Quote Of The Year

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

or

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

Tuesday, May 12, 2015

2016 Budget Watch. Parliament Closed Until Budget Later Today. Here Is The Latest!

Budget Night is May 12, 2015.
Here is what seems likely the day before!
The key points seem to be:
1. Major changes to PBS. Pharmacists not happy

2. Large spending on the PCEHR. With what sort of actual plan unclear.

3. A small dental package and some major PBS drug listings

4. A big time social / childcare package. Big backflip on Paid Parental Leave.

5. Some cuts to richer pensioners with some less well-off helped.

6. A major small business package with all sorts of goodies.

7. Some tax shifting changes - announced Monday - effect unclear

8. A deficit which Mr Hockey says will be a bit better than the market thinks - maybe a bit under $40 Billion is the betting

9. Apparent abandonment of the hoped for surplus for years into the future.

The main flavour from Mr Abbott is that there are goodies - but that they will need to all be paid for with some of the old and some new plans. Be assured there will be some stings in the tail - there always are!

Now to wait till 7:30 pm and see what surprises there are!
Details of recent reports follow.
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General Budget Issues.

Coalition reveals details of its childcare assistance package ahead of budget

Government set to means test new benefits, which will reportedly be paid directly to childcare centres rather than parents
The federal government has announced the continuation of funding for accessing preschool, as further leaks on its yet-to-be-released childcare package emerged ahead of next week’s budget.
News Ltd reported the government would means test its new childcare assistance measures, with families on a combined income of $165,000 or less getting the greatest benefit. The assistance would be tapered up to and above $250,000.
The new assistance would replace existing childcare rebate and subsidies, and would reportedly be paid directly to childcare centres rather than parents, as recommended by the Productivity Commission.
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Budget 2015: Budget tax trap laid for Labor

David Crowe

Cabinet ministers have killed off a new option to increase revenue in order to cut the deficit as Tony Abbott marshals a new attack on Labor for proposing higher taxes rather than tougher spending cuts, preparing the ground for a fundamental political fight over budget repair.
Ministers have rejected a proposal for a new charge on internet shopping that could have raised hundreds of millions of dollars, amid concern it would have been seen as a hit to consumers and a naked grab for more money.
The decision comes after ministers dismissed the idea of extending the deficit levy on wealthier Australians.
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Deficit blowout will be $50bn worse than official forecasts

David Uren

Commonwealth deficits will total $150 billion over the next four years — almost $50bn worse than official forecasts — with next week’s budget to reveal further massive shortfalls in tax revenues as spending blows out to its highest level in 30 years.
Consulting firm Deloitte Access Economics expects personal income tax revenue to fall short of the rapid growth expected by Treasury as wage rises are pegged, while company and superannuation tax revenue will also fail to meet the forecasts on which the budget update in December was based.
The firm’s budget preview shows deficits out to 2017-18 will be a combined $46.7bn worse than had been expected in December. Every budget and budget update since December 2010 has now shown deficits worse than Treasury’s forecasts.
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No more shortcuts to budget surplus

Date May 4, 2015 - 6:27AM

Ross Gittins

The Sydney Morning Herald's Economics Editor

Maybe we're getting somewhere. The nation's almost unanimous rejection of the proposed Medicare co-payment has proved to be a blessing. It's obliged the replacement Health Minister, Sussan Ley, to go back to basics and find genuine savings.
It won't be long before we find out what effect the failure of last year's budget has had on this year's. Judging by most accounts, it won't a favourable one.
Badly burnt by the monumental misjudgments in his first attempt, Tony Abbott seems to have swung to the opposite extreme of doing little or nothing to tackle our medium-term budget deficit problem.
4 May 2015, 5.38am AEST

Three tests the 2015 federal budget must pass

PPro-reformists Some may view 2014 as a wasted year, but the lessons from the federal budget could make it a watershed one instead.

Author Mark Triffitt

Lecturer, Public Policy at University of Melbourne
If poor policy were to gather all its devils together, they would fit – with plenty of room to spare - between the pages of federal budget released last May.
Broken promises and quarter-truths, ill-thought through spending cuts targeting the less well-off, a cosmic-sized disconnect from public sentiment, consumer confidence undermined. With such a hellish list, it’s little surprise the political and policy debate of the last 12 months has been dominated by the budget’s sorry legacy.
In a new post-mining boom world, Australia has much to do in terms of updating its economic and fiscal settings. It must also set out new policy foundations to grapple with systemic problems such as an ageing population and rising inequality.
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Apparent Budget Leaks.

Budget 2015: Tighter pension assets test

David Crowe

The dollar can't save Australian business

Federal cabinet has locked in plans to tighten access to the age pension for wealthy retirees who have enough private assets to pay their own way, securing a major budget saving while leaving room to reward others on modest ­private incomes.
A new pension assets test will scale back payments to older ­Australians who have substantial private wealth in addition to their family homes, but the changes will be balanced so there will be ­winners as well as losers from the changes.
Cabinet ministers have ­decided the details of a new policy that dumps last year’s proposal to adjust the indexation of the pension in favour of tighter rules on the value of the assets people can hold while still qualifying for a part-pension.
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Budget 2015: Boost for 120,000 seniors

David Crowe

The federal budget will offer higher payments to more than 120,000 retirees and ensure thousands more can keep a valuable concession card that cuts their cost of living, easing the impact of pension savings that will cut the deficit.
The sweeteners will help build support for changes to the Age Pension assets test to target payments to those who need them most, as an opportunity emerges to get the reform through the Senate.
While wealthier retirees will face a stricter test on the assets they can own while still getting the Age Pension, The Australian has been told the part-pension will be increased for those with relatively modest assets in addition to their family homes. Access to the Commonwealth Seniors Health Card will be preserved as part of the reforms so that anybody who currently gets the concessions — on medicines, hospital visits and transport — will be able to keep them. About 80,000 older Australians will lose the part-pension, as revealed by The Australian yesterday, but this will be offset by the number of retirees who will get higher payments under a new scale to “taper” the amounts, according to each recipient’s private wealth.
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Federal Budget 2015: pensions overhaul to help the poor and hit the rich

Date May 7, 2015 - 8:27AM

Matthew Knott

Communications and education correspondent

Pensioners welcomes 'fairer' changes

The government's pension overhaul makes sense, but a wider review into retirement incomes is needed says Councils on the Ageing Chief Executive Ian Yates.
The Abbott government will overhaul Australia's pension system in next week's budget, with over 170,000 low to middle income pensioners to be $30 a fortnight better off.
We're helping those with more modest assets 
But the tightening of the pensions assets will hit wealthier retirees, with around 91,000 expected to lose access to the part-pension and 236,000 people to have their pensions decreased.
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Federal budget 2015: Budget 2.0 will determine future of Joe Hockey-Tony Abbott partnership

Date May 9, 2015 - 8:39AM

Heath Aston

Political reporter

"There are no choices here. This is about the sustainability of our quality of life. It is about what we want to be in five, 10ten, 20 years' time. I often ask myself if there was a drug that is going to save my child's life in 10ten years' time and I couldn't afford it ... in 10ten years' time is the government going to have the money to afford the drug? ... they won't have it tomorrow unless we actually start fixing the budget now and we fix it early."
Joe Hockey said this before his first budget.
Even the Treasurer's own children might go without lifesaving medicine if he did not take an axe to spending, tackle Labor's "debt and deficit disaster" and end the "age of entitlement".
Compare Hockey's 2014 rhetoric to his modest assessment on Thursday of the impending budget: "It's an optimistic document. It's a realistic document but it's focused on growing the economy."
Invited by a Sydney talkback radio host on Thursday to wade back into the story of debt and deficit disaster, Hockey thanked him and brought the interview to a quick close.
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The $1,500 Mother’s Day gift: Childcare reforms to get mums back to work

  • EXCLUSIVE Samantha Maiden National Political Editor
  • The Sunday Telegraph
  • May 10, 2015 12:00AM
  • Families will gain $1,500 to encourage mums to get back to work
  • Stay-home mums to lose some subsidies
  • Two years to wait, then some fee relief for working families
FAMILIES will be better off by $1500 a year on average under childcare reforms that will encourage mums back to work and create a Medicare-style childcare smartcard.
Social Services Minister Scott Morrison will today unveil reforms that will put $30 a week back into the pockets of low and middle-income families who are currently earning up to $165,000.
But parents will have to wait until 2017 to secure childcare relief as the changes will be phased in over time.
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Federal Budget 2015: Why the new budget will be completely different

Date May 10, 2015 - 1:03AM

Peter Martin

Economics Editor, The Age

A few years back Coca-Cola decided to enter the energy drink market. It launched a product called Mother that was so bad eight out of 10 consumers said they hated the taste. Instead of deleting it Coca-Cola completely reformulated it and printed on the top of every can: "New. Tastes nothing like the old one".
Tuesday's budget is genuinely new. Two of the six-member expenditure review committee that put it together weren't there before – the new Social Services Minister Scott Morrison and the new Assistant Treasurer Josh Frydenberg​. The three top bureaucrats who put it together are new in their jobs – Michael Thawley​ in prime minister and cabinet, John Fraser in treasury and Jane Halton in finance. 
This time the Prime Minister Tony Abbott chaired almost every meeting. The nominal Treasurer and deputy chair Joe Hockey played less of a role.
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Health Budget Issues.

Budget 2015: Federal Government to subsidise $1.3 billion life-saving drugs

By medical reporter Sophie Scott and Alison Branley
Patients waiting on life saving medicines will get a sweetener in this week's budget with the Federal Government spending $1.3 billion on subsidies for new drugs.
Health minister Sussan Ley said medications for melanoma, breast cancer and blindness would now be listed on the Pharmaceutical Benefits Scheme.
"Access to new medicines is crucial if we're to help Australians beat life-threatening diseases such as cancer, as well as overcome chronic and degenerative conditions that can rob them of their independence," Ms Ley said.
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Govt to give $200 million in dental health

  • May 10, 2015 8:52AM
  • AAP
LABOR has labelled reports that the Abbott government intends to spend $200 million in dental health care as a "cruel hoax".
FAIRFAX media reported that Health Care Minister Sussan Ley will announce $200 million in dental health funding for the state and territories in Tuesday's budget to "allow for reform work to be undertaken over the next 12 months".
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Medical Future Fund.

Medical research fund gets second life

EXCLUSIVE Andrew Probyn Federal Political Editor
May 9, 2015, 12:55 am
The Abbott Government will recommit to a multibillion-dollar medical research fund in next week's Budget despite abandoning the $7 Medicare co-payment which was to help fund the plan.
The Weekend West understands the Government intends the Medical Research Future Fund to reach $20 billion within four years.
Sources concede this is ambitious given the 2019-20 timeframe was originally to be achieved through patient contributions for 70 per cent of Medicare services.
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Pharmacy Issues.

  • May 4 2015 at 12:16 PM

Federal budget 2015: Pharmacy faces $5b cut

The Abbott government is preparing to endorse $5 billion savings on pharmaceuticals for next week's federal budget, which will hit manufacturers and wholesalers, and appears set to spark an advertising war by pharmacists claiming changes will hit the sickest people in the community.
The expenditure review committee of federal cabinet is understood to have last week signed off on a package of changes to the pharmaceutical benefits scheme to be announced in the budget. But the package is still to be considered by the full cabinet this week.
A furious pharmacy sector is understood to be preparing an aggressive advertising and public relations war against the plans – already confirmed by Health Minister Sussan Ley – to introduce a 'discount' on pharmaceutical co-payments. The cost of the discount, estimated to be worth between $800 million and $1 billion to the budget, would have to be borne by individual pharmacies.
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PBS copayment discount ‘will punish elderly’

Joe Kelly

The government is facing a damaging industry backlash if cabinet greenlights a plan this Thursday to clawback $400 million in new savings over the next five years by introducing optional $1 discounts on prescriptions in next week’s budget.
The $1 discount, if passed on by pharmacists, means a concession card holder would need to pay for 72 scripts a year instead of 60 to reach the $366 threshold at which point medicines under the Pharmaceutical Benefits Scheme safety net drop to zero.
The measure is likely to be part of a package of changes to the medicine industry to be included in the budget generating net savings of $3bn and which are likely to heavily impact manufacturers, wholesalers and pharmacists.
The proposal for an optional discount on PBS co-payments — reducing the costs of medicine for pensioners from $6.10 to $5.10 and general patients from $37.70 to $36.70 — was approved by the Expenditure Review Committee of cabinet last Friday.
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Pharmacy Guild vows campaign to fight $1 prescriptions discount

Joe Kelly

The government will save some $400 million over five years introducing an optional $1 discount on prescriptions in the budget.
However, the Pharmacy Guild of Australia will launch a fierce ­advertising campaign against it.
The discount is likely to be one of several changes to the medi­cines industry generating net budget savings of about $3bn, say industry sources.
While encouraging competition, given the reluctance of government to free-up location restrictions the discount is still thought to cost pharmacists about $800m over a half decade.
The move would reduce the costs of medicine for pensioners from $6.10 to $5.10 and for general patients from $37.70 to $36.70.
It would also mean a concession cardholder would have to pay for 72 scripts a year instead of 60 to reach the $366 safety net threshold, after which medicines under the Pharmaceutical Benefits Scheme become free.
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Pharmacy Guild threatens campaign over $1 discount that could save $400m

Government plans to make budget saving by allowing chemists to offer discounts on the amount they are required to charge for scripts, among other measures
The Pharmacy Guild – sometimes dubbed the most powerful lobby group in Canberra – is threatening an intensive lobbying campaign against the Abbott government if cabinet agrees on Thursday to change what Australians are required to pay for medicines.
The changes involve relatively small budget savings for the federal government – at most $400m over five years and probably less – but would open the door to chemists competing with one another because they would be allowed to offer $1 discounts on the amount they are required to charge for scripts.
While the savings will be included in the budget, the changes are part of the closed-door negotiations for a new five-year agreement between the government and the Pharmacy Guild to replace the existing $15bn deal.
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Defiant Sussan Ley stands up to Big Pharma

Sid Maher

The budget battle over proposed cuts to medicine prices has deepened, with Health Minister Sussan Ley vowing to stare down drug company protests amid warnings from the industry that the cuts will harm cancer patients and the vulnerable elderly.
Medicines Australia chief exec­utive Tim James wrote to Ms Ley yesterday seeking an urgent meeting on the cuts, warning that they could “destroy’’ the Pharmaceutical Benefits Scheme and create a two-tiered scheme where rich patients gained quick access to drugs while poor patients had to wait.
However, government sources hit back, arguing that Medicines Australia was affected by only about $1 billion out of the $3bn in total cuts to medicine prices.
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I plan a blog on Wednesday 13th May on what we actually saw.
Enjoy.
David.

A Thoughtful View On The Issues With The Government PCEHR Plan - Or Lack Of A Credible Plan!


New name and opt-out policy won’t save the personal health record

11 May 2015, 6.30am BST

http://theconversation.com/new-name-and-opt-out-policy-wont-save-the-personal-health-record-41601

David Glance

Director of UWA Centre for Software Practice at University of Western Australia

The federal government is set to spend A$485 million to rescue Australia’s failed personalised electronic health record project. All Australians will be set up with a record and can opt out, in contrast to the previous system where patients opted in.

The new system, called myHealth Records, will be revised according to the recommendations of a report commissioned by the former health minister Peter Dutton in 2013. The report had 38 recommendations to improve the existing Personally Controlled Electronic Health Record system (PCEHR). The very first was to change the name from the less-than-catchy PCEHR (pronounced “pecker”) to the only slightly more acceptable myHealth Record.

Other recommendations included the dissolution of the National E-Health Transition Authority (NEHTA), the organisation widely blamed for the overly complicated and unusable system that resulted from nearly A$1 billion in funding. In its place will be an oversight organisation called the Australian Commission for e-Health that will have a variety of sub-committees reporting into it.

The report also tried to address another criticism of the system by tackling the incentivisation of GPs to actually spend time uploading data to their patients’ personal records. The recommendation here was to tie cash incentives to uploading data and that billing for GP management plans require these plans to be uploaded to the patient’s myHealth record.

Probably the biggest change from a political perspective is the default creation of a record for every Australian, then allowing people to opt out. This would certainly address the low take-up rate of the PCEHR. After three years, only two million people have registered for a record so far, with the majority of these records being empty of any meaningful data.

The PCEHR review report showed that even by December 2013, consumer access to the system was dropping rapidly and provider access stayed flat, despite increasing amounts of content being put into the system.

While some of the changes proposed for the personal record may increase general usage of the system, it still remains fundamentally flawed.

The first problem is that the system still represents a “scrapbook” approach to a clinical record. There is no guarantee that all the health professionals involved in the care of a patient will participate and supply information, nor that the information supplied will be complete.

Couple that with the ability of the patient to hide aspects of their record and the final picture is not only incomplete, but acting on it becomes a significant clinical risk. UNSW Australia researcher Professor Enrico Coiera has detailed the extensive clinical risks inherent in a personal record here.

Using the record in clinical practice is extremely difficult. In fact, the Australian Medical Association’s own guidelines details that the personal record is only a “memory prompt” for the patient and that “remains the treating medical practitioner’s responsibility to take a clinical history from their patient”. In other words, a doctor can not rely on the personal record to make clinical decisions.

Coiera goes further and voices a view that I share which is that summary records are essentially pointless and that the only shared record that makes sense is a fully distributed and shareable clinical record. All practitioners involved in the care of the patient would have access to the record or could obtain appropriate access when necessary.

There are variations of this model that also would work. In one model, only the information pertinent to the current treatment of a patient is shared among the care team and the patient using a peer-to-peer mechanism.

There is the possibility that the sharing mechanism could actually use a shared ledger system such as the one that underpins cyber-currencies. A major benefit of this system would be that it would be unnecessary for the government to be involved at all, as no centralised infrastructure would be needed.

According to media reports, the government expects the myHealth Record to save A$2.5 billion a year. Where this number came from is unknown but it is different from the original estimates of Booz and Co which put the annual savings at A$7.6 billion. The proviso here was that this was a fully implemented system with 100% participation.
However, savings should be treated with a great deal of scepticism as there is no mechanism by which incomplete participation in this system would be able to deliver any benefits, let alone those claimed in the budget.

It is really unclear why the government is persisting with a system that, in the eyes of e-health experts such as Sydney clinician and commentator Dr David More, is deeply flawed. It is possible that in supporting this scheme, they don’t have to think of alternatives and can be seen to be participating in some sort of digital health strategy.

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Republished, with permission, under the Conversation's distribution policy.

What is critically needed now are all the details of what is planned so an assessment can be made of just how sensible and realistic this all is and how likely it is that this is not just good money after bad.
 
David.

Monday, May 11, 2015

Weekly Australian Health IT Links – 11th May, 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

No comment!
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Australians to benefit from Sussan Ley's ehealth health records revamp

Date May 10, 2015 - 12:00AM

Adam Gartrell

Australians will get easier access to their medical records and be at less risk of treatment and prescription blunders under a revamped e-health system that will cost the Abbott government at least half a billion dollars.
The new myHealth Records system will be announced by Health Minister Sussan Ley on Sunday. It will build upon and replace some elements of a struggling scheme introduced by Labor in 2012, which has already cost taxpayers more than $1 billion.
Tuesday's federal budget will set aside $485 million over the next four years to get the new system up and running but costs will continue beyond that.
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Budget 2015: New 'opt out' e-health system to see all Australians given electronic record

By medical reporter Sophie Scott
All Australians will now have an electronic health record as part of a new e-health system, and people will have to opt out if they do not want to take part.
The previous arrangement, commissioned in 2012, was an "opt in" system where patients could choose to join, but it was plagued with problems.
Health Minister Sussan Ley said research showed the best way was to put everyone on the system by default.
If a person did not want to be on the system, they would need to opt out.
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Millions more may be spent on eHealth records

5th May 2015
THE government is expected to recommit to the personally controlled eHealth record in the federal budget despite failing to respond to a 500-day-old review of the bug-riddled system.
A spokesman for Health Minister Sussan Ley would not confirm the sum allocated to the system, which Fairfax Media has reported to be hundreds of millions of dollars.
Over the past five years successive governments have spent more than $1 billion on the PCeHR. It has been on life-support since last year’s budget allocated $140.6 million for its continued operation while the government “finalises its response" to the Richard Royle review, delivered in December 2013. 
One of the authors of the Royle review was former AMA president Dr Steve Hambleton, who now chairs NEHTA – a body the report said should be scrapped.
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Online support networks should be used as 'first line of defence' in mental health care, report says

A report by one of Australia's main youth mental health services ReachOut.com says boosting online support networks will help reduce the strain on health system.
According to the report, three-quarters of mental health problems start in people under the age of 25, and up to 80 per cent of them do not seek advice or help.
The report found that e-health programs should be used as the "first line of defence" in mental health care.
ReachOut.com Chief Executive Jono Nicholas said online mental health aid had proven to be successful.
"We have an absolute challenge in Australia where there is a significant number of those that need help [but] can't access traditional services," he said.
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Digital technology crucial to Telstra’s mission to revolutionise health

Mitchell Bingemann

Telstra’s stand-alone health unit is on a mission to revolutionise the nation’s strained healthcare system with plans to slash hospital waiting times, improve patient-to-doctor relations and usher in a new era of telehealth services that will elevate the telco as the ­nation’s premier e-health service providers by 2020.
The Health unit — carved out as a separate division at Telstra in October — has been on an acquisition war path over the past 24 months, spending more than $130 million on investments and joint ventures as it seeks to build the nation’s first integrated health system that will provide technology solutions in telemedicine, aged and residential care, hospital, radiology and pathology.
Telstra has astronomical ambitions for the unit, aiming to grow the business from its revenue run-rate of $40m a year into a billion dollar-a-year business and the nation’s leading e-health provider within five years. “That’s what we are targeting. We are very passionate and believe it’s a doable thing. It won’t be easy but once we do that the e-Health business of Telstra will be one of the biggest health businesses in Australia,” the managing director of Telstra Health Shane Solomon told The Australian.
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Smartphone app a lifesaver for patients after myocardial infarction

Mohanraj K Karunanithi, Marlien Varnfield and Darren L Walters
Med J Aust 2015; 202 (8): 404.
doi: 10.5694/mja15.00380
Clinical guidelines recommend that patients complete a cardiac rehabilitation program after experiencing a myocardial infarction, with studies showing that those who do have much better long-term health outcomes.
Despite the benefits, uptake of traditional cardiac rehabilitation programs is poor. Many patients find weekly travel to a health facility to be difficult. This is particularly so for those who work, care for others or live in regional Australia where these services are not available.
To overcome this problem, the Commonwealth Scientific and Industrial Research Organisation (CSIRO) and Queensland Health have developed a home-based cardiac rehabilitation program delivered via a smartphone app, called the Care Assessment Platform. This home-based program features health and exercise tools, motivational materials and multimedia delivered through the app to educate patients about disease management, and remote mentoring consultations.
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Snelling insists e-health on track for new RAH

Bension Siebert | 4 May 2015
Adelaide | The State Government’s $422 million Enterprise Patient Administration System (EPAS) will be functional “on day one” of the new Royal Adelaide Hospital, Health Minister Jack Snelling says.
Snelling told 891 ABC radio this morning that doctors’ expectations that the EPAS would not be functional at the new RAH until July 2017 were wrong.
InDaily revealed the expectations last week, as well as doctors’ claims that the number of outpatient appointments offered to older people and veterans at the Repatriation General Hospital had halved because of the installation of EPAS at the site.
Snelling said the Patient Administration System (PAS) function of EPAS – which deals with administrative details such as patients’ names, addresses and appointment times – would have to be functional before the new Royal Adelaide Hospital opened.
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In Conversation with…Enrico Coiera, MB, BS, PhD

Editor's note: Enrico Coiera, MB, BS, PhD, is a professor and director of the Centre for Health Informatics (Australian Institute of Health Innovation) at the University of New South Wales. Dr. Coiera has researched and written about clinical communication processes and information systems. We spoke with him about how interruptions and distractions in the clinical environment influence patient safety.
Interview
Dr. Robert Wachter, Editor, AHRQ WebM&M: How big a problem are interruptions and distractions in the world of patient safety?
Enrico Coiera: Interruptions happen every day to every clinician, nurse, and doctor. It's become clear over the last decade that in some clinical settings, not only are interruptions frequent but they're also a patient safety risk. We're not saying every interruption is a bad interruption, but we do know that for certain places and times, they can lead to significant patient risk.
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 Vic commits to script monitoring

PharmacyDaily May 7, 2015
THE Victorian Government has committed to an initial sum of $300,000 toward evaluating and planning for the implementation of a real-time prescription monitoring system in its state budget handed down this week.
The Victorian Minister for Health Jill Hennessy had previously said she was “receiving advice” on the issue (PD 15 Jan).
This followed a call from Coroner Jacinta Heffey for the Victorian Department of Health to implement such a system as a “matter of urgency”, with overdose deaths data showing “clearly” that Schedule Four drugs were “tremendous contributors” to overdose deaths in the state (PD 15 Jan).
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Human trials for bionic eye with 'wireless brain chip' to start next year

Date May 5, 2015 - 3:00AM

Bridie Smith

Science Editor, The Age

Researchers working on the ambitious project led by Monash University to build a bionic eye have revealed they are ready to start human trials next year.
"We have gone past the point of no return, where the device has been manufactured in prototype form and it is working in the laboratory," said Jeffrey Rosenfeld​, director of the Monash Institute of Medical Engineering.
Professor Rosenfeld​ outlined the group's progress in Washington DC on Monday, at the American Association for Neurology Surgeons' annual scientific meeting.
The human trial will involve patients who have lost their sight having tiny "ceramic tiles" the size of a small fingernail implanted into their brain's visual cortex at the Alfred Hospital, where Professor Rosenfeld​ is director of neurosurgery.
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Privacy complaints leap as companies struggle with compliance

Date May 4, 2015 - 3:09PM

Hannah Francis

Technology Reporter

More than half of all major Australian companies recently examined by Australia's Privacy Commissioner have failed to comply with privacy rules.
Privacy Commissioner Timothy Pilgrim said that 55 per cent of the 20 top websites run by the companies examined published inadequate privacy policies, while privacy-related complaints had leapt 43 per cent in the year since the nation's privacy laws were revamped.
The companies surveyed included the "big four" Australian banks; social media sites Instagram, LinkedIn and Twitter; the Department of Human Services; and major media outlets including news.com.au, ninemsn.com.au, The Guardian Australia, Yahoo!7 and The Sydney Morning Herald, owned by Fairfax Media, publisher of this article.
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NSW Privacy Commissioner calls for mandatory data breach notification

State privacy act needs an overhaul
NSW Privacy Commissioner Doctor Elizabeth Coombs has called for amendments to be made to the state's Privacy and Personal Information Protection (PIPP) Act from 1998 to bring it in line with 21st Century privacy concerns.
A report (PDF) was tabled in state parliament which outlined a number of recommendations.
These include:
  • The PPIP Act to be amended to provide mandatory notification of serious breaches of an individual’s privacy by a public sector agency.
  • Access to and amendment of personal information to be governed solely by the PIPP Act and access to non-personal government information to be governed by the Government Information Public Access (GIPA) Act
  • All NSW state owned corporations should be covered by privacy legislation
  • Principle of anonymity and pseudonymity where lawful and practicable
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Nearly half of employees inadequately trained on Privacy Act compliance

Only 54 percent of workers believe their employers have given them adequate training about how to preserve the privacy of customers' personally identifiable information (PII), a new survey has found as privacy authorities spruik a new privacy management framework designed to help Australian organisations improve privacy compliance efforts that have been slammed as inconsistent and unbelievable by consumers.
Released by the Office of the Australian Information Commissioner (OAIC) to mark the 2015 Privacy Awareness Week – an annual awareness exercise run by the Asia Pacific Privacy Authorities (APPA) forum – the new Privacy management framework is designed to help organisations boost employee awareness of privacy responsibilities.
Specific recommendations are intended to inform organisations' privacy response along four key steps: embedding a culture of privacy, establishing robust and effective privacy processes, evaluating privacy processes to ensure continued effectiveness, and enhancing organisations' response to privacy issues.
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Faster check-in and better patient data

MedicalDirector and Jayex Australia have today announced their partnership. This will help patients to self check-in at their GP practice and update their patient contact details via the Jayex Self Check-in Kiosk.
The Jayex patient kiosk provides patients within multi-GP practices to quickly and easily check-in and free up busy reception staff to manage their workload, reduce stress and care for their patients.
The Jayex check-in kiosk is a great help for practices serving large multi-cultural communities as a patient can check-in using a choice of 51 languages. It also prompts patients to confirm their basic contact details. If the patient updates any details this information will be automatically updated in MedicalDirector PracSoft, and the patient will be added to the waiting room to be seen by the Practitioner.
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How to register for  the eHealth record system

NEHTA are exhibiting at booth 58 at the 'Royal Australasian College of Surgeons (RACS) Annual Scientific Conference' at the Perth Convention and Exhibition Centre on 4-8 May 2015.
Here you will find step-by-step instructions on how to begin your eHealth registration. Click (or tap if you're on a mobile device) on each row to expand the information within them.
If you need any assistance, please contact NEHTA Help Centre, email help@nehta.gov.au or call 1300 900 001.
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Manage your diabetes and health related information with your own personalised eHealth record

Created on Friday, 08 May 2015
In the Autumn 2015 edition of Circle Magazine (Diabetes Australia) NEHTA Chair Dr Steve Hambleton and the CEO of Diabetes Australia Prof Greg Johnson explain why diabetes patients and their healthcare providers can both benefit from using eHealth.

Manage your diabetes and health related information with your own personalised eHealth record

If you have diabetes you need to see many health professionals and health services to help you manage your diabetes – your GP and specialist, a diabetes educator, dietitian, pharmacist, podiatrist, optometrist, pathology services, hospitals and more! Most of your health information from these interactions is stored on different computer systems and they are not connected so it's not easy for you to see all your information or for you to share your information with the range of health care providers you visit.
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Stephen Leeder: Complicating consent

Stephen Leeder
Monday, 4 May, 2015
AS a young intern at Sydney’s Royal North Shore Hospital in the late 1960s one of my duties included admitting patients on the weekend for elective surgery and “getting consent”.
A grey printed sheet was attached to the front of each patient’s chart. I would explain the proposed surgery to the patient — many knew all about it from their surgeon, but not all — and ask them to consent to it and to any necessary additional procedures or interventions that might be required, such as blood transfusions. They would then sign the form and I would witness it.
I learned years later that these consent forms had no legal value and that if the operation went wrong or the surgeon did more than agreed with the patient no matter how much apparent surgical freedom the consent form gave — such as removing the ovaries as well as the uterus during a hysterectomy — he or she could be sued.
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Australia's slow digital economy needs government innovation, says Ernst & Young

Date May 4, 2015 - 10:15AM

Noel Towell

Reporter for The Canberra Times

Australia is being left behind as a digital economy and government departments and the public servants who work there could be key culprits, according to a new report.
Accounting giants Ernst and Young say the Commonwealth government is failing in its key duty to drive digital innovation and put it into use in the everyday lives of Australians.
The EY research, Digital Australia: The State of the Nation published on Monday, finds Australia stuck in the slow lane with action now urgent to catch up with the United Kingdom, Singapore, Belgium and even New Zealand in government-led technical innovation.
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Tesla’s power to the people in energy revolution

  • James Dean
  • The Times
  • May 02, 2015 11:07PM

Tesla unveils batteries for homes

Household batteries that will save consumers hundreds of dollars a year by collecting solar power and cheap off-peak electricity are to become as common as washing machines after a scientific breakthrough, experts have predicted.
The device, unveiled yesterday by Tesla in the United States, was hailed as the start of a new era of cheaper electricity and home-generated renewable energy.
The wall-mounted battery stores energy collected by roof-mounted solar panels and garden wind turbines. It can also suck cheap electricity from the grid in the middle of the night for use in peak daytime hours.
As many as eight of the units, called Powerall and manufactured by the American electric carmaking company Tesla, can be linked together to provide extra storage capacity for homes with high electricity demands.
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Enjoy!
David.