Quote Of The Year

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

or

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

Thursday, October 17, 2019

Digital Mental Heath Is Gradually Becoming A Very Real Thing. That Is Good News.

This appeared last week for Mental Health Week.

Digital tech: making mental health care fit for purpose

Authored by Cate Swannell
EXISTING mental health care services in Australia are “not going to cut it in the 21st century” but health information technologies offer a way forward that’s fit for purpose, according to one of the co-designers of an innovative new online platform.
Professor Ian Hickie, co-Director, Health and Policy of the University of Sydney’s Brain and Mind Centre, told InSight+ in an exclusive podcast that Project Synergy, an online platform designed “to test the potential of new and emerging technologies to enhance the quality of mental health care provided by traditional face-to-face services”, was an extension of what had been happening in youth mental health over the past decade.
“We are still using 20th century approaches to a 21st century problem,” Professor Hickie said.
“We’re still trying to build clinics and offices and services through GPs, through psychologists, through psychiatrists, through peer workers, through lay workers to try and meet this tremendous unmet need for services — quality service, not just any service.

“Many, many people have serious problems with suicidality, substance abuse, emerging major mental illness, who need real care, ongoing quality care, and cannot have that need met by current services or the way that we’re trying to currently grow those services through traditional profession-based clinics,” he said.
In a Supplement published by the MJA, Professor Hickie and his colleagues described four trials of Project Synergy conducted in different populations of young people (i) attending university; (ii) in three disadvantaged communities in New South Wales; (iii) at risk of suicide; and (iv) attending five headspace centres.
“People can put in their information. They can track their progress. They can participate. They can have choices,” Professor Hickie told InSight+.
“Not all clinical services are up to that. Many clinical services are very top down. The funny thing is, people say that people won’t provide information.
“You bet they will if it’s about themselves getting a better service. In fact, they are dying to tell services, ‘I have many needs, not just one’.
“[Project Synergy] allows those needs to be expressed, essentially to say to services: ‘You need to get your act together either within your own service or in partnership with other services to meet these needs’.
“It’s very challenging to the service environment to go down this road. You’re not just dealing with a passive user of services. You’re suddenly dealing with an empowered and articulate user of services, saying: ‘Hey, I’ve got a bunch of needs. I have a mental health problem, a substance abuse problem, an employment problem. Can you help? I’ve got a physical health problem to boot. Can you help with this range of problems? Can we agree what I do, what you do, who else needs to be involved to start to deal with these issues?’”
Project Synergy sprang from a background of what was already happening in the youth mental health area over the past decade, Professor Hickie told InSight+.
“The Young and Well Cooperative Research Centre set up by Professor Jane Burns and colleagues at the University of Melbourne and here in the University of Sydney was working on youth mental health developments in web-based services for young people for suicide prevention and mental health.
“[From that] there was a realisation by first the Abbott government and then the Turnbull government that the implications were far greater than just youth mental health.
“There is the potential to overcome issues related to quality service provision for veterans, for people living in rural and regional Australia, for children, for adults, for all people.
“That led to an investment by the Turnbull government out of the 2016 election in developing this platform further and testing this platform further in a variety of different settings – continuing the work in youth mental health but actually extending way beyond that.”
Professor Hickie told InSight+ that the perception that only young people used digital technologies was a fallacy.
“Nothing could be further from the truth,” he said.
There is a lot more here and there is a 25 minute podcast linked in the text.
All I can say this is pretty hopeful stuff that I hope gets continuing support as we get better at it.
David.


Wednesday, October 16, 2019

Its Rather A Pity The #myHealthRecord Is Not A Really Usable Health Information Portal. It Might Just Do Some Good If It Was!

This appeared last week:

Patient portal usage associated with better preventive health engagement

October 08, 2019, 11:06 p.m. EDT
Patient use of an online portal has been linked to significant improvements in preventive health behaviors, according to a study of 10,000 patients by Penn Medicine researchers.
Results of their retrospective observational cohort, published in the Journal of Medical Internet Research, show that those who used an online patient portal were 50 percent more likely to get a flu shot and twice as likely to have their blood pressure checked, compared with patients who do not use portals.
In addition, patients using the portal were 50 percent more likely to have their cholesterol levels checked.
In the study, patients used a Penn Medicine–branded version of Epic’s MyChart portal—called myPennMedicine—that gives users real-time information about medical records and test results, prescriptions, appointments as well as other important health information.

“This study is among the first to demonstrate that patient portal use is positively associated with patient preventive health behavior outcomes but not with chronic health outcomes,” conclude the study’s authors. “These findings contribute to the understanding and quantification of the impact of patient portal use on patient health outcomes. Additional research is required to confirm these findings.”
More here:
Here is the abstract:

Difference Between Users and Nonusers of a Patient Portal in Health Behaviors and Outcomes: Retrospective Cohort Study

ABSTRACT

Background: Patient portals are frequently used in modern health care systems as an engagement and communication tool. An increased focus on the potential value of these communication channels to improve health outcomes is warranted.
Objective: This paper aimed to quantify the impact of portal use on patients’ preventive health behavior and chronic health outcomes.
Methods: We conducted a retrospective, observational cohort study of 10,000 patients aged 50 years or older who were treated at the University of Pennsylvania Health System (UPHS) from September 1, 2014, to October 31, 2016. The data were sourced from the UPHS electronic health records. We investigated the association between patient portal use and patients’ preventive health behaviors or chronic health outcomes, controlling for confounders using a novel cardinality matching approach based on propensity scoring and a subsequent bootstrapping method to estimate the variance of association estimates.
Results: Patient-level characteristics differed substantially between portal users, comprising approximately 59.32% (5932/10000) of the cohort, and nonusers. On average, users were more likely to be younger (63.46 years for users vs 66.08 years for nonusers), white (72.77% [4317/5932] for users vs 52.58% [2139/4068] for nonusers), have commercial insurance (60.99% [3618/5932] for users vs 40.12% [1632/4068] for nonusers), and have higher annual incomes (US $74,172/year for users vs US $62,940/year for nonusers). Even after adjusting for these potential confounders, patient portal use had a positive and clinically meaningful impact on patients’ preventive health behaviors but not on chronic health outcomes.
Conclusions: This paper contributes to the understanding of the impact of patient portal use on health outcomes and is the first study to identify a meaningful subgroup of patients’ health behaviors that improved with portal use. These findings may encourage providers to promote portal use to improve patients’ preventive health behaviors.

J Med Internet Res 2019;21(10):e13146

doi:10.2196/13146
Here is the link:
The key to understanding what is going on is here with the description of the portal

myPennMedicine

myPennMedicine is a Penn Medicine–branded version of Epic’s MyChart patient-facing electronic medical record. It is a patient portal that provides users with real-time information about medical records and test results, prescriptions, and appointments and other important health information. Patients may use the site to schedule appointments and laboratory tests, communicate with care teams, request prescription renewals and referrals, pay bills, and share records with other health care providers. It is available as a desktop Web portal and as an app for download from the Apple Store and Google Play. Patients must register, create an account, and log in to use these features. A screenshot of the myPennMedicine Web portal is shown in Figure 1. We defined patient portal users as patients who had registered for myPennMedicine. By May 2019, myPennMedicine had 591,784 unique and alive users. Among them, more than 66% had at least one activity in the past 365 days and approximately 45% and 28% had at least one activity in the past 90 and 30 days, respectively.
----- End Description.
The single point is that this portal provides what people want and will use and all the #myHealthRecord is, is a static non-functional secondary and probably incomplete copy of what your doctor and hospital already have.
Provide what Penn Medicine does and you might find a few people actually use it! I wonder will those responding to the re-platforming RFI make a few suggestions in this direction?
David.

The ADHA Has Lost Its Chief Of Staff All Of A Sudden! I Wonder Why?

This popped up today.





New Chief Executive Officer to lead PSA

The Pharmaceutical Society of Australia

The Pharmaceutical Society of Australia (PSA) has appointed career-long health care advocate and health policy expert, Mark Kinsela as Chief Executive Officer.

Following an extensive executive search, Mr Kinsela was appointed by the PSA Board and will formally begin his new role on 2 December 2019.

“We are delighted to have someone of Mark’s experience leading PSA into its next stage,” Pharmaceutical Society of Australia National President, Associate Professor Chris Freeman said.
During his career, Mr Kinsela has been an adviser to the Commonwealth Minister for Health and Minister for Social Services and Aged Care. He has worked as a clinical nurse educator and trauma intensive care specialist and most recently was Chief of Staff at the Australian Digital Health Agency.

“Mark’s career has taken in all aspects of health care, from delivery through to policy. It has given him an exceptional level of expertise and insight into the challenges facing Australia’s health care systems and potential solutions, such as innovation and multidisciplinary care.

“PSA is focused on ensuring the role of pharmacists is optimised as Australia strives to provide quality, safe, and effective care to all.

“We believe Mark’s training as a health care provider and executive MBA, combined with his impressive professional background, will help PSA continue to ensure our profession has the opportunity to positively contribute to policy making at the highest levels and achieve the goals outlined in our Pharmacists in 2023 vision.”

A/Prof Freeman thanked interim CEO, Dr Shane Jackson for more than ably leading PSA during its CEO search.

“Dr Jackson was previously PSA President and generously agreed to act as CEO until the role was filled,” he said.

Dr Jackson will step down from the position of interim CEO, once Mr Kinsela officially commences and after this will continue to lead PSA’s negotiations of the 7CPA.

---- End Release.

Theories welcome!

David.

Now Here Is An Issue It Will Take A While To Get Our Collective Heads Around!

This was published last week.

Potential Liability for Physicians Using Artificial Intelligence

JAMA. Published online October 4, 2019. doi:10.1001/jama.2019.15064
Artificial intelligence (AI) is quickly making inroads into medical practice, especially in forms that rely on machine learning, with a mix of hope and hype.1 Multiple AI-based products have now been approved or cleared by the US Food and Drug Administration (FDA), and health systems and hospitals are increasingly deploying AI-based systems.2 For example, medical AI can support clinical decisions, such as recommending drugs or dosages or interpreting radiological images.2 One key difference from most traditional clinical decision support software is that some medical AI may communicate results or recommendations to the care team without being able to communicate the underlying reasons for those results.3
Medical AI may be trained in inappropriate environments, using imperfect techniques, or on incomplete data. Even when algorithms are trained as well as possible, they may, for example, miss a tumor in a radiological image or suggest the incorrect dose for a drug or an inappropriate drug. Sometimes, patients will be injured as a result. In this Viewpoint, we discuss when a physician could likely be held liable under current law when using medical AI.

Medical AI and Liability for Physicians
In general, to avoid medical malpractice liability, physicians must provide care at the level of a competent physician within the same specialty, taking into account available resources.4 The situation becomes more complicated when an AI algorithmic recommendation becomes involved. In part because AI is so new to clinical practice, there is essentially no case law on liability involving medical AI. Nonetheless, it is possible to understand how current law may be likely to treat these situations from more general tort law principles.
The Figure presents potential outcomes for a simple interaction—for instance, when an AI recommends the drug and dosage for a patient with ovarian cancer. Assume the standard of care for this patient would be to administer 15 mg/kg every 3 weeks of the chemotherapeutic bevacizumab.
There is vastly more here:
The last two paragraphs of the article have a clear warning:
“Although current law around physician liability and medical AI is complex, the problem becomes far more complex with the recognition that physician liability is only one piece of a larger ecosystem of liability. Hospital systems that purchase and implement medical AI, makers of medical AI, and potentially even payers could all face liability.5 The scenarios outlined in the Figure and the fundamental questions highlighted here recur and interact for each of these forms of liability. Moreover, the law may change; in addition to AI becoming the standard of care, which may happen through ordinary legal evolution, legislatures could impose very different rules, such as a no-fault system like the one that currently compensates individuals who have vaccine injuries.
As AI enters medical practice, physicians need to know how law will assign liability for injuries that arise from interaction between algorithms and practitioners. These issues are likely to arise sooner rather than later.”
To me the most important thing to do would be to be very careful to fully understand the basis of any recommendation an AI makes and better still have it fully document the basis and reasoning for such a recommendation.
With this is hand it would be possible to realistically assess what was recommended and why and then decide how much of the advice to follow while noting the reasons for variance from the advice.
I suspect some variation of the above is where we will end up.
What do you think? This technology is already here – drug interaction detection etc. – and is only going to get more complex and opaque.
David.

Tuesday, October 15, 2019

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - October 15, 2019.

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This weekly blog is to explore the larger issues around Digital Health, data security, data privacy and related matters.
I will also try to highlight ADHA Propaganda when I come upon it.
Just so we keep count, the latest Notes from the ADHA Board are dated 6 December, 2018! Secrecy unconstrained! This is really the behavior of a federal public agency gone rogue – and it just goes on! When you read this is will be 9 months + of radio silence. I wonder how far the ANAO report is away?
Note: Appearance here is not to suggest I see any credibility or value in what follows. I will leave it to the reader to decide what is worthwhile and what is not! The point is to let people know what is being said / published that I have come upon.
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Australia inches closer to compelling access to US data under CLOUD Act

If finalised, the agreement will mean service providers in the United States can respond directly to electronic data requests issued by Australian enforcement agencies for data critical for the 'prevention, detection, investigation, and prosecution of serious crime'.
By Asha Barbaschow | October 7, 2019 -- 22:35 GMT (09:35 AEDT) | Topic: Security
The United States and Australia have entered into formal negotiations for a bilateral agreement under the U.S. Clarifying Lawful Overseas Use of Data Act (the CLOUD Act), with US Attorney General William Barr and Minister for Home Affairs Peter Dutton calling the move the first step towards "significantly boosting law enforcement cooperation", with "strong protections for rule of law, privacy, and civil liberties".
The CLOUD Act creates a legal framework regulating how law enforcement can access data across borders.
If the agreement is finalised and approved, service providers in Australia and the US will be able to respond to lawful orders from the other country for access to "electronic evidence".
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Government interference in Australia's premier cybersecurity conference is a worry

Two 'incongruent' speakers were dumped from Australia's CyberCon. And bizarrely, the media was barred from covering a session explaining a public consultation process.
By Stilgherrian for The Full Tilt | October 8, 2019 -- 22:24 GMT (09:24 AEDT) | Topic: Security
It seemed like a good idea at the time. Roll the government's Australian Cyber Security Centre (ACSC) conference into the professional Australian Information Security Association (AISA) conference to create a great, big, mega cyber-conference.
But from day one, it's looked like this might not have been such a good idea after all.
Succumbing to what this writer understands to have been very heavy pressure from a "partner" -- the ACSC of course -- AISA dumped two speakers from the program with only a week's notice.
The speakers were told they were "incongruent" with the content of CyberCon, officially known as the Australian Cybersecurity Conference, which kicked off in Melbourne on Tuesday. No further information has been given.
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Author's Opinion
The views in this column are those of the author and do not necessarily reflect the views of iTWire.
Friday, 11 October 2019 12:01

Windows ransomware: when will people in charge ever learn?

Nine days ago, the Victorian Government announced that it would be providing $200,000 for a program to help Microsoft train more people in the use of its software. It came, ironically, just a day after regional Victorian hospitals were hit by ransomware – something that, by far, only attacks Microsoft's Windows operating system.
Exactly why people in power continue to advance the use of mediocre software, which leads to increasing insecurity, not to mention the loss of vital data and the endangering of lives, is beyond me. When hospitals are attacked, then lives are indeed in danger.
Before I continue let me say that one can write ransomware for other operating systems too – macOS, Linux, Android, iOS and the BSDs. But they are of no use to an attacker unless one can gain administrator status on a machine.
In the case of Windows, there are numerous components, which are part of the operating system and which cannot be removed, that are vulnerable. It is probably the main reason why nobody in authority at Microsoft ever mentions the word Windows these days.
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Friday, 11 October 2019 12:03

Internet Australia lambasts Australian Government over Facebook encryption letter

Lobby group Internet Australia has told the Australian Government it is “deeply concerned” over its request to Facebook to halt plans to introduce strong end-to-end encryption in its messaging systems.
And the not-for-profit group that claims to represent Internet users in the country, says the Government's “Facebook encryption letter” even contradicts the Government’s own advice for Staying Smart Online Week.
Criticising the action by the Government expressed in an open letter to Facebook signed by the Minister for Home Affairs, Peter Dutton - along with his counterparts from the US and the UK - Internet Australia (IA) said: “It is ironic that this entreaty for Facebook to NOT improve the security and confidentiality of its online messaging platform is made in StaySmartOnline Week, on the same day the government’s own cyber security centre revealed Australians are reporting cyber crimes every 10 minutes."
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Australia’s 2020 Cyber Security Strategy

What is it & why should I be interested?
The Commonwealth Government has recently published a discussion paper inviting comment on potential changes to Australia’s cyber security regime, as part of a 2020 strategy to ensure Australia’s digital defences.
Three ideas raised in the paper will be of critical interest to businesses and individuals engaged in the digital economy:
  • Risk allocation - Industry may be held responsible for a greater portion of cyber risk.
  • Regulatory change - The strategy could see businesses in the digital economy subject to new regulations covering consumer protection and cyber security standards.
  • Cost burden - Industry may be required to contribute to the cost of Government improving its cyber security capacity.
Who will be affected?
The issues canvassed in the Government’s paper are wide-ranging and hold the potential for significant change affecting the Information and Communications Technology (ICT) sector, including Internet Service Providers (ISPs) and operators of data centres, social media and online market places.
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Social media companies thwarted spread of latest terror livestream

By Max Koslowski
October 10, 2019 — 5.20pm
The eSafety Commissioner has praised social media companies for thwarting the spread of a terror attack livestream, the first such incident since Australia introduced stringent new livestreaming laws following the Christchurch terrorist attack.
A gunman allegedly killed two people in an attack on a synagogue in the German city of Halle on Wednesday. The attack was livestreamed to Amazon-owned gaming site Twitch.
Two people were killed in a shooting in the eastern German city of Halle. Police said they were looking for suspects who fled the scene.
In the 35-minute video the alleged gunman said he was a Holocaust denier and blamed feminism for declining birth rates and immigration.
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A particular responsibility

Health service providers have consistently been among the top three sources of privacy complaints over the last three years

The Office of the Australian Information Commissioner (OAIC) has just launched a new, comprehensive guide to health privacy in the interest of safeguarding patients’ personal information.
As well as being among the top three sources of complaints, health providers have also been the leading source of notifiable data breaches since mandatory notification started in February 2018, the office warned.
Australian Information Commissioner and Privacy Commissioner Angelene Falk said the guide brings together a wide range of OAIC advice for all health service providers covered by the Privacy Act 1988.
“I expect health service providers to be familiar with their privacy obligations and to take all reasonable steps to protect the personal information they are entrusted with,” Commissioner Falk said.
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Author's Opinion
The views in this column are those of the author and do not necessarily reflect the views of iTWire.
Thursday, 10 October 2019 12:00

Industry appears to think encryption law review is an eyewash

It's beginning to look like the tech industry has finally cottoned on to the fact that the Federal Government's repeated reviews of the encryption laws that were rushed through Parliament last year are just an eyewash.
That probably accounts for the fact that the ongoing inquiry into the legislation by the Independent National Security Legislation Monitor Dr James Renwick has received just 15 submissions.
Dr Renwick issued a media release last week, extending the date for submissions to 1 November and stressing that though there had been numerous submissions to the Parliamentary Joint Committee on Intelligence and Security, he could not treat those as submissions to his inquiry unless they were submitted to him.
The law, officially known as the Telecommunications and Other Legislation Amendment (Assistance and Access) Bill 2018, was passed on 6 December 2018, without any amendments with the Labor Party supporting its passage.
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2.5 million Aussies have anxiety but they haven’t been part of the mental health conversation

Michelle Janseen always struggled to relax, but when thoughts of catastrophe began popping into her head regularly, it exposed a much bigger problem.
news.com.au October 10, 201912:13pm
In her teenage years, Michelle Janssen was regarded as a perfectionist who overthought things and probably just needed to relax.
By the time she reached early adulthood, things were rapidly unravelling and she was forced to schedule regular “cry breaks” at work in order to get through a day.
The now 31-year-old was eventually diagnosed with generalised anxiety disorder, one of the most common mental illnesses in Australia, but followed the same path as millions of others.
“It took me so long to access help, like a couple of years, because I didn’t understand what was happening to me,” Ms Janssen told news.com.au.
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Better to improve body armour than wear the cyber bullets

Michael Connory
Had Ned Kelly, the most iconic of our bushrangers, been alive today, he would have been confounded by corporate Australia’s view of its own invincibility.
Kelly’s trademark armour, meticulously put together over months, baffled the lawmen and won praise across the globe. The bullets did indeed bounce off the metal plates and, while it may not have turned the tables at Glenrowan, Kelly’s diligence shows he understood the threat he needed to counter.
He had a plan and he stuck to it until the bitter end.
It’s in stark contrast to how unprepared Australian organisations seem in the face of cyber­security threats. With every business, irrespective of size, in the crosshair, why are decision-makers failing to guard their ­enterprises against cybercrime?
It’s a question that is confounding cybersecurity experts as 2019 shapes up as another year littered with major breaches and sensitive data exposed to prying eyes.
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Consumers at risk as businesses reuse obvious passwords

By Emma Koehn
October 9, 2019 — 12.00am
Australian businesses are now juggling as many as 85 different passwords and experts warn a poor approach to managing these is putting consumers at risk.
Password manager Lastpass crunched data from more than 47,000 organisations worldwide and found the average Australian has 14 passwords that have been reused across multiple services.
Around 14 of the many passwords used in an Australian business are likely to be the same, according to numbers from Lastpass.
The data showed small businesses with between 1 and 25 employees typically had three times the number of login credentials of bigger companies. Businesses with more than 1,000 staff tended to have around 25 passwords for their operations, while the nation's smallest companies had 85.
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Telcos decry lack of consultation on new snoop powers

By Simon Sharwood on Oct 8, 2019 6:10PM
Australia’s telcos and tech industry lobby groups say they are unpleasantly surprised by a new government plan to allow US authorities to access data held by Australian IT services companies.
News of the plan arrived yesterday, Monday, 7 October a day more than half of Australia took as a public holiday*. But that didn’t stop the Federal Government from using the day to issue a joint announcement revealing that Australia is in talks with the US on a bilateral agreement that “would enable Australian law enforcement to serve domestic orders for communications data needed to combat serious crime directly on US-based companies, and vice versa.”
That idea is not seen as outrageous, because the USA has already legislated to let other countries access data held by US companies. The US Department of Justice explains (pdf) that the relevant law – the “CLOUD Act” – is necessary because requests for access to data stored by US companies were growing and legal action was getting fierce.
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Tuesday, 08 October 2019 11:37

Top speakers disinvited from Melbourne security conference

Two prominent speakers have had their talks cancelled at the ongoing CyberCon conference in Melbourne, which is organised by the Australian Information Security Association and is the largest cyber security event in the country.
Thomas Drake, a well-known whistleblower from the US and a former employee of the NSA, and Melbourne University Professor Dr Suelette Dreyfus, both had their talks cancelled after having been listed on the program as long as 11 months ago.
The Australian Signals Directorate, the local equivalent of America's NSA, and the Australian Cyber Security Centre are both partners of the organiser, the website CSO Online reported.
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Bureaucrats bungling push to digital delivery

Canberra’s digital push is putting the cart before the horse, with technology aspirations of the agencies often overlooking the fundamentals of digital service delivery, according to Boston Consulting Group public sector digital specialist Mike Bracken.
During a recent visit to Australia, Mr Bracken told The Australian that public sector agencies were readily seduced by the promise of new technology trends, like artificial intelligence and blockchain, instead of thinking about the end outcomes.
“There has always been a high level of ambition and the focus is starting to shift towards service delivery, so things are moving in the right direction,” he said
However, news of successful projects are drowned out by the high-profile failures, like the Census 2016 and the controversial ­robodebt scheme, and Mr Bracken said the virulent public backlash against poorly designed digital services was perfectly understandable.
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'Greater access and opportunity': initiative for free birth certificates for vulnerable Australians

By Lucy Cormack
October 7, 2019 — 4.48pm

In numbers

  • 857 - New Lambton Heights
  • 802 - Kingswood
  • 756 - Westmead
  • 640 - Liverpool
  • 562 - Gosford
The number of free birth certificates being issued to Indigenous and vulnerable Australians has increased ten-fold in the past two years.
A birth certificate - often required for essential services such as bank accounts, driver's licences and school enrolments - usually costs $60.
However in NSW the fee can be waived for Indigenous Australians and people deemed vulnerable, such as those who are homeless, children under 18 who are not at school, victims of domestic family violence and people in incarceration.
In the past two years the number of free birth certificates provided by the NSW Registry of Births Deaths and Marriages has increased from 80 to 953.
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Artificial intelligence on Google’s list

It’s known as “Project Euphonia”, named after a group of neotropical birds in the finch family.
“The name was the code name for the project and our publicity people usually change the name when a project goes public, but we liked it so much, we kept it,’’ Julie Cattiau said of the project she is running at Google’s global headquarters outside San Francisco, building technologies that can help people with speech impairments communicate more easily.
The Google artificial intelligence product manager is also working on a project that takes underwater data from whale species and works with shipping companies to try to avoid collisions with marine life such as humpback whales. Both projects are part of Google’s “AI for Social Good” program, which is tackling issues in areas such as healthcare, environmental conservation, agriculture and accessibility.
The global search giant is stepping up its work in the booming ­social impact sector in a move that could also have massive implications in the future for employment and productivity.
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'People are frustrated': Turf war brewing over how to regulate tech titans

October 7, 2019 — 12.00am
A turf war is brewing over which government agency will provide oversight of internet giants such as Facebook and Google, as the Federal government finalises plans to regulate the digital behemoths.
The Australian Competition and Consumer Commission, Telecommunications Industry Ombudsman and Australian Communications and Media Authority are all vying for key roles in a new regulatory regime designed to curb the tech titans' dominance.
The ACCC suggested after an 18 month investigation that a new ombudsman be established to handle complaints over the use of consumer data and to better deal with online scams.
The competition regulator suggested that the Telecommunications Industry Ombudsman "may be" the appropriate body to handle the scheme. Alternatively, it said a standalone ombudsman could be created,  with the Australian Communications and Media Authority asked explore the idea.
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Volume 211, Issue 7 - 7 October 2019

MJA Podcasts 2019 Episode 43: Digital technologies for mental health care delivery, with Prof Ian Hickie

Vol 211, Issue 7: 7 October 2019. Professor Ian Hickie is the Co-Director, Health and Policy, of the Brain and Mind Centre at the University of Sydney. He discusses Project Synergy, a mental health care delivery system using digital technologies. With MJA news and online editor, Cate Swannell. 24 mins, 33 secs.
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Digital tech: making mental health care fit for purpose

Authored by Cate Swannell
EXISTING mental health care services in Australia are “not going to cut it in the 21st century” but health information technologies offer a way forward that’s fit for purpose, according to one of the co-designers of an innovative new online platform.
Professor Ian Hickie, co-Director, Health and Policy of the University of Sydney’s Brain and Mind Centre, told InSight+ in an exclusive podcast that Project Synergy, an online platform designed “to test the potential of new and emerging technologies to enhance the quality of mental health care provided by traditional face-to-face services”, was an extension of what had been happening in youth mental health over the past decade.
“We are still using 20th century approaches to a 21st century problem,” Professor Hickie said.
“We’re still trying to build clinics and offices and services through GPs, through psychologists, through psychiatrists, through peer workers, through lay workers to try and meet this tremendous unmet need for services — quality service, not just any service.
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Comments more than welcome!
David.