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, March 10, 2020

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - March 10, 2020.

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This weekly blog is to explore the larger issues around Digital Health, data security, data privacy, AI / ML. technology, social media 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 over 16 months of radio silence, and worse, while the CEO, COO and the Chief of Staff have gone, still no change.  I wonder will things improve at some point, given the acting CEO seems not to care, as well.  I think it is fair to assume no change will come in the foreseeable future.
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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My Health Record for Specialist Practice Staff

GCPHN co-hosted events ADHA Propaganda
01 Apr

Start Time & Date:

01/04/2020, 6:00 pm

End Time & Date:

01/04/2020, 8:30 pm

Location:

John Flynn Private Hospital, Inland Drive, Tugun QLD, Australia
Registrations from 6.00pm

An evening to provide the latest information, dispel the myths and answer your questions

Please join us to hear new information, discuss ideas and meet new colleagues
An opportunity to hear the latest updates on the National Digital Health Strategy including My Health Record. 90% of Australians now have a My Health Record and Specialist Practices are now invited to learn more about the system and registration process.

Topics

  • How GCPHN can support your practice
  • My Health Record: the benefits for Specialist Practices, registration, privacy, security & provider obligations
  • Australia’s Digital Health Strategy – latest updates
  • How to effectively use the Provider Portal to view patient information for more timely and better coordination of care

Guest Speaker

Ben Cohn – Education and support Lead at Australian Digital Health Agency
This event is fully funded and is no cost to participants. Dinner will also be provided by John Flynn Private Hospital.
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My Health Record   ADHA Propaganda

In 2019 every Australian (unless they opted out) received a My Health Record.
My Health Record is a secure online summary of an individual's health information. This means your important health information is available when and where it’s needed, including in an emergency.
All Australians can access their own record and control how information is accessible and viewable in order to safeguard their privacy. Find out more about how you can get the most out of your My Health Record.

NT Aboriginal language tools

We recently commissioned the development of a series of stories that explain My Health Record in a range of Aboriginal languages spoken throughout the NT.
The videos were produced in partnership with italk Studios, the Australian Digital Health Agency, AMSANT and the NT Aboriginal Interpreter Service.
To access all the language groups, view the playlist.
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National Digital Health Strategy March updates

04 March 2020: The Service Registration Assistant and the Child Digital Health Record proof of concept are coming soon.

Service Registration Assistant (SRA)

The new Service Registration Assistant – now in the evaluation phase – can reduce paperwork, keep healthcare practice details accurate and improve patient outcomes and experiences. It offers immediate benefits for healthcare organisations by reducing the burden of needing to complete the same details across many different forms.
The Service Registration Assistant supports an integrated experience through clinical information systems that use the FHIR API or through the SRA portal for non-integrated users.
The SRA has two key roles. Namely:
  • Publisher (organisation who wishes to share their details)
  • Subscriber (external service or directory who wishes to receive publisher details)
Production use began in late 2019 and completion of the release will incorporate features required for the proof of concept. The participants and the current update of their involvement includes:
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Australia's surveillance laws are hitting the social license problem

Can lawmakers continue to ignore the well-founded criticisms of the ever-increasing powers given to law enforcement and intelligence agencies? Can agencies continue to be so secretive?
By Stilgherrian for The Full Tilt | March 2, 2020 -- 04:04 GMT (15:04 AEDT) | Topic: Security
Australia's cops and spooks want to increase the time for which telcos must retain customer communications data from the current minimum of two years to as much as seven years. But should they get what they want?
In last Friday's hearing of the Parliamentary Joint Committee on Intelligence and Security (PJCIS), agencies were hit with this question of social license.
Will citizens continue to accept that the powers being granted are appropriate given the trade-offs and risks involved?
As noted when PJCIS savaged the Department of Home Affairs, mandatory data retention was sold on the basis of a strictly limited number of agencies fighting the worst crimes of all -- terrorism, child abuse, and transnational organised criminals.
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Time for the digital behemoths to pay for news content

ADAM SUCKLING
The recent announcement that Australian Associated Press will close is not only terrible news for AAP journalists, credible news reporting and transparency, it is also a strong example of what happens when digital platforms take too much of the value of journalists’ work.
AAP provides a vital service, available to us all. It is often invisible to the public, but its value is illustrated by pictures circulating on Twitter, capturing a lone AAP journalist at a press conference.
The stories these journalists produce are packaged up and published across any one of the many news organisations that subscribe to AAP. This symbiotic relationship delivers readers a diverse range of coverage from court cases to sporting events.
AAP chairman Campbell Reid described the service as “journalism’s first responders”. The Guardian called it “Australian democracy’s safety net”. I’d add it is “bloody productive” — last Thursday, AAP’s top 10 news stories were republished more than 2500 times.
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Using My Health Record: Fact sheet for clinical immunology/allergy specialists

5 March 2020ADHA Propaganda

The Australasian Society of Clinical Immunology and Allergy (ASCIA) through the National Allergy Strategy is collaborating with the Australian Digital Health Agency to provide information to clinical immunology/allergy specialists about using My Health Record to improve patient care.
This new Fact sheet for clinical immunology/allergy specialists developed by the National Allergy Strategy includes information about:
  • what’s in it for you and your patients;
  • benefits for clinical immunology/allergy specialists; and
  • safety and security of patient information.
Additional resources designed to support your use of My Health Record in clinical practice are being developed as part of this project and will be released once complete. 
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Digital health and medico-legal in specialist practice

This workshop will assist you to expand your knowledge of digital health tools and medico-legal obligations in specialist practice. ADHA Propaganda
Learning Outcomes
  • streamline business processes and save time while improving continuous care for clients;
  • understand practical uses of digital health tools like secure messaging and My Health Record for everyday workflow;
  • medico-legal obligations – practical tips for mitigating risk in your practice;
  • policies, procedures – things you need to know to manage and mitigate risk;
  • social media – your privacy, professional and legal obligations as an entity and an employee.
Topics Presented by
  • Australian Digital Health Agency
  • Avant Mutual
This event is free to attend with breakfast provided.
Tue 12 May
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e-Scripts project portent of FHIR potential to transform locally

March 4, 2020       Jeremy Knibbs

Electronic only scripts looks like a watershed project for how the government and vendors view FHIR moving forward in Australia

Web sharing resource Fast Healthcare Interoperability Resource (FHIR) shares many political characteristics in Australia with the climate change debate. It’s a bit of an inconvenient truth that sooner or later you sense will catch up with the federal government and local vendors because it’s an increasingly obvious answer to so many issues of complexity in sharing health care data, especially with consumers.
Whereas the standard has been recognised for its potential in the US and parts of Europe, and pushed to the forefront of efforts to open up health data sharing, especially with consumers, Australia has somewhat stubbornly resisted  FHIR’s attraction as a fast developing universal go between on data trapped in vendor legacy systems and within other more complex standards structures such as HL-7 and CDA.
Until now, Australia has had a firmly ‘steady as she goes’ approach to the standard – not ignoring it for sure, but not recognising it and pushing it properly either .
This is  in part because its underlying utility transgresses most of what we’ve placed most of our Federal government digital bets and money on,  in the centralised command and control structure and platform of the My Health Record project, and in part, and perhaps more pragmatically, because the local vendor market has invested so much so recently in other expensive and complex technologies, that changing too quickly could prove commercially fatal for some companies.
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Top 10 digital healthcare platforms: Telstra Health, No 5

March 4, 2020    
Telstra Health, once had the grand ambition to be ‘the’ Australian digital health platform. And then things went a bit awry. Now the group is stable, growing and winning interesting national digital health contracts. do they still have the potential to realise this ambition?
When the idea of Telstra Health was first mooted within the senior management bowels of Telstra more than 8 years ago now, it was a reasonably grand vision. Telstra’s most successful CEO to date, David Thodey, was riding a wave of revenue growth at the Telco based on  the roll out of broadband and mobile networks, and was on the right side of a deal with the government to keep the old twisted copper wire network up and running alongside the roll out of what was originally meant to be a to-the-home full fibre network, in the NBN.
But Thodey understood well that the Telco’s time on such lush revenue growth was on a clock that was eventually going to run down as competition heated up in the broadband and mobile market, as the NBN eventually came on line (luckily for Telstra the original vision was never realised), and as the government forced more regulation around their still dominant market position.
He and his senior managers, with cash to spare, were thinking  in the manner of “moon shots” (a term used largely around companies like Google, Facebook and Amazon to describe huge and risky bets on future technologies like self driving cars, and AI) . Their plan was to buy into and test big vertical markets that had the most potential to synergise with Telstra’s trajectory on engaging its customer base from their mobile and broadband offerings, all the way into the transactional cloud. Healthcare was one of a few identified areas of very high potential.
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Russian accounts meddling in US election harder to detect

By Amamda Seitz
March 6, 2020 — 6.55am
Four years after Russia-linked groups stoked divisions in the US presidential election on social media platforms, a new report shows that Moscow's campaign hasn't let up and has become harder to detect.
The report from University of Wisconsin-Madison professor Young Mie Kim found that Russia-linked social media accounts are posting about the same divisive issues - race relations, gun laws and immigration - as they did in 2016, when the Kremlin polluted American voters' feeds with messages about the presidential election.
Facebook has since removed the accounts.
Since then, however, the Russians have grown better at imitating US campaigns and political fan pages online, said Kim, who analysed thousands of posts.
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6 March 2020

Telehealth ‘has to be done right’ as GPs begin billing for phone calls

Posted by Penny Durham
An announcement on telehealth items for COVID-19 is expected today, but RACGP president Dr Harry Nespolon says it has to be the right kind of telehealth item if it is to help GPs get through an outbreak.
The federal government announced this morning that it will up its funding contribution to 50% of every COVID-19-related healthcare item inside and outside of hospitals in a new agreement with the states.
Prime Minister Scott Morrison and Health Minister Greg Hunt told a media conference they were lifting the federal-state hospital funding ratio from 45-55 to 50-50 in a deal that would be “demand-driven” but was estimated to cost the states and commonwealth about $1 billion.
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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, 06 March 2020 08:33

US bid to ban encryption without actually banning it

In Australia, the government is using the increasing incidence of online child sexual exploitation to give the military intelligence agency, the Australian Signals Directorate, a domestic role. It claims this role will be restricted only to cases of child sexual abuse.
In the United States, the same crime is being used to try and push through a bill that will restrict the freedom of Americans to use encryption for their data and communications.
Australia's intentions were made clear on 19 February when Australian Federal Police commissioner Reece Kershaw, Australian Criminal Intelligence Commission chief executive Michael Phelan and Australian Transaction Reports and Analysis Centre chief executive Nicole Rose made presentations at the National Press Club, claiming that current laws had been overtaken by technology and needed to be changed.
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Why we click 'Accept' without reading the terms

Social media users provide the data, but they are not paying customers. So the relationship of platform to user is essentially manipulative.
John Naughton
Mar 6, 2020 — 10.04am
Suppose you walk into a shop and the guard at the entrance records your name. Cameras on the ceiling track your every step in the store, log which items you looked at and which ones you ignored. After a while you notice that an employee is following you around, recording on a clipboard how much time you spend in each aisle. And after you’ve chosen an item and bring it to the cashier, she won’t complete the transaction until you reveal your identity, even if you’re paying cash.
Another scenario: a stranger is standing at the garden gate outside your house. You don’t know him or why he’s there. He could be a plain-clothes police officer, but there’s no way of knowing. He’s there 24/7 and behaves like a real busybody. He stops everybody who visits you and checks their identity. This includes taking their mobile phone and copying all its data on to a device he carries. He does the same for family members as they come and go.
When the postman arrives, this stranger insists on opening your mail, or at any rate on noting down the names and addresses of your correspondents. He logs when you get up, how long it takes you to get dressed, when you have meals, when you leave for work and arrive at the office, when you get home and when you go to bed, as well as what you read. He is able to record all of your phone calls, texts, emails and the phone numbers of those with whom you exchange WhatsApp messages. And when you ask him what he thinks he’s doing, he just stares at you. If pressed, he says that if you have nothing to hide then you have nothing to fear. If really pressed, he may say that everything he does is for the protection of everyone.
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Thursday, 05 March 2020 22:50

New bill will give other countries access to data in Australia

The Federal Government has introduced legislation into parliament to make it possible for foreign countries to access stored or intercepted communications and telecommunications data within Australia, with Australia able to have reciprocal rights.
The bill has technical amendments to ensure local service providers can respond to lawful orders for communications data from other countries with which Australia has an international agreement.
Cabinet minister Alan Tudge, who introduced the bill on Thursday, said it would enable the country to keep up-to-date with modern technology.
"Almost every serious crime and national security threat today has an online element," he said. "As serious criminals and malicious actors adapt to these changes so too must our agencies."
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My Health Record

32 videos 29 views Updated yesterday ADHA Propaganda
A collection of 4 short animated films.
Understanding ‘My Health Record’ has been made by the Northern Territory Public Health Network and italk Studios.
 ’My Health Record’ is in English and the Indigenous languages of Arrernte, Kriol, Pitjantjatjara, Tiwi and Warlpiri, Murrinh Patha and Yolngu Matha.
Story 1: What is My Health Record? – overview - Aunty Maisy
Story 2: Benefits of having My Health Record – Uncle Harry
Story 3: Privacy and Managing information on your My Health Record- Joey
Story 4: Getting access to and controlling your own My Health Record
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Apr 22

Health My Way

Free

Description

Learn how My Health Record works, the information it contains and how to access these records. Step by step instructions will be given to assist participants to access this information.

Date and Time

Wed, April 22, 2020
3:00 PM – 4:00 PM AEST
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Porn age filter for Australia recommended by parliamentary committee

By technology reporter Ariel Bogle
5 March, 2020
Australians may have to verify they are over 18 before watching porn if an age filter proposal moves ahead.

Key points:

  • A House of Representatives committee has recommended a mandatory age filter for online porn
  • The eSafety commissioner has been asked to create a roadmap for age checks within 12 months
  • A similar proposal in the UK collapsed over concerns a filter could be easily evaded
Parliament's Standing Committee on Social Policy and Legal Affairs has recommended mandatory age verification be used before viewers can access online pornography and some forms of online gaming.
This follows an inquiry that looked at whether age checks could protect young people from being exposed to forms of disturbing content online.
"The evidence was clear that exposure to online pornography is associated with terrible harms to young people's health, education, relationships, and wellbeing," the committee chair, LNP MP Andrew Wallace, said in a statement.
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Australian government is currently juggling 62 high-cost IT projects

Information revealed to ZDNet under freedom of information has shown all of them are valued at over AU$10 million, and one was contracted to Telstra back in 2013.
By Asha Barbaschow | March 5, 2020 -- 03:25 GMT (14:25 AEDT) | Topic: Digital Transformation
There are currently 62 technology projects underway by Australian government entities that are valued at over AU$10 million and loosely under watch by the Digital Transformation Agency (DTA).
The DTA in early 2017 was charged with looking into the structures of existing Australian government high-cost technology projects, but as was revealed during a round of Senate Estimates last year, the DTA's powers only go so far and the best way to avoid scrutiny for a troubled IT project is to ignore phone calls from the DTA, not reply to emails, and bump up self-reported scores.
Documents received by ZDNet under freedom of information (FOI) also revealed the earliest project the DTA is aware of started in April 2013 and has yet to be marked as completed.
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A wary eye on metadata watchers

There’s concern that our data retention law is spiralling out of control and that the privacy of ordinary Australians is being compromised unnecessarily by organisations accessing citizens’ metadata without a warrant.
The law offers bodies investigating individuals a way to monitor terrorists, pedophiles and those committing other serious crimes by requiring telecommunications companies to keep our communications metadata for two years.
This could include metadata about our phone calls — numbers, start and end location of calls for both parties, identity of the mobile base station and call duration — but not the conver­sa­tion. It could be metadata about emails and text messages — when and to where they were sent and to whom — or the address used when visiting websites.
In 2015 the Coalition and Labor voted for the Telecommunications (Interception and Access) Amendment (Data Reten­tion) Act despite protests and amendments proposed by crossbench senators to safeguard privacy. George Brandis, the attorney-general at the time, said the laws were “measured and proportionate”.
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Wanting privacy doesn’t mean you’re hiding something

LESLEY SEEBECK
Imagine a world in which everything you did was tracked and logged, and your behaviour assessed­ against a standardised model to detect “deviance”, by an impenetrable government authority.
A world where you may be stopped in the street, your smartphone taken, the low-level encryption that’s allowed is cracked and its content held against you, with any “unauthorised” software leading to fines or imprisonment.
A world where you are allowed to meet friends in an online space only on the condition that an “invisible­” participant monitors your meeting, without you being aware of what is reported.
Because in this world, who knows? You may be committing a crime and need to be watched constantly.
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Push for access to tech data on crimes

The Morrison government is pushing on with legal changes it hopes will give police faster access to data held by tech giants.
It has been pursuing an agreement with the US government to give Australian law enforcement better access to data held by companies in America.
In a step towards finishing the deal, the government has put legislation to parliament on Thursday setting up the reciprocal framework for such requests.
It would allow Australian law enforcement to access intercepted or stored communications and telecommunications data from partner countries to help them investigate and prosecute serious crimes.
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Inquiry wants porn viewers' faces scanned

A parliamentary inquiry into online age verification has recommended the federal government use face scans and official ID to confirm a person's age.
Committee chair and Liberal MP Andrew Wallace tabled the committee's report in parliament on Thursday, saying it was necessary to protect children from violent pornography and gambling online.
"The committee recognises none of these methods are perfect," the Liberal MP told parliament.
"These methods and others can be mixed or offered as choices to give users the flexibility and reassurance of privacy."
The committee recommended Australia's online safety watchdog develop a road map to verify people's ages online and said third parties should also be allowed to provide verification services.
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'Have a dumb home': The spooks' guide to debugging your life

By Hannah Boland and James Cook
March 5, 2020 — 11.09am
Last year, a family in Seattle grew alarmed when their three-year-old daughter informed them that a voice in her bedroom was saying "I love you".
"We were both downstairs working in our office here, and our daughter called out," the child's mother told King 5, a local news channel. "She's saying, 'Mommy, mommy. The voice is talking to me.'"
The voice wasn't an imaginary friend, but a hacker who had broken into the internet-connected baby monitor in the toddler's room and begun using its speaker to broadcast his own voice.
The incident, and countless other similar hacks, have prompted governments around the world to crack down on cheap smart cameras.
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ASD warned cloud accreditation U-turn jeopardises security, adoption

By Justin Hendry on Mar 5, 2020 6:40AM

Service providers, IT industry body concerned by deregulation.

The abolition of the Australian Signals Directorate’s centralised cloud services certification program (CSCP) has surfaced very real concerns over the future security of government data and the impact on public sector cloud adoption rates.
The policy U-turn was revealed on Monday after an independent review recommended closing the program from July and creating “new co-designed cloud security guidelines with industry”.
The ASD and Digital Transformation Agency are expecting the change to “open up the Australian cloud market” and give agencies a “greater range of secure and cost-effective cloud services”.
But the move to effectively deregulate how cloud services are accredited for government has been met with mixed reaction by cloud providers and the broader IT industry.
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Community Nurses navigating My Health Record: Q&A with Experts



When: Wednesday, April 1, 2020
Time: 2:00 PM - 3:00 PM AEDT
Where: Online - join via your computer!
Your Hosts: Australian Digital Health Agency and the Australian College of Nursing
About the webinar ADHA Propaganda
Close to two billion documents have been uploaded to the national My Health Record system, with more than 100 million uploaded in December alone. With increasing clinical content healthcare providers may have access to more current and up to date information about their patients.
Come and join us for a panel discussion attended by representatives from the Australian College of Nursing, Australian Digital Health Agency and Nurses who have incorporated My Health Record into their daily workflow. There will be opportunity to ask question throughout the session.
This education is CPD accredited and delivered in collaboration between the Australian College of Nursing and the Australian Digital Health Agency.
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Aged care doesn’t have to be a bitter pill to swallow

The fact that Australia’s aged care system is broken cannot be disputed. The horrifying stories that continue to come to light through the Royal Commission hearings show over and over again a system that is completely overwhelmed and under-resourced. This situation will, most certainly, worsen unless we begin to undertake a radically different approach to aged care.
In the wake of the Royal Commission’s interim report, the Federal Government announced an extra half a billion dollars in funding for the sector. But this is a short term solution at best. Australia simply does not have the tax base to continue to support the funding needed to improve aged care facilities to acceptable levels. According to government figures, there are four and a half people under 65 to every person over 65, but that is expected to halve over the next decade. And, even with a surge in Government funding, the situation will worsen as the Baby Boomers continue to move into their retirement years because there simply aren’t enough people to look after them. Not to mention that most of these people will opt to stay in their own homes as long as possible which means they’ll enter aged care facilities as high-need patients.
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How to avoid falling victim to a cyber attack

By Nina Hendy
March 4, 2020 — 12.03am
The big banks are spending millions on technology to help prevent cyber criminals from hacking into your account.
Yet sophisticated cyber attacks are still growing in their scale and complexity at an alarming rate.
Financial services regulator APRA has adopted an "assumed breach mentality", meaning it believes that information security defences will, at some point, be compromised by a cyber attack.
Financial services regulator the Australian Prudential Regulation Authority says the banks reported 77 data breaches in just six months since new regulations enforcing disclosures began last July.
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ANZ tries to defuse screen scraping time bomb

By Julian Bajkowski on Mar 3, 2020 1:47PM

Proposes data access hierarchy based on sensitivity.

The ANZ Banking Group has moved to defuse escalating hostility between the big banks and angry Australian fintechs amid accusations that incumbent institutions are using the issue of customer data security to smother competition by challengers.
As debate continues to rage over whether regulators should ban the increasingly common industry practice of screen scraping to onboard customers, ANZ’s chief data officer Emma Gray has proposed a system of different data sensitivity levels combined with trusted intermediaries to act as data or ‘insight’ brokers.
The proposal from ANZ represents a compromise or ‘third option’ in the row that has played out extensively during the government’s Fintech and Regtech inquiry that has been overrun with submissions.
Breaking the impasse
To date, the debate over screen scraping – which usually involves customers handing over their bank account access details like log-in credentials to external parties to access customer data – has hinged around fintechs going against decades of customer education not to share security credentials.
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Importance of insuring your portfolio against cybercrime

James Gerrard
We all have heard stories about cybercrime. But how many of us have taken any active steps to check how secure our data is when held by the professionals we use, whether it is our dentist, lawyer, accountant or financial adviser?
With physical files a thing of the past, unfortunately, many Australian businesses have a relaxed approach to electronic data security. Dane Meah, CEO of cybersecurity firm InfoTrust, says: “Most businesses have a ‘if something happens, we’ll deal with it’ approach.’’
But the numbers suggest you should seek to cyber insure your portfolio. The Australian Cybersecurity Crime Centre receives one cybercrime report every 10 minutes from individuals and businesses. The most common types reported are identity theft, online fraud, shopping scams, online romance scams and business email compromise.
A common way hackers try to cause financial damage is by impersonating clients. Genene Wilson AFP, financial adviser with Finesse Financial Advisers, says: “I have experienced first-hand an attempted fraud. A number of years ago I received an email request from a client. I was asked to transfer a substantial sum of money offshore urgently as a deposit for a property purchase. I attempted to verify the request by calling the client, unsuccessfully. I contacted the client’s brother (also a client) inquiring about his whereabouts. It was evident from the conversation with the brother that the client was travelling interstate.
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Monday, 02 March 2020 11:42

Data breach report shows Australian businesses 'not learning from abroad'

The latest data breach report from the Office of the Australian Information Commissioner shows that Australian businesses have learnt nothing from the devastating impacts of breaches in other countries, a cyber security professional says.
Alex Woerndle, principal adviser, Cyber Security at Ecosystm, said the report was a concerning read as it continued to show Australian businesses were failing to grasp necessary data protection and data management techniques.
"It appears we have learnt nothing locally from scandals and breaches that have seen millions wiped off the value of businesses overseas," Woerndle said. "For a third of all breaches to be attributable to human error is unacceptable.
"All businesses can now understand the damage and disruption simple human error mistakes are causing or could cause if not addressed. In today's world, business requires partnership and co-operation, and leaders need to find the right allies and partners to defend innovation and overcome threats, be they competitive from rivals, internal malicious attacks, or from cyber criminals looking to extort financial gain.”
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Law enforcement gets our information 'within 24 hours'

James Eyers Senior Reporter
Mar 2, 2020 — 4.03pm
AUSTRAC chief executive Nicole Rose has defended the intelligence agency’s sense of urgency, telling a Senate hearing its analysts will refer suspicious transactions involving child exploitation to other law enforcement agencies within three to four days – and could move faster given new data analytics capability.
Ms Rose was forced to spend most of the hearing on Monday responding to questions from Labor Senator Louise Pratt, who jumped on weekend reports suggesting AUSTRAC did not have specific protocols in place to prioritise and report suspicious matters to police, and may have delayed reporting to police potential child exploitation using Westpac accounts.
“There are allegations about the level of urgency that you have treated those issues,” Senator Pratt said. But Ms Rose labelled any suggestions AUSTRAC had damaged any child sex abuse investigations as “appalling and abhorrent”, and said all information it gathered from banks and other reporting entities is available to 5000 registered users of its database within one day.
“Our information is available to law enforcement within 24 hours – there is no delay for law enforcement around this country to get access to all of our information,” she said.
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Advertising technology inquiry 'could end suspicion’

Mar 2, 2020 — 12.00am
The chief executives of two of Australia's largest advertising and marketing groups say they have  nothing to hide, welcoming the competition regulator's scrutiny of  media agencies that control billions of dollars of advertising spending in the industry.
The Australian Competition and Consumer Commission's inquiry will assess if the advertising technology (AdTech) supply chain in Australia is operating competitively; work out where digital ad dollars are going; who is taking a cut  and why; and gain more understanding about the relationship dynamics between advertisers, ad agencies and digital platforms such as Facebook and Google.
"We just need to understand what is going on in this market," ACCC chairman Rod Sims said. "And whether this market is working in the interests of publishers and advertisers."
"Firstly, have the publishers and the advertisers got enough information to make informed choices; secondly, where is the money going, how much is going to the advertiser or publishers versus going to people who sit in the middle and take out chunks on the way, and that's just not known; and thirdly, how much competition is there in this market."
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Credit cards, addresses and phone numbers vulnerable: More than one million energy customers’ privacy at risk

By Adele Ferguson and Chris Gillett
March 1, 2020 — 11.58pm
One of Australia’s biggest energy companies has put the privacy of its 1.1 million retail gas and electricity customers at risk due to “reckless” cyber security and data protection systems.
A joint investigation by The Age, Sydney Morning Herald and ABC’s 7.30 reveals that Chinese-owned Alinta Energy may be breaching Australian privacy laws by failing to protect its customers’ personal information.
Through its retail operations, Alinta collects names, addresses, birth dates, mobile numbers, Medicare and passport numbers, credit card details and in some cases individual health information.
A series of internal documents, confidential reports and emails leaked by a whistleblower show that almost three years after then-treasurer Scott Morrison approved the sale of Alinta to Chow Tai Fook on advice from the Foreign Investment Review Board (FIRB), the company’s privacy systems remain inadequate.
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Friday, 28 February 2020 11:48

ACCC chief raises competition concerns over large digital platform expansions

Competition authorities around the world must work together to meet significant and evolving challenges in global markets - including with the expansion of large digital platforms - and should consider whether traditional approaches to assessing mergers remained fit for purpose, according to Australia’s competition regulator, the ACCC.
Australian Competition and Consumer Commission Chair Rod Sims says the meteoric expansion of large digital platforms, much driven by acquisitions, was one of many challenges confronting global competition authorities.
Speaking at a dinner in Melbourne for the International Competition Network’s merger workshop, Sims said, “Recently, competition authorities around the world have been heavily challenged on whether our merger laws, and our application of those laws, is adequately achieving its goals”
“Some argue that high levels of concentration, and the resulting excessive profits, are responsible for reduced investment and innovation, growing inequality and, according to some, an undermining of democracy,” Sims said.
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CCTV footage is being used to study suicide, raising ethical concerns

By technology reporter Ariel Bogle
1st March, 2020
CCTV camera footage could be used for health research, raising difficult ethical questions.
We shed data as we walk through parks and pause on street corners — data that, at first glance, seems to have little to do with our health.
Smartphones communicate with cell towers, every tap on and off the bus is recorded, and our movements are captured by networks of CCTV cameras.
This tangle of information may offer scientists new insights into our wellbeing and state of mind, but are we comfortable being looked at so closely?
Some sites are necessarily more watched than others.
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Comments more than welcome!
David.

Monday, March 09, 2020

Weekly Australian Health IT Links – 9 March, 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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It is really being a very quiet new period – overwhelmed by COVID-19 I guess?
Just a few fun things to browse.
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2 March 2020

Digital therapy may be effective for ADHD

Posted by Dr Linda Calabresi
It seems like the perfect solution doesn’t it? An effective therapy for children with ADHD that doesn’t involve drugs.
Well, according to a randomised controlled trial just published The Lancet, US researchers may have made an important step towards finding just that.
The study, involving almost 350 children (eight to 12-year-olds) with formally diagnosed ADHD, found that a specific novel digital therapeutic (otherwise known as AKL-T01, a specially developed computer game) significantly increased attentional functioning.
“These findings have implications for clinical practice, as AKL-T01 is a safe and easy-to-access intervention that could address various intervention needs for paediatric patients with ADHD and without comorbid condition,” the study author said.
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Coronavirus: Health ministers back push to fund GP telehealth option

There is an obvious benefit to keeping people out of clinics, says Queensland Health Minister Steven Miles
2nd March 2020
Patients with suspected coronavirus could soon be able to access Medicare rebates for video consultations with a GP, after the proposal won the backing of health ministers.
The RACGP has been calling for an emergency infectious disease items to be added to the MBS, arguing the government’s coronavirus response is relying on GPs offering telehealth for free with no subsidies.
Most state health departments are advising patients with suspected COVID-19 to call their GP clinic for screening, rather than walking in off the street into a hospital ED.
The idea has been to minimise the risk of contagion but some GPs have complained the result has been a huge build-up in unpaid work dealing with the calls.
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Consultation open on digital mental health standards

Monday, 02 March, 2020
The Australian Commission on Safety and Quality in Health Care (ACSQHC) is developing National Safety and Quality Digital Mental Health (NSQDMH) Standards on behalf of the Australian Government Department of Health, collaborating with consumers, carers, clinicians, service providers and technical experts to address key safety and quality risks for those using digital mental health services.
Digital mental health services include mental health, suicide prevention or alcohol and other drugs services that use technology to facilitate engagement and the delivery of care. This includes information, digital counselling, treatment and peer-to-peer support services delivered via telephone, videoconference, websites, SMS, web chat and mobile applications.
The NSQDMH Standards will be a step towards providing safety and quality assurance for digital mental health service users and best practice guidance for service providers and developers.
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Govpass: The DTA's answer to Australia's digital ID problem

By Justin Hendry on Mar 4, 2020 6:50AM

Benchmark Awards 2020 finalist.

When former Communication Minister and later Prime Minister Malcolm Turnbull established the Digital Transformation Agency’s upstart predecessor five years ago, solving Australia's digital identity problem was front and centre.
“One of the Digital Transformation Office’s first tasks will be to ensure people no longer have to complete separate log on processes for each government service,” he said in January 2015.
“Instead, people should have a ‘digital identity’, which they can use to log in to each of their services across the government.”
A year earlier, the government’s landmark financial system inquiry led by David Murray had declared Australia’s identity environment fragmented and uncoordinated.
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Thursday, 05 March 2020 14:16

Health Transformation Lab opens in Melbourne

Cisco and RMIT University have launched the Health Transformation Lab, a place for health leaders to bring their most complex and difficult challenges and consider how technology can support health initiatives.
Projects already underway include a brooch that can detect loneliness, a ‘tunechair’ that can activate memory and reduce agitation in dementia patients and health drones that have the potential to improve patient rehabilitation outcomes.
RMIT’s Health Transformation Lab is a great example of academia and industry coming together to find solutions to real social and economic challenges,” said RMIT vice chancellor and president Martin Bean.
“As a global university of technology, design and enterprise, we are excited to be working with industry leaders like Cisco and passionate health professionals to deliver life-changing innovation.”
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Govt clears the way for US CLOUD Act data swap deal

By Justin Hendry on Mar 5, 2020 2:24PM

Introduces bill to formalise future bilateral agreement.

The federal government has introduced legislation to underpin a future bilateral agreement with the United States under its Clarifying Lawful Overseas Use of Data Act (the CLOUD Act).
The Telecommunications Legislation Amendment (International Production Orders) Bill was introduced by Minister for Population, Cities and Urban Infrastructure Alan Tudge on Thursday.
The bill will establish a new framework under the Telecommunications (Interception and Access) Act to allow for “reciprocal cross-border access to communications data” for law enforcement purposes.
It will allow law enforcement and national security agencies to access data directly from communications providers, granted international agreements are in place.
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How coronavirus has sparked another viral health threat

4th March 2020
At the time of writing, COVID-19 hasn’t yet been declared a pandemic by the WHO.
But the agency has been quicker to cast judgement on a different virus: the mass spread of news — some fake, some not — about coronavirus.
It has been called the 'infodemic'.
It defines this as “an overabundance of information ... that makes it hard for people to find trustworthy sources and reliable guidance when they need it”.
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ACIITC joins Digital Health CRC, the Aged Care Guild, and Aged & Community Services Australia in collaborative partnership


Today at the National ITAC Conference in Brisbane, Dr George Margelis (Independent Chair of the Aged Care Industry Information Technology Council, ACIITC – pictured right) and Dr Victor Pantano (CEO of the Digital Health Co-operative Research Centre – pictured left) announced that ACIITC would join a leading collaborative partnership that is working to resolve many of the Aged and Community Care sector’s most critical issues through the greater leveraging of digital technologies and innovation.

ACIITC will join the Digital Health CRC, the Aged Care Guild, and Aged & Community Services Australia in the partnership.

Read ACIITC's media statement by clicking here.
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Sunday, 01 March 2020 06:05

Data breaches on the rise, phishing still a major factor

Five hundred and thirty-seven data breaches were reported to the Office of the Australian Information Commissioner during the six months from July to December 2019, an increase of 19% over the previous six-month period, with malicious or criminal attacks - including cyber incidents - accounting for nearly two-thirds (64%) of the total.
This included phishing incidents which made up roughly 15% of the total. The OAIC defines phishing as, "An attack in which the target is contacted by email or text message by someone posing as a legitimate institution to lure individuals into providing personal information, sensitive information or passwords".
The OAIC said in a report issued on Friday that health service providers were again the leading industry sector reporting data breaches, accounting for 22% of the 537 reports. This does not include breaches reported under the My Health Records Act.
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Defence plays down report of likely recruitment database breach

The Australian Department of Defence has played down a report by the ABC claiming that private details of defence force members could have been compromised in a breach of what it described as "a highly sensitive military database".
A Defence spokesperson told iTWire, in response to a query, that due to a potential security concern, "some elements of the Defence Force Recruiting Network were proactively taken offline on 2 February. Normal operation resumed on 12 February".
The ABC report said the database contained the details of "tens of thousands of ADF members" and it was "taken offline and quarantined from other military networks in February, while IT specialists worked to contain an apparent security breach".
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Friday, 28 February 2020 11:22

ACMA steps up fight on mobile number fraud

New standard to make new rules mandating stronger identity verification processes before mobile numbers can be ported are being introduced in Australia as the Australian Communications and Media Authority (ACMA) steps up its fight against mobile number fraud.
The new Mobile Number Pre-porting Additional Identify Verification) Industry Standard 2020 requires telcos to add an additional identity verification when transferring customers’ phone numbers from one telco to another.
Mobile number fraud is a form of identity theft where scammers steal a person’s personal details to gain control of their mobile phone number.
ACMA Authority member Fiona Cameron said mobile number fraud is a serious issue that can cause significant harm to victims.
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Telstra's use of cell on wheels trailers threatened

By Ry Crozier on Mar 3, 2020 1:58PM

By proposed rule changes.

Telstra is concerned it could be unintentionally barred from deploying its cell on wheels (CoW) portable mobile base stations under new legislative instruments currently being proposed.
Law changes passed last year made it is easier for telcos to deploy certain types of temporary telecommunications infrastructure in “emergencies, peak holiday periods, and [at] major sporting, cultural and other events”.
But there's a glitch, the carrier reckons, and it stems from what is interpreted as “low impact” and therefore not subject to local planning laws or otherwise required to seek extra permissions (think councils) in order to operate.
With telco laws being essentially a federal affair, the former Department of Communications published exposure drafts of a new low-impact facilities determination (LIFD) at the end of last year.
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Vitalcare releases IP nurse call platform

Monday, 02 March, 2020
Vitalcare has released Felix — an IP nurse call platform that enables fast communication, improved workflows and staff efficiencies, enhanced patient care and safety, and simplified implementation in hospitals and aged-care facilities.
Supporting wired and wireless technologies, as well as hybrid platforms and devices, the platform features voice assistant, RTLS, open API, and high levels of remote configuration and enterprise reporting via secure cloud connectivity.
Vitalcare CEO Logan Ross said, “Vitalcare’s nurse call platform uses technology to deliver the right care, to the right person, at the right time, allowing healthcare providers to deliver patient-centric, coordinated care 24 hours, seven days a week.”
The platform provides flexibility and can scale from a single device into an unlimited number of call points and pendants, supporting both wired and wireless connection in a single location or cloud connection across multiple sites nationally and internationally. As a result, it is a fully customisable and purpose-built nurse call solution to meet the needs of healthcare providers and facilities.
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4 March 2020

PenCS partners with Healthily to deliver new patient engagement tool

Sponsored
Healthily and Pen CS have partnered to create GoShare Plus – a  new patient engagement tool to support quality improvement activities and preventative health campaigns.
 SMS reminder technology brings together Pen CS’ Clinical Audit Tool’s (CAT4) health analytics capability and GoShare Healthcare’s extensive content library and unique ‘content bundle’ delivery method to enable GP Practices to send credible and engaging health information to patients based on selected criteria.
Through GoShare Plus, Practice staff create a list of patients using CAT4 (based on local or national health promotion priorities). A content bundle relevant to the health topic is matched to the list of patients and sent via SMS.
Commenting on the launch of GoShare Plus, Healthily’s Managing Director Dr Tina Campbell said,
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Medibank pilots Salesforce's customer data platform

By Ry Crozier on Mar 5, 2020 6:37AM

Health insurer presses on with personalisation efforts.

Medibank is piloting Salesforce’s customer data platform technology as part of a broader transformation of the way it interacts with members.
The private health insurer has used Salesforce technology for the past decade, though usage had “accelerated” in recent years as the company adopted Salesforce’s Marketing Cloud to make member experiences more personalised.
“I think the biggest challenge we have today is how we maintain relevance to our members in a really highly competitive environment, while focusing on their health needs,” automation and audience manager Jonathan Goh told Salesforce’s Australian World Tour conference.
“From this, a few key themes emerge. How do we maintain strong product differentiation across our brands, Medibank and ahm?
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Thursday, 05 March 2020 10:40

ACCC drops court appeal against TPG-Vodafone merger on legal grounds

The Australian Competition and Consumer Commission (ACCC) has decided not to appeal a Federal Court decision that the proposed merger between TPG Telecom and Vodafone Hutchison Australia would not substantially lessen competition.
The competition watchdog said on Thursday it had concluded that it does not have grounds for appeal, which would require the ACCC to establish an error of law by the judge, but expressed it’s disappointment on having to abandon its appeal.
“The ACCC remains disappointed by this outcome, which has closed the door on what we consider was a once in a generation chance for increased competition in the highly concentrated mobile telecommunications market,” ACCC Chair Rod Sims said.
“The future state of competition without a merger is uncertain. But we know that competition is lost when incumbents acquire innovative new competitors.”
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NBN Co wants to set own prices for new home developments

By Ry Crozier on Mar 5, 2020 6:40AM

As rivals keep eating its lunch.

NBN Co has launched a bid to set its own prices to deploy telecommunications infrastructure to new housing developments, a reaction to it being increasingly undercut by rival operators.
The government is currently reviewing its Telecommunications in New Developments or TIND policy for the first time in five years.
Under the TIND policy, property developers can choose a company to provide telecommunications infrastructure to their development, or simply go with the provider of last resort (POLR), which is NBN Co for developments 100 lots or more, and Telstra for less than that.
NBN Co, however, is facing increased competition in the space, to the point it is now finding it difficult to win over developers.
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NBN Co starts connecting up Australian airports

By Ry Crozier on Mar 4, 2020 12:45PM

Reveals more about complex premises that won’t be ready by June.

NBN Co is now deploying infrastructure to three airports - Canberra, Melbourne and Sydney - and negotiating site access to a fourth in Brisbane as part of its work connecting up more complex premises to the network.
Executives told a senate estimates hearing on Tuesday night that domestic and international airports were among 100,000 premises where the build was so complex that works would continue after the completion of the “volume rollout” in mid-2020.
“We’re working on very complex premises at the moment,” chief network deployment officer Kathrine Dyer said.
“For example we’re constructing [the network] to Canberra Airport, Melbourne Airport and Sydney Airport. 
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NBN Co outlines its fear of cheap broadband

By Ry Crozier on Mar 4, 2020 6:50AM

Worries too many users will 'drift down' to cut-price offer.

NBN Co is continuing to resist pressure to introduce a cheaper entry-level broadband product over fears of the number of users that would wind up using it, eating into long-term revenue and cash flow.
It’s the first time that NBN Co executives have publicly spelled out why they continue to oppose the introduction of more specific affordable, entry-level internet services than those already in-market.
The company has been under pressure to find a way to serve “price-sensitive” households and to improve the affordability of services on its network.
The government defines affordable internet as a basic 12/1Mbps service with unlimited data for $60 a month retail. Others have proposed specific products for low-income households for half that price.
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NBN rival OptiComm says network a long way from realisation

OptiComm is looking to go toe to toe with the National Broadband Network, with the fibre-optic network operator’s CEO, Paul Cross, saying the full potential of the $51bn network is nowhere close to realisation.
While the rollout of the NBN is slated to be completed by June, Mr Cross told The Australian the milestone did not paint the full picture, given that the large portion of homes ready to connect to the network were on copper-based access technologies such as fibre to the node (FTTN) and fibre to the curb (FTTC).
“The NBN rollout is just getting started and, out of the 12 million or so ready to connect premises, only 3.5 million are on full fibre and more than 4 million on FTTN.”
NBN Co’s use of FTTN access technology has come under the microscope this month, with Telstra announcing it will stop selling high-speed 100 megabits per second NBN plans over FTTN and FTTC.
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NBN Co to bring enterprise services into "selected" data centres

By Ry Crozier on Mar 3, 2020 6:49AM

Plots trial.

NBN Co has revealed plans to roll fibre into the comms rooms of “selected” third party-owned data centres, making it a new connectivity option for enterprise tenants with IT infrastructure hosted in the facility.
The company said a trial of Enterprise Ethernet services delivered in data centres could start as early as May and run through to the second quarter of next year.
NBN Co has offered little information publicly on the nature of the trial, saying only that it wants to deliver “high bandwidth Enterprise Ethernet services in relation to selected third party data centre locations”.
The trial locations are yet to be announced.
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NBN Co to raise fixed wireless resilience after fiery summer

By Ry Crozier on Mar 2, 2020 12:55PM

Explores wider exclusion zones, solar backup power, underground transit.

NBN Co is examining whether to widen environmental exclusion zones and add solar backup options for fixed wireless towers after a particularly devastating bushfire season.
The network builder told a parliamentary committee that it had reviewed its response to the recent bushfire crisis, which will see extra resilience measures for some of its network assets.
Chief network deployment officer Kathrine Dyer said environmental exclusion zones for fixed wireless towers could be widened to provide a greater barrier against damage.
“Around fixed wireless towers, if there’s a lot of foliage around that hadn’t been cleared, [we’re] looking at a further network area where we could make those towers more safe,” she said.
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Enjoy!
David.

Sunday, March 08, 2020

Teleconsultation Makes Sense In The Era Of COVID-19 I Have To Say. What Is The Delay Regarding An Item Number For GPs?

This item appeared very late last week:

Telehealth demand to grow as coronavirus spreads

By Bridget Fitzgerald on PM
Download 1.38 MB
With every new case of coronavirus, the need to quarantine and contain patients becomes a top priority.
As does the need to try and prevent those infected from spreading the virus.
Health experts say the need for telehealth and digital health options will become greater as the outbreak spreads.
Duration: 3min 1sec
Broadcast:
More Information
Featured:
Dr Simon Torvaldsen, Perth GP
Dr Ali Fardinpour, founder, Wise Realities
Associate Professor Belinda Lange, Flinders University
Here is the link:
As late as Thursday last week it was unclear if it was happening.

States to receive $1 billion in coronavirus funding

But uncertainty remains over GP access to more masks and new telehealth item numbers.
While welcoming the Federal Government’s new agreement with the states to fund 50% of every coronavirus-related healthcare item inside and outside of hospitals, RACGP President Dr Harry Nespolon said it is past time for GPs to become a central part of the overall response to coronavirus.

The Government is reportedly still considering a temporary coronavirus telehealth item number for primary care, but Dr Nespolon has called for its immediate introduction.

‘The critical need for a Medicare rebate for telehealth consultations is one of our top priorities,’ he said.

‘This is essential to support safe and appropriate care for patients with suspected COVID-19 [coronavirus], patients at the practice, and GPs providing care. Without it, general practice simply won’t have the support required to deliver these critical services.

‘Central hotline numbers are all well and good, but many, if not most, patients will still pick up the phone and call their local GP in the first instance. What we need is a model that means GPs can help a whole lot more patients, and that will help to protect patients, GPs and other staff at practices, and allow for home quarantining.’
Lots more here:
I have to say I agree and it is hard to understand why the Morrison Government is not way out in front with all this.
After the issues they had with the bushfire response one wonders what the hold up is?
(Note that as of an hour before posting there did not seem to be any movement. There may have been by the time you read this!)
David.

In late breaking news we have:

| 12.30pm 

Telehealth services set for delivery

Greg Hunt has revealed that telehealth services, allowing for remote sessions between patients and GPs, are currently being “designed” and will be delivered by the end of the week.
Mr Hunt refused to comment on whether the government was looking at increasing Newstart in the event casual workers are forced to self-isolate if diagnosed with COVID-19 but did say industrial relations minister Christian Porter will convene a national roundtable on Tuesday in Sydney featuring “employers, employees, unions and government” to discuss “all the things that are necessary and appropriate to keep our workforce going.”
Mr Hunt also refused to condemn Victorian health minister Jenny Mikakos for making comments that implied Victorian Dr Chris Higgins, father of singer Missy Higgins, was irresponsible for treating patients while exhibiting minor coronavirus symptoms, and later being diagnosed with the disease.
“I’m not criticising anybody...My view, my approach is for us to come together and to remind people that over the coming weeks and months, we will all be connected in some way, shape or form to people who contract the virus,” he said.

And
 
| 3.40pm 

Telehealth set up soonest

AMA president Dr Tony Bartone has said that telehealth conferencing for GPs and potential coronavirus victims will be as ready “as soon as possible” and called for the government to commit to an enhanced public information campaign.
“The decision is being fine-tuned at the moment in terms of the details and underlying logistics, but this (telehealth conferencing ) is clearly a very, very clever way, an innovative way of utilising the scarce resources, of utilising the available network of the medical profession and also to minimise the movement of patients.”
Dr Bartone also implied that the government should subsidise the service when questioned about the issue by a journalist.
“I think it is extremely important to assist with the timely and indeed the effective management of a population that is clearly worried, clearly anxious,” he said.
“But it needs to be a part of many other measures, including a much, much more robust and upscaled information campaign to the community about the importance of washing hands, about the importance of appropriate coughing and what to do if you have symptoms.”

From this link:


D.

AusHealthIT Poll Number 517 – Results – 8th March, 2020.

Here are the results of the poll.

Overall, Do You Believe The Potential Of Digital Health For Good Is Actually Being Delivered So Far, Or Do We Have A Way To Go?

Yes - Digital Health Is Delivering 29% (39)

No - We Have A Way To Go 71% (95)

I Have No Idea 0% (0)

Total votes: 134

Pretty clear vote – we still seem to have some work to do, but some see some progress!

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

A great turnout of votes.

It must also have been a very easy question as only 0/134 readers were not sure how to respond.

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

David.