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."

Tuesday, February 12, 2013

Weekly Australian Health IT Links – 11th 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

What an interesting week. We have the Tax Office being hacked, Qld Health facing up to reality, controlled drug monitoring seemingly  being rather too hard and NEHTA wondering if the NEHRS is going to cost a lot more than expected.
To cap it off we have the NEHRS reaching out as far as Dungog..I am really impressed.
Lots to chew over!
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Criminals breach Australian tax system

Date February 8, 2013

Ben Grubb

Deputy technology editor

Fears have been raised about the security of Australian taxpayers' information after four tax agents' account details were illegally used by third parties.
A warning of the breach was sent in a note to tax agents nationwide on February 5 urging them to log-in to the Tax Agent Portal to see if criminals had signed up for their own log-in under the agent's business name.
The note was not posted on the Tax Office website.
With an agent's log-in, a criminal gains access to an agent's existing clients. Some tax agents warned a fraudster could also potentially access every Australian taxpayer's information if they knew four pieces of information about a person. They said a criminal could potentially lodge a fake tax return on behalf of someone else and claim the money themselves, or use the information to steal someone's identity.
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Register for eHealth

Feb. 5, 2013, 9:02 a.m.
Dr Brendan Chaston from The Medical Practice in Dungog is urging everyone to register for an eHealth record.
Dungog residents are urged to register for an eHealth record which will allow them to access a summary of their important health information online and share that information with healthcare professionals.
Until now, health records have usually been stored in different locations with little connection to each other, your general practitioner, specialist or hospitals.
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Friday, February 08, 2013

Unable to Register for a e-Health Record

A letter from the last hospital I was in invited me to register for an e-health record. After going to www.ehealth.gov.au I was directed to australia.gov.au where I filled in some more details, until I got: "A previous session has been started and has not completed. Please try again later."
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Qld Health considers legal action over payroll bungle

Published 12:47 PM, 7 Feb 2013
AAP
The Queensland government has conceded it may write off nearly $27 million in overpayments from the Queensland Health payroll bungle.
Health Minister Lawrence Springborg says the government is considering legal action against former staff who've refused to repay the money.
"We might have to be prepared to write it off," he told ABC Radio.
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Qld Health may write off AU$27m in payroll overpayment

Summary: The Queensland government has admitted that it may have to write off overpayment made under Queensland Health's failed payroll system.
By AAP | February 6, 2013 -- 23:03 GMT (10:03 AEST)
A week into its three-month inquiry into the Queensland Health payroll bungle, the state government has conceded that it may have to write off nearly AU$27 million in overpayment.
Health Minister Lawrence Springborg said the government is considering legal action against former staff members who have refused to repay the money.
"We might have to be prepared to write it off," he told ABC Radio.
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Triple-0 emergency service to accept text messages

New Internet-based relay services to roll out in second half of 2013.
People with hearing or speech disabilities will soon be able to contact triple-0 emergency services through SMS messaging on mobile phones, the government has announced.
The Telecommunications Universal Service Management Agency signed contracts with Australian Communication Exchange and WestWood Spice to deliver the enhanced national relay service (NRS), Communications minister Stephen Conroy said today.
In addition to the ability to send SMS to emergency services, the deaf and hard of hearing will be able to make and receive phone calls through a new Internet-based relay service, access a video relay service, and use a Web-based service for captioned telephony. All relay services can be accessed through a new app for smartphones and other Internet-enabled devices.
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Say goodbye to your doctor's waiting room

  • By Daniel Piotrowski
  • news.com.au
  • February 04, 2013 1:03PM
THE days of sitting in a doctor's waiting room next to spluttering sick people are coming to an end, according to experts.
Technology researchers believe it will soon be common to receive a virtual doctor's diagnosis from the comfort of your own home.
And if you have to see a GP in person, you won't be at the doctor's surgery for long. Online services, such as the website 1stavailable, are doing for the medical profession what Wotif did for the hotel industry, by letting people book a doctor's time online.
"It's quite an exciting stage - the world's about to change," said Professor Jeffrey Soar, chair of Human Centred Technology Innovation at the University of Southern Queensland. "We'll be able to collaboratively manage our health.
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Patients distrust IT decision support

6 February, 2013 David Brill
Patients look down on doctors who use computerised decision support tools, perceiving them to be less diagnostically capable than their peers, a study suggests.
Doctors who reach for the keyboard in deciding whether to order an X-ray on an ankle injury or refer suspected appendicitis for surgery also received lower professionalism and overall satisfaction scores than those who would make these decisions unaided.
The effect appears specific to the use of computer aids; no such negativity was directed at doctors who sought the advice of a colleague in making these decisions, the researchers found.
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Bionic eye gives hope to the blind

  • From: AFP
  • February 06, 2013 10:37AM
AFTER years of research, the first bionic eye has seen the light of day in the United States, giving hope to the blind around the world.
Developed by Second Sight Medical Products, the Argus II Retinal Prosthesis System has helped more than 60 people recover partial sight, with some experiencing better results than others.
Consisting of 60 electrodes implanted in the retina and glasses fitted with a special mini camera, Argus II has already won the approval of European regulators. The US Food and Drug Administration is soon expected to follow suit, making this bionic eye the world's first to become widely available.
"It's the first bionic eye to go on the market in the world, the first in Europe and the first one in the US," said Brian Mech, the California-based company's vice president of business development.
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ADSL broadband slows remote medical education

Faster upload and download speeds critical for telehealth, says GP Synergy CEO John Oldfield
Australia should invest in faster broadband for regional areas to promote telehealth and clinical education, according to the head of a non-governmental organisation (NGO) that trains general practice doctors.
“One of the biggest challenges for Australia is the fact that we don’t have the sort of reliable and robust broadband connectivity that fully meets the needs of videoconferencing,” GP Synergy CEO John Oldfield told Computerworld Australia.
Broadband limitations have held back telehealth and remote clinical education, he said.
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SOURCE: MMRGlobal, Inc.
February 05, 2013 09:25 ET

MMRGlobal Investigates Possible Infringement of Company's Patents and Intellectual Property

LOS ANGELES, CA--(Marketwire - Feb 5, 2013) - MMRGlobal, Inc. (OTCQB: MMRF) ("MMR") today announced that it has been brought to the Company's attention that Governments, both state and federal, in Australia, through the National E-Health Transition Authority (NEHTA), appear to be infringing on patents (including Australian patent numbers 2006202057 and 2008202401) and other Intellectual Property (collectively, the "MMRIP") issued to MyMedicalRecords.com, Inc., a wholly owned subsidiary of MMRGlobal. NEHTA has reportedly spent an estimated one billion Australian dollars on a Personal Health Records program which is the subject of the potential infringement and which appears to broadly incorporate numerous portions of the MMR IP.
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MMR Global sues Walgreens for patent infringement

February 5, 2013 | By Marla Durben Hirsch
MyMedicalRecords, Inc. a subsidiary of Los Angeles-based MMR Global, has sued drugstore giant Walgreens for patent infringement pertaining to its personal health record patent. Its lawsuit, filed in the U.S. District Court for the Central District of California, alleges that its patent is "built on proprietary, patented technologies" and claims that Walgreens has infringed on the patent by "making, using, offering for sale and/or selling" its methods and systems.
MMR has sued Walgreens for both damages and a permanent injunction.
The company appears to be vigorously defending its patents against possible infringers, stating in an announcement about the lawsuit that it is "pursuing efforts to monetize its patent portfolio and other IP by investigating potential infringement of MMR's patents by entities such as retail pharmacies, EHR and PHR vendors, laboratory systems, hospitals, physicians, and other healthcare professionals."
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PCEHR faces patent probe

US software firm MyMedicalRecords.com is investigating a possible infringement of its patents by the National E-Health Transition Authority (Nehta), which is spearheading the rollout of the national personally controlled e-health records system.
In a statement, MyMedicalRecords.com, a subsidiary of MMRGlobal, said that "both state and federal governments in Australia, through Nehta, appear to be infringing on patents and other intellectual property issued to MyMedicalRecords.com".
The PCEHR allegedly broadly incorporates numerous portions of the company's intellectual property, MMRGlobal said in a statement.
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Real-time Schedule 8 monitoring stalls

THE rollout of a proposed national reporting initiative to help curb “prescription shopping” and opioid misuse seems to have stalled, with experts calling for action on a real-time monitoring system of Schedule 8 drugs.
A Perspectives article in this week’s MJA says the introduction of a national real-time reporting system promises health professionals “better information for decision making”, despite the mixed benefits of prescription monitoring programs operating in the US. (1)
The authors wrote that the number of opioid prescriptions in Australia had increased by about 300% between 1992 and 2007, with growing professional concern about the appropriateness of prescribing these drugs for people with chronic non-cancer pain.
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Curbing the abuse

5th Feb 2013
Can digital systems like DORA help GPs combat the rising tide of doctor shopping and drug abuse?
WHEN Dr Bastian Seidel received a call during an after-hours shift from a woman with metastatic breast cancer, who had run out of oxycodone, he was able to accept her pleas for an emergency prescription with new confidence.
“She had used her last tablets because of an exacerbation and was unable to get an appointment to see her own GP for the next three days. And it would have been impossible for her to get to an emergency department.
Typically, it would have been a ‘no go’ because I would not have had the necessary information and she could have been a doctor shopper,” the GP at Tasmania’s Huon Valley Health Centre explains.
Instead, Dr Seidel was able to log into DORA (Drugs and Poisons Information System Online Remote Access), a real-time prescription (PBS and private) monitoring and reporting tool on trial in Tasmania, which provides secure online access to selected patient history (dates, doses, quantities of drugs dispensed, authorities issued or pending and any alerts) for health professionals treating patients with Schedule 8 drugs (opioids and psychostimulants) and other identified drugs of concern (alprazolam).
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'Doctor shopper' scheme funding concerns

4 February, 2013 Jo Hartley and AAP
The adequacy of the Federal Government's $5 million funding commitment to tackle doctor-shopping has been called into question by a group of experts.
Writing in the Medical Journal of Australia they say doctors will need access to extra resources in order to respond appropriately to patients found visiting different GPs and pharmacists to obtain Schedule 8 drugs under the proposed national script-tracking system.
They warn that the benefits of real-time reporting (RTR) could be short-lived if increased access to alternative treatments, therapies and health professionals is not built into the system, they said.
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Free and fun: social media changes the fitness game

Date February 5, 2013

Kate Wilcox

NATALIE FULLER is one of an increasing number of people who are leaving gyms to keep fit with strangers outdoors - all organised through social media.
She said having a personal trainer was ''costing me a fortune,'' so she signed up for the free Sydney Fitness Boot Camp group at Hyde Park.
Why would people pay when they could do the same for free or a lot less? 
She signed up online and had her request approved by the group's organiser before joining the regular Wednesday night session. The sessions are so popular the group's trainer, Ben Winegarden, often has to turn people away.
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Scientists print 3D object with stem cells

Date February 6, 2013 - 11:23AM
Scientists say they have printed 3D objects using human embryonic stem cells for the first time, furthering the quest to fabricate transplantable organs.
Once fine-tuned, the technology should allow scientists to make three-dimensional human tissue in the lab, eliminating the need for organ donation or testing on animals, they reported.
Human embryonic stem cells (hESCs) can replicate indefinitely and become almost any type of cell in the human body.
They are touted as a source of replacement tissue, fixing nearly anything from malfunctioning hearts and lungs, to damaged spines, Parkinson's disease or even baldness.
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Microsoft Office pricey, but good value

Date March 3, 2013

Anick Jesdanun

Microsoft Office 2013 embraces the company's new touchscreen philosophy.
Review
As much as I like Google Docs for word processing and spreadsheets, I find the online software clunky at times. So I was sceptical when I heard Microsoft is trying to sell its new version of Office as an online subscription.
I was pleasantly surprised to learn that the subscription gets you the same software you'd get buying it at a retail store. In fact, I'm using the new Office 2013 to write this review, and it feels as smooth as the customised version of Office 2010 I regularly use.
With an online subscription, you keep paying Microsoft to use the latest version of the software, rather than pay the company once for software that gets outdated over time. It's pricey, at $119 a year, compared with the traditional way of paying a one-time fee that starts at $169 and is good for years. Nonetheless, households with several computers will find subscriptions good value, as one subscription is good for up to five Windows or Mac machines.
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If the PC dies, Windows 8 will be its killer, says analyst

Monitors migration of entertainment activities from PCs to tablets, smartphones; bets on the PC's demise only if Windows 8 succeeds on tablets
In another illustration of the diminishing importance of the PC, a research firm today said that more than a third of surveyed consumers who once used personal computers to access content said they had switched to tablets and smartphones.
But unlike others who, noting the same trends, have said it signals the death of the PC, John Buffone of the NPD Group argued that PCs aren't going anywhere for the moment.
"There is a significant amount of functionality that is best conducted on computers," said Buffone in an interview. That work, often collectively dubbed "content creation," could remain the provenance of PCs for a long time to come.
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Enjoy!
David.

Monday, February 11, 2013

MMRGlobal And Its Patents On PHRs Could Turn Out To Be A Big Nuisance. Maybe NEHTA Should Just Buy The Company!

The following appeared a few days ago.

PCEHR faces patent probe

US software firm MyMedicalRecords.com is investigating a possible infringement of its patents by the National E-Health Transition Authority (Nehta), which is spearheading the rollout of the national personally controlled e-health records system.
In a statement, MyMedicalRecords.com, a subsidiary of MMRGlobal, said that "both state and federal governments in Australia, through Nehta, appear to be infringing on patents and other intellectual property issued to MyMedicalRecords.com".

The PCEHR allegedly broadly incorporates numerous portions of the company's intellectual property, MMRGlobal said in a statement.

The company claimed that the infringement included two patents it holds in Australia.
Lots more here:
I have been watching this for a while (since this appeared this time last year). It is cited in this blog:
Feb. 17, 2012, 8:35 a.m. EST

MMRGlobal and VisiInc Sign Agreement to License MMR Australian Patent Portfolio on the Road to HIMSS

LOS ANGELES, CA, Feb 17, 2012 (MARKETWIRE via COMTEX) -- MMRGlobal, Inc. MMRF 0.00% ("MMR"), a leading provider of Personal Health Records ("PHR"), MyEsafeDepositBox storage solutions and electronic document management and imaging systems for healthcare professionals, today announced that the Company and VisiInc PLC in Australia signed an agreement to license MMR's Australian patents for "Method and System for Providing Online Medical Records" for use in MMR and Visi(TM) consumer and professional health IT products and services, including the MyMedicalRecords Personal Health Record. The Agreement calls for minimum performance royalty guarantees of nearly one million dollars. The Agreement also calls for VisiInc to start selling the services in Australia starting June 1, 2012. In addition, the Agreement contains an understanding allowing the companies to utilize each other's consumer and professional products and services. VisiInc is also seeking rights to sell MMR products in additional territories such as in Eastern Europe where VisiInc already does business.
…..
Personal Health Records are a priority for the Australian government and a significant part of Australia's eHealth technology market, which will serve a population of 22 million and is currently projected to be USD $2.6 billion in 2012. MMR's Australian patent portfolio can give VisiInc a significant competitive advantage in the market by controlling intellectual property rights that are primary to providing PHRs in line with government initiatives. The Medical Software Industry Association in Australia detailed an alternative rollout schedule to the government's Personally Controlled Electronic Health Record (PCEHR) that calls for PDFs currently used by clinicians and shared by email or fax to be a solution in electronic online form until at least July 2013 because standardization is not going to occur before at least then. MMR's proprietary health IT solutions align with this strategy.
See here:
Here is a listing from the Marketwatch.com site of some recent press releases
You can get the flavour of what is on the company’s mind from this selection of press release titles.
9:25 a.m. Feb. 5, 2013
8:35 a.m. Feb. 4, 2013
8:35 a.m. Jan. 31, 2013
8:35 a.m. Jan. 23, 2013
8:02 a.m. Jan. 23, 2013
6:45 a.m. Jan. 7, 2013
11:11 a.m. Jan. 3, 2013
8:35 a.m. Dec. 21, 2012
8:35 a.m. Dec. 20, 2012
8:35 a.m. Dec. 18, 2012
8:35 a.m. Dec. 13, 2012
8:35 a.m. Dec. 10, 2012
8:35 a.m. Nov. 26, 2012
8:35 a.m. Nov. 13, 2012
8:35 a.m. Nov. 5, 2012
7:35 a.m. Oct. 31, 2012
7:35 a.m. Oct. 22, 2012
7:35 a.m. Oct. 15, 2012
8:45 a.m. Oct. 11, 2012
7:36 a.m. Oct. 9, 2012
6:35 a.m. Oct. 2, 2012
6:35 a.m. Oct. 1, 2012
6:35 a.m. Sept. 24, 2012
6:35 a.m. Sept. 19, 2012
6:35 a.m. Sept. 4, 2012
6:31 a.m. Aug. 20, 2012
2:44 p.m. Aug. 14, 2012
6:35 a.m. Aug. 9, 2012
5:35 a.m. Aug. 6, 2012
----- End List
The full quote is found here:
Note here you find this global company has market cap. of less than $US10M and has 9 employees as well as losing over $US8M last year.
This is a company that is financially as wobbly as one can imagine and should either be bought of simply ignored. They don’t have the resources to do anything much.
Many thanks to the commenter who found the Australian Patents.
Here is a link to those patents
2008202401 Method and system for providing online medical records
2006202057 Method and system for providing online medical records
MyMedicalRecords.com, Inc.
There are .pdfs of the applications there dating from a good few years back  (2006 and 2008).
Certainly - at a superficial read - the application has some major similarities to the PCEHR and other PHRs. Taking control of these patents by buying the company might even be a money spinner!
We have seen this sort of thing before of course - with some failing (think Unix and Pharmacy Guild) and some being very profitable (Think what Microsoft has paid out over the years)
Will be interesting to see how this plays out.
David.

Sunday, February 10, 2013

Karen Dearne - More Money for PCEHR but Little Oversight and Real Uncertainty over Future e-health Programs.

Karen Dearne
10 February, 2013
THE National E-Health Transition Authority has been awarded almost $10 million to provide services relating to the introduction of the Personally Controlled E-Health Record, according to a newly published contract notice.
The federal Health Department will pay $9.9 million for the work, between December 11, 2012, and June 30, 2014.
It follows a previous $110 million contract to provide similar services from December 31, 2010, to June 30, 2012, in the lead-up to the official launch of the PCEHR system last July 1.
NEHTA's answers to questions on notice from the October Senate Estimates session show that the authority's commonwealth and state owners will provide $69 million in core funding for the current year's operations.
NEHTA told the Community Affairs committee that it has also carried over Council of Australian Government funds totalling $28.4 million.
"In regard to the PCEHR managing agent responsibilities, as contracted to Health, NEHTA has approximately $63 million in carried forward funds against future commitments," NEHTA says.
NEHTA's core operations are described as "the development and maintenance of national e-health foundations including the operation of a Healthcare Identifiers service, the operation of national authentication and clinical terminology services, and maintenance of a national product catalogue", according to Victorian Government's Budget statements.
Victoria allocated $8.3 million to NEHTA as its share of core funding for each of the 2012-13 and 2013-14 financial years.
Among other recent federal government PCEHR-related contracts, consulting firm APIS Group has been awarded $5.3 million for support services from last September to June 2014, and the Australian Commission on Safety and Quality in Health Care received $4 million to build "key national health components of the PCEHR" by June 2014.
The Royal Australian College of General Practitioners was given $2.55 million to assist implementation and rollout of the system until the end of June, while Workstar will receive $1.2 million for hosting support and development of online capabilities for the PCEHR change and adoption strategy until June 2014.
Meanwhile, the Health Department has told the Senate Community Affairs committee that COAG's Standing Council on Health has come to a decision on the future of commonwealth-state funding for e-health.
"The eHealth Memorandum of Understanding, which replaces the National Partnership on E-Health (this expired at the end of June last year), was agreed by SCOH on November 9," the department says.
However, the communique released after that meeting simply states: "Today, Health ministers noted progress on the eHealth MOU."
The MOU is yet to be publicly released.
Briefing papers provided to Health Minister Tanya Plibersek when she took over the portfolio said the "development of an E-Health Intergovernmental Agreement" needed urgent attention, due to the pending expiry of the previous joint commitment.
The Key Decision Brief document, released late last year under Freedom of Information laws, show that the minister's approval was to be sought "to circulate a draft of the eHealth IGA to (state and territory) health ministers in mid-February" for discussion at the next SCOH meeting.
"Subject to decisions of government, an agreement is required to set out and communicate the collaborative funding, governance, legislative and administrative requirements of e-health from July 2012," it states.
The COAG Reform Council (CRC), tasked to report on progress and efficacy of the many recently established National Partnership Agreements in meeting targets, previously signalled its difficulty measuring performance in the e-health space.
In its annual Progress Report, released in September, the CRC rated the timeframe for this reform as "at risk", noting that some milestones had not been met.
The Health Department has told the Senate committee that the scope of the previous NPA "dealt largely with the implementation of the Healthcare Identifiers service".
An interim review conducted to determine the NPA's progress towards achieving its objectives found that the "NPA has proved effective and appropriate in achieving the intentions of all jurisdictions in providing funding for NEHTA and successfully establishing the HI service".
But the performance of NEHTA and the federal Health department were not subject to scrutiny.
"Performance measurement for NEHTA and the department were not addressed through the NPA, because it is a COAG document which sets out roles and responsibilities for all jurisdictions," the department's response says.
"The funding agreement in place between NEHTA and the department specifies the roles and obligations of each agency."
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David.

Senate Estimates Are On Next Week. Might Be A Fun Watch When E-Health Is Discussed.

The program is found here:
As of now - and this changes often. E-Health and NEHTA are on 6:15 to 7:00pm on the 13th February.
Here is the link to the program as of Sunday 10, Feb, 2013.
David.