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, October 03, 2017

A Major Consultation Is About To Begin On The Secondary Use Of myHR Information.

This appeared in the e-mail last Friday.
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Subject:    Secondary Uses of My Health Record Systems Data - Factsheet 3
Date:         Fri, 29 Sep 2017 16:22:31 +1000
From:        Lisa Fodero
To:              Name.
Dear Name.
HealthConsult have been engaged by the Department of Health develop a Framework for the secondary use of data in My Health Record. Public consultations are about to commence.
There will be multiple opportunities to contribute to the development of the draft Framework through workshops across the country, two webinars, an online survey and written submissions.
A Public Consultation Paper will be released on  Thursday 5 October 2017. The consultation process will close at midnight on Thursday 17 November 2017.
You can find more information about the project in the attached Fact Sheet and via the project website .
*Registrations are open NOW to:
  * attend a workshop  .
  * participate in a webinar - 12 October 2017   or 16 November 2017     
  * receive future updates about the project. 
We encourage you to forward this email to colleagues that might also be interested.
Please do not hesitate to contact me should you have any questions.
We look forward to your participation in the project.
*Dr Lisa Fodero, PhD |Director |*HealthConsult Pty Ltd
*Sydney Office:*3/ 86 Liverpool Street, Sydney NSW 2000
P:02 9264 1805 M:0414 185 711
---- End E-mail
More details were attached to the e-mail.

Fact Sheet 3: How to participate in the Public Consultation Process for the “Development of a Framework for Secondary Use of My Health Record System Data” project

HealthConsult has been engaged to assist the Australian Government in developing a framework for the secondary use of data in the My Health Record system for research, policy, planning, system use, quality improvement, and evaluation activities.
Under the My Health Records Act 2012, health information in My Health Record may be collected, used and disclosed “for any purpose” with the consent of the healthcare recipient. In addition, one of the functions of the System Operator (the Australian Digital Health Agency) is “to prepare and provide de-identified data for research and public health purposes.” Before these provisions of the Act will be implemented, a framework for secondary use of My Health Record system data must be established.
HealthConsult’s role is to develop a draft Framework and associated draft Implementation Plan that will facilitate the secondary uses of My Health Record system data. HealthConsult is committed to working with stakeholders including the broader community to shape the development of the Framework.
HOW TO BECOME INVOLVED IN THE PUBLIC CONSULTATION PROCESS
Your input is encouraged to ensure that each component of the Framework appropriately reflects the views of the community. HealthConsult is keen to hear views and ideas from all individuals and/or organisations, including My Health Record users (e.g. patients and health care providers) and those that may seek access to the My Health Record data for secondary purposes (e.g. government, non-government, private organisations; and universities and the research sector). HealthConsult invites respondents to share their views on matters that should be considered prior to drafting the Framework.
Everyone is invited to participate in this consultation process. There are a number of methods, as outlined below, by which you can become involved and share and discuss your views.
MAKE A WRITTEN SUBMISSION
Following the release of a Public Consultation Paper on the Thursday 5 October 2017, HealthConsult will be accepting written submissions until midnight AEDT on Friday 17 November, 2017. Submissions will not be accepted after this date. Please ensure your submission includes:
·         date of submission;
·         your name or the name of your organisation; and
·         your details or those of a nominated representative from your organisation that HealthConsult can contact should we wish to engage in a follow up discussion on the issues raised in your submission.
It is important that you read the Public Consultation Paper before preparing your submission. You may wish to use the Submission Template which will be available from 5 October 2017. Submissions that directly address the consultation questions will be most helpful. A ‘Plain English’ companion to the Consultation Paper is also available.
COMPLETE THE ONLINE SURVEY
An online survey, will allow you to provide semi-structured input against the questions in the Public Consultation Paper (available at https://www.surveymonkey.com/r/MHRFramework from 5 October 2017). You can complete the survey at any time up until midnight AEDT on Friday 17 November 2017. You can complete the survey even if your organisation chooses to make a written submission. Surveys will not be accepted after this date.
ATTEND ONE OF THE NATIONAL WEBINARS
On Thursday 12 October, 2017 at 10.30 am AEDT there will be a live national webinar that will present the Public Consultation Paper, introduce the consultation process and provide for your input via live questions. To register for the webinar please visit the webinar registration page. If you cannot participate during the live webinar, you will be able to view a recording of the webinar by visiting http://www.myhealthrecorddata.healthconsult.com.au after 16 October, 2017.
On Thursday 16 November, 2017 at 12.30 pm AEDT the Consumers Health Forum (CHF) will facilitate a webinar to summarise and seek feedback from consumers on the themes that have been raised during the course of the consultations. To register for this CHF webinar, please visit: [https://chf.org.au/events/webinar-secondary-use-my-health-record-data].
ATTEND A WORKSHOP
There will be 12 workshops scheduled across the country. At each workshop, there will be a short presentation of the Public Consultation Paper, followed by a question and answer session, through which stakeholders can provide input.
The workshop details are:
·         Workshop 1: Sydney, NSW on Monday 16 October, 2017 at 10.30 am – 12 pm, The Grace Hotel, 77 York Street, Sydney.
·         Workshop 2: Newcastle, NSW on Tuesday 17 October, 2017 at 10.30 am – 12 pm, Novotel Newcastle Beach, 5 King Street, Newcastle.
·         Workshop 3: Cairns, QLD on Wednesday 18 October, 2017 at 3 pm – 4.30 pm, Pacific Hotel Cairns, 45 The Esplanade, Cairns.
·         Workshop 4: Brisbane, QLD on Friday 20 October, 2017 at 10.30 am – 12 pm, The Treasury Hotel & Casino, 139 William Street, Brisbane.
·         Workshop 5: Hobart, TAS on Monday 23 October, 2016 at 2.30 pm – 4 pm, The Old Wool Store, 1 Macquarie Street, Hobart.
·         Workshop 6: Melbourne, VIC on Tuesday 31 October, 2017 at 2.30 pm – 4 pm, Stamford Plaza Melbourne, 111 Little Collins Street, Melbourne.
·         Workshop 7: Adelaide, SA on Friday 3 November, 2017, at 2.30 pm – 4 pm, Mayfair Hotel, 45 King William Street, Adelaide.
·         Workshop 8: Perth, WA on Tuesday 7 November, 2017 at 10.30 am – 12 pm, Novotel Perth Langley, 221 Adelaide Terrace, Perth.
·         Workshop 9: Alice Springs, NT on Thursday 9 November at 10.30 am – 12 pm, Alice Springs Convention Centre, 93 Barrett Drive, Alice Springs.
·         Workshop 10: Darwin, NT on Friday 10 November at 9 am – 10.30 am, Mantra Pandanas, 43 Knuckey St, Darwin.
·         Workshop 11: Blue Mountains, NSW on Monday 13 November at 10.30 am – 12 pm, Wentworth Healthcare, Werrington Park Corporate Centre, 14 Great Western Highway, Kingswood.
·         Workshop 12: Canberra, ACT on Wednesday 15 November at 2.30 pm – 4 pm, Rydges Capital Hill, cnr Canberra Avenue and National Circuit, Forrest.
To register to attend a workshop please visit the workshop registration page. Please note seats to these events will be allocated on a first come first served basis. The number of remaining spaces for each workshop is shown on each location’s registration page.
REQUEST AN INTERVIEW
Should you be unable to attend one of the workshops, or you wish to provide your input on a more confidential basis, you can request a one-on-one interview (of about 45 minutes) with a member of the HealthConsult team by registering at http://www.myhealthrecorddata.healthconsult.com.au (under ‘public consultation’ tab). One on one interviews can be held in-person at times when the project team is on location for the workshops, or by telephone. Again, the number of available interviews is limited, so please register your interest early.
PROJECT CONTACT DETAILS
To register your interest in participating in the public consultation process, please visit www.MyHealthRecorddata.healthconsult.com.au or send an email to MyHealthRecorddata@healthconsult.com.au.
For all other details about the project please contact:
Lisa Fodero                                                                              Bec Sykes
Director                                                                                    Director, Digital Health Branch
HealthConsult Pty Ltd                                                            Department of Health
E: lisa.fodero@healthconsult.com.au                                 E: Bec.Sykes@health.gov.au
P: 02 9261 3707                                                                       P: 02 6289 8074
-----
What is interesting about all this just why the detailed personal information would be interesting to anyone given the really unknown quality and the incompleteness of the data in the myHR, especially without the agreement of the person involved.
It is also of interest that not only was the first attempt at developing a framework apparently abandoned and according to the ADHA Board notes of August there is real uncertainty as to what the public will actually accept.
We need to be cognisant that in the UK a similar involuntary project called care.data was scrubbed due to public opinion. The ADHA CEO was heavily involved in this program in the UK I believe.
Reading here will explain what happened in the UK:

NHS care.data scheme closed after years of controversy

NHS England was criticised for poorly explaining the purpose of the scheme after more than one million people opted-out

Wednesday 6 July 2016

The government's controversial care.data NHS information sharing scheme has been closed. The decision, announced by minister for life sciences George Freeman, follows a review into safeguards around the sharing of patient data by National Data Guardian Fiona Caldicott.

Though care.data has been closed, Freeman said NHS England and the government "remain absolutely committed to realising the benefits of sharing information" to improve patient care.First announced in 2013, the NHS England programme aimed to bring together health and social care information from across the NHS for the benefit of "patient care". The pseudonymous data could then be used by researchers to develop new treatments and assess performance of NHS services.

The beleaguered scheme faced almost relentless criticism since it was first announced three years ago. Concerns centred around the sharing of sensitive medical information with commercial companies without the explicit consent of patients. More than one million people opted out of the scheme.

Data on stays in NHS hospitals, known as hospital episode statistics, have been collected and analysed since 1989, but care.data proposed an expansion of this database to include GPs. Critics argued NHS England failed to communicate the purpose of the scheme.Care.data was plagued by delays and controversies throughout its ill-fated existence. It was paused three times before eventually starting as a small-scale trial in four areas in June 2015, only for health secretary Jeremy Hunt to pause it again while Caldicott's review took place. While the review didn't look into care.data specifically, its recommendations around proposed consent and opt-out models effectively killed-off the project.

Commenting on the report's findings, Professor Sheila Bird at Strathclyde University’s Department of Mathematics and Statistics said: "Data-sharing as proposed by care.data was disastrously incompetent – both ethically and technically. Professionals rebelled and prevailed in outcasting care.data, thereby ensuring that future proposals will not succeed unless both technically proficient and in the public interest."

Lots more here:

http://www.wired.co.uk/article/care-data-nhs-england-closed

The discussion paper on the 5th of October will be very interesting indeed and needs to be carefully considered.

David.

Monday, October 02, 2017

Weekly Australian Health IT Links – 2nd October, 2017.

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

Well the festival of the boot is over and it is back to a feed of interesting e-Health news.
Lots happening but a surprising lack of activity – apparently – from the ADHA. I wonder what is in store for October?
We will watch and wait!
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This PHN is going it alone to fix My Health Record's shortcomings

29 September 2017

TECH TALK

If anything could cure a GP of insomnia, it would be putting the words ‘My Health Record’, ‘PHN’ and ‘interoperability’ in the same sentence.
But before you nod off, there’s an exciting point on the way. 
How useful would it be if GPs’ computers updated whenever a patient in hospital started a new medication or their test results came through? So, instead of relying on discharge summaries, which are often late, incomplete or both, verified information would be added to your practice software before the patient has even left the ward.
This is the type of thing the My Health Record promised to deliver. But hasn’t. In fact, it barely contains any medication details or test results.
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Northern Territory Police Special References Unit investigating Health Department matter

MATT GARRICK, NT News
September 25, 2017 12:30am
A CASE involving the Health Department’s chief information officer has been referred to the police, the NT News can reveal.
Stephen Moo resigned this month, with secrecy surrounding the circumstances of his abrupt departure.
Mr Moo, a career public servant, was in charge of overseeing of a major new $259 million IT rollout.
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Matter involving former NT health CIO referred to police

NT Department of Health confirms CIO’s departure
Rohan Pearce (Computerworld) 27 September, 2017 09:13
The NT Police has confirmed that it is assessing a matter that involves the former chief information officer of the Northern Territory Department of Health, Stephen Moo.
“The Northern Territory Police have received a referral from the Department of Health,” a police spokesperson told Computerworld.
“That referral is currently subject to assessment and no further information is available at this time.”
“Mr Moo has resigned his position with the Department of Health, this has ceased his association with the Department,” a spokesperson for the Department of Health said.
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Govt reveals data breach notification format

By Ry Crozier on Sep 29, 2017 6:45AM

Will use it to collect and publish stats.

The government has finally revealed a draft of the statement it expects organisations to file if they suffer a data breach after February 22 of next year.
Under data breach notification laws passed in mid-February of this year, organisations that suffer a data breach will need to notify the Australian Information Commissioner and affected customers "as soon as practicable".
They must also assess its severity and the potential harm to those impacted, and may need to file a formal report.
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Privacy Commissioner publishes data breach notification guidelines for comment

The Office of the Australian Information and Privacy Commissioner has published draft resources for the Notifiable Data Breaches scheme, asking for public comment.
By Asha McLean | September 29, 2017 -- 04:18 GMT (14:18 AEST) | Topic: Security
The Office of the Australian Information and Privacy Commissioner (OAIC) is seeking public comment on draft resources it has published relating to Australia's impending data breach notification laws.
The draft resources include guidelines on how to prepare an eligible data breach statement for when the scheme takes effect on February 22, 2017, how to assess a suspected breach, what quantifies reporting, how to notify the OAIC of an incident, and exceptions under the legislated obligations.
The new laws mandated under the Privacy Amendment (Notifiable Data Breaches) Act require organisations covered by the Australian Privacy Act 1988 to notify any individuals likely to be at risk of serious harm by a data breach.
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Australian health IT sage looks back to the future and sees what went wrong

Natasha Hancock | 29 Sep 2017
He’s a visionary in the field whose seminal 2004 BMJ paper predicted the ways healthcare would be transformed by technology, but as we approach his 2020 deadline Professor Enrico Coiera says companies have held back progress and patients are still being put at risk.
It must have seemed such a long way away, but Coiera boldly foretold the future when he described a 2020 in which technology was assimilated into clinical practice.
“The world may be such that as a clinician you work in flexible virtual teams and some of your colleagues are computers. You would of course instinctively mistrust clinicians who always know the answer without consulting the information grid, and patients often choose to be the team leader,” Coiera, now Foundation Professor in Medical Informatics at Macquarie University and Director of the Centre for Health Informatics, wrote in 2004.
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Online appointments for patients too busy to see medics

ANNABEL HENNESSY, The Daily Telegraph
September 30, 2017 12:00am
SYDNEYSIDERS are so stressed and overworked they can’t even see their psychologist in person.
Top clinicians are now seeing up to half of their patients through Skype or Facetime because they’re too busy to make it to appointments.
Other psychologists are setting up “virtual clinics” inside online games. In some cases, people are being counselled under the guise of their game characters.
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Australia’s largest health district to use Patientrack e-obs

Shireen Khalil

27 September 2017
Australia’s largest local health district (LHD) is to use the e-observations platform from UK-based Patientrack to collect and analyse vital signs data.
Hunter New England Health – which provides a range of public health services to the Hunter, New England and Lower Mid North Coast regions – will implement Patientrack in more than 43 sites in the district.
Patientrack is an e-observations technology allowing clinicians to record vital signs on mobile devices rather than onto paper charts. The software automatically calculates a patient’s early warning score, and alerts relevant clinicians if there is cause for concern.
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Real-time monitoring validated in latest Guild figures

9 million transactions recorded since MedsASSIST was first introduced
29th September 2017
MedsASSIST has helped slash OTC codeine sales by 27% since its introduction, Pharmacy Guild figures suggest.
And the number of people seeking to buy OTC products containing codeine has dropped by nearly a quarter, the Guild says.
It was believed the increased checks through real-time monitoring had discouraged some people from inappropriately seeking codeine products, a spokesperson said.
“This suggests real-time monitoring has a deterrent factor in relation to inappropriate requests.
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  • Sep 25 2017 at 10:00 AM

CancerAid joins Cedars-Sinai Techstars accelerator

Sydney-based medtech start-up CancerAid has become the first Australian start-up to be accepted into the prestigious Cedars-Sinai accelerator, powered by Techstars, in the US.
The company provides support for cancer patients, their carers and clinicians through an app which lets them store all their diagnostic information in one place, access trustworthy treatment information and a journal to track and manage symptoms, medications and their effectiveness.
The acceptance into the medtech accelerator follows an expansion to the US, which has seen the bulk of the management team relocate to Los Angeles, although the company's headquarter's remains in Sydney.
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Geoff Rohrsheim wins South Australia’s 2017 Pearcey Award

QLD and NSW Tech Entrepreneur of the Year Award winners still to be decided
The Pearcey Foundation today announced the winner of the 2017 South Australian Pearcey Entrepreneur Award. The award was presented to Kloud Solutions co-founder Geoff Rohrsheim at an Australian Computer Society (ACS) Leaders luncheon held on Wednesday 20 September in Adelaide.
In announcing the award, Rick Harvey, Head Judge of the Pearcey Foundation, noted that Rohrsheim is an outstanding serial entrepreneur demonstrating his innovative skills not just in South Australia, but also nationally and internationally. “The Pearcey Award is more than just for success, as it is also for peer recognition by other outstanding Australian entrepreneurs who have taken a risk, made a difference and are an inspiration to others,” said Mr Harvey.
Apart from revealing the winner of the SA Pearcey Award, the ACS event highlight was a presentation from the City of Adelaide’s Chief Information Officer, Peter Auhl, on the importance of the Ten Gigabit City network. Mr Auhl was then joined by a panel of government and industry leaders to discuss the benefits of the network to the South Australian economy.
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New governance framework to unify oversight of the design of eHealth NSW’s digital healthcare solutions

A trial of the model is underway, with a “prototype” Design Working Group being formed to guide the development of an End-of-Life Management solution in core NSW electronic medical records.

26/09/2017
A new Clinical Solutions Design Governance Framework is being introduced in the state of New South Wales in Australia to bring together oversight of the design of all of eHealth NSW’s digital healthcare solutions.
eHealth NSW provides statewide leadership on the shape, delivery and management of ICT-led healthcare. It is responsible for setting eHealth strategy, policy and standards, and works with Local Health Districts (LHDs) and Health Agencies to implement statewide core systems and ensure compliance with statewide standards.
The model will ensure for the first time that every group working on the design of digital clinical solutions within eHealth NSW will have consistent governance and support. It will also guarantee that core principles such as Human Centred Design are embedded in all clinical tools.
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Is the Commonwealth getting $10b worth of value from its IT procurement spend?

There is a long way to go before we can be confident that we are getting bang for our buck in regards to government IT investment, argues ITPA president Robert Hudson
Opinion — Effective investment by the Commonwealth in IT infrastructure, solutions and people is more important now than ever before. Unfortunately, the government’s track-record on IT spending is not good and, in our opinion, should come under greater scrutiny as this budget line item continues to grow.
According to a recent report on Commonwealth IT investment in this country, procurement is an area that should be of great concern to IT professionals and the industry.
We are not doing it well. Agencies are frightened to make decisions because of the lack of framework and paucity of skills and knowledge. Suppliers often find it too hard to deal with agencies and so steer clear or appear to go out of their way to take advantage of the confusion and pitch overpriced solutions that won't deliver what's required, all with no fear of penalty.
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New Boss For The Health Department

28 Sep 2017
Prime Minister Malcolm Turnbull has appointed career public servant Glenys Beauchamp the new Secretary of the Department of Health.
She took up the post on September 18, following the resignation of former Health Department chief Martin Bowles.
Ms Beauchamp has had an extensive senior-level career in the Australian Public Service and was most recently the Department of Industry, Innovation and Science Secretary.
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Celo, Vensa and Orion Health named NZHIT award finalists

Monday, 25 September 2017, 9:18 am
Press Release: Make Lemonade
Celo, Vensa and Orion Health named NZHIT award finalists
September 25, 2017
Cutting-edge, lifechanging e-health companies Celo, Vensa and Orion Health have been named finalists in the New Zealand Health IT (NZHIT) annual innovation awards.
The winner will be announced at the HiNZ conference awards in Rotorua on November 5.
“For the second year in a row we received extremely strong entries and the judging panel found it difficult to determine the final three entries,” NZ Health IT chief executive Scott Arrol says.
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Robotic prostatectomy patients are now older, higher-risk

The technique has fallen out of favour for younger men with low-grade disease.
27th September 2017
Robotic prostate surgery has fallen out of favour for younger men with low-grade disease, Victorian urological surgeons say.
Practice patterns for six surgeons performing high volumes of robotic prostate surgery show that they are now operating more on older men with higher-risk disease compared with a decade ago.
In the review that covered surgeries performed on 3075 men, the average age of patients increased from 61 to 65 between 2004 and 2016.
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In search of a tech solution to poor drug compliance

28 September 2017

TECH TALK

Surely in this day and age there’s a fancy tech solution to the age-old problem of people not taking their medications? 
Enter stage left the smart pill bottle, a medication container that glows or makes a noise if a patient fails to open it to take their pills at the prescribed time.
Such smart pill bottles, which are already on the market, are also programmed to send alerts to friends or family if patients miss their meds for two out of three days.
That’s brilliant, but what if we made them even more effective by adding a behavioural incentive for patients too, like a financial reward? 
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#FHIR Product Director’s Report from San Diego meeting

Posted on September 21, 2017 by Grahame Grieve
See here. (Notification for followers of this blog)
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SNOMED CT AU and Australian Medicines Terminology (AMT) September 2017 Release

The National Clinical Terminology Service (NCTS) is pleased to announce that the September combined release of SNOMED CT®‑AU[1] and the Australian Medicines Terminology (AMT) is now available to registered users from the NCTS website.
The combined RF2 release files are available as Full, Snapshot and Delta, in addition to the traditional combined release bundle (labelled "ALL"). To download the RF2 files, select SNOMED CT-AU > Release Bundles from the ACCESS tab.
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Coordinating the NDIS and the health care system

Authored by Jodie Bailie
I RECENTLY attended the Primary Health Care Research and Information Service conference in Brisbane, and was surprised that at Australia’s premier forum on primary health care (PHC) there was not one presentation on the National Disability Insurance Scheme (NDIS) and the impact of its rollout on the health system.
Australia is experiencing an unprecedented, once-in-a-lifetime, national reform with the implementation of the NDIS, yet at this conference there was no reference to it at all. We heard about the Health Care Homes initiative, which is also undoubtedly a major reform (although not on the scale of the NDIS), but there was no critical analysis of the intersections between the PHC system, Health Care Homes and the NDIS.
I understand that the NDIS is not a health scheme, and that in fact it specifically excludes health conditions; yet there are clear intersections with the health system at many points, particularly with its provision of funding for the support, services and equipment that people with disability require to meet their functional needs. I wonder why, more generally, there is such a dearth of research on, and critical analysis of, the effects of the NDIS on the health system. After all, coordination between the NDIS and the health system is required at all levels if we are to see improved health outcomes and quality of life.
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The can-do tech millionaires now believe they can defy death

Technology is being turned to its greatest challenge — to make humankind immortal.
  • Mark Bridge
  • The Times
  • 12:00AM September 25, 2017
They have made billions by the age of 30, their apps and ads are global phenomena and they ­believe we’ll see computer-augmented brains and 4000km/h trains by 2030. In Silicon Valley you have to think big and believe anything’s possible. Mark Zuckerberg, the 33-year-old Facebook co-founder, has donated $US3 billion ($3.8bn) to “cure all diseases” by the end of the century. Others go farther, arguing that ageing is reversible and youthful immortality is within reach.
Larry Ellison, the 73-year-old co-founder of Oracle, told his ­biographer, “Death has never made any sense to me,” viewing the Grim Reaper as another corporate rival to be outfoxed. And so Ellison and his peers are investing in start-ups that promise to use technology and data to make 100 the new 40. And ordinary ­Valley workers, who already pop pills to work through the night and network at kitesurfing events, are joining their superiors in “biohacking” their bodies.
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Medical 3D printing saving soles, one at a time

Drew Turney
Published: September 27 2017 - 11:45PM
After years of funny desk toys, one of the areas 3D printing might be set to transform is medical devices.
After years of funny desk toys, one of the areas 3D printing might be set to transform is medical devices.
While some treatment and disability tools, such as wheelchairs, have a one-size-fits-all nature, many are personal to the individual needs of the user or their carers, and it's a tricky balance to manufacture them in small enough numbers to be cost effective for both manufacturers and patients.
That's where 3D printing comes in – digitally scanning a user's unique body profile and building the solution on a one-off basis faster and cheaper than a factory tooled up for mass manufacture.
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Australia needs to step up on AI

  • The Australian
  • 7:43AM September 28, 2017

David Swan

The federal government must step up and contribute to global standards on AI and automation or risk getting left behind, according to Labor’s shadow minister for the digital economy Ed Husic.
Earlier this year the World Economic Forum (WEF) released its Global Risks Report 2017 which identified AI as a key risk, while tech luminary Elon Musk — who is in Adelaide this week at the International Astronautical Congress — warned it would be AI, not North Korea, which will start World War 3.
Mr Husic told The Australian the world needed to start cementing boundaries to prevent catastrophe, and could use leadership from a country like Australia.
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Every Advanced Google Search Operator & Command You Need to Know

When it comes to SEO, there are many tools that can help you research opportunities. Tools of the trade can run the gamut from link research to on-page optimization to tools for performing SEO audits.
Advanced Google search operators have their place in this ecosystem of tools, however. These operators can help you gain insight into SEO opportunities and audit points you otherwise would not have identified as a result; the possibilities are endless.
After we talk about the advanced operators and search commands, I will also provide several examples of how these operators can be used in the real world. From content research to technical SEO audits, these examples will help you become more familiar with how Google’s advanced search commands and operators work in real-world situations.
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CRISPR: How will it change our lives?

Global September 20 2017
CRISPR One giant breakthrough; a mass of complexities
The discovery and successful harnessing of the gene editing technology, CRISPR, promises to be one of the most significant breakthroughs of our age. But a complex series of hurdles - legal, technical, commercial, regulatory and ethical - must be leapt to safely realise its vast potential.
The trajectory of scientific discovery often follows a similar pattern, with years of slow progress within individual disciplines suddenly giving way to a moment of extraordinary breakthrough and a giant leap forward.
The discovery and successful harnessing of the CRISPR (clustered regularly interspaced short palindromic repeats) system looks to be one of those step-change moments, particularly in its application in the field of gene editing. It promises to be of massive importance, not just in the treatment of genetic disorders, but in drug development, animal health, crop science and across the bio-industrial sector.
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NBN Co's annual results: another effort to polish a turd

How does one describe the annual results from NBN Co, a company that loses $4.24 billion and then announces that it "delivered strong financial results, exceeding key targets set by the board?"
And how does one react when that same company sends out those results on Friday afternoon, ensuring that only the very stoic will be able to comb through the 172 pages of verbiage in order to compile a report?
Australia, fortunately, has many an apt phrase to cut through BS of this kind; what NBN Co has done is best described as a supreme effort to polish a turd.
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Monash Children's Hospital takes patients underwater for injections

Thursday 28 September 2017 9:26AM (view full episode)
Remember all those years ago when the National Broadband Network shone like a beacon of hope?
As tarnished as that beacon may have become, it's promise to deliver real time e-health surgery to patients in need in regional Australia has taken a step forward inside the newly opened Monash Children's Hospital.
The hospital is the most advanced in the southern hemisphere when it comes to surgery simulation and training, and its even trialling the use of virtual technology in helping children overcome the trauma of needle injection, with some extraordinary results.
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NBN inquiry calls for more fibre, independent audit

Report calls for more FTTC
Rohan Pearce (Computerworld) 29 September, 2017 15:29
A parliamentary inquiry into the rollout of the NBN has called on the government to ensure complete that as much as possible of the remaining fixed-line network is completed using fibre to the curb (FTTC) or fibre to the premises (FTTP).
The first report of the Joint Standing Committee on the National Broadband Network was tabled today. Its conclusions include that that much of fibre to the network (FTTN) infrastructure deployed so far as part of the rollout “will likely need to be substantially upgraded in the short term”.
“All the evidence strongly suggests that speed and data requirements of Australian households and business will continue to grow rapidly,” the report states.
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Enjoy!
David.

Sunday, October 01, 2017

Having The Rest Of The Day Off To Celebrate The Festival Of The Boot!

And holidays all over (NSW, SA, ACT and QLD)!

Back tomorrow. Comments on Poll from last week welcome as ever!

I need more rest with the onset of Daylight Saving!

David.



It Really Is Very Hard To Change Human Nature It Seems. Relevant To All State Health Systems With Hospital EHRs As Well As Many Practices!

This appeared last week:

73 Percent of Medical Professionals Share Passwords for EHR Access

A vast majority of surveyed medical professionals and students report having used another staff member’s password for EHR access.

September 26, 2017 - A recent study examined the prevalence of password sharing among healthcare providers and found nearly three-quarters of surveyed medical professionals have used another staff member’s password to obtain EHR access at work.
The study by Hassidim et al. was published in Healthcare Informatics Research and assessed survey responses from 299 healthcare professionals including residents, medical students, interns, and nurses.
The research team — including researchers from Harvard Medical School, Duke University, Ben-Gurion University of the Negev (BGU), and Hadassah-Hebrew University Medical Center — found that 73 percent of respondents reported using another staff member’s password to access an EHR at work. Over 57 percent of respondents estimated they have borrowed someone else’s password an average of 4.75 times.
Furthermore, 100 percent of all medical residents reported obtaining another medical staff member’s password with their consent. Seventy-seven percent of medical students and 83 percent of intern groups reported using someone else’s EHR access credentials due to not being administered a user account.
A little over half of surveyed nurses reported using another staff member’s password.
“Unfortunately, the use of passwords is doomed because medical staff members share their passwords with one another,” wrote researchers. “Strict regulations requiring each staff member to have it’s a unique user ID might lead to password sharing and to a decrease in data safety.”
The study demonstrated that the need to fulfill daily clinical and operational processes can prompt staff members to compromise security protocols and practices. For example, higher instances of password sharing occur when students or interns are asked to carry out a task they are not ordinarily authorized to complete.
Specifically, 56 percent of surveyed medical students and nearly 70 percent of interns stated their user access did not offer adequate authorization to fulfill their duties, prompting them to ask for someone else’s EHR access credentials. These frequent instances of password sharing could potentially weaken an institution’s overall level of EHR security.
“As demonstrated by these security incidents, the success of any regulation or technical security mechanism eventually depends on the actions of an organization’s personnel and their cooperation,” stated the report.
“The inherent trade-off between the security and usability of a system may drive users to break security regulations and circumvent security measures in an honest attempt to fulfill their duties,” they continued.
Lots more here:
The bottom line is that we need quicker, easier and effortless ways to securely authorize system access. Can that be all that hard?
David.

AusHealthIT Poll Number 390 – Results – 1st October, 2017.

Here are the results of the poll.

Do You Believe Telstra Health Will Be A Viable And Profitable Business Into The Future?

Yes 15% (18)

No 49% (59)

I Have No Idea 36% (43)

Total votes: 120

Interestingly a split vote with the a clear lack of confidence being in evidence overall.

Any insights welcome as a comment, as usual.

A great turnout of votes!

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

David.