In preparation for Senate Estimates Hearings next week we have some information releases from DoHA which came out yesterday.
Karen Dearne Reports:
-----
Only 16 Shared Health Summaries had been uploaded to the Personally Controlled E-Health Record System by November 12, according to the federal Health Department.
"These summaries were uploaded from pilot sites ahead of the planned rollout of clinical software to connect providers to the PCEHR system," the department says, in belated answers to questions on notice from the Senate Estimates hearings last October.
"As at November 22, there were 48,335 documents downloaded from the PCEHR, with consumers accessing the system an average 306 times a day."
By the same date, 275 provider organisations had completed registration, while five software vendors had completed Medicare's "Notice of Connection and Conformance, Compliance and Accreditation for a range of PCEHR transactions through the (Human Services Department) B2B interface".
Health did not provide any information on the number of "distinct clinical discharge summaries uploaded", as requested by Queensland Senator Sue Boyce.
Given the department missed the December 7 deadline for responses and the Community Affairs committee meets for the next Estimates round next Wednesday, it is puzzling that more recent figures are not available.
In October, a Health official said 13,340 people had registered for a PCEHR, while the department had forecast 500,000 registrations in the first full year of operation.
Meanwhile, Health has confirmed there have been "a series of outages" in the e-health environment, including the Healthcare Identifiers service, vendor PCEHR test environment and the Pharmacy Benefits Schedule, saying these were planned outages "to allow for system maintenance and upgrade".
"The PCEHR system availability target is similar to targets set for other Australian government and hospital systems, and also the Singapore e-health record system (on which the PCEHR is based)," it says.
Human Services separately reported 137 ICT Reliability outages in the period October 1, 2011 to September 30, 2012, primarily in internal systems used by Centrelink and Medicare. Twenty-eight were experienced in the outsourced Vendor Managed Environment.
On occasions these unscheduled outages affected customer access to services like Centrelink Online, Medicare Online, PBS Online, the Health Professionals Online System and the PCEHR.
"As systems stability is a key priority, improvement programs undertaken over the past 12 months have realised a 27 per cent reduction in reliability outages during (the most recent quarter) July-September compared to the April-June quarter," Human Services says.
"Four major pieces of work are currently underway to improve the reliability and availability of ICT systems."
These involve the transition of seven old data centres into two modern facilities over the next few years; upgrade of the customer portal to a 64-bit environment to increase the capacity of concurrent session handling, and configuration of agentless monitoring devices for data packet monitoring to provide greater transparency and more comprehensive reporting of ICT transactions.
ICT services previously outsourced to IBM and HP are also being transitioned to in-house management, "removing dependency on external factors, thus enabling proactive service management and increasing reliability as a result", it says.
-----
A pretty sad story.
David.
Friday, February 08, 2013
Thursday, February 07, 2013
There Is A Fundamental Problem Here That We Are Not On Top Of. More Work Needed.
In the last few days we have had a lot of discussion of the following report.
Discharge reports found wanting
Half of all hospital discharge summaries omit significant clinical information and one in 10 lack the main diagnosis, according to an audit of a tertiary hospital.
Researchers took a random sample of 150 summaries at Maroondah Hospital in Melbourne and found 12% were missing the principle diagnosis — including the diagnosis of sepsis in a patient treated for a UTI.
Acute renal failure, anaemia and electrolyte disturbances were the most commonly omitted comorbidities in discharge documentation.
One patient presented with fever, rigors, hypotension and elevated inflammatory markers and was treated for Proteus mirabilis urosepsis. On discharge, his principal diagnosis was documented as "UTI".
In an article soon to be published in the Internal Medicine Journal, the authors said the study was designed to track whether clinical activity in the hospital was being accurately coded to ensure the hospital attracted all the funding available.
They said associated diagnoses and a full list of complications were often missing because the interns writing the summaries did not think them serious.
More here:
Here is another report:
Patients urged to check medical records after errors havoc
Date February 1, 2013
Julia Medew
The study of 150 patients' discharge summaries at Maroondah Hospital in Melbourne during 2011 and 2012 found half were missing significant clinical information and one in 10 had the wrong diagnosis.
PATIENTS are being urged to keep a close eye on their medical records amid growing evidence that hospital staff are regularly making costly and dangerous mistakes .
Epworth Freemasons acknowledged on Thursday it had accidentally sent a Melbourne mother home this month with records showing she had had a baby boy instead of a baby girl.
The records listed the correct name and address of the mother, but said her male baby's testes had been checked, among other things. The documents also included the wrong doctors' name and said the mother had suffered a fractured pelvis when this was not the case.
The mother, who did not want to be named, told Fairfax Media the erroneous records had caused havoc in the first three weeks of her baby's life, making it difficult to register her infant with the Office of Births, Deaths and Marriages.
She was also shocked to hear a maternal child health nurse lament her fractured pelvis and use male growth charts for her baby girl.
While the hospital has apologised and corrected the records, the mother said it made her doubt the care she and her baby received at the hospital in East Melbourne.
''The fact that it wasn't just missing information but recorded that the testes were checked puts a question mark over everything,'' she said.
Lots more here:
And from the US we have reports like this.
EHR Accuracy Remains Problem, CHIME Says
College of Healthcare Information Management Executives warn technology and workflow burdens make EHR reporting nearly impossible.
By Michelle McNickle, InformationWeek
January 31, 2013
URL: http://www.informationweek.com/healthcare/electronic-medical-records/ehr-accuracy-remains-problem-chime-says/240147454
January 31, 2013
URL: http://www.informationweek.com/healthcare/electronic-medical-records/ehr-accuracy-remains-problem-chime-says/240147454
Recent comments made by members of the College of Healthcare Information Management Executives (CHIME) make clear the organization doubts hospitals' ability to submit accurate and complete data through electronic health records (EHRs). CHIME members' comments were made in response to a Jan. 3 Request for Information (RFI) issued by the Center for Medicare and Medicaid Services (CMS).
In a statement, CHIME members commended federal efforts made toward "reaching a harmonized approach" for electronic clinical quality measurement and reiterated its support for aligning EHR-based reporting and hospital quality reporting programs. But the "number one thing" the organization wanted to convey to CMS is that quality measurements through EHRs are "extremely time intensive and difficult," said Jeffery Smith, assistant director of public policy at CHIME, in an interview with InformationWeek Healthcare. 
"We want to make sure they understand that as far as data coming together in an electronic format, it doesn't seem like sending data electronically will be difficult," Smith said. "But getting accurate and complete measures is really difficult."
See link in text.
The bottom line in all this is the old chestnut of ‘garbage in, garbage out’. The other issue is that data quality can only really be assured if those recording the data 1. Know what they are doing and 2. Have some ‘skin in the game’ in terms of needing to use and being accountable for the information captured.
There is zero motivation for a GP to record wrong information in the records they rely on to treat their own patients but similarly there is less pressure on the intern who is leaving the rotation in the next week to be as thorough as might be desired with the discharge summary.
It is my belief that sadly we need a mix of both carrot and stick - as well as ongoing serious investment in education - if there is ever going to be able to be real trust in shared health information. Additionally patient access to their record can help locate and correct errors and is really a good idea as it has been shown to improve patient understanding and engagement as well as record accuracy.
You can read about the work in the Open Notes Movement and so on here:
and here:
To me this is an idea whose time has come and which can also improve information quality.
David.
Wednesday, February 06, 2013
Primary Healthcare Reports Some Interesting Results - Owners Of Medical Director and Other Programs.
Primary Healthcare Ltd (ASX:PRY) reported its results today.
For the ½ year Health Technology provided Revenue of $18.8M (up $1.6M) and EBITDA of $9.7M ($9.5M)
From this is it clear this is a very profitable - albeit small - component of the overall Revenues of $720M ($682M)
The EBITDA Margin was 51.6% which is really, really profitable!
Management comments were that they were “Committed to retain and invest in this business”. Hardly a surprise given how profitable it is - remembering there were rumours of divestment a year or so ago.
Other points made were:
• All software products performing in line with expectations
• Senior management changes enacted during the period
• Revenue growth of 9% primarily in lower margin products
• Costs of detailed review of business expensed in period
• Opportunity to grow the business both internally and externally:
§ New functionality for software to be web based
§ Enhanced products for new markets (specialists)
All in all a very interesting result for all those in GP and e-Health land. They are not suffering too much in providing this software for those who are using it.
David.
Tuesday, February 05, 2013
A Comment Trail That Seems To Offer Some Concerns About the NEHRS / PCEHR System Integrity.
In response to this blog post there has been a good deal of discussion.
The comment that triggered the concern is this one:
Anonymous said...
On the note of inappropriate access to personal health records, I have accessed my PCEHR and run the audit log. I was shocked to see that my record had been accessed by the role of "external provider" (no further details given about who this is). The type of access included reading and updating of documents, reading of my emergency contact details and even updating of my access controls. Most of these accesses occurred in July/August 2012. I am guessing that this was a time when the system was not very stable and was being fiddled with by the system operator. But is is very disconcerting to see that some sort of "external provider" has been messing with my record. If it is the system operator it should clearly show that - not pretend to be a provider. Has anyone else tried this? And is there an explanation? I don't feel comfortable ringing the help desk - I don't want anyone else messing around in my record. Also, I did not get any emails or notifications that an external provider had accessed my record, even thought I set this up in the record. Not happy.
This is the direct link:
As discussed a day or so ago it does seem there are a few issues with the way the audit trail is working. See here:
Here is a short extract of the Audit Trail from today.
10/01/2013 03:25:21 AM Add Document DHS Medicare External Provider Create DocumentID 1.2.36.1.2001.1007.11.8003640002000019.1000000001026773
10/01/2013 03:25:21 AM Add Document DHS Medicare External Provider Create DocumentID 1.2.36.1.2001.1007.11.8003640002000019.1000000001026772
10/01/2013 03:25:20 AM Add Document DHS Medicare External Provider Create DocumentID 1.2.36.1.2001.1007.11.8003640002000019.1000000001026772
10/01/2013 03:25:18 AM Add Document DHS Medicare External Provider Create DocumentID 1.2.36.1.2001.1007.11.8003640002000019.1000000001026771
These records label each record as having come from DHS Medicare and when clicked on I get a prescription record dated 16 December, 2012. Oddly one data element is repeated incorrectly according to my prescription and what I received in the form of 3 rather than 4 boxes of medications.
It will be very interesting to hear what is displayed when more providers other than the user and Medicare are contributing to the final record.
On the issues raised in the comments above(now 23 of them) it seems to me the best approach might be to e-mail the Chief Health Officer mentioned below with the concerns. That will at least force a (slow) response.
Clinical safety audit program for the Personally Controlled Electronic Health Record (PCEHR)
The Commission has established an independent Clinical Governance Advisory Group (CGAG) and a clinical safety audit program for the Personally Controlled Electronic Health Record (PCEHR).
This national clinical governance function complements and strengthens the work being performed by the National E-Health Transition Authority in assuring the safety and quality of the standards and specifications supporting the PCEHR and will provide external assurance on PCEHR clinical safety issues.
The CGAG meets quarterly to consider the clinical safety audits of the PCEHR and other clinical safety issues relating to the PCEHR and provide advice to the Department of Health and Ageing. The CGAG comprises experts from across Australia, and is chaired by the Chief Medical Officer Professor Chris Baggoley.
See full page here:
An e-mail to here marked attention CMO would be a good start:
Yet again all this reflects on the really poor way e-Health Governance has been set up in Australia with a lack of leadership and transparency and with maximum complexity in finding out ‘who to call’ - as one of the other commenters pointed out!
I wonder who is actually on the CGAC and what their expertise is?
For this blogger there is no doubt that the NEHRS is, as they say, the gift that just keeps on giving.
David.
AusHealthIT Poll Number 153 – Results – 5th February, 2013.
The question was:
Should The Introduction of the Revised ePIP Conditions be Slowed Down Until Proper Support and Education Has Been Provided To All Affected Practitioners?
Yes 53% (16)
Probably 7% (2)
Probably No 7% (2)
Definitely Not 27% (8)
I Have No Idea 7% (2)
Total votes: 30
Very interesting. A tiny majority think a delay is warranted.
Again, many thanks to those that voted!
David.
Monday, February 04, 2013
Weekly Australian Health IT Links – 4th February, 2013.
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
The year has now really begun now Australia Day has passed and certainly the pace of life has picked up with the Federal Election announced, senior ministers leaving and an Federal MP being charged with fraud. And that was just one week. Amazing!
On the e-Health front there is also some activity with ePIP requirements coming into effect and continuing silence on many aspects of e-Health. Qld Health Payroll gets back into the news and it seems there are some issues that need to be addresses in the data quality of Discharge Summary.
----
Inquiry begins into Qld health payroll debacle
It will determine, who, if anyone, is responsible for the debacle.
- AAP (CIO)
- 01 February, 2013 13:14
An inquiry into Queensland's flawed health payroll system has started in Brisbane.
The inquiry, which is expected to cost $5 million, began on Friday morning with a directions hearing at the Magistrates Court.
It will determine, who, if anyone, is responsible for the debacle.
The inquiry head, former Court of Appeal judge Richard Chesterman QC, said his focus would be on the governance and procurement of the system that resulted from a deal between IBM and the Bligh Labor government.
-----
Queensland Health payroll bungle 'had real human consquences'
- by: Sarah Elks
- From: The Australian
- February 02, 2013
IBM must deliver its current and former staff for public questioning and may be forced to reveal confidential business documents to an inquiry into the billion-dollar failure of the Queensland Health payroll system it designed.
Opening the $5 million commission of inquiry yesterday, retired judge Richard Chesterman QC said the bungled rollout led to tens of thousands of government workers being underpaid, overpaid or not paid at all, with some left "temporarily destitute" or "falsely accused of fraud".
The royal commission-style inquiry was set up by Premier Campbell Newman in December to discover what went wrong, why, and who is to blame for the $1.25 billion debacle.
-----
E-PIP data dump swamps GPs
31 January, 2013 Paul Smith
General practices battling to revamp their IT systems have been bombarded with 28 different guidance documents two weeks before the ePIP deadline.
The National E-Health Transition Authority (NEHTA) put documents on its website on 17 January. The readings included such page-turners as the NASH PKI Health Care Provider Application Form and the Sample RO Authority Document for Seed HPI-O Application.
Dr Edwin Kruys, a GP in Geraldton, WA, said the whole process had been time-consuming and complicated.
"So far we've spent about 100 management hours on it to make sense of the complexity of guidelines, rules and regulations. My managers complain the support has been minimal, and only in the last few weeks has the Medicare Local come on board.
-----
Thousands of practices to miss out on ePIP
21 January, 2013 Kate Newton
Thousands of general practices are still not eligible for e-health incentive payments, just weeks out from the first deadline.
Australian Doctor understands at least 3300 practices are yet to apply for their organisation's health provider identifier, which is needed to use the e-health system.
From 1 February, general practices need to meet the four e-health criteria to continue receiving the Practice Incentives Program eHealth Incentive (ePIP) payments, which are worth up to $50,000 per practice a year (see box).
The deadline by which practices must be able to use the Federal Government's $1 billion personally controlled electronic health record system will not kick in until 1 May this year.
-----
Department of Health and Ageing to digitise 40 million patient records
Plan to convert 980,941 pages of Medibank and private health insurance patient records stored on microfiche into searchable PDFs
- Byron Connolly (CIO)
- 01 February, 2013 10:44
The Department of Health and Ageing (DoHA) will digitise more than 40 million patient records stored on old microfiche archive equipment between 1975 and 1984 before the government’s Medicare scheme was introduced.
In a tender issued on today, the DoHA said was looking for a supplier to convert images from microfiche to a digital image format, optimise the images for an optical character recognition (OCR) process, and convert them to PDFs with text and manual searching.
This historical data – which includes almost 1 million pages of Medibank and private health insurance records – is held on computer output microfiche or COM fiche cards, many of which have “degraded and marked with scratches due to wear and tear,” the DoHA said.
Patients urged to check medical records after errors havoc
Date February 1, 2013
Julia Medew
PATIENTS are being urged to keep a close eye on their medical records amid growing evidence that hospital staff are regularly making costly and dangerous mistakes .
Epworth Freemasons acknowledged on Thursday it had accidentally sent a Melbourne mother home this month with records showing she had had a baby boy instead of a baby girl.
The records listed the correct name and address of the mother, but said her male baby's testes had been checked, among other things. The documents also included the wrong doctors' name and said the mother had suffered a fractured pelvis when this was not the case.
The mother, who did not want to be named, told Fairfax Media the erroneous records had caused havoc in the first three weeks of her baby's life, making it difficult to register her infant with the Office of Births, Deaths and Marriages.
-----
One in ten discharge summaries get diagnosis wrong
29 January, 2013 Sam Lee
Half of hospital discharge summaries omit significant clinical conditions and one in ten have the wrong diagnosis, an audit at a Victorian tertiary hospital has found.
The findings, from a random review of 150 discharge summaries, show that GPs may not be given the whole picture when they provide follow up patients discharged from hospital say Dr Nicholas Chin and colleagues at Maroondah Hospital.
And their findings could also have major implications for hospital finances under casemix-based funding systems, as each revised discharge summary entitled hospitals to $2000 in extra funding for the ‘additional’ illnesses that were left off the original summaries, the study authors say in the Internal Medicine Journal (online 24 Jan).
-----
Discharge summaries get diagnosis wrong
Date January 31, 2013
Julia Medew
SCORES of patients are leaving hospital with the wrong diagnosis in their medical records, causing massive discrepancies in hospital funding amounting to hundreds of thousands of dollars.
An audit of 150 patients' discharge summaries at Maroondah Hospital in Melbourne between November 2011 and January last year found half were missing significant clinical information and one in 10 had the wrong diagnosis.
The findings suggest hospitals are putting patients at risk, giving GPs the wrong information to continue caring for patients after a hospital stay and incorrectly coding their work for government funding.
-----
Discharge reports found wanting
1 February, 2013 Paul Smith
Half of all hospital discharge summaries omit significant clinical information and one in 10 lack the main diagnosis, according to an audit of a tertiary hospital.
Researchers took a random sample of 150 summaries at Maroondah Hospital in Melbourne and found 12% were missing the principle diagnosis — including the diagnosis of sepsis in a patient treated for a UTI.
Acute renal failure, anaemia and electrolyte disturbances were the most commonly omitted comorbidities in discharge documentation.
One patient presented with fever, rigors, hypotension and elevated inflammatory markers and was treated for Proteus mirabilis urosepsis. On discharge, his principal diagnosis was documented as "UTI".
-----
Problems in patient care linked to deaths
Date January 30, 2013
Amy Corderoy
Health Editor, Sydney Morning Herald
A QUARTER of all surgical patient deaths involve potential problems with care that could or should have been provided differently, a massive national audit has found.
And one in every 20 deaths led to significant criticism of the care given to the patient, according to the Australian and New Zealand Audit of Surgical Mortality.
In about 1 per cent of cases, the clinical problems were found to have probably caused the person's death.
The audit's chairman, Guy Maddern, said the potential problems were those where it might have been possible to tackle the issue differently and bring about different results.
-----
Opinion: Privacy may make or break e-health
Is the e-health industry doing enough to help healthcare providers secure patient data?
- Brett Avery (CIO)
- 22 January, 2013 12:06
Over the past five years, the government and industry have developed legislation and standards that enable healthcare institutions to effectively share electronic health data.
National e-health standards now cover key areas such as accurately identifying healthcare providers and consumers (national health identifiers), secure messaging, and repositories for personally-controlled electronic health records (PCEHRs). These standards attempt to address information privacy concerns and mandate security mechanisms to protect consumers’ sensitive health information.
Importantly, this level of protection has earned the support of consumer groups for the electronic distribution of health information outside of organisational boundaries. Consumer groups recognise the benefit of e-health and support the sharing of patient data between healthcare providers when the appropriate level of protection is applied.
But as new privacy legislation and penalties for breaches emerge, it’s time to consider whether the e-health industry is providing enough support to healthcare providers to help them secure private information within organisational boundaries.
-----
GP incentives program fails to deliver results
29 January, 2013 Kate Cowling
The GP Practices Incentives Program (PIP) did little to improve chronic disease management or lift ailing cervical cancer screening rates, a review suggests.
Research by a professor at George Washington University found no significant link between the 2001 initiative and health outcomes ten years later.
The University of Oregon’s Associate Professor Greene, who surveyed GPs and analysed Medicare data, said based on national claims, any improvement in cervical cancer screening or asthma management were statistically insignificant over the decade-long period.
-----
Kieran Le Plastrier: Ending e-health doubts
DOCTORS as a rule are a rather sceptical bunch. This is not a criticism; in fact, such a temperament is likely to have a collective and individual overall benefit.
It means we are less likely to be overly enthusiastic about new treatments and management choices, preferring to hold off until more evidence emerges to support or refute benefits to our patients.
Most clinicians are aware of the nature and variability of the quality of sources and protocols used to generate insight into new aspects of health care. We are encouraged as part of our continuing professional development to acquire and maintain the skills, knowledge and attitudes that allow us to form critically defensible rationale for our choices in the care of our patients.
-----
Tweet more health advice, agencies told
24 January, 2013 AAP
Public health authorities are being urged to tweet more to help spread emergency messages and advice.
New research conducted at the University of Sydney suggests Twitter is a great way to disseminate important, sometimes urgent information about public health.
But Professor Robert Steele said many government health organisations aren't tweeting enough.
-----
Free online toolkit for GPs
The AMA Council of General Practice has released an online tool to store GPs’ diagnostic programs.
The GP Desktop Practice Support Toolkit holds up to 300 different tools in one folder to save time during consultations. It is free to AMA members and can be downloaded here website
For AMA Members only the link is here:
-----
A healthy dose of politics
30th Jan 2013
Dr Andrew Southcott is making his mark as one of the federal opposition’s most outspoken health voices.
IT WASN’T exactly a lightbulb moment that convinced Dr Andrew Southcott to shelve a promising hospital career to join politics. Perhaps less dramatic, the junior hospital doctor had always had what he calls “the political bug”, and when the chance came to go from helping individuals to helping the country, he took it.
“Why someone would change career, especially a professional career, is always complex,” says Dr Southcott, now shadow parliamentary secretary for primary healthcare.
…..
Dr Southcott also cites his party’s support for several Labor-led health measures, such as tobacco control, the National Disability Insurance Scheme, e-health “in principle”, and changes to diabetes care.
-----
Hacking into health files
29th Jan 2013
A DOCTOR arrives at the general practice where she works and starts booting up her computer. A black screen stares back at her with a poorly worded message demanding money in exchange for her patient files to be “decrypted”.
It’s a disturbing scenario, and one that has been playing out with more frequency across Australian general practices.
In the era of e-health – where general practices generate, use and share patient health information on a daily basis – IT experts are warning that medical records being held for ransom and other health-related cyber crime is on the rise in Australia.
-----
US cyber crime sparks concern for PCEHR
17th Oct 2012
WARNINGS from a leading internet fraud investigator that e-health crime is the fastest growing crime in the US and is spreading have sparked renewed criticism of the security of the government’s personally controlled e-health record system (PCEHR).
Detective Superintendent Brian Hay from Queensland’s Fraud and Corporate Crime Group has told MO that doctors in Australia are unprepared for cyber attacks on their business computer files.
-----
Facebook for cancer patients
Date January 29, 2013 - 9:07AM
Sarah Berry
Life & Style reporter
Socially isolated women are 34 per cent more likely to die from breast cancer than their counterparts who have strong support from family and friends, a study of 2200 women found.
Now, new websites are being established to help.
The Cancer Council began Australia's first social networking site, Cancer Connections in 2009 and now after seven years in the making, website Cancer.im launches on February 15.
It is designed to connect patients around the world in the same style as Facebook.
Dr Kevin Buckman, a co-founder on the site, says the platform is intended a one-stop-shop where people can connect and find information and research papers on the more than 200 types of cancer.
-----
How to mend a broken heart
Date January 31, 2013
Alok Jha
Transplants could become unnecessary if scientists can repair damaged organs with reprogrammed stem cells.
Every few seconds someone, somewhere has a heart attack - many of them fatal. During an attack, the heart remodels itself and dilates around the site of the injury to try to compensate, but these repairs are rarely effective. If the attack does not kill you, heart failure later frequently will.
''No matter what other clinical interventions are available, heart transplantation is the only genuine cure for this,'' says Paul Riley, professor of regenerative medicine at Oxford University. ''The problem is there is a dearth of heart donors.''
Transplants have their own problems: successful operations require patients to remain on toxic, immune-suppressing drugs for life; and their subsequent life expectancies are not usually longer than 20 years.
-----
Only one in seven opt in for superfast internet
- by: Mitchell Bingemann
- From: The Australian
- January 29, 2013
JUST one in seven homes passed by the government's National Broadband Network have connected to the superfast fibre-based service.
The NBN Co revealed late yesterday that while construction of the $37.4 billion project had passed 72,400 premises with its fibre footprint, only 10,400 had signed up for a service.
Opposition Communications spokesman Malcolm Turnbull described the take-up figures as "sluggish".
"The latest NBN rollout figures have been released today, a public holiday, in the hope that little attention will be paid to the dismally slow progress of the construction," he said yesterday.
-----
Sir Tim Berners-Lee On Open Data, Privacy, eHealth And The Birth Of The Web
Alex Kidman Today 2:00 PM
At the launch of the CSIRO’s Digital Productivity and Services Flagship, inventor of the World Wide Web Sir Tim Berners-Lee spoke on a variety of connected world topics, including the importance of making certain bits of data private, and why new projects are essentially bobsleds.
Berners-Lee gave the keynote speech, which covered a variety of areas. He equates the birth of the web with good managerial practice, noting that
One of the reasons that innovation happens is because great bosses let you do things on the side.
In his case, that revolved around using his new (at the time) NeXT computer.
-----
Government internet snooping takes more than it gives, says web founder
Date January 30, 2013
Stephen Hutcheon
THE founder of the world wide web has warned of the dangers posed by governments intent on increasing the monitoring and filtering of the online activity of their citizens.
Sir Tim Berners-Lee said while it was important to fight organised crime and for a state to defend itself against cyber attack, there were enormous negatives associated with excessive government oversight of the internet.
''The whole thing seems to me fraught with massive dangers and I don't think it's a good idea,'' he said in Sydney on Tuesday in reply to a question about the Australian government's data retention plan.
-----
Lunar moonbase will be 3D printed out of parts of the moon, researchers reveal
- By Will Colvin
THE idea that a moonbase could actually be a reality within our lifetime is exciting enough, but researchers have revealed plans to 3D print the structure using materials found on the actual moon.
Architectural firm Foster + Partners and the European Space Agency have revealed they will 3D print the parts necessary to build the moonbase.
"What in the world is 3D printing?" you ask.
Picture a regular inkjet printer, but instead of finding ink inside the cartridges, it contains almost any substance necessary for building the desired item - from metals, to plastics, rubbers even food. If you're still confused about how it works, scroll down to watch a demonstration YouTube video, then get all excited about the fact that it won't be long before we have a 3D printed structure ON THE MOON.
-----
Enjoy!
David.
Sunday, February 03, 2013
Why No Comment Yet On Nicola Roxon Resignation?
The reason was that I believe she was a much less than ordinary Federal Health Minister and that her acceptance of the advice of the Department Of Health on the ConOps Framework for the PCEHR / NEHRS has been very damaging to e-Health overall as has her continuing apparent support of NEHTA despite its obvious failings.
I needed some time to just consider a position and while being critical, to at least be polite.
I have no idea how good she was as A-G, but as a Minister for E-Health she gets a fail from me.
As a person, mother and so on I wish her all the best for the future.
David.
I needed some time to just consider a position and while being critical, to at least be polite.
I have no idea how good she was as A-G, but as a Minister for E-Health she gets a fail from me.
As a person, mother and so on I wish her all the best for the future.
David.
Now The Audit Trail In The NEHRS / PCEHR Is Not Working Properly. This is Really Getting Silly.
With the discussion in the blog on Audit trails I thought I would try mine out.
Here is what I got
-----
Search and View Audit Log
Your audit log contains the details of all the activity on your eHealth Record. You can search for activity on specific dates by entering a start date (From) and an end date (To) in the fields below and clicking on “Search”.
Error
System Error: Please contact the Helpline on 1800 723 471 for further assistance. Error Code : 130100
If you have any enquiries about the content of your Audit Log contact us on 1800 723 471.
* From: * To:
Tip: You can sort the data in each column by clicking on the heading.
Approval Date/Time Operation Performed Organisation Name Role Access Condition Action Type Subject Type Subject
No data to display.
-----
I wondered what was going on and so tried for some other dates.
What I found was that you could get about three months data and after that the system crashed. You got the whirly frozen Windows errors as well and the whirly from the application.
Remember I have had a NEHRS record since early July - so clearly some of my data is not accessible.
Just why we paid such a large sum of money for such a mess really beggars belief.
Heavens knows what is going on, but there is no sign of any real adults being in charge..
David.
Subscribe to:
Posts (Atom)