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, October 10, 2012

This Might Just Be A Game Changer and Make The NEHRS Just Utterly Irrelevant.

The following appeared a little while ago.
October 4, 2012, 12:18 pm

Letting Patients Read the Doctor’s Notes

By PAULINE W. CHEN, M.D.
The patient, a wiry businessman in his 50s, needed a copy of his medical records to bring to a specialist for a second opinion. He assumed that getting the copies would be straightforward; the records were, after all, his.
But after multiple trips to his doctor's office and the hospital and several days of missed work, he learned otherwise. At the hospital, after spending the good part of a morning hunting down the right person to process his request, he learned that signing the requisite permission forms was not enough. He would have to pay for the copies that would take several days to put together. Those copies turned out to be incomplete, so he had to wait another few days, and pay more, for copies of the missing pages.
At his doctor's office, the staff and then his own physician had responded to his request by asking him why he even needed his records. "I told them the truth, that I wanted a second opinion, but it was more than a little awkward," he recalled. "I'm not sure if my doctor will treat me differently from now on."
"It's like they and the hospital were doing everything they could to make it harder for me," he said.
Two weeks later, dossier in hand, he swore he would never let it out of his sight. But, he added, "I can't say that this whole experience has given me a lot of confidence in my doctor or my hospital."
This patient's experience, like those of so many others who have tried to obtain their medical records, came to mind this week when I read about the long-awaited results of a study in which patients were given complete access to their doctors' notes. The findings, published in the Annals of Internal Medicine, do more than shed light on what patients want. They make our current ideas about transparency in the patient-doctor relationship a quaint artifact of the past.
Since 1996, when Congress passed the Health Insurance Portability and Accountability Act, or Hipaa, patients have had the right to read and even amend their own records.
In fact, few patients have ever consulted their own records. Most do not fully grasp the extent of their legal rights; and the few who have attempted to exercise them have often found themselves mired in a parallel universe filled with administrative regulations, small-print permission forms, added costs and repeated delays.
Many physicians also remained hesitant to share their notes, part of the patient's records, because of concerns that such openness might have harmful effects on both their patients' well-being and their own practices. Some worried that mention of minor abnormalities in laboratory values - for example, a slightly elevated prostate specific antigen or white blood cell count - could cause patients to worry unduly about some dread disease.
Other doctors feared that common medical abbreviations like "SOB" (shortness of breath) or "anorexic" (lack of appetite) could be misinterpreted. Still others imagined that writing notes with patient readers in mind would only complicate the process, adding to the already Sisyphean administrative demands of practice and inviting an onslaught of patient e-mails and calls for extended consultations.
Those fears, it now turns out, were largely unfounded.
Lots more here:
Here is another report of the same study.

Patients like reading their doctors' notes: study

Mon, Oct 1 2012
NEW YORK (Reuters Health) - Both doctors and patients gave high marks to a program allowing patients to access their primary care physicians' office notes online, in a new study.
Researchers at three U.S. practices found doctors' initial concerns about the extra time it would take to write out notes and answer patients' related questions didn't pan out.
And almost everyone who got access to their notes for the study wanted to keep seeing them, even if some patients were concerned about privacy issues.
"We were thrilled by what we learned," said Dr. Tom Delbanco, who worked on the study at Beth Israel Deaconess Medical Center in Boston.
"We had no clue that so many patients would read their notes, and that they would be both as enthusiastic and report so many clinically important changes in their behavior."
Delbanco led the study with Jan Walker, a nurse at Beth Israel.
They and other researchers implemented the program at Beth Israel, Geisinger Health System in Northeast/Central Pennsylvania and Harborview Medical Center in Seattle.
The current study involved 105 primary care doctors and more than 13,000 of their patients who participated in the trial of the system, called OpenNotes.
Over the course of a year or more, 87 percent of those patients opened at least one note and four in ten responded to a survey about their general experience.
Lots more here:
It seems to me creating a parallel electronic record - rather that setting up systems that do what is described here, as we plan with the NEHRS - might turn out to be a wasteful, stupid and in-effective idea.
It seems both doctors and their patients like this approach, where as we all know what most doctors think of the NEHRS proposal and all the associated issues.
Time for a rethink?
David.

Tuesday, October 09, 2012

NEHTA / DoHA Run Off On A Just Amazing Frolic. How Sad Is This?

The following e-mail appeared a few days ago.
From: NEHTA Industry Communications
Sent: Tuesday, October 02, 2012 1:04 PM
To: NEHTA Industry Communications
Subject: PIP eHealth Incentive - New requirements and Vendor Support
Dear All,
The Commonwealth Department of Health and Ageing has now released the five requirements for the new Practice Incentives Program eHealth Incentive.  Letters and requirements to practices will be distributed by mail today and we attach a copy of this correspondence for your information.  We expect all practices to have received this within the next few days.
Your customers may be contacting you shortly to ascertain your intention to list your product(s) on the PIP eHealth Product Register. You may wish to consider contacting your customer base to indicate your companies’ intentions in relation to product conformance in order to reduce the impact of calls from practices on your business.
The purpose of this email is to introduce the support material that is now available to you via the PIP website  www.nehta.gov.au/pip:
PIP Implementation overviews
The purpose of these documents is to give practices information and guidance about the Practice Incentives Program (PIP) eHealth Incentive requirements and to provide links to more detailed sources of information. The checklist items below are intended to help establish eligibility against this Requirement and should be read in conjunction with the PIP eHealth Incentive Guidelines available at www.humanservices.gov.au > Health Professionals> Incentives and Allowances> Practice Incentives Program (PIP)
(Note this is found here:
PIP eHealth Product Register
Software vendors must declare the conformance of their products to be included in the PIP eHealth Product Register. The requirements to demonstrate software conformance for the PIP eHealth incentive are provided on the Software Vendors page.
Software vendors
This section will provide you with some information about how to demonstrate software conformance for PIP and how to list your product onto the PIP eHealth Product Register
FAQs
This section should answer any questions you may have.
Contacts
Useful contact details for additional support.
Please do not hesitate to contact us should you have any questions.
NEHTA Industry Communications.
Attached to this e-mail are some Human Services Documents and a letter which provide similar information to that found at the link above.
Here is the link to start exploring.
The e-Health Program is introduced thus:

E-Health Incentive Introduction.

The eHealth incentive aims to encourage general practices to keep up to date with the latest developments in eHealth to assist in improving administration processes and enhancing the quality of patient care by, for example, by supporting the capacity to share accurate electronic patient records.
The Australian Government announced as part of the 2012-13 Budget that new PIP eHealth Incentive requirements had been developed in order to support the delivery of current eHealth initiatives particularly the personally controlled electronic health (eHealth) records system.
The new requirements and associated dates are:
Integrating Healthcare Identifiers into Electronic Practice Records
1 February 2013
Secure Messaging
1 February 2013
Data Records and Clinical Coding
1 February 2013
Electronic Transfer of Prescriptions
1 February 2013
PCEHR
1 May 2013
----- End Extract.
The very best bit is provided under each area:

Additional Reference Material

The product register is currently empty and the Desktop User Guide is a 40+ page document.
Here you are informed that (Page 5):
----- Begin Extract
This version of the User Guide is applicable for general practices and covers the following currently available eHealth functionality that is built into conformant Desktop Software:
·         Healthcare Identifiers; and
·         Clinical Document (CDA6) Viewing.
Further versions of the User Guide will be developed to align with future releases of NEHTA specified eHealth functionality (listed below), and for other community-based healthcare professionals, e.g. private specialists and allied health professionals.
The national eHealth program will enable the delivery over time of major new nationally agreed standards based eHealth services such as:
  • Shared Health Summaries, Event Summaries, and access to the national personally controlled electronic health (eHealth) record system;
  • Secure Message Delivery, and improved security, including e-Signatures;
  • e-Referrals, e-Discharge Summaries, and e-Specialist Letters;
  • e-Medication Management, including Electronic Transfer of Prescriptions and       improvements to e-Prescribing; and
  • e-Diagnostic Services, including e-Requesting and e-Reporting for pathology and  diagnostic imaging.
----- End Extract
So we are sure to see versions 1 to n over the next weeks and months.
I strongly suggest you download and browse this document. Having done that just reflect what all those in two and three man practices with 2 secretaries and a bookkeeper are going to make of what they are reading.
I hear the sighs of horror and resignation. They have neither the skills or the resources to manage all this are provided with a long set of links to add to their reading list to try and work out what is needed.
Nowhere are the services provided to help in any form I can see.
I think many will just throw in the towel and move on seeing a few more patients to make up for the money they lose.
It seems the Australian Medicare Locals Network (AMLN) but sadly Google does not seem to find a website for this lot.
My guess is that this fiasco will be the end of any GP co-operation with the NEHRS / PCEHR.
DoHA has always wanted to reduce the cost of PIP and this will certainly do it!
David.

Monday, October 08, 2012

Weekly Australian Health IT Links – 8th October, 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

A very spotty week with not much at all happening on the official front. Most amusing for me was going for my weekly look at my PCEHR and, out of interest checking out to option of establishing a second record for someone else. When I did that I could create a record for dependent child or whatever. However when I tried to use the browser back command guess what. I got this large message:

The request was a valid request, but the backened server is refusing to respond to it.

So typo and all, I was kicked out and had to go through the multistage log-on again to check my record out.
I wonder want a ‘backened server’ is and why it is being so naughty?
I really am sick of this user testing. It seems I am not the only one based on this comment from a day or so ago.
Anonymous said...
It would seem they have spotted something wrong regarding the Medicare data PCEHR consumer registration is currently unavailable.
Access to existing eHealth records remains available but an error may be encountered when retrieving a Medicare document. Details of Medicare documents remain available in the Medicare Services Overview page.
Notification of planned outage.
There are no scheduled outages at this time.
However yesterday stated due to daylight saving the HI service would not be available and would affect the ehealth records
Could someone enlighten me as to why daylight saving cause this in this day and age and effect the pcehr, should I be setting reminders not to need critical care at certain times of the year? And just when is the next solar flare scheduled?
Astonishing stuff as reported earlier today!

On another front - have just had a little tweet that says:

"Confirmation today that all contractors at NEHTA will be out by 31 December...because ehealth/PCEHR is done!!!"

We are surrounded by fools and nitwits - there goes all the actual technical smarts!
-----

Getting e-health right

  • Date: 21 June 2012
On Point of View, GP and leading researcher, Dr David Peiris asks if the launch of Australia's e-health system has lost sight of the people the system is supposed to help?
From July this year all Australians will be able to register to have their personal health records made accessible online to the health care professionals they authorise. The promise is that for the first time, Australians will have easy access to information about their medical history, including medications, test results and allergies, and so will their health care providers.
Establishing a “personally controlled electronic health record” (PCEHR) system is a massive undertaking for Australia on which the Federal Government is spending more than $460 million over two years. But almost on the eve of implementation it’s time to ask the question: in focusing so hard on getting the process right, have we lost sight of the people the system is supposed to help?
The potential overall benefits of an effective e-health system are not in doubt, although politicians will continue to argue about how it is done and how much is spent on it. A report by Booz & Company cited by the Federal Government estimates a comprehensive e-health system could save not only $7.6 billion in healthcare costs by 2020, but also 5000 deaths, two million primary care and outpatient visits, 500,000 emergency department visits and 310,000 hospital visits each year. The benefits are predicted to flow from fewer medication errors and optimised use of pharmaceuticals, better care programs and prevention measures, better use of health care infrastructure, and higher productivity among health care workers.
-----

ImpediMed ticks towards approval

Brendon Lau
We can learn so much from mice. That was probably the biggest takeaway for ImpediMed’s shareholders as the medical device innovator attempted to sell its proverbial “better mousetrap”.
The problem is the world doesn’t always beat a path to your door when you have a good idea, and that effectively sums up the 77 per cent odd collapse in ImpediMed’s share price over the past two years.
The question now is whether ImpediMed’s L-Dex device to detect lymphedema (swelling in the limbs from impaired flow of the lymphatic system) is only for the birds.
-----

Electronic records, NBN bring better e-health to Australia, says iCare

The e-health company opened a new office in East Melbourne expected to create 35 ICT jobs.
Increased education about the benefits of digital health records will drive their adoption in Australia, according to healthcare software developer iCare. The e-health company this week opened a new office in East Melbourne, which Victorian technology minister Gordon Rich-Phillips said would create 35 ICT jobs over the next three years.
Personally controlled electronic health records (PCEHR) are “absolutely valuable” for “the very young, the chronically ill and the aged,” said iCare managing director, Chris Gray. While there have been political attacks and reports of slow adoption of Australia's PCEHR, Gray voiced optimism due to digital records’ high value to patient care. He said education will be critical to driving uptake.
-----

Savings found on the office desktop

TASMANIA'S Department of Health and Human Services had to manage budget cuts while undergoing a major restructure.
In 2011-12, it was charged with saving $100 million in a $1.8 billion budget and decentralising by establishing three regional statutory authorities called Tasmanian Health Organisations as per the National Health Reform.
DHHS is Tasmania's largest government agency and delivers thousands of services through a national network of more than 300 facilities and centres covering hospitals, mental health, dental, aged-care and housing.
-----

Medical computer software - a burden for GPs

2nd Oct 2012
IMAGINE you bought a car for a substantial sum, and then had to buy a key for nearly as much to be able to use it. Not only that, you had to pay for a new key every year! Worse still, you had to ‘upgrade’ your key every three months even if you didn’t want to, otherwise your car could not be used.
In rare instances in life this scenario may be tolerable, with reasonable support and services, but normally you wouldn’t put up with such a situation.
Yet this is exactly the case  regarding the computers on our desks, but strangely no one appears to complain. The truth is, many people I know complain. The real question is who is listening?
-----

St. Vincent's Hospital Melbourne Selects Amcom Software's Clinical Alerting Middleware

  • Amcom Messenger middleware used to send messages from multiple nurse call and other alerting systems to appropriate staff's mobile devices
  • Replaces legacy paging system with ability to communicate with DECT phones and a variety of other mobile devices
PERTH – September 25, 2012 – Amcom Software's Australian division today announced the launch of its Amcom Messenger clinical alerting middleware at St. Vincent's Melbourne, covering the Fitzroy, Caritas Christi, and St. George campuses. The solution is being used to distribute critical messages from nurse call systems and fire panels directly to staff to improve efficiency and safety. The hospital selected Amcom Messenger to replace its legacy paging system and better communicate with staff across more than 600 DECT phones and other mobile devices.
-----

Melbourne doctors discover way to remove lung cancer lesions using a GPS-guided device

  • Brigid O'Connell
  • Herald Sun
  • October 04, 2012 12:00AM
MELBOURNE doctors have discovered a way to remove previously incurable lung cancer lesions, using an Australian-first application of a GPS-guided device.
Two trials run by Royal Melbourne Hospital and Peter MacCallum Cancer Centre allow lung cancer patients to have curative treatment without surgery.
Shirley Young, 71, had half her right lung and two ribs removed after a tumour was found two years ago.
-----

E-health: Veterans' counselling service eyes $1 million systems upgrade

The government's PCEHR initiative means that the Veterans Families Counselling Service needs a new information management system
The Department of Veterans' Affairs is seeking a replacement for the aging information management system used by the Veterans and Veterans Families Counselling Service (VVCS).
There are 15 VVCS Centres, and in 2010-11 the centres co-ordinated some 60,000 counselling sessions and group programs involving some 4000 individuals
The current VVCS Management Information System is used to store data on clients and counselling services as well as funding and expenditure. The department wants to replace the 10-year-old VMIS, written in Delphi, with a modern system able to interface with the government's Personally Controlled Electronic Health Record (PCEHR).
-----

Edwin Kruys: Learning to love e-health

WE love paper. Just think about it — we use paper hospital notes, send each other printed or even handwritten letters, use paper radiology and lab forms, write or print our scripts, and we worship the voluminous textbooks on our shelves.
The good old fax machine, introduced in the 1970s, was much more successful in winning over health care professionals than e-health has been.
At the same time we feel the paper-dominated health care ecosphere is not very efficient, to say the least.
Many of us own a smartphone, tablet device or laptop and we love it. We make our devices sync with work email and agendas or other software. We may have a few cool apps. And about one in 10 Australian doctors is even using social media to connect with patients and other health professionals.
-----
2 October 2012, 6.50am AEST

Open health: what is it and why should you care?

Nick Evans
Adam Henschke
 “Open health” captures a broad set of information technologies that will change the way we approach health and health care. It encompasses “ehealth” (the storage and provision of personal medical information online) but also includes the release of health information to the public at large. It’s the health side of “open data” policies being pursued by countries all over the world.
The capacity for anyone to access large amounts of health information is likely to have far-reaching effects. We’re researching open health in the United Kingdom, which has one of the most aggressive open data policies in the world, because as Australia enters the world of open health, it’s important to engage with the experiences of other countries in an open and democratic fashion, and apply them to our own situation.

Why it’s important

Open health is not just about you having more access to your health data, but making it available and accessible to others — eventually on an unidentifiable but individual scale — as opposed to aggregate data. In the near future, there’s a good chance that yours and everyone else’s personal health information will be available for download by anyone (with identifiers removed).
-----
Australian-based technology services company DiUS Computing is proud to announce it has won the Most Valuable Supplier Innovation Award from ResMed, a global leader in the development, manufacturing and marketing of medical products for the diagnosis, treatment and management of respiratory disorders.
-----

Calling Dr Google

  • by: Adam Cresswell, Health editor
  • From: The Australian
  • October 01, 2012 12:00AM
NEW mother Casey Morrison was already a self-described internet junkie while waiting to give birth to her first child, Eva, and used her addiction productively, trawling the web to find pregnancy-related health information and tips to ensure her baby was born as healthy as possible.
"At the hospital where I went, they were taking many more patients than they could handle, and the midwife appointments were very brief and not very helpful," says the 31-year-old, who was diagnosed with gestational diabetes while pregnant. "I found out more (information) from the internet than I did from the midwives and doctors."
Morrison is typical of the new generation of literate, tech-savvy young patients for whom the internet is an authoritative, perhaps even primary, source of health information, consulted as an alternative to, or in conjunction with, a more traditional consultation with doctors or other health workers.
The proliferation of websites offering credible information has driven this trend, along with the rise of social media that allows patients to share experiences and tips directly with each other.
-----

New eHealth incentive requirements for GPs

The Department of Human Services has released new conditions and dates for general practices interested in receiving eHealth Practice Incentive Payments (PIP) from next year.
Intended to promote the uptake of information technology to improve administration processes and patient care, the incentive scheme now has five requirements.
The first involves a practice obtaining a Healthcare Provider Identifier for its organisation (HPI-O), each of its practitioners (HPI-I) and use compliant software to access, retrieve and store Individual Healthcare Identifiers (IHI) of presenting patients.
-----

Safety net monitoring system is working: Guild

5 October, 2012 Nick O'Donoghue
Despite criticism that people are slipping through the PBS safety net, the Pharmacy Guild of Australia believes the current system is working well.
Responding to calls for an automatic monitoring system to ensure patients’ PBS co-payments are recorded, and claims by Rollo Manning, Adjunct Lecturer at Charles Sturt University, that the current manual process of tracking patient contribution “obviously is not working”, a Guild spokesperson said almost two million people reached the threshold each year.
“Regardless of the merits of automated recording of dispensing towards a safety net target, Rollo Manning’s assertion in Pharmacy News yesterday, that the current manual system is not working does not stand up to scrutiny,” the spokesperson said.
-----

Screen-addicted children may have newest mental illness

Date September 30, 2012

Sarah Whyte

Children addicted to using electronic devices 24/7 will be diagnosed with a serious mental illness if a new addiction, included as ''internet-use disorder'' in a worldwide psychiatric manual, is confirmed by further research.
The formal inclusion of the new addiction has been welcomed by Australian psychology professionals in response to a wave of ''always-on'' technology engulfing kids.
The Sun-Herald has spoken to parents of children as young as seven who are aggressive, irritable and hostile when deprived of their iPads or laptops. Psychologists argue video game and internet addictions share the characteristics of other addictions, including emotional shutdown, lack of concentration and withdrawal symptoms if the gadgets are removed.
-----

Mighty telescope begins scouring universe

Date October 5, 2012 - 2:07PM

Bianca Hall

Scientists will be on the lookout for intelligent life in the outer regions of the universe when they embark on studies into the origin of life on Earth using the world's most powerful telescope system.
The Australian Square Kilometre Array Pathfinder,  comprising 36 dishes in remote Murchison, 315 kilometres north-east of Geraldton, Western Australia, was officially opened today.
The $400 million project has already been booked out for its first five years by 350 international researchers, who will conduct projects including a census of galaxies within  several billion light years of Earth, and studies of magnetic fields and black holes.
-----
Enjoy!
David.

AusHealthIT Poll Number 139 – Results – 8th October, 2012.

The question was:

Has the NEHRS / PCEHR Program Paid Enough Attention to the Usability of the System for Clinical Practitioners?

Yes 13% (5)
Maybe 0% (0)
Maybe Not 0% (0)
No 64% (25)
We Can't Know Just Yet As System Is Not Yet Ready 23% (9)
Total votes: 39
Very interesting.  A large majority believe usability is not being taken seriously enough.
Again, many thanks to those that voted!
David.

Our Mates Running Basic Health IT Services Are Really Out To Lunch and Now On Holiday for Monday!

There has been an amazing stream of e-mails over the weekend. Here is a selection.
Sent by: xxxx xxxxx                                             
To:  Online_Technical_Support_ Liaison/CO/HIC
06/10/2012 09:40  PM and earlier at 5:27 PM
Subject:   ****Information update****  Department of Human Services advice - HI Service currently unavailable  [SEC=UNCLASSIFIED]
Good afternoon,
The Department of Human Services (the Department) wishes to advise that the HI Service is currently unavailable. A resolution is being worked on as a priority, we will provide more information as it becomes available.
The Department apologises for any inconvenience this may cause.
Regards
Online Technical Support Liaison
Health and Government to Business Systems Division
Department of Human Services
-----
Good Evening,
Further to the below communication the Department of Human Services (the Department) wishes to advise that the HI Service will remain unavailable until after the completion of the daylight savings maintenance work at 7.00 am on Sunday 07 October 2012.
If there are any changes to this update the department will provide further advice.
The Department apologises for any inconvenience this may cause.
Regards
Online Technical Support Liaison
Health and Government to Business Systems Division
Department of Human Services
-----
From: hiservice@humanservices.gov.au
Sent: Sunday, October 07, 2012 9:11 AM
To: otsliaison@humanservices.gov.au
Subject: ****Additional Information Update***** Fw: Department of Human
Services advice - HI Service currently unavailable [SEC=UNCLASSIFIED]
Good morning,
The Department of Human Services (the department) wishes to advise that the HI Service service is still unavailable. The department is continuing work to resolve this issue as a priority, we will provide more information as it becomes available.
The department apologises for any inconvenience this may cause.
Regards
Online Technical Support Liaison
Health and Government to Business Systems Division
Department of Human Services
-----
And then there is this issue:
From: otsliaison@humanservices.gov.au
Sent: Sunday, October 07, 2012 9:10 AM
To: otsliaison@humanservices.gov.au
Subject: ****Additional Information Update***** Fw: Department of Human
Services advice - Medicare Online, ECLIPSE, PBS and Aged Care currently unavailable [SEC=UNCLASSIFIED]
Good morning,
Further to the below communication the Department of Human Services (the department) wishes to advise that our Medicare Online, ECLIPSE, PBS and Aged Care services are still unavailable. The  department is continuing work to resolve this issue as a priority, we will provide more information as it becomes available.
The Medicare Easyclaim program will remain on the contingency server during this time.
The department apologises for any inconvenience this may cause.
Regards
Online Technical Support Liaison
Health & Government to Business Systems Division
Department of Human Services
Email: otsliaison@humanservices.gov.au
Web: humanservices.gov.au/healthprofessionals
-----
What to say? This lot clearly can’t provide any clinically useful systems with protracted outages like this. I am not quite sure what is acceptable but a recent poll of users suggested 99.9%+ as a minimum. This lot have used up an annual allowance or two with all this!
Just hopeless. See blog later today for another little issue!
David.
Late Note: Apparently things are close - but not totally back to normal at of 10:30am Monday 8/10/2012. Seems they have been pretty long outages to me!
D.

Sunday, October 07, 2012

This Must Be The Most Clueless Major Health Department Ever And They Are Running Australian E-Health. It Is A Real Worry.

The most astonishing bungle for a good while emerged from the Department of Health (DoHA) last week.
Here is some of the coverage:

Thousands of dollars worth of anatomically bungled posters to be shredded

4th Oct 2012
ABORIGINAL health posters riddled with errors are destined for the paper shredder, leaving taxpayers thousands of dollars out of pocket.
The federal health department has put out an immediate recall on 171 A3-sized posters of the female anatomy produced as part of the Labor government's Live Longer campaign and sent to Indigenous health services across the country.
Opposition Indigenous health spokesman Andrew Laming said the posters were a "fiasco", with embarrassing errors such as the lungs labelled stomach, an extra pancreas and ovaries labelled kidneys, along with arrows in the wrong places.
"The oesophagus runs into the lung," Dr Laming said in a statement on Wednesday. "The ureters look like they join to the small intestine instead of the kidneys and the bladder is sitting on top of the uterus."
More here:
The best image is associated with this link:

Health Dept withdraws inaccurate anatomy posters

By chief political correspondent Simon Cullen
Updated Wed Oct 3, 2012 5:20pm AEST
The Federal Health Department has been forced to withdraw one of its Aboriginal health posters after it was revealed to contain embarrassing errors about basic human organs.
The poster, titled Female Human Anatomy, confuses the stomach with the lungs and incorrectly labels the ovaries as kidneys.
It also has an arrow pointing to the intestine, but instead calls it the stomach. The poster also shows two pancreases.
The poster is part of the Government's Living Longer program aimed at improving the health outcomes of Aboriginal and Torres Strait Islander people.
It was taken down from the campaign's website today.
Opposition Indigenous health spokesman Andrew Laming says the campaign has been "severely undermined" by the errors.
"The lack of any attention to detail in these posters is an insult to the Aboriginal and Torres Strait Islanders that were the target audience for this material," Dr Laming said.
Image is here:
Here is a detailed description of many of the errors.

Pulp fiction: body of evidence leaves officials red-faced

  • by: Adam Cresswell, Health editor
  • From: The Australian
  • October 04, 2012 12:00AM
IS your heart in the right place? Most Australians would think so but, if you happen to be female, bad news - it seems the federal government would respectfully like to disagree.

According to a health education poster prepared by the federal Department of Health and Ageing and distributed to health centres across the country, the female heart is located dead centre in the chest, not displaced to the left side.
But that's not the half of it, as the poster - 2000 copies of which were printed as part of a $21.3 million health promotion campaign launched last month - shows someone in the department has some decidedly weird ideas about the placement of women's body parts generally.
According to the full-colour poster, which forms part of a "Community Health Action Pack" and is sized halfway between A4 and A3, what men call the stomach becomes one of the lungs when it gets into women, while the female stomach is hidden somewhere in the small intestines.
Women seem to have sprouted an extra pancreas, cunningly disguised as the right kidney, while the kidneys have upped sticks and taken up residence where the ovaries should be.
More here:
Why I raise this is simple. It shows just how detached and ignorant of practical health information are the vast majority of those who work at DoHA. That such an error filled poster could escape into the public domain is just extraordinary.
And this is the Department that is bringing you the NEHRS! What hope can we possibly have for Australian E-Health when this lot is in charge. The lack of connection with the clinical workface is obvious and dangerous!
Keeping properly informed and educated staff away from posters is one thing but from the NEHRS is a disaster in the making. Surely any proper Health Department would have processes to conduct a clinical sanity check on any documentation it issues. The same thing is needed, and appears to be absent, from the NEHRS program the way it is being handled.
This would be extraordinarily funny if the implications were not so serious!
David.