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, February 12, 2014

E-Health Excitement Is Running Rampant Out In The Central West Of NSW. Journalists Are Pushing Hard As Well!

All these appeared this week.
First.

eHealth uptake on the rise

Feb. 5, 2014, 4 a.m.
Western NSW Medicare Local (WML) and Narromine Shire Family Health Centre are encouraging residents in the town and surrounding communities to register for a Personally Controlled Electronic eHealth Record (PCEHR) by holding a registration day tomorrow.
WML staff will help register community members for a free eHealth record with doctors then uploading a summary of their health information into the system.
"Any visitors can attend the registration day and get an eHealth record and have their own GP upload their health summary later," a WML spokeswoman said.
An eHealth record is an electronic summary of a patient's key health information drawn from their existing patient records. Information can be uploaded by an authorised healthcare professional which is typically a person's regular GP.
Information that can be uploaded includes medications, test results, discharge summaries, allergies and details of any immunisations.
Narromine Shire Family Health Centre GP Dr Kumara Mendis reports of its doctors seeing the benefits of the Narromine community registering for an eHealth record
"Having a central online location where patients can control and access all their health information, is a great advantage for the public and doctors in the community," he said.
"Doctors will be able to see their patient's medical history and test results from all the different health services that the patient visits. "This registration day will help anyone in the community take ownership of their medical history."
WML deputy chief executive officer Stephen Jackson said it had been promoting meaningful use of the eHealth record system across the region.
 More here:
Second.

Help to register for eHealth record

Feb. 5, 2014, 1:37 p.m.
Narromine residents are invite to register for a Personally Controlled Electronic eHealth Record at a registration day tomorrow at the Narromine Shire Family Health Centre at 9am.
Western NSW Medical Local (WML) will be helping and registering community members for a free eHealth record and the doctors will be able to upload a summary of their health information into the system. 
Any visitors can attend the registration day and get an eHealth record and have their own GP upload their health summary later.
A eHealth record is an electronic summary of a patient’s key health information drawn on existing patient records. 
Information can be uploaded by an authorised healthcare professional which is typically a person’s regular GP. Information that can be uploaded includes medications, test results, discharge summaries, allergies and details of any immunisations.
The centre doctors see the benefits of the Narromine community registering for an eHealth record according to Dr Kumara Mendis, GP at the Narromine Shire Family Medical Centre.
More here:
Last we have the results:

eHealth sign-up proves popular

Feb. 7, 2014, 12:27 p.m.
eHealth Registration took place at the Narromine Shire Family Health Centre yesterday as locals flocked to sign up to the electronic health registration run by Western Medicare Local (WML) and Narromine Family Health Centre.
WML staff were thrilled with the turnout with more than 35 people signing up. 
Narromine Men’s Shed members John Lenehan and Les Farr made their way to the health centre during a work break at the shed.
Both men said there was no harm in signing up.
“There’s a record of your medication, so if I’m in a car accident or something, the doctors will know my medications,” Mr Lenehan said. 
More here:
With a population of about 3800 it seems that all this carry on has interested less than 1% of the population and that 99% were doing other things!
I wonder does the Western Medicare Local pay for these advertorials or is the local reported so bored that this is the best news that can be found?
Looks to me the WML Press Releases are simply being regurgitated by the journalists.
See this is an example:
Pretty slow news days I guess!
David.

Tuesday, February 11, 2014

Here We Get A Spectacular Example Of How Idiotic E-Health Governance and Delivery Is In Australia.

I was sent this document a day or so ago. It builds on the comments on Governance of OZ E-Health I made a day or so ago. The suggested citation is as follows:

Suggested citation

Australian Commission on Safety and Quality in Health Care (2009), Project Summary: National Guidelines for Safer On-screen Display of Medicines Information. ACSQHC, Sydney.
Amazingly the document is actually dated 4 December, 2013.
Here is the nub of what the project is about (Page 4):
“In addition, the Commonwealth Department of Health has funded a Personally Controlled Electronic Health Record (PCEHR) Clinical Governance Program which is managed by the Commission. The key objectives of the PCEHR Clinical Governance Program are to “seek to prevent the occurrence of clinical safety incidents” and “promote continuous quality improvement”. The Commission convenes a Clinical Governance Advisory Group to advise it on conduct of the program. The PCEHR Clinical Governance Program is also undertaking a series of four targeted safety audits of the PCEHR. The third clinical safety audit of the PCEHR includes a specific recommendation for the Commission to lead the development of “standardisation of the presentation of medicines information in the PCEHR”.
This project summary describes an additional element of the PCEHR Clinical Governance Program, which is the development of guidelines for safer on-screen display of medicines information for use in the PCEHR and across the healthcare continuum. Through the guidelines, on-screen medicines information will be provided consistently and clearly to assist safe and quality use of medicines and reduce medication error.”
Sadly the document is not on the web, presumably because the Commission is embarrassed by it.
Here is the study scope

4. Scope.

The project will describe minimum safety requirements for on-screen display of medicines information in all clinical information systems, including the PCEHR.
Application of the guidelines will be in all clinical information systems with medicines information across the healthcare continuum including health professional interfaces and consumer interfaces.
The guidelines will provide safety minima and are intended for:
·         health professionals and health services specifying, procuring and implementing electronic health systems and which include medicines information
·         general practice prescribing and other EMM software vendors
·         PCEHR and other national electronic medication management infrastructure
·         patient safety and risk management professionals.
The project will build on existing work including the Commission’s national standardisations and the National Health Service’s Common User Interface Programme.
The work may encompass supporting services including:
·         National Authentication Services for Health or similar authentication services in use
·         Clinical terminologies including SNOMED-CT AU and Australian Medicines Terminology.
To develop the specifications, the Commission will engage with:
·         principal working partners, the National eHealth Transition Authority and the Commonwealth Department of Health
·         other programs directly related to standardised communication of medicines information and which facilitate consistent communication approach between programs
·         key stakeholders, including GP and EMM software vendors
·         learned colleges and professional bodies.
The project is discrete and will not include other e-health programs, projects or working groups of the Commission that are covered under separate project plans. However expertise will be sought from existing Commission expert committees, groups or members as appropriate and in the context of the project requirements.
----- End Extract.
The project methodology is just amazing.
5.2 Project methodology
The project forms a component of the Commission’s PCEHR Clinical Governance Program which is funded by the Commonwealth Department of Health. The Commission’s Clinical Governance Advisory Group will provide strategic oversight of the project.
Consistent with Commission practice, a small working group of representatives from the Commonwealth Department of Health and NeHTA, and individuals with identified expertise, will be established to advise the Commission on conduct of the project. This group will develop the guidelines, seek expert support as required, engage stakeholders and inform key ehealth organisations of progress.
Further expert support will be sought as required and key stakeholders will be consulted to provide feedback on the proposed standard. Further detail on project stakeholder engagement is provided below in Section 6.
There will be four components to the project:
5.2.1 Develop draft guidelines document
The project will:
·         undertake preliminary research and investigation
·         contextualise the National Health Service Design for Safety: Guidelines for safe on-screen display of medication information for local application and to ensure local organisational and clinical resonance
·         incorporate applicable national standardisations including National Tall Man Lettering and Recommendations for Terminology, Abbreviations and Symbols used in the Prescribing and Administration of Medicines.
5.2.2 Iterate the document with the working group
The revised document will be considered by the project working group, advice obtained and adjusted accordingly.
5.2.3 Consult the document more broadly
The reviewed document will be subject to further consultation as detailed in the project stakeholder engagement proposal below in Section 6.
5.2.4 Obtain agreement on the document
The document will be forward to the Board of the Australian Commission on Safety and Quality in Health Care for endorsement as a national guideline.
----- End Extract.
So we invent the guidelines, run them past an internally focussed work group, consult and then have our Board approve them! Really incestuous really doesn’t cover it!
Now guess who the stakeholders are?

6.0 Stakeholders

6.1 Primary stakeholders

Department of Health and its PCEHR governance structures is a primary stakeholder as PCEHR System Operator and funder of the Clinical Governance Program. This includes the Operations Management Committee (OMC), which is the key governing body for the operation of the PCEHR. Other important stakeholders participating on the OMC include the National Infrastructure Operator (Accenture) and the Department of Human Services.
National e-Health Transition Authority is a primary stakeholder as designer and implementer of key elements of the PCEHR system. NeHTA also has extensive ties with the medical and EMM vendor community and has established panels for the vendors to receive funding to incorporate PCEHR specifications into their products. The NeHTA conformance compliance and accreditation function will ensure uptake of the guidance.
Both of these organisations will be invited to join the project working group as their support is essential to the successful delivery of the project.

6.2 Secondary stakeholders

Other stakeholders will be invited to provide feedback on the draft guidelines including:
        ·         Professional associations and learned colleges including:
o   Australian Medical Association
o   Royal Australian College of General Practitioners
o   Pharmacy Guild of Australia
o   Pharmaceutical Society of Australia
o   Society of Hospital Pharmacists of Australia
·         NPS MedicineWise
·         Consumer health associations including the Consumers Health Forum
·         Software industry peak associations, including the Medical Software Industry Association
·         Jurisdictions
·         Public and private, acute, primary and ambulatory health services.
----- End Extract.
So essentially NEHTA and DoH are the key and the fount of all knowledge - along with Accenture and local expertise is secondary. Seems they don't need any expertise other than their pretty obvious incompetence. We have a lot of expertise in Australia that is simply not being recognised or used. Bloody sad.

I guess ignoring all this skill and expertise that is why NASH, the PCEHR, and Health Identifiers have been such a huge success!
My view is that this document is a farcical tragedy!
How pathetic - no wonder it is not public! If I had written it I would bury it!
On the same topic of what is not public I wonder what has happened to all the other 3 PCEHR Safety Reports produced by this august Commission. Anyone know what they say - other than platitudes?  Just why are they not public - leaks welcome!
David.

Monday, February 10, 2014

Weekly Australian Health IT Links – 10th February, 2014.

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

E-Health continues to rampage through the metropolises of Central NSW with an alert reporter following every press release. What a farce!
Other than that we have Prof Coiera pointing out that the Commonwealth e-Health bureaucracy are dunderheads and we are reminded that support for Win XP is about to stop - and that that an insecure system is still being used by 20% of GPs.
Lastly a fun blast from the past as the last entry. I wonder what Mr Hockey thinks now and where the PCEHR Review Report has gone?
-----

Lack of expertise restricts e-health

BIG e-health systems are prone to mistakes in the design stage because of a lack of expertise in the field, an expert says.
University of NSW's Centre for Health Informatics director Enrico Coiera said there was a "skills gap" in e-health despite it being so pervasive.
"We don't really have enough expertise available to help us make the right decisions," he said. "I think that is probably more of a problem in Australia than other countries."
Professor Coiera, who also directs the $2.5 million NHMRC Centre for Research Excellence in E-health, was speaking ahead of a Special Dean's Lecture he will give tomorrow at the University of Melbourne.
-----

FHIR DSTU is published

Posted on February 3, 2014 by Grahame Grieve
We have now published the DSTU version (draft standard for trial use – effectively a beta) of FHIR at http://hl7.org/fhir.
Note that this is now stable and suitable for production implementations, and that development moves to http://hl7.org/fhir-develop, though I think we’ll all be taking a rest before starting work again.
Please note that we are serious about the draft standard for trial use. Implementers should read this section before depending on the specification: http://hl7.org/implement/standards/fhir/dstu.html.
-----

FHIR Foreword

Posted on February 3, 2014 by Grahame Grieve
FHIR is not a book, and it was not written by a single author; it’s a draft standard, and it was produced by a whole team of people. The formal credits page lists a lot of people, and even that’s being selective. Even though so many people have contributed, I thought I’d post my own personal foreword here:
2½ years ago, I drafted a demonstration, a concept of something that we could do – a better approach to health interoperability. I had no idea that it would turn into a project and a specification that involved this much work, that showed so much promise, and most of all, that there would be so many people to thank.
-----

Anger as federal food guide is pulled from web

Date February 8, 2014

Amy Corderoy

Health Editor, Sydney Morning Herald

The federal government has been accused of bowing to the junk food industry after a new food rating system website was pulled down, allegedly at the behest of a senior minister.
The long-awaited ''health star rating'' website, for food manufacturers to label their products with easy-to-understand nutritional information, was launched about midday on Wednesday, only to be pulled by 8pm that night.
Fairfax Media has been given evidence that Assistant Health Minister Fiona Nash, and her chief of staff, Alastair Furnival, personally intervened to have the site pulled down - despite it being approved through a Council of Australian Governments ministerial council.
-----

eHealth uptake on the rise

Feb. 5, 2014, 4 a.m.
Western NSW Medicare Local (WML) and Narromine Shire Family Health Centre are encouraging residents in the town and surrounding communities to register for a Personally Controlled Electronic eHealth Record (PCEHR) by holding a registration day tomorrow.
WML staff will help register community members for a free eHealth record with doctors then uploading a summary of their health information into the system.
"Any visitors can attend the registration day and get an eHealth record and have their own GP upload their health summary later," a WML spokeswoman said.
-----

Help to register for eHealth record

Feb. 5, 2014, 1:37 p.m.
Narromine residents are invite to register for a Personally Controlled Electronic eHealth Record at a registration day tomorrow at the Narromine Shire Family Health Centre at 9am.
Western NSW Medical Local (WML) will be helping and registering community members for a free eHealth record and the doctors will be able to upload a summary of their health information into the system. 
Any visitors can attend the registration day and get an eHealth record and have their own GP upload their health summary later.
A eHealth record is an electronic summary of a patient’s key health information drawn on existing patient records. 
-----

eHealth sign-up proves popular

By GRACE RYAN

Feb. 7, 2014, 12:27 p.m.
eHealth Registration took place at the Narromine Shire Family Health Centre yesterday as locals flocked to sign up to the electronic health registration run by Western Medicare Local (WML) and Narromine Family Health Centre.
WML staff were thrilled with the turnout with more than 35 people signing up. 
Narromine Men’s Shed members John Lenehan and Les Farr made their way to the health centre during a work break at the shed.
Both men said there was no harm in signing up.
-----

Chemists plan health checks

  • SUE DUNLEVY
  • NT News
  • February 07, 2014 11:00PM
PHARMACISTS will become fat cops under a plan to measure the weight, blood pressure, blood sugar and cholesterol of all Australians once a year.
A leaked Department of Health document shows chemists plan to start the health checks in October so 1.5 million Australians can have their waistlines measured by Christmas.
The findings would be uploaded to a national Health Census and added to a patient's e-health record.
Chemists would also ask people about their smoking and alcohol intake under the Pharmacy Guild's plan to develop an early-warning plan for diseases it says will save the Government money.
-----

Telehealth pilot expanded beyond FttP NBN

Summary: The Australian Department of Health has said that it doesn't require a fibre-to-the-premises NBN connection in order to implement its telehealth trials.
By Josh Taylor | February 5, 2014 -- 01:29 GMT (12:29 AEST)
Advocates for the National Broadband Network (NBN) fibre-to-the-premises (FttP) rollout have cited telehealth and remote patient care as one of the reasons for the need to keep the current project as is, but the Department of Health has stated that its own trial of telehealth technology has now been expanded beyond just testing out FttP.
The department's AU$20.3 million telehealth trial was announced by the former Labor government in early 2012, and in mid-2013, nine projects were funded looking at how "high-speed broadband is the future of healthcare" and would "highlight why it is important to be rolled out to all Australians".
The project targeted 2,500 patients across 50 locations where the NBN fibre network had already been deployed, and included trials in video conferencing and assisted telehealth care for elderly Australians living in aged care residences or at home.
-----

New Icepol malware found as hacking 'industry' flourishes

Date February 3, 2014 - 4:59PM

Drew Turney

Authorities in Romania have identified new malware that claims to be from police enforcing copyright and anti-porn laws.
Called the Icepol trojan, the ransomware sends a message to victims accusing them of software piracy or downloading illegal porn, then locks the victim's computer and demands payment to unlock it. It was installed on more than 267,000 computers including in the US, Germany and Australia and responsible for more than 148,000 scam transactions in just five months.
Security vendor Bitdefender said Icepol originated in Romania, the company's own home country, and was distributed in 25 languages.
-----

Security risk for practices using XP

4th Feb 2014
PRACTICES still using the Windows XP operating system after April have been warned they could be exposed to security risks because Microsoft is due to cease providing support.
Microsoft marketing manager Emmanuele Silanesu said 15—20% of practices were understood to be still using the ageing system.
He added time was fast running out for them to transition to a newer operating system.
Mr Silanesu said with Microsoft ceasing the production of all security patches and updates, XP users risked becoming more susceptible to hackers, which meant practice data, including patient records, may be more easily compromised.
-----

Privacy deadline nears: are you ready?

Date February 4, 2014 - 3:00AM

Sylvia Pennington

Australian companies have just weeks to get their data collection, storage, management and disposal practices in order before several changes to the privacy regime come into effect.
On March 12, the Information Privacy Principles and National Privacy Principles, which apply to federal government agencies and businesses respectively, will be replaced by 13 Australian Privacy Principles (APPs).
The APPs require organisations to be more transparent about how they collect, use and store individuals' personal data.
They cover the way information can be used for credit reporting and marketing purposes and put the onus on businesses to ensure overseas suppliers that have access to customer personal data don't breach the APPs.
-----

Privacy in health care

Monday 3 February 2014 5:49PM
Some would argue that the whole issue of privacy has been taken too far – denying health researchers and planners the kind of information they need to deliver the right care at the right time and at the right price to the community. 
-----

Amputee with bionic hand, Dennis Aabo Sorenson, can feel objects

  • AFP
  • February 06, 2014 10:19AM
AN amputee with a bionic hand has for the first time been able to feel the texture and shape of objects in his grasp, European researchers say.
The success of the month-long trial in Italy has energised researchers in the hunt to solve one of the most difficult challenges in prosthetics.
Until now, movable prosthetic hands have returned no sensation to the wearer and have been difficult to control, meaning the user could crush an object while trying to grasp it.
"For the first time we were able to restore real time sensory feeling in an amputee while he was controlling this sensorized hand," said lead author Silvestro Micera.
-----
Coordinated Interprofessional Curriculum Renewal for

eHealth Capability in Clinical Health Professional Degrees

The final report from this project was published in January 2014.  Link to full report.  Link to executive summary.
Advancing Ehealth Education for the Clinical Health Professions. Final Report 2014.
Authors: Dr Kathleen Gray & Dr Ambica Dattakumar, The University of Melbourne; Professor Anthony Maeder, University of Western Sydney; Ms Kerryn Butler-Henderson, Curtin University; Professor Helen Chenery, The University of Queensland.
Published by the Australian Government Department of Education Office for Learning and Teaching, Sydney, NSW.
ISBN 978-1-74361-340-5 [PDF], ISBN 978-1-74361-341-2 [DOCX], ISBN 978-1-74361-342-9 [PRINT]
Executive summary
This is the final report of a project that aimed to encourage and support program coordinators and directors of Australian undergraduate and postgraduate coursework programs in all allied health, nursing and medical professions to address the need for ehealth education for entry-level clinical health professionals.
The rationale for this project was that new initiatives in professional education, training, learning and development are required to build the capabilities that the Australian health workforce needs to work in a national ehealth system. In Australia, very few educational providers in the health professions had developed a systematic approach to teach, assess, evaluate or audit this aspect of professional education, and relevant curriculum initiatives were not widely known.
-----

Health researcher tenders for managed service provider

National Health and Medical Research Council seeks outsourcer to manage a network supporting 250 users, including 36 mobile devices
The National Health and Medical Research Council (NHMRC) has tendered for a managed service provider to maintain IT infrastructure supporting 250 users – growing at 10 per cent annually – at its offices in Canberra and Melbourne.
Under the initial three-year contract, due to begin in September, the NHMRC is outsourcing all desktop, internet, business application, network, and service desk provisioning, maintenance and support.
The single supplier or consortium managed by a prime contractor would also provision IT staff, and provide assistance and advice on architecture and design, and strategic planning, the NHMRC said.
-----

US approves pill camera to screen colon

  • AP
  • February 04, 2014 10:47AM
A KINDER, gentler approach to one of the most dreaded exams in medicine is on the way: US regulators have cleared a bite-size camera to help screen the large intestine of patients who have trouble with colonoscopies.
The ingestible pill camera from Given Imaging is designed to help doctors spot polyps and other early signs of colon cancer. The Food and Drug Administration cleared the device for patients who have had trouble with the cringe-inducing procedure, which involves probing the colon using a tiny camera on a four-foot long, flexible tube.
The pill camera was previously approved in 80 other countries, including in Japan, Europe and Latin America.
The Israeli company's technology, developed from missile defence systems, uses a battery-powered camera to take high-speed photos as it slowly winds its way through the intestinal tract over eight hours. The images are transmitted to a recording device worn around the patient's waist and later reviewed by a doctor.
-----

$7.7m in funding available via medical device support fund

The New South Wales (NSW) Government has announced a further round of funding for medical device development and commercialisation under the Medical Devices Fund administered by the NSW Ministry of Health.
-----

Leak hints Microsoft will recant 'make-them-eat-Metro' strategy for Windows 8

'Milestone in the proof that the strategy didn't work,' says analyst of possibility that Microsoft will skip the Start screen by default in pending Windows 8.1 update
Microsoft will renounce its "make-them-eat-Metro" strategy in an update for Windows 8.1 slated to ship this spring, if leaked preliminary builds reflect the final product.
According to Wzor, a Russian site that regularly gets its hands on unauthorized builds, Windows 8.1 Update 1 -- a refresh of last fall's revamp of the original Windows 8 -- will enable the "boot to desktop" setting, currently an option, as the default, bypassing the "Metro" Start screen and the flat user interface (UI) that relies on colorful tiles and runs mobile-style apps rather than traditional Windows applications.
The boot-to-desktop setting debuted in Windows 8.1, one of several changes Microsoft made to appease customers who struggled to navigate Metro apps and the Start screen with keyboard- and mouse-controlled hardware, which continues to dominate the PC market and makes up nearly all its installed base.
-----

Special Blast From The Past:

Rudd e-health plan a 'falsehood': Hockey

  • UPDATED: Fran Foo
  • Australian IT
  • May 19, 2010 2:48PM
OPPOSITION Treasury spokesman Joe Hockey today outlined the Coalition's reasons for rejecting the federal government's controversial e-health records proposal.
In last week's budget Treasurer Wayne Swan said $467 million over two years will be set aside to introduce "personally controlled" individual electronic health records as part of the Rudd government's health reforms.
Patients will control what is stored on their health records and will decide which health professionals can view or add to their files.
According to Mr Hockey, the biggest barrier to e-health adoption was the fact that the Healthcare Identifiers Bill was still in limbo and giving the scheme half a billion dollars was akin to putting the cart before the horse.
-----
Enjoy!
David.

Sunday, February 09, 2014

The Symptoms Of Poor Governance In The E-Health Domain Just Keep Emerging. Really Needs To Be Fixed In The PCEHR Review.

There was a very interesting talk on the ABC’s Health Report last Monday,
Here is the home page of the talk with links (lasts about 8 mins).

Privacy in health care

Direct link to audio download.
Monday 3 February 2014 5:49PM

John Glover argues privacy restrictions are keeping important information from researchers

Some would argue that the whole issue of privacy has been taken too far – denying health researchers and planners the kind of information they need to deliver the right care at the right time and at the right price to the community. 
And while that information does not need to breach privacy – according to a leading public health researcher - it is being kept away from those who need it most.

Guests

John Glover : Director of the Public Health Information Development Unit, University of Adelaide

Credits

Presenter: Dr Norman Swan
Producer : Katie Silver
Here is the link to the page:
The essence of what was said was that for an unknown reason access to vital data-sets from Medicare which are used  for examining health issue distribution and disease trends was being made progressively inaccessible to legitimate researchers for no apparent reason - the trend being odder as in the past there had been much easier access provided.
Additionally - because of years of experience with no privacy issues of any sort arising - there seems no obvious reason for problems.
Even worse there seems to be no effective external arbiter to make sure Medicare and DoH are behaving reasonably.
This is a really nice example of two things:
1. Just how unaccountable the bureaucrats can be.
2. How we lack proper information governance for health information and how it is used.
Interestingly I am also hearing of another example where lack of governance is really causing issues - and this is related to how drug information is sorted and presented to clinicians on their prescribing screens. Many experts say what is presently being done is unsafe but the bureaucrats are not listening and worse it seems that there is no one to appeal to (ombudsmen, regulators etc.) to get a proper technical review.
Amazingly we also has this appear:

Chemists plan health checks

  • SUE DUNLEVY
  • NT News
  • February 07, 2014 11:00PM
PHARMACISTS will become fat cops under a plan to measure the weight, blood pressure, blood sugar and cholesterol of all Australians once a year.
A leaked Department of Health document shows chemists plan to start the health checks in October so 1.5 million Australians can have their waistlines measured by Christmas.
The findings would be uploaded to a national Health Census and added to a patient's e-health record.
Chemists would also ask people about their smoking and alcohol intake under the Pharmacy Guild's plan to develop an early-warning plan for diseases it says will save the Government money.
The Pharmacy Guild has detailed the plan in a confidential policy proposal before the Government.
The plan says up to 60 per cent of people with pre-diabetes could be prevented from progressing.
Chemists would be paid $50 for each 30-minute consultation and the initial program would cost the Government $75 million.
More here:
So now we are to have pharmacists upload health check data to the PCEHR and be charging $50 for a 30-minute consult! This has all the flavour of something (pushed by the Pharmacy Guild as a money spinner) that will never happen to me - but should it come to pass, the information governance, privacy and consent issues would be more than complicated
What is needed in all these cases is a proper e-Health governance entity with the skills and authority  to manage issues like this.
Maybe it might just come from the PCEHR Review or am I dreaming!
David.

AusHealthIT Poll Number 204 – Results – 9th February, 2014.

Has Minister Dutton Had More Than Enough Time To Review The Report And Announce The Outcome Of The PCEHR Review?


For Sure 54%

Probably 26%

Probably Not 15%

No Way 2%

I Have No Idea 2%

Total votes: 46

It seems 80% of readers are pretty sure Mr Dutton has had long enough to sort out what he will do with the PCEHR.

Again, many thanks to those that voted!

David.