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."

Monday, May 17, 2021

Weekly Australian Health IT Links – 17 May, 2021.

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

-----

Amazing revelation this week that data in the #myHR has a high rubbish quotient. Who knew?

Another week of leaks and ransoms all over and the usual quantum of rubbish ADHA stats!

Oh and there was a Budget when Scotty from Marketing – not knowing any better – decided to spend some of our-hard- earned of a major tech looser the #myHR

-----

https://wildhealth.net.au/more-than-20-of-mhr-shared-health-summary-data-is-likely-garbage/

13 May 2021

More than 20% of MHR shared health summary data is likely garbage

ADHA ADHA DoH Insights MHR

By Jeremy Knibbs

A Department of Health audit of GP uploaded shared health summaries reveals that the state of  My Health Record data integrity may be a lot worse than people think

Earlier this month the Department of Health (DoH) took its new data matching powers out for its first test drive in the form of an audit of all GP practices which upload shared health summaries to the My Health Record (MHR) as part of the ePIP, and what it found wasn’t pretty.

1106 practices which were paid ePiP last quarter ended up being denied the payment this quarter after DoH data matched records with the Australian Digital Health Agency (ADHA) and found that these practices had “not met the shared health summary upload requirements for a payment quarter under the Practice Incentives Program eHealth Incentive (ePIP)”. Overall, about 5300 practices are uploading summaries.

The good news is that the department has provided quite a bit of information for those practices which have missed out this quarter on what to do to make sure they get in line for next quarter, so the problem is likely to go away over time for those practices affected. If you’re interested in that detail you can start HERE.

-----

https://www.zdnet.com/article/adha-claims-over-200000-more-my-health-records-in-a-year/#ftag=RSSbaffb68

ADHA claims addition of over 200,000 My Health Records in a year

While a large percentage of eligible individuals aged over 80 have a My Health Record, so do 91% of those in their 20s.

By Asha Barbaschow | May 10, 2021 -- 05:58 GMT (15:58 AEST) | Topic: Innovation

The number of Australians with a My Health Record has grown by about 200,000 in the last 12 months, with the number of accounts reaching 22.91 million as of February this year.

Of those nearly-23 million, the age bracket with the most take up is comprised of those aged over 80, with 99% of those eligible possessing an online medical file.

Revealed in a response to questions on notice from the latest round of Senate Estimates, the Australian Digital Health Agency (ADHA) disclosed the age bracket with the second highest percentage of uptake was those aged 20-29, with 91% of Medicare-eligible individuals in this bracket possessing a My Health Record.

90% of Medicare-eligible individuals aged 70-79 have a My Health Record, and so do 88% of those aged 10-19 and 30-39, respectively. Those in other age groups with a My Health Record represent 85% to 87% of all eligible individuals in each of the brackets. 

-----

https://www.ausdoc.com.au/news/doctors-told-patients-may-have-had-10-times-intended-drug-dose

Doctors told patients may have had 10 times intended drug dose

SA Health CEO Chris McGowan says a review is underway into a software glitch that added an extra digit on hospital scripts

10th May 2021

By Carmel Sparke

Doctors at several large public hospitals have been warned that their patients may have received 10 times their medication dose in error after a software upgrade caused a “serious” computer glitch.

An urgent memo was sent to clinicians at at least three SA hospitals on Wednesday night, warning them of problems with the Sunrise electronic medical records system, according to a statement from the Nursing and Midwifery Federation. 

The “serious” issues added an extra digit to prescription orders, and had the potential to impact patient safety, the federation said.

The memo was sent to staff at hospitals including the Royal Adelaide Hospital, Queen Elizabeth Hospital and the Noarlunga Hospital.

“This issue can result in the last digit of the medication dose being duplicated prior to order submission, for example, 10mg may display as 100mg, 15mg may display as 155mg,” the memo said. 

-----

https://www.itwire.com/telecoms-and-nbn/acma-telehealth-and-video-conferencing-surge-during-covid-19.html

Monday, 10 May 2021 20:12

ACMA: Telehealth and video conferencing surge during COVID-19

By Alex Zaharov-Reutt

Since COVID-19 restrictions were introduced in March last year, more online Australians have increased their use of telehealth consultations and video conferencing/calling.

The data has been published in the ACMA's latest interactive report, “Communications and media in Australia: How we use the internet”, with the direct link to the interactive report here

It shows the ways Australians are using the internet, including devices we use to connect, how often we go online, and the activities and services we engage with.

The report reveals 99% of Australians were online in 2020, up from 90% in 2019. The biggest increase was by those aged 55 and over.

-----

https://www.afr.com/companies/financial-services/tyro-buys-medipass-health-payment-app-from-nab-ventures-20210510-p57qkk

Tyro buys Medipass health payment app from NAB Ventures

James Eyers Senior Reporter

May 10, 2021 – 5.19pm

Tyro will acquire Medipass Solutions from NAB Ventures and its other shareholders for $22.5 million, in a deal that points to Tyro’s ambition to expand in the $120 billion national health market.

Medipass has built a cardless, terminal-less, digital health payments platform that connects health providers, patients and insurers with the claims and payment processes. It is used by around 4400 healthcare providers.

It will now be integrated with the Tyro terminals medical professionals use to take card payments. Around 9300 merchants use Tyro and the health vertical makes up 25 per cent of its total transactions, and 11 per cent of Tyro’s transaction value, or $1.3 billion in the first half of the 2021 financial year.

Tyro shares jumped 6.1 per cent on Monday to $3.63 after the deal was announced and Tyro said it would issue 2.4 million new shares to partly fund the deal. Consideration will be paid 60 per cent in cash and 40 per cent in Tyro shares.

-----

Software Developer Community Announcement

eSignature v1.1

The Australian Digital Health Agency has released version 1.1 of the eSignature end product.

This release of the eSignature end product includes summary guidance to the requirements for electronic signatures on low risk clinical communications including referrals and requests for Medicare-funded services.

For a more detailed description of the changes, please refer to the Release Note.

Who does this affect?

  • Developers and implementers of clinical information systems
  • Developers and implementers of secure messaging systems

More Information

eSignature v1.1 is available for download from the Developer Centre:

-----

https://wildhealth.net.au/doh-test-drives-new-data-matching-powers/

13 May 2021

DoH test drives new data matching powers

Analytics Big Data DoH Payment

By Jeremy Knibbs

If your accountant is constantly warning you about the ATO and its ever widening powers of data matching, then if you’re a healthcare provider, you’ve now got a similar set of problems

Big Brother has officially arrived in healthcare in the form of genuine data matching powers across departments to reveal inconsistencies in healthcare provider management, claiming and funding.

The legislation to clear the way for such the Department of Health (DoH) to conduct such sophisticated and automated prying was passed nearly two years ago, with not a great deal of fuss, at that time.

The first use of the powers however were only made apparent earlier this month when the DoH decided to analyse healthcare summary upload data submitted directly by GP practices to the Australian Digital Health Agency (ADHA) against criteria for a compliant upload, and more than 20% of practices failed the criteria.

As a result 20% of GP practices were denied their ePIP payment for last quarter. Back of envelope calculations suggests that amounts to more than $6.5m in payments to just over 1,000 GP practices.

-----

https://grabjobs.co/australia/job/full-time/healthcare-careworkers/aps6-clinical-safety-lead-sydney-brisbane-canberra-2844067

APS6 Clinical Safety Lead - Sydney / Brisbane / Canberra

Randstad - Healthcare

Job Type :  Full Time

Job Description

CLINICAL SAFETY LEAD - Australian Digital Health Agency - Sydney/Brisbane/Canberra

Australian Digital Health Agency (ADHA) is responsible for national digital health services and systems, with a focus on engagement, innovation, clinical quality, and safety. Their focus is on putting data and technology safely to work for patients, consumers, and the healthcare professionals who look after them.

ABOUT THE ROLE:

This role is responsible for managing the clinical safety of Agency products such as My Health Record and specifications such as Electronic Prescribing.

The Clinical Safety Lead works collaboratively with a broad range of stakeholders and assists with identifying and managing clinical hazards and risks inherent to digital health products and services. Duties include:

  • Contributing to the design and development of Agency products
  • Conducting systems safety analysis through design, development, testing, implementation, and changes throughout the product lifecycle
  • Addressing clinical risks & providing clinical safety advice on issues impacting National digital infrastructure
  • Contributing to ongoing reviews of the clinical safety management approach
  • Educating & managing stakeholders to support awareness of clinical governance principles in order to achieve clinical safety management
  • Producing high-quality clinical safety reports

 

-----

https://www.itwire.com/business-it-news/data/black-dog-institute-and-sas-optimising-mental-health-hub-for-frontline-workers.html

Tuesday, 11 May 2021 11:20

Black Dog Institute and SAS optimising mental health hub for frontline workers

By David M Williams

The Black Dog Institute's mental health platform tailored to frontline healthcare workers - TEN - was built with the analytical power of SAS and has reached 33,000 Australian healthcare professionals. However, its continued funding now rests on the result of the 2021-22 federal budget.

COVID-19 has hit everyone hard, and frontline healthcare workers are no exception, with relentless demands and pressures affecting their mental wellbeing in their professional and personal life. As part of its $74 million package to support the mental and health and wellbeing of all Australians, the Commonwealth Department of Health funded the Black Dog Institute to develop an online support platform tailored to these workers. This was released as The Essential Network, or TEN.

TEN providers tools and resources to frontline healthcare workers helping them cope with, and manage, stress, burnout, anxiety, depression, and other mental health conditions. TEN was launched in two weeks, in its first iteration, and has since reached 33,000 healthcare professionals Australia-wide.

-----

https://www.healthcareit.com.au/article/intelicare-secures-investors-a25m-commitment-scale-commercialisation

Intelicare secures investors' A$2.5M commitment to scale commercialisation

Thiru Gunasegaran | 10 May 2021

Intelicare, an Australian technology company serving the aged care sector, has received binding commitments to raise A$2.5 million from both new and existing investors.

The amount will be raised through a two-tranche placement. On the first tranche, it will place 9.6 million new shares at A$0.26 apiece and on the second, it will offer a free attaching option, which is priced at A$0.50 per share, for every two shares purchased. The latter is still subject to shareholders' approval.

WHAT THEY DO

Intelicare develops both hardware and software systems using predictive analytics for the aged care sector. Its solutions are built on a proprietary Internet of Things platform utilising smart sensors and artificial intelligence.

The company's flagship InteliLiving solution tracks an individual's daily routine through smart sensors and informs their carer of any irregular movement. Intelicare states that it can detect and prevent falls and health issues before they happen. The product's capabilities are expanded into the InteliCare Pro system which is being used in hospitals, clinics and aged

-----

https://www.ausdoc.com.au/news/gps-get-good-rap-telehealth

GPs get a good rap for telehealth

Phone consults are a ‘new standard’ of care but only when the doctor and patient already have a therapeutic relationship, shows an Australian survey

11th May 2021

By Heather Saxena

Patients are "pretty impressed" with the telehealth arrangements introduced when the pandemic started, shows an Australian survey.

The poll shows patients with complex care needs are keen to keep consulting their regular GP by phone when a physical examination is not needed, and the appointment isn't too complex.

The research of 30 patients aged 55-88 at nine Adelaide practices aimed to find out if telehealth met their healthcare needs during the early stages of the COVID-19 pandemic.

All but one patient believed their ongoing care and health checks had been managed well thanks to telehealth, found the researchers from Flinders University, SA.

One elderly woman labelled it a "new standard" of care and another patient with cancer who required investigations admitted they would have been “lost” without telehealth.

-----

https://www1.racgp.org.au/newsgp/professional/telehealth-valued-by-ndis-participants

Telehealth valued by NDIS participants

The service, which will soon become a permanent part of Australian primary care, has been welcomed by vulnerable patients.

Morgan Liotta


11 May 2021

The expansion of telehealth during COVID-19 has been embraced by GPs and patients alike.
 
And while the positive impacts are widespread across specific patient groups, it has been particularly beneficial for vulnerable populations, such as those accessing the National Disability Insurance Scheme (NDIS).
 
Despite earlier challenges faced by both participants and healthcare professionals in accessing the scheme, a recent survey of 2391 NDIS participants found 63% have been able to successfully receive supports and move their NDIS-funded allied healthcare services to videoconference or telephone.
 
The research, stemming from a collaboration between the National Disability Insurance Agency (NDIA) and the University of Melbourne, analysed participants’ and family/carers’ experiences accessing and receiving supports via telehealth video and phone consultations, as well as dealing with the NDIS during the pandemic.
------

https://www.miragenews.com/pharmacists-more-prepared-for-covid-19-vaccine-559475/

May 13, 2021 1:05 pm AEST

Pharmacists more prepared for COVID-19 vaccine roll out thanks to Australian Digital Health Agency’s support

Pharmaceutical Society of Australia

The Pharmaceutical Society of Australia (PSA) extends thanks to the Australian Digital Health Agency for their support of the recent COVID-19 Roadshow Series.

In recent weeks, the PSA has conducted workshops across Australia’s capital cities to provide pharmacists with the latest information on pharmacist-delivered COVID-19 vaccines and supporting patients with questions and addressing vaccine hesitancy.

Digital tools enabling better and safer care was a key feature of the conversation, including uploading to the Australian Immunisation Register (AIR), efficient ways for viewing vaccine histories, including through the Clinical Vaccine Integrated Platform (CVIP).

Positive feedback was also received regarding improvements to My Health Record (MHR), whilst many showed a keen interest in the best ways to access safe and appropriate care.

-----

https://www.miragenews.com/patient-immunisation-details-now-more-easily-559267/

May 13, 2021 8:18 am AEST

Patient immunisation details now more easily available to healthcare providers

Australian Digital Health Agency

Australian healthcare providers now have an improved and consolidated view of their patients’ immunisation details through My Health Record.

This is important as the world continues to face the ongoing challenges of COVID-19 and shows how the national digital health system can support the response to both this and future pandemics.

Australian Digital Health Agency Chief Clinical Adviser, Dr Steve Hambleton, said the latest update to the system makes it much easier to see patient immunisation information.

“As a GP I can quickly and easily see my patients’ immunisation details, including their COVID-19 vaccination status or their children’s National Immunisation Program status, without having to go through time-consuming logins for separate systems. This is one of the great benefits of My Health Record,” he said.

-----

https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/budget-2021-22-generational-change-and-record-investment-in-the-health-of-australians

Budget 2021–22: Generational change and record investment in the health of Australians

A joint media release outlining the Morrison Government's $121.4 billion in 2021–22 and $503 billion investment into the health of Australians over the next four years.

11 May 2021

Media type:  Media release

Audience:  General public

The Morrison Government is investing a record $121.4 billion in 2021–22 and $503 billion over the next four years, providing more support to Australians as we face some of the greatest health challenges in a generation. 

Since the beginning of the COVID-19 pandemic in March 2020, we have committed over $25 billion towards our COVID-19 health response. This includes measures in the 2021–22 Budget, including $1.1 billion to extend our COVID-19 health response to support Australians throughout the pandemic, and $1.9 billion to drive the COVID-19 vaccine rollout, to ensure everyone in Australia will have the opportunity to be vaccinated. 

In addition we are extending COVID-19 health measures by investing $204.6 million to extend telehealth arrangements until 31 December 2021, bringing total investment to date to $3.6 billion, which continues to provide access to health services for all Australians regardless of where they live. 

-----

https://www.zdnet.com/article/budget-2021-digital-mental-health-services-to-see-au110m-injection/

Budget 2021: Digital mental health services to see AU$110m injection

Australia's mental health system will receive a AU$2.3 billion investment package as part of this year's federal Budget, with a portion to go into expanding digital mental health services while another will go into extending financial support for telehealth services until the end of the year.

By Campbell Kwan | May 11, 2021 -- 11:28 GMT (21:28 AEST) | Topic: Digital Health and Wellness

The Australian government will provide AU$111.2 million over four years to expand and enhance the nation's digital mental health services to provide Australians with easier access to high quality digital mental health services.

The decision to allocate funds into expanding digital mental services was made to ensure Australians are able to quickly access appropriate care, Budget documents say. The funding is part of a larger AU$2.3 billion package dedicated specifically for expanding Australia's mental health and suicide prevention services.

"The AU$2.3 billion package in this Budget is a first step to responding to recommendations from the Productivity Commission and the National Suicide Prevention Adviser. With this commitment to Australians' mental health, the government is laying the foundations for systemic, whole-of-government reform to deliver preventative, compassionate, and effective care," the government said.

-----

https://www.afr.com/politics/federal/e-invoicing-push-includes-five-day-payment-guarantee-20210510-p57qnr

E-invoicing push includes five-day payment guarantee

Tom Burton Government editor

May 11, 2021 – 7.31pm

Federal government suppliers that provide electronic invoices will be guaranteed to be paid within five days or be paid interest.

The budget commits $15.3 million to support the Treasury and the Australian Peppol E-Invoicing Authority to accelerate e-invoicing.

They will work with the large payment platforms (EFTPOS, Visa, Mastercard and the Reserve Bank’s New Payments Platform Australia) to integrate e-invoicing into the main payment methods used by business to help businesses get paid faster.

According to budget documents, Australian businesses exchange more than 1.2 billion invoices each year. About 90 per cent of invoices still manual.

-----

https://www.zdnet.com/article/significant-ransomware-attack-forces-irelands-health-service-to-shuts-down-it-systems

'Significant' ransomware attack forces Ireland's health service to shut down IT systems

IT systems for Ireland's health service have been taken offline as a "precaution" and some outpatient appointments have been cancelled.

By Danny Palmer | May 14, 2021 -- 10:29 GMT (20:29 AEST) | Topic: Security

Ireland's health service has taken all of its IT systems offline as a precaution after what the organisation describes as a "significant" ransomware attack.

The Health Service Executive (HSE), which is responsible for healthcare and social services across all of Ireland, said it had shut down all IT systems as a "precaution" in order to protect the network from a ransomware attack.

"There is a significant ransomware attack on the HSE IT systems. We have taken the precaution of shutting down all our IT systems in order to protect them from this attack and to allow us fully assess the situation with our own security partners," HSE said on Twitter.

"We apologise for inconvenience caused to patients and to the public and will give further information as it becomes available."

-----

https://www.innovationaus.com/ransomware-and-phishing-drive-data-breach-spike/

Ransomware and phishing drive data breach spike

Joseph Brookes
Senior Reporter

13 May 2021

Phishing and ransomware attacks spiked in the last year leading to a growing number of data breaches, according to analysis of more than 29,000 security incidents.

Australian governments and businesses were among 83 organisations to contribute to Verizon’s latest Data Breach Investigations Report, now in its 14th iteration.

The latest report found 5,258 of the incidents analysed, or around 18 per cent, resulted in a confirmed data breach.

The analysis found a human element is present in almost every breach, and most involve users’ credentials. Financial services and health organisations were heavily targeted, in line with incidents reported to Australia’s mandatory notifiable data breach scheme last year.

-----

https://www.hinz.org.nz/news/565309/Health-sector-reports-highest-number-of-privacy-breaches.htm

Health sector reports highest number of privacy breaches

Wednesday, 12 May 2021  

NEWS - eHealthNews.nz editor Rebecca McBeth

Health care and social assistance is the industry reporting the highest number of serious privacy breaches since the new Privacy Act came into force.

The Office of the Privacy Commissioner (OPC) received a 97 percent increase in privacy breach notifications in the first four months of the new Act, compared to the previous six months.

OPC is marking Privacy Week (10-14 May 2021), by publishing its first stocktake of privacy breach reporting after the Privacy Act changed on 1 December 2020.

Under the new Act, organisations or businesses which experience a privacy breach that has caused, or has the potential to cause serious harm, must now report it to the Privacy Commissioner. They can do this by using OPC’s online NotifyUs reporting tool.

-----

https://www.theaustralian.com.au/news/latest-news/major-us-pipeline-struggles-to-reopen-after-ransomware-attack/news-story/b4ce2e3f7bf802c271516d8122b7d475

Major US pipeline struggles to reopen after ransomware attack

The largest fuel pipeline system in the United States remained largely shut down on Sunday, two days after a major ransomware attack was detected, its operating company said.

Colonial, based in the southern state of Georgia, is the largest pipeline operator in the United States by volume, normally transporting 2.5 million barrels of gasoline, diesel fuel, jet fuel and other refined petroleum products per day.

-----

https://www.smh.com.au/world/north-america/darkside-ransom-group-linked-to-colonial-pipeline-hack-new-but-not-amateur-20210510-p57qch.html

DarkSide, ransom group linked to Colonial Pipeline hack, new but not amateur

By Raphael Satter

May 10, 2021 — 7.17am

Washington: The ransomware group linked to the extortion attempt that has snared fuel deliveries across the US East Coast may be new, but that doesn’t mean its hackers are amateurs.

Who precisely is behind the disruptive intrusion into Colonial Pipeline hasn’t been made officially known and digital attribution can be tricky, especially early on in an investigation. A former US official and two industry sources have told Reuters that the group DarkSide is among the suspects.

Cybersecurity experts who have tracked DarkSide said it appears to be composed of veteran cybercriminals who are focused on squeezing out as much money as they can from their targets.

“They’re very new but they’re very organised,” Lior Div, the chief executive of Boston-based security firm Cybereason, said on Sunday.

-----

https://www.healthcareitnews.com/news/apac/cba-acquires-digital-healthcare-services-directory-whitecoat

CBA acquires digital healthcare services directory Whitecoat

The bank sees the acquisition as a way to enhance digital services and experiences for its customers.

By Thiru Gunasegaran

May 10, 2021 11:56 PM

The Commercial Bank of Australia has bought Whitecoat, Australia's largest digital healthcare services directory, to expand its presence in the healthcare sector.

WHY IT MATTERS

Whitecoat connects patients with more than 300,000 health service providers. They can also make payments and claims on the platform.

The acquisition supports the company's focus on healthcare as a "growth sector and a strategic priority to provide the best digital services and experiences to its customers," according to Mike Vacy-Lyle, CBA Group executive for business banking.

In addition, the commercial bank will integrate the digital payments and claims solution into practice management platforms for healthcare practitioners. This in turn will increase efficiency through streamlined back-office administration, practice management software integrations, payment reconciliations, real-time reporting, and the ability to process various claims.

-----

https://www.itwire.com/telecoms-and-nbn/nbn-co-successfully-trials-infinera-xr-optics.html

Thursday, 13 May 2021 17:52

NBN Co successfully trials Infinera XR optics

By Stephen Withers

NBN Co has completed a successful proof of concept of Infinera's XR optics point-to-multipoint coherent optical technology.

According to Infinera, the trial demonstrated XR optics' compatibility within the NBN transit network, and showed it could simplify transport network architecture while reducing capital and operating expenses.

XR optics is said to provide multiple 100Gbps of capacity divided into discrete subcarriers, allowing dynamic capacity management and optical capacity optimisation.

"The NBN transit network is our national backbone, supporting the growing data needs of Australians as they rely more on broadband for their work, education, social and entertainment needs," said NBN Co CTO Ray Owen.

-----

https://www.itwire.com/telecoms-and-nbn/nbn-co-technicians-walk-off-the-job-nation-wide-in-ongoing-protest.html

Wednesday, 12 May 2021 07:40

NBN Co technicians walk off the job nation-wide in ongoing protest

By Sam Varghese

More than 600 technicians employed by the NBN Co, the company rolling out Australia's national broadband network, will walk off the job on Wednesday as part of a national day of action.

This means that any installations or repairs scheduled for the day cannot go ahead. The workers want the Federal Government to set up a Parliamentary inquiry to look into issues which they say are plaguing the NBN Co.

The Australia-wide strike comes after action to protest about a number of issues. These include "cuts to sub-contractors' pay rates, an Uber-style job booking app causing chaos for workers and consumers, pyramid sham contracting arrangements and the NBN rollout debacle", the union representing the workers said in a statement.

In February, it was reported that the executive staff at the company were paid $78 million in bonuses for 2020, almost double the $43 million paid in 2019. Australia experienced a recession in 2020, due to the COVID-19 pandemic.

-----

https://www.itnews.com.au/news/nbn-co-whittles-govt-loan-down-to-139bn-564420

NBN Co whittles govt loan down to $13.9bn

By Ry Crozier on May 11, 2021 11:02PM

Budget 2021: Makes a second repayment.

NBN Co has paid off an additional $2.6 billion of its government loan, leaving a balance of $13.9 billion to be refinanced by mid-2024.

The company paid off its first $3 billion at the end of last year, and budget documents [pdf] show that it made a further payment this month.

“The Australian Government has provided a loan of $19.5 billion to NBN Co, on commercial terms, which was fully drawn in July 2020,” budget documents state.

“The loan was established in December 2016 and must be repaid in full by 30 June 2024. 

“$3 billion was repaid in December 2020 and a further $2.6 billion was repaid in May 2021, with an outstanding balance of $13.9 billion expected as at 30 June 2021.”

-----

https://www.smh.com.au/world/asia/china-lands-on-mars-in-latest-advance-for-its-space-program-20210515-p57s7k.html

China lands on Mars in latest advance for its space program

Updated May 15, 2021 — 11.15amfirst published at 11.02am

Beijing: China has landed a spacecraft on Mars for the first time in the latest advance for its space program.

The official Xinhua News Agency said on Saturday that the lander had touched down, citing the China National Space Administration.

The Tianwen-1 spacecraft landed on a site on the Southern Utopia Plain, an icy area, “leaving a Chinese footprint on Mars for the first time,” Xinhua said.

A rover, named Zhurong, will now survey the landing site before departing from its platform to conduct inspections.

Tianwen-1, or “Questions to Heaven”, after a Chinese poem written two millennia ago, is China’s first independent mission to Mars. A probe co-launched with Russia in 2011 failed to leave the Earth’s orbit.

-----

Enjoy!

David.

 

Sunday, May 16, 2021

It Is Not Hard To Understand Why Much Of The Clinician Entered Data In The #myHealthRecord Is Rubbish!

This interesting insight into the data in the Shared Health Summaries appeared a few days ago.

13 May 2021

More than 20% of MHR shared health summary data is likely garbage

ADHA ADHA DoH Insights MHR

By Jeremy Knibbs

A Department of Health audit of GP uploaded shared health summaries reveals that the state of  My Health Record data integrity may be a lot worse than people think

Earlier this month the Department of Health (DoH) took its new data matching powers out for its first test drive in the form of an audit of all GP practices which upload shared health summaries to the My Health Record (MHR) as part of the ePIP, and what it found wasn’t pretty.

1106 practices which were paid ePiP last quarter ended up being denied the payment this quarter after DoH data matched records with the Australian Digital Health Agency (ADHA) and found that these practices had “not met the shared health summary upload requirements for a payment quarter under the Practice Incentives Program eHealth Incentive (ePIP)”. Overall, about 5300 practices are uploading summaries.

The good news is that the department has provided quite a bit of information for those practices which have missed out this quarter on what to do to make sure they get in line for next quarter, so the problem is likely to go away over time for those practices affected. If you’re interested in that detail you can start HERE.

The bad news is that ePIP to incentivise shared health summary uploading by GP practices has been running for a few years now and this is the first time a detailed check has been made of the integrity of the data GPs have been uploading.

Depending on how the Australian Digital Health Agency (ADHA) has been treating the summaries that are not up to standard in the past, that might mean that up to 20% of all the shared health summary data in the MHR database is garbage. It could be more or less than 20% depending on the profile – primarily how many GPs they have – of the 1106 practices who failed to upload proper data.

Wild Health asked the ADHA to clarify what they’ve been doing with the tainted data until now and to confirm if the up to 20% of this important data set in the MHR is tainted, but their media department has not gotten back to us yet. We will update you if they do.

It seems unlikely however that the ADHA had itself identified this problem prior to the audit, as if it had it surely would have reported so much poor data to the DoH before this audit.

This likely means that for several years now at least 20% of the shared health summary data set, and perhaps a lot more, given the issues that GPs have had in getting going on the uploads, is tainted and unusable.

One question that should be on the minds of the ADHA and the DoH is that if this tainted data is still sitting inside the MHR shared health summary data set, does that represent any potential issues of patient safety?

We have put some further questions to the department asking it to detail some of the reasons GP practices had not met “the requirements”.

It doesn’t seem to be that they failed to upload the minimum number of summaries required as the system rejects a practice straight away if the required number of the summaries aren’t uploaded.

It seems like it is something the department has managed to audit within the summary data itself. It should be interesting to find out what constitutes some of the fails. Are some of the summaries dummy summaries or automated summaries which aren’t loading real or meaningful data?

We’ll get back to you if and when we find out.

Much more here:

https://wildhealth.net.au/more-than-20-of-mhr-shared-health-summary-data-is-likely-garbage/

To me the key issue is that the vast majority of GPs have no interest in the quality of the data uploaded as they have no intention of using the data for their patients and would only be uploading the minimum amount of information to get the really substantial ePIP payments.

The data the GP has an interest in maintaining and keeping current is the data they use for the management of their patients day to day and this is what they hold in their local practice management systems.

The fundamental flaw in the design of the #myHealthRecord is that it is not what lives in the systems clinicians use to manage their patients but typically an incomplete, out of date, partial copy of that information.

This disastrous and fundamental flaw ensures that most clinicians will neither use or trust the #myHealthRecord and why it is an unsafe source of information.

This flaw has existed since the original PCEHR design and has never been faced up to and addressed – possibly, I suspect, because the ADHA simply can’t face the fact that they have spent billions of dollars on a fundamentally ill designed and intrinsically unsafe system!

David.

AusHealthIT Poll Number 579 – Results – 16th May, 2021.

 Here are the results of the poll.

Do You Believe The Budget Allocation Of $301.8M For Next Year Will Provide For Much More Than Just Keeping The System Going With Small Improvements Rather Than The ADHA Intended 'Re-platforming?

Yes - This Amount Will Fully Fund Re-Development 35% (31)

No - Significant Re-Development Looks To Be Off The Table For 2021/2022 62% (55)

I Have no Idea 3% (3)

Total votes: 89

A small majority do not think the proposed re-platforming is actually funded and thus probably will not go ahead for now.  (Note: A detailed review of the Budget Papers after release now suggests the funding is approximately $430M over 2 years - i.e.a good deal less.)

Any insights on the poll are welcome, as a comment, as usual!

A really great number of votes with total clarity on the outcome!  

It must also have been an easy question as 3/89 readers were not sure how to respond.

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

David.

Saturday, May 15, 2021

Weekly Overseas Health IT Links – 15 May, 2021.

Here are a few I came across last week.

Note: Each link is followed by a title and 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.

-----

https://ehrintelligence.com/news/regenstrief-creates-teaching-ehr-system-to-boost-ehr-training

Regenstrief Creates Teaching EHR System to Boost EHR Training

The optimized EHR system gives medical students a hands-on approach to EHR training.

By Christopher Jason

May 07, 2021 - Regenstrief Institute and its partners have developed a teaching electronic medical record (tEMR) system that leverages deidentified patient data to improve EHR training and teach healthcare students how to use health IT.

With full EHR adoption almost widespread, the upcoming generation of clinicians need health IT and EHR knowledge at an earlier stage in medical education to gain health IT competence. However, EHR training is not always available.

Quality EHR training is critical to clinicians, especially those new to health IT. An effective EHR training program can mitigate the likelihood of clinician burden and boost satisfaction.

The data shows that adequate EHR training may be the key to improving EHR user satisfaction rates. The healthcare community recognizes the importance of better preparing future clinicians by teaching medical students core EHR competencies.

-----

https://ehrintelligence.com/news/understanding-ehr-adoption-use-with-medical-specialties

Understanding EHR Adoption, Use With Medical Specialties

From cardiology, neurology, and behavioral health, EHR adoption, use, and satisfaction vary between medical specialties.

By Christopher Jason

May 07, 2021 - An EHR system does not automatically optimize to each specific medical specialty. In fact, EHR adoption, usability, and satisfaction differ significantly across medical specialties.

According to the most recent Centers for Disease Control and Prevention (CDC) nationwide EHR survey, office-based cardiologists and neurologists have the highest EHR adoption rates by specialty, at 95.6 percent and 94.5 percent, respectively.

Urology (94 percent), general surgery (93.8 percent), orthopedic surgery (93.2 percent), and general/family practice (92.7 percent) have the next highest EHR adoption rates.  

On the other hand, behavioral health providers and psychiatrists have the lowest adoption rate at 61.3 percent. Dermatologists also rank low at 70.2 percent.

-----

https://www.healthcareittoday.com/2021/05/07/the-quickly-evolving-telehealth-and-rpm-solutions/

The Quickly Evolving Telehealth and RPM Solutions

May 7, 2021

John Lynn

This past year, we’ve spent a lot of time covering the telehealth and RPM markets for obvious reasons.  While it’s been fascinating to watch the money pour into the telehealth space, I’ve found it more interesting to watch how providers are acting and what they’re interested in when it comes to the telehealth and RPM solutions.

Most of you have probably seen the live video telehealth company list and the Remote Patient Monitoring company list that we created.  Hopefully you’ve found them useful as your healthcare organization has had to navigate this new world of telehealth.  What’s been interesting to watch is how each of these lists have performed on our site.

As I look over the stats for the telehealth and RPM vendor lists, the live video telehealth list saw some initial traffic, but then has largely tailed off.  The RPM vendor list has seen constant and growing traffic since the start.  Plus, we’ve had a whole bunch of new RPM vendors reach out to us to be added to the list of RPM companies.  Very few have done so on the live video telehealth side of things.

I should mention that this isn’t a scientific study and there are a lot of things that could influence the popularity of each page.  Maybe the RPM list does better on SEO than the other page.  Maybe we promoted one better than the other.  It’s possible we did a more comprehensive job on the live video telehealth list than the RPM company list.  With these disclaimers, I believe there’s something more interesting to think about when it comes to these lists’ popularity that might be helpful as healthcare organization’s work on their RPM and telehealth strategies.

-----

https://ehrintelligence.com/news/how-brigham-and-womens-hospital-is-relieving-ehr-alert-fatigue

How Brigham and Women’s Hospital is Relieving EHR Alert Fatigue

EHR alert fatigue has been running rampant throughout hospitals, but health IT leaders at Brigham and Women’s Hospital might have found a solution.

By Christopher Jason

May 06, 2021 - Picture life on the internet before pop-up blockers. An individual would log onto the internet, and unrelated or obnoxious pop-ups would fill the screen. EHR alerts are just like those web browser pop-ups, except these alerts are not only frustrating, but an excessive amount could also carry significant consequences.

“An EHR alert appears and clinicians develop a reflex to immediately close it,” David Bates, MD, chief of the Division of General Internal Medicine at Brigham and Women’s Hospital, said in an interview with EHRIntelligence.

“That happens especially when the warnings are mostly not that clinically useful. Clinicians are very motivated to get their work done and they're typically pressed for time. One of the key things about alerting is that it's critical to do so, fairly judiciously. In other words, only when there's a reasonable chance that the clinician should change what they're doing.”

-----

https://ehrintelligence.com/news/wearable-sensors-confirm-ehr-inbox-use-clinician-burnout-link

Wearable Sensors Confirm EHR Inbox Use, Clinician Burnout Link

Researchers leveraged wearable heart rate sensors to effectively link EHR inbox use to clinician burnout and high stress levels.

By Christopher Jason

May 06, 2021 - Wearable heart rate sensors proved EHR inbox work outside work hours, EHR inbox management duration, and EHR workflow switching are three critical factors that directly associate with clinician burnout and stress, according to a study published in JMIR Publications.

This study builds on the growing literature about EHR use and clinician burden.

Past EHR inbox studies primarily focused on self-reported measures to describe the impact of EHR inbox volume and burnout. In this case, researchers aimed to collect EHR use and physiologic stress data through a wearable sensor. The sensor provided objective and continuous measures, EHR inbox work patterns, clinician daily physiologic stress patterns, and the association between inbox work patterns and clinician physiologic stress.

Researchers from Kaiser Permanente equipped 42 outpatient clinicians from five separate medical facilities with wearable device heart rate sensors and the associated mobile apps for seven days. The devices tracked physiological stress throughout the workday based on heart rate variability.

-----

https://mhealthintelligence.com/news/providers-adapt-to-telehealth-to-identify-sings-of-child-abuse-and-neglect

Providers Adapt to Telehealth to Identify Signs of Child Abuse and Neglect

With the pandemic cutting out in-person care and curbing wellness checkups, healthcare providers are using telehealth platforms to try and identify - and treat - cases of child abuse and neglect.

By Eric Wicklund

May 06, 2021 - While telehealth has helped providers with care delivery during the coronavirus pandemic, it has also created challenges for those who’d always focused on in-person treatment. This includes nurses and doctors who are trained to look for evidence of child abuse or neglect.

Studies have shown that the isolation and tension brought on by COVID-19 is fueling an increase in cases of abuse and neglect, and without in-person visits those cases are harder to identify. Shifting those visits to telehealth can present challenges in spotting problems, but it also opens the door to newer and even better ways to address the issue.

-----

https://healthitsecurity.com/news/report-healthcare-iot-devices-most-impacted-by-tcp-ip-vulnerabilities

Report: Healthcare IoT, Devices Most Impacted by TCP/IP Vulnerabilities

Forescout’s ongoing TCP/IP vulnerability research shows that IoT and medical devices in healthcare face the greatest risk of exposure and attack.

By Jessica Davis

May 06, 2021 - At least 75 percent of healthcare entities are impacted by a host of TCP/IP vulnerabilities, uncovered by Forescout Research Labs within the last year. NUMBER:JACK, NAME:WRECK, and AMNESIA:33 are found in millions of healthcare IoT and other IT devices, posing a serious risk of remote code excution and hacking.

In fact, healthcare organizations are nearly five times more affected by TCP/IP vulnerabilities than any other sector with a total of 79 vulnerable types of devices and 259 vulnerable vendors.

Forescout’s Project Memoria is focused on assessing security vulnerabilities and associated threats against IT, OT, IoT, and IoMT devices, along with providing support for entities to address these risks.

-----

https://slate.com/technology/2021/05/artificial-intelligence-moonshots-usually-fail.html

Why A.I. Moonshots Miss

Ambitious predictions about the future powers of computers keep turning out to be wrong.

By Jeffrey Funk and Gary Smith

May 04, 20215:45 AM

Since the very beginning of the computer revolution, researchers have dreamed of creating computers that would rival the human brain. Our brains are information machines that use inputs to generate outputs, and so are computers. How hard could it be to build computers that work as well as our brains?

In 1954 a Georgetown-IBM team predicted that language translation programs would be perfected in three to five years. In 1965 Herbert Simon said that “machines will be capable, within twenty years, of doing any work a man can do.” In 1970 Marvin Minsky told Life magazine, “In from three to eight years we will have a machine with the general intelligence of an average human being.” Billions of dollars have been poured into efforts to build computers with artificial intelligence that equals or surpasses human intelligence. Researchers didn’t know it at first, but this was a moonshot—a wildly ambitious effort that had little chance of a quick payoff.

So far, it has failed. We still know very little about how the human brain works, but we have learned that building computers that rival human brains is not just a question of computational power and clever code.

-----

https://www.healthit.gov/buzz-blog/health-it/a-road-well-traveled-sunsetting-the-interoperability-roadmap

A Road Well Traveled – Sunsetting the Interoperability Roadmap

Steven Posnack | May 4, 2021

Over six years ago, ONC embarked with all of you on an ambitious initiative to create a shared, nationwide interoperability roadmap (the Roadmap). In typical fashion, we produced a draft, many of you shared your comments (about this time in 2015), and we released the final Roadmap in October, 2015.

At a time when consistent direction was needed, the Roadmap sparked action and sharpened dialog across a number of technology and policy dimensions. Indeed, having worked on the Roadmap, it’s hard to believe that we’re almost midway through 2021. Like many of you, I’ve got my wish-we-could-haves, but on the whole the entire health IT ecosystem has made substantial leaps forward in many areas highlighted by the Roadmap.

The Roadmap helped lay the groundwork and set the direction for policy development on information blocking, reducing provider burden, and nationwide, electronic health information exchange – to name a few. On the technical side, the Roadmap set the stage for regulatory and industry investment around the HL7® Fast Healthcare Interoperability Resources (FHIR®) standard and application programming interfaces, spoke to the need for what is now the United States Core Data for Interoperability (USCDI) standard, and laid out a vision for patients and their care teams to have greater, more convenient access to electronic health information.

-----

https://www.healthcareittoday.com/2021/05/06/amwell-releases-open-platform-for-integrating-multiple-virtual-care-applications/

Amwell Releases Open Platform for Integrating Multiple Virtual Care Applications

May 6, 2021

Anne Zieger

Telehealth vendor Amwell has released a platform allowing providers to integrate multiple types of virtual health services using a single infrastructure.

Amwell’s Converge platform is designed to integrate with existing workflows, EHRs, patient portals and consumer digital health technologies. It offers access to single sign-on technology and its APIs leverage FHIR. Its goal is to create a streamlined and regulatory–compliant exchange of information across its ecosystem.

With the Converge launch, Amwell is making several of the company’s products, programs and modules available, along with applications from other vendors, in a single place with a single code base.

Products available from outside vendors include:

  • An iteration of Google Cloud which will include real-time captioning and translation services designed to help providers deliver patient education during visits
  • Livestream-based telehealth technology from TytoCare, which includes a handheld device offering visual feedback during exams
  • Virtual second opinion services from the Cleveland Clinic
  • Support for wearable wireless remote patient monitoring devices from Biobeat, which offer continuous monitoring of 15 vital signs

In addition, Amwell is working with partners to develop apps for its own App Marketplace.

-----

https://ehrintelligence.com/news/onc-teases-retooling-of-nationwide-interoperability-roadmap

ONC Teases Retooling of Nationwide Interoperability Roadmap

ONC stuck to the interoperability roadmap for six years, but it is time to advance to the next level of health IT.

By Christopher Jason

May 05, 2021 - After six years of following the Office of the National Coordinator for Health IT (ONC) nationwide interoperability roadmap, the agency said it is now time to execute on its goals, according to a recent ONC blog post.

“At a time when consistent direction was needed, the Roadmap sparked action and sharpened dialog across a number of technology and policy dimensions,” wrote Steve Posnack, MS, deputy national coordinator for Health IT, acknowledging that the Roadmap laid a good foundation.

“Collectively, we have all made solid progress on many of the early milestones identified by the Roadmap,” Posnack added. “It’s important to recognize those successes while at the same time acknowledging that the Roadmap itself no longer drives our work. Though the Roadmap has been sunset slightly ahead of the third time band’s final date, it will continue to be accessible on HealthIT.gov for referential purposes.”

With the 21st Century Cures Act and some regulations in place, along with the 2020-2025 Federal Health IT Strategic Plan, Posnack said the future of health IT interoperability is in an area to steer away from the Roadmap.

-----

https://healthitanalytics.com/news/white-house-announces-website-to-advance-artificial-intelligence

White House Announces Website to Advance Artificial Intelligence

The new White House website will serve as a connection point to ongoing activities that will advance US leadership in artificial intelligence.

By Jessica Kent

May 05, 2021 - The White House has launched AI.gov, a website that will be home to the National AI Initiative and ensure continued US leadership on artificial intelligence research and development.

The National AI Initiative Act of 2020, which became law on January 1, 2021, provides a coordinated program across the entire federal government to accelerate AI research and application for the nation’s economic prosperity and national security.

The new website is designed to make artificial intelligence information and news more widely available to the public. Users can visit the website and see the latest in AI news, legislature, and research and development. The overall goal is to advance AI research within the US and increase excitement in the field from both the public and private sector.

The website will be run by the National Artificial Intelligence Initiative Office (NAIIO), located in the White House Office of Science and Technology Policy (OSTP).

-----

https://www.healio.com/news/rheumatology/20210503/covid19-raises-profile-utility-of-digital-therapeutic-approaches-in-oa

May 04, 2021

COVID-19 raises profile, utility of digital therapeutic approaches in OA

The COVID-19 pandemic forced the rheumatology community to adopt a number of telehealth and digital approaches in patient care, according to a speaker at the 2021 OARSI World Congress virtual meeting.

Kim Bennell, PhD, chair of physiotherapy at the University of Melbourne, suggested that osteoarthritis patients may benefit from real-time or asynchronous interventions or a combination of those approaches. Clinicians may also work technology into a package of in-person and out-of-office care. “There is a range of digital approaches,” she said.

Bennell’s talk covered data sets pertaining to telehealth, fully automated web-based interventions and phone-based or wearable technologies. She acknowledged that most of the studies she discussed were conducted pre-pandemic. “COVID-19 obviously dramatically changed the way health care was delivered around the world,” she said. “It provided a good opportunity to look at real world delivery of these telehealth approaches.”

When reviewing data on telehealth, it is important to note whether the study was conducted before or after COVID-19, according to Bennell. Prior to the pandemic, skepticism and lack of acceptance of telehealth were common in the rheumatology community. “Some doctors do not like that they could not use a typical hands-on approach,” she said.

Since the pandemic, however, that thought process has changed across the specialty, even for telehealth visits that are conducted by phone. “It is pleasing to show that the therapeutic relationship does not necessarily suffer as much as some people may think when you are unable to see the person you are interacting with,” Bennell said.

-----

https://www.upi.com/Health_News/2021/04/28/coronavirus-blood-test-severe-illness-study/7181619625893/

Health News

April 28, 2021 / 3:42 PM

Test accurately identifies those at risk for severe COVID-19, researchers say

April 28 (UPI) -- A new test accurately predicts who faces the highest risk for hospitalization, ventilator-supported breathing and death from COVID-19, according to an analysis published Wednesday by the journal mSphere.

The two-step test, which combines a newly developed disease risk factor score with conventional blood screening for virus antibodies, was more than 92% accurate at identifying those who would experience serious illness, the data showed.

The test can be administered during COVID-19 screening to help guide treatment before the most severe symptoms appear, the researchers said.

"We found an antibody that can be detected for predictive diagnosis really early in the disease, within one to six days after the first COVID symptoms [appear]," study co-author Gregory Weiss told UPI in an email.

-----

https://www.medpagetoday.com/patientcenteredmedicalhome/patientcenteredmedicalhome/92389

Building a Better Discharge Summary, Again

— We've improved the outpatient-to-ED flow -- now let's fix things in the other direction

by Fred N. Pelzman, MD May 3, 2021

Now that our entire enterprise is moving to a unified electronic medical record, we've seen enormous advantages appear across the spectrum of care. Being able to see everybody's notes, and everybody's labs and plans, has improved communication and collaboration significantly.

Many years ago, after a patient who was transferred from our practice to the emergency department suffered a catastrophic outcome due to poor and missed communication, we in the outpatient world, along with our colleagues in the emergency department, worked together to streamline and build a better process for all involved.

We created a dedicated telephone line where outpatient providers sending a patient over for evaluation could speak to the administrative attending covering the emergency department, to let them know what was up.

"I saw Mr. John Doe today in clinic, and he's been having some fevers and abdominal pain, he has some pretty significant right upper quadrant tenderness with mild voluntary guarding, and I'm worried about cholecystitis or diverticulitis; he's a bit tachycardic and his blood pressure is on the low side for him, and we can't arrange an outpatient CT scan before the end of the day. I'm worried he may need to be admitted so I'm sending him your way." The emergency department attending would then put them in their tracking system -- "up on the board" -- and we would arrange for him to be transported over to the ED for them to continue his care.

-----

https://www.healthcareitnews.com/news/majority-healthcare-decision-makers-prioritize-virtual-care-delivery-says-philips-report

Majority of healthcare decision-makers prioritize virtual care delivery, says Philips report

A whopping 89% of U.S. healthcare leaders say they're currently heavily investing in telehealth, though many expect to shift gears toward artificial intelligence in the future.

By Kat Jercich

May 05, 2021 12:31 PM

The Philips Future Health Index 2021 report found that nearly two in three healthcare leaders are prioritizing investments in telehealth – but that priorities will shift to artificial intelligence in three years.  

The report surveyed nearly 3,000 executive officers, financial officers, technology and information officers, operations officers, and other C-suite or senior executive healthcare leaders from 14 countries about current and future priorities, particularly amid the enduring COVID-19 pandemic.  

"While the industry’s recent surge in adoption of innovation like virtual care is promising, healthcare leaders are now keenly focused on cementing these solutions into care delivery models long-term," said Dr. Joe Frassica, head of Philips Research and chief medical officer for North America, in an email to Healthcare IT News.

WHY IT MATTERS  

The Future Health Index report found that healthcare leaders appear to be taking a three-step approach to digital transformation:

  • by investing in telehealth in the shorter term.
  • by investing in AI in the longer term.
  • by collaborating with other private hospitals and health technology companies.  

-----

https://www.healthcareitnews.com/news/cerner-launches-search-new-ceo

Cerner to search for new CEO

As it announced its Q1 earnings report, Brent Shafer and the company's board also said they've reached a joint decision to start looking for a new chief executive.

By Mike Miliard

May 05, 2021 02:30 PM

Cerner Corporation on Wednesday announced that it will begin the process of looking for a new chief executive officer, more than three years since current CEO Brent Shafer succeeded the health IT giant's late founder Neal Patterson.

WHY IT MATTERS
The news was concurrent with Cerner's first quarter earnings report, in which it beat earnings projections by a smidge, but missed on revenue.

The move to find a successor was described as a joint decision between Shafer and Cerner's board, with the CEO having served his role as a "bridge" between Patterson's nearly four-decade tenure and the company's plans for future growth under new leadership – including several recent C-suite hires.

"Cerner is on the right trajectory, with increased financial guidance based on actions we are taking to improve performance," said Shafer in a press statement.

"With the support of the entire organization, we have simplified the business while implementing a new operating model to make Cerner more efficient and effective. We have strengthened our senior leadership team, including the recent addition of Mark Erceg as our CFO, and I believe we now have the right team assembled to drive our company forward."

-----

https://ehrintelligence.com/news/most-health-information-exchanges-in-strong-position-for-tefca

Most Health Information Exchanges in Strong Position for TEFCA

Fifty-six percent of local and statewide health information exchanges revealed plans to participate in TEFCA.

By Christopher Jason

May 04, 2021 - Most state and local health information exchanges (HIEs) are supporting a vast number of services and are developing connections to each other and national networks in preparation for the Trusted Exchange Framework and Common Agreement (TEFCA), according to a study published in Health Affairs.

HIEs are overcoming financial issues to fulfill the role of supporting patient data exchange to fulfill the goals of TEFCA. Additionally, HIEs that can offer increased services will be in a stronger position to compete with national HIE networks under TEFCA, the study authors wrote.

Drafted by the Office of the National Coordinator for Health IT (ONC) to fulfill the aims of the 21st Century Cures Act, TEFCA is a set of policies and standards to support the development of the Common Agreement. Ultimately, this should help support nationwide electronic patient data exchange across health information networks (HINs).

TEFCA aims to ensure that HINs, healthcare providers, health plans, individuals, and stakeholders have secure access to electronic health information when needed. Although it intends to create new potential opportunities, it also creates challenges for local and statewide HIEs.

-----

https://healthitanalytics.com/news/artificial-intelligence-powers-rapid-covid-19-antibody-test

Artificial Intelligence Powers Rapid COVID-19 Antibody Test

University of Utah researchers have developed a fast, easy-to-administer COVID-19 antibody test powered by artificial intelligence.

By Jessica Kent

May 04, 2021 - The University of Utah (the U) has partnered with ARUP Laboratories and Techcyte Inc. to develop NanoSpot.AI, a quick and simple COVID-19 antibody test fueled by artificial intelligence.

NanoSpot.AI is a less than five-minute test, and researchers estimate it to be significantly less expensive to manufacture than other COVID-19 antibody tests. With this more affordable option, it may be possible to extend NanoSpot.AI around the world.

NanoSpot.AI is performed on a spot of blood obtained through a finger prick using a microcollection tube. Droplets of blood are then placed on three spots on a ready-to-use, synthetic, embossed card. One of the spots displays the test result, while the other two spots are positive and negative controls for the test. Individuals then receive their test results on their cellphones.

The team believes the test could be used around the world to help prioritize who should receive COVID-19 vaccinations, or to quickly and easily detect whether individuals have some immunity against COVID-19 for travel or immigration purposes. Clinical studies validating NanoSpot.AI are currently underway.

-----

https://www.healthcareitnews.com/news/post-pandemic-majority-patients-say-they-prefer-person-care-survey-finds

Post-pandemic, majority of patients say they prefer in-person care, survey finds

At the same time, a large percentage said they'd prefer telehealth, or a combination of the two.

By Kat Jercich

May 04, 2021

03:34 PM

A survey conducted on behalf of Kyruus, a patient-experience software vendor, found that the majority of consumers say they still prefer in-person care for long-term needs.

At the same time, nearly one-third of respondents are more likely to choose virtual visits now than before the pandemic – and nearly two-thirds say access to telehealth will be an important factor in deciding where to obtain care in the future.   

"While some of the pandemic’s influence on consumer choice may be shorter-term, it is evident that the pandemic permanently re-shaped patient preferences and expectations in profound ways," read a report accompanying the survey.  

WHY IT MATTERS  

The Kyruus report is based on a survey of 1,000 people older than 18 from across the U.S. who represented a mix of private and public insurance users.   

------

https://mhealthintelligence.com/news/another-benefit-for-telehealth-its-good-for-the-environment

Another Benefit for Telehealth: It’s Good for the Environment

One of the nation's largest health systems has found that its telehealth platform is not only helping patients and providers, but reducing greenhouse gas emissions and saving trees.

By Eric Wicklund

May 03, 2021 - Telehealth is often marketed for its benefits to the patient and clinician, but what about its effect on the environment?

One health system analyzed the impact that its connected health platform has on the world around us during the coronavirus pandemic, and found that virtual care not only reduces travel to and from the doctor’s office or hospital, but cuts down on gas use and emissions, thereby reducing the negative impact on our planet.

“We recognize the significant impacts virtual visits have had on our carbon footprint across the country,” Sister Mary Ellen Leciejewski, system vice president for environmental sustainability for Chicago-based CommonSpirit Health, said in a press release issued on Earth Day last month. “Our virtual visits reduced greenhouse gas emissions equivalent to planting over 250,000 trees and removing more than 3,000 cars from roadways for an entire year. With virtual visits, healthcare is more accessible and convenient, green and sustainable.”

The company charted 1.5 million virtual visits between March 16, 2020 and April 2, 2021 to more than 1,400 locations in 21 states, and found that those visits equate to 37,440,731 miles not travelled and 1,678,956 gallons of gas saved, for a monetary savings of $3.509 million. In terms of time spent in transit and in a waiting room or exam room, the company estimates that patients saved 923,276 hours by going online.

------

https://patientengagementhit.com/news/4-trends-forecasting-the-post-covid-future-of-patient-experience

4 Trends Forecasting the Post-COVID Future of Patient Experience

No, telehealth being here to stay is not the only patient experience consideration moving forward, although it’s still important.

By Sara Heath

May 03, 2021 - This time last year, cities were still applauding frontline medical workers as their shifts changed. That spike in deep appreciation for healthcare professionals was palpable nationwide, and according to Tom Lee, MD, the chief medical officer for patient experience firm Press Ganey, it reflected in patient experience scores.

“The data we were getting in March, April, May of 2020, as the pandemic really started to hit at least some parts of the country, was that there was almost like a euphoric exuberant response, in terms of how patients felt about their caregivers,” Lee told PatientEngagementHIT in an interview.

In a usual year, Press Ganey sees upticks in patient experience domains of maybe about 1 percent. But last spring, the company was seeing increases in patient experience scores of 2 percent month over month.

In more particularly hard-hit areas, like Washington state, those improvements reached as high as 3 or 4 percent. Meanwhile, in New York, which Lee noted is notorious for having “tough customers,” patient experience scores were surging 12 or 13 percent in a single month.

-----

https://patientengagementhit.com/news/clinicians-wary-of-patient-access-to-clinical-notes-start-to-warm

Clinicians Wary of Patient Access to Clinical Notes Start to Warm

After offering patient access to clinical notes, 44 percent of clinicians shifted from having a negative to a positive view of the practice.

By Sara Heath

May 03, 2021 - Clinicians continue to embrace patient access to clinical notes, according to new data, a good shift considering the requirements recently enforced under the 21st Century Cures Act.

The study of about 200 clinicians, published in the Journal of General Internal Medicine, showed that 44 percent of providers changed their view of patient access to clinical notes from negative to positive after implementing the strategy in their own practice.

These findings come as clinicians become beholden to patient data access under new provisions in the 21st Century Cures Act. Specifically, information blocking rules out of the Office of the National Coordinator for Health IT (ONC) state that healthcare professionals must make all patient data, including clinician notes, available to the patient via an application programming interface (API).

That is not an entirely new concept, although the ONC rule does put some teeth on it. Patient data access has been the backbone of patient engagement efforts since health IT’s insurgence in the early 2010s. The logic followed that patients who looked at their own medical records or clinical notes would know more about their health and become more empowered and engaged during encounters and disease self-management.

-----

https://www.fiercehealthcare.com/tech/allscripts-looks-to-leverage-microsoft-partnership-as-tech-giant-further-its-ambitions

Allscripts looks to leverage Microsoft partnership as tech giant expands healthcare ambitions

by Heather Landi

Apr 30, 2021 6:45am

As Microsoft pushes further into healthcare, Allscripts expects to strategically benefit from its partnership with the tech giant as it looks to strengthen its position in the health IT market.

Earlier this month, Microsoft announced plans to buy speech recognition company Nuance Communications for $19.7 billion. Nuance is considered a pioneer in speech recognition and artificial intelligence technology used in healthcare.

"Microsoft is getting into healthcare in a very big way," said Allscripts CEO Paul Black during the company's first-quarter 2021 earnings call Thursday.

"They will continue to be an enterprise software player. They’ll continue to have, if you will, an operating system that resides inside of their cloud. That’s an interesting distinction between them and the other people out there in the marketplace," Black said.

-----

https://histalk2.com/2021/04/30/weekender-4-30-21/

Weekly News Recap

  • Vocera acquires PatientSafe Solutions.
  • Halma acquires PeriGen.
  • Allscripts Q1 beats on earnings, misses on revenue.
  • Caresyntax raises $100 million.
  • Lyniate acquires Datica’s integration business.
  • VisuWell fires its CEO over a video showing his altercation with a male teen who wore a dress to their prom.
  • J2 Global will split into two publicly traded companies, one being its Consensus EFax business.
  • Accolade will acquire PlushCare for $450 million.

-----

Enjoy!

David.

Friday, May 14, 2021

Not Even The Threat Of Significant Financial Penalty Can Get Some GPs To Use The #myHealthRecord!

This appeared last week.

More than 1000 GP practices denied PIP payment after 'data-matching' crackdown

Health Department officials are using new legal powers to access GP data

3rd May 2021

By Antony Scholefield

More than 1000 practices have missed out on quarterly eHealth Practice Incentive Program (e-PIP) payments following a compliance crackdown using the Department of Health's latest “data-matching” powers.

Laws introduced in 2019 allow the department to cross-reference a GP's MBS and PBS claims with data from AHPRA, Border Force, private health insurers and the Australian Digital Health Agency.

This was previously forbidden under privacy legislation but the health department claimed the changes were necessary to identify Medicare rorts.

It has now revealed it has used the powers to check if practices have been uploading sufficient numbers of shared health summaries to My Health Record to quality for the e-PIP.

To get the payments, worth up to $50,000 a year, at least 0.5% of patients need to have an updated shared health summary uploaded to the system per quarter.

Typically practices declare they have met the requirements and that have the appropriate records if subject to an audit.

But in this case, the digital upload records for individual GPs working in the practices were handed over by the Australian Digital Health Agency, which manages the My Health Record system.

No patient data was handed over, just information on the number of shared health summary uploads made by the GP, the department stressed.

Officials then matched the records to the practice's PIP claims.

Some 1106 practices were subsequently denied the PIP payment after data-matching showed they had not met the requirements, a spokesperson for the Department of Health said.

More here:

https://www.ausdoc.com.au/news/more-1000-gp-practices-denied-pip-payment-after-datamatching-crackdown

The word ‘sprung’ leaps to mind!

Additional coverage here:

4 May 2021

New DoH data matching powers deny 20% of practices ePIP

By Jeremy Knibbs

If having to upload shared health summaries and the My Health Record seems an annoying waste of your time, you’re practice manager probably won’t agree anymore

1106 practices which were paid ePiP last quarter have been denied the payment this quarter after DoH data matched records with the Australian Digital Health Agency (ADHA) and found that  these practices had “not met the shared health summary upload requirements for a payment quarter under the Practice Incentives Program eHealth Incentive (ePIP).”

According to the DoH, all practices were sent an initial compliance letter, outlining an exemption process, and so far the department has granted 80 exemptions.

If we assume 1000 practices don’t end up exempt, then you can do some back of envelope calculations here to arrive at an average amount those 1,000 practices may have lost in revenue. We get $6250 per practice for that quarter . Of course that is going to be lower and higher depending on FTE numbers in each practice, but, ouch.

The department has provided quite a bit of information for those practices which have missed out this quarter on what to do to make sure they get in line for next quarter, so the problem is likely to go away over time for those practices affected. If you’re interested you can start HERE.

We have put some further questions to the department asking it to detail some of the reasons practices had not met “the requirements”.

It doesn’t seem to be that they failed to upload the minimum number of summaries required as the system rejects a practice straight away if the required number of the summaries aren’t uploaded.

It seems like it is something the department has managed to audit within the summary data itself, which it isn’t right. It should be interesting to find out what constitutes some of the fails. Are some of the summaries dummy summaries or automated summaries which aren’t loading real or meaningful data?

We’ll get back to you if and when we find out.

Probably the more important message for practice managers in this episode is that Big Brother has officially arrived in the form of genuine data matching to reveal inconsistencies in practice management, claiming and funding.

The legislation to clear the way for such sophisticated and automated prying was passed nearly two years ago, with not a great deal of fuss, at that time.

The even bigger warning in terms of data matching starting up is probably for individual GPs because the more sophisticated the department gets in matching data between the various arms of government in health – MBS, PBS, ADHA et al – the more they don’t need to rely on random and small scale auditing. Even Robodebt type guessing via analytics, which they’ve used a bit in the past to generate nudge letters, will be surpassed in accuracy and performance.

More here:

https://medicalrepublic.com.au/new-doh-data-matching-powers-deny-20-of-practices-epip/44927

While it is amusing to see how many people were not keen to upload clinical summaries – when they presumably thought they would not get caught – the more sinister thing to me is just how intrusive the monitoring of clinical can be and what that means, in the broad, for autonomy in clinical practice.

I don’t think this sort of monitoring and level of intrusion was part of the deal when Medicare was kicked off all those years ago!

This sort of trend needs better monitoring and discussion.

David.