knows?) and back to GP followed and guided by securely sent and signed documentation all laden with patient and provider IDs courtesy of NEHTA.
The whole scenario is really clinically quite odd – and I leave it as an exercise for the reader to point out where. Oddities include
1. The unreality of the details provided (tip do GPs really decide on surgery and does all the surgery happen absent a hospital and a discharge summary etc?)
2. The number of IHI look ups and encrypted messages – does not look like we are actually adding a great deal efficiency here – who do you imagine made the decision not to have a way of having the verified IHI consumer who wants to have a personalised something with their IHI on it so look ups can be avoided? Most regular health system users I am sure would be keen on that!
There are other little issues – like the assumption of all this non NEHTA software all using the HI Service. That might take a while.
NEHTA really should provide an implementation plan of how we are going to reach this nirvana and maybe refine their plans and scenarios a little for reality.
David.
Weekly Overseas Health IT Links 24-11-2009
Here are a few I have come across this week.
http://e-caremanagement.com/medicare-extends-phr-pilot-big-mistake/
Medicare Extends PHR Pilot — Big Mistake!
November 19, 2009
Medicare announced today that it is extending its Personal Health Record (PHR) pilot
project for residents of Utah and Arizona.
This is a waste of time and taxpayer dollars. Those of you who read my blog know that I’m a big fan of PHRs, but you have to know when you’re backing the wrong approach.
-----
http://www.modernhealthcare.com/article/20091120/REG/311209987
Current security standards too complex, expert says
By Joseph Conn / HITS staff writer
Posted: November 20, 2009 - 5:59 am EDT
A federal health information technology advisory panel heard a whole day of testimony on the state of data security, and, not surprisingly, the testimony reflected the findings in a recent spate of public reports: Data security breaches are on the rise and healthcare organizations are ill-prepared to deal with them.
-----
Eight Tips to Polish Your Hospital's Patient Breach Response
Dom Nicastro, for HealthLeaders Media, November 18, 2009
Editor's note: This is the third in a three-part series about breach notifications. Part one focused on how to prevent breaches. Part two tackled how to handle breaches. This installment offers some final tips if a breach occurs. focused on how to prevent breaches.
-----
http://www.modernhealthcare.com/article/20091119/REG/311239934
Conn. health insurer acknowledges missing data
By Associated Press
Posted: November 19, 2009 - 10:45 am EDT
Connecticut Attorney General Richard Blumenthal said that health insurer Health Net lost financial, health and personal information of nearly 450,000 state residents and failed to inform consumers for six months.
-----
http://www.govhealthit.com/newsitem.aspx?nid=72449
Meaningful use rule ‘on target’ for end of year
By Brian Robinson
Thursday, November 19, 2009
The Centers for Medicare and Medicaid Services is still on target to publish by the end of the year a proposed rule on the meaningful use of electronic health records, despite growing fears from industry about the possible impact of the regulation.
-----
http://www.healthcareitnews.com/news/ecri-picks-top-7-health-plan-it-trends-watch
ECRI picks top 7 health plan IT trends to watch
November 16, 2009 | Diana Manos, Senior Editor
PLYMOUTH MEETING, PA – Genetic testing and electronic medical records are top of the ECRI Institute's 2010 technology watch list for health plans.
ECRI officials said the list represents important technologies and technology-related issues that private and public payers should pay close attention to in 2010.
.....
The white paper on the watch list can be downloaded free at https://www.ecri.org/Forms/Pages/Top_Technologies_Health_Plans.aspx.
-----
Study: RTLS technology can save hospitals time and money, boost care
November 17, 2009 | Eric Wicklund, Managing Editor
LUMBERTON, NC – A study of the use of a real-time location system (RTLS) at Southeastern Regional Medical Center indicates the technology can save hospitals hundreds of thousands of dollars a year, improve clinical outcomes and boost staff morale.
-----
Healthcare Affiliates Unprepared For Data Breaches
Patient privacy is at risk from the companies that healthcare providers do business with, study says.
By Mitch Wagner
InformationWeek
November 17, 2009 05:13 PM
Companies that do business with healthcare providers, including accounting firms and offshore transcription vendors, are unprepared to meet data breach obligations included in new federal regulation, according to a survey released Tuesday.
The survey by Healthcare Information and Management Systems Society (HIMSS) Analytics, commissioned by security vendor ID Experts, looked at preparedness for healthcare providers business partners, such as billing, credit bureaus, benefits management, legal services, claims processing, insurance brokers, data processing firms, pharmacy chains, and temporary office personnel providers.
-----
Nova Scotia Paramedics Gain In-ambulance Access to Patient Records
November 18, 2009 (Halifax, NS) - The first system in Canada to provide paramedics with instant access to MedicAlert health records has been successfully launched in Nova Scotia. Within hours of the system going live, a paramedic in Halifax accessed potentially life-saving information en route to the hospital with a patient.
-----
http://www.businessdailyafrica.com/-/539444/687950/-/s13t3j/-/
Why Kenya needs to implement e-health
By HARRY HARE (email the author)
Posted Thursday, November 19 2009 at 00:00
In Summary
- A basic health information management system can improve the ability to collect store and analyse data
- Integrating e-health into healthcare practice can help increase data accuracy and improve the tracking of health trends
- E-health can help improve the level of efficiency in medical facilities
- With information on hand, healthcare practitioners can work more professionally and make better, more accurate decisions.
- E-health can improve the tracking of health health trends which can lead to better healthcare planning
-----
http://www.e-health-insider.com/news/5392/kingston_to_go-live_on_30_november
Kingston to go-live on 30 November
18 Nov 2009
Kingston Hospital NHS Trust plans to go live with Cerner Millennium on 30 November, in what has become a critical milestone for the £12.7 billion NHS IT programme.
If successful, the South West London NHS trust will become the first in the capital to go live with the US system in 18-months.
-----
http://www.ehiprimarycare.com/news/5379/rx_systems_accredited_for_eps_r2
Rx Systems accredited for EPS R2
12 Nov 2009
Pharmacy software supplier Rx Systems has become the second pharmacy supplier to achieve technical accreditation for Release 2 of the Electronic Prescription Service.
The company’s ProScript dispensary management system will now be tested with TPP’s SystmOne - the only GP system to be accredited for R2 - at Burrows and Close Pharmacy in Kimberley, Nottingham.
-----
http://www.ehiprimarycare.com/news/5385/london_scr_roll_out_announced
London SCR roll out announced
16 Nov 2009
The Department of Health has announced that the Summary Care Record is to be rolled out across London from this week.
The Princess Street Group Practice in Southwark will be the first GP practice in the capital to upload SCRs, with this scheduled to happen on 19 November.
-----
http://health-care-it.advanceweb.com/Editorial/Content/Editorial.aspx?CC=210814
Posted on: November 18, 2009
Semantic Technology: The Next Step for Health Care IT
Web 3.0 technology is making its way to the mainstream, and savvy health care providers are adopting it to address data challenges.
Over the past few decades, the nature of the Internet has transformed from static, individual Web pages and basic e-mail (Web 1.0) to the current Web (Web 2.0), where a host of new capabilities such as social networking, wikis and instant messaging have transformed the way individuals and enterprises use the Web.
Today, Web 3.0 technologies, also known as "the Semantic Web," are beginning to gain traction on both sides of the firewall and are making their way to the mainstream. Semantic technologies are backed by a set of standards that have been developed by the World Wide Web Consortium (W3C) and promise to enable a whole new level of data collaboration. So dramatic, in fact, that Sir Tim Berners-Lee himself -- the inventor of the Web -- has identified semantics as the key technology for the next generation of the Internet, and leading companies from health care and biopharmaceuticals to finance, oil, gas and retail have begun to adopt it.
-----
http://www.ehiprimarycare.com/news/5389/hundreds_of_records_breached_in_hull
Hundreds of records breached in Hull
16 Nov 2009
More than 350 patients in Hull have had their electronic medical records accessed by a member of NHS Hull's staff who should not have had access to them.
A primary care trust employee, who was authorised to use collated and anonymous patient data for research, but not permitted to access individual patient records, accessed a total of 358 across 20 GP practices.
-----
http://www.modernhealthcare.com/article/20091117/REG/311179985
West Coast ‘code-a-thon’ set for Connect software
By Joseph Conn / HITS staff writer
Posted: November 17, 2009 - 11:00 am EDT
So far, about 180 federal officials and representatives from a host of private organizations have registered to convene on the campus of Portland State University later this week for a two-day Code-A-Thon to enhance the code base of Connect, the open source gateway to the proposed national health information network.
-----
http://www.modernhealthcare.com/article/20091117/REG/311179986
IT effect on patients, providers most vital: Blumenthal
By Rebecca Vesely / HITS staff writer
Posted: November 17, 2009 - 11:00 am EDT
Proposed rules on the meaningful use of electronic health records will be made public by the end of the year or perhaps sooner, said David Blumenthal, national coordinator for health information technology at HHS.
In a speech before the American Medical Informatics Association's annual symposium in San Francisco, Blumenthal stressed that health IT must be focused on the goal of making the healthcare system work better for patients and providers.
-----
http://www.modernhealthcare.com/article/20091117/REG/311179984
HITrust launches IT security certification program
By Joseph Conn / HITS staff writer
Posted: November 17, 2009 - 11:00 am EDT
The Health Information Trust Alliance, commonly known as HITrust, a consortium of health plans, pharmacy benefits managers, information technology vendors and data-miners formed to address health IT security issues, has announced the formal launch of a two-tier health IT security and privacy certification program.
-----
Why Do Some Hospitals Successfully Implement EHRs and Others Fail?
Carrie Vaughan, for HealthLeaders Media, November 17, 2009
There are pieces of advice I hear repeatedly when talking with technology executives about implementing electronic health records and why some organizations are successful whereas others struggle. Phrases like "get physician buy in," "allocate more resources for training," and "spend more time planning on the frontend" come to mind. Unfortunately, the advice doesn't always come with strategies on how accomplish it.
-----
Tuesday, November 17, 2009
Blumenthal Thanks Informatics Leaders, Predicts Big Changes
SAN FRANCISCO – If any of the 2,000-plus attendees of the American Medical Informatics Association annual symposium were hoping for a little preview of what to expect when the federal government unveils its definition of "meaningful use" next month, they didn't get it from David Blumenthal.
What they did get from the country's national coordinator of health IT during his keynote address Monday was a vote of confidence and his assurance that big changes are just around the corner.
"We're going to see major, major changes in the near future -- positive changes. And in many ways, we have you in this room to thank for them. You all saw the future way in the past," Blumenthal told a standing room-only crowd.
-----
http://www.informationweek.com/news/healthcare/EMR/showArticle.jhtml?articleID=221601130
Information Exchanges Let Doctors Share Patient Data Efficiently
Several new networks are being launched across the country, and while they vary in size, scope, and clientele, the goals and challenges are similar.
By Marianne Kolbasuk McGee, InformationWeek
Nov. 17, 2009
As more doctors and hospitals make use of electronic health records, the next step in healthcare's transformation will be to ensure that doctors and other healthcare providers can exchange of patient data.
Multifaceted healthcare organizations are setting up internal data exchanges so their affiliated doctors, outpatient facilities, and hospitals can easily share data. But larger health information exchanges are also being launched that let unaffiliated providers within a state or region share patient information. All of these efforts potentially play a role in the federal government's vision of building a national health information network that would serve as a "network of networks."
-----
http://www.newswire.ca/en/releases/archive/November2009/16/c9695.html
eHealth Ontario improves the way Ontarians with diabetes receive care
TORONTO, Nov. 16 /CNW/ - The value of ehealth was brought to life today by Rob Devitt, Interim President and CEO of eHealth Ontario, as he told a packed room at the Ontario Hospital Association's 2009 HealthAchieve conference that eHealth Ontario was the driving force behind the work to identify the 906,577 patients living with diabetes and match them with their almost 9,000 family physicians.
-----
Quality Forum Releases Health IT Data Framework
Janice Simmons, for HealthLeaders Media, November 16, 2009
The National Quality Forum (NQF) has released the Quality Data Set (QDS), a common technological framework to assist in defining clinical data used in measuring performance and evaluating improvement in patients' quality of care. The QDS framework will provide a standardized set of data that should be captured in patients' electronic health records and is applicable to all care settings a patient is likely to use in his or her lifetime.
-----
http://www.twincities.com/business/ci_13784393
Wireless medical device a winner
3M collaborates on Bluetooth scope
By Robert Downs
Pioneer Press
Updated: 11/13/2009 09:11:50 PM CST
Most people would not want their doctors chatting on a Bluetooth headset during a checkup. But what if that technology could save patients thousands of dollars?
A first-of-its-kind stethoscope developed by Maplewood-based 3M Co. and Connecticut-based Zargis Medical uses Bluetooth technology to wirelessly transfer sound waves from the heart and lungs straight to a computer. After 20 seconds of processing, software helps doctors identify heart murmurs or other ailments, Zargis CEO John Kallassy said.
-----
http://www.boozallen.com/publications/article/42247908
Health Privacy Breaches Can Be Prevented
Why patient information is so often compromised - and what healthcare organizations can do about it.
As personal health records are increasingly being stored electronically, the number of data and privacy breaches is also growing rapidly – despite safeguards such as the Health Insurance Portability and Accountability Act (HIPPA).
Healthcare organizations, already racing to prevent such breaches, now face new mandates from Congress that further tighten data-security requirements, and include greater penalties for non-compliance.
Link to report:
Stemming the Rising Tide of Health Privacy Breaches: The Need for a More Holistic Approach
-----
http://jama.ama-assn.org/cgi/content/abstract/2009.1670v1?papetoc
Telephone-Delivered Collaborative Care for Treating Post-CABG Depression
A Randomized Controlled Trial
Bruce L. Rollman, MD, MPH; Bea Herbeck Belnap, Dr Biol Hum; Michelle S. LeMenager, BS; Sati Mazumdar, PhD; Patricia R. Houck, MS; Peter J. Counihan, MB, BCh; Wishwa N. Kapoor, MD, MPH; Herbert C. Schulberg, PhD, MS Hyg; Charles F. Reynolds III, MD
JAMA. 2009;302(19):(doi:10.1001/jama.2009.1670).
-----
http://www.newsobserver.com/business/story/190826.html
Medicine examines electronic records
The push for health care reform is spurring discussion about the industry adopting electronic medical records. Advocates point to the cost savings and efficiency that will occur when the medical industry is brought into the digital age. Critics worry about issues such as security and the expense of new technology.
-----
Blumenthal: Tear Down E-Health Barriers
Posted by Mitch Wagner on November 16, 2009 02:29 PM
The U.S.'s top e-health official urged healthcare organizations to tear down the barriers to effective exchange of e-health records in a message to healthcare providers.
-----
http://www.govhealthit.com/newsitem.aspx?nid=72350
Health info security laws a hurdle to health Internet
By Mary Mosquera
Friday, November 06, 2009
Federal agencies hope to use the government’s Connect software to share health information with private healthcare providers, but current information security and privacy laws significantly block their way, government health IT executives said yesterday.
Two key laws – the Federal Information Security Management Act (FISMA) and the Health Insurance Portability and Accountability Act (HIPAA) – are a particularly steep hurdle to electronic record sharing among federal agencies and private sector providers, they said.
-----
CCHIT Chair Announces Retirement
John Commins, for HealthLeaders Media, November 13, 2009
The organization that certifies electronic health records will soon search for a new chairman.
The Certification Commission for Health Information Technology announced today that Mark Leavitt, MD, PhD, is retiring from his position as chair of the commission on March 31, 2010.
-----
Enjoy!
David.
Wednesday, November 25, 2009
New Release of the Jon Patrick Essay on Cerner FirstNet Implementation in NSW Health.
The following arrived a few hours ago:
----- Begin Quote
Dear Colleagues, the essay discussing and analysing the rollout of Firstnet in NSW has been republished in Version 6.0. It contains more details than previous versions but has been remodelled in presentation based on comments from supportive colleagues at the AMIA and around the State.
You will find a difference in shift from an informal style of description to something more formal, but hopefully you will also find more rigour of thought and better substantiation of arguments.
There are a number of issues that I have not breached in the essay for which I have some evidence but would like more substantial information before I raise them in a public forum.
The attempt at censoring me has failed.
The University has given me an unambiguous statement that I am entitled to publish my opinions on the matter and have asserted they ill defend my right to do so.
I encourage you to broadcast the essay as widely as possible as I am interested in getting all feedback available whether in agreement or not my opinions.
The essay is available from the Health Information Technology Research
Laboratory website on the Essays page Essay No 6.
http://www.it.usyd.edu.au/~hitru/index.php?option=com_content&task=view&id=91&Itemid=146
Professor Jon Patrick
jonpat@it.usyd.edu.au
Health Information Technologies Research Laboratory: www.it.usyd.edu.au/~hitru
----- End Quote.
Sounds like good news from all sorts of perspectives to me!
David.
NEHTA Releases a Concept of Operations for the Health Identifiers.
The following appeared, along with a lot of other documentation a few days ago.
NEHTA releases Concept of Operations for Healthcare Identifiers Service
20 November 2009.
NEHTA releases Concept of Operations for Healthcare Identifiers Service.
One of the key foundations for a national approach to e-health will be a standard process across the health sector to accurately identify everybody involved in a healthcare transaction. A national Healthcare Identifier Services (HI Service) is being established to assign and maintain healthcare identifiers. NEHTA has released the Concept of Operations providing an overview of the proposed HI Service. The Concept of Operations covers the current state of healthcare identification; describes the HI Service and how the service will be used and will work; and documents key concepts and their usage.
The Concept of Operations and associated documents are located at Healthcare Identifiers
Email ehealthid@nehta.gov.au
At the simplest the purpose of the document is covered here:
This Healthcare Identifiers Service (HI Service) is the subject of this Concept of Operations document. The purpose of the Concept of Operations is to:
• Describe the current state of healthcare identifiers in Australia
• Describe the Healthcare Identifiers Service (HI Service), in such a way that key stakeholders can understand:
o What the service is
o Why the service is required (from a high level)
o How it will work
o How it will be implemented
- The key privacy/policy underpinnings
- Document key concepts and their usage
- Illustrate key scenarios where healthcare identifiers will be used to highlight any gaps in expectations
- Illustrate the impact relative to today’s situation as it relates to the proposed services and solution
(Page 9 of 83)
The document is quite useful but there are a few themes that emerge that are going to cause some issues I suspect.
First the management and governance framework for the HI Service that is planned is still not spelt out as far as I can tell.
Second NEHTA does not seem to have made available a document they reference which would be very important in getting all this into context:
NEHTA, Introduction to National e-Health Services, version 1.0, November 1 2009
My e-mailed request for a copy (to the address above) has gone ignored for 4 days at least. Typical.
Third there is still no reference to or provision of a Business Case that justifies the planned expenditure. We get a lot of motherhood about improved identification etc but there is just no evidence provided (in the whole documentation set) that the NEHTA HI Service proposal is actually fit for the purposes for which it is intended and is the best way of going about things.
The entire NEHTA thrust seems to be justified by these couple of paragraphs from the February 2006 COAG meeting outcomes (Appendix D)
“2. From February 2006, governments will accelerate work on a national electronic health records system to improve safety for patients and increase efficiency for health care providers by developing the capacity for health providers, with their patient’s consent, to communicate safely and securely with each other electronically about patients and their health. This requires:
· developing, implementing and operating systems for an individual health identifier, a healthcare provider identifier and agreed clinical terminologies; and
· promoting compliance with nationally-agreed standards in future government procurement related to electronic health systems and in areas of healthcare receiving government funding.”
Not wanting to stir the pot but it would be nice to know just what prompted this outcome – in detail.
Fourth review of the document makes it clear that there are all sorts of activities to be undertaken by Medicare Staff, Health Care Providers and their Staff and the HI Service itself. Just an indication of the scale of the budget for all this – and who will pay for providers time and effort would be helpful.
Last it is clear that unless there have been all sorts of secret meetings going on and payments arranged there is going to a exist a bright shiny service with no one having proven and widely implemented software to use the service.
This document makes me feel this HI Service is a bit of a chimera we are going to be waiting quite a long time to see it take its final form – legislative delays notwithstanding.
There is also, of course the small and large scale testing that needs to be done before the HI Service is made generally available. I wonder if there is a timetable anywhere that shows the critical path for having this service actually operational at any scale in 2010?
David.
Here is How You Know the US Is Serious about Health IT!
This appeared today.
Grants to Fund Health I.T. Training
HDM Breaking News, November 24, 2009
The Office of the National Coordinator for Health Information Technology soon will post a funding opportunity notice for $80 million in grants to support the training of health information technology professionals in about 70 community colleges across the nation.
The funds, authorized under the American Recovery and Reinvestment Act, are intended to expand the health I.T. workforce by 50,000. Under the grant program, $70 million is dedicated for operating non-degree, six-month intensive training programs, says David Blumenthal, M.D., national coordinator. The remaining $10 million will go for development of educational materials, which Blumenthal calls "a national resource for anyone wishing to develop and conduct such programs."
Under the grant program, ONC will fund five consortia of community colleges in five regions across the nation. Federal officials expect the program to produce 10,000 graduates each year for five years. The program could include distance-learning initiatives.
More here:
http://www.healthdatamanagement.com/news/stimulus_grants_training_ONC-39404-1.html
Just where exactly is NEHTA and DoHA in the cycle of actually getting some funds to this?
We have a committee, grandly titled National Health Informatics Education Committee (NHIEC) which has now morphed into the Australian Health Informatics Education Council (AHIEC) which is developing a Strategic HI Education work plan. That is a plan to develop a plan of how to fix HI manpower issues.
The web site for this is here:
The current workplan is found here:
http://www.ahiec.org.au/docs/AHIEC%20Workplan%20%272009-10%20and%20Beyond%27.pdf
It seems to be rather a plan to work out what is needed. From the Executive Summary:
“This report and indicative workplan represents a systematic approach to describing the required HI competencies, defining the gaps, developing the strategies to address the capability gaps and monitoring the progress and effectiveness of the strategies implemented. The modular approach, with a mix of sequential and parallel implementations, provides a degree of flexibility in rolling out the workplan. While this flexibility is important, it does not detract from the urgency of the workplan implementation to achieve a workforce with the required competencies to drive the national health and e‐Health agenda.”
To date it is not clear just how much funding has actually been allocated to getting things up and running some five months after the report was finalised.
We clearly have a very long way to go to actually be rolling out courses across the wide brown land.
Time for the AHIEC to get seriously rolling I think! Maybe we might be able to leverage the courses being developed in the US?
David.
Tuesday, November 24, 2009
Weekly Australian Health IT Links - 23-11-2009
Here are a few I have come across this week.
http://www.medicalobserver.com.au/News/0,1734,5674,20200911.aspx
E-health system crucial to reform success
Elizabeth McIntosh - Friday, 20 November 2009
AGPN National Forum, Sydney
THE success of impending health system reform will require a fully functioning e-health system, according to a leading expert.
Addressing the AGPN National Forum, Dr Mukesh Haikerwal, National E-Health Transition Authority clinical lead, said e-health would lead to improvements in the safety and quality of patient care.
-----
http://www.australiandoctor.com.au/articles/4b/0c06524b.asp
Computer games
18-Nov-2009
Computers were supposed to make life easier, but for many GPs clinical software is becoming more complicated and frustrating. By Sarah Colyer
IT has been a nightmare for WA GP Dr Padminie Kain, who is desperately trying to recover more than 10,000 patient files after her software provider collapsed.
-----
http://www.health.nsw.gov.au/news/2009/20091028_00.html
28 October 2009
Electronic Medical Record providing safer care in our public hospitals
The Deputy Premier and Minister for Health, Carmel Tebbutt, today announced that hospitals in the Greater Western Area Health Service (AHS) were preparing to roll out an Electronic Medical Record (eMR) system to assist clinicians and provide safer care for patients.
-----
http://www.medicalobserver.com.au/Blog/21/110/Default.aspx
Professor Gavin Andrews
Web offers new window to treating depression
Friday, 20 November 2009
ANXIETY and depressive disorders, the internalising or emotional disorders, are the largest cause of disability in Australia. The National Mental Health Surveys show that less than half the people with these disorders see a health professional, and only a quarter get adequate treatment. Recently, Dr Norman Swan, presenter on ABC TV’s Catalyst, hosted a program about the University of NSW’s Research Unit for Anxiety and Depression’s web-based treatment for major depressive disorder...
In a randomised controlled trial of the web-based intervention versus wait list controls, 80% of the people diagnosed as having major depressive disorder completed all six online lessons, and 70% no longer met criteria for that disorder at the end of treatment.
-----
iSOFT Group Limited (ASX:ISF) Interview With CEO Mr Gary Cohen On Latest Developments
Sydney, Nov 20, 2009 (ABN Newswire) - iSOFT Group Limited (ASX:ISF) recently met a major delivery deadline for the UK National Programme for IT (NPfIT), under which it had to implement Lorenzo 1.9 in a care setting by November, with the National Health Service (NHS) Bury Primary Care Trust chosen as the adopter site. How effective has this implementation been and what implications does it have for iSOFT's next steps under NPfIT?
-----
http://www.news.com.au/story/0,27574,26362702-421,00.html
Cop 'searched women's details for sex'
AAP
November 17, 2009 03:52pm
A FORMER detective was sexually motivated when he used the West Australian police computer system to access the details of more than a dozen women, a court has been told.
John Lawrence Curren, 46, pleaded guilty to 16 counts of unlawfully using police computers to access the details of 14 women when he appeared Perth Magistrates Court today.
-----
http://www.prnewswire.com/news-releases/mirixa-australia-achieves-six-month-milestones-70275002.html
Mirixa Australia Achieves Six Month Milestones
Over 40% of pharmacies nationwide now enrolled; technology-backed, pharmacist-delivered programs launched to assist patients in adhering to six common chronic care medications
RESTON, Va. and SYDNEY, Nov. 17 /PRNewswire/ -- Mirixa Corporation, the leader in pharmacy-based patient care services and the Pharmacy Guild of Australia, the peak body representing owners of pharmacies across Australia, announced today results of the first six months of operating activity of Mirixa Australia.
-----
Clarke unleashes blast on privacy
- Fran Foo
- From: Australian IT
- November 17, 2009
AUSTRALIAN Privacy Medal winner Roger Clarke has accused businesses and government agencies of "investing in image'' and "playing the public for fools'' over privacy concerns in the surveillance age.
In a broadside unleashed at the annual Privacy Awards dinner in Sydney, Dr Clarke said organisations had become "habituated to hands-off stances by parliaments and by regulators'', and simply "got on and did'' whatever they wanted.
-----
Ludwig flags data privacy overhaul
- Karen Dearne
- From: Australian IT
- November 17, 2009
THE Rudd government is planning to reform the federal Privacy Act to ensure businesses regularly assess the impact of new technology on their handling of personal data, Special Minister of State Joe Ludwig says.
"Rapid technological changes have meant a vastly increased capacity to collect, retain and disseminate personal information,'' Senator Ludwig told the Privacy Awards dinner in Sydney.
-----
'One fit for all' costs Medibank $60m
- Fran Foo
- From: Australian IT
- November 17, 2009
MEDIBANK Private will spend $60 million on IT projects this financial year as it integrates new businesses into the fold and prepares to finally bid adieu to 35-year-old systems.
Australia's largest health insurer is working to fit in the platforms Australian Health Management and Health Services Australia use after buying both companies earlier in the year.
-----
ID theft laws stuck in queue
- Karen Dearne
- From: Australian IT
- November 17, 2009
NEW laws aimed at preventing identity theft and giving victims a means of untangling the mess are languishing in federal parliament, 10 months after they were introduced to the Senate by then human services minister Joe Ludwig.
The Identity Crimes Bill adds three identity offences to fill gaps in existing laws: trafficking in identity data (up to five years' imprisonment); possession with intent to commit a crime and possession of equipment for the purpose of identity theft (both a maximum three years).
-----
http://www.6minutes.com.au/articles/z1/view.asp?id=505488
Wii boosts balance and muscle strength
by Jared Reed
Balance and muscle strength could get a boost from the new generation of fitness tools, early results from the Wii interactive gaming exercise program suggest.
Results from a pilot study in Queensland involving ten women, aged between 30-60, showed that balance and lower limb muscle strength showed significant improvement after a ten-week period exercising with Nintendo’s Wii Fit device.
-----
http://newmatilda.com/2009/11/19/are-you-ready-lose-your-privacy
Are You Ready To Lose Your Privacy?
We spend an increasing amount of our lives online where traditional privacy protections fail to cover us. Now governments are getting set to exploit that, writes Mark Newton
Imagine, for a moment, the kind of world you'd be living in if information about every letter you sent and received through the mail was kept in a government database. Your love letters, junk mail, subscription magazines, business correspondence all itemised, categorised and serialised, searchable by any government employee who feels like checking up on you.
-----
http://www.computerworld.com.au/article/327150/gartner_lays_top_10_strategic_technologies?eid=-6787
Gartner lays out Top 10 strategic technologies
Analyst firm lays out what it thinks will be most important in 2010
20 November, 2009 12:30
At this week’s Gartner Symposium in Sydney, the analyst firm presented its top 10 strategic technologies for 2010.
Gartner senior analyst and mobile guru, Nick Jones, presented the strategic technologies, and defined them as the ones which will impact CIOs within the mainstream enterprise between the next 12 to 36 months.
“Strategic technologies will drive significant change, disruption, modifications to your strategy,” Jones said, urging all CIOs to explicitly address them in their strategy, plans and IT architecture.
-----
http://www.techworld.com.au/article/326717/fedora_linux_12_arrives_ups_multimedia_support
Fedora Linux 12 arrives, ups multimedia support
Better tablet PC support also a feature
18/11/2009 10:16:00
The Fedora 12 Linux desktop gets a new theme and other UI improvements
Fedora, the Linux-based operating system backed by Red Hat, has released version 12 with a view to improving the multimedia and graphics experience on the desktop.
Fedora 12 integrates the Empathy unified communications client that combines instant messaging, video, and audio.
-----
http://www.computerworld.com.au/article/325907/windows_7_tricks_20_top_tips_tweaks?eid=-255
Windows 7 tricks: 20 top tips and tweaks
A few pointers for the upgrade
12 November, 2009 04:20
Just got your hands on Windows 7 and want to bend it to your will? No problem. We've got plenty of tips, hacks and secrets to keep you busy for a long time, including automatically opening Windows Explorer to a folder of your choice, speeding up taskbar thumbnails, finding hidden desktop themes, forcing User Account Control to act the way you'd like, keeping your Explorer searches secret from others, and more.
-----
Enjoy!
David.
Business Council Of Australia Tell Rudd to Get on with E-Health.
The following release came out yesterday.
Health Information Needs an Urgent Technological Injection
23 November 2009
The Business Council of Australia has called on the federal government to lead an urgent implementation of the national e-health strategy.
In a letter sent to the Prime Minister last month and released today, BCA Chief Executive Katie Lahey says e-health – that is, using communication technology to improve the flow of health information – is a key to a more efficient health system.
But e-health “will require national leadership and commitment to investment in national infrastructure to make it happen”, the letter says.
Private investment as well as public investment will be needed to make e-health effective, it notes. But before business can begin to invest, state and federal governments must commit to making their own investments in the national infrastructure. Governments must also commit to invest in connecting public health providers to realise the potential benefits for patients and the sector.
The letter is supported by a paper summarising the proposed implementation plan for e-health. It endorses the national e-health strategy adopted by the ministers for health, and the draft implementation plan produced recently by the National E-Health Transition Authority (NEHTA).
The paper reiterates that the estimated e-health benefits of $27.8 billion in the first eight years of implementation outstrip the costs of e-health investment – $6.3 billion over five years.
The economic imperatives for healthcare reform are set out in the BCA’s Fit for the Job paper, published in March 2009. That paper said Australia’s healthcare services needed to be fully integrated to both provide for patient needs and drive efficiency.
For further information contact:
Scott Thompson, Manager, Public Affairs, Business Council of Australia
Telephone (03) 8664 2664, mobile 0403 241 128
http://www.bca.com.au/Content/101627.aspx
The two page letter and an 8 page summary report can be found from the link above or here:
Letter to Prime Minister Kevin Rudd on the National E-Health Strategy
All in all a very good thing to see this sort of advocacy.
Note that the letter is not, of course, to Ms Roxon!
David.
Monday, November 23, 2009
Anonymous Really Hits the Spot Again! And a Few Mates Chime In!
I don’t plan to make this a habit but this Comment was so spot on I really felt it needed to be brought more into the open!
Begin Comment -----
"NEHTA would like to offer Software Vendors the opportunity to participate in a 1 day workshop to review the Draft Electronic Transfer of Prescription (ETP) Release 1.0 package."
I really am at a total loss to see what intrinsically concrete value NEHTA can bring to the table that is worth giving any attention to.
Look at it this way. The Gov't (DOHA) and NEHTA have been left behind in the dust by the two private script exchanges. It will be impossible for Gov't and/or NEHTA to claw back the initiative and lead the way. Therefore, whatever 'stuff' NEHTA pontificates on will be just that - 'stuff' - stuff that the private exchange vendors can look at, consider at their leisure, take on board any ideas that they like, reject what they don't like, continue to develop and expand their services, lock-in their growing customer base, compete with each other, and find ways to make Gov't pay the price they seek to be involved in their exchange services.
Tell me how NEHTA can in any way influence this outcome in any meaningful way.
Tell me how NEHTA can become relevant in the ETP space.
And above all - tell me why NEHTA should continue receiving bucketloads of our hard earned dollars to pontificate over the ETP space where it would seem NEHTA has absolutely no way of exercising any real influence on the outcomes despite its misguided wishful thinking to the contrary.
Sunday, November 22, 2009 12:35:48 PM
End Comment -----
Can I say these all seem to me to be very fair questions!
Some of these commenters really should start their own blogs – but they are probably smart enough to realize that is a career ending, and very time consuming step!
Thanks anon.
David.
------- End of Initial Draft of posting.
Since then we have had two more comments – both of which continue the theme.
Number 1:
Your last commentator makes some very good points, particularly "How can NEHTA become relevant in the ETP space".
That is an excellent question. Does anyone know the answer?
Could NEHTA please give us the answer?
Number 2:
I doubt anyone can provide an answer to the above question. As in so many areas of endeavour market forces will eventually prevail. Even Peter Fleming said as much when he stated recently that he was very excited that two script exchanges had started up and that NEHTA was looking forward to working with them. What influence does he think NEHTA can possibly have on what they do? Surely it's time to come clean.
David, in the context of the private ETPs, do you know if NEHTA has documented answers to the following basic questions:
- this is what we can do?
- this is what we will do? and by when.
- this is how we will do it? and with whom.
- this is the impact we will have as a consequence.
-----
All these are very good questions and I don’t have the answers! Maybe one of the NEHTA readers could pass them on to the relevant people and post a response?
And as a second little postscript:
I wondered about why I missed the meeting notification from NEHTA and then I noticed the following.
From Wed 18 Oct 2009 15:35:05 +1000
From: NEHTA RSS <>
Date: Wed 18 Oct 2009 15:35:05 +1000
Message-Id: http://nehta.gov.au/media-centre/nehta-news/562-invitation-to-participate-in-electronic-transfer-of-prescription-workshop-27-november
X-RSS-Link: http://nehta.gov.au/media-centre/nehta-news/562-invitation-to-participate-in-electronic-transfer-of-prescription-workshop-27-november
X-RSS-Comments:
Delivery-Date: Wed, 18 Nov 2009 15:46:51
Status: U
Subject: Invitation to particpate in Electronic Transfer of Preescription workshop
Mime-Version: 1.0
Content-Type: text/html; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable
X-Poco-UID: 41795840
X-Poco-Status: R
X-Account: NEHTA
Invitation to particpate in Electronic Transfer of Preescription workshop
-----
This is what my RSS feed from NEHTA gave me: A month delay and riddled with typos.
Odd that.
Seems I was not alerted about the meeting in a timely fashion – not that I would want to attend for the reasons outlined above!
D.
And in late breaking news – for all those planning to attend the Forum has now been moved to December 1 and to the Stamford Airport Hotel at KSA (Sydney Airport). Talk about the inability to organise a large drinking party in a brewery with unlimited funds – or equivalent!
D.
Sunday, November 22, 2009
NEHTA is Swimming Against the Tide of Expert US Opinion on Health IT Standards.
With the passage of the US HITECH Act which provides massive financial stimulus for ‘meaningful use’ of Electronic Health Records in patient care there has been renewed focus on US Health IT Standards and how they may be best used – as well as how to fill what gaps there are!
The first few paragraphs of reporting – in draft – the November 19th Meeting of the key Committee (provided as audio, video, transcripts and presentations as opposed to the secrecy we get from NEHTA) make for very important reading.
Thursday, November 19, 2009
HIT Standards Meeting 11-19
The HIT Standards Committee met on Thursday, November 19, 2009. The meeting distilled much of their work and there were some great presentations from the committee, workgroups and stakeholders. The meeting materials from the ONC website and the rough draft transcript of the meeting are below. Also be sure to check out the FACA blog and join the conversation to help "pull adoption forward" and bring our healthcare system into the 21st century.
John Halamka, co-chairman of the committee, gave the following list of guiding principles for standards recommendations which were polished at the meeting:
- Keep it simple; think big, but start small; recommend standards as minimal as possible to support the business goal and then build as you go
- Don’t let “perfect” be the enemy of “good enough”; go for the 80% that everyone can agree on; get everyone to send the basics (medications, problem list, allergies, labs) before focusing on the more obscure
- Keep the implementation cost as low as possible; eliminate any royalties or other expenses associated with the use of standards
- Design for the little guy so that all participants can adopt the standard and not just the best resourced
- Do not try to create a one size fits all standard, it will be too heavy for the simple use cases
- Separate content standards from transmission standards; i.e., if CCD is the html, what is the https?
- Create publicly available controlled vocabularies & code sets that are easily accessible / downloadable
- Leverage the web for transport whenever possible to decrease complexity & the implementers’ learning curve (“health internet”)
- Position quality measures so that they will encourage adoption of standards
- Create Implementation Guides that are human readable, have working examples, and include testing tools
----- End Quote from Brian Ahier’s blog.
The full blog with audio links, presentations and transcript is here:
http://ahier.blogspot.com/2009/11/hit-standards-meeting-11-19.html
John Halamka’s (CIO Harvard Medical School) blog where these ideas were first published is on the link above.
For what it is worth everything that John states as guiding principles for Health Information Technology Standards setting I pretty much totally agree with and those who have read my blog will have seen many of these points mentioned – if not so succinctly and clearly.
I leave it as an exercise for the reader to figure out for themselves just how far NEHTA is off beam with all their theoretical complex documentation and so on.
It just makes you weep we are all being so badly led in all this. Don't they get, as the Americans surely do, that if you open up your processes you get much better outcomes for all concerned. Nah, not these turkeys!
David.
Just in case you were wondering, here is the brief of the committee:
Health IT Standards Committee (a Federal Advisory Committee)
The Health IT Standards Committee is charged with making recommendations to the National Coordinator for Health IT on standards, implementation specifications, and certification criteria for the electronic exchange and use of health information. Initially, the Health IT Standards Committee will focus on the policies developed by the Health IT Policy Committee’s initial eight areas. Within 90 days of the signing of ARRA, the Health IT Standards Committee must develop a schedule for the assessment of policy recommendations developed by the Health IT Policy Committee, to be updated annually. In developing, harmonizing, or recognizing standards and implementation specifications, the Health IT Standards Committee will also provide for the testing of the same by the National Institute for Standards and Technology (NIST).
Lots more here:
As you can see from the membership list – a very serious, very important and very smart lot indeed. We won't have a hope in hell of "fast following" this lot. We have already been left behind and will likely never catch up.
D.
Subscribe to:
Posts (Atom)