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, January 14, 2020

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - January 14, 2020.

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This weekly blog is to explore the larger issues around Digital Health, data security, data privacy, AI / ML. technology 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 behaviour of a federal public agency gone rogue – and it just goes on! When you read this it will be well over 13 months of radio silence from the Board, and better still the CEO, COO and the Chief of Staff have also gone. (With the COO bouncing back it seems!) I wonder will things improve now?
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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The cognitive health system

·         Enrico Coiera, PhD
Published: January 07, 2020DOI:https://doi.org/10.1016/S0140-6736(19)32987-3
What if the health system could think? Alan Turing once famously asked a similar question about machines. Now, artificial intelligence challenges us to reimagine medicine in a machine-assisted world. But what will that world be like? Focusing just on machines and what they can do is easy, but health care is not a software problem to be solved by algorithms and machine learning alone. Humans populate our sociotechnical system; we create technology and in turn are shaped by it. Technical systems have social consequences, and social systems have technical consequences.
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Apple, Facebook, Amazon preach privacy, but don't believe the hype

By Geoffrey A. Fowler
January 9, 2020 — 3.21pm
Apple, Facebook, Amazon and heaps of other companies gathered in Las Vegas for the CES tech conference are preaching privacy.
Don't believe the hype.
Apple made waves last year by putting up a billboard outside the giant annual convention — which it didn't present at — touting, "What happens on your iPhone stays on your iPhone." This year, Apple appeared formally at CES for the first time in decades, as part of a panel discussion on privacy. I was first in line to ask a question.
I said: What is Apple doing to make its billboard actually true? Last year I ran an experiment on my iPhone to watch what happened to my data while I slept at night. Turned out, iPhone apps were beaming my personal information to all sorts of tracking companies I'd never heard of. Apple vets apps in its store, but doesn't make them comply with the stay-on-your-iPhone mantra.
Apple had nothing of substance in response. "We're constantly innovating, including in operating process," said Jane Horvath, Apple's senior director of global privacy.
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Do you have Digital Assets? It’s time to re-think your Succession Plan

We live in an increasingly digital world, consider the actions you take in your day to day life – paying for your morning coffee through your watch, streaming your favourite movie from an app in your phone, uploading photos to the “cloud,” booking a flight using “points.” Tasks which at one point seemed so odd to us, have now streamlined into our everyday behaviour.
Now more than ever we have valuable possessions which aren’t physical possessions – look no further than the emergence of cryptocurrency. A number of questions arise on adequate preparations for handing on your digital assets. As our use of digital assets continues to grow, it is important you understand and have the appropriate steps in place.
Succession lawyers already advise clients on how to deal with traditional digital assets, such as social media and e-mail accounts, digital music and book libraries, frequent flyer points (if not cancelled automatically under service agreements on death) and online-only bank accounts where there is no paper trail. Cryptocurrencies are a new form of digital asset and there are currently over 2,000 types of them, including Bitcoin.
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Google denies misleading customers over location data settings in court submission

Tech giant Google has denied it misled Australian consumers when it collected their location data, declaring in response to a landmark lawsuit that users of its Android mobile operating system had ample information about their location settings, as well as an opportunity to change them.
In documents filed to the Federal Court, Google’s lawyers argued that users could alter their location settings at any time, and that Google software prompted users regularly to check they were comfortable with their account settings.
The filings represent the first time Google has responded to the allegations by the Australian Competition & Consumer Commission that it misled consumers about the location data it collected. The case could cost the company millions of dollars in fines and force changes to its policies.
“Google denies it made false or misleading representations or that it engaged in misleading or deceptive conduct,” lawyers from Corrs Chambers Westgarth said in Google’s filing.
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Bushfires: ‘Twitter bots’ hijack online debate over causes

Concerns about bushfire misinformation on social media have heightened, with experts pointing to the use of “Twitter bots” and urging Australians to be more discern­ing in sourcing and spreading information.
Amid a plethora of fake and misleading posts and images relating to the bushfires, a Queensland academic has reported finding a high number of bot-like accounts using hashtags including #ArsonEmergency. The hashtag, apparently favoured by those seeking to emphasise arson over climate change as the cause of the bushfires menacing Australia, has been trending on Twitter.
Queensland University of Technology social media analyst Timothy Graham used a bot-­detecting tool to examine 315 ­accounts using the hashtag, ­finding a “high number of bot-like and troll-like” accounts.
Dr Graham also reported a large number of suspicious account­s using other bushfire hashtags, such as #bushfireaustralia and #australiafire.
He said he was “confident” the findings represented a disinformation campaign but “less con­fident” it was on the scale of Russian inference during the 2016 US elections.
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Virtual lawyers enter legal advice arena with startup dash

January 9, 2020 — 12.00am
The founders of Sprintlaw believe software will one day take care of the majority of everyday tasks handled by lawyers, and many in the legal fraternity are backing them.
"Our vision is that 80 to 90 per cent of what lawyers are doing could be done with software code. What the humans in our business are doing are the most human things: customer service and showing empathy," said co-founder Alex Solo.
Mr Solo and co-founder Tomoyuki Hachigo closed out the year at their digital law firm with a $1.2 million raise from seed investors betting on the long-term potential of the business.
The cash will help the duo, who started the company a few years ago with a $20,000 personal investment, refine their offer and explore an overseas launch, starting with the UK.
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The age of the virtual human is here, but are we ready?

By James Titcomb
January 9, 2020 — 10.37am
Virtual humans - lifelike replicas of people that are indistinguishable from the real thing - have been a science fiction staple for decades. Think the stuttering weirdness of Max Headroom in the Eighties, Blade Runner 2049's Joi or even the floating head of the dysfunctional Holly from Red Dwarf.
And thanks to advances in artificial intelligence and processing power, technology companies now say they are at the point where they can create photo-realistic imitations of human beings that can move, talk and smile with such authenticity that it is impossible to tell they are computer generated.
On Monday night, Neon, a highly-anticipated venture funded by Samsung, unveiled an "artificial human", which it claimed was capable of displaying emotions and intelligence. The company said its creations would "exhibit human capabilities" such as speaking, learning and even being able to form new memories.
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Online fact-checkers confront deluge of bushfire misinformation

By Zoe Samios and Fergus Hunter
January 8, 2020 — 6.36pm
National news agency Australian Associated Press has been overwhelmed by an influx of dubious social media posts relating to the national bushfire crisis that it must fact-check on behalf of partner Facebook.
AAP chief executive Bruce Davidson said his fact-checking team had been working through "dozens and dozens" of suspect posts relating to the bushfires this week, with areas of concern ranging from misleading images to false political claims.
The surge in false and misleading posts on social media websites about the causes of the bushfires has led to concerns among politicians and academics, who have urged the public to be careful when reading online content.
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Dawn of a Decade: The Top Ten Tech Policy Issues for the 2020s

Published on December 19, 2019

Brad Smith

President at Microsoft Corporation

By Brad Smith and Carol Ann Browne

For the past few years, we’ve shared predictions each December on what we believe will be the top ten technology policy issues for the year ahead. As this year draws to a close, we are looking out a bit further. This January we witness not just the start of a new year, but the dawn of a new decade. It gives us all an opportunity to reflect upon the past ten years and consider what the 2020s may bring.
As we concluded in our book, Tools and Weapons: The Promise and the Peril of the Digital Age, “Technology innovation is not going to slow down. The work to manage it needs to speed up.” Digital technology has gone longer with less regulation than virtually any major technology before it. This dynamic is no longer sustainable, and the tech sector will need to step up and exercise more responsibility while governments catch up by modernizing tech policies. In short, the 2020s will bring sweeping regulatory changes to the world of technology.
Tech is at a crossroads, and to consider why, it helps to start with the changes in technology itself. The 2010s saw four trends intersect, collectively transforming how we work, live and learn. Continuing advances in computational power made more ambitious technical scenarios possible both for devices and servers, while cloud computing made these advances more accessible to the world. Like the invention of the personal computer itself, cloud computing was as important economically as it was technically. The cloud allows organizations of any size to tap into massive computing and storage capacity on demand, paying for the computing they need without the outlay of capital expenses. 
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Ending secrecy key to filling the void on cybersecurity

Anthony Bergin Contributor
Jan 8, 2020 — 3.00pm
Two key new national security leadership positions provide an opportunity to develop a partnership between business and government to safeguard Australia.
ASIO chief Mike Burgess spent some years running IT security at Telstra. The new director-general of the Australian Signals Directorate, Rachel Noble, while working in the public service for many years, once worked for Optus.
Both leaders understand that our business sector is under attack through economic coercion, cyber attacks and irregular warfare by proxies, designed to undermine trust in the state.
Corporations are making valiant efforts to protect their assets and capabilities from attacks in the physical and cyber environments. They do so for sound business reasons. But such attacks aren’t just matters of commercial concern. They have significant potential to weaken national resilience, and so should matter to all of us.
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A human rights approach to new technology

Australia January 6 2020
We’ve all read it before – the growth in new and emerging technologies is accelerating at an exponential phase and impacting on all aspects of our lives. It is widely accepted that the law is often left playing catch up. What we don’t often hear is how these new and emerging technologies pose human rights challenges and opportunities.
In recognition of these gaps, in December the Australian Human Rights Commission (the Commission) released its Human Rights and Technology Discussion Paper (the Paper) (for the highlights, see the Executive Summary Paper here), produced as part of a broader project being led by the Commission, the Human Rights and Technology Project (the Project).
The Project recognises that new technologies engage human rights in new and profound ways, requiring Australia and the international community to protect and promote human rights in this new environment. It asks: What are the human rights impacts of emerging technologies, algorithmic bias, artificial intelligence, big data and the 4th industrial revolution?
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White House proposes regulatory principles to govern AI use

By David Shepardson on Jan 8, 2020 10:23AM

Suggests European officials do the same.

The White House has proposed regulatory principles to govern the development and use of artificial intelligence (AI) aimed at limiting authorities' "overreach", and said it wants European officials to likewise avoid aggressive approaches.
In a fact sheet, the White House said federal agencies should "conduct risk assessment and cost-benefit analyses prior to any regulatory action on AI, with a focus on establishing flexible frameworks rather than one-size-fits-all regulation."
The comments come at a time when companies are racing to integrate AI, deep learning and machine learning into their businesses to remain competitive.
However, the technology raises ethical concerns about control, privacy, cyber security and the future of work, companies and experts have said.
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Would you use AI for picking stocks?

Artificial intelligence burst onto Wall Street several years ago, to fanfare and hope. Unfortunately, AI-based investing strategies have struggled to live up to some of the more inflated expectations for their performance.
There is no denying these strategies’ theoretical promise. By being able to sift through otherwise prohibitively large amounts of data, and then “learn” from it, AI is supposed to be able to discover profitable patterns that were previously invisible to mere mortals.
And, sure enough, they appear to have done so - on paper. Doron Avramov, a finance professor at the Interdisciplinary Center Herzliyah in Israel, says that when tested using historical data AI strategies have been phenomenally successful, beating the market by as much as 40 per cent on an annualised basis.
No other approach has come even close to producing that kind of a profit.
Making this market-beating potential even more alluring is the deteriorating profit of many of the well-known factors (or stock characteristics) that previous research had identified as having value when picking stocks - such as momentum, market cap, volatility, low ratios of price to earnings, book value, sales and so forth.
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Call to crack down on Google data harvest

Google’s harvesting of Australians’ location data represents the tip of the iceberg according to the Consumer Policy Research Centre chief executive Lauren Solomon, who is calling for urgent reform of the Privacy Act to better protect consumers against the murky and vague data practices of the tech giants.
“Consumers might think they have a relationship with one company, but in turn their data is being sold to a whole host of other companies, called data brokers, and the consumer is often not even aware of their existence,” Ms Solomon said.
“They’ll take data points like location, biometrics, transaction data, and when the data is combined, companies can make really granular inferences about consumers, things like their marital status, stress levels, and personal interests.
 “There needs to be an investigation into data brokers in Australia. We really haven’t got a grip on this issue and we need to come to terms with the reality of what’s going on behind the scenes.”
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Surveillance is everywhere at the CES gadget show

By Matt O'Brien
January 7, 2020 — 11.20am
From the face scanner that will check in some attendees to the cameras-everywhere array of digital products, the CES gadget show is all-in on surveillance technology; whether it calls it that or not.
Nestled in the "smart home" and "smart city" showrooms at the sprawling Las Vegas consumer tech conference are devices that see, hear and track the people they encounter. Some of them also analyse their looks and behaviour. The technology on display includes eyelid-tracking car dashboard cameras to prevent distracted driving and "rapid DNA" kits for identifying a person from a cheek swab sample.
All these talking speakers, doorbell cameras and fitness trackers come with the promise of making life easier or more fun, but they're also potentially powerful spying tools. And the sceptics who raise privacy and security concerns can be easily drowned out in the flashy spectacle of gee-whiz technology.
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Social media: the bushfire bush telegraph

By Joanne Orlando
January 6, 2020 — 12.39pm
We often think of social media in divisive terms - selfies and the never-ending pursuit of "likes" - however, in the wake of the heart-breaking bushfires, social media has become a space that has powerfully brought the community together. It is increasingly taking on this role during tragic events.
Sites like Facebook, Instagram and Twitter are often where we first become aware of disasters - both natural and man-made. However, in tragedy, they are much more than a news source. These spaces have become the vehicle via which we interpret, respond and get involved in these events. And it's incredibly comforting.
Social media provides worried friends and family with the reassuring update: "I'm OK." Most notably such posts get shared and liked widely as a collective outpouring of support for those affected by the events. We are all happy they are ok and social media provides us the opportunity to tell them this personally - whether we know them or not.
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The cyber pirates of the Caribbean

They ride the high seas of the global financial system, preying on everyday Australians and stealing millions of dollars. They are the outlaws of the digital world and authorities seem powerless to stop them.
Updated 6 Jan 2020, 14:14pm
Published 6 Jan 2020, 6:06am
Jane Smith* had run a successful business for years and was finally in a place where she could think about investing her and her husband’s retirement fund.
They had both worked hard and put aside a sizeable nest egg, but she was worried as she neared retirement age they needed a top-up.
So when a simple offer promising a healthy return popped up on her Facebook feed, she thought she would give it a try.
It sounded similar to something she had heard about from a friend whose son worked for a major investment firm that was using automated trading software on currency exchange markets.
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What happens to you online when you die?

Edward Baig
Jan 6, 2020 — 12.00am
When people you love die, sure, their spirit endures – but so do their social media accounts. And when their photos, memories or posts surface unexpectedly, it can be jarring for some.
Managing the digital afterlife is "something that people should think about but don't," says Jed Brubaker, a professor at the University of Colorado in Boulder, who specialises on the topic.
"There's a whole societal infrastructure - (coroners, cemeteries, funeral directors) - for how we think about death," he says. "For the most part, that has not extended very well to digital content broadly and social media specifically."
That can lead to some painful situations.
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Comments more than welcome!
David.

Monday, January 13, 2020

Weekly Australian Health IT Links – 13th January, 2020.

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 system is slowly coming back to life, but it is clear the awful bushfires are totally dominating the news cycle. I feel this is some sort of watershed for our nation and am at once very sad for the victims and amazingly proud of the work of the firefighters. They are a pretty special bunch!
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Doctors refuse to use the $1.5 billion My Health Record

Sue Dunlevy, National Health Reporter, News Corp Australia Network
January 10, 2020 8:00pm
Exclusive: It’s cost taxpayers $1.5 billion but the online My Health Record is at risk of becoming a white elephant, with barely more than one per cent of patients accessing it.
The record, which was created for any Australian who did not actively opt out last January, is also being ignored by doctors who don’t trust it to be up to date.
The Australian Digital Health Agency (ADHA) reports there are now 1.6 billion medical documents on the records including blood test and scan results and medical histories.
But around half the records are merely empty shells — only 12.5 million of the 22.6 million records have any documents in them, the ADHA has revealed.
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Mater health system’s digital transformation journey

“Our goal is to make all of a patient’s health record available in our clinical portal so that when a clinician brings up a patient’s record, they can have all the information they need,” said S. Wissmann, director of information management, Mater.
By: Hyland
November 07, 2019 09:23 PM
The challenge
Health records contain a hybrid of information — multiple types of information existing in various formats across departments documenting different attendances.
Mater Misericordiae Ltd (Mater), a seven-hospital health system in South Brisbane, Australia needed a better way to put all patient information into the hands of its clinicians. “Anything that existed on paper or in another physical format was disconnected from the patient information our clinicians accessed through our clinical portal,” said Sallyanne Wissmann, director of information management. “In order to get the information they needed, our clinicians had to rely on either the records arriving through a push model or they’d submit requests and wait for them to arrive.” 

The solution
The health system implemented Hyland’s OnBase enterprise information platform across all seven of its hospitals. Mater deployed OnBase in the health information management (HIM), ambulatory, outpatient and revenue cycle areas, and integrated it with its clinical portal.  
Staff now scan all new clinical documentation — inpatient, ambulatory, emergency, attendances — into OnBase, which has also significantly reduced the need to provide paper charts.
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Adopting a patient-centric approach to care, even beyond ICT

An interview with James Patterson, CIO, NSW Health Pathology.
January 06, 2020 11:31 PM
Operating more than 60 laboratories with around 200 pathology collection services in NSW public hospitals and community health facilities, NSW Health Pathology employs over 4,000 staff and conducts more than 61 million tests a year. As one of Australia’s largest public pathology providers, NSW Health Pathology requires a massive clinical and non-clinical IT infrastructure in order to carry out its operations. 
In an email interview with HealthcareIT News, James Patterson, CIO of NSW Health Pathology talks about their recent Point of Care Testing (PoCT) project and shared some of his thoughts on his role/work as a CIO. 
Q. Could you tell us more about your role as CIO at NSW Health Pathology?
A. NSW Health Pathology is an agency within NSW Health and we are also Australia’s largest public pathology providers. As CIO I am responsible for both clinical and non-clinical systems we use.
Pathology is a very automated business – NSW Health Pathology generated more than 285 million test results from our laboratories in 2018-19 – and so is a large ICT user within the Health landscape.
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Noticeboard: Changes in digital health leadership

By Australian Ageing Agenda on January 8, 2020
The Australian government’s digital health agency has announced the resignation of its chief executive officer and the appointment of an interim CEO while it searches for a permanent replacement.
The Australian Digital Health Agency announced the resignation of Tim Kelsey last month.
Mr Kelsey, who became CEO in 2016, has led the digital health agency through the rollout of the My Health Record to more than 22 million Australians and the introduction of e-prescribing.
The following week the agency announced its former chief operating officer Bettina McMahon as incoming interim CEO.
Ms McMahon recently announced her resignation after 10 years at the agency and its predecessor the National E-Health Transition Authority but has delayed her departure until a permanent CEO is found.
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The medical community is ill-prepared for the rise of e-sports: doctors

Antony is a medical reporter with a special interest in technology and pharmacy.
9th January 2020
The International Olympic Committee is wrangling with a billion-dollar controversy right now — and it’s nothing to do with banning Russia from the 2020 Tokyo Games for systematic doping.
It’s whether e-sports — competitive matches of video games such as League of Legends, Call of Duty or Hearthstone — should be added to the medal roster.
It has rejected the idea for Tokyo 2020 and Paris 2024. However, after its most recent Olympic summit in December, it claimed to “see great potential for co-operation and incorporating them into the sports movement”.
But an international group of doctors have declared that e-sports should be considered 'sport' right now.
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'Totally useless': Specialist fees website launches without any specialists

The government had promised to provide a searchable database by 1 January 2020
9th January 2020
The Federal Government’s long-awaited medical fee transparency website has been labelled “totally useless” in its failure to allow patients to look up the names of individual specialists, let alone find details of their fees.
The so-called Medical Costs Finder, launched in late December, was built to help patients avoid ‘bill shock’ from unexpected medical expenses.
The Minister for Health, Greg Hunt, had promised the searchable database of specialists and their fees — starting with oncologists, obstetricians and gynaecologists — would be up and running by 1 January 2020
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Ransomware shuts down Travelex systems

By Juha Saarinen on Jan 8, 2020 8:55AM

Unpatched systems could be attack vector, say researchers.

Forex multinational Travelex has confirmed that the "software virus" that forced the company to take all of its systems offline is the REvil/Sodinokibi ransomware.
The ransomware attack took place on New Year's Eve, forcing Travelex branches to manually handle transactions as online services were suspended in order to contain the spread of the ransomware and to protect data.
Travelex says it has now restored a number of internal systems to normal operation.
The company said it has completed the containment stage of its remediation process, and that detailed forensic analysis is underway.
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Ransomware attack on Travelex hits major banks, including Westpac

A New Year’s Eve ransomware attack on foreign currency exchange company Travelex has disrupted cash deliveries from its global network of vaults to major international banks.
Banks in the UK, including units owned by Barclays, Lloyds Banking Group, as well as Australia’s Westpac, said they were unable to take orders from customers in branches that rely on Travelex to supply cash in foreign currencies. The banks’ online retail foreign currency exchange services, which are outsourced to Travelex, were also shut off.
Travelex’s internal networks and consumer-facing websites and app have been offline since the attack, after the company shut down its computer systems to stop a ransomware virus that infiltrated its networks.
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Increasing fire threat to vulnerable telecommunications networks

January 11, 2020 — 12.00am
Australia's unprecedented bushfire crisis has exposed the vulnerability of phone and internet networks, prompting Communications Minister Paul Fletcher to warn telecommunications giants to prepare for increasingly severe disasters.
As dozens of mobile towers went dark during this summer's catastrophic bushfires, people have been cut off from contact with emergency services and in some cases unable to pay for essential supplies. Telcos have scrambled to bolster their networks and respond to the outages, rolling out satellite trucks, portable reception towers and restoring disabled mobile base stations.
Telstra is working to get telecommunications back up and running in fire-ravaged communities in Victoria.
Telstra revealed its network experienced "critical damage" as 36 mobile towers were knocked out in bushfires in rapidly-changing conditions, but more than half of those were now back online.
Mr Fletcher welcomed the rapid responses by Telstra, Optus, Vodafone and the government-owned national broadband network (NBN) but said questions need to be asked about the long-term resilience of telecommunications infrastructure critical to Australians' safety during emergencies.
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A Wi-Fi router that can detect your breathing

John Davidson Columnist
Jan 9, 2020 — 1.07pm
Wi-Fi signals that get into every corner of your house may one day be able to get under your skin, quite literally.
At the Consumer Electronics Show here in Las Vegas, Origin Wireless AI said it has figured out how to read the pulse of occupants of a household, just by measuring the minute perturbations in Wi-Fi signals that people create when they move through the signal.
Origin Wireless AI, a US-based startup which supplies artificial intelligence software to the popular home Wi-Fi brand Linksys, has already developed software which can detect when people enter a house, which rooms they walk to, and what their breathing rate is, just from analysing the interference that people create between any two Wi-Fi points, such as between a home router and a smart speaker.
At CES, it demonstrated technology that can detect when a householder has fallen down, and then automatically switches to breath detection mode the moment it detects a fall, all through Wi-Fi.
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The Y2K bug is back, causing headaches for developers again

Twenty years ago, some developers dealt with the millennium bug by postponing it until... now.
By Daphne Leprince-Ringuet | January 8, 2020 -- 12:30 GMT (23:30 AEDT) | Topic: Developer
Twenty years ago, as the world celebrated the start of a new millennium, IT professionals across the globe were getting cold sweats at the prospect of the Y2K bug kicking in: the fear that important systems relying on two-digit date logs would come to a standstill if computers interpreted the 1 January 2000, registered as 01/01/00, as the first day of the year 1900. 
No major incident happened, because developers had seen Y2K coming and prepared well. But two decades later, it has become apparent that some resorted to a quicker fix than others, and simply postponed the problem to 2020. 
A series of incidents seem to have confirmed that Y2020 is tech's latest unwelcome blast from the past.
Parking meters across New York, for example, declined credit card payments after an outdated software took the payment option offline in the New Year. The Department of Transportation is still going through the city to manually update the 14,000 parking meters one by one and dubbed the problem a "Y2K2X software glitch".
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The awkward secret that prompted Nuheara's new earbuds sales model

Yolanda Redrup Reporter
Jan 6, 2020 — 1.32pm
Smart earphone maker Nuheara has made another shift in its evolving sales strategy, now targeting direct-to-consumer sales, after realising that consumers were hesitant to have their hearing tested in public.
Speaking to The Australian Financial Review from the Consumer Electronics Show in Las Vegas, Nuheara chief executive Justin Miller said its target market – people with mild to moderate hearing impairments – had demonstrated that they preferred to undertake a hearing test online than in a retail shop. 
"The majority of our sales are now direct-to-consumer," he said.
"Relying on foot traffic into a store and conducting a hearing test in public wasn't the right environment because people were uncomfortable about acknowledging their hearing loss. What we've seen is they prefer to go online and do the test themselves, and that's been a major learning for us.
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Healthcare and industrial IoT to help drive 11m Australian Internet of Things connections by 2024

GlobalData expects Australian IoT and M2M penetration will almost double in the next four years
Applications including smart healthcare, industrial IoT, smart homes, smart cities, autonomous vehicles and AR/VR will boost the number of Internet of Things (IoT) and machine-to-machine (M2M) connections in Australia to 11.1 million by the end of 2024, according to a recent research by GlobalData.
GlobalData forecasts M2M/IoT revenues in Australia will rise from $141 million in 2018 to $250 million by 2024.
Antariksh Raut, senior analyst of telecoms market data and intelligence at GlobalData, said IoT will “revolutionise” the future of the information communication sector by establishing seamless communication between machines and consumers.
“5G will emerge as the backbone of IoT ecosystem due to its massive speed, responsiveness and energy efficiency. Australian mobile network operators [MNOs] have already got their 5G spectrum in place and 5G connectivity will soon be a reality for consumers.”,” the analyst said.
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Telcos, NBN Co work to reconnect bushfire-ravaged communities

Australia’s major telcos are dealing with fire-damaged infrastructure and power outages

Editor, Computerworld | 9 January 2020 17:31 AEDT
Telstra, Optus and NBN Co are working to fix damaged infrastructure and reconnect communities in the wake of devastating bushfires that have affected services in New South Wales and Victorian communities.
Telstra has suffered critical damage to a range of infrastructure including mobile base stations and exchanges, although interruptions to mains power has been responsible for the largest portion of service outages.
Telstra has been working alongside emergency services, the Country Fire Authority, the Rural Fire Service and the recently deployed Australian Defence Force (ADF) to assess and mitigate damage to telecommunications infrastructure.
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NBN Co upgrades small portion of slow FTTN services to full fibre

By Ry Crozier on Jan 9, 2020 12:36PM

Where the other underperforming services will move is unclear.

NBN Co has upgraded 3000 premises originally assigned fibre-to-the-node technology to full fibre in order for them to meet the minimum speeds set out in the government’s statement of expectations.
The number was revealed just before Christmas in response to a question by Labor Senator Anne Urquhart on the number of premises where NBN Co has “overbuilt FTTN with FTTP.”
“Approximately 3000 premises have had an infrastructure change and are now operational on FTTP,” NBN Co said in response.
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Vodafone claims all NBN services are uncommercial

By Ry Crozier on Jan 8, 2020 9:43AM

Some connections can't subsidise others, and broadband tax won't fix it.

Vodafone Australia claims high-value NBN connections are in no way profitable enough to cross-subsidise “uncommercial” parts of the rollout, and that a proposed broadband tax won’t address the issue. 
The claims are contained in what is billed as a “hypothetical story” [pdf] created by the Centre for International Economics (CIE) at Vodafone’s behest, which traces the roadblocks a new telco operator would encounter setting up shop in regional Australia.
However, the "story" is also bookended with analysis that Vodafone is hoping will convince the government to abandon its latest attempt at introducing a broadband tax to cover part of the future cost of NBN upgrades in regional and remote Australia.
The broadband tax - officially called the regional broadband scheme (RBS) - has a chequered history, languishing before parliament for years, unable to muster the requisite support.
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NBN Co technicians outright missed 350 appointments a day in FY19

By Ry Crozier on Jan 2, 2020 12:37PM

Under new definition of what constitutes a miss.

NBN Co’s field technicians outright missed 127,746 appointments in the last financial year, about 30 a day more than previously modelled.
The network builder provided an updated number in response to a question raised by Labor Senator Anne Urquhart at the most recent Senate Estimates. [pdf]
The updated number is somewhat tricky to decipher since it relies on a revised definition of what NBN Co now considers to be a missed appointment.
NBN Co informally redefined the metric back in April last year, when it split the total number of missed appointments into two categories: the number of appointments fulfilled the same day - just outside the scheduled window, and the number of appointments that were missed outright and rescheduled for another day.
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NBN Co deploys satellite services to bushfire evacuation centres

By Ry Crozier on Jan 6, 2020 11:39AM

As Telstra opens payphone network nationally.

NBN Co is expecting to have satellite-powered free wifi services available at 17 bushfire evacuation centres in NSW and Victoria later today.
The network builder has also sent at least one of its Road Muster trucks to sites where it has been unable to install satellite equipment.
“We have now installed Sky Muster satellite dishes at 12 evacuation centres in NSW and VIC which are currently offering free wifi,” NBN Co said in a Facebook post.
“Additional services will be installed at five new locations [Monday].”
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Enjoy!
David.

Sunday, January 12, 2020

The ADHA To Houston - It Seems We Have A Problem – Not Many Use Our Flagship System Despite Bribes and Spin!

This appeared yesterday.

Doctors refuse to use the $1.5 billion My Health Record

Sue Dunlevy, National Health Reporter, News Corp Australia Network
January 10, 2020 8:00pm
Exclusive: It’s cost taxpayers $1.5 billion but the online My Health Record is at risk of becoming a white elephant, with barely more than one per cent of patients accessing it.
The record, which was created for any Australian who did not actively opt out last January, is also being ignored by doctors who don’t trust it to be up to date.
The Australian Digital Health Agency (ADHA) reports there are now 1.6 billion medical documents on the records including blood test and scan results and medical histories.
But around half the records are merely empty shells — only 12.5 million of the 22.6 million records have any documents in them, the ADHA has revealed.

To be useful to patients, the My Health Record needs a shared health summary uploaded by a GP which outlines a patients key health conditions but less than one in 10 records include such information.
In the past year, just 356,530 Australians — only 1.5 per cent of the population with a record after the opt out period ended — accessed it, the ADHA told a Senate estimates committee.
The record started as an opt in system in July 2012 and in the seven years since then only 2.21 million records, or eight per cent, have been accessed by consumers.
Fewer than eight per cent of specialists are registered to use the record and the government admitted to a Senate estimates committee it has no way of knowing whether GPs or hospital emergency departments are using it during patient consultations.
The government claimed the record would save $14.6 billion by cutting the number of duplicate tests being ordered if doctors could view previous results on the My Health Record.
This money can only be saved if GPs, specialists and hospitals use the record.
There are nearly 90 million GP consults per year but in the last nine months GPs have viewed documents on the My Health Record only 200,000 times a month.
Royal Australian College of General practitioners president Dr Harry Nespolon admits he is not using the My Health Record.
Lots more details here:
It's hard to believe that with this level of usage the Government will get its investment back on the myHR – let alone actually see the accrual of any significant benefit either clinical or financial.
As I have said many times, the sooner the ‘sunk cost fallacy’ is put to bed, the program cancelled and new investment made in programs that will attract clinical and patient adoption the better.
Most who read here know what is needed. We now need to work out how to make it happen!
David.

AusHealthIT Poll Number 509 – Results – 12th January, 2020.

Here are the results of the poll.

What Are You Expecting Overall For Digital Health In Australia In 2020?

A Better Year 6% (5)

Much The Same 51% (39)

A Worse Year 43% (33)

I Have No Idea 0% (0)

Total votes: 77

Well that was clear in the sense that it is obvious we are not seeing overall optimism for the new year in Digital Health and that people are far less optimistic regarding Digital Health than more generally from the week before.

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

A very reasonable turn out of votes given the Holiday season.

It must have been a very easy question as 0/77 readers were not sure how to respond.

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

David.