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 16, 2015

2016 Budget Watch. Parliament Closed Until Budget Day. The Leaks Begin To Flow Quickly!

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!
This week the leaks have started in earnest so it begins to get interesting! News on Super, Pensions and new Taxes are all coming into view!
Making it hard to avoid vaccination is a great idea!
Budget Night is May 12, 2015.
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Articles looking forward and back this week include.

General Budget Issues.

BCA urges leaders to decouple key reforms from budget

David Crowe

Australia is suffering from a “contaminated” political process that is weakening community support for difficult reforms according to a scathing new assessment from the nat­ion’s peak business group that warns against repeating the folly in next month’s federal budget.
Urging a return to a robust cabinet process, the Business Council of Australia is calling for major reforms to be carved out of the federal budget in order to provoke full public debate over contentious ideas.
The call comes with a rebuke to national leaders over the tactics of obstruction in parliament, raising fears that political parties are putting their own quest for power ahead of serving the ­national interest by being willing to compromise.
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The sobering reality of economic despair

  • Editorial
  • The Daily Telegraph
  • April 07, 2015 12:00AM
MEDICAL professionals are familiar with one infrequent but regrettable response from patients receiving bad health news. Occasionally, people will initially become angry with the doctor or specialist ­delivering that news. In time, that sort of response usually gives way to something more mature.
This scenario is analogous to Australia’s economic situation. The Coalition not only inherited woeful budget figures from the incompetent Labor government, which promised surpluses even as it drove the country deeper into debt. The Coalition was also elected, at least in part, to repair that budget.
Treasurer Hockey’s first budget, handed down almost one year ago, made steps towards achieving that repair, with a range of prudent but far from extensive cuts. Everybody knows what happened next. Led by Labor, a broad characterisation of the budget as unfair took hold across a wide section of the public.
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Business groups slam Abbott and Shorten over budget

April 7, 2015
by Phillip Coorey
Prime Minister Tony Abbott's political caution and Labor leader Bill Shorten's focus on fairness have been attacked by the nation's peak business and industry lobby groups for setting the nation on a path to "economic despair".
In a joint statement, nine groups have urged all sides of politics to show the same courage and zeal for economic reform as shown by the Hawke and Keating governments and the Howard government in order to rebalance the budget and drive economic growth.
"With the Prime Minister signalling a 'dull' budget and the Opposition Leader continuing to focus almost exclusively on budget 'fairness' you could be mistaken for thinking there is no significant problem with the state of the nation's finances," the groups said.
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4:08pm April 8, 2015

Consumers not falling for budget promise

The Abbott government's insistence its May budget will not be as harsh as last year's does not appear to be holding sway with the public.
Just weeks from Treasurer Joe Hockey's second budget, consumer confidence has sunk to its lowest level in eight months.
The latest ANZ-Roy Morgan consumer confidence gauge fell 2.3 per cent in the past week, continuing a steady decline since the end of last year.
Mr Hockey was keen to spruik his budget measures on Wednesday as "responsible, reasonable and fair" with a focus on growth, jobs, families and small business.
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Joe Hockey seeking to reap ‘billions’ from tech taxes

Sid Maher

David Uren

Closing the deficit gap

Joe Hockey could raise billions in extra revenue by extending the GST to services provided by offshore companies such as Netflix, and an Australian version of ­Britain’s “Google’’ tax that is expected to be announced in the May budget.
The Treasurer yesterday flagged a crackdown on tax avoidance by multinational companies in the budget, declaring that tax should be paid in the jurisdiction where it was earned.
The move came as technology giants Google and Microsoft revealed this week they were routing the bulk of their Australian sales through low-tax Singapore and, along with fellow multi­national Apple, were being audited by the Australian Taxation Office.
Mr Hockey said the government was working on GST integrity measures to require offshore service providers, such as the online entertainment provider Netflix, to register for GST and remit the money to the government.
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Abbott government to announce anti-vaccination parents will lose benefits

Date April 11, 2015 - 12:15AM

Mark Kenny and Julia Medew

Parents who do not vaccinate their children will lose welfare payments of up to $2100 per child under a federal government policy set to be announced before the May budget.
Under changes that could save more than $50 million a year, Social Services Minister Scott Morrison is preparing to scrap a "conscientious objection" provision which allows anti-vaccination parents to still claim welfare benefits including childcare assistance and Family Tax Benefit A.
Fairfax Media understands the Family Tax Benefit A is worth up to $2100 per child.
Parents of about 39,000 children have signed "conscientious objection" forms that certify they have a "personal, philosophical, religious or medical" objection to immunisation. This form, which requires a consultation with a doctor or immunisation nurse, is necessary for the parents to receive Family Tax Benfit A. But access is means tested so not every one of those parents would be receiving the payment.  
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Abbott announces 'no jab, no pay' policy

  • April 12, 2015 10:58AM
  • AAP
NO jab, no pay.
IT'S a catchy title for a policy designed to stop children catching diseases.
The federal government wants to strip childcare and welfare benefits from any parent who refuses to immunise their children.
It's in response to an "escalation of objections" to childhood immunisation under the conscientious objection clause for payments.
That clause will be removed under the policy.
Prime Minister Tony Abbott on Sunday announced the policy, which could leave non-complying parents up to $15,000 worse off.
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Apparent Budget Leaks.

Liberals flag age pension review

Joe Kelly

Stefanie Balogh

The government is clearing the way for a fresh review into retirement incomes in a bid to deliver more equitable budget savings and wedge Labor over its position on superannuation and Age Pension reform.
With Labor refusing to entertain GST changes that could open the door to a broader tax mix shake-up, Joe Hockey is considering a review to shift the debate towards the interrelationship between the taxation system, the pension and compulsory superannuation.
Assistant Treasurer Josh Frydenberg flagged the likely review yesterday after key crossbenchers welcomed moves by Social Services Minister Scott Morrison to initiate a new debate on tightening up eligibility rules for the pension, including the assets test for wealthy retirees.
Any new review would be anchored around improving equity in the pension and superannuation systems while providing structural budget savings over the long term, putting pressure on Labor after it elevated fairness as a guiding principle for economic reform.
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Pension reform: New target as Howard’s taper rates under review

David Crowe

The federal government is preparing to unwind a $1 billion annual boost to the Age Pension ­that was announced almost a decade ago amid growing evidence it has failed to achieve its promised benefits despite its soaring cost.
Offering a new compromise on pension reform, the government is willing to reverse John Howard’s generous increase in payment rates for retirees with substantial private assets in addition to their family homes.
The Australian understands the cut in the pension taper rate for wealthier retirees is now a leading target for savings to replace the changes proposed in last year’s budget to the way payments are indexed for all the ­nation’s 2.4 million age pensioners.
Talks on the compromise are being stepped up this week as ­social welfare organisations, seniors’ groups and crossbench sen­ators admit the pension is unsustainable in its current form.
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Tax relief for rich superannuation holders costs budget $6b a year: analysis

Date April 8, 2015 - 8:31AM

Heath Aston

Political reporter

Exclusive
Tax breaks enjoyed by mainly wealthy superannuation account holders are costing the federal budget $6 billion a year in lost revenue, independent analysis shows.
The true extent of the damage to tax receipts by a system which allows tax-free earnings for those over 60 is revealed in research by the Parliamentary Budget Office.
It found that the refund of franking credits on share dividends – which has resulted in people with millions of dollars in self-managed super receiving cash cheques from the Australian Taxation Office at the end of the year – are a net negative on tax receipts.
That's despite the pool of superannuation growing from a few hundred billion dollars just over a decade ago to more than $1.9 trillion today.
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Senate closer to pension deal as Greens mull support

David Crowe

David Uren

Agreement on pension reform is within reach as the federal government negotiates an $8 billion saving that is gaining qualified support from the Greens as long as it is part of a thorough review of retirement incomes.
The Greens are willing to consider voting for the new savings proposal as the first stage of a wider reform to retirement incomes that will throw the spotlight on generous tax breaks on superannuation.
The move builds support in the Senate to reverse the Howard government’s decision in 2006 to allow wealthier retirees to keep more of their pension payments even as their personal investments rise to as much as $1.1 million in addition to their family homes. In a clear sign a sweeping review is being planned, Treasury secretary John Fraser declared yesterday that the nation needed a fresh look at the interaction ­between super and tax and the entire welfare system.
“The design of our safety net must protect and serve the most vulnerable — and it is hard not to speak about middle-class welfare and the array of concessions and incentives around the Age Pension, super and housings,” Mr Fraser said. Joe Hockey revealed the government was “quite ­actively considering” a thorough “stocktake” of the retirement ­incomes system.
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Superannuation, pension perks in Hockey's sights

There is a "compelling" case to split access to health concession cards from pensions, particularly for high income earners, Treasurer Joe Hockey says, while ruling out major retirement income changes in next month's budget.
Mr Hockey says many higher income earners are arranging their financial affairs so that they can get the age pension, purely so that they can, in turn, become eligible for health concession cards, which give them access to cheap healthcare and medicines.
In an interview with AFR Weekend, Mr Hockey foreshadowed there were likely to be "integrity measures" in the budget on superannuation and pensions – measures designed to stop rorting of particular payments.
But at a broader level, retirement incomes policy – covering superannuation, the aged pension, the aged-care system and housing – had become even more complex than it was 10 years ago, he said.
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Taxpayers must be on red alert

  • Business Spectator
  • April 10, 2015 8:29AM

Robert Gottliebsen

All groups of taxpayers need to be on red alert. Australia, along with many other Western countries, is engaged in a complete review of taxation and pensions. There is simply less money available, so long-term changes must be made.
The “rich” are the most obvious targets — both large corporations and individuals. But there are simply not enough rich individuals to make a significant difference. Accordingly, in Australia, on the individuals’ front we are going to attack the battlers with small amounts of savings. As I will explain below, this will take place because Opposition Leader Bill Shorten and his shadow treasurer Chris Bowen have removed themselves from the debate.
But first, the sight of the Australian chiefs of Google, Microsoft and Apple appearing before our politicians and not performing all that well is a clear sign they will also be hit. We are looking at a global attack on the way multinationals do business.
Many decades ago, global companies would organise their operations so that the local chief of a global company had real authority and would ensure the tax due was fully paid.
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So-called Netflix Tax to extend GST reach to online downloads

  • April 10, 2015 4:12PM
  • Daniel Strudwick and wires
  • News Corp Australia Network

Netflix to net-tax

THE movies, songs, books and streaming services Australians buy online could be more expensive from next month as Joe Hockey looks to extend the reach of the GST.
Such a move — being dubbed the “Netflix Tax” — would make those products 10 per cent dearer for consumers but could add billions of dollars to the public purse.
Mr Hockey said the plan was an “integrity” measure, not a broadening of the GST; something the Abbott Government has promised it wouldn’t do.
The plan would update the GST to include “intangible services” such as online downloads, which obviously weren’t thought of when the Goods and Services Tax was conceived two decades ago.
It’s been flagged after a week of tax-related hearings in Canberra, including a Senate inquiry into big companies avoiding Australian tax and a meeting of state treasurers discussing a fairer carve-up of GST revenue.
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Samantha Maiden: Time we ripped up the golden ticket for those seniors with lots of lolly

  • The Sunday Telegraph
  • April 12, 2015 12:00AM
WHEN Peter Dutton was health minister, colleagues recall he used to privately wonder out aloud why they didn’t just sever the link between the aged pension and the seniors healthcare card.
Not take it away from people who need it, but do something about the incentive to claim the aged pension simply to get the card.
The Willy Wonka style golden ticket of seniors, the card ensures that cashed up retirees can spin into the chemist for $6 a script PBS medicines, even if they are living in million dollar houses with tax-free retirement income and assets beyond that.
Maybe they should just give one to just about every senior in Australia and tell them to stop madly applying for piddling amounts of part-pension just to get one.
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Health Budget Issues.

Australian public health advocates seek access to regional trade pact negotiations

Date April 7, 2015 - 11:02PM

Harriet Alexander

The peak lobby group for American pharmaceutical manufacturers has been given privileged access to negotiations for a major regional trade pact that could see the cost of medicines skyrocket in Australia.
Public health advocates and business groups are concerned that pharmaceutical giants will be able to advance their commercial interests in the once-in-a-lifetime pact through their seat at the negotiating table, while the details are kept secret from the Australian public.
Some of the measures that Pharmaceutical Research and Manufacturers of America (PhRMA) has publicly lobbied to be included in the Trans Pacific Partnership have subsequently appeared in draft versions of the agreement that have been leaked by Wikileaks.
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Bill the wealthy to keep Medicare healthy for all

  • TERRY BARNES
  • Herald Sun
  • April 09, 2015 12:00AM
WHILE the Abbott Government’s flawed and overreaching plan for mandatory GP co-payments is, in the words of the PM, “dead, buried and cremated”, and the Australian Medical Association keeps warning of “co-payments by stealth” due to Medicare rebate freezes, Health Minister Sussan Ley insists the principle of a “value signal” for those who could afford it is still on the agenda. Good on her!
Medicare ensures affordable access to world-class healthcare, regardless of means. Those on very low incomes and pensions, the elderly or those with chronic conditions do need protection from the financial impact of their health needs. They’re the ones for whom bulk-billed “free” medical services were intended. But for millions of us in good health and on equally healthy incomes who visit a GP just two or three times a year, Medicare should be about fair, not free, access. If a key underlying principle of Medicare is that everyone pays according to their means, surely those with adequate means can pay more as they go.
It’s misguided to say, self-righteously, “I pay my Medicare levy so I’m entitled to bulk-billing”. That levy covers just two-fifths of the cost of Medicare and pharmaceutical benefits. Other taxes and government borrowings do the heavy lifting.
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Pharmacy Issues.

Harper Competition Review finds bitter pills in pharmacy industry

Date April 7, 2015 - 12:40AM

Peter Martin

Economics Editor, The Age

Existing rules for pharmacies protect them from price competition.
Do you ever yearn for a return to the days before supermarkets, when shopping meant a separate trip to the greengrocer, the dry goods grocer, the butcher, the baker and the delicatessen?
Me neither. Life has become busy. Two-earner families shop at one-stop shops because we no longer have time for repeated stops.
The rules governing pharmacies are so strange we’ve come to think of them as normal. 
Except for chemists, where we are forced to.
Hours after last week's Harper Competition Review recommended an end to pharmacy ownership and location rules the Pharmacy Guild defended them by appealing to nostalgia.
"By ensuring that pharmacy ownership is widely spread, the major supermarket chains are prevented from securing the high degree of market dominance they have obtained in other areas such as grocery retailing" it said, apparently under the delusion that we would prefer our groceries to be sold by someone other than the big supermarket chains.
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Attacks on pharmacy continue

7 April, 2015 Chris Brooker
Media criticism of community pharmacy regulation has continued unabated over the Easter long weekend.
A series of articles in major newspapers has sustained the ongoing public critique of the lobbying power of the Pharmacy Guild of Australia.
The Age’s economics editor Peter Martin posed the question “do you ever yearn for a return to the days before supermarkets, when shopping meant a separate trip to the greengrocer, the dry goods grocer, the butcher, the baker and the delicatessen?”
“Me neither. Life has become busy. Two-earner families shop at one-stop shops because we no longer have time for repeated stops. Except for chemists, where we are forced to”.
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Pharmacies suffering under media attacks

9 April, 2015 Chris Brooker
A large majority of pharmacists fear that their business will suffer from the spate of recent media attacks on the profession.
More than 67% of respondents to a Pharmacy News poll said that “recent negative media reports” have “hurt” their business. 
Only 19.91% believed there had been no adverse effect from the coverage 
In the wake of recent reports from the Australian National Audit Office and the Competition Policy Review, national media has regularly run articles critical of the administration of the Fifth Community Pharmacy Agreement, advocating deregulation of the sector, and even lambasting the riches supposedly accumulated by some pharmacists. 
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Local pharmacists fighting deregulation

10 April, 2015 Megan Pigram
Community pharmacists are taking the fight over deregulation to their local politicians and media organisations.
Local pharmacists are speaking out to their local media and politicians in a bid to have the Harper Competition Review recommendations reconsidered for the fear of pharmacy deregulation.
Pharmacists have rejected proposals in the review which deregulate the industry and boost competition, making pharmacy a profession about profit not healthcare.
Culburra Beach pharmacist David Heffernan told his NSW local newspaper, South Coast Register, that he believes allowing pharmacies to be set up in supermarket giants endangers patient care.
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Pharmacists given green light to give flu jabs on the spot instead of doctors or nurses

  • LINDA SILMALIS chief reporter
  • The Sunday Telegraph
  • April 12, 2015 12:00AM
PHARMACISTS have won a protracted battle to administer flu injections to walk-in customers with the NSW government changing its laws to give chemists a greater role in treating the community.
Under the move, pharmacists will no longer have to hire a nurse or doctor to give the jab with customers able to request a vaccination costing from $24.90 to $30 on the spot from as early as midyear.
However, pharmacists are already lobbying both the State and Federal governments to take on a greater role in treating their customers such as dispensing antibiotics for ailments such urinary tract infections and chlamydia, dressing wounds and sorting medications for hospital discharge patients.
In a move opposed by the NSW Australian Medical Association (AMA), the State government quietly amended its Poisons and Therapeutic Goods laws last month to allow trained pharmacists to administer the flu vaccine to customers aged over 18 years with patient records to be sent back to their local GP.
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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 15, 2015

It Seems That Patient Portals Like The PCEHR Do Not Work Very Well. I Thought We Knew That Already!

This appeared a few days ago:

Survey: Portals Not Achieving True Patient Engagement

APR 8, 2015 7:58am ET
Designed to allow patients to view personal health and billing information as well as schedule appointments, patient portals have thus far proven to be disappointing in terms of increasing patient engagement, improving clinical outcomes and reducing costs.
That’s the finding of new HIMSS Analytics online survey of executives from 114 healthcare organizations and a focus group including nine executives. According to the survey, the top drivers for patient engagement are to enhance and improve the health of the community (77 percent), the quest to build brand loyalty for patients (77 percent), and meeting Meaningful Use requirements (60 percent).
Patient portals are often touted as the ultimate patient-centric tool aimed at improving engagement by allowing patients to be the source of control and fostering transparency. However, what’s needed are next-generation portals with functionality that will enable patients to become partners in their own care, according to those surveyed. Specifically, respondents say they are seeking functionality such as e-visits or e-consultations (80 percent), interoperability across multiple providers (70 percent), health evaluation and coaching (70 percent), and tele-visits (50 percent).
About two-thirds of survey respondents are using portals provided by their electronic health record vendors. In theory, EHR systems can help facilitate these objectives via the use of patient portals.
According to the survey: 71 percent of respondents who have an engagement strategy are using portal technology to meet current minimum Meaningful Use requirements for functionality and data sharing from a single source; 54 percent are using portals that offer a combination of patient services, technology and content; and 51 percent are using portals as a configurable, interoperable information exchange platform for data sharing from multiple sources.
More here:
Interestingly, highlighted in bold, we note all the things patients would like in a portal are not common are especially are absent from the PCEHR on-line portal.
More evidence that the PCEHR may not have been as well thought out as might have been hoped.
David.

Tuesday, April 14, 2015

It Seems Our Favourite EHR Patent Collector Is Out And About Trying To Cause Trouble Again. He Should Just Go Away.

Here is a record of a patent that MMR Global have been working on getting through IP Australia for the last 2 years or so.

2011307287 : Universal patient record conversion tool

Patent was accepted by our dilly IP Australia on 20 Jan 2-15
Here is the link to the full documentation.
Reading through the application I really can’t see anything that has not been regularly done with patient’s records for at least the last decade or two - so basically this application should not have been granted as far as I am concerned, as there is clear ‘prior art’ that is well defined and in the public domain.
Additionally the applicant for this patent seems to be going around the world trying to get people to pay fees for licenses to use technology that is essentially not patentable.
The company (MMRGlobal) that is pursing all this, makes it clear in a very recent filing to the US Securities Exchange Commission (SEC) , that their financial future as an ongoing concern is in considerable doubt. Additionally you can read about all the legal action they are taking all over the world!
Here is the link to the document page:
The entry dated 31/3/2015 makes for really amusing reading.
As there is just no value or merit in all this (in my view), this really should just be made to go away. I hope some kind lawyer is working on this as I type!
David.
p.s.
For a bit of amusement you can see the complainant (and CEO of MMRGlobal) in a YouTube video with his spouse  (She is the also the voluntary MMR Global Social Secretary and PR Person according to the SEC Filing cited above.)
The video title is:

RHL Group presents the Acoustic All Star Band Live from the Playboy Mansion

(RHL is the wholly owned company (and RHL are the initials of) of the RHL Group)
Here is the link:
D.

Monday, April 13, 2015

AusHealthIT Position On AntiVaxers - They Are Totally Ill-informed Idiots Who Don't Give A Hoot For Their Children's Safey And Health!

Just so you are clear where this tiny blog stands!

And this ignores my serious concern re: reduced 'herd immunity' which puts my grandchildren at risk!

Even the Exclusive Brethren need to immunise their children.

No religion can support preventable deaths of their children!

I am 100% behind this Government initiative - and am amazed that some UNSW 'Academic' thinks there are issues with this policy. Another publicity seeking nit-wit I suspect.

In case you are wondering my first degree was actually in immunology! So I know of that which I speak. The anti-vaxers do not!

David.

Update:

This Twitter Post says it all:

https://twitter.com/KetanJ0/status/587139722465558528/photo/1

At Royal North Shore Hospital alone - before immunisation - there were 4073 deaths from Diptheria in 9 years. These days the number is typically zero!

Vaccination works and reduces human misery - no question at all!

Funny it seems many of those same anti-vaxers from the North Coast also seem to think Tetanus vaccination is a good idea for their barefooted nippers!

D.

Weekly Australian Health IT Links – 13th 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

What an interesting week with the announcement that the new Medicare Locals will be involved in e-Health and that Telstra Health will be involved.
Also was interesting to see that the PCEHR (and NEHTA funding) are still very unclear.
Pharmacists selling prescription data lurched into a view as well new computer systems for Centrelink.
Does anyone know just exactly where the PCEHR is served from? DoH or Centrelink / DHS etc.?
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Private insurers win stake in primary healthcare

Sean Parnell

Private health insurers have made a bold foray into primary care, ­successfully partnering with ­medical groups, universities and other companies to secure work that should have been done by Labor’s Medicare Locals.
In a bid to better co-ordinate GP services and fill the gap between primary care and hospitals, the Abbott government has handed control of its new Primary Health Networks to a range of groups, including the operators of existing Medicare Locals and major insurers Bupa and HCF.
Groups were notified yesterday if they had been awarded tenders for 28 of the 31 networks worth ­almost $900 million.
The total number of networks — roughly half the number of Medicare ­Locals — is one more than expected, because of a decision to add another network in southwestern NSW.
Arrangements for two other networks have yet to be finalised.
Health Minister Sussan Ley yesterday said the networks would be asked to pay extra attention to mental health, indigenous health, population health, the health workforce, e-health and aged care.
…..
For example, the Brisbane North network will be run by Brisbane North Medicare Local, Metro North Hospital and Health Service, Children’s Health Queensland Hospital and Health Service, Telstra Health, the Australian Medical Association Queensland, UnitingCare Health, HCF and Bupa.
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4:02pm April 11, 2015

Replacements named for Medicare Locals

Thirty-one new Primary Health Networks will replace Labor's 61 Medicare Locals across Australia from July 1, the government says.
Health Minister Sussan Ley said on Saturday the successful applications to run the new PHNs had been selected following a thorough tender process.
She said the 31 new PHNs would cost almost $900 million and generally align with state Local Hospital Networks to ensure better integration between primary and acute care services.
Ms Ley said the government wanted to ensure Australians could access the right care, in the right place, at the right time.
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Some chemists are selling patients’ prescription information so drug companies can increase their profits

  • April 12, 2015 12:00AM
  • Sue Dunlevy National Health Reporter
  • News Corp Australia Network
EXCLUSIVE
SOME chemists are selling their patients prescription information to a global health information company which sells it on to pharmaceutical companies trying to boost their sales.
Doctor and consumer groups have expressed outrage about the practice they fear may impinge on patient privacy.
After News Corp drew the Department of Health’s attention to the profit making venture it asked the Privacy Commissioner to investigate.
The Australian Privacy Commissioner Timothy Pilgrim warned chemists against a similar prescription data for profit arrangement in 2013 that involved linking doctors names to the data.
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National guidelines for on-screen display of clinical medicines information

Draft Guidelines: National guidelines for on-screen display of clinical medicines information.
Published by the Australian Commission on Safety and Quality in Healthcare, 1 April 2015.
Responses required by  5 May 2015.
Here is the link
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In an Australian first, a new dashboard has been developed to help busy General Practitioners (GPs) track the treatment of chronic disease care for their patients. The dashboard includes the ability not only to track the rollout and effects of quality improvement initiatives but also to benchmark their initiatives against other health services. The result is a complete change management and improvement system for the healthcare sector. The dashboard features indicators that allow health services to select their own goals for specific disease indicators.
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How to future-proof your Practice

Created on Wednesday, 08 April 2015
Sunshine Coast Practice Manager Felicity Hogan says she’s no stranger to change.
“In fact I’m proud to be a change driver,” she says.  “But I came from the pharma industry where you learn if you don’t change and keep up to date your customers will educate you by walking out the door.”
Ms Hogan is manager of a large coastal practice with seven doctors at Cooloola Coast Clinic and another at the seasonal Rainbow Beach Medical Practice.
She said 18 months ago she saw an opportunity to take the business into e-Health and has never looked back. “When I started my role here I did some research and found we had signed up but done little with it. I spoke to our Medicare Local and had discussions with the doctors and decided to get everyone using it,” she said.
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Telstra’s vision for Anywhere Healthcare

Telstra's increasing range of eHealth solutions should be great for patients, but may disappoint any investors hoping it will turn the company into a growth stock.

In a country that made flying doctors famous, Telstra (ASX: TLS) is busy building the next phase of remote healthcare.
Telstra Health has already brought together a range of businesses offering:
On top of all this, Telstra’s ReadyCare service allows patients in remote areas, or that otherwise find it hard to attend personally (such as the elderly), to ‘talk directly with GPs over video or phone to receive advice, diagnosis, prescriptions and referrals’. The system also automatically shares treatment notes with a patient’s usual GP to allow continuity of care.
The purchase last week of Anywhere Healthcare from Medibank extends this service to specialist care via video link, although patients will have to get themselves along to one of 1,600 GPs and aged-care providers that currently offer the service. With help on the ground from the local GP or practice nurse, patients will have access to specialists in over 30 different practice areas.
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Why doctors still can’t email your health record

In the ‘Blogging on Demand’ series you get to choose the topic. If you have a great idea you want the world to know about, feel free to contact me. Northern NSW GP and technophile Dr David Guest feels that one particular low-cost health-IT solution from New Zealand, called GP2GP, is worthy of more discussion and would make a big difference in Australia.

I admit it’s odd: Every time a new patient presents, the receptionist will see to it that a huge pile of paper notes ends up on my desk, often held together by paperclips or elastic bands.
I usually move the pile over to one side and look at it for a couple of days to see if the documents will disappear which, so far, hasn’t happened. Then, during a lunch break, I bite the bullet and trawl through the record, under while entering the data into the computer: allergies, medications, history, family history etc.
Important documents are scanned and shredded. When a patient at any stage decides to leave the practice, the receptionist prints the record and faxes it to the next GP. When it’s a large record she will make sure it’s held firmly together by paperclips or an elastic band before it goes to the post office in a big envelope.
Getting computers to solve this problem for us is an issue in Australia, because our IT systems don’t communicate. But in New Zealand and the UK they have found a way to transfer health records electronically. It’s called e-mail. Well, not really, but there are similarities.
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#FHIR, RDF, and JSON-LD

Posted on April 11, 2015 by Grahame Grieve
FHIR doesn’t use JSON-LD. Some people are pretty critical of that:
It’s a pity hasn’t been made compatible. Enormous missed opportunity for interop & simplicity.
That was from David Metcalfe by Twitter. The outcome of our exchange after that was that David came down to Melbourne from Sydney to spend a few hours with me discussing FHIR, rdf, and json-ld (I was pretty amazed at that, thanks David).
So I’ve spent a few weeks investigating this, and the upshot is, I don’t think that FHIR should use json-ld.
Linked Data
It’s not that the FHIR team doesn’t believe in linked data – we do, passionately. From the beginning, we designed FHIR around the concept of linked data – the namespace we use is http://hl7.org/fhir and that resolves right to the spec. Wherever we can, we ensure that the names we use in that namespace are resolvable and meaningful on the hl7.org server (though I see that recent changes in the hosting arrangements have somehow broken some of these links). The FHIR spec, as a RESTful API, imposes a linked data framework on all implementations.
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More patients secretly recording GP consults

9 April, 2015 Tessa Hoffman
Patients are secretly recording consultations with their GPs and uploading them to YouTube, an indemnity provider warns.
Making surreptitious recordings is illegal in most states in Australia, and last year a man received a good behaviour bond after using a pen camera to secretly record a female GP doing an examination for a groin hernia at a clinic in Sydney.
However, MDA National medicolegal manager Dr Sara Bird said with smartphone ownership almost universal, cases of covert recordings of GP consultations were on the rise.
In the past two years, the insurer had helped several GPs get such recordings removed from online video-sharing platform YouTube, Dr Bird said.
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Centrelink IT system replacement gets government go-ahead

Multi-year project will cost $1 billion
The federal government has confirmed that it will replace Centrelink's welfare payments system, which dates back to 1983, with a new platform at a cost of $1 billion.
Minister for Social Services Scott Morrison today announced the long-term investment will allow the government to properly address the challenges facing Australia’s welfare system and reduce the costs of administering the system for taxpayers.
"This 30-year-old system consisting of 30 million lines of code and undertaking more than 50 million daily transactions is responsible for delivering around $100 billion in payments to 7.3 million people every year,” said Morrison.
Treasurer Joe Hockey last year said that Centrelink's mainframe-based platform needed replacing and will cost Australia “billions".
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$1bn tech revamp to drag Centrelink out of the 1980s

Phillip Hudson

The Abbott government will spend more than $1 billion to replace the 1980s-era Centrelink computer to prepare the way for sweeping reform of the welfare system.
Human Services Minister Marise Payne told The Australian a new payments system would provide the government with long-term flexibility to implement welfare changes, better detect and prevent fraud and make dealing with Centrelink easier for more than seven million Australians.
Senator Payne and Social Services Minister Scott Morrison will today announce funding has been approved by cabinet for the seven-year project, which will be one of the world’s largest transformations of a social welfare IT system.
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Health IT vendors slammed for hampering the exchange of patient data

Fred O'Connor
The problem could worsen as technology use in health care grows
Electronic health records vendors make the process of sharing patient information too expensive and complicated for hospitals and doctors, a problem that affects the quality and cost of care.
That's the conclusion reached by the Office of the National Coordinator for Health Information Technology (ONC), the U.S. government agency that oversees the country's health IT efforts.
In a report released Friday, the ONC outlined challenges that health care providers face as they attempt to exchange patient data.
Among the issues identified: Health IT vendors charge high fees to set up interfaces for hospitals and labs to share patient data. They also force customers to use proprietary technology and refuse to publish APIs (application programming interfaces).
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Building connected healthcare

Turning Sydney Adventist Hospital into the 'hospital of things'
Dealing with the explosion of devices on enterprise networks thanks to the increasing use of mobile devices, including those brought into the workplace through 'bring your own device' (BYOD) schemes, can be a headache for IT.
Add in the stack of sensors and other gizmos with an IP address that form part of the 'Internet of Things' and a networking headache can rapidly turn into a migraine.
So spare a thought for Barbara MacKenzie, the head of IS operations and infrastructure at Sydney Adventist Hospital (SAH).
Beyond the kinds of connected devices you would expect to find in a sophisticated and heavily virtualized IT environment, she is dealing with an enterprise network that has enough audio-visual equipment, intelligent building systems and biomedical devices hooked up to it to have anyone reaching for an aspirin or two.
SAH — colloquially known at the San (its history can be traced back to the Sydney Sanitarium, which opened in Wahroonga in 1903) — is New South Wales' largest private hospital. It's the largest not-for-profit hospital in the state.
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Sussan Ley adds to Coalition reforms on back burner

Sean Parnell

The Abbott government has delayed sensitive health reforms to the second half of the term, raising the risk the Coalition will carry any controversies into its re-election campaign.
Health Minister Sussan Ley last week extended funding for mental health organisations for another 12 months to allow the government more time to consider a review it received at the end of November.
It followed a similar decision to extend funding for alcohol and drug treatment organisations for another 12 months while the government considers a review it originally intended to respond to in the last budget.
Ms Ley has also extended funding for specialist training for 12 months to allow her to consult with the sector on major health workforce reforms.
Delayed reviews have become a theme for the government, which is also yet to detail how it will fix the troubled Personally Controlled Electronic Health Record project, which Primary Health Networks will replace Labor’s Medicare Locals and what emergency department and elective surgery targets it will use to keep state and territory governments accountable.
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Giant atom smasher powers up after two year shutdown

  • AP
  • April 06, 2015 6:07AM

CERN's Large Hadron Collider Back in Action

The world’s biggest particle accelerator is back in action after a two-year shutdown and upgrade, embarking on a new mission that scientists hope could give them a look into the unseen dark universe.
Scientists at the European Organization for Nuclear Research, or CERN, on Sunday shot two particle beams through the Large Hadron Collider’s 27-km tunnel, beneath the Swiss-French border near Geneva.
The collider was instrumental in the discovery of the Higgs boson, a subatomic particle that had long been theorised but never confirmed until 2013.
Scientists are promising nearly twice the energy and more violent particle crashes this time around. They hope to see all sorts of new physics, including a first ever glimpse of dark matter, during the collider’s second three-year run.
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Enjoy!
David.

Sunday, April 12, 2015

It Seems Some Pharmacists Are Collecting Money For Patients Prescription Information And Not Telling Their Patients.

This appeared earlier today.

Some chemists are selling patients’ prescription information so drug companies can increase their profits

  • April 12, 2015 12:00AM
  • Sue Dunlevy National Health Reporter
  • News Corp Australia Network
EXCLUSIVE
SOME chemists are selling their patients prescription information to a global health information company which sells it on to pharmaceutical companies trying to boost their sales.
Doctor and consumer groups have expressed outrage about the practice they fear may impinge on patient privacy.
After News Corp drew the Department of Health’s attention to the profit making venture it asked the Privacy Commissioner to investigate.
The Australian Privacy Commissioner Timothy Pilgrim warned chemists against a similar prescription data for profit arrangement in 2013 that involved linking doctors names to the data.
“I am concerned about whether pharmacies will be complying with their obligations under the Privacy Act should collection activities commence,” he told the Pharmacy Guild of Australia.
While the name the doctor scheme did not go ahead the Australian general manager of health information giant IMS, Andrew Sutton has confirmed his company is collecting patients prescription data.
“We do have arrangements with pharmacists to get prescription information,” Mr Sutton told News Corp.
“The purpose is to help us understand how patients and doctors are using medicine in the real world to help our clients, primarily pharmaceutical companies, to get market aligned outcomes,” he said.
Mr Sutton says the information is “all fully encrypted and the anonymous information is not linked to physicians or patients,” he told News Corp.
Mr Sutton said he could not reveal how much chemists were making for selling the information to his company.
“It’s in the hundreds of dollars at a pharmacy level,” he said.
A spokeswoman for the Privacy Commissioner said he had not been informed about the latest arrangement with IMS.
“We requested IMS Health to advise the Office of the Australian Information Commisisoner if it recommenced this program. We have not received any information from IMS Health about the recommencement of this program,” the spokesman said.
The Pharmacy Guild of Australia says it has no involvement with the IMS arrangement and its policy on data collection by thrid parties tells chemists:
“No third party should have access to consumer data unless it is de-identified and for a clear and approved purpose that complies with privacy laws and other relevant standards”.
Lots more (with colourful pictures) is found here:
There are three points to be made with this:
1. Big Pharma would not be paying for this information if it was not very valuable to them.
2. Lots of studies have shown that anonymised data mostly isn’t - especially using advanced data mining techniques.
3. Not alerting patients to the harvesting of their data is just unethical - that is totally clear cut in my view.
So much for all the claims of Pharmacists being such perfect professionals that they deserve not to have the real world of deregulation start to bring them into the 21st Century via the Harper Review. I am not sure we see many other clinicians selling their patient information without individual consent and ethics review - if indeed any of them sell patient information  at all.
It is interesting the same issue is live in the UK at the same time and has now been scuppered!

Pharmacy 2U investigated for data sale

2 April 2015   Thomas Meek
An online pharmacy part-owned by clinical software supplier Emis has come under fire for selling the data of some customers to a marketing firm.
According to the Mail, names and addresses of people who requested online consultations through the site, and who used Pharmacy 2U “to place their GP prescriptions and have them delivered to their home address”, were passed on.
Pharmacy 2U says on its website that it has “provided a convenient NHS mail-order repeat prescription service for more than a decade.”
Patients can also “nominate” the pharmacy as part of the Electronic Prescription Service Release 2 which is finally rolling out across the country, and which is destined to become the centre-piece of a new “click and collect” or “click and deliver” service in the future.
However, the Mail claims the terms and conditions for online prescriptions do not cover information being passed to third parties, which is “only stated in the small print of the website’s privacy policy.”
In a statement to EHI News, Pharmacy2U said the allegations related to a two-month trial project at the end of last year that involved the sale of customers’ names and postal addresses for use in selected marketing activity.
“Data was only shared where there was patient consent,” said the company. “No medical information, emails or telephone numbers were sold. In conducting this trial project, we acted in line with current data protection and ICO [Information Commissioner’s Office] guidelines.”
Despite these assurances Pharmacy2U said it will no longer share customer data for use in third party marketing and that all data that was held by Alchemy has been destroyed.
Lots more here:
Seems others agree with me and believe this simply should not be happening!
David.

AusHealthIT Poll Number 265 – Results – 12th April, 2015.

Here are the results of the poll.

Are You Expecting There To Be Any Significant Progress In E-Health in The Remainder Of the Abbott Government's First Term?

For Sure 2% (1)

Maybe 5% (3)

Neutral 10% (6)

Probably Not 34% (21)

You Are Joking Surely (No) 50% (31)

I Have No Idea 0% (0)

Total votes: 62

The vast majority (80%+) are not all that hopeful of any progress. Pretty sad that most are so pessimistic.

Good to see such a good number of responses!

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

David.