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."

Wednesday, August 18, 2010

Some Missing Components in Australian E-Health Governance Reviewed But Others Are Also Needed.

The following report was announced a few days ago.

Accenture Finds Information Governance Framework Needed to Guide E-Health Investments and Strategy

RESTON, Va., Aug 12, 2010 (BUSINESS WIRE) -- According to a new report from Accenture, healthcare organizations planning large investments in e-health solutions face challenges in five interrelated disciplines of information governance -- data privacy, confidentiality, security, quality and integrity.

The report, Information Governance: The Foundation for Effective e-Health, details and explores specific targets for the five disciplines and provides an actionable framework that healthcare organizations, such as care providers, insurers, and public health organizations can use to perform a high-level assessment of their current information management situation, challenges and opportunities. The objective is to ensure investments in e-health are supporting strategic goals of increasing efficiency and reducing costs, reducing errors, and improving patient outcomes. The target areas for evaluation explained in the report are:

Data Privacy

-- Patient consent models and mechanisms

-- Patient-provider relationship-based access controls

-- Patient access controls

-- Effective data security and data handling policies

Data Confidentiality

-- Role-based access control models

-- Patient and provider record sealing

-- Identification and authentication

-- Anonymization and pseudonymization

Data Security

-- Message integrity and communications security

-- Event audit and alerting

-- IT security audit

-- Network integrity

Data Quality

-- Error correction

-- Data validation

-- System and interface certification

-- Standards-driven architecture

Data Integrity

-- Code integrity

-- System hardening

-- Interoperability governance

-- Standards-driven architecture and standards management

The new report draws heavily on Accenture's experience supporting health care organizations' efforts to transform administrative and clinical systems, capture and manage data, develop evidence-based insights, and connect fragmented health care systems.

"Health care organizations are making unprecedented investments in e-health systems, and this new framework speaks to the practical but rather complex implementation challenge, namely to ensure the investments are successful," said Mark Knickrehm, global managing director of Accenture's health care practice. "From working on e-health implementations around the world, we have built and are sharing this framework to help organizations address data privacy concerns, ensure compliance with standards and regulations, maximize the value of electronic health record systems, and support physician adoption."

About Accenture

Accenture is a global management consulting, technology services and outsourcing company, with more than 190,000 people serving clients in more than 120 countries. Combining unparalleled experience, comprehensive capabilities across all industries and business functions, and extensive research on the world's most successful companies, Accenture collaborates with clients to help them become high-performance businesses and governments. The company generated net revenues of US$21.58 billion for the fiscal year ended Aug. 31, 2009. Its home page is www.accenture.com.

SOURCE: Accenture

The release is found here:

http://www.marketwatch.com/story/accenture-finds-information-governance-framework-needed-to-guide-e-health-investments-and-strategy-2010-08-12?reflink=MW_news_stmp

The full report is downloadable from here:

http://www.accenture.com/NR/rdonlyres/E4CE4D61-5C50-475F-9BC8-3185402AA7A8/0/Accenture_100473_InfoGovPoV_Final.pdf

This seems to me to be a very useful document that provides a good way of thinking about a range of critically important issues. Within its scope the report provides a very useful framework to consider the matters included.

What is missing in the document – and what I see as equally important for a successful implementation of e-Health – is a clear statement of the importance of parallel organisational governance and leadership. I have to say that as far as Australia is concerned we have serious gaps in both areas and hence I think this document is makes a valuable contribution.

Well worth a download!

David.

Tuesday, August 17, 2010

And Just Where Will Reliable Information Come From For This?

The present Government has announced it is establishing a web site to provide comparative information on Australia’s hospitals.

Here is the original announcement.

Myhospitals Website

17 July 2010

For the first time all Australians will soon be able to view important data about their public hospitals thanks to a new website being developed as part of the Government’s ambitious health reform agenda.

The MyHospitals website will provide clear, comparable and user-friendly information about all Australian public hospitals in all states and territories, except Western Australia.

People will be able to find, at the click of a mouse, the latest data on their local hospital. MyHospitals will show how that hospital performed compared to national average waiting times for elective surgery and emergency department care, list the medical services provided, bed numbers and if outpatient services, such as allied health and dental services, are provided.

Once operational, all Australians will see – for the first time and from the one source – which hospitals throughout Australia are performing well, and which hospitals may need more targeted assistance to help lift their performance.

Holidaymakers will be able to check whether a hospital at their destination offers accident and emergency services, and expectant mums in Sydney can check whether their nearest hospital has an obstetrics and maternity unit.

Similarly, people in Launceston will be able to see how their local hospital compares against the national average waiting times for a range of elective surgery procedures, while residents in Adelaide will be able to see how many beds are provided in Queen Elizabeth Hospital.

The website is being developed by the Australian Institute of Health and Welfare using the latest nationally comparable data from 2008-09. As a result of the COAG agreement in April this data has been provided with the agreement and support of every State and Territory government except Western Australia. The site will be ready in August.

Measuring and publicly reporting on the accessibility, performance, quality and safety of our hospitals is a key component of our health reform plans.

Full release here:

http://www.health.gov.au/internet/ministers/publishing.nsf/Content/mr-yr10-nr-nr150.htm

A day or so ago we learnt a little more.

Labor spends $2m on MyHospitals website

  • Karen Dearne
  • From: Australian IT
  • August 12, 2010 12:00AM

HEALTH Minister Nicola Roxon has spent $1.9 million on creating the "MyHospitals" website.

MyHospitals is a twin to the provocative schools comparison website MySchool launched by Julia Gillard in January.

Ms Roxon said the website - myhospitals.gov.au -would be ready this month.

The Australian Institute of Health and Welfare is building the website under a one-year contract to the Health Department, which includes site support until June 30 next year.

The AIHW has also been given $1.5m to boost its data management, analysis and reporting capabilities over the next two years.

Ms Roxon said the website would provide comparable, user-friendly information about all public hospitals nationwide - apart from Western Australia. The states agreed to provide their hospital data as part of the Council of Australian Governments' deal on health funding.

"Once operational, all Australians will - for the first time and from the one source - which hospitals are performing well, and which may need more targeted assistance to help lift their performance," she said when announcing MyHospitals last month.

There are plans to include private hospital data and reports for individual hospitals against a range of safety and quality measures.

See the full details.

http://www.theaustralian.com.au/australian-it/government/labor-spends-2m-on-myhospitals-website/story-fn4htb9o-1225904080312

Playfully the Croaky blog then had a huge range of experts say what content was needed.

What should the new MyHospitals website tell us?

, by Croakey

From next month, Australians will be able to search a MyHospitals website to find out information about public hospitals, according to recent statements from Health Minister Nicola Roxon and the Australian Institute of Health and Welfare.

Roxon says we will learn how any hospital performed compared to national average waiting times for elective surgery and emergency department care, and that the website will also list the medical services provided, bed numbers and if there are outpatient services, such as allied health and dental services. The range of information available on MyHospitals will continue to be developed in the future, including providing data on private hospitals and reporting data for each hospital against a range of safety and quality measures.

What else could the website include? This is a list of discussion-starters that I suggested, and keep reading below to see a wealth of other ideas from Croakey contributors:

• how healthy is the food provided to patients and available for visitors/staff etc

• how effectively the hospital engages with Indigenous patients and communities

• the demographics of patients compared with demographics of population need (to determine relative servicing of SES groups)

• how many staff smoke, drink to risky levels, are physically active (to determine the reach and effectiveness of health promotion programs for staff)

• the range and impact of efforts to improve local population’s health

• the support available to patients from rural or remote areas

• patients’ access to parking and its cost

• what proportion of the hospital’s funding is spent on administration, clinical service delivery, population health programs, research, teaching?

And here are stacks more suggestions from Croakey contributors…

There are all a huge number of suggestions here:

http://blogs.crikey.com.au/croakey/2010/07/23/what-should-the-new-myhospitals-website-tell-us/

In case you think this is forward looking – note this recent report.

DH reviews Dr Foster Intelligence

10 Aug 2010

The future of Dr Foster Intelligence, the UK’s best known provider of hospital performance information and analysis, is under review by KPMG on behalf of the Department of Health and Dr Foster Holdings LLP.

Dr Foster Intelligence is best known for its annual hospital guides, providing league tables of hospital performance data.

DFI was launched as a joint venture between Dr Foster and the NHS Information Centre in 2006. On 9 July the IC transferred its shareholding to the DH.

The review will explore strategic options for the future of DFI in line with government’s stated objective to create an open market in health performance and outcomes data.

This was a key aim of the recent white paper 'Equity and Excellence: Liberating the NHS', which stated the government’s commitment to an NHS "information revolution", providing patients with quality information and data on all aspects of healthcare.

Lots more here:

http://www.e-health-insider.com/news/6149/dh_reviews_dr_foster_intelligence

Of course the critical thing here will be whether useful, reliable and comparable data can be found and made available in a timely manner.

The key providers of the basic information, it seems, will be the Australian Institute of Health and Welfare (AIHW).

See here for their site.

http://www.aihw.gov.au/

There is no doubt that AIHW does a great job in collecting a very useful range of statistics and indicators and their two flagship publications are highly credible and carefully put together pieces of work.

See here:

http://www.aihw.gov.au/publications/index.cfm/title/11374

And here:

http://www.aihw.gov.au/publications/index.cfm/title/10872

However there is a serious ‘fly in the ointment’ in all this. This blog explores the issue and reminds one of the key issue:

http://aushealthit.blogspot.com/2010/04/just-watch-bureaucrats-game-this-system.html

Bottom line, as soon as you make comparable data available there will be winners and losers and the losers will have a strong incentive to ‘game the system’.

The only way a genuinely credible system can be created is when the activity and similar statistics are collected automatically from operational systems that are used to deliver care.

I think we are all aware we are a day or so away from that being a reality!

One can only wish the AIHW luck in this endeavour. It is interesting that the proposed new National Performance Authority which was planned to measure all this information does not seem to be mentioned in the press release. I wonder why that would be?

David.

Monday, August 16, 2010

AusHealthIT Poll Number 31 – Results – 16 August, 2010.

The question was:

How Confident Are You NEHTA and DoHA will Deliver a Successful PC EHR?

Extremely

- 6 (13%)

Moderately

- 6 (13%)

Neutral

- 3 (6%)

Not Really Sure

- 6 (13%)

Not A Snowflakes Chance in Hell

- 24 (53%)

Votes 45

I think it is fair to say there is a degree of scepticism out there about all this!

Again, many thanks to all those who voted!

David.

E-Health Features at the Labor Party Campaign Election Launch – Sort Of!

Prime Minister Gillard focussed on E-Health at the Labor Party Campaign Launch today, as reported a few hours ago on the blog.

Coverage has now appeared here:

Gillard stakes political future on broadband and health at Labor launch

  • Patricia Karvelas, Political Correspondent
  • From: The Australian
  • August 16, 2010 12:45PM

JULIA Gillard has vowed to transform the health system by allowing rural and regional Australians to see specialists using videoconferencing and online consultations.

Linking her national broadband network to the health of Australians, the Prime Minister said that from July 1 2012 Australians would have access to rebates to see doctors through the internet as part of a $392.3 million investment.

Ms Gillard said in the middle of the night a parent with a child with swelling or rash would be able to get help through the power of broadband access to the internet.

She said Tony Abbott would let children down, while Labor would complete the education revolution for every child in every school.

More here:

http://www.theaustralian.com.au/national-affairs/gillard-stakes-political-future-on-broadband-and-health-at-labor-launch/story-fn59niix-1225905855473

and here:

Updated: NBN to deliver online consultations: Gillard

Fibre-to-the-home network essential in delivering healthcare to regional and rural Australia, PM claims

Prime Minister, Julia Gillard, has used the Labor Party’s official campaign launch to link the future health of Australians with the National Broadband Network (NBN).

Speaking in Queensland, Gillard said the Government would use the speed and connectivity of the NBN to facilitate online consultations between patients and doctors via videoconferencing.

The $392.3 million initiative would see Medicare rebates issued from 1 July 2012 for some 495,000 online consultation services over four years to rural, remote and outer metropolitan areas.

The scheme would also include financial incentives for general practitioners and specialists to participate in delivering online services in tandem with an expansion of Labor’s GP after-hours helpline.

The new service would provide a link between a nurse or GP and the patient allowing online triage and basic medical advice to be delivered via videoconferencing.

A fund to support the training and supervision of health professionals on how to use online technologies would also be set up.

According to Gillard the NBN would be essential in curbing the rates of cancer-related deaths in regional and rural Australia.

“It is unacceptable to me, it is offensive to me, that if you live in rural and regional Australia you are three times more like to die within five years if you are diagnosed with cancer, than other Australians,” she said.

“That is because it is harder for people in regional and rural Australia to get access to the services, to the healthcare professionals they need. I want to transform that relying on the National Broadband Network.”

Patients would also be able to access specialist healthcare staff via dedicated videoconferencing units at their local GP’s office or medical centre, rather than commuting to the specialists’ offices.

According to the Government, more widespread utilisation of tele-health services outside of hospitals had been held back by lack of infrastructure, poor bandwidth and lack of Medicare rebates for consultations delivered online.

More here:

http://www.computerworld.com.au/article/357077/updated_nbn_deliver_online_consultations_gillard/?eid=-6787

and here:

http://www.theaustralian.com.au/business/news/julia-gillard-announces-392m-health-plan/story-e6frg90f-1225905869843

Julia Gillard announces $392m health plan

  • From: AAP
  • August 16, 2010 1:08PM

PRIME Minister Julia Gillard has announced a $392 million plan to modernise the health system, including allowing patients to access Medicare rebates for online consultations.

Ms Gillard said a re-elected Labor Government would use the internet to modernise the health system by funding online consultations and videoconferencing.

"For the first time, patients will be able to access Medicare rebates for online consultations across a range of specialties, helping Australians, including those in our regions and outer suburbs, get the healthcare they need," Ms Gillard said.

The announcement was made as Ms Gillard addressed the party faithful at the official launch of the Labor party in Brisbane.

The package includes $250 million for online consultations, providing about 495,000 services over four years for rural, remote and outer metropolitan areas.

There will also be financial incentives for GPs and specialists to deliver the online services at a cost of $56.8 million and an expansion of the GP after-hours helpline at a cost of $50 million.

Labor would also spend $35 million to support training for health professionals using online technologies.

and lastly here (so far).

Labor promise: Medicare rebates for online consults

16th Aug 2010

Andrew Bracey

LABOR has promised to establish Medicare rebates for online consultations if returned to government this weekend, with an announcement today it will allocate $250.5 million over the next four years.

The new funding would be shared “across a range of specialties”, according to a Labor statement, along with an additional $56.8 million in financial incentives that would be available to GPs and specialists who participated in delivering online services.

The latest election promise, which Labor estimated would provide about 495,000 additional services to Australians in remote, rural and outer metropolitan areas, has been welcomed by GP groups.

RACGP president Dr Chris Mitchell said that while more detail was needed regarding the levels of rebates and what they would cover, the college would be keen to work with a re-elected government to implement the program.

“There are issues such as having a quality framework around these [rebates] to make sure they are being used appropriately, but it is very innovative suggestion,” Dr Mitchell told MO.

“While this is not a substitution for face-to-face consultations, there are in fact a number of consultations that could very effectively be delivered through [telehealth].”

More here:

http://www.medicalobserver.com.au/news/labor-promise-medicare-rebates-for-online-consults

I guess I have two reactions to this:

First these seem like reasonable initiatives to help improve services to those patients who do not have easy direct access to specialists. I do wonder why there needs to be delay in implementation to 2011 and 2012 given how well Skype video conferencing works - which would be adequate for many consultations today while faster services are eventually rolled out - given the full NBN delivery time table is 7-8 years.

Second I am a little concerned that if these funds are available that they might have been better spent on more coherent and strategic delivery of other, more central, e-Health initiatives as per the National E-Health Strategy. Drip feeding funds into e-Health is really not the way to provide the leadership, governance, coherence and support the e-Health space needs.

One sort of gets the feeling this sort of ‘almost e-Health’ is being used politically for points scoring while we are still in the dark about what is happening with the harder and rather more important stuff in my view. Anyway at least e-Health seems to be a bit more ‘top of mind’ than it has been to date which is a good thing!

I liked the comment posted in response to the flash announcement. Good thinking 99!

David.

E-Health Flash From Labor Campaign Launch - Aug 16, 2010

According to the ABC a re-elected Gillard Government will provide payments for practitioners who provide services (e-mail, consults etc) via the Internet.

More to come!

David.

Update:

6minutes.com.au is reporting the following:

http://www.6minutes.com.au/articles/z1/view.asp?id=522106

Medicare rebates for online consults

Prime Minister Julia Gillard has just announced that a Labor government will allocate $250 million to fund Medicare rebates for online consultations for people in rural and regional areas. Labor will also offer $57 million in incentives for GPs to deliver online services from July 2011.

David.

Sunday, August 15, 2010

Weekly Australian Health IT Links – 15 August, 2010.

Here are a few I have come across this week.

Note: Each link is followed by a title and a paragraph or two. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.

General Comment:

Only one week to go and e-Health seems to have slipped down the agenda and debate about where the NBN fits and how much we should spend seems to have fired up.

Reading through the various commentary it seems to me, as I heard suggested from a range of sources, that maybe somewhere in the middle might make sense and deliver all we need. Also with the very high speeds available from Telstra and Optus Cable (50+Mbits per sec) going past 2.5 million homes we will know pretty soon just what sort of take-up the NBN might generate.

In passing I note the same debate seems to be on in the USA.

http://www.washingtonpost.com/wp-dyn/content/article/2010/08/11/AR2010081106216.html

Support for broadband loses speed as nationwide growth slows

By Cecilia Kang
Washington Post Staff Writer
Thursday, August 12, 2010; A10

More than half of Americans generally disagree with federal government efforts to expand broadband connections around the nation, saying those projects are not important, according to a survey released Wednesday by the Pew Center.

The findings come as the Obama administration has allocated $7.2 billion in stimulus money for broadband grants, saying fast access to the Internet is essential to encourage innovation and expand the economy. The Federal Communications Commission and some members of Congress have also pushed to overhaul a $8 billion federal subsidy program used to bring phone lines to rural areas so that it will subsidize broadband, as well.

"As broadband technologies have been adopted in the majority of American homes, a debate has arisen about the role of government in stepping in to ensure availability to high-speed Internet to access for all Americans," said Aaron Smith, a senior research specialist at the Pew Centers' Internet & American Life Project and author of the report. "The majority think not, and the surprise is that non-users are the least inclined to think government has a role."

-----

It should be noted this is a public view. The Obama administration sees powerful arguments for continuing investment.

In passing I must note that all the discussions on e-Health have sadly been so way too superficial and poorly informed that the average voter, if they care, will be making a decision while lacking the information they need.

This time next week it will all be over and we can go back to normal!

-----

http://www.theaustralian.com.au/news/health-science/parties-must-recognise-importance-of-e-health/story-e6frg8y6-1225904662779

Parties must recognise importance of e-health

  • ELECTION 2010: Terry Hannan
  • From: The Australian
  • August 14, 2010 12:00AM

E-health systems that include computers, the internet, mobile phones and other handheld devices is saving HIV patients' lives in Africa.

It's efficient, inexpensive and managed by local communities using programs such as OpenMRS, a community-developed, open-source, enterprise electronic medical record system platform.

Don't Australians deserve the same? Apparently not. The Coalition has vowed to postpone e-health should it win office and, despite its pre-campaign health reform push, Labor has gone quiet on the matter.

Yet, given the political will and appropriate funding, we could treat patients with acute and chronic disease in remote Aboriginal communities, inner-city suburbs, regional areas and, well, anywhere.

-----

http://www.computerworld.com.au/article/356934/healthcare_grocery_recalls_go_private_cloud/?eid=-6787

Healthcare, grocery recalls go private cloud

GS1 Australia has signed an agreement with HP to implement a private cloud infrastructure for product recalls across healthcare, grocery industries

Non-profit standards organisation, GS1 Australia will look to implement recall services for the healthcare and grocery industries into a private cloud infrastructure, with a pilot of the system beginning this month.

Though the organisation has already begun testing a local version of its international recall service for the grocery sector, it will follow in the steps of its Canadian counterpart in using HP’s private cloud infrastructure to deploy the program.

GS1 is also looking to repurpose its barcode-based system for the healthcare sector in Australia, with medicine and medical goods recalls to be coordinated by the Therapeutic Goods Administration (TGA) and the National eHealth Transition Authority (NeHTA). The program would ultimately eliminate recall concerns in the industry, which currently undergo little oversight and are largely the onus of the medical goods provider and pharmacy who are not compensated for the extra work.

-----

http://www.misaustralia.com/viewer.aspx?EDP://1281661566671&section=news&xmlSource=/news/feed.xml&title=Software+pain+for+health+service+providers

Software pain for health service providers

Business at thousands of health service providers has been thrown into chaos because of a meltdown with the system used across the sector to process payments.

-----

http://www.proactiveinvestors.com.au/companies/news/9273/stirling-products-closes-acquisition-of-telemedcare-9273.html

Wednesday, August 11, 2010

Stirling Products closes acquisition of TeleMedCare

Pharmaceutical and Healthcare group Stirling Products (ASX: STI) has reported that the acquisition of a 65% controlling interest in TeleMedCare has now been finalised with all outstanding documentation completed.

The transaction enables the company to tap opportunities arising from health authorities around the world seeking efficiencies through e-health applications.

TeleMedCare is well positioned within this rapidly emerging market having developed some of the world’s most comprehensive advanced and integrated remote vital signs monitoring products that are fully video, voice and data enabled for use through the Internet.

-----

http://www.motioncomputing.com/about/news/press_release_081210.asp

Aged Care Residential Home Chooses Tablet PCs to Drive Mobility and Paperless Initiative

Motion’s new C5v Mobile Clinical Assistant ‘sold itself’ as mobile wireless solution

SYDNEY and AUSTIN, TX – August 12, 2010 – Residential aged care home Jacaranda Village is one of the first Australian healthcare organisations to take delivery of the new Motion C5v Mobile Clinical Assistant (MCA) as it commits itself to mobility solutions and aims to be paperless within two years.

The aged care facility ordered the new Motion C5v for nursing staff through Melbourne-based aged care solutions experts Axishealth; and early reaction to the new wireless technology is universally enthusiastic.

Jacaranda Village CEO Susan Bowditch said that they wanted to work more efficiently, while operating within their limited resources. “We have been working for some time finding ways to work smarter. So far this has generally been in areas of work practices and equipment, such as trying to cut down staff time spent walking up and down corridors. This is our first serious venture into technology solutions.

“We discussed our goal of going paperless for greater efficiency with Axishealth’s Doug Smith, who suggested adding a solution of mobile tablet PCs to more efficiently use our specialist aged care software i-Care.

-----

http://www.theaustralian.com.au/australian-it/government/centrelink-medicare-goes-wireless-to-cut-queues/story-fn4htb9o-1225904775229

Centrelink, Medicare go wireless to cut queues

  • Karen Dearne
  • From: Australian IT
  • August 13, 2010 9:28AM

CENTRELINK and Medicare door-greeters will use handheld devices to access customers' information and direct them to a seat instead of a queue.

Human Services Department ICT infrastructure deputy secretary John Wadeson said photos of recession-times always showed queues, and were "symbolic of people having to line up for government services".

But queues had no place in today's approach to customer service.

-----

http://www.theaustralian.com.au/australian-it/government/labor-spends-2m-on-myhospitals-website/story-fn4htb9o-1225904080312

Labor spends $2m on MyHospitals website

  • Karen Dearne
  • From: Australian IT
  • August 12, 2010 12:00AM

HEALTH Minister Nicola Roxon has spent $1.9 million on creating the "MyHospitals" website.

MyHospitals is a twin to the provocative schools comparison website MySchool launched by Julia Gillard in January.

Ms Roxon said the website - myhospitals.gov.au -would be ready this month.

The Australian Institute of Health and Welfare is building the website under a one-year contract to the Health Department, which includes site support until June 30 next year.

The AIHW has also been given $1.5m to boost its data management, analysis and reporting capabilities over the next two years.

-----

http://www.computerworld.com.au/article/356602/technologyone_scores_epworth_healthcare_deal/?eid=-6787

TechnologyOne scores Epworth Healthcare deal

Deal adds to software company's growing $3 million portfolio of healthcare contracts

ASX-listed software provider, TechnologyOne (ASX:TNE), has added a 26th healthcare organisation to its list of clients following a deal secured with private hospital group, Epworth Healthcare, for an undisclosed sum.

Victoria’s largest not-for-profit private group will implement accounting, supply chain, business intelligence, enterprise resource management (ERP) and customer relationship management (CRM) software from TechnologyOne across its systems, with a scheduled completion date of July 2011.

A spokesperson for TechnologyOne was unable to disclose the value of the deal, but the company’s healthcare clients are currently worth just over $3 million in revenue annually.

-----

http://www.e-health-insider.com/news/6156/csc_contract_end_would_be_%27disputed%27

CSC contract end would be 'disputed'

13 Aug 2010

CSC has said that any immediate attempt by the government to end its contract under the National Programme for IT in the NHS would result in legal action.

On a corporate earnings conference call held on Wednesday to advise stakeholders on the company’s first quarter results, the company refused on a number of occasions to provide details on how much the NHS contract is worth, its revenues or it margins.

However, one caller who was trying to get more information about the importance of the local service provider contract for the North, Midlands and East of England, asked: “If [NPfIT] were to end today, what would be the impact in terms of your recoverability in terms of growth and margins going forward? Would you be on the hook for anything?”

-----

http://www.theaustralian.com.au/australian-it/nsw-health-cio-to-run-deloitte-practice/story-e6frgakx-1225903299868

NSW Health CIO to run Deloitte practice

NSW Health's ex-acting chief information officer Craig Smith has returned to his consulting roots to run Deloitte's local e-health practice.

The recruitment of Mr Smith as national e-health practice leader is a coup for Deloitte, which has played a major role in the federal government's electronic health strategy.

Mr Smith spent three years at NSW Health and oversaw several transformation projects, including the department's involvement in the whole-of-government data centre consolidation exercise.

Prior to joining the public sector he was with consultancy firm Accenture for nearly a decade.

-----

http://www.nehta.gov.au/media-centre/nehta-news/677-amt-i

AMT implementation Victoria

10 August 2010. NEHTA is pleased to announce the first live implementation of the Australian Medicines Terminology (AMT) in a clinical environment. Box Hill Hospital, part of Eastern Health Services (one of Melbourne’s largest metropolitan health services), has started generating prescriptions for outpatients and discharge using AMT, through their HealthSMART Clinical System.

AMT delivers a standard national approach for the identification and naming of medicines. This includes standardised naming conventions and associated coded terminology structure to accurately describe marketed medications for computer systems, clinicians and patients. The terminology is for use by medication management computer systems, in both primary and secondary healthcare and is made available to computer system developers and their users without charge.

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http://www.computerworld.com.au/article/356442/nehta_claims_e-health_milestone/?eid=-255

NeHTA claims e-health milestone

First live implementation Australian Medicines Terminology

The National e-Health Transition Authority (NeHTA) is claiming a milestone in the advancement of a national e-health system with the first live implementation of the Australian Medicines Terminology (AMT).

The AMT is a NeHTA-developed set of specifications that standardise the identification, naming, and describing of medicine information.

The standard is needed so that branded and generically equivalent medicines and their components, and standard naming conventions and terminology, are accurately described.

NeHTA claims the use of an AMT also helps reduce errors due to standardised terminology structure, the safer exchange of medicines information using common computer readable codes, and improved decision support.

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http://www.medicalobserver.com.au/news/national-registration-info-errors-raise-data-integrity-concerns

National registration info errors raise data integrity concerns

9th Aug 2010

Caroline Brettingham-Moore

THE integrity of the Australian Health Practitioner Regulation Agency (AHPRA) database is in question after reports that conditions have been mistakenly dropped from, and in one case added to, some doctors’ registration status.

In one case, West Australian surgeon Dr Alison Phillips felt compelled to contact AHPRA after she checked the registration of a doctor she held concerns about.

The doctor had previously had conditions placed upon their registration, including restricted clinical duties and a requirement to work under supervision. These conditions however were not present on the doctor’s AHPRA registration.

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http://www.smh.com.au/national/hiccup-has-medicos-twiddling-thumbs-20100810-11y7c.html

Hiccup has medicos twiddling thumbs

KATE BENSON

August 11, 2010

SIX weeks after a new federal government agency took over the registration of more than half a million health professionals, scores of doctors, nurses and psychologists are unable to work because their applications have not been processed.

Some say they have been told it could be three months before their applications would be approved, leaving them without income.

The Australian Health Practitioner Regulation Agency took over the registration and accreditation of 10 professions on July 1, eliminating 85 smaller state-run boards.

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http://www.theage.com.au/national/doctors-waiting-room-20100810-11y98.html

Doctors' waiting room

KATE BENSON

August 11, 2010

SIX weeks after a new federal government agency took over the registration of more than 500,000 health professionals, scores of doctors, nurses and psychologists are still being left stranded and unable to work because their applications have not been processed.

Some say they have been told it could be three months before their applications will be approved, leaving them languishing without income.

The Australian Health Practitioner Regulation Agency took over the registration and accreditation of 10 professions on July 1, eliminating 85 smaller, state-run boards. Those affected include doctors, nurses, midwives, psychologists, dentists, pharmacists, physiotherapists, chiropractors, optometrists, podiatrists and osteopaths.

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http://www.computerworld.com.au/article/356437/we_will_break_up_telstra_liberals/?eid=-255

We will not break up Telstra: Liberals

The Opposition promise not to break up Telstra, but will commit to regulatory reform

Shadow communications minister, Tony Smith, has delivered the strongest mandate yet that a Liberal Government will block legislation aimed at structurally separating Telstra.

Speaking at the Australian Computer Society’s (ACS) ICT Policy Forum between Smith, Labor Senator Stephen Conroy and Greens Senator Scott Ludlam this week, the Liberal MP said that regulatory reform was a key aspect of the broadband policy he announced earlier that day. However, those aspects pertaining to a Telstra breakup were counter-intuitive to the competitive landscape the Liberals hope to build.

“We have said all along with respect to that legislation that if the minister [Conroy] only split the bill and took away the Telstra forced breakup provisions, we would be very happy to deal with those competitive issues,” he said.

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http://www.computerworld.com.au/article/356402/coalition_launches_6_25_billion_alternative_broadband_plan/?eid=-6787

Coalition launches $6.25 billion alternative broadband plan

Fibre backhaul, wireless and ADSL2+ optimisation form key tenets of alternative policy to NBN

A Coalition Government will spend up to $6.25 billion of public and private funding on an alternate broadband policy to the Gillard Government’s $43 billion National Broadband Network (NBN).

The funding will directed at providing 97 per cent of Australians with a minimum peak speed of 12 megabits per second (Mbps). The remaining three per cent will have access to satellite access at an as-yet-undisclosed speed.

The broadband plan composes four separate aspects:

  • $2.75 billion of public funding and an additional $750 million private funding on building an open access, optical fibre backhaul network
  • $750 million on “fixed broadband optimisation” with a focus on upgrading telephone exchanges without existing ADSL2+ capabilities
  • $1 billion public grant funding and additional, undisclosed private funding for building a wireless network for rural and regional areas
  • $1 billion on building a metropolitan wireless network focussed on outer metropolitan areas

Opposition communications minister, Tony Smith, said the plan was responsible and affordable.

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http://www.zdnet.com.au/coalition-broadband-safer-than-nbn-analysts-339305136.htm

Coalition broadband safer than NBN: analysts

By Colin Ho, ZDNet.com.au on August 10th, 2010

In wake of the Opposition's broadband policy announcement today, some analysts said that Liberal's plan could potentially be safer, more flexible and "give more bang for your buck" than the National Broadband Network (NBN).

While industry analysts Paul Budde and IDC's David Cannon argued that the Opposition's policy built on "old technology" lacked vision, IBRS's Guy Cranswick and Ovum's David Kennedy said that a lack of market demand, uncertainty and complexity in the telecommunications market meant that the Liberal's policy could come out trumps.

Kennedy believed that the parties' differing approaches are indicative of two different philosophies in addressing broadband. He called the government's policy a "big, snowy mountains style" infrastructure scheme. He believed that the plan could easily provide all the bandwidth Australia will ever conceivably need.

He said that it "was hard to tell" which one would be best for the long term and that both policies had advantages and disadvantages. Both hang on what "is going to happen in the future" particularly in terms of demand for high-speed broadband.

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http://www.smh.com.au/business/speed-limits-20100814-1244k.html

Speed limits

Stephen Cauchi

August 15, 2010

BUSINESS groups are split over whether the ALP's high-speed national broadband network or the Coalition's cheaper internet plan would deliver better results for companies.

The Victorian Employers Chamber of Commerce and Industry will not endorse either major party's broadband policy, arguing ''the truth lies somewhere in between'' the positions on offer.

Although peak bodies representing Australia's $100 billion-a-year information technology sector have thrown their support behind Labor's $43 billion fibre-to-the-premises plan - while deriding the Coalition's $6.3 billion policy as inadequate - broader business groups have been more impartial.

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http://www.computerworld.com.au/article/356414/opposition_broadband_plan_lacks_leadership_vision_budde/?eid=-6787

Opposition broadband plan lacks leadership and vision: Budde

Policy a "bag full of unrelated goodies" respected telco analyst says

A leading telecommunications analyst has slammed the Federal Opposition's broadband policy announced today as lacking vision and leadership.

Buddecom director, Paul Budde, said the Liberal’s plan to scrap the fibre-to-the-premises National Broadband Network (NBN) in favour of investing in backhaul, upgrading existing telephone exchanges and rolling out wireless networks, would leave Australia at the bottom of the international telecommunications heap.

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http://www.businessspectator.com.au/bs.nsf/Article/NBN-Internet-telecommunications-election-broadban-pd20100810-877PX?OpenDocument

The Coalition's broad-bland plan

Paul Budde, Election 2010

Published 6:18 AM, 11 Aug 2010 Last update 10:04 AM, 11 Aug 2010

There are several elements in the opposition’s broadband plan that could be used to advance Australia's internet infrastructure. However, it lacks a vision and a strategy for the future. It is like having all the parts of a car spread out on the floor and no plan for putting them together.

When the Coalition was in government it produced 12 plans over a period of 11 years. As a result, Australia ended up on the bottom rung of the international broadband ladder. And we were also given Sol Trujillo, who, as Telstra CEO, was more than happy to exploit the mess that the inept government policies of the time had made of the telecommunications market.

It appears that the opposition's plan will simply take us back to 2007. In fact, it might take us even bit further back than that – before the last election then Minister for Communications Helen Coonan indicated that the structural separation of Telstra would be her agenda if the Coalition was re-elected. It now looks as though that is no longer on the Coalition's agenda and that Telstra will once more be put in charge of carrying out telecommunications policies.

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http://www.theaustralian.com.au/national-affairs/coalition-unveils-63bn-broadband-plan/story-fn59niix-1225903367034

Coalition unveils $6.3bn broadband plan

THE Coalition will spend $6.31 billion over seven years to provide Australians with faster broadband using a mix of technologies.

An Abbott government will stimulate investment in backhaul fibre networks, fixed wireless networks in metropolitan, rural and regional Australia and improve DSL services.

Under the plan released this morning, the Coalition is promising that 97 per cent of households will get speeds of up to 100 megabits per second – and a minimum of 12 megabits – by 2016 through a mixture of HFC cable, DSL and fixed wireless services.

A $2.75bn investment by 2017 in open access fibre backhaul is central to the plan, with private sector investment of a further $750m expected under the plan.

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http://www.theage.com.au/business/coalition-confirms-plan-to-scrap-nbn-20100810-11vct.html

Coalition confirms plan to scrap NBN

LUCY BATTERSBY

August 10, 2010 - 11:01AM

The Coalition has confirmed its plan to scrap the National Broadband Network if elected at the August 21 election, just hours before spokesman Tony Smith debates communications Minister Stephen Conroy and the Greens' communications spokesman Scott Ludlam.

While further details are likely to be revealed shortly, it remains unclear how the Coalition will deliver its alternative pledge of offering an affordable high-speed network instead.

One possibility is the Coalition could revive the OPEL project to subsidise services in regional areas without broadband, which was scrapped by the Rudd government in favour of the NBN project.

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http://www.theaustralian.com.au/australian-it/industry-slams-oppositions-wireless-broadband-plan/story-e6frgakx-1225903146920

Industry slams Opposition's wireless broadband plan

  • Andrew Colley and Mitchell Bingemann
  • From: The Australian
  • August 10, 2010 12:00AM

THE Coalition's plan to drop the $43 billion National Broadband Network in favour of wireless broadband has been slammed by the ICT sector.

Last Friday opposition treasury spokesman Joe Hockey confirmed, in a radio interview with the ABC, that the Coalition would return wireless technology to the centre of the commonwealth's broadband strategy.

Also making some unscripted on-air comment on the strategy, opposition finance spokesman Andrew Robb told the public broadcaster that a Coalition return to power would see the NBN halted and sold off.

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http://www.standard.net.au/news/local/news/general/schools-ultranet-fails-to-launch/1908261.aspx

Schools ultranet fails to launch

SHANE FOWLES

10 Aug, 2010 12:00 AM

A CRASH of the Education Department's much-vaunted ultranet computer system has been labelled a disaster.

South-west school students were given a day off school and teachers were scheduled for training, but a system overload meant most could not log on to the $77 million network.

Opposition education spokesman Martin Dixon labelled the training day as a "debacle".

"Every John Brumby IT project ends in fiasco, failure and massive financial losses," he said.

"Ultranet, myki, HealthSmart, the Integrated Courts Management System and the LEAP database are all John Brumby IT projects which are late, over budget and don't work properly.

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Enjoy!

David.

Saturday, August 14, 2010

Don’t Miss Commentary from The Co- Editor of the Medical Observer.

The following appeared on the Croaky Health Blog a day or so ago. I will just extract the e-Health comments – and encourage people to read the full post. I agree it is a must not miss!

Kellie Bisset’s insightful analysis of election health policies (don’t miss this piece)

, by Croakey

In part 3 of Croakey’s election series, Kellie Bisset, the Co-Editor of Medical Observer, writes:

What a grand vision it was: to reform the health system, end the cost shifting blame game and bring about a healthier Australia.

Perhaps, after all the Labor reform rhetoric and the excitement over the possibility of real change, disappointment was inevitable.

On a positive note, we have had a vigorous Labor-led reform debate and a Government at least prepared to talk about the big picture.

But what are we left with as we head to the polls?

......

• Glacial progress on e-health. Yes, the Healthcare Identifiers Bill has passed the Senate but so far much of the discussion has been around the personalised electronic health record as the e-health Holy Grail. The Government has committed $466 million to develop a personally controlled health record but what about a broader policy on connectivity? Where’s the grand plan for e-health? Are we expecting personalised health records to solve all our problems and if so, is this wise? There are still many questions around how patient content and clinician content will be delineated in these records – and whether doctors will trust and use the information recorded from other clinicians.

......

And what of the Coalition alternative?

The major question here is whether the Coalition’s series of announcements constitutes a health policy. Where is the bigger picture? What is the main thread drawing all this together? We know what government programs they’d scrap, but what’s their vision for the future?

• The announcement that a Coalition Government would freeze the existing e-health program is astounding. Yes the $467 million saved will be spent in areas such as mental health, which is in dire need of a decent funds boost. But the care integration fostered by a functional e-health system is vital to all patients, including the mentally ill, who so often fall through the system’s cracks. Tony Abbott has in the past said e-health is a crucial piece of reform. But let’s not forget that in 2005 as Federal Health Minister he let Healthconnect lapse – the $128million plan to drive national electronic health records, replacing it with NEHTA, recently described to Medical Observer as “Never Ever Having to Achieve”.

How will we position ourselves for the future to cope with serious looming health challenges if we keep lurching from one day to the next?

The full blog is here:

http://blogs.crikey.com.au/croakey/2010/08/13/kellie-bissets-insightful-analysis-of-election-health-policies-dont-miss-this-piece/

I could not have said it better myself. We really do deserve better than this!

David.