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 21, 2019

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - Week 44.

Note: I have excluded (or marked out) any commentary taking significant  funding from the Agency or the Department of Health on all this to avoid what amounts to paid propaganda. (e.g. CHF, RACGP, AMA, National Rural Health Alliance etc. where they were simply putting the ADHA line – viz. that the myHR is a wonderfully useful clinical development that will save huge numbers of lives at no risk to anyone – which is plainly untrue) (This signifies probable ADHA Propaganda)
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Note: I have also broadened this section to try to cover all the privacy and security compromising and impacting announcements in the week – along with the myHR. It never seems to stop! Sadly social media platforms get a large run this week and most weeks. Sadly there is also the need to recognize polly based risks to privacy!
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What is GDPR? Everything you need to know about the new general data protection regulations

General Data Protection Regulation, or GDPR, is here. Here's what it means, how it impacts individuals and businesses - and how to ensure compliance.
By Danny Palmer | May 17, 2019 -- 13:33 GMT (23:33 AEST) | Topic: Security
What does GDPR stand for?
GDPR stands for General Data Protection Regulation. It's the core of Europe's digital privacy legislation.
How did it come about?
In January 2012, the European Commission set out plans for data protection reform across the European Union in order to make Europe 'fit for the digital age'. Almost four years later, agreement was reached on what that involved and how it will be enforced.
One of the key components of the reforms is the introduction of the General Data Protection Regulation (GDPR). This new EU framework applies to organisations in all member-states and has implications for businesses and individuals across Europe, and beyond.
"The digital future of Europe can only be built on trust. With solid common standards for data protection, people can be sure they are in control of their personal information," said Andrus Ansip, vice-president for the Digital Single Market, speaking when the reforms were agreed in December 2015.
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Australia: The Un-Healthiness Of The Australian Health Sector's Data Security

Last Updated: 17 May 2019
More than twelve months after the commencement of the Australian Notifiable Data Breach Scheme,1 statistics published by the Office of the Australian Information Commissioner (OAIC) have begun to reveal trends present in the 812 notifiable data breaches recorded in Australia between 22 February and 31 December 2018. One key trend is the clear susceptibility of the health care industry, which suffered one fifth of all data breaches recorded in Australia throughout 2018, the highest number on an  industry scale.
There is a cruel sense of irony that the services we turn to when we are vulnerable are themselves vulnerable, suffering data breaches that may harm us financially, psychologically or, in extreme circumstances, physically. The figures are stark, with 163 notifiable data breaches suffered by health sector businesses that are subject to the federal Privacy Act 1988 (Cth), which does not include the country's major hospitals operated under State jurisdictions. On top of these figures, the Australian Digital Health Agency, the agency responsible for administering the controversial 'My Health Record' system,2 reported that a further 42 data breaches affected Australian My Health Records throughout 2018, which are also excluded from the statistics recorded in the OAIC's reports.
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Privacy Awareness Week (health information): health sector and the notifiable data breach scheme - 12 months on

It’s been a little over a year since the notifiable data breach scheme was introduced in Australia. The Office of the Australian Information Commissioner (OAIC) issued its Notifiable Data Breaches Scheme 12-month Insights Report on 13 May 2019, detailing its insights to come out of the scheme’s operation over the past 12 months. As regular readers would no doubt be aware, the health sector was one of the top industry sectors to report breaches in the first 12 months of the scheme’s operation.
Here’s the health sector at a glance:
  • Of the 964 eligible data breaches notified to the OAIC from 1 April 2018 to 31 March 2019, health information breaches accounted for 249 notifications (just over a quarter of all notifications). This is consistent with international trends which often show the health sector as a leading reporter of data breaches.
  • Human error was the leading cause of data breaches in the health sector, accounting for 55% of the breaches. This figure was relatively higher when compared to the average rate of data breaches in other industries due to human error (35%).
  • Human error in the health industry typically involved sending personal information to the wrong recipients via email and other forms communication.
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Health policy debate misses the mark

James Scollay
  • 12:52PM May 16, 2019
Health policy might be centre stage this election, but there’s a glaring gap in the debate
With only a day to go before the federal election, it’s no surprise our country’s health has come into the firing line.
Cancer services, hospital funding, out-of-pocket costs - these issues warrant concerted policy attention. But while each party continues to pledge new promises, not one has addressed the technologies that will be required to deliver on these for all Australians. This, to me, is a grave oversight, and one that could hinder the delivery of safe, timely and effective care for patients.
Many of the pledges made by the coalition were announced in the federal budget. Here, the Coalition government announced $81.78 billion would be allocated to health, with the largest share directed towards medical services and benefits, pharmaceutical benefits, and assistance to public hospitals. However, interestingly, it excluded any mention of research and development in health technology, which we’re seeing health systems in other parts of the world take tremendous strides.
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Protecting your practice from a notifiable data breach

The RACGP has again collaborated with the Office of the Australian Information Commissioner for Privacy Awareness Week.
17 May 2019
The annual initiative is aimed at raising awareness of privacy issues and promoting the importance of protecting personal information, including general practice patient data.

Dr Penny Burns, GP and RACGP Expert Committee – Practice Technology and Management (REC–PTM) member, recently delivered an RACGP eHealth webinar on the Notifiable Data Breaches (NDB) scheme.

The
RACGP webinars are designed to assist GPs and general practice teams understand the NDB scheme and their obligations for assessing and responding to potential data breaches in their practice.

The
NDB scheme came into action in February 2018 and all general practices are obliged by law to report data breaches which meet the criteria of an ‘eligible data breach’.
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A content analysis of the consumer-facing online information about My Health Record: implications for increasing knowledge and awareness to facilitate uptake and use

1 Sep 2018
Description
Abstract
Background: Low health literacy, low levels of positive belief and privacy and security concerns have been identified as a significant barrier to personal electronic health record uptake and use. An important tool for overcoming these barriers is the consumer-facing information which accompanies the system. My Health Record (MyHR) is the Australian national e-health record system, for which a large suite of online resources exists to facilitate consumer registration and use. This study uses a number of different measures of health resource quality to assess the MyHR online consumer-facing information and identify any gaps or areas for improvement.
Objective: To analyse the quality and content of the online consumer-facing resources which support the uptake and use of MyHR.
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Notifiable Data Breaches scheme: 12‑month insights report

13 May 2019
This report looks back on the last 12 months of the Notifiable Data Breaches scheme (NDB scheme). The NDB scheme introduced new obligations for Australian Government agencies and private sector organisations (entities) that have existing information security obligations under the Privacy Act 1988 (Cth) (the Privacy Act). For a little over a year, it has been a legal requirement for entities to carry out an assessment whenever they suspect that there may have been loss of, unauthorised access to, or unauthorised disclosure of personal information that they hold. If serious harm is likely to result, they must notify affected individuals so they can take action to address the possible consequences. They must also notify the Office of the Australian Information Commissioner (OAIC).
The requirement to notify individuals of eligible data breaches goes to the core of what should underpin good privacy practice for any entity—transparency and accountability. Being ready to assess and, if appropriate, notify of a data breach provides an opportunity for entities to understand where privacy risks lie within their operations, to address the human and cyber elements that contribute to data breaches and to prevent or minimise harm to individuals and the community. And, of course, prevention is better than cure. The requirements under the NDB scheme incentivise entities to ensure they have reasonable steps in place to secure personal information.
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Australians can check their immunisation status through My Health Record

15 May 2019 ADHA Propaganda
Being up to date on immunisations can stop the spread of serious disease.
Measles is one of the most contagious diseases in human history (1). If a single person has the virus, 90 per cent of those around will catch it. The measles virus lingers for up to two hours – so if you ride the train or walk the grocery aisles after an infected person, you’re exposed.
Thanks to immunisation, local cases of measles had been falling (2). In 2014, Australia declared the end of endemic measles, but a recent spike is bringing it back into public consciousness (2). There have already been 108 cases in Australia this year, compared to 103 for the whole of 2018 and just 81 in 2017.
This leaves 2019 on track to be Australia’s second-highest year for measles since 1997 (3). And Australia isn’t the only country experiencing this surge. Similar trends have emerged in New Zealand, Japan and the US.
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Data privacy worries ease, survey suggests

  • 1:16PM May 13, 2019
Nearly 60 per cent of Australian consumers are willing to share significant personal data with banks and insurers in exchange for lower prices.
Meanwhile close to 50 per cent of consumers would part with personal data for increased convenience when applying for a product or filing an insurance claim.
In exchange for benefits like faster loan approvals or personalised offers based on their current location, Australians would be happy to share location data and lifestyle information with their bank or insurance company, according to a global survey by professional services company Accenture.
 “Most consumers are realising now that personal data has quite a lot of value,” Alex Trott, who heads up Accenture’s banking practice in Australia and New Zealand, told The Australian.
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WhatsApp flaw lets hackers spy on activists

  • By Mark Bridge and Tom Knowles
  • The Times
  • 12:00AM May 16, 2019
Encrypted messaging apps should never be considered secure, experts have warned, after a flaw in WhatsApp allowed attackers to spy on activists.
The Facebook-owned firm admitted a weak spot in its app’s voice-call software enabled the installation of spyware in dozens of users’ phones by an “advanced cyber actor”, which may have been a nation state.
The flaw put all 1.5 billion users of the app at risk of compromise, including iPhone and Android users.
Experts said the case highlighted the ability of sophisticated attackers to exploit gaps in code to view messages on a target’s phone even if those mess­ages were encrypted in transit.
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Labor gets set to pause open banking

By Julian Bajkowski on May 16, 2019 6:38AM

Husic flags major policy reset to push social equity.

Billions of tech dollars spent by major banks and their emerging competitors on new open banking capabilities could in days be left in limbo by an incoming Shorten government.
Labor’s Digital Economy shadow Ed Husic has told iTnews outstanding enabling legislation for the new Consumer Data Right will play second fiddle to other legislative imperatives, like reforming negative gearing and dividend imputation, in the event of an election win .
“Will it be an immediate or priority? I wouldn't necessarily say that would be the case, given what we have flagged as big priorities for us from negative gearing franking reform and the like,” Husic said.
At the moment open banking enabling legislation contained in new Consumer Data Right laws remain stranded in the Senate log jam that coincided with the Morrison government going to the polls.
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Thursday, 16 May 2019 02:47

Australia falling behind other countries in AI race: report

Australia is losing the global race in artificial intelligence and will miss out on future jobs without major new investment to secure its position as a leading destination for AI research and development, according to analysis by the University of Adelaide’s Australian Institute for Machine Learning.
According to the analysis, Australia’s investment in AI as a proportion of GDP is nowhere near comparable countries like South Korea, Singapore, France, Germany and Japan.
And, the research found Australia was also “miles behind” the competition in terms of institutions dedicated to AI research.
AIML director Professor Anton van den Hengel says other countries are investing billions of dollars in AI research because it is a core driver of innovation, revitalising existing industries and helping create new ones.
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My Health Record

A My Health Record is an electronic summary of a patient’s health information. A registered healthcare provider organisation may view or add health information (such as diagnoses, treatments, medications and allergies) to the patient’s My Health Record in line with their access controls.
List of results
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How are AI regulatory developments in the EU and US influencing AI policy-making in Australia?

Australia May 8 2019
The EU’s recently released ‘Coordinated Plan on Artificial Intelligence’, and the introduction of the ‘Algorithmic Accountability Act’ as a bill in the US highlight the importance that governments around the world are placing on AI and its expected impact on society and the global economy.
As similar legal and policy developments start to emerge in Australia – the recent release of Data61’s Ethics Framework being one example – we consider whether the approaches being taken to regulate AI in key overseas jurisdictions like Europe and the US are influencing AI policy-making in Australia.
What is the EU’s Coordinated Plan?
The Coordinated Plan aims to foster the development and use of AI and robotics in Europe, and has a number of objectives, including the development of ethics guidelines and ensuring the EU remains competitive in the AI sector. The plan also proposes joint action by EU Member States in four key areas:
  1. Increasing investment: At least €20 billion of public and private investments in research and innovation in AI through to the end of 2020.
  2. Making more data available: Increasing data sharing across borders.
  3. Fostering talent: Supporting advanced degrees in AI.
  4. Ensuring trust: Developing Ethics Guidelines.
What are the EU Ethics Guidelines?
Of the four key areas, the Ethics Guidelines are of most interest from a regulatory perspective. The Ethics Guidelines proposed in the Coordinated Plan are designed to ‘maximise the benefits of AI while minimising its risks’.
Following the publication of draft Ethics Guidelines in December 2018 (which received more than 500 comments), revised Ethics Guidelines were released by the EU’s High Level Expert Group on Artificial Intelligence on 8 April 2019.
These are focused on creating a concept of ‘Trustworthy AI’, which is comprised of three core components which should be met throughout an AI system’s life cycle:
  • the AI should be lawful, meaning it must comply with all applicable laws and regulations;
  • the AI should be ethical, by adhering to ethical principles and values; and
  • the AI should be robust, from both a technical and a social perspective (as even with good intentions, AI can cause unintentional harm).
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Dr Alexa is now available


By Chelsea Ukoha* and Bianca Phillips**
Monday, 13 May, 2019

In the future it is likely that voice recognition technologies will be utilised in mainstream health care, offering a diverse patient experience and reducing the administrative load on physicians, which is a major cause of burnout. It is estimated that by 2020, half of all internet searches will be conducted by voice-first rather than through typed search inputs.
Voice user interface (VUI) is a speech recognition technology that allows people to use voice as the input to control a range of devices. Google Home, Amazon Alexaand Apple Siriare examples. VUI can already analyse medical questions in order to achieve specific in-clinic uses and/or to aid healthcare delivery to patients within their homes. The recent announcement by Amazon that Alexa has achieved compliance with HIPAA has signaled that the vision for voice-first technologies is being realised, and demonstrates that voice-first health is an area that will need to be considered by early to mid-career healthcare professionals.

Alexa is HIPAA compliant

As mentioned, Amazon’s  voice-interactive device ‘Alexa’ is now HIPAA compliant through the new Alexa Skills Kit. The Alexa Skills Kit enables Alexa to be utilised in particular healthcare capacities to transmit patients’ protected health information (PHI) in compliance with the Health Insurance Portability and Accountability Act (HIPAA).
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EFA urges Australians to take steps to protect online privacy

Digital rights organisation Electronic Frontiers Australia has urged Australians to do three things to protect their online privacy: get a password manager, review their Facebook settings and turn on two-factor authentication.
The organisation's advice was issued on Tuesday, during Australian Privacy Awareness Week, and it also urged people to visit the dedicated website that the Office of the Australian Privacy Commissioner has created to mark the week.
In a statement, EFA said a password manager like 1Password, Lastpass or KeePass could help a user to have a unique, strong password for every site visited.
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200 million-record breach: Why collecting too much data raises risk

A large direct marketing list now circulating on the grey market reveals highly sensitive data on 200 million U.S. citizens. Was it really necessary to collect it all?
J.M. Porup (CSO (US)) 14 May, 2019 20:00
If you don't collect it, no one can steal it.
Sometimes the best way to secure customer data is not to collect it in the first place. While it can be tempting to "collect it all" just in case, most enterprises need far less data on their users to market to them effectively. Reducing the amount of data collected means that in the inevitable event of a breach, the repercussions will be far less severe.
"One of the things we're hearing from consumer brands is that they're doing less," Gerry Murray, director of marketing and sales technology research at IDC, says. "They're becoming more thoughtful about 'what do we want to know about you?'"
"For most commercial purposes you don't need to know that many things about a person, and sometimes you're better off not knowing," he adds.
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Oops! Here's the right way to correct medical records

Ms Gibson is a risk adviser at Avant.
14th May 2019
In recording the complexities of a patient’s life, mistakes happen.
Patients may ask for sensitive information not to be included in their record, or they may ask you to amend or delete a previous entry.
What are your obligations? 

Can you omit information?

If the information is clinically relevant, you need to include it. As outlined in the Medical Board of Australia’s Code of Conduct, doctors are required to ensure their medical records are complete, accurate and up-to-date.
That means sometimes a sensitive diagnosis or history will need to be included.
If patients are concerned about this, you should be able to provide them with some reassurance that the record will be confidential.
Most software allows you to make a separate ‘confidential’ record and include details in the notes that the patient disclosed sensitive health information but asked you not to record this.
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Consumers want control over privacy online

  • 12:30AM May 14, 2019
Australian consumers are increasingly choosing to be more private on the internet, with a larger number of them opting against sharing their personal details with mobile apps.
With privacy now a hot-button issue globally, the latest instalment of professional services firm Deloitte’s annual Privacy Index study shows that community expectations around the use of their data are starting to harden.
According to Deloitte’s Privacy Index 2019 study, 89 per cent of Australian consumers have denied a mobile app access to their location, photos, camera or contacts. Meanwhile, 63 per cent of the respondents in the study said they had deleted apps due to privacy concerns, and 46 per cent were likely to provide false personal information when engaging with an app.
The trends pose a challenge for businesses as they look to engage with their customers across digital channels. Deloitte’s national privacy and data protection lead David Batch said brands needed to rethink the privacy attributes of their apps. “Key considerations that companies need to take seriously are: ‘what are you doing with my data?’ and ‘how are you protecting my privacy?’,” he said.
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Government apps among the least-trusted when it comes to protecting privacy

Trust in privacy practices of government, finance sector drops, 2019 Deloitte Australian Privacy Index reveals
Rohan Pearce (Computerworld) 14 May, 2019 00:01
The 2019 Deloitte Australian Privacy Index reveals that consumers are far less inclined to trust apps produced by governments, financial institutions and the health sector compared to other sectors.
The index is based on a survey of 1000 consumers about the brands they trust the most and the least when it comes to protecting their privacy, as well as a Deloitte analysis of the privacy practices of branded mobile apps (the study only considered iOS apps).
The final index drew on the analysis, the consumer survey, as well as breach and complaints data published by the Office of the Australian Information Commissioner (OAIC).
The IT sector topped the index when it came to consumer trust, followed by real estate, and travel and transport.
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Tuesday, 14 May 2019 04:45

Encryption law: Labor says no repeal, but promises 'urgent' amendments

The Australian Labor Party has ruled out repealing the encryption law that was passed last year if it is elected, but says it will speedily incorporate the 170-odd amendments that were drafted, but not included in the law.
Labor's Shadow Minister for the Digital Economy Ed Husic told iTWire in Melbourne on Monday that the government had pledged to include the amendments as soon as parliament resumed sitting this year.
"We've said consistently since December last year that we wanted to see the recommendations of the bipartisan parliamentary committee into the encryption bill reflected in the law," he said.
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Amazon speakers violating children’s privacy: compliant

  • By Betsy Morris
  • The Wall Street Journal
  • 2:05PM May 9, 2019
Amazon.com is improperly recording and preserving the conversations of young users through its Echo Dot Kids devices, according to a complaint to be filed with US federal regulators by a coalition of privacy and child-advocacy groups.
The complaint, which alleges Amazon stores the data in the cloud even after parents actively try to delete it, is one of the first to accuse the company of the sort of privacy abuses that have embroiled Facebook and Alphabet’s Google.
It claims that Amazon’s practices violate federal law protecting the online privacy of kids, and calls on the Federal Trade Commission to investigate. The Wall Street Journal reviewed a draft version of the complaint, which the advocacy groups say they intend to file with the FTC today.
A spokesperson for Amazon said the company is compliant with federal privacy laws and that its privacy policies are disclosed on the company’s website.
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‘Cyber incidents’ leading cause of data breaches affecting Australians, OAIC says

Malicious acts rather than human or system error are the leading cause of breaches covered by Australia’s mandatory reporting scheme
Rohan Pearce (Computerworld) 13 May, 2019 10:48
So-called ‘cyber incidents’ continue to be a leading source of data breaches that threaten Australians’ privacy, according to figures released by the Office of the Australian Information Commissioner (OAIC).
The OAIC this morning released its latest quarterly report on the Notifiable Data Breaches (NDB) scheme. In the three month period ended 31 March the OAIC received 215 notices of breaches under the NDB scheme, which requires organisations to notify the commissioner and affected individuals if a data breach is likely to result in serious harm.
Sixty one per cent of the reported breaches related to malicious or criminal attacks. Of those 131 breaches, 87 — 66 per cent — involved ‘cyber incidents’, which the OAIC said includes phishing, malware, brute-force attacks, or compromised or stolen credentials. Other breaches involved insider threats (19), social engineering (7), or theft of paperwork or a storage device (18).
Human error accounted for 35 per cent of breaches overall, while 4 per cent were attributed to system faults.
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Comments welcome!
David.

Monday, May 20, 2019

Weekly Australian Health IT Links – 20th May, 2019.

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

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The tempo of news has picked up a little, with security and data breaches featuring a fair bit as well as script tracking software.
Nothing to scare the horses however and we will soon see what is planned for the #myHR after the election! No change seems to be the outcome!
Can’t wait to see how long it takes for the new government to say it is thrilled with the ADHA, Kelsey and the My Health Record!
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Another state flags compulsory script-tracking software

The Queensland model will be similar to SafeScript in Victoria
15th May 2019
Another state has revealed plans to tackle doctor-shopping — including fines for GPs who do not check real-time script-tracking software before prescribing dangerous drugs.
Following in the footsteps of Tasmania and Victoria, the Queensland Government introduced draft legislation on Tuesday to lay the foundations of the state’s script-tracking system.
The legislation says the system will be mandatory, with doctors and pharmacists required to check a patient’s history or face fines of up to $2600.
However, exemptions will be included if doctors have a “reasonable excuse”, such as treatment of an injury in an emergency or circumstances where the patient is unlikely to be doctor-shopping, such as pain relief for end-of-life care for terminal cancer.
There are few details on how the system will be integrated into GP software or whether hospitals will be obliged to upload details of medicines given to patients on discharge.
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Qld to introduce real-time drug tracking system

By Justin Hendry on May 15, 2019 1:30PM

Latest to commit to stopping 'doctor shopping'.

The Queensland government will introduce a real-time prescription monitoring system to combat ‘doctor shopping’ and reduce preventable deaths across the state.
The database, proposed in legislation introduced to parliament on Tuesday, intends to aid clinical decision-making for pharmacists and doctors prescribing or supplying “dependence-forming medicines”.
“The [Medicines and Poisons Bill 2019] will allow Queensland Health to implement a real-time prescription monitoring system,” Minister for Health Dr Steven Miles told the Queensland Parliament.
“The database will monitor prescribing of certain dependence-forming medicines such as pharmaceutical opioids and other prescription only medicines.”
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Victoria deploys SafeScript to reduce drug overdoses

Nathan Eddy | 14 May 2019
Victoria has started to roll out a cloud-based real-time prescription monitoring system called SafeScript, available to medical practitioners and pharmacists, to help fatal drug overdoses from prescription medication.
Developed by specialist pharmacy solution provider Fred IT Group and powered with Microsoft technology, SafeScript offers doctors and pharmacists a real-time alerting capability.
If the system detects that a patient has gone to multiple providers for the same medicine over a short period of time, or they are using a risky combination of medicines that elevates the risk of overdose, it will automatically raise an alert.
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Denham Sadler
May 13, 2019

Labor $15m digital health commitment

Election 2019
Labor will fund a new health technology accelerator and medical simulation facilities in Melbourne’s south-east as part of a $15 million digital health election commitment.
Shadow health minister Catherine King, shadow digital economy minister Ed Husic and Labor candidate for Dunkley Peta Murphy will make announce the election announcement in Frankston on Monday morning.
The $15.3 million in federal funding will go towards health technology initiatives in the Frankston-Peninsula region through the new Health Solutions Fund.
Under the election commitment, a new health tech accelerator - PenStart - will be established, along with new simulation facilities at Monash University’s Peninsula Campus.
PenStart will “kickstart local startup activity”, while the simulation facilities will help to test out new models of healthcare, the Opposition said.
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Labor finally reveals position on fate of DTA, digital identity

By Julian Bajkowski on May 15, 2019 1:28PM

Husic argues changes needed.

The Digital Transformation Agency will be spared the axe if Labor is elected, but the government’s internal technology champion and watchdog is likely to have its role and structure substantially shaken-up to realign it with different policy objectives.
That’s the direct take from Ed Husic, Labor’s shadow minister for the digital economy who finally put some lean meat on Labor’s bare-bones technology policy, drawing a big question mark over where the government’s pursuit of a national digital identity rollout is headed in the process.
Speaking on the sidelines of a start-up forum hosted by InnovationAus in Sydney on Tuesday, Husic told iTnews Labor had been supportive of the DTO and DTA from its inception under former PM Malcolm Turnbull, but the continued bungling of major government tech projects has Labor worried.
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Australians’ Medicare details illegally sold on darknet – two years after breach exposed

Medicare Madness listing suggests details ‘of any living Australian citizen’ have been available since September 2018
Australians’ Medicare details are still being illegally offered for sale on the darknet, almost two years after Guardian Australia revealed the serious privacy breach.
Screenshots of the Empire Market, provided to Guardian Australia, show the vendor Medicare Machine has rebranded as Medicare Madness, offering Medicare details for $US21.
Other vendors charge up to $US340 by offering fake Medicare cards alongside other fake forms of identification – such as a New South Wales licence.
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Dr Google mostly wrong on eye disorders: study

Online symptom checkers are a 'starting point but very inaccurate'
10th May 2019
People looking to a popular online symptom checker for answers about eye problems often get a wrong diagnosis, a small study suggests.
While some studies have already documented many ways that symptom checkers can mislead patients, less is known about how well they work specifically for eye conditions, the researchers note in JAMA Ophthalmology.
For the current study, they tested how often an online symptom checker offered by WebMD generated the correct diagnosis for 42 clinical vignettes similar to situations that patients might describe to doctors in person.
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Wednesday, 15 May 2019 10:23

CSIRO team says top websites could host malicious activity

Researchers from the CSIRO's Data61 digital arm say they have found that about half of the most popular websites are at risk of malicious activity because they depend on a number of third parties for ad provision, tracking and analytics services and content distribution networks.
Further, these third-party sites could, in turn, be dependent on resources from other domains, leading to a dependency chain of more than 30 domains - all underpinned by a form of implicit trust with the original website.
And the bigger and more complex the dependency chain, the greater the threat of malicious activity, the researchers concluded.
Professor Dali Kaafar, Information Security and Privacy research leader at CSIRO’s Data61 and scientific director of Optus Macquarie University Cyber Security Hub, said that although these webs of dependency were common and due to web design decisions, the implications on security and privacy were often overlooked.
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NSW hospital to pilot point of care project with Apple devices

Nathan Eddy | 15 May 2019
At the 325-bed Wagga Wagga Base Hospital in New South Wales eHealth NSW and Murrumbidgee Local Health District are partnering on two point of care pilot projects.
At the Wagga Wagga hospital a team of 10 clinicians is currently running a trial of mobile notifications of real-time pathology results and risk indicators, through the Miya Precision Clinical Decision Support (CDS) tool created by Alcidion.
The CSIRO’s re-admission risk algorithm will use the data supplied and make the results available through the Miya platform, and notifications will be delivered through Apple products, including iPad, iPhone and Apple Watch.
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New lease of life for troubled Adelaide AI firm

Bension Siebert @Bension1
EXCLUSIVE | The directors of a struggling Adelaide artificial intelligence company – including former My Health Record boss Jim Birch – have agreed to spend $400,000 to revive it, despite an assessment by Flinders University that its intellectual property has “little value”.
Adelaide Thursday May 16, 2019
The company, Clevertar, offers digital avatar technology to other businesses, allowing customers and healthcare consumers to interact with “virtual humans” online.
The online avatars are, according to Clevertar’s website, “human-like conversation partners interacting with people through speech, gaze, gesture, and other behaviours that can communicate not just meaning, but also attentiveness, positive affect, and attraction”.
The software – originally developed by, and spun off from, Flinders University – earned the Adelaide company a gong for Best Startup Tech Innovation at the Talent Unleashed Awards in 2016.
Apple co-founder Steve Wozniak reportedly praised Clevertar’s ‘Anne Cares’ product at the ceremony.
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Adelaide’s Clevertar digital avatar business out of administration

Valerina Changarathil, The Advertiser
May 16, 2019 2:42pm
Digital healthcare-focused ‘avatars’ creator Clevertar will trade as a going concern following finalisation of a two-month-long external administration process.
Clevertar, a Flinders University-backed award-winning business that received multiple taxpayer grants and international recognition, including from Apple co-founder Steve Wozniak, was placed in voluntary administration on March 28.
Clevertar’s virtual agents provide support to patients with chronic conditions at a fraction of the cost of human intervention. Its flagship product is Anna Cares, an online platform designed to motivate patients through mobile and tablet reminders and support.
Pitcher Partners’ Michael Basedow was appointed administrator after talks with a major creditor broke down.
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Husic says Labor is committed to reforming Australia's encryption laws

Shadow Minister for the Digital Economy Ed Husic has reminded voters of his party's tech-related plans, including its commitment to tweaking Australia's encryption laws.
By Asha Barbaschow | May 14, 2019 -- 06:02 GMT (16:02 AEST) | Topic: Security
Days before the federal election, Shadow Minister for the Digital Economy Ed Husic has taken the opportunity to reaffirm that "win, lose, or draw" the Australia Labor Party will be reforming the Telecommunications and Other Legislation Amendment (Assistance and Access) Act.
Saying the Bill was having a "devastating" impact locally while speaking with media in Sydney on Tuesday, Husic said it was the federal opposition's commitment to push through changes, rather than repealing it.
"Firstly, this has been an awful Bill in the way it was rammed -- put through Parliament. I know a lot of people feel very strongly about Labor's role in that," he said, pointing to Labor's capitulation.  
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Bupa touts customer experience in digital transformation

The healthcare provider said it was important to understand why its customers were engaging before adopting technology for technology's sake.
By Asha Barbaschow | May 17, 2019 -- 01:46 GMT (11:46 AEST) | Topic: Digital Transformation
Global healthcare provider Bupa offers a whole range of services, including healthcare, dental, and aged-care facilities. Often when people engage with a company like Bupa, it's at a time that's very difficult in their life, dealing with health challenges or aged-care facilities for loved ones.
Increasingly aware of this, Bupa's Australia and New Zealand arm had isolated technology as a potentially challenging factor in the environment it operates in, and did not want to risk its adoption getting in the way of customer experience.
According to chief information officer Sami Yalavac, a digital transformation needed to put customer experience at the forefront of everything adopted by the organisation.
Bupa has overhauled its digital and data strategies, and embraced hybrid cloud, business analytics, and artificial intelligence (AI), with Yalavac saying it was important these moves towards transformation were made through a customer-focused lens.
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Doctors get EMR access via app at Southern Cross

Wednesday, 15 May 2019  
eHealthNews.nz editor Rebecca McBeth
Southern Cross Hospitals is providing doctors with access to its electronic medical record remotely and via a mobile app.
Southern Cross Hospitals has implemented an electronic medical record called Clinical Workstation using software provided by Orion Health. This is moving clinical processes from paper to digital across the entire Southern Cross Hospital network, including 10 wholly owned comprehensive hospitals and four joint-venture hospitals.
Southern Cross Hospitals and Orion Health last year developed an innovation hub utilising a collaborative working group  of up to 16 health and IT professionals with a clear focus of developing new functionality for the EMR.
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New Release of InterSystems TrakCare Offers Mobile-Enabled User Interface to All Clinical Workflows

Unified healthcare information system now built on InterSystems IRIS for Health to offer FHIR, SMART on FHIR support, and even greater scalability

SYDNEY, Australia, May 16, 2019InterSystems, a global leader in information technology platforms for health, business and government applications, today announced that the latest release of InterSystems TrakCare® extends mobile capabilities for the unified healthcare information system.

The latest version of TrakCare extends the mobile-enabled user interface introduced in 2018 to all clinical workflows, improving the user experience wherever care is delivered. New mobile functionality includes support for operating theatre bookings and administration, maternity and nursing care plans, and delivers dynamic patient lists, a patient journey tracker and additional graphing capabilities.

What’s more, the company announced today that it has built this newest version of TrakCare on its new InterSystems IRIS for Health data platform, which boosts systems interoperability, cloud scalability and healthcare big data capabilities.

“Data volumes are growing faster in healthcare than any other industry, and the move to IRIS for Health ensures that TrakCare is more interoperable, faster and more scalable than ever,” said Christine Chapman, Vice President for TrakCare at InterSystems. “In addition to traditional interoperability standards like HL7 and SDA, we can now operate through FHIR standards.”
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CEDA Health - Digital health: a human imperative, Melbourne, 29 May 2019

Join Australian Digital Health Agency Chief Executive Tim Kelsey, for the latest update on the implementation of Australia’s National Digital Health Strategy and the vision for digital health. This event is being held on the 29 May 2019 at the Sofitel on Collins Street, Latrobe Ballroom, Melbourne.

Event overview

What are the big opportunities to integrate digital health services and improve patient health outcomes?
We discuss the Agency’s latest work on My Health Record, secure messaging between disparate clinical information systems, and wider health system interoperability.
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Monday, 13 May 2019 11:36

Phishing biggest security threat facing Australian businesses: report

Phishing is seen by more than one in four (44%) of Australian businesses as the biggest security threats they face, with ransomware, password and business email compromise continuing to beset organisations, according to a newly published survey.
And according to the survey commissioned by security intelligence firm LogRhythm, Australian chief information security officers continue to struggle to combat a rising climate of cybersecurity compromise, often taking weeks to detect and deal with security breaches.
The survey - conducted between February and April this year – found that more than half (55%) of respondents said they were able to detect their last security incident within hours, while 16% said it had taken them up to a week to detect their last security incident – and 7% had taken even longer.
“These delays really do raise serious concerns for Australian businesses, which since the introduction of the Notifiable Data Breaches (NDB) scheme, have been legally obliged to detect and report on breaches as rapidly as possible,” said Joanne Wong, Marketing Director Asia Pacific and Japan, LogRhythm.
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Over 10 million people hit in single Australian data breach: OAIC

The Office of the Australian Information Commissioner's quarterly data breach report also revealed private health was again the country's most affected sector.
By Asha Barbaschow | May 13, 2019 -- 02:26 GMT (12:26 AEST) | Topic: Security
The latest quarterly data breach report from the Office of the Australian Information Commissioner (OAIC) has revealed over 10 million individuals had their information compromised in one single incident. The current population of Australia is around 25.4 million.
The breach was disclosed to the OAIC under the Notifiable Data Breaches (NDB) scheme between January 1, 2019, and March 31, 2019 and reported in its Quarterly Statistics Report [PDF]
While the report did not detail the origin of the breach that affected over 10 million individuals, it did show that the most number of affected individuals from a single finance-related breach was less than 500,000 and the health sector's three heaviest impacting breaches affected less than 5,000 individuals each.
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Monday, 13 May 2019 20:17

More than 10m affected in single breach during March quarter

The number of data breaches — 215 — reported to the Office of the Australian Information Commissioner for the March quarter was lower than any of the previous three quarters, but one breach resulted in more than 10 million individuals being affected, leading to speculation that this could have been the Marriott breach which was first reported in December last year.
No estimate of the number of people affected in Australia by this breach was ever provided by Marriott.
The OAIC only lists statistics of the breaches each quarter and said in the latest report that from 1 July onwards such reports would be issued every six months. The report was released as the OAIC marked Australian Privacy Awareness Week, which runs from 12 to 18 May.
For the March quarter, malicious or criminal attacks were the largest source of data breaches, accounting for 61% of all breaches.
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Healthcare leads in data breaches, security issues, report finds

Nathan Eddy | 18 May 2019
The healthcare sector is still widely vulnerable to cybersecurity issues, even though the overall rate of data breaches in Australia has fallen, according to a report from the Office of the Australian Information Commissioner (OAIC).
While the average volume of 72 breaches per month was down significantly from 242 in the first full quarter of reporting, the report revealed that the healthcare sector – which reported 58 breaches—was well ahead of finance (27), legal (23), education (19) and retail (11).
Overall, the OAIC report found the leading cause of data breaches during the 12-month period was phishing, causing 153 breaches, but more than a third of all notifiable data breaches were directly due to human error.
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Human Services restructures CIO group

Exclusive: CTO function separated.

By Justin Hendry
May 13 2019 7:05AM
The Department of Human Services has restructured its chief information officer group in preparation for the development of its next-generation technology strategy.
The shake-up, which occurred last month, has replaced the CIOG’s chief technology office with two separate divisions focused on strategy and implementation and architecture and innovation.
It follows former ANZ architecture executive Michael McNamara joining the government’s largest IT operation as its permanent chief information officer in January.
McNamara replaced former chief technology officer Charles McHardie, who had been acting in the CIO role since the departure of long-time tech chief Gary Sterrenberg in January 2018 and has also since left the department.  
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Australians downloading 1.7 exabytes a month

5.06 exabytes downloaded in last quarter of 2018
Rohan Pearce (Computerworld) 14 May, 2019 12:40
The first of a new series of reports from the Australian Competition and Consumer Commission (ACCC) detailing Internet usage confirms that downloads are continuing to soar. In the three months ended 31 December, Australians downloaded 5,061,987 terabytes of data according to figures compiled by the ACCC.
That’s 5.06 exabytes — or close to an average of 1.7 exabytes a month for the period considered in the ACCC’s Internet Activity Report.
The ACCC report is effectively the successor to the Australian Bureau of Statistics’ quarterly release of Internet activity data. The final ABS release of data, covering the three months to June 2018, revealed that Australians had downloaded 4.08 exabytes over the quarter (an average of 1.36 exabytes a month).
The figures are not directly comparable, however, as the ACCC is collecting data from fewer telcos than the ABS. In addition, the ACCC said that some of the relevant data providers had made changes to internal reporting systems, improving the accuracy of the metrics they report.
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Tuesday, 14 May 2019 10:50

Mobile handsets preferred by Australian consumers to access Internet: report

Mobile handsets continue to be the most common way Australian consumers are accessing the internet while the largest volume of data is downloaded over fixed lines, according to a new data report on internet activity by the ACCC.
The data report on internet activity by the Australian Competition and Consumer Commission for the period ending 31 December 2018, also provides information on the number of retail services in operation (SIOs) by connection type and download speeds as well as the volume of data downloaded within Australia.
The total number of retail SIOs reached 39.9 million as at the end of last year - 24.3 million of these were mobile handsets, 8.4 million were wireless broadband and 7.2 million were fixed-line/wired broadband.
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Mobile networks are a threat to NBN: Optus CEO

May 15, 2019 — 10.28am
Mobile technology is now a real threat to the national broadband network and any analysis of the potential for competitors to enter the market must consider this fact, says Singtel Optus chief executive Allen Lew.
ACCC chairman Rod Sims' grounds for blocking the merger were that it would prevent TPG building Australia's fourth mobile network, and therefore reduce competition.
Ratings agency Moody's said the decision was "credit positive" for Telstra and Optus in the medium term, because it would "lower the risk of a price war" and give them a head start on building their 5G networks while Vodafone and TPG were preoccupied with the court challenge. But it said the long-term effects were less certain.
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ACCC ditches plan to monitor dark fibre services

Competition in NBN aggregation services addresses ACCC concerns
Rohan Pearce (Computerworld) 16 May, 2019 11:11
The Australian Competition and Consumer Commission (ACCC) says it won’t implement a proposed rule that would have required telcos to provide it with a range of data relating to dark fibre and NBN wholesale aggregation services.
The commission conducted a public consultation on the proposed record keeping rule (RKRs), which were focused on services to NBN Points of Interconnect (POIs).
The dark fibre RKR would have covered Telstra, TPG (including AAPT), Nextgen, Vocus, Optus and Superloop, requiring them to report the number and distance of links, the NBN POI at which a link terminates, and prices charged for a link during a reporting period.
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Enjoy!
David.

Sunday, May 19, 2019

Australia Has Woken Up To A Shock General Election Outcome And It Isn’t Good For The Digital Health Future!

As a brief taste of what we read this morning!

Scott Morrison re-elected in a 'miracle', Shorten resigns

Phillip Coorey Political Editor
Updated May 19, 2019 — 12.58am, first published at 12.16am
Scott Morrison has pulled off one of the most memorable victories in Australian politics to secure the Coalition a third consecutive term.
In a tight result which saw little change from the status quo,  Labor failed to meet its own expectations and underperformed in every state.
In what Mr Morrison called a miracle, the nation is headed for either a minority Coalition government, or a Coalition government with a small majority in its own right.
With more than two-thirds of the vote counted, the Coalition had secured 74 seats, one more than it started with and just two short of the bare majority of 76.
Labor was on 65 seats and there were six crossbenchers. One of these was Zali Steggall, who inflicted a rare loss on the Coalition by defeating Tony Abbott in Warringah and ending the former prime minster's 25-year career.
Another six seats were too close to call. These were Boothby (Lib, SA), Cowan (ALP, WA), Wentworth (Ind, NSW), Lilley (ALP, Qld), Macquarie (ALP, NSW)  and Chisholm (Lib, Vic).
Bill Shorten conceded defeat just after 11.30pm and, after two terms and two elections as leader, he stepped down.
"Without wanting to hold out any false hope, while there are still millions of votes to count and important seats yet to be finalised, it is obvious that Labor will not be able to form the next government,'' he said.
"This has been a tough campaign. Toxic at times. But now that the contest is over, all of us have a responsibility to respect the result, respect the wishes of the Australian people and to bring our nation together."
Mr Morrison, who received a hero's welcome from the party faithful, labelled his win a "great victory"  for what he has referred to throughout the campaign as "the quiet Australians''.
"I have always believed in miracles,''he said.
There is vastly more here:
Equally as close has been the contest for the present Health Minister’s seat.

Greg Hunt fends off Julia Banks challenge to retain Flinders seat 

By Sumeyya Ilanbey, Charlotte Grieve, Yan Zhuang, Benjamin Preiss and Adam Carey


Flinders

  • Area: Almost all of the Mornington Peninsula
  • Held by: Liberal MP Greg Hunt
  • Margin: 7 per cent at 2016 election
  • Challengers: Labor's Josh Sinclair, Independent Julia Banks
Incumbent Liberal MP and Health Minister Greg Hunt has repelled a challenge from Liberal-turned-independent Julia Banks and Labor's Josh Sinclair.

Mr Sinclair called Mr Hunt around 10pm to concede defeat.

"This has been our toughest battle no question, but as ever steel is tempered through fire all of this makes us stronger," Mr Hunt said at his election-night function in Rye on Saturday night. An ecstatic Mr Hunt thanked his volunteers and supporters for helping him retain the crucial seat of Flinders, as he conceded this was the “toughest battle” he had ever faced.

With almost 35 per cent of the vote counted at 9.40pm, Mr Hunt was ahead 53-47 on a two-party preferred against Mr Sinclair.

More here:
Latest counting gives the margin at 55/45% to Mr. Hunt.

The problem is that Mr Hunt had no digital health policy that I could detect whereas it was clear that Labor planned to conduct a detailed review of just where the My Health Record was up to, to reconfirm all the privacy and security protections and make sure all was in order etc.

Here is the link:

https://aushealthit.blogspot.com/2019/05/we-had-debate-on-future-of-health.html

Mr. Hunt has been a really quite ignorant proponent of the My Health Record based on ADHA assurances from the ADHA that it is a good thing and needs to press forward, despite there being minimal evidence it is a practical fit for purpose solution to some ill-defined need.

Mr. Hunt is a serial plotter who opposed Mr. Turnbull and sought the deputy Liberal leadership from the now re-elected arch plotter Mr. Dutton, but once that failed has been a dedicated Morrison backer. He should be booted from the Health Portfolio for supporting a program he does not properly understand ,and who ever replaces him needs to have a close look at the My Health Record and get ready for the ANAO Audit report in October.

Every month the #myHR gravy train rumbles on is another month real progress in Digital Health is curtailed and obstructed.

In the Digital Health arena I view the Labor loss as I disaster, and had really hoped their election might have lanced the #myHR boil. Sadly that was not to be. Bring on the Audit Office ASAP!

What do you think of Mr. Hunt’s stewardship of digital health?

David.

AusHealthIT Poll Number 475 – Results – 19th May, 2019.

Here are the results of the poll.

Are Politicians On All Sides Hoping No One Will Mention The War (Raise #myHealthRecord Policy) In The Last Week Of The Election Campaign?

Yes 65% (68)

No 30% (31)

I Have No Idea 5% (5)

Total votes: 104

It seems most feel no-one wanted Digital Health to be raised, and it wasn’t! As it has turned out with the Coalition returned it is hard to know what happens next – on a whole lot of fronts!

Any insights on the poll welcome as a comment, as usual.

A more than reasonable turnout of votes!

It must have been a hard question as 5 /104 readers were not sure what the appropriate answer was.

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

David.