Quote Of The Year

Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"

or

H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Wednesday, August 06, 2014

Article Draft : Australian E-Health Finds Itself At A Crossroads. It Is Hard To Know What Comes Next!

In the last few months there have been a number of releases and events that we will look back and see as having been quite seminal for the whole Health IT endeavour in Australia.
First we had the release of the Federal Budget on Tuesday May 13, 2014. This has been one of the most contentious Budgets in recent memory, especially regarding some aspects relating to health (e.g. the proposed $7 Medicare Co-Payment). As far as e-Health is concerned an additional 1 year of funding was provided to give Minister Dutton time to work out what to do with the whole eHealth / PCEHR program.
There is a detailed review of a range of the Budget measures undertaken by the Parliamentary Library and some commentary found here:
Second we had the release of the Royle review of the Personally Controlled Electronic Health Record (PCEHR) which was requested by Health Minister Dutton on taking office after the election. The PCEHR Review was handed to Government in December, 2013 (after having taken just 6-7 weeks) and released just after to the Budget in May 2014.
The full Review can be obtained from this link:
A summary of the recommendations from the 91 page Report are found on page 16 of the report and - in very broad terms can be summarised as recommending:
1. Much improved governance of the National E-Health Program - including the establishment of a broadly representative Australian Commission for Electronic Health (ACeH) which reports direct to Health Ministers.
2. Dissolution / Absorption of NEHTA into ACeH.
3. Transition of the PCEHR from an ‘Opt-in’ to and ‘Opt-out’ system with every citizen having a record created and populated for them unless the citizen takes active steps to ‘opt-out’.
4. Rename the PCEHR to the MyHR (My Health Record).
5. The undertaking of a range of reviews to eliminate duplication of activities between the ACeH and the Department of Health.
6. Privatisation of a range of current NEHTA / Department of Human Services activities.
7. Reviews of a range of e-Health infrastructure programs to ensure they are working as intended.
8. Improved measurement, reporting and transparency on all aspect of e-Health.
9. A range of steps to attempt to enhance clinical usability and utility of the system.
10. A range of miscellaneous smaller initiatives.
Sadly the review did not drill down sufficiently to ask the really important questions around the purpose and value of the PCEHR and whether the present design and implementation of the system was optimal or needed change. The assumption seems to be that be basics were all correct - a contention with which I disagree strongly.
It needs to be noted that the PCEHR Review was a report to Government and as such was not binding on Government.
Third there was the surprise announcement that former President of the AMA and one of three members of the PCEHR Review Panel, Dr Stephen Hambleton, had been appointed to be chairman of the NEHTA Board. There was a universal view that this appointment was a ‘good thing’, however one is forced to wonder just what impact and control the good doctor is likely to be able to exert on a Board and Organisation he recommend be ‘dissolved’.
At the time of the publication of the PCEHR Review it was announced that there was to be consultation with a range of stakeholders on the Review recommendation to assist the Minister to work out what to do next. This review consultation process began in late July, 2014 and is intended to last just six weeks until September 1, 2014. There is also to be an on-line survey which will be found at http://www.ehealth.gov.au.
The consultation process is being very tightly constrained and apparently when complete and considered to Government will decide what it will do regarding all the recommendations of the Review and move forward to implement its decisions.
It is hard not to reach the conclusion that the Government is struggling to work out just what exactly is should do. It is already clear that some of the recommendations are not possible in the Review recommended timeframes and that budgetary constraints will put a limit on what will be spent to ‘fix’ all the issues identified.
There is also a considerable body of expert opinion that suggests that a fundamental review of future options beyond what is contained in the very should Royle review should be undertaken, especially given the international experience of similar systems which suggests that the present national approach being adopted my not be ideal.
No matter what the consultation process throws up one gets the sense the very short consultation period may go some way towards preventing the best possible outcomes being reached. That said I suspect that by early next year it will be clear where the Government is heading. It is also possible that what is finally decided may be quite radical - such as outsourcing / privatising the entire initiative in order to let this very complex cup be ‘passed’ from Government. It is hard to argue the last 15 years has shown either side of politics as being very good at this sort of technology adventure.
Whether the course the Government is the right one we will just have to wait and see!
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Comments welcome!
David.

Tuesday, August 05, 2014

Now Those Who Made Money Delivering A Pathetic PCEHR Are Trying To Cash In.

This appeared a few days ago.

Blue sky talk stirs interest in NZ’s Orion Health float

Edited by Sarah Thompson, Anthony Macdonald and Gretchen Friemann
Another day, another cloud-based software initial public offering contender. This time it is New Zealand’s Orion Health, with brokers First NZ Capital/Credit Suisse and Deutsche Craigs on board to handle the listing.
The two banks took Orion to meet potential investors earlier this month, in round one of pre-marketing for a potential $100 million raising and $500 million float.
The company is expected to seek a primary listing in New Zealand with a secondary listing on the ASX.
It’s a similar structure to Metro Performance Glass, which made a solid debut on Wednesday, and the raft of Kiwi energy privatisations over the past two years.
The brokers have already started drumming up interest among Australian fund managers ahead of an October float.
Orion is a cloud-based software provider making about $150 million revenue a year through the sale of its cloud-based health record-keeping and data collection software.
More here:
So the people who brought us the slow, clunky, information concealing user interface for the PCEHR are hoping to raise money and cash in on the backs of share-purchasers who really have not experienced how inefficient and user unfriendly some of the software they sell is.
This IPO (Initial Public Offering) is a total ‘Avoid’ in my humble opinion. There are many better products out there and you can be certain there are one or two nimble software developers and providers who are already developing the replacements for what Orion offers and that will displace them.
Caveat Emptor!
David.

The Madness Rolls On. I Simply Do Not Believe This!

I just checked the PCEHR Questionnaire again.

I found this at Question 5.

5. Which do you like best?
Option Apple
Amazingly the same question is in place for providers, consumers and developers as of 1.00pm.

Wanders off shaking head in despair.

Why is the survey not taken down, fixed, properly tested and then restarted?

David.

Note: At 2:20 pm I was told Question 5 has been fixed:

5. What clinical measurements need to be included in a shared health record? Please specify (max 100 characters):

Seem these nitwits are making it up as they go along and hardly observing best practice etc.

D.

Monday, August 04, 2014

The Consultation On The PCEHR Is A Joke And Incompetent. Idiots Can’t Even Run An Online Poll!

There is a questionnaire here:

https://www.surveymonkey.com/s/pcehrconsultation

Guess what?

The questions that are meant to allow you to respond properly don't (All That Apply limits you to a choice of one rather than as many as you want!)  As of 6.35pm - 4/08/14.

So I could not express my views!

Total idiots.

Talk about DOH management being unable to 'manage a piss-up in a brewery'!

Please fix now!

Checked 11:22pm - Spell check erratic and multiple choices still blocked.

David.

Update 8:30am 5/8/2014. Review by others overnight have confirmed the thing is a total mess and simply not fit for its intended purpose. The powers that be need to have another try!

D.

Weekly Australian Health IT Links – 4th August, 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

To me the most interesting thing is that we see a renewed amount of activity in academic e-Health with Macquarie University taking out the largest e-Health research group and Sydney University advertising for new Professor and associated e-Health group. Straws in the wind? I wonder.
Other than that a lot more than usual seems to be happening - but the response to the PCEHR review is still some way off apparently. Time will tell!
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Warning on ‘ID card by stealth’

Fran Foo

Technology Reporter -Sydney
PRIVACY advocates have warned the Abbott government not to adopt a key electronic health review recommendation which it believes could lead to the introduction of an “Australia card by stealth”.
The Royle review has called for, among other recommendations, the troubled $1 billion personally controlled e-health records system to switch from an opt-in service to opt-out.
This would mean everyone would automatically have an e-health record comprising personal details, whether they wanted one or not.
Australian Privacy Foundation health sub-committee chair Juanita Fernando said she saw no proper justification for an opt-out scheme except the introduction of an identity card.
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New e-health dashboard helps GPs benchmark performance

Healthcare professionals will be able to access real time feedback graphs, identify areas where improvements need to be made to systems or practice, and track the results of improvements made
A new dashboard for e-health measures has been developed to help GPs benchmark their performance in primary healthcare against others nationally.
The dashboard was developed by the Improvement Foundation (IF), a not-for-profit healthcare consultancy and training organisation, in consultation with the National E-Health Transition Authority (NEHTA), Australian Medicare Local Alliance (AMLA) and other healthcare practitioners.
The dashboard that displays the measures has been made available in IF’s free online portal qiConnect. Healthcare professionals will be able to access real time feedback graphs, identify areas where improvements need to be made to systems or practice, and track the results of improvements made.
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Macquarie ’acquires’ UNSW research team

Julie Hare

Higher Education Editor - Sydney
SYDNEY is fast becoming an epicentre for the relocation of entire research teams as Macquarie University last week acquired the 75-strong Australian Institute of Health Innovation from the University of NSW.
While Macquarie’s deputy vice-chancellor Sakkie Pretorius says it did not poach the team — it approached Macquarie — UNSW was last week refusing to comment on the loss of its high-profile institute which specialises in health-systems, e-health and patient safety.
“The AIHI approached Macquarie University about joining us,” said Professor Pretorius in an email. “We think that’s a wonderful compliment and a sign of growing recognition of Macquarie University’s emergence as a major force in medicine and health.”
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Blue sky talk stirs interest in NZ’s Orion Health float

Edited by Sarah Thompson, Anthony Macdonald and Gretchen Friemann
Another day, another cloud-based software initial public offering contender. This time it is New Zealand’s Orion Health, with brokers First NZ Capital/Credit Suisse and Deutsche Craigs on board to handle the listing.
The two banks took Orion to meet potential investors earlier this month, in round one of pre-marketing for a potential $100 million raising and $500 million float.
The company is expected to seek a primary listing in New Zealand with a secondary listing on the ASX.
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Patients who use health apps stay healthier

Date July 28, 2014
WASHINGTON: Your smartphone is not only your best friend, it has also become your personal trainer, coach, medical lab and maybe even your doctor.
"Digital health" has become a key focus for the technology industry, from modest start-ups' focus on apps to the biggest companies in the sector seeking to find ways to address key issues of health and wellness.
Apps that measure heart rate, blood pressure, glucose and other bodily functions are multiplying, while Google, Apple and Samsung have launched platforms that make it easier to integrate medical and health services.
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‘Big data’ can help take pressure off ageing system

Technology
Diane Watson
Healthcare systems face increasing pressure and the reasons for this are widely understood. The rising expectations of ageing populations in advanced economies, increasing numbers of patients with chronic and complex conditions and the ever-increasing costs of treatments are encouraging health system managers to seek efficiencies and better ways of working.
Shortages, whether of medicines or money, beds or workers, are no stranger to hospital and health system managers throughout the developed world. But there is no shortage of a commodity that, properly used and with full privacy protections in place, can show us where these efficiencies can be found. This commodity is data, and thanks to the technology revolution of the past 20 years, it is in plentiful supply.
Although impressive efforts have already been made to turn some of Australia’s data into information that health system managers can use, there remains much untapped potential for data to be used in innovative ways to drive health service efficiencies locally. Only more recently have data from different jurisdictions been combined to allow all public hospitals and local communities to compare their performance with that of their peers right across the country. Recent analyses using big data techniques – which have been made possible by the huge leaps in computing power and data storage – have revealed where investments to improve care will yield the highest return.
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Data to be released to expiring bodies

Sean Parnell

Health Editor - Brisbane
CONFIDENTIAL information that has the potential to improve local health services will finally be handed over to state and territory governments — three years after it was promised by Kevin Rudd.
Under the National Health Reform Agreement, the government promised to give the states “reasonable access to Local Hospital Network level and Medicare Local level health and ageing data about commonwealth programs”.
The data was considered ­crucial to the states’ planning, structuring and funding of public hospital services, and also vital to forming links between Medicare Local GP and hospital networks.
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Semantically Aligned Design Principles At Core of Australian Electronic Health Records Platform

By Jennifer Zaino on July 30, 2014 9:13 AM
At the upcoming Semantic Technology & Business Conference in San Jose, Dr. Terry Roach, principal of  CAPSICUM Business Architects, and Dr. Dean Allemang, principal consultant at Working Ontologist, will host a session on A Semantic Model for an Electronic Health Record (EHR). It will focus on Australia’s electronic-Health-As-A-Service  (eHaas) national platform for personal electronic health records, provided by the CAPSICUM semantic framework for strategically aligned business architectures.
Roach and Allemang participated in an email interview with The Semantic Web Blog to preview the topic:
The Semantic Web Blog: Can you put the work you are doing on the semantic EHR model in context: How does what Australia is doing with its semantic framework compare with how other countries are approaching EHRs and healthcare information exchange?
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Experts warn over use of health apps

KELLY DENNETT
Last updated 05:00, August 3 2014
It's a hypochondriac's nightmare. And what's worse it comes with its own health warning.
The explosion of medical apps available to download for iPhones and Android has doubled to 100,000 since 2011 and in the next three years it's predicted half of the world's 3.5 billion smartphone users will have one. But experts are warning consumers to use common sense when downloading health apps.
The mobile health trend has become so important Auckland University of Technology has opened a new e-health centre to bring together its existing research. Centre director Duncan Babbage said New Zealand is a world leader when it comes to IT in health and the biggest beneficiaries will be people living in remote rural areas and those with mental illness.
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Associate professor or professor in ehealth

FACULTY OF HEALTH SCIENCES
REFERENCE NO. 970/0414
The Faculty of Health Sciences at the University of Sydney is the largest and most comprehensive grouping of researchers and teachers in allied health in Australia. The faculty is a world leader in research and education in the health sciences and allied health. It is committed to research and research-led learning and teaching in a multidisciplinary context.
The faculty is planning to embed eHealth into all professional programs. The goal is for students to be skilled in the methods of delivery of eHealth care using appropriate technology in a rapidly changing health care environment. Information technology is widely used to support clinical decision-making and is increasingly used in enhancing the coordination of quality health care.
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Aus looks at opt-out for national EPR

25 July 2014   Linda Davidson
ehiPrimaryCare
Australia is to consider moving to an opt-out approach to for its Personally Controlled eHealth Record scheme, according to the country’s top health chief information officer.
The data sharing project, which is currently opt-in, began in July 2012 when patients could register to get access to their own health records.
The Australian government has spent more than £550m on the scheme since it began, but uptake has been slow. In its first year, fewer than 5,000 individual providers and 400,000 people signed up.
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Whitepaper: Realising Benefits from eMedications Management (eMM) benefits

eMedications Management is an important facet of eHealth yet to be fully realised. It’s a complex area with the potential to deliver significant benefits in terms of health outcomes, health system savings and national productivity.
The recent recommendation to move to an opt-out model for the PCEHR is dependent on the inclusion of minimum viable record that includes current medications.
CHIK Services has released a shared vision, lessons learnt and value map for eMM (eMedications Management) in hospital settings.
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Supply Chain - Purchase Order Response Message MIG

Created on Friday, 01 August 2014
The National E-Health Transition Authority (NEHTA) wishes to advise that an updated version of the eProcurement Message Implementation Guidelines is now available for download (uploaded 31 July) from the following location on the NEHTA website.
Release Rationale
This incremental release updates the Description/Comments row in GS1 XML Purchase Order Response – Message Implementation Guidelines Section 4.18 Substitute Product Identifier.
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See eHealth and the PCEHR in action at HIC 2014 in Melbourne

Created on Friday, 01 August 2014
NEHTA is exhibiting at the Health Informatics Conference (HIC) from 11-14 August 2014 at the Exhibition Centre in Melbourne.  HIC is The Health Informatics Society of Australia (HISA) annual conference.
GP software vendors Genie, Best Practice, Communicare and Medical Director will be demonstrating their software of the personally controlled electronic health record system (eHealth record system) at the NEHTA booth (booth 59) in the exhibition hall at the PCEHR showcase area. There will also be a demonstration by Chamonix of the Healthcare Identifier and PCEHR System (HIPS) software and a breakfast showcasing the Australian Medicines Terminology (AMT).  NEHTA authors, maintains and distributes the Australian Medicines Terminology, a nationally agreed standard medication language. 
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#FHIR CDA Position Statement & Roadmap: Joint Statement with Lantana

Posted on August 1, 2014 by Grahame Grieve
Lantana Consulting Group invited me to take part in the Spring CDA Academy after the HL7 Working meeting in Phoenix in May, which I enjoyed greatly. While I was there, we spent some time discussing the relationship between CDA and FHIR, both where things are today, and where we think they should be.
This is a pretty important subject, and from the beginning of our work on FHIR, one of the most common questions that we have been asked about FHIR is “what about CDA?”. Sometime, we get asked a more specific question:  “What does Lantana think about FHIR?”.
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New guide aims to remove the drama of reporting software flaws

Bugcrowd worked with a legal firm, CipherLaw, to develop the framework
Handling a software flaw can be messy, both for a security researcher who found it and for the company it affects. But a new set of guidelines aims to make that interaction less mysterious and confrontational.
Large companies such as Facebook, Google and Yahoo have well defined "responsible disclosure" policies that lay out what is expected of researchers if they find a vulnerability and often the terms under which a reward will be paid.
But many companies don't, which can lead to problems and confusion. Security researchers have occasionally been referred to law enforcement even when they have been up front about the issue with a company.
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Queensland ambos seek iPad-based forms

Part of strategy to move to iPad based forms
Queensland Ambulance Service (QAS) has issued an invitation to offer (IOT) for the delivery of an electronic ambulance form that allows paramedics to record patient care information on iPads at the scene of the accident.
QAS provides emergency services to more than 4.1 million people in Queensland. Approximately 2,780 paramedics are employed by the service. In 2012 QAS handled 833,000 cases and responded to 160,000 triple zero calls.
According to IOT documents, QAS rolled out the Victorian Ambulance Clinical Information System (VACIS) electronic ambulance report form to QAS paramedics across Queensland in 2006.
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Google's next frontier: What it means to be healthy

Google X teams with Duke, Stanford to spot early turn from health to disease
What makes people healthy?
That's a question researchers at Google X, along with scientists at Duke University and Stanford University, are looking to answer.
Google has launched a new project, dubbed the Baseline Study, that seeks to develop a greater understanding of what it means to be healthy.
"Most research studies focus on a particular disease. We're going to study health. We want to understand what it means to be healthy, down to the molecular and cellular level," the company noted in a release. "We think this could someday yield powerful insights for how diseases are understood, detected, and treated."
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Graphic reader for the blind

Jennifer Foreshew

Technology Reporter Sydney
AUSTRALIAN researchers have developed an affordable digital reading system that allows the blind to read graphics ­information without relying on sighted assistance.
Western Australia’s Curtin University researchers have developed the tool, which could have a production cost as low as $100 for each device.
It can handle the complex issues faced by the vision-impaired when needing to read graphics, graphs, bills, bank statements and more.
The system was developed by senior lecturer Iain Murray and PhD student Azadeh Nazemi of Curtin’s Department of Electrical and Computing Engineering.
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All the bottom-line action

July 28, 2014
PowerHealth and Evosys partner to bring Oz activity based costing solution to the Middle East
Australian healthcare costing and billing software vendor PowerHealth Solutions has partnered with technology company Evosys to bring the PowerPerformance Manager activity based costing system to the Middle East. Healthcare spending in the Middle East is expected to increase by 10 percent annually due to population growth and governmental efforts to expand access to care.
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NBN looks to slash usage costs

Annabel Hepworth

National Business Correspondent - Sydney

Mitchell Bingemann

Reporter - Sydney
THE National Broadband Network is set to slash a controversial usage charge as its examines ways of stimulating traffic on the taxpayer-funded project.
The Australian has confirmed the NBN Co has sent retail service providers — companies that sell NBN services to consumers — a document proposing an immediate cut to the charge by 12.5 per cent to $17.50 per megabit per second each month for the next two years. The government-controlled NBN Co is also considering a long-term option where it would overhaul the controversial charge it levies for download capacity.
Under the proposal, NBN providers who targeted high-volume customers such as businesses or big users of internet-based television would enjoy a lower unit price on the charge.
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When your backup strategy fails

"The best laid schemes o' mice an' men gang aft agley" according to Robert Burns, but even when things go seriously awry there can still be a happy ending.
Pro photographer Michael Leadbetter thought he had data protection under control. "After more than 12 years as a photographer, I know you can't afford to mess around. Clients expect you to look after their images. Especially clients with overseas managers coming in."
So when he got home after handling the photography and videography at a corporate conference, he locked the MacBook Air holding the day's work in his safe.
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Hackers can tap USB devices in new attacks, researcher warns

Date August 1, 2014

Jim Finkle

USB devices such as keyboards, thumb-drives and mice can be used to hack into personal computers in a potential new class of attacks that evade all known security protections, a top computer researcher has revealed.
Karsten Nohl, chief scientist with Berlin's SR Labs, noted that hackers could load malicious software onto tiny, low-cost computer chips that control functions of USB devices but which have no built-in shields against tampering with their code.
"You cannot tell where the virus came from. It is almost like a magic trick," said Nohl, whose research firm is known for uncovering major flaws in mobile phone technology.
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Enjoy!
David.

Sunday, August 03, 2014

Just What Exactly Do You Imagine Telstra Is Up To With All This? Not Sure Who The Customers Are.

I was alerted to this a little while ago.

Semantically Aligned Design Principles At Core of Australian Electronic Health Records Platform

By Jennifer Zaino on July 30, 2014 9:13 AM
At the upcoming Semantic Technology & Business Conference in San Jose, Dr. Terry Roach, principal of  CAPSICUM Business Architects, and Dr. Dean Allemang, principal consultant at Working Ontologist, will host a session on A Semantic Model for an Electronic Health Record (EHR). It will focus on Australia’s electronic-Health-As-A-Service  (eHaas) national platform for personal electronic health records, provided by the CAPSICUM semantic framework for strategically aligned business architectures.
Roach and Allemang participated in an email interview with The Semantic Web Blog to preview the topic:
The Semantic Web Blog: Can you put the work you are doing on the semantic EHR model in context: How does what Australia is doing with its semantic framework compare with how other countries are approaching EHRs and healthcare information exchange?
Roach and Allemang: The eHaaS project that we have been working on has been an initiative of Telstra, a large, traditional telecommunications provider in Australia. Its Telstra Health division, which is focused on health-related software investments, for the past two years has embarked on a set of strategic investments in the electronic health space. Since early 2013 it has acquired and/or established strategic partnerships with a number of local and international healthcare software providers ranging from hospital information systems [to] mobile health applications [to] remote patient monitoring systems to personal health records [to] integration platforms and health analytics suites.
At the core of these investments is a strategy to develop a platform that captures and maintains diverse health-related interactions in a consolidated lifetime health record for individuals. The eHaaS platform facilitates interoperability and integration of several health service components over a common secure authentication service, data model, infrastructure, and platform. Starting from a base of stand-alone, vertical applications that manage fragmented information across the health spectrum, the eHaaS platform will establish an integrated, continuously improving, shared healthcare data platform that will aggregate information from a number of vertical applications, as well as an external gateway for standards-based eHealth messages, to present a unified picture of an individual’s health care profile and history.
The Telstra Health eHaaS initiative represents one of the largest and most ambitious non-government investments ever, in developing a national electronic health record. Well aware of the history of failed attempts by government-sponsored national health record schemes, Telstra’s approach is to provide an integrated healthcare platform that will offer contextualized access, sharing, and analytics to individuals, health care providers, devices and industry decision support and research. By 2020 Telstra will invest US$1B in a mix of six core capabilities including provider applications, health gateways, telehealth, care coordination, enabling solutions and business analytics.
A key challenge for this approach is the conflict between the integrated view of data in the healthcare platform and existing data that is already being used by the service and care providers across the industry. To alleviate this tension, eHaaS leverages the flexibility of RDF and other semantic technologies to manage distributed and varying data schemas. This fundamental commitment to semantically aligned design principles is a unique characteristic of the eHaaS platform, setting it apart from earlier (failed) efforts. The core information, messaging and process models supporting the eHaaS have been designed and built from the ground up on a semantic business architecture framework (CAPSICUM) and is optimized for interoperability across the major international health information standards.
The Semantic Web Blog: Can you provide a little more detail on just what the CAPSICUM semantic meta model is, and how its features are critical to the business architecture ontology that underlies the eHaas platform?
Roach and Allemang: The centerpiece of the eHaaS platform is a Common Information Model (CIM) that will be deployed on a number of separate MongoDB NoSQL databases. An over-riding concern with information privacy has driven the database architecture which has a unique characteristic of maintaining separate repositories for clinical data, demographic information and analytical data-stores. The CAPSICUM framework is used to manage a single view of this CIM, and deploy it out to the various operational data systems on an as-needed basis.
The design of the eHaas CIM has been based on the CAPSICUM Framework for semantically aligned business architecture. CAPSICUM follows a model-driven engineering approach with three modelling layers, namely:
- a computationally independent, conceptual model (CAPSICUM Business View) that is modelled in RDF/OWL;
- a platform independent, logical model (CAPSICUM Technical View) based on an entity-relation modelling paradigm;
- a platform specific, physical modelling layer (CAPSICUM Platform View) which is a repository of XSD-based application schemas.
Models at the three modelling layers are aligned through an integrated meta-model which provides a single consistent semantic representation, which is serialized on-demand into any of the three modelling paradigms. The framework supports round-trip transformation of model semantics across all three modelling layers so that, for example, an XSD schema can be imported into the Platform View of the framework and rendered graphically as both an Entity-Relation-Diagram in the Technical View and an Ontological Graph in the Business View. Analysts can then make modifications to the models at any of the layers and have these applied to the each of the models at the other two layers.  Additionally the models can be serialized in the ISO11179 metadata standard.
Lots more here:
The guts of what we read here seems to me:
1. Telstra is developing a national EHR.
2. Telstra plans to invest $1 billion in this over the next few years.
3. Telstra is saying they are developing a semantically interoperable Common Information Model (CIM).
4. The scope of the eHealth as a Service (eHaas) is said to be “By 2020 Telstra will invest US$1B in a mix of six core capabilities including provider applications, health gateways, telehealth, care coordination, enabling solutions and business analytics.”
My first reaction is just to wonder what is the business model Telstra has in mind to get a return on their $1B - given that Telstra is not a charity and has a lot of shareholders who will continue to demand dividends etc.
Possibilities might be that they take over from the Government in running the PCEHR and charging the Government a fee for operations and for providing a better products that are presently in place. Alternatively or additionally they might choose to charge practitioners to provide systems for them or State Governments to run / deliver hospital systems. They may also be thinking in the Asia / Pacific Region. Any other ideas?
My other reaction is what is said regarding the Common Information Model (CIM) sounds very ambitious and rather ahead of what I understand to be the ‘state of the art’. There is a long history of such initiatives taking a very long time to reach their objective - if ever!
I look forward to comments on what others think Telstra are up to and where it fits in the Australian e-Health echosystem!
David.

Important and Comprehensive Australian Conference On Pathology E-Health Announced. Looks Great!

I got the notification of this conference a day or so. I looks like a ripper I must say!

RCPA Pathology Informatics Seminar 2014


Date:
Wednesday, 12 November 2014 To Thursday, 13 November 2014
Location:
Alan Ng Education Centre, 203-205 Albion Street, Surry Hills, Sydney
Price:

Description:
This seminar compliments the biennial Bioinformatics Workshop and will provide a unique opportunity to either unravel the mystery  behind the computer screen or continue your education on Pathology Informatics. This seminar is suitable for pathologists, trainee pathologists, medical and computer scientists and technologists and indeed for any knowledge workers in pathology or using pathology reports.
The seminar will provide a critical overview of key elements of informatics in regard to the pathology profession, covering 23 learning areas across 4 streams:
  • Information Fundamentals
  • Information Systems
  • Workflow and Process
  • Governance and Management
Enquiries:  Donna Moore or ph: 02 8356 5858
Closing date:  Friday 7 November 2014
Enquiries:
Donna Moore Ph: 02 8356 5858 or email: donnam@rcpa.edu.au
Additional Information:
Can I suggest a close look at the program. I think you will be impressed. Please note this is not a paid announcement!
David.

AusHealthIT Poll Number 229 – Results – 3rd August, 2014.


Here are the results of the poll.

Do You Believe The Government and Minister Dutton Know What To Do With The PCEHR Program?


No 95% (54)

Neutral 0% (0)

Yes 5% (3)

I Have No Idea 0% (0)

Total votes: 57

A very good response and the clearest poll outcome I have ever seen.

Seems Mr Dutton needs help!

Again, many thanks to all those that voted!

David.