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, March 08, 2017

Artificial Intelligence, Genomics, Precision Medicine And Bioinformatics All Get A Run This Week!

Despite the onset of the Trump Administration all sorts of advanced and exciting material was published.
From Nature we got:

How bioinformatics tools are bringing genetic analysis to the masses

Computational biologists are starting to develop user-friendly platforms for analysing and interpreting genetic-sequence data.
28 February 2017
For doctors trying to treat people who have symptoms that have no clear cause, gene-sequencing technologies might help in pointing them to a diagnosis. But the vast amount of data generated can make it hard to get to the answer quickly.
Until a couple of years ago, doctors at US Naval Medical Research Unit-6 (NAMRU-6) in Lima had to send their sequence data to the United States for analysis, a process that could take weeks — much too long to make pressing decisions about treatment. “If all you could do was get the data that you then have to ship to the US, it's almost useless,” says Mariana Leguia, who heads the centre's genomics and pathogen-discovery unit.
But Leguia no longer has to wait for the analyses; she can get results in days or even hours — and she can do them in her own lab. Her unit makes use of EDGE (Empowering the Development of Genomics Expertise), a bioinformatics tool that hides common microbial-genomics tasks, such as sequence assembly and species identification, behind a slick interface that allows users to generate polished analyses. “We can have actionable information on site that allows us to make decisions very quickly about how to go forward,” Leguia says.
More here:
From Digital Health in the UK we got:

How will artificial intelligence change radiology?

Artificial intelligence and cognitive computing is being heralded as the brave new frontier of clinical IT, Kim Thomas reports on how it is already beginning to reshape radiology imaging and diagnostics.

Jon Hoeksma

Editor, Digital Health 
IBM chose December’s annual meeting of the Radiological Society of North America to showcase the ability of its Watson supercomputer to rapidly analyse medical images and suggest a diagnosis. Mark Griffiths, a clinical radiologist at University Hospital Southampton NHS Foundation Trust, who attended RSNA, says he saw some “stunning demonstrations” of the technology, including chest X-rays being “reported in milliseconds.”
Watson is an example of a technology that IBM refers to as “cognitive computing”. Using a form of artificial intelligence known as natural language processing, Watson, a cloud-based system, is able to analyse vast stores of scholarly articles, patient records and medical images. (When IBM acquired Merge Healthcare in 2015, it gained access to the company’s database of 30 billion images.) This ability to interpret written language is what marks Watson out as different from other computer-based tools used to aid diagnosis.
Not enough radiologists to meet demand
In England, the volume of radiology images taken has increased at the rate of 3.6% a year for 20 years, and there are not enough radiologists to meet demand. Could Watson ­– and other AI tools – provide a solution to the problem of overstretched radiology departments? And – as some fear – could it replace radiologists altogether?
More here:
From Healthcare IT News we got:

Health Catalyst, Regenstrief partner to commercialize natural language processing technology

The companies said they intend to put the artificial intelligence-powered text analytics technology to work accelerating advances in patient care.
February 27, 2017 01:10 PM
Regenstrief Institute CEO Peter Embi, MD, said the deal will help patients benefit from unstructured data. 
Health Catalyst and the Regenstrief Institute are working together to commercialize nDepth, Regenstrief’s natural language processing technology.
nDepth is an acronym for NLP Data Extraction Providing Targeted Healthcare. Indianapolis-based Regenstrief developed the technology to harness unstructured data.
Salt-Lake City-based Health Catalyst, a data warehousing and analytics company, has been in the business of extracting data to boost care quality since it launched in 2008.
Regenstrief’s nDepth is artificial intelligence-powered text analytics technology. It was developed within the Indiana Health Information Exchange, the largest and oldest HIE in the country.
Regenstrief fine-tuned nDepth through extensive and repeated use, searching more than 230 million text records from more than 17 million patients.
Lots more here:
and from Health Affairs we got:

The Future Of Precision Medicine: Great Promise, Significant Challenges

February 28, 2017
Editor’s note: This post is part of a series stemming from the Fifth Annual Health Law Year in P/Review event held at Harvard Law School on Monday, January 23rd, 2017. The conference brought together leading experts to review major developments in health law over the previous year, and preview what is to come.
In his 2015 State of the Union address, President Obama launched the Precision Medicine Initiative (PMI), which is intended to help move medicine from the traditional “one-size-fits-all” approach where treatments are designed for the “average” patient, to one that “takes into account individual differences in people’s genes, environments, and lifestyles,” thereby personalizing treatment. According to the White House, a major goal is to “bring us closer to curing diseases like cancer and diabetes.” In December 2016, the 21st Century Cures Act was signed into law, authorizing up to $1.455 billion in funding for the initiative, spread over 10 years (although, importantly, the statute does not guarantee any of the funds, which will be subject to budget negotiations each year).
Central to the PMI is the All of Us Research Program (renamed in October 2016 from the “Precision Medicine Initiative Cohort Program”), which aims to enroll 1 million or more volunteers throughout the United States. If successful, it would be one of the largest longitudinal cohorts ever developed in this country. The All of Us program will, among other things, seek to ascertain the relationships between various environmental exposures, genetic factors, and other biologic determinants of disease. Volunteers will contribute data in various ways, including donating blood samples, completing baseline physical exams and online health surveys, and sharing both existing electronic health records and mobile health data. Enrollment will be possible either directly via smart phone applications developed by a Participant Technologies Center, or through participating medical centers, including community health clinics and medical centers operated by the US Department of Veterans Affairs. A Data and Research Center will acquire, organize, and provide secure access to volunteers’ health data, and the Mayo Clinic will manage a biobank of volunteers’ biological specimens to support research efforts.
Lots more here:
All I can say is that we are all going to have to work a whole lot harder to keep up!
David.

Tuesday, March 07, 2017

I Have To Say This Is Just An Outrage And Violates Any Sense Of Confidence I Have In Government Curating My Private Information.

This appeared earlier last week.

Commissioner confirms privacy 'override' provisions exist

By Paris Cowan on Feb 28, 2017 4:44PM

Following release of Centrelink data to media.

Privacy commissioner Timothy Pilgrim has confirmed agency-specific laws can "override" the Privacy Act and hand some public service bosses the power to disclose personal information.
Pilgrim and his assistant commissioner Andrew Solomon, were busy making calls to the Department of Human Services’ legal officers this morning following revelations that the agency gave details about an individual, Andie Fox, and her welfare debt dispute to Fairfax.
The details were handed over in response to an article criticising Centrelink written by Fox, also published by Fairfax.
It was one of many barbs pushed at Centrelink since late last year over its management of automated debt recovery proceedings using what has been described as a flawed data matching algorithm.
Earlier today, Human Services Minister Alan Tudge insisted the agency was well within its rights to release Fox's personal information.
“In cases where people have gone to the media with statements that are incorrect or misleading … we are able under the Social Services Act to release information about the person for the purposes of correcting a mistake of fact, a misleading perception or impression, or a misleading statement in relation to a welfare recipient. That is what the law allows," he said.
Pilgrim, who appeared before senate estimates today, confirmed there are cases when laws governing the operation of a government organisation can effectively “override” the Privacy Act.
“In the Privacy Act there is a provision that allows for the disclosure of information when it is authorised or required by law,” he said.
Lots more here:
And later in the week this appeared.

Govt seeks power to publicise private health records

| 3 March, 2017  
The Federal Government is giving itself new powers to publish individual veterans' healthcare information if authorities feel there is "misinformation in the community".
The powers are contained in the Veterans’ Affairs Legislation Amendment (Digital Readiness and Other Measures) Bill, currently before parliament.
If passed, it will allow the Department of Veterans' Affairs (DVA) to reveal any information a veteran has given the department — including details of what medical care they are claiming — if it is in the “public interest”.
In February, the government argued that the reforms were necessary because misinformation was damaging the integrity of the DVA programs.
The government said that, in at least 12 situations over the past four years, it had wanted to release personal details to correct alleged misinformation, although it did not go into the specifics of these situations.
The draft Bill defines public interest as any “threat to life, health or welfare” but also includes “mistakes of fact, research and statistical analysis [and] misinformation in the community”.
Lots more here:
So it is one in all in! This is the most powerful case yet for choosing very carefully what information you give to the government – especially in regard to sensitive information you want to keep to yourself.
It seems pretty clear we have at least some rather thuggish politicians who are no respecter of people’s rights. There were other ways of handling their concerns beyond just public exposure!
You put your private information in the myHR at your own risk!
David.

Monday, March 06, 2017

Weekly Australian Health IT Links – 6th March, 2017.

Here are a few I have come across the last week or so.
Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.

General Comment

A pretty quiet week with some submissions on the Digital Strategy appearing and a further set of items on things that have not gone as well as might have been hoped.
The biggest noise this week has been the Government sneakily using unknown exemptions to invade privacy and leak private information for their own purposes.
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What is the future of digital health in Australia?

The Australian Digital Health Agency launched a nationwide ‘Your health. Your say’ conversation to find out. 
The 'Your health. Your say.' consultation period closed on Tuesday 31 January 2017, 5PM AEDT. Thank you to the individuals and organisations who contributed to the future of digital health by responding to the survey, sending us a submission, or attending one of the national conversation events.

Our goal now is to produce a National Digital Health Strategy that reflects the needs and aspirations of Australians.

The Australian Digital Health Agency is currently reviewing all feedback. Stay tuned for further updates on the findings of the national conversation and the development of the National Digital Health Strategy, which will be available here on the conversation website.
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E-health records could help fill data gaps: Sax submission

Latest news: 27 February 2017
The national, electronic patient medical record, My Health Record, could prove a significant boost for health research, enabling valuable data on use of health services to become available in “real time”, a Sax Institute submission on Australia’s digital health future says.
The submission was put to the National Digital Health Strategy Consultation being undertaken by the Australian Digital Health Agency, which is driving the development and delivery of Australian digital health initiatives, including the My Health Record system.
The value of health data can be enhanced markedly when administrative data for services provided across the health system ‒ such as MBS, PBS and hospital services data ‒ is linked with survey data from population studies such as the Sax Institute’s 45 and Up Study, which provide important additional information on the participants’ health and welfare over time, the submission says.
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AMA Submission On Digital Health Strategy

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Surgeries in doubt due to computer bungle

GRANT McARTHUR, HEALTH EDITOR, Herald Sun
February 28, 2017 8:00pm
HUNDREDS of operations across Victoria are at risk of cancellation or complication because hospitals have been left without the vital supplies needed for surgery.
Victoria’s Health Department is fighting to avert chaos, after a bungled computer ­ordering program at one of the largest medical suppliers left hospitals unable to order surgical instruments and other items for more than six weeks.
The situation has become so critical that several patients suffered “adverse outcomes” — including extended recovery times in hospital and needing additional pain medication — after surgeons used alternative products.
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IT glitch leaves hospitals without surgical supplies, patients at risk

Chloe Booker
Published: March 1, 2017 - 11:52AM
Hundreds of patients have been put at risk after Victorian hospitals were left without vital surgical supplies due to an IT glitch.
The hospitals were unable to order surgical instruments when the computer ordering program of one of Australia's largest medical suppliers, Medtronics, went down.
There were 7290 outstanding orders a fortnight ago, leading to shortfalls in surgical and laparoscopic instruments, respiratory products and sutures, skin staples and tissue adhesives.
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Corporate Plan 2016 - 2017

Created on Thursday, 02 March 2017
The Australian Digital Health Agency is committed to achieving a world-leading national digital health capability, which will advance the efficiency, quality and delivery of healthcare provision to improve the health outcomes of all Australians.
Read more about the Agency’s work and how we’re ensuring that the work we do is shaped around the needs, wants and aspirations of the Australian healthcare community.
-----

Relax: This phone measures your blood pressure

Measuring blood pressure is stressful for some, but Leman Micro Devices says let your phone do it, not your doctor
IDG
This Swiss electronics company is on a mission: to stop millions of people dying of ignorance each year.
Worldwide, high blood pressure leads to around 9.4 million deaths annually according to figures from the World Health Organization. And yet, the condition is easily diagnosed and treated. In the Americas, the prevalence of high blood pressure fell from 31 percent in 1980 to 18 percent in 2014, but remains high in developing countries.
Before high blood pressure can be controlled, though, it needs to be detected, and that's the part that Leman Micro Devices wants to make simpler. It is showing off its solution at Mobile World Congress in Barcelona this week.
Measuring blood pressure usually requires a bulky and inflatable cuff that fits around the upper arm, squeezing it till it stops the flow of blood in the artery then releasing it until the flow starts again. Some cuffs can automatically detect the stop and start and record the pressure at each point; others require the medical practitioner to listen to the blood flow using a stethoscope and record the pressure manually.
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New proposed health data report misses many of the marks

2 March 2017
The health system is awash with data. Sometimes the data is transformed into useful information about health system performance, like comparing rates of health-care associated infection by named hospital, waiting times in emergency departments by hospital and ambulance response times by state.
There are currently three different publications that report these data: the Productivity Commission’s Report on Government Services, the Australian Institute of Health and Welfare’s series of reports on specific aspects of hospitals or primary care and the Australian Institute of Health and Welfare’s separate biennial report on Australia’s Health.
The heads of Australia’s health departments recognise the way we measure the system at the moment is not good enough. They recently released a consultation paper in which they called for a single performance report instead of the three we have currently.
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Fury over delay in switch to HPV tests

27 February 2017
Furious pathologists are warning that Pap smear test results will take as long as six weeks following the last-minute deferral of the changeover to HPV testing.
The revamp of the National Cervical Screening Program was due to kick in on 1 May but has been put off until 1 December this year because the screening register outsourced to Telstra will not be ready on time.
The Department of Health said last week that it remained committed to “delivering the register as early as possible within the 2017 calendar year”.
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Failed cancer data integration project means labs can't see patient histories

Telstra Health and Australian gov miss deadline in bungled privatised registry rollout

26 Feb 2017 at 22:48, Richard Chirgwin
The Australian government's attempt to rush the rollout of a privatised cancer registry has backfired, with Telstra Health unable to meet a March deadline for data integration.
As a result, the May 1 launch for the National Cancer Screening Register has been ditched.
Telstra Health won the AU$180 million contract in May 2016, to support the switch from two-yearly pap smears to five-yearly tests for the human papillomavirus (HPV) as the primary screening technique for cervical cancer.
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Cancer register delayed

The start date for Australia’s first National Cancer Screening Register has been delayed.
Since May last year, the Department of Health has been working with its program partners, including Telstra Health, the contracted Service Provider, States and Territories, healthcare providers, the Department of Human Services and others to deliver the National Register, which was scheduled to begin operating from March.
However, the Department said it was now apparent that the Register would not be ready in time.
It said it, along with its program partners, remained firmly committed to delivering the Register as early as possible within the 2017 calendar year.
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Don't leave GPs in the lurch over the new cervical screening program

1 March 2017
COMMENT
It will add insult to injury if the delay in the switch to HPV-based cervical cancer screening means public misinformation about the national program’s renewal is allowed to fester for another nine months.
Last week the government announced the program will now not start until 1 December because Telstra Health is unable to get the new National Cancer Screening Register operational for the original 1 May deadline.
But while argy-bargy over the delay continues, women’s apparently growing concerns about the demise of the trusted Pap smear are failing to be addressed.
-----
8:29pm March 1, 2017

$16m bill for govt cervical cancer bungle

By AAP
Taxpayers will cough up more than $16 million for the federal government's bungling of the rollout of a new test said to reduce the incidence of cervical cancer by 30 per cent.
Federal health department boss Martin Bowles has revealed officials have known since before Christmas there was a risk the May 1 deadline for the rollout of the new test would not be met.
But the delay was only revealed last week by a leaked department communique with the new test now set to be available from December 1.
-----
2 March, 2017

End of over-hyped promise of wearables?

Posted by David Glance
As the market leader, Fitbit has always been regarded as being synonymous with wearables in general. Its launch as a public company was at a point when the hype of wearables was at a peak with claims of the technology bring about a revolution in healthcare.
Unfortunately, the revolution never happened and Fitbit itself has now hit a wall. Sales are down, and last week, Fitbit reported a financial loss and announced it would be laying off 6% of its staff. Its share price is around 90% down on its peak of US $51 in 2015.
Fitbit doesn’t see its fortunes changing much in 2016 as it competes in a wearables market that is seeing little to no growth. Even this statistic may be misleading however because it combines pure fitness trackers such as the models made by Fitbit, with smartwatches like the Apple Watch which customers may buy for its non-fitness features.
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Faster, easier, more intuitive: GuildCare evolves

GuildLink is set to launch GuildCare NG at the Australian Pharmacy Professional conference on the Gold Coast

GuildCare NG has been developed in response to the industry’s changing needs. A game-changer when it was first released in 2009, the GuildCare platform was created to give pharmacy the tools it needed to improve patient care, drive patient loyalty and enhance the role of pharmacists as healthcare professionals within the community.
To date, more than 11.7 million Professional Services cases have been completed through the GuildCare platform.
Now, after consulting with industry leaders and GuildCare users, GuildLink has redeveloped the platform to create a faster, easier, more intuitive and user-friendly Next Generation framework – while retaining the same range of industry-leading Professional Services.
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New guidelines simplify discharge summaries

28 February, 2017
The Australian Commission for Safety and Quality in Health Care has released guidelines showing hospitals what to include on an electronic discharge summary, and how to present it in a clear and succinct format.
The guidelines come in the form of style sheets designed to be incorporated into hospital software.
The templates include the essential components of a discharge summary, such as diagnosis, procedures and medication lists.
…..
More information:
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Healthi App connects to My Health Record

01 March 2017

Consumers can now access and view their My Health Record on mobile devices using Healthi app. 
The app includes a summary screen, two searchable document screens, as well as allergies and medications data, including prescriptions and PBS items.
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What counts as a privacy breach?

2 March, 2017 Antony Scholefield 
New privacy laws can impose potential fines of $340,000 on practices that fail to report serious data breaches to the Australian Information Commissioner. Georgie Haysom (pictured), head of advocacy at medicolegal firm Avant, explains how these laws will affect GPs.
Australian Doctor: How do practices know when to report a privacy breach?
Georgie Haysom: You need to determine whether there’s an unauthorised access or disclosure of information, and then decide whether a reasonable person would conclude the access or disclosure is likely to result in serious harm to the patient whose information it is.
There’s a list of various matters you can take into account to determine whether the access or disclosure is likely to result in serious harm, and if it is, it’s an eligible data breach.
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Video: Is security overstated in healthcare?

By Staff Writers on Mar 3, 2017 11:50AM

Perceptions don't necessarily line up with reality.

Two leading healthcare CIOs say the perception that IT security concerns are holding back e-health technology isn't grounded in reality.
Speaking at the iTnews Benchmark Awards 2017 panel sessions last week, Healthcare category finalists Nasa Walton of the West Moreton Hospital and Health Service, and Ramsay Health's John Sutherland, discussed the importance of security in healthcare.
Sutherland said surveys indicate consumers are actually far less fearful about security than the healthcare industry and IT vendors believe them to be.
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Govt seeks power to publicise private health records

Antony Scholefield | 3 March, 2017 
The Federal Government is giving itself new powers to publish individual veterans' healthcare information if authorities feel there is "misinformation in the community".
The powers are contained in the Veterans’ Affairs Legislation Amendment (Digital Readiness and Other Measures) Bill, currently before parliament.
If passed, it will allow the Department of Veterans' Affairs (DVA) to reveal any information a veteran has given the department — including details of what medical care they are claiming — if it is in the “public interest”.
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Webinar: How data and technology can be used to improve health and care in rural and remote communities

The Australian Digital Health Agency held a webinar on Wednesday 1 February 2017, 11:30am-1:00pm AWST/1:00pm-2:30pm ACST with rural and remote clinicians to gather feedback on how data and technology can be used to improve health, care and the quality of life for Australians in rural and remote communities.
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Rural and remote clinicians webinar recording and presentation now available

Created on Tuesday, 28 February 2017
The Australian Digital Health Agency held a webinar on Wednesday 1 February 2017, 11:30am-1:00pm AWST/1:00pm-2:30pm ACST with rural and remote clinicians to gather feedback on how data and technology can be used to improve health, care and the quality of life for Australians in rural and remote communities.
The webinar can now be watched on our website and presentation slides are now available for download in the Webinars area.
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1ST Group crosses major milestone in online appointment booking

16:00 27 Feb 2017
Over 5 million appointments booked on the portal since 2012.
1st Group (ASX:1ST) has crossed a major milestone by booking over 5 million appointments on its cloud-based online health portal since 2012.
The company’s secure portal enables patients to schedule appointments, receive automated appointment reminders and provide feedback to their practitioners.
The number of new patients using 1st Group’s appointment booking platform on a monthly basis has surged 700% since 2015.
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Commissioner confirms privacy 'override' provisions exist

By Paris Cowan on Feb 28, 2017 4:44PM

Following release of Centrelink data to media.

Privacy commissioner Timothy Pilgrim has confirmed agency-specific laws can "override" the Privacy Act and hand some public service bosses the power to disclose personal information.
Pilgrim and his assistant commissioner Andrew Solomon, were busy making calls to the Department of Human Services’ legal officers this morning following revelations that the agency gave details about an individual, Andie Fox, and her welfare debt dispute to Fairfax.
The details were handed over in response to an article criticising Centrelink written by Fox, also published by Fairfax.
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Thought-controlled movement

By Australian Hospital + Healthcare Bulletin Staff
Tuesday, 28 February, 2017
The stentrode. This tiny device is the result of a collaboration of 39 brilliant minds from 16 departments across the University of Melbourne’s medicine, science and engineering faculties.
Smaller than a paperclip, the stentrode, implanted into a blood vessel next to the brain’s motor cortex, will one day allow paraplegics to move with the power of thought.
Once implanted, it picks up signals that would normally be sent to a person’s limbs to create movement.
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Gigabit per second speeds aren't needed yet, NBN Co boss Bill Morrow says

Lucy Battersby
Published: March 1, 2017 - 12:04AM
Households with a fibre-to-the-node connection - the slowest of the NBN Co's fixed technologies - will get an upgrade when augmented reality, virtual reality and ultra high definition internet television become mainstream, the company's chief executive told a Senate committee on Tuesday night.
Bill Morrow said these futuristic applications will need much faster speeds like 50 megabits per second [Mbps] or 100 Mbps.
"Let's assume within five years [that technology] is going to be here en masse," he said.
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Telstra outlines plans for its ‘network of the future’

5G, IoT and a boost to the capacity of optical fibre links are among the initiatives outlined by Telstra at Mobile World Congress
Rohan Pearce (Computerworld) 27 February, 2017 11:31
Telstra has used Mobile World Congress in Barcelona as the venue for unveiling major infrastructure initiatives as part of its “network of the future” program.
The telco’s CEO, Andy Penn, said in August during a briefing on FY16 results that Telstra would boost its capital expenditure by $3 billion over the next three years, lifting its capex to sales ratio to approximately 18 per cent.
“We will be investing in three critical areas of importance to our customers,” Penn said. We will be investing in the network of the future which is the foundation of the program, we will be investing in accelerating the digitisation of our business and, ultimately, this will all lead to us investing in improving the customer experience that we provide.”
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Windows 10 least secure of Windows versions: study

Windows 10 was the least secure of of current Windows versions in 2016, with 46% more vulnerabilities than either Windows 8 or 8.1, according to an analysis of Microsoft's own security bulletins in 2016.
Security firm Avecto said its research, titled "2016 Microsoft Vulnerabilities Study: Mitigating risk by removing user privileges", had also found that a vast majority of vulnerabilities found in Microsoft products could be mitigated by removing admin rights.
The research found that, despite its claims to being the "most secure" of Microsoft's operating systems, Windows 10 had 395 vulnerabilities in 2016, while Windows 8 and 8.1 each had 265.
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Softbank chief Masayoshi Son: AI to outsmart us within 30 years

  • Stu Woo
  • The Wall Street Journal
  • 12:00AM March 1, 2017
Within 30 years, artificial intelligence will be smarter than the human brain.
SoftBank Group chief executive Masayoshi Son also says supersmart robots will outnumber humans and more than a trillion objects will be connected to the internet within three decades.
These beliefs underpinned the wave of large and surprising deals the Japanese internet and telecommunications company had pulled off in the past year, he said yesterday.
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Enjoy!
David.

Sunday, March 05, 2017

The ADHA Releases A Four Year Corporate Plan Which Lays Out Part Of What Is Planned. I Don’t Recognise The Country It Is Apparently For!

This appeared a day or so ago.

Corporate Plan 2016 - 2017

Created on Thursday, 02 March 2017
The Australian Digital Health Agency is committed to achieving a world-leading national digital health capability, which will advance the efficiency, quality and delivery of healthcare provision to improve the health outcomes of all Australians.
Read more about the Agency’s work and how we’re ensuring that the work we do is shaped around the needs, wants and aspirations of the Australian healthcare community.
The Australian Digital Health Agency commenced operations on 1 July 2016.  The Public Governance, Performance and Accountability (Establishing the Australian Digital Health Agency) Rule 2016 sets out the functions and governance of the Agency. This corporate plan covers a four year reporting period, 2016-17 to 2019-20, as required under paragraph 35(1)(b) of the Public Governance, Performance and Accountability (PGPA) Act 2013 and in accordance with section 16E of the PGPA Rule 2014.
Here is the link:
A minor point but this all seems a little back to front – would you not develop your Strategy first? And then craft the Corporate plan to fit the Strategy? (I suppose they had to do it this way by law – which is cited after the plan?)
There are two parts of the document worth highlighting.
First here:

1.3 Our principles

The following principles guide our work:
  •  Creating capability to transform the Agency – creates the ongoing capability and provides adequate focus on transparency, engagement, clinical governance and innovation and strategy.
  •  Consumer focused – puts consumers at the centre of their own healthcare, and better health outcomes for consumers as the ultimate goal for all initiatives. It supports consumers to be active in the management of their own health and wellbeing, and provides appropriate support for healthcare providers to achieve better healthcare outcomes for their patients.
  •  Supports clinicians – clinicians have safe, useful and usable solutions that support improved health outcomes for consumers.
  •  Strategic – delivers solutions in full knowledge of the benefits and implications for all sectors of the health community, rather than focusing on a specific provider type. Solutions are holistic and cover the end to end solution not just one component, or just the government elements.
  •  Outcomes and evidence based – can demonstrate outcomes that are accepted as achievable broadly by the health community, and deliver real measurable benefits as assessed through robust evaluations by the broader health community.
  •  Co-design – solutions are co-designed and tested through involvement of the various skill groups in the Agency (clinical, consumer, industry, technology design) and external users – both consumers and healthcare providers.
  •  Open innovation – provides a level playing field where innovation is encouraged and successful products deliver what the users (consumers and healthcare providers) want and are willing to pay for, and they facilitate holistic outcomes for the health system as a whole, not just for their own closed community of users.
  •  Sustainable – Results in systems and services where the core systems and infrastructure provided by governments are limited in scope to the standards, secure and private storage and appropriate sharing across the health community in accordance with legal and patient consent. They are efficient and cost effective, and facilitate interoperability. Third party systems that are sustainable in the Health ecosystem are interoperable and do not require initial and ongoing investment by governments in order to innovate and develop and keep the momentum.
  • Transparent – exposure of all Agency commitments and operating costs, proposed plans, activities and projects to proceed as well as those to not proceed, are made available for decision by the Board, and are visible to all staff in the Agency, and the Advisory Committees.
  •  Operational – systems and services that are in use and depended upon by the health community perform their functions to the agreed performance level and provide the required and agreed level of security and privacy.
And then we have this second section:

Environment

2. 1 Australia’s health system

Australia’s health system ranks as one of the best in the world and has led to extended life expectancy, improved quality of living and better wellbeing.
 However, there is a growing demand for healthcare reform to prepare Australia for the future and maintain the high standards we have and require.
Demographic and health trends, such as an ageing population and increasing rates of chronic disease, compounded by system issues such as workforce shortages and persistent health outcome and access inequalities, are stretching the financial, physical and human resources of our healthcare system.
The value of digital health initiatives is in how they can improve information sharing between individuals and their healthcare providers, to support better health outcomes, reduce adverse events, eliminate duplications, and improve the coordination and quality of healthcare.

2.2 Digital health in Australia

Digital health is a broad term that refers to adoption of technology in healthcare, including concepts such as eHealth, health IT, clinical and corporate information systems, consumer health, and telehealth. It includes information and communication technology infrastructure, mobile devices and applications, the way these are used, and the integrity and security of information that they capture, store, share, communicate and display.
Over the last decade, Australian governments and the private and not for profit sectors, including the primary and secondary healthcare sectors, have worked together with the aim of delivering a coordinated digital health ecosystem, including building the My Health Record system, the Healthcare Identifiers service and national specifications and standards to support the implementation of digital health solutions.
We are on the path to having a world-class digital health capability that provides new options for how Australians manage their own health and interact with the health system across geographic and health sector boundaries.
----- End extracts.
A point or two.
In the section on Outcomes and Evidence Based we have claims of the delivery of real measurable benefits. Has anyone actually seen any of this at the national level. Please pass on the link if you have!
The last paragraph has me in fits of laughter. If we are on the path now we have only recently found it! The last decade or two have largely been wheel spinning and undertaking ill thought-out nonsense for vast sums of money.
The basis and assumptions of this ‘so called’ plan are not really grounded in evidence or reality. The forthcoming Strategy had better be a whole lot better!
David.

AusHealthIT Poll Number 360 – Results – 5th March, 2017.

Here are the results of the poll.

Should The ADHA Be Continuing Developmental Spending On The myHR Until It Has Proper Acceptance Of And Agreement With Its New Digital Health Strategy?

Yes 3% (6)

No 96% (211)

I Have No Idea 1% (2)

Total votes: 219

I think it would be fair to say strategy free system development expenditure is not supported.

A really great turnout of votes!

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

David.