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 15, 2012

Oh No! Not Again! Here Is What Happened Just Now With The NEHRS. 10:15pm Aug 15, 2012

Just logged in.
Got to the main record screen and guess what? Here is what I got.
Error Details:
An error has occurred processing your request.
Worse the records I had entered have gone:
I had recorded allergies and current medications. 4 serious allergies and six medications I am on. Here is what I got.
Allergies and Adverse Reactions
You can enter substances to which you have known allergies and/or the reactions that occur when you come into contact with the substance.
Click “Edit” to update your Summary. All healthcare professionals who have access to this eHealth Record will be able to see this information. No Restricted Settings can be placed on this Summary.
You are encouraged to keep your Personal Health Summary current to ensure it is valuable to healthcare professionals involved in your care
Note: Your healthcare professionals are not obliged to review your summary. You should visit your healthcare professional to discuss changes in your health or any important concerns you may have.
No Allergies and Adverse Reactions associated with this record.
Current Medications
You can enter the medicines you are currently taking (including over the counter medications), the reason why you are taking the medication (e.g. blood pressure or vitamin deficiencies) and any additional comments you would like to include.
Click “Edit” to update your summary. All healthcare professionals who have access to this eHealth Record will be able to see this information.
No Current Medications associated with this record.
-----
And the Medicare Services Overview has also died.
Error Details:
An error has occurred processing your request.
Here is the audit rubbish:
15/08/2012 10:14:33 PM getIndividualDetailsViewIndividualReadIHIxxxxxx01181142493
And it is my record!
MORE, DAVID DOB xx-Feb-19xx (6x yrs) SEX Male
All I can say is WTF. These people need to just be fired, the lot of them.
David.
Note: It seems I picked the one hour this week to see if the system was working that it wasn't. So why no warning screen at logon? Clowns.
D.

Anyone Who Thinks This Won’t Happen Here Is In Unthinking Denial. Interesting Australian Implications.

The following long article appeared a little while ago.

'Wall of Shame' exposes 21M medical record breaches

Notification, reporting part of new rules under the Health Information Technology for Economic and Clinical Health Act

Lucas Mearian
August 7, 2012 (Computerworld)
Over the past three years, about 21 million patients have had their medical records exposed in data security breaches that were big enough to require they be reported to the federal government.
Since Sept. 2009, 477 breaches affecting 500 people or more each have been reported to the Office for Civil Rights (OCR) under the U.S. Department of Health and Human Services. In total, the health records of 20,970,222 people have been compromised, the OCR said.
The Office for Civil Rights has been updating a list of the breaches on its website. The list is known to the health care industry as "The Wall of Shame," according to the OCR.
Six health care organizations listed on The Wall of Shame reported security breaches that involved one million or more records.
Among the largest breaches reported was TRICARE Management Activity, the Department of Defense's health care program, which reported 4.9 million records lost when backup tapes went missing. TRICARE, formerly known as Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), provides civilian health benefits for military personnel, military retirees, and their dependents.
Other major breaches included: Health Net, which reported 1.9 million records lost when hard drives went missing; the New York City Health & Hospitals Corporation's North Bronx Healthcare Network, which reported the theft of 1.7 million electronic medical records; AvMed Health Plans in Florida, which reported the theft of a laptop with 1.22 million patient records; and Blue Cross Blue Shield of Tennessee, which reported the theft of an external hard drive with 1.02 million records.
WellPoint, the largest managed health care company in the Blue Cross and Blue Shield Association, also reported 31,700 of its customer records were compromised during the three-year time period. WellPoint's breach occurred via a hack to a network server, according to the report.
The Nemours Foundation, a health care organization that runs children's hospitals, also reported the loss of 1.05 million records when data backup tapes were lost.
The breach notification and reporting is part of new rules under the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act of 2009. The rules not only require the public reporting of breaches but also increased penalties for violations of the Health Insurance Portability and Accountability Act (HIPAA), which requires organizations to safeguard patient information.
About 55,000 breach reports involving fewer than 500 records where also reported to the OCR from 2009, according to Rachel Seeger, a senior health information privacy specialist with OCR.
Theft made up 54% of the breaches, while hacking made up only 6% of the compromised data. Theft was followed by unauthorized access or disclosure for 20%, lost records and devices for 11%, improper disposal of records made up 5% and other/unknown categories made up 4%.
Lots more examples and comments here:
The sheer inevitability of having similar issues in Australia led me to see where we are here:
This seemed to be a useful summary from the Privacy Commissioner (from a press release of 1 July, 2012):

Background information

The Personally Controlled Electronic Health Records Act 2012 (PCEHR Act) provides strict controls on the collection, use and disclosure of health information included in an individual's eHealth record. A collection, use or disclosure which is not authorised by the legislation is both a contravention of the PCEHR Act and an interference with the privacy of the individual under the Privacy Act 1988. The legislation also imposes mandatory data breach notification obligations on the System Operator, repository operators and portal operators. (Emphasis mine) 
The OAIC regulates the handling of personal information under the eHealth record system by individuals, Australian Government agencies, private sector organisations and some state and territory agencies, instrumentalities and authorities (in particular circumstances).
The OAIC's regulatory role includes investigating complaints about the mishandling of health information in an eHealth record, as well as conducting 'own motion investigations'. Along with the System Operator, the OAIC will also accept data breach notifications and assist affected entities to deal with data breaches in accordance with the legislative requirements.
The OAIC will have a range of enforcement powers available to it following an investigation, including:
  • the power to seek civil penalties
  • the power to seek an injunction to prohibit or require particular conduct
  • the power to accept enforceable undertakings
  • existing Privacy Act investigative and enforcement mechanisms, including complaint conciliation and formal determinations.
The OAIC will issue Enforcement Guidelines which will outline the Commissioner's approach to enforcement issues under the legislation.
For further information, see the fact sheets and agency resources available on the OAIC website at: http://www.privacy.gov.au/law/other/the-ehealth-record-system.
The full release is here:
What is not clear from this is what the Privacy Commissioner does (or is intended to do) when notified of a data breach.
What would be hoped for would be that all those affected would be told - but there does not seem to be much clarity just yet. It could be that the Enforcement Guidelines will provide that detail. I hope so.
The US approach of compulsory notification and reporting of breaches that affect more than 500 individuals seems sensible.
The other gap in all this is just how those other than repository operators will be expected to handle breaches, how they may be penalised and what help they will be given is presently not all that clear other than this:

Healthcare providers should be aware of the following information:

  • Know your obligations under the PCEHR Act: there are serious penalties if you don’t comply
  • Understand that while there are new obligations for information stored on the eHealth record system, you must continue to comply with your current legal obligations
  • Develop robust processes for handling eHealth records and ensure staff are adequately trained to follow them
  • Tell your patients about what information you intend to add to and access from their eHealth record and explain what you will do with the information
  • Ensure that you do not collect more information from an eHealth record than is necessary
  • Collect, use and disclose information in a patient’s eHealth record only for the limited and authorised purposes allowed under the eHealth record system
  • Know how the eHealth record system can be used in an emergency situation
This is found here:
I am not sure that saying you need to know the legislation is good enough! Maybe a summary of the key additional points contained in the legislation might help along with a clear summary of all the potential obligations (and where to get help) would be pretty useful. Of course all this should have been sorted out ages ago.
On the same topic this is a long feature article from Health Data Management that is also well worth a browse to see the facts and fictions in the area:

Fighting the Internal I.T. Threat

AUG 1, 2012
Since the breach notification rule became effective two and a half years ago, the HHS Office for Civil Rights has logged more than 31,000 breaches of protected health information. Of those, 500 breaches have been "major"-each affecting at least 500 individuals-with several affecting more than 1 million. The major breaches have generally occurred outside a health care facility's walls and resulted from a laptop or backup tapes being lost or stolen, or a hard drive or paper records improperly disposed.
But internal threats to protected health information-when employees snoop into medical records of co-workers or VIPs, bring in unauthorized mobile devices, make configuration changes to information systems, send unencrypted information in e-mails to legitimate outside recipients, or unknowingly access a rogue Web site-are far more common than the big breaches that make headlines, I.T executives say.
The University of Arizona Health Network in Tucson had snooping incidents when former Rep. Gabby Giffords was being treated for gunshot wounds following a shooting spree at a meeting with constituents, says Jeffrey MacEwen, the health system's information assurance officer. Some snoopers tried to get around internal security by jumping on workstations and checking Gifford's records after co-workers walked away without logging out of their sessions, he recalls.
Three-hospital Beaumont Health System in Royal Oak, Mich., has terminated a handful of employees this year because they were found to have pulled records of co-workers or VIPs, says Doug Copley, director of corporate information services and information security officer.
While there's always a handful of employees who are criminally curious, most internal breaches of PHI are unintentional, such as an employee transferring records to a flash drive or sending records to a personal e-mail account to work on them from home, or even sending records to a peer for advice, Copley says. "Things happen and most of the time it's not malicious, it's people not knowing the right way to secure the information."
Huge amount more here:
There is a lot of very interesting material around on all this - especially the stuff on BYOD and so on.
David.

Tuesday, August 14, 2012

Weekly Australian Health IT Links – 14th August, 2012.

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

An eclectic mix of links this week. All sorts of e-Health initiatives seem to be happening while the ‘official’ one seems to be ‘resting’ - dead parrot style.
Unsurprisingly the costs of the NBN seem to be creeping up and the expected time to full delivery seems to be lengthening - how typical of a large Government run technical project.
Lastly there seem to be all sorts of security problems, digital life casualties (warning of the risks of the cloud) and a major shift looming in higher education. It will be interesting to see how this works in areas of practical skill and human engagement. I suspect some knowledge domains will be much slower than others to transition.
----

Time's up for GP waiting

·         By Evelyn Yamine, Health Reporter
·         The Daily Telegraph
·         August 07, 2012 12:18AM
PEOPLE needing to see a doctor will be able to shop around for the next available appointment using a new website that could end the frustration of hours spent in GP waiting rooms.
Patients can use the 1st Available website to search for GPs and other healthcare professionals, such as chiropractors and dentists, and book an appointment online any time of the day or night.
According to a Newspoll survey commissioned by 1st Available, 53 per cent of Australians said they had difficulty getting an appointment with healthcare professionals at a time that suited them.
-----

Authority fails to 'deliver' on e-health system

THE National E-Health Transition Authority has redefined "delivery" in relation to technical specifications released to the software industry, whereby "delivered does not mean complete".
A NEHTA Specification Dashboard provided on March 14 to the ICT Implement Group managing the introduction of the personally controlled e-health record system included an unusual disclaimer.
"'Delivery' does not mean complete in the sense of all components of the specification bundle. NEHTA has provided partial releases of the 'specification bundles' in some situations to support market access to specifications as soon as possible. For example, some Conformance Profiles are yet to be published. Otherwise, components required for software vendors to commence work on NEHTA Specifications are present," it says.
-----

Doctors-only online community goes live!

7 Aug 2012
Australian Doctor’s new secure online doctors-only network has gone live! It’s a space to talk with colleagues, learn from each other and share your ideas. Join up today at just4docs.com.au.
-----

Patients reject eHealth

Date August 12, 2012

Tim Barlass

Only 5029 people have joined the federal government's controversial $466 million eHealth system since it was launched on July 1.
Figures obtained from the Department of Health and Ageing show that each individual to take up the personally controlled electronic health record system has so far cost the government $92,662.
Patients can volunteer to join the system, which stores all their health information, including test results and prescriptions, in a national database. It is the first time patients will be able to access their medical details.
-----

Primary software unit under review

Edited by Sarah Thompson and Anthony Macdonald
It was about a year ago that Primary Health Care’s Ed Bateman shelved plans to sell the company’s general practitioner software business.
So it’s about the right time for the rumour mill to crank up again about a new Primary attempt at selling the business, which is not core to the company’s business of medical centre, pathology and radiology operations.
The theory is that Primary could generate roughly a couple of hundred million dollars by selling the business formerly known as Health Communication Network to a bidder with more experience and a bigger portfolio in the technology game.
-----

Medibank reveals details of healthbook uptake

Posted on August 11th, 2012 by Catherine Obuch
Health insurer Medibank has reported a pleasing uptake of its new healthbook personally controlled health record, with eight per cent of its target group using the new service regularly since its launch at the end of May.
The development of healthbook was one of the projects funded by the federal government as part of the Wave 2 sites for the implementation of the PCEHR. Initially targeting members with chronic illnesses who take part in one of Medibank’s Better Health programs, the plan is to connect it to the national PCEHR infrastructure and to broaden the offering to other Medibank customers, particularly the parents of young children.
-----

E-health bureaucrats spend $5m on travel

THEY'VE produced an e-health record that so far can't be used by doctors, but the bureaucrats in charge last year spent more than $5 million on travel and on stakeholders in five-star hotels.
The National e-Health Transition Authority, with 257 employees, told a Senate estimates committee it spent $4.3m on travel in 2011-12 and more than $1m on events, conferences and dinners in five-star hotels.
Liberal National Party senator Sue Boyce said that after five years and hundreds of millions of dollars of taxpayers' money, all NEHTA had managed to deliver was a toll-free number.
-----

Test results at fingertips in Berwick

BY JAMES TAYLOR
07 Aug, 2012 12:00 AM
MEDICAL imaging has gone mobile and a Berwick clinic is one of the first in Victoria to put the technology to work.
Berwick Medical Imaging has begun using a new app for the iPhone and iPad that gives GPs and specialists the ability to review patient MRI, CT, ultrasound and X-ray images any time and anywhere.
Clinic director Michael Gray said the MIA Direct App had already proved effective in Queensland practices and would greatly benefit local patients and doctors.
"Before the introduction of this app, doctors had to be at their primary office or computer terminal to receive and access patients' diagnostic scans.
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Profiling a new media outfit that focuses on ehealth

, by Melissa Sweet
At a time when there is no shortage of negative headlines about ehealth, one new media venture is taking a positive approach to reporting developments in the area.
eHealthSpace.org describes itself as an online community for health professionals who are committed to clinical reform and its enablers, including health technologies and change management practices. Its website says: “…we believe in health technology’s ability to enhance, rather than detract from, the patient care provided by skilled health professionals.”
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Aus tightens e-health privacy laws

Medical and healthcare records to be managed under the Australian government’s Personally Controlled Electronic Health Records (PCEHR) programme will be protected under new privacy safeguards that are being rolled out nationally.
These safeguards expand the powers of the Australian Privacy Commissioner, Timothy Pilgrim, to more closely monitor the way in which patient records are accessed, shared and stored by medical practitioners, healthcare staff, and technology solutions providers.
Privacy Commissioner Pilgrim says Australia’s eHealth reforms lay the foundations for major improvements to how healthcare services are delivered nationally.
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Roxon puts web surveillance plans on ice

Date August 10, 2012

Philip Dorling

A CONTROVERSIAL internet security plan to store the web history of all Australians for up to two years has been stalled by the federal government until after the next election.
Security bureaucrats have drafted legislation to expand internet surveillance and security powers, but Attorney-General Nicola Roxon decided to first refer a discussion paper to a parliamentary committee.
Senior intelligence officials, who have been pushing for the increased powers, complain the legislation will be delayed until after the election due next year.
-----

Annette Katelaris: What influences clinical decision-making?

Doctors spend a lot of time learning facts but don’t get much formal education on how to think.
Ideally, this skill is learnt ― or “picked up” ― during the years of clinical teaching at the bedside, in the clinic and in the operating theatre.
Errors in clinical interpretation and reasoning can occur at any point during patient care. These are often due not to a lack of knowledge or competence, but to the decision-making processes of humans in situations that are clinically complex, uncertain, and pressured by time and emotion.
----

Federal Privacy Commissioner investigating AAPT data breach

Timothy Pilgrim will determine if the internet service provider’s (ISP) practices were consistent with Privacy Act
Internet service provider (ISP), AAPT, which was the target of a data breach by hacktivist group, Anonymous, is now under the spotlight of Federal Privacy Commissioner, Timothy Pilgrim.
A server used by AAPT was compromised in the attack. Pilgrim said in a statement that both AAPT and the server’s owner, Melbourne IT, are being investigated over the data leakage which included documents showing federal government accounts, information from departments such as the Australian Federal Police (AFP) and names of AAPT staff members.
“I opened an investigation into AAPT and Melbourne IT after customer data had been compromised in a recent hacking attack,” he said.
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Extra $3.2bn needed to fund NBN

  • by: Annabel Hepworth and Mitchell Bingemann
  • From: The Australian
  • August 09, 2012 12:00AM
THE funding required to roll out the super-fast National Broadband Network has blown out by $3.2 billion, with the vast majority of the extra money to come from taxpayer funds.
The NBN Co's long-awaited new corporate plan, released yesterday, reveals that the government will now be forced to inject $30.4bn in equity into Labor's flagship infrastructure project - an extra $2.9bn from the $27.5bn forecast when the last plan was released in December 2010 - because the cost to construct the project by mid-2021 has risen by $1.4bn to $37.4bn and revenues will be $600 million lower across the next decade. Communications Minister Stephen Conroy defended the need for the higher equity, which will be financed mostly through the issue of Aussie Infrastructure Bonds over the decade-long construction of the broadband network.
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Revised NBN to require opt-out

HOMES will be automatically connected to the National Broadband Network under new plans revealed by the network builder.
But the compulsory supply of battery backups to ensure phones remain active in power outages has been canned.
Under the new build method, known as "build drops", the NBN Co will connect fibre directly from the street to a hub on each premise passed by the new network and will require home and office owners who do not want a connection to opt out, rather than in as under the previous build plan, which was to run fibre cable to premises whose occupants had agreed to get a connection.
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$3b rise in bill to bring households up to speed

Date August 9, 2012

Lucy Battersby and Ben Grubb

THE cost of the nation's biggest infrastructure project has blown out by $2.9 billion over the next 10 years and the deadline pushed back by six months.
The NBN Co chief, Mike Quigley, and the Communications Minister, Stephen Conroy, said construction costs would rise by 3.9 per cent to $37.4 billion and the deadline for rolling out the high-speed internet connection to Australian homes had been pushed back to June 2021.
Higher labour costs, longer network distances and future upgrades to wireless and satellite broadband equipment have pushed up the cost. Operating expenses - primarily staff costs - have jumped from $3.7 billion to $7.8 billion, while savings have been made in other areas.
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Apple cloud burst: how hacker wiped Mat's 'life'

Date August 6, 2012 - 10:17AM

Asher Moses

Technology Editor

"It's been a shitty night" ... Mat Honan has recounted how his web world fell apart.
What would you do if your entire digital life started evaporating before your eyes and there was virtually nothing you could do about it?
I really worry about everything going to the cloud ... I think there are going to be a lot of horrible problems in the next five years. 
This is the nightmare scenario that greeted US technology journalist Mat Honan, who had all of the contents of his iPhone, iPad and Macbook Air wiped, and lost control of his Gmail and Twitter accounts, all in the span of just over 15 minutes.
-----

Free courses from world's top unis a swipe away in online revolution

Date: August 12, 2012

Amanda Dunn and Katie Cincotta

Global e-learning is transforming higher education.
IMAGINE a university degree that is like a passport: a subject from Swinburne stamped alongside another from Sydney University, with courses from overseas colleges such as Stanford or Harvard thrown in. You could earn your degree without travelling further than your laptop, and far more cheaply than on campus.
Far-fetched? The proliferation of websites offering courses from top universities - MIT and Stanford among them - and the globalisation of learning generally means this scenario may one day be possible. Higher education is in the middle of a digital revolution, and who has access to it, and how it is done, will shift dramatically in the next few years.
''The world of tertiary education is changing fundamentally, and the pace of change is greater than ever before,'' says Monash University vice-chancellor Ed Byrne, likening it to the 15th-century invention of the printing press. "People are being educated in a totally global context for the first time."
-----
Enjoy!
David.

Monday, August 13, 2012

What Can We Learn From The NEHRS Failure And Outage On The Weekend. A Very Great Deal I Would Suggest.

I find it very interesting that there has been no media pick up on the NEHRS / PCEHR failure that I, and others I am sure, witnessed on Sunday afternoon.
It seems the Fourth Estate just does not want to know when there are problems in e-Health systems - but have an outage at a bank and it leads the technology news for a day at least.
For those who missed the details here is the link to the blog with a description of what happened.
Essentially what we saw for four hours was an exceptionally ungraceful ‘crash’ when the individual attempted to access their NEHRS record - with a worse than useless error message you can see repeated in the blog linked above.
To me there are strategic, design and operational issues.
At a strategic level we see the outcome of deciding to operate to political rather the real deadlines and we see the impact of failing to properly test a system which for incomprehensible reasons was made available nationally - rather than in some local areas for a gradual roll-out.
It certainly seems that NEHTA/DoHA/ Medicare are as good as their word in not adopting a cautious approach. (It is not clear who is responsible for this to me - which is a problem in and of itself.)

Some PCEHR bugs will be fixed after go-live, says NEHTA

  • by: Fran Foo
  • From: Australian IT
  • August 01, 2012 2:39PM
NEHTA chief Peter Fleming at the 2012 Health Informatics conference panel session in Sydney. Picture: Richard O'Leary Source: Supplied
PEOPLE with hyphens in their names had to wait for days to register for the personally controlled e-health record system, National E-Health Transition Authority chief Peter Fleming confirmed.
Testing and remediation would be done after PCEHR features and functionalities were pushed live for the public to use online, according to Mr Fleming.
"It's one of the reasons why we're slowly pushing this out into the market to have a look, address the problems immediately and that hyphen (issue) was well and truly fixed within days of being identified and made sure that that's appropriate so that's on the hyphen side," Mr Fleming told participants during a panel session yesterday at the 2012 Health Informatics conference in Sydney.
"This is a major program so there are many, many components," he said.
Heaps more here:
Certainly the unusual “test after go live” has been on full display just recently.
At a design level it seems clear that both error handing and error messages have simply not been thought about. This is always a risk when you are passing users between systems but seems to have been rather poorly executed on this occasion.
Operationally what we saw was a total lack of customer support. There was no place to go on the failed screen and it is difficult to notice a minute ‘Contact Us’ right at the bottom of the log in screen. Clearly this needs to be easier to find.
Additionally a failure of the type I witnessed should have been instantly noticed by any properly designed system and there should have been a fail-over to an explanatory screen saying that there were system problems and to come back a little later. At the same time there should have been notification of the failure to relevant managers and staff.
Such error handling is routine in most significant systems.
Of course we won’t even explore the implications for a patient if the system was actually being used for some clinically relevant purpose - like allowing someone to see what medications the patient thinks they are taking. I guess the total lack of information in the system makes it safer to test in such a bizarre way! I hope no one was actually trying to see what their patient had recorded.
All in all and at every level this really an appalling incident - that I note we have not even had any acknowledgement that it actually occurred and what was being done to prevent a recurrence.
Not good enough for close to a billion dollars! We all deserved a lot better than this. I wonder when we will start to hear denials that there was ever a problem?
David.

Sunday, August 12, 2012

The NEHRS Seems To Have Made It To The Sunday Press. Not A Good Sign For The Future.

The following appeared earlier today. Indeed on Page 3 to maximise exposure.

Patients reject eHealth

Date August 12, 2012

Tim Barlass

Only 5029 people have joined the federal government's controversial $466 million eHealth system since it was launched on July 1.
Figures obtained from the Department of Health and Ageing show that each individual to take up the personally controlled electronic health record system has so far cost the government $92,662.
Patients can volunteer to join the system, which stores all their health information, including test results and prescriptions, in a national database. It is the first time patients will be able to access their medical details.
The Coalition's eHealth spokesman, Andrew Southcott, compared the slow adoption to the government's problems with the Building the Education Revolution program and pink batts installation.
''The government's own target and benchmark was 500,000 sign-ups in the first year,'' he said.
''At the current rate, if they maintain this pace they will get approximately 60,000 so well short of the 500,000 and they are anticipating 6.8 million within four years.
''The low take-up shows that doctors and patients don't see it as being of much value at this point in time. This is the government that brought us school halls [BER refurbishment] and pink batts and lost control of our borders.''
Dr Southcott said the Health Minister, Tanya Plibersek, was avoiding talking about the scheme.
''The government doesn't want to be associated with another disaster,'' he said. ''They championed it before the last election but they don't really seem to have a lot of enthusiasm for it now.''
More here with reactions from the Health Minister, DoHA, the AMA.
It seems to me that what we are seeing here is a very deliberate strategy from DoHA to keep the population unaware of the existence of the NEHRS since it simply is not ready yet.
Surely if there was something that was real, useful and working actually in existence the Government would be keen to let us all know with an advertising campaign and all the bells and whistles that go with that?
Additionally it seems to be a ‘State Secret’ as to when we will actually see something potentially useful emerge from out of the fog.  With the need to sort out NASH, GP and Hospital Software as well as the necessary links, Patient and Provider Education, Patient Safety and Compliance Issues and the Health Identifier Service (at the very least) there is a fair  bit to be done.
It also seems to me that now it is clear the Program has not met its initial public objectives this is the time for a NEHRS Program reset and review followed by publication of a realistic Program Plan that actually has some prospect of delivery. Of course this review should also include options of a fundamental change in approach and direction. To just commit to ‘pressing on’ with no serious option analysis would be pretty sad.
Anyway, an open and frank review of what is being done is really needed. It would be a pity if more good money is thrown after bad with the lack a full review. An unconsidered and blinkered consideration of what has happened so far will help no one. We need to be aware not making a sensible set of mid-course corrections (and having the whole thing fall over)  may lead to damage to e-Health as an idea that could take a decade to repair. That would be the worst of all possible outcomes.
David.

It Is Going From Bad To Worse - Now The NEHRS / PCEHR Is Broken Totally.

I tried to log in to my record a few minutes ago. Here is what happened. Tried 3 times and just no go!
Just to be clear - this all happened after I had been passed from www.australia.gov.au to the front screen of the NEHRS - which you click on to access your record. What you see here is what I saw after I asked to access my record.
This is really pretty sad!
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500: ??title.unexpectedError??

??message.ifProblemsContinueContactSupportWithReference??
A3RR-CPO
2:50 PM Sunday 12-Aug-2012
Version: 7.2.3-27387
-----

500: ??title.unexpectedError??

??message.ifProblemsContinueContactSupportWithReference??
8WQX-CPO
2:51 PM Sunday 12-Aug-2012
Version: 7.2.3-27387
-----

500: ??title.unexpectedError??

??message.ifProblemsContinueContactSupportWithReference??
WGYV-CPO
2:52 PM Sunday 12-Aug-2012
Version: 7.2.3-27387
-----
End extracts.
Clearly these are messages a user is not meant to see. A phone number or e-mail address in the error message might have helped!
I leave it to readers to comment on this sort of nonsense.
Note first comment - worth having in blog - and thanks to commenter:
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Pre-empting any ‘ This was a planned maintenance window’

http://www.ehealth.gov.au/internet/ehealth/publishing.nsf/content/availability

Service availability
HomeService availability
This page identifies scheduled outages to the eHealth record system.


Notification of planned outage
There are no service outages scheduled at this time
---- End Comment
And no one is even monitoring the system (or this blog!)
-----
Later we get:

500: ??title.unexpectedError??

??message.ifProblemsContinueContactSupportWithReference??
C7JC-CPO
David.