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."

Thursday, April 09, 2015

2016 Budget Watch. Parliament Closed Until Budget Day. The Leaks Continue!

Last Budget Night was on Tuesday 13th May, 2014 and it is still not finalised -apparently $27Billion still unresolved!
We now look forward to see what we might see next time. I am sure this will be fun.
Last week was just huge with early leaks and a Tax White Paper and a Competition Final Report released. Too much for most to even start to get their heads around!
Budget Night is May 12, 2015.
-----
Articles looking forward and back this week include.

General Budget Issues.

-----

Joe Hockey's Uber moment: Treasurer says the changing economy is affecting the tax collected

Date March 30, 2015 - 9:48PM

Latika Bourke

National political reporter

When Joe Hockey finished having a coffee with a friend from overseas recently, it was not the quality of the espresso or even the conversation that was occupying his thoughts at the end of the catch-up.
Instead, the federal Treasurer said he was left wondering whether rideshare company Uber, who had just picked up his friend, was charging the GST or not.
Mr Hockey raised the example when launching the tax white paper titled "Re:think" to illustrate how the changing economy and business world is affecting the amount of tax the government is raising and crucially, from whom.
Mr Hockey said on Monday his friend's decision to decline the offer for a taxi in favour of Uber left him thinking.
-----

Australians reject Hockey’s tax plan

7:59pm, Mar 31, 2015
James Fernyhough Money Editor
The majority of Australians oppose the Treasurer’s plan to lower income and corporation tax.
Australians overwhelmingly oppose the vision of taxation reform put forward by Joe Hockey in his taxation discussion paper yesterday, according to an Essential poll.
Mr Hockey yesterday outlined a vision of lower income and corporation taxes, and an increase in the Goods and Services Tax (GST).
But in so doing, Mr Hockey appears to have again alienated the majority of the Australian population.
The Essential report found 76 per cent of respondents support taxing multinational companies more, not less; while 65 per cent support increasing the income tax for income earners.
-----

Government policy changes worry consumers

Published: 11:43 am, Wednesday, 1 April 2015
Consumer anxiety levels have risen amid concerns about federal government policy.
Policy changes were a bigger worry for consumers than the cost of living in the March quarter, National Australia Bank's consumer anxiety index found.
The index rose 1.7 points to 61.8 points - with seven out of 10 respondents worried about government policy despite the axing of a proposed $5 Medicare co-payment in March.
-----

Budget credit warning for federal Treasurer Joe Hockey

  • Colin Brinsden
  • AAP
  • April 02, 2015 10:00PM
ONE of the world’s biggest investment banks has sent federal Treasurer Joe Hockey a stark warning: change the course of the Budget or Australia risks losing its triple-A status.
And Australia’s biggest retail bank has again called for the Government to develop a long-term plan to tackle the major economic threat posed by sagging confidence levels.
JP Morgan’s chief economist in Australia, Stephen Walters, yesterday said there was a growing risk Australia would be stripped of its triple-A credit rating.
-----

Hockey put on notice over credit rating

Updated: 8:11 am, Friday, 3 April 2015
One of the world's largest investment banks has delivered a stark message to treasurer Joe Hockey, fix the budget or Australia risks losing its triple-A credit rating.
JP Morgan chief economist Stephen Walters says moves must be made to address the nation's chronic deficit, warning government spending has 'accelerated, not slowed' under the Abbott government.
-----

Editorial: Ending entitlement culture

In an Easter message to be posted today, the Anglican Primate of Australia and Archbishop of Melbourne, Philip Freier, calls for a broader conversation about the kind of society we want here, given the nation faces “serious and urgent questions”.
Archbishop Freier reprises Joe Hockey’s pungent idea of ending the age of entitlement, asking for a reappraisal of what Australians expect from government and what they are prepared to contribute. As we see it, this is no mere thought bubble, but an overdue debate about fiscal sustainability, economic flexibility, self-reliance and fairness; it must go to the heart of taxation, welfare, retirement incomes policy and workplace relations reform. To bear fruit, it must be approached in a systematic way by the major parties, the only entities who aspire to broad-based governing.
Having put the handout culture on the agenda in an April 2012 speech, it’s a pity Mr Hockey has done so little to lead such a vital debate. The nation faces a structural fiscal defect that will see Canberra racking up deficits and debt for countless years to come as a result of spending and taxing decisions taken by Coalition and Labor governments during the mining booms. The Treasurer has failed to gain traction for remedial fiscal measures because he mismanaged the politics of reform and his messaging has been inconsistent and insipid. But there are emerging signs others are prepared to take the conversation to the next level.
-----

Apparent Budget Leaks.

Budget 2015: Treasurer Joe Hockey hints the Government will be introducing a bank deposits tax

March 30, 2015
Treasurer Joe Hockey has hinted the Federal Government will push ahead with a tax on bank deposits while blaming the Labor government for the budget deficit.
When asked on Network Ten's The Bolt Report whether he would be introducing a bank deposit tax, Mr Hockey hinted he would introduce the tax first introduced by Labor in 2013.
Assistant Treasurer Josh Frydenberg has previously refused to provide any details on the policy, but Mr Hockey has confirmed the policy will mirror Labor's.
"Any announcements or decisions around this proposed policy which we discussed at the last election will be made in the lead-up or on budget night," he said.
-----

Tax reform: Super concessions for the wealthy in the firing line

Date March 31, 2015 - 8:26AM

Latika Bourke

National political reporter

A crackdown on superannuation concessions received by the wealthy appears to be the next major tax reform, with both sides of politics declaring they are looking to tackle the issue. 
A Treasury discussion paper on tax, released by the government on Monday, advocates broadening the GST, which is 10 per cent, and reducing income and company taxes.
While Treasurer Joe Hockey talked down the prospect of an increase in the GST level, hesignalled the Coalition may look to cut back on generous superannuation concessions that favour the rich.
And in a rare sign of bipartisanship, Labor agreed on the need for change to the current system, which critics say favours the wealthy.
-----

Grattan Institute warns budget could include super changes

Mar 31 2015 at 4:10 PM
by Sally Patten
Savers should not rule out superannuation changes in the May budget, one of the country's most prominent think tanks has warned.
Criticising this week's tax discussion paper for a lack of detail on the Coalition's priorities for tax reform, Grattan Institute chief John Daley cautions that super tax breaks could be in sight of Treasurer Joe Hockey as he prepares to bring down his second budget on May 12.
"If there is anything material, it will be on the super side," Mr Daley said, adding that lowering the annual contributions limits or reducing the salary threshold for the higher contributions tax were two measures that could be introduced.
The annual pre-tax contributions caps are $30,000 for workers under the age of 50 and $35,000 for those aged 50 and above. Individuals on salaries of more than $300,000 a year pay a contribution tax of 30 per cent, against 15 per cent for individuals earning less than that amount.
-----

Politicans enjoying generous lifetime pensions agree other Australians should have their superannuation taxed more

  • DANIEL MEERS National Poltical Reporter
  • The Daily Telegraph
  • April 02, 2015 12:00AM
Key Points.
  • Politicians considering whether superannuation should be taxed more
  • Debate comes despite taxpayers funding $45 million in poli pensions
  • Tony Abbott will earn at least $200,000 a year at retirement
  • John Howard has been getting $250,000 a year since losing the top job
FEDERAL politicians considering a Robin Hood raid on the superannuation of older Australians are unlikely to feel any pain themselves as they accept a slice of the generous $45 million in pensions paid out annually to retired politicians by the taxpayer.
In a rare act of bipartisan politics, all sides seem to be in agreement that the tax man should take a bigger bite out of super while at the same time enjoying generous life-time pensions.
The Finance Department has revealed taxpayers fund the $44.6 million needed to pay for the Parliamentary Contributory Superannuation Act for those who have served in parliament.
-----

Joe Hockey waves the white flag on spending cuts

We should be wary of engaging in the fanciful reform ideas being fed to us by the people we elected. They are only trying to distract us from their inability to do the basics: cut spending.
This government is operating on the motto: “You think we are big-spending, high taxers? Trust us, Labor would be even worse, and by the way, look over there!”
Perhaps you think me unkind. Australia, if Treasury is to be believed, is, under present settings, going to take at least 40 years to achieve a surplus. Forty years.
Where will you be in 40 years? In 40 years, if still alive, I will be 85 and hopefully dementia-free. Considering the wait, I want to have all mental faculties intact so as to fully appreciate the moment the budget emergency from 2013 is finally fixed, the fire is put out and Labor’s mess is cleaned up.
-----

Suddenly, we have new directions on superannuation tax and pensions

The Australian

  • April 04, 2015 12:00AM

Paul Kelly

The politics are remarkable. Within a few days of the government’s tax discussion paper the Labor Party has killed off the pivotal proposition — the need to shift the balance from direct to indirect taxation — and has instigated a national debate about its own proposal to remove super tax breaks at the high end.
Opposition Treasury spokesman Chris Bowen has campaigned all week to make the superannuation tax the centrepiece. It is a classic hijack.
Yet it is also an opportunity for Joe Hockey, who wants to shift public opinion on the need for intergenerational equity and enduring budget reform.
The reality is that superannuation tax breaks for high-income earners are unjustified in the current fiscal situation on revenue and equity grounds. This is emerging as a shared Liberal-Labor position in principle. It has been reinforced this week by a report launched by the Association of Superannuation Funds of Australia showing that about 70,000 people with an account balance of more than $2 million receive tax-free income.
-----

Samantha Maiden: PM Tony Abbott gets serious about kicking millionaires off the pension

  • The Sunday Telegraph
  • April 05, 2015 12:00AM
KEVIN Andrews gets a bad rap as a deadwood minister cruising into the Defence ­Department exit lounge.
One minute, he was the minister for love, cheerfully handing out $200 vouchers for sex and relationship counselling sessions and posing up to promote the scheme with his lovely wife as they clutched hands on a burgundy sofa.
The next, the anti-divorce campaigner was being shifted into Defence, the great political departure lounge that few ministers have ever re-emerged from.
Media coverage of his replacement, rising star Scott Morrison, generally asserts that his predecessor was a bit of a dud.
-----

Health Budget Issues.

1 April 2015, 6.05am AEDT

If the government wants price signals, it should stop supporting health insurance

PPrivate insurance, by its very nature, suppresses price signals and encourages over-servicing and cost escalation.

Author Ian McAuley

Lecturer, Public Sector Finance at University of Canberra
Prime Minister Tony Abbott has declared the Medicare co-payment proposals “dead, buried and cremated”, but two related ideas behind it live on: Medicare is becoming “unaffordable” and our universal health system should morph into a program reserved for the poor.
The government’s original justification for the co-payment was to bring more “price signals” into Medicare. In itself the idea has merit, but the government has been going about it in a ham-fisted way.
Whether by design or accident, the government seems to be undermining the principle of Medicare as a universal tax-funded program, paving the way for private health insurance to play a role in funding primary care.
But private insurance, by its very nature, suppresses price signals and encourages over-servicing and cost escalation. It is an expensive way to fund health care.
-----

Half unaware of hike in health insurance premiums

Sarah-Jane Tasker

Health insurance premiums will jump by 6.2 per cent on average today, but only one in two Australians are aware they are about to be hit with the increase.
This year’s increase could add to the trend of people dumping or downgrading policies, which recently passed 2.5 million.
Research from comparethemarket.com.au revealed that half of all health insurance policyholders surveyed were unaware if their insurer had made changes to their policy.
The survey, of an independent panel of 1000 Australians with private health insurance, showed that while 81 per cent of respondents said they were confident they were covered for major healthcare costs, 50 per cent were unaware if changes had ever been made to their policies and 39 per cent had allowed their policies to automatically renew each year.
-----

Mental health funding to be extended by Coalition after lobbying from sector

Mental health programs worth $300m will continue to be funded for another year while government works through the findings of a review
The federal government has announced it will extend funding for a number of mental health programs for 12 months, following pressure from lobby groups.
Funding for some community mental health organisations was due to expire at the end of the financial year, which mental health advocacy groups said would mean the loss of services affecting thousands of people.
The health minister, Sussan Ley, on Thursday announced that the programs, worth $300m, would continue for another year while the government worked through the findings of a report into the sector undertaken by the Mental Health Commission.
-----

Tax reform promises focus not just on how much, but how revenue raised, while Budget cuts still major concern

Marie McInerney | Mar 31, 2015 3:32PM | EMAIL | PRINT
Yesterday Treasurer Joe Hockey released the Federal Government’s long-awaited discussion paper on tax reform, which comes just five years after the long-awaited Australia’s Future Tax System Review for the Labor Government by former Treasury Head Ken Henry.
Among other measures, the paper advocates broadening the GST and reducing income and company taxes,  along with a crackdown on superannuation tax concessions that have been described as a “tax haven” for the wealthy.
Unlike the harsh measures doled out in the last Federal Budget, this paper looks past issues of spending to the question of revenue – of what we need in order to deliver the services we want. It notes the focus should be “on how revenue is raised, not just how much” and that the government’s goal is to deliver “lower, simpler, fairer taxes.”

Pharmacy Issues.

Review calls for abolition of pharmacy regulations

31 March, 2015 Chris Brooker
Pharmacy organisations have rejected the recommendations of the Federal Government’s Competition Policy Review.
The report, delivered today, has recommended removing pharmacy ownership and location rules.
It called on the government to use Sixth Community Pharmacy Agreement negotiations to “implement a further targeted relaxation of the location rules, as part of a transition towards their eventual removal”.
“If changes during the initial years of the new agreement prove too precipitate, there should be provision for a mid-term review to incorporate easing of the location rules later in the life of the next Community Pharmacy Agreement”.
-----

Harper review: Pharmacists slam proposal to lift restrictions

Date March 31, 2015 - 6:33PM

Beau Donelly

Loosening strict pharmacy regulations would allow supermarket chains to tap into the prescription medicine market and could compromise patient care, pharmacists warn.
The final report of the Harper Review, published on Tuesday, has recommended dumping pharmacy location and ownership rules among a raft of other changes aimed at boosting competition.  
But pharmacists have roundly rejected the proposal, saying deregulation would give supermarkets the power to compete with local pharmacies, driving independent operators out of business and putting health care second to profit.
They say the big supermarket chains could never be a legitimate part of the health system while they profit off cigarettes and alcohol.
-----

The Pharmacy Guild: the most powerful lobby group you've never heard of

Date April 1, 2015 - 4:16PM

Matthew Knott

ANALYSIS
What a thrill, to be young and naive.
There's always been a fear that if they ran a campaign they could bring a government down 
I was in my early 20s, my first year of full-time journalism, and had been assigned a task well above my pay grade: to uncover the 10 most powerful lobbyists in Australia.
My initial enquiries focused on Clubs Australia, which was waging war against poker machine reform; the Minerals Council of Australia, whose advertising campaign helped kill off Kevin Rudd's mining tax; and business lobbyist Heather Ridout.
At the end of each phone call, I would ask: is there anyone else I should look at? 
When the first person said the Pharmacy Guild, I ignored them. How powerful could chemists be, I sniffed. Pretty small stuff, surely, compared to the miners and the gambling industry. To tell the truth, I'd never heard of the guild before.
-----

Harper Review: Shake-up of pharmacy rules could mean longer opening hours, better service, Consumers Health Forum says

By political reporter Louise Yaxley
Posted yesterday at 4:22pm
Relaxing the rules for pharmacies could lead to longer opening hours and better service, a consumer group says.
The Harper Review into competition policy, released yesterday, calls for the scrapping of the rules that set out where pharmacies are located.
"Such restrictions limit the ability of consumers to choose where to obtain pharmacy products and services, and the ability of providers to meet consumers' preferences," the review said.
The Consumers Health Forum is backing the idea and says the Government should bring in a new, more-flexible system over the next two years.
-----

Harper review: Second opinion at odds over pharmacy treatment

Joe Kelly

Healthcare groups are split over calls to remove pharmacy ownership and location restrictions, with Small Business Minister Bruce Billson warning that the outlets cannot be treated like any other retail operation.
State and territory laws limit ownership to registered pharm­acists, but the Harper review says this has no bearing on the quality of advice or care provided, and points out no similar laws apply to GP practices.
Location rules are so complex they fill a 56-page handbook. They prevent new pharmacies opening within a certain distance of others, with distances usually varying ­between 1.5km and 10km. The Consumers Health Forum, Cancer Voices Australia and the Chronic Illness Alliance yesterday backed the removal of “antiquated measures” that shield pharmacists from competition.
------

Harper review of competition has deregulation agenda

Date April 4, 2015 - 12:15AM

Gareth Hutchens

A review of Australia's competition laws is the first systemic shake-up in 22 years and could lead to a revolution in the way Australians live.
Imagine you're a nurse in a busy hospital working late into the night most shifts. By the end of each day you're hungry and exhausted but you haven't done the shopping for days. Your groceries are running low. You would love to have a glass of wine tonight, too, but you have nothing at home.
Dammit. All the shops are closed by now.
Helen Phillips-Vass, of Bondi in Sydney, has worked as a registered nurse for more than 20 years. She says the above scenario is a familiar one.
"There are several times when I've thought I'll just drop in to get some food or a bottle of wine and there's just nowhere," Ms Phillips-Vass says.
-----

Pharmacy explainer: what are the benefits of deregulating the pharmacy industry?

Date April 5, 2015 - 12:15AM

Dan Harrison

Viagra with your Vegemite, Amoxycillin with your apples? This week's call for pharmacy deregulation by the government's competition review could lead to supermarkets entering the industry. Cheaper prescriptions filled at more convenient hours, or the green lighting of unqualified shop assistants dolling out drugs? Dan Harrison looks at the risks and rewards for consumers.
What are the current controls on the operation of pharmacies?
Under state laws, with limited exceptions, you have to be a pharmacist to own a pharmacy. State laws also impose limits on how many pharmacies each pharmacist can own. Federal laws govern where pharmacies can be located, and these are so complex the handbook to explain them runs to 56 pages. In short, a pharmacist must obtain approval from the federal government to open a new pharmacy or to move or expand an existing pharmacy. Generally a new pharmacy can not be opened within a certain distance of an existing pharmacy, usually either 1.5 kilometres or 10 kilometres, depending on the area. These rules also ban pharmacies being placed either within or in a position directly accessible from a supermarket.
-----
Comment:
I also have to say reading all the articles I still have no idea what is actually going to happen with the 2016 Budget (or the Government) at the end of the day.
Nonetheless I am sure there will be lots of fun to observe over the next few weeks.
Enjoy.
David.

Wednesday, April 08, 2015

A Quiet Week Gives Me Time To Point Out A Couple Of Major Annoyances in The IT World!

This article appeared a little while ago.

Is it time to force PC makers to disclose how much they make from crapware?

Summary: When it preinstalled the Superfish adware on consumer PCs, Lenovo sold its customers out for a pittance, but it still hasn't had to disclose how much it received. Maybe it's time for a Truth in Labeling act to shine a light on this dark corner of the PC market.
By Ed Bott for The Ed Bott Report | March 2, 2015 -- 12:00 GMT (23:00 AEDT)
When your business model quite literally depends on how much misery you can convince your customers to endure, your industry has a problem.
I am, of course, speaking about the market for consumer PCs running Microsoft Windows. Buyers have an abundance of choices, across a broad range of form factors and price ranges. Unfortunately, many of those choices are mediocre, offering an initially unpleasant experience that rarely improves over time.
The worst offenders in this unhealthy ecosystem are PC makers, who struggle to squeeze out a profit in the cutthroat consumer space. The most popular way to lower the price tag that consumers see? Accept payments or commissions to preinstall third-party software on new PCs.
It's a practice that's been going on for more than a decade, as PC prices have plunged from the thousands of dollars to mere hundreds. A little over three years ago, I documented the miserable experience that consumers have to endure when they buy a new PC. In one example, I found that buyers of a new Samsung PC had 53 separate third-party programs installed as part of their performance-killing out-of-the-box experience.
And things have not improved since then, as L'Affaire Superfish proved.
Lenovo's decision to insert a terrible, horrible, no good, very bad piece of dangerous crapware onto PCs purchased by an unknown number of its customers dominated the news last week. It was, unfortunately, just another day in the office for the executives who define the modern consumer PC experience.
Last week, via email, I sent three specific questions to a Lenovo spokesperson:
  1. How many consumer PCs did Lenovo ship into the channel with the Superfish adware and root certificate preinstalled?
  2. Were the affected PCs restricted to any specific geographical regions?
  3. How much money did Superfish and its related companies pay Lenovo as part of the agreement that resulted in this distribution, and what percentage of the total third-party software revenue did that represent for the models in question?
The Lenovo spokesperson politely but firmly declined to answer all three questions.
Fortunately, thanks to some reporting by Forbes staffer Thomas Fox-Brewster, we know the depressing answer to one of those questions:
Lots more here:
This article is particularly relevant to me, right now, as I am getting the sense my tired old Win 7 PC is getting to the end of its useful life and I will need to purchase a new one. I have just added a new criteria to my selection parameters, namely, how much rubbish will I have to get rid of before I have a clean system to start adding the software I want?
The second major annoyance is the likes Oracle (with Java) and Microsoft (with Skype) trying to have me not notice in the update flow that the defaults attempt to reset browser and search defaults.
The more people who are aware of these two sorts of bad behaviour - and feed back via social media etc. to the companies regarding their annoyance - the better. Surely the reputational damage and customer annoyance outweighs the pitiful amounts of revenue that is created?
My 2cents!
David.

Visiting The Site Listed Below Is A Little Surprising! Does NEHTA Know?

http://www.4cars.science/PCEHR-NEHTA

Passed on without comment!

David.

Tuesday, April 07, 2015

Now This Has To Be A Really Courageous Way To Go About Things. Good Luck With That Big Bang Plan!

This appeared a few days ago.

SA’s e-health rollout delayed further

Bension Siebert | 2 April 2015
Adelaide | The rollout of the State Government’s troubled $422 million electronic health records system has been delayed again.
The Government revealed today that the Enterprise Patient Administration System (EPAS) will not be implemented at the Royal Adelaide Hospital (RAH) before the transition to the new Royal Adelaide Hospital.
In June last year, Health Minister Jack Snelling announced that the statewide rollout of EPAS would be halted, following complaints from doctors that the system caused threats to patient safety, “rage attacks” and resignations, and the May announcement of federal funding cuts to health.
Snelling told InDaily at the time that the government would ensure the system is functioning properly at the RAH before the transition to the new hospital, so as to avoid clinicians having to adapt to a new physical environment and changes to work processes required by EPAS at the same time.
Now, clinicians will have to do just that.
SA Health said this morning that a stabilisation phase for the system – “which had involved reviewing and resolving a number of key issues” – was now complete.
The Chief Executive of SA Health, David Swan, said that in the time now available, it was most appropriate to concentrate on having the system up and running at the new hospital, rather than the existing RAH.
“The original plan to implement the EPAS solution into the current Royal Adelaide Hospital and then the new RAH was reliant on having a stable technical platform,” Swan said.
“This stabilisation work needed to be finalised before we reviewed the EPAS implementation schedule, and this has now been successfully completed.
“Upon review, and with the timeframe available to us, it has become apparent that the most appropriate approach is to concentrate our resources on implementing EPAS directly into the new Royal Adelaide Hospital in 2016.”
Swan said staff would have access to a thorough training program to ensure they are able to use the system effectively at the new hospital.
“A comprehensive training program is currently being developed and will be made available to all staff well in advance of the move to the new hospital,” Swan said.
“This training will include reviews of workflows, workshops and practical simulation training to ensure all staff are fully conversant with EPAS well before it is activated at the new RAH.”
Some medical officers have complained that training to use the system at other sites has been inadequate.
Last year, InDaily reported repeated claims by doctors and nurses that EPAS slowed down patient care and caused increased medication errors, among other problems.
EPAS is currently used at Noarlunga Hospital, Port Augusta Hospital and SA Ambulance Headquarters. Some clinicians have warned that attempting to implement the system at a major hospital would increase risks to patient safety.
EPAS was designed to be an integrated, state-wide electronic health records system – an ideal which has broad support among medical professionals.
However, its implementation has been plagued with problems.
In November, Noarlunga Hospital doctors said they were using paper towel to take down patient notes, rather than using EPAS, because the system was too slow to be used safely in emergencies.
More here:
The three paragraphs that amaze me are these:
“Upon review, and with the timeframe available to us, it has become apparent that the most appropriate approach is to concentrate our resources on implementing EPAS directly into the new Royal Adelaide Hospital in 2016.”
Swan said staff would have access to a thorough training program to ensure they are able to use the system effectively at the new hospital.
“A comprehensive training program is currently being developed and will be made available to all staff well in advance of the move to the new hospital,” Swan said.”
Struth!
Noarlunga and Port Augusta have 160 or so beds between them and are basic hospitals.
The Royal Adelaide Hospital is a 650+ bed tertiary referral and academic hospital with great complexity, a vast number of staff and many, many complex functions.
To attempt to open a brand new hospital of this size and complexity with new systems that have not been settled in to some degree and been configured gradually the new environment has to be a risk that is hard to see is worth taking. Opening a brand new tertiary hospital with brand new systems seems to me to be a prescription for disaster.
Time will tell! I will watch with interest…
David.

Monday, April 06, 2015

Weekly Australian Health IT Links – 6th April, 2015.

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

Another busy week, with buzz and change both in and outside the Government sector. Outside we have more Telstra news with the Empire growing at an amazing pace.
Inside it seems IBM and Accenture are out and Datacom is in and there is ongoing bad news from South Australia’s ePAS.
Additionally it is looking like the HFC network is going to be an increasingly useful part of the NBN infrastructure.
-----

Doctor exodus over new e-health system rocks Defence

Fran Foo

The Department of Defence has been rocked by the abrupt resignation of about 30 doctors who hold grave fears for the new e-health system that they believe compromises patient safety.
The Joint eHealth Data and Information, or JeHDI, project started in early 2011 but was beset with a multitude of problems that led to a $110 million cost blowout.
Funding was approved in June 2009, with the project delivered three years past its original deadline.
The Australian has been told that many problems remain despite the system going live late last year.
-----

Improving mental health using technology

27 March 2015

World-first program launched at the Black Dog Institute will develop and deliver effective mental health programs using technology such as apps, social media, online gaming and Smartphone sensors.
Statistics show that less than half of all Australians reporting the symptoms of mental illness seek formal treatment. Despite increased investment and strong evidence showing prevention and intervention save lives, factors like geography, stigma and social circumstance make it hard for people to get help.
According to Black Dog Institute Director, Professor Helen Christensen, we need to take treatment to the population, not just sit back and hope that they act.
“Research has firmly established that evidence-based digital mental health programs can provide immediate access to effective mental health programs anywhere in Australia.
-----

Datacom scores $242 million Department of Health contract

Health department signs "outcomes as-a-service" contract
Datacom has signed a five-year contract with the Department of Health. Under the $242 million contract, which replaces existing agreements the department had with IBM and Accenture, Datacom will provide ICT infrastructure and support services.
The department approached the market in May last year with the view of signing a non-traditional IT outsourcing contract.
"This new agreement is structured to provide an outcomes-based fully managed service, with consumption-based pricing, and a strong focus on service delivery," a statement from the department said.
-----

Appointment of new ICT provider for Health

The Department has signed a five-year deal with Datacom to provide ICT infrastructure and support services.
Page last updated: 01 April 2015
The Secretary of the Australian Government Department of Health, Martin Bowles, today announced that, following a competitive tender process, the Department has signed a five-year deal with Datacom to provide ICT infrastructure and support services.
This follows a Request for Tender for the provision of ICT infrastructure and support services (RFT163/1314). The department signed a contract with Datacom for these services on 31 March 2015.
Mr Bowles said the department approached the market on 30 May 2014 seeking a departure from traditional IT Services outsourcing models. This new agreement is structured to provide an outcomes-based fully managed service, with consumption-based pricing, and a strong focus on service delivery. This approach empowers Datacom to determine the best way to deliver the services, offering autonomy but also responsibility for the achievement of the outcomes.
This contract will replace the current ICT Services contracts with IBM Australia and with Accenture for the support of the Enterprise Data Warehouse, both of which expire on 30 June 2015. Consistent with a fully managed service, the contract includes the full provision, maintenance and refresh of all hardware and software assets necessary to deliver the contract outcomes. The contract is estimated to be valued at approximately $242 million inclusive of GST.
-----

SA’s e-health rollout delayed further

 Bension Siebert | 2 April 2015
Adelaide | The rollout of the State Government’s troubled $422 million electronic health records system has been delayed again.
The Government revealed today that the Enterprise Patient Administration System (EPAS) will not be implemented at the Royal Adelaide Hospital (RAH) before the transition to the new Royal Adelaide Hospital.
In June last year, Health Minister Jack Snelling announced that the statewide rollout of EPAS would be halted, following complaints from doctors that the system caused threats to patient safety, “rage attacks” and resignations, and the May announcement of federal funding cuts to health.
Snelling told InDaily at the time that the government would ensure the system is functioning properly at the RAH before the transition to the new hospital, so as to avoid clinicians having to adapt to a new physical environment and changes to work processes required by EPAS at the same time.
-----

Telstra grows telehealth portfolio with Medibank business

Adds to growing ehealth portfolio.

Telstra today further bolstered its portfolio of electronic health offerings with the acquisition of Medibank telehealth business Anywhere Healthcare.
Telstra has been actively pushing into the ehealth space since teaming up with HCF and Healthways to offer telemonitoring of health devices in July last year, ahead of formally launching its standalone health division Telstra Health the following October.
It has also previously partnered with Swiss provider Medgate to deliver ‘ReadyCare’, a telephone-based GP consultation service.
-----

Telstra buys Medibank e-health business

Date April 1, 2015 - 3:20PM

Max Mason

Business Reporter

Telstra is adding to its e-health arsenal, striking an agreement to acquire Medibank Private's Anywhere Healthcare network as Australia's largest telecommunications provider looks to grow profits outside its traditional businesses.
Anywhere Healthcare was established in 2013 and is designed to help people in regional and remote areas, or those with mobility issues, get access to specialist doctors and healthcare over video conferencing.
The network has over 1600 general practitioners and aged-care partners as well as 26 specialists, currently offering around 600 to 700 consultations per month.
"It's an emerging and growing business, but it is still quite small. That's okay," Telstra group executive retail Gordon Ballantyne told Fairfax Media.
-----

Telstra Health goes Anywhere with new acquisition

Telstra Health has signed a deal with Medibank that will see it pick up Anywhere Healthcare, a specialist tele-medicine product.
Established by Medibank in 2013, Anywhere Healthcare is aimed at giving people in regional and remote areas of Australia or people with physical difficulties access to specialist medical practitioners and allied health professionals over video conference. 
Telstra is fully acquiring Anywhere Healthcare’s business assets from Medibank.
-----

Telstra inks deal for Medibank's Anywhere Healthcare business

Summary: Telstra has added another notch to its healthcare division's expanding portfolio, entering an agreement for the purchase of the business assets of Medibank's telehealth service Anywhere Healthcare.
By Leon Spencer | April 1, 2015 -- 02:51 GMT (13:51 AEDT)
Telstra's healthcare division Telstra Health has inked a deal to purchase the business assets of telehealth service Anywhere Healthcare.
Anywhere Healthcare was established by Medibank Health Solutions in 2013 in a bid to give people in regional and remote areas of Australia, or those with physical constraints, access to specialist medical and allied health professionals via video conference.
Telstra said that Anywhere Healthcare has an established reputation for delivering high-quality clinical care through a network of more than 1,600 general practitioners and aged care referral partners, along with a panel of 26 specialists who provide services across a range of specialities.
Under the terms of the deal, announced on Wednesday, it is expected that the Anywhere Healthcare business will transfer to Telstra Health ownership in early May.
-----

The rise of David Thodey, outgoing Telstra CEO

Leadership Technology  01 Apr 2015
By
In 2009, David Thodey rose to be CEO of Telstra. He steps down next month, having rescued the telco’s flagging share price and put smiles and service back into its culture.
CPA Australia chief executive Alex Malley spoke to outgoing Telstra CEO David Thodey in early February, just two weeks before he announced his shock resignation from the A$80 billion telecommunications company. When word spread of his departure, staff, shareholders and the broader business community were united in praising Thodey as an effective and easygoing CEO who has built a formidable legacy. Telstra’s current chief financial officer, Andy Penn, will succeed him on 1 May.
Thodey was group managing director, mobiles, and later group managing director, Telstra enterprise and government, before assuming the captain’s chair in 2009. There he oversaw a steady and sustained climb in Telstra’s share price to a 14-year high. He implemented a company-wide cultural shift towards better customer service and resurrected negotiations with the Australian Government over the A$11 billion National Broadband Network (NBN).
-----

Ten apps for rheumatologists and their patients

2 April, 2015 Bronwyn Walenkamp 
It’s early days, but iphone and android apps for rheumatology conditions are gradually making their way onto the market. Here are ten which are proving popular with both rheumatologists and their patients:
FOR RHEUMATOLOGISTS
Mediquations – Displays over 200 medical equations. Incudes specialised rheumatology calculators, including DAS scores, the Bath Ankylosing Spondylitis Disease Activity Index, and the SLE Disease Activity Index.
RheumaHelper – A toolbox of classification criteria for rheumatoid arthritis, psoriatic arthritis, axial spondyloarthritis, peripheral spondyloarthritis and inflammatory back pain.
-----

1.1 million Aussies have never accessed the Internet

Most adults who are not online are aged 65 or over
An estimated 1.1 million Australians — most aged over 65 — have never been online according to a new report released by the Australian Communications and Media Authority (ACMA).
Australians’ Digital Lives is based on Newspoll Research conducted in May 2014 with 1800 Australians and Roy Morgan research conducted in June 2014 with 20,000 participants.
Age and income were the main reasons why people had never accessed the Internet. According to ACMA, 70 per cent of adults who hadn’t gone online were aged 65 years or over while 83 per cent had an annual income of less than $30,000.
However, the figure has improved from June 2010 when an estimated 2 million adult Australians said they had never accessed the Internet, the report said.
-----

Prescription drug deaths trigger monitoring call

Sean Parnell

GPs and pharmacists have called for more advanced monitoring of legal drug dispensing to stop Australians becoming addicted to common painkillers and tranquillisers.
After a Victorian coroner warned legal drugs were killing more people than illicit drugs or alcohol, two health groups urged governments to finally implement a national Electronic Recording and Reporting of Controlled Drugs (ERRCD) system.
Royal Australian College of General Practitioners president Frank Jones said prescription drug overdoses contributed to more deaths in some states each year than car accidents.
“Across Australia far too many people are dying from prescription drug overdoses and the real tragedy is that a large number of these deaths could be avoided if GPs had access to a drug database,” Dr Jones said.
-----

More consultations are being secretly recorded

30 March, 2015 Amanda Davey
Doctors should be aware that patients may be surreptitiously recording their conversations, say a group of medical ethicists who take a benign view of the practice.
Writing in JAMA, they suggest doctors should “embrace this possibility” rather than resent it.
They say anecdotal evidence and isolated reports suggest that secret recordings are taking place using smartphones, whether doctors like it or not.
This means doctors would be wise to refine their skills accordingly and accept the practice is probably here to stay, say the authors from  University of Texas.
-----

New South Wales to spend additional US$46 million on e-health

Liberal Party victory also means new open data policies, digital driving licences, body worn police cameras.

30/03/2015
The re-elected government of New South Wales will spend an additional US$46 million (AU$60 million) on e-health initiatives, on top of the AU$400 million (AU$308m) already budgeted for the next decade.
The money will be spent primarily on e-health systems in rural areas, with 100 additional telehealth sites, and more laptops, mobile devices and in-home monitoring devices.
The victory of the Liberal Party also means that the government will now enact other pledges made by the party during the campaign.
-----

Flying doctor welcomes $300 million eHealth commitment

By Gavin Coote, Jacqueline Breen
March 31, 2015
The Royal Flying Doctor Service's says remote communities stand to benefit from an e-health election commitment from the Baird Government.
In the lead up to the poll Health Minister Jillian Skinner said a re-elected Coalition would invest $300 million into eHealth projects over four years.
Linda Cutler from the RFDS South Eastern Section sits on the Ministerial Advisory Committee for Rural Health.
"To see Mr Baird's announcement about eHealth certainly mirrors one of three key strategies in the rural health plan, which was to improve rural eHealth," she said.
-----

Swiss broadband example shows way forward for NBN

NBN Co’s recent announcement of a vendor for its hybrid-fibre-coaxial cable network upgrade brought predictable criticism it was adopting a second-rate technology.
Far from being second rate, HFC has a bright future as a high-speed broadband technology. That much ought to be obvious from HFC’s dominance of the broadband market in the US, and its ability to hold its own in fibre-rich markets such as South Korea.
Nor are HFC operators sitting still. Recent advances in technology mean HFC can support download speeds of up to 500Mbps, and more symmetric upload-download speeds. Cable operators are offering up to 250Mbps speeds.
-----

Dark matter is even less like 'regular' matter than we thought

Date March 31, 2015 - 9:11AM

Rachel Feltman

Dark matter is even stranger than previously thought, a new study published in Science suggests.
Dark matter might be able to zip through the universe without slowing or dragging because particles of it don't even interact with each other, a new study published in Science suggests.
Based on what we can observe about the universe, galaxies should be tearing themselves apart. That's where so-called dark matter comes in: It's a term for the as-of-yet unobserved matter that must be bulking up the cosmos, giving galaxies the gravity they need to spin at the rates they do without falling to pieces. But even though we haven't caught dark matter (so named because it doesn't interact with light the way normal matter does - not absorbing or reflecting it - though it does bend light with a weird lensing effect) in a straightforward observation, scientists can learn about it based on the effects it has on more typical, observable forms of matter.
-----
Enjoy!
David.

Sunday, April 05, 2015

AusHealthIT Poll Number 264 – Results – 5th April, 2015.

Here are the results of the poll.

The Abbott Government is 1/2 Way Through Its Term. How Much Progress Have We Seen In E-Health So Far?

A Great Deal 0% (0)

Some 4% (3)

Not Much 16% (11)

Zilch 49% (34)

We Have Gone Backwards 31% (22)

I Have No Idea 0% (0)

Total votes: 70

The vast majority (80%) see there has been little to no progress in the first half of the Abbott first term in the e-Health domain, with many seeing us slipping backwards.

Good to see such a good number of responses!

Again, many, many thanks to all those that voted!

David.