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, September 07, 2021

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety, Social Media And Security Matters. Lots Of Interesting Perspectives - September 07, 2021.

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This weekly blog is to explore the news around 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 were dated 6 December, 2018 and we have seen none since! Its pretty sad!

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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https://www.smh.com.au/politics/federal/surveillance-drones-and-kill-switches-abusers-use-technology-to-terrorise-women-20210903-p58ons.html

Surveillance, drones and kill switches: Abusers use technology to terrorise women

By James Massola

September 5, 2021 — 12.00am

Technology has rapidly evolved to become one of the “greatest ways for domestic violence perpetrators to coercively control their partners” according to Women’s Safety Minister Anne Ruston.

eSafety Commissioner Julie Inman Grant said it is often every day technology used by perpetrators, from angry messages on bank statements to drones over houses to basic kill switches in cars that are used to demean and control women.

Ms Ruston and Ms Inman Grant are both participants at the federal government’s two-day Women’s Safety Summit, which begins on Monday.

The summit was called after former Liberal staffer Brittany Higgins alleged she was raped in Parliament House. This triggered a raft of reviews and a national conversation about sexual abuse, and violence against women.

Ms Ruston is the first person to hold the new women’s safety portfolio and acknowledges the summit agenda - and the work ahead - is huge. “At the end of the day if we want to really change the dial we have to get Australians to understand that they all need to play a role in changing behaviours”.

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https://www.innovationaus.com/commissioners-release-covid-19-privacy-principles/

Commissioners release COVID-19 privacy principles


Ben Grubb
Editor

3 September 2021

Australia’s federal and state privacy commissioners have released guidance for developing tools that protect public health and enable increased mobility as Australia embarks on a pathway out of COVID-19.

The guidance comes after Queensland Police were in June found using the state’s COVID-19 check-in app data as part of an investigation into the reported theft of an officer’s gun and Taser from a regional pub. The state’s police later directed officers to not access such data “except in extraordinary circumstances”.

Once states and territories reach a certain percentage of their population being vaccinated and begin to open up, premiers have indicated that COVID-19 vaccination certificates will likely become a requirement for entry to certain venues like pubs and clubs. Similar documentation is likely to be required for overseas travel.

It is with this in mind that Australia’s privacy commissioners on Thursday released the National COVID-19 Privacy Principles – a set of universal privacy principles which they say provide flexibility for government and business in developing tools that protect public health and enable increased mobility.

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https://www.innovationaus.com/vaccine-certificate-data-coming-to-state-check-in-apps/

Vaccine certificate data coming to state check-in apps


Ben Grubb
Editor

3 September 2021

State and territory COVID-19 check-in apps will be granted access to federal government data showing whether citizens have been vaccinated against the coronavirus, with the functionality expected to go live this month.

Despite one media report suggesting NSW’s attempt to access the data had been thwarted, federal Digital Minister Stuart Robert’s office confirmed to InnovationAus that work was underway to allow for the sharing.

Once states begin to open up after lockdowns, it’s expected some types of venues will require patrons to provide proof of vaccination in addition to checking in via a QR code, on top of requiring ID if they’re an establishment like a nightclub.

With this in mind, federal and state governments have been discussing whether there is a way to integrate data from the Australian Immunisation Register into state-based check-in apps to make it easier for citizens to check in without having to open separate apps.

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https://www.zdnet.com/article/how-australias-tech-savvy-covid-19-response-is-leaving-cald-communities-behind/

How Australia's tech-savvy COVID-19 response is leaving CALD communities behind

Australia's culturally and linguistically diverse communities are what makes the country unique, but have they been let down and left behind during the pandemic?

By Aimee Chanthadavong | September 2, 2021 -- 22:30 GMT (08:30 AEST) | Topic: E-Commerce

For parts of greater Sydney that have been labelled as "areas of concern", it's now the 10th week of COVID-19 lockdown. These once vibrant communities are fraught with overwhelming frustration, anger, resentment, anxiety, and are simply just tired. I know this because I currently reside in one of these affected local government areas (LGAs).

Besides being locked down, one of the unfortunate issues -- which has not been widely addressed -- is that state and federal governments, as well as retailers, have leaned heavily on using technology to help these LGAs cope with such restrictions.

For instance, one of the initial actions that retailers took to operate in a "COVID safe way" was to discourage the use of cash payments.

This was followed by the New South Wales government introducing its QR code check-in system for COVID-19 contact tracing. Initially, QR check-in was only mandated at hospitality venues and Service NSW centres across the state but in July that was extended to all retail businesses, supermarkets, individual shops within shopping centres, entry points at shopping centres, gyms, offices, call centres, manufacturing and warehousing businesses, universities and TAFE, and schools including teachers and visitors.

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https://www.ausdoc.com.au/specialist-update/continuous-monitoring-detects-af-fails-reduce-stroke

Continuous monitoring 'detects AF but fails to reduce stroke'

Use of an implantable monitor in high-risk patients disappoints in randomised trial, researchers find

3rd September 2021

By Reuters Health

Continuous electrocardiographic monitoring using an implantable loop recorder (ILR) to detect ‘silent’ atrial fibrillation failed to prevent strokes in a randomised controlled trial, Danish researchers say. 

Results from the LOOP study of elderly patients at high risk of stroke suggest that screening for asymptomatic AF may not be worth the trouble or clinical resources, they say. 

Study author Dr Jesper Svendsen, from the University of Copenhagen, Denmark said that despite ILR leading to a threefold increase in AF detection and anticoagulation initiation, there was “no significant reduction in stroke or systemic arterial embolism”. 

"Although AF was diagnosed in more than 30% of participants in the ILR group and 91% of these initiated oral anticoagulation, the overall risk reduction was only 20% and non-significant," he told delegates at the ESC Congress 2021. 

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https://www.theaustralian.com.au/nation/vaccine-passport-information-should-be-sighted-not-collected-says-nations-privacy-bodies/news-story/ee30a5f3265273e30e77bc44d66f7fea

Vaccine passport information should be ‘sighted’, not collected, says nation’s privacy bodies

Helen Trinca

September 3, 2021

Information on so-called “vaccine passports” or certificates should in general not be collected or stored by businesses or governments, according to Australia’s federal and state privacy bodies.

Under a set of principles released on Thursday, passports would be sighted – for example, on entry to a restaurant or sporting venue – but not collected. In cases where data was required to be held, that information should be limited and later deleted.

The National Covid-19 Privacy Principles have been agreed by the Office of the Australian ­Information Commissioner and state and territory privacy commissioners and ombudsmen in an effort to set up a national framework for vaccination passports, should they be introduced.

The joint approach follows concerns that privacy laws could be threatened if people are forced to reveal their vaccination status to employers or businesses.

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https://www.2gb.com/how-to-get-your-hands-on-your-vaccine-certificate-and-stay-safe-from-forgery/

How to get your hands on your vaccine certificate – and stay safe from forgery

2 September, 2021

Deborah Knight

Services Australia General Manager Hank Jongen has explained how to access confirmation of your COVID-19 vaccines.

Mr Jongen told Deborah Knight your immunisation history, including your COVID jabs, can be viewed and printed off through Medicare or MyHealthRecord – both of which you can install as apps on your smartphone.

“It’ll enable you to download the digital certificate, and … you can simply present it to anyone that might need you to verify that you’ve received both shots.”

He warned anyone who’s received a text message claiming to provide a certificate, for any amount of money, that such offers are a scam.

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https://www.itwire.com/it-people/le-grice-named-2021-victorian-pearcey-entrepreneur-of-the-year.html

Thursday, 02 September 2021 11:52

Le Grice named 2021 Victorian Pearcey Entrepreneur of the Year

By Stephen Withers

The Pearcey Foundation has named Bronwyn Le Grice, CEO and managing director of ANDHealth, as its 2021 Victorian Pearcey Entrepreneur Award recipient.

"As the recipient of the 2021 Victorian Pearcey Entrepreneur Award, Bronwyn has most definitely taken a risk, made a difference and is a true inspiration!" said Pearcey Foundation Victorian chair Jordan Green.

"She has led a diverse career, and in 2017, working with a consortium of industry partners, Bronwyn created the only organisation in Australia dedicated to the commercialisation of digital health, with a specific focus on digital medicine and digital therapeutics.

"The novel non-profit model of ANDHealth is specifically designed to suit the Australian reality. It has already supported over 450 emerging digital health companies, with the 10 companies selected in the pilot ANDHealth+ program going on to raise over $70 million in funding, creating around 300 jobs and impacting over 200,000 patients in just four years."

Le Grice holds a Bachelor of Commerce from the University of Western Australia, and a master's degree in commercial law.

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https://www.innovationaus.com/secret-report-slams-covidsafe-as-high-cost-low-benefit/

Secret report slams COVIDSafe as ‘high cost, low benefit’


Denham Sadler
National Affairs Editor

30 August 2021

The federal government was warned early this year that its $16 million COVIDSafe contact tracing app was ineffective in “very high-risk settings” and was wasting the time of state health authorities in a report it attempted to keep secret.

Health Minister Greg Hunt tabled a report on the effectiveness of COVIDSafe, which uses a smartphone’s bluetooth technology to log close contacts between users and sends this information to a national database if a user tests positive for COVID-19, last month, well after he was required to under legislation.

But the report tabled by the government differs greatly from the full report provided by independent consultancy Abt Associates, which has now been revealed following a freedom of information battle by The Canberra Times.

The government had earlier released a version of the full report nearly entirely redacted, before tabling a summary version in Parliament.

The version put forward by the government is stripped of most of the critical information on the app, including that it was unlikely to provide any benefit in high-risk settings such as restaurants and supermarkets, where significant transmission has been seen this year, and that it is often taking up hours of contact tracers’ precious time with little reward.

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https://www.itnews.com.au/news/australias-insurers-banks-alarmed-at-having-to-pay-victims-for-data-breaches-569359

Australia's insurers, banks alarmed at having to pay victims for data breaches

By Ry Crozier on Sep 2, 2021 11:59AM

Under proposal aired by Home Affairs in July.

Australia’s banks and insurers are concerned at a plan that would make it easier for individuals impacted by data breaches to sue or seek financial compensation.

Premiums for cyber insurance and director liability products in Australia could rise if consumers are afforded clearer legal avenues to seek compensation for a data breach or cyber incident, insurers have warned.

The ability for consumers “to seek remedies or compensation for cyber security incidents” is currently limited in Australia, but that could change if a “direct right to action” is introduced.

Home Affairs said [pdf] in July that a “right” could be built into consumer or privacy laws, and lead to “standards” being set for payouts to people impacted by a breach.

But the proposal has been met with alarm from banking and insurance groups, concerned at the precedents it would set, and at the potential for liability to discourage disclosure of incidents in the first place.

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https://ajp.com.au/news/overdose-hides-in-plain-sight/

‘Overdose hides in plain sight.’


Megan Haggan31/08/2021

One stakeholder is calling for a national overdose prevention strategy, as a report details the pharmaceutical drugs involved with unintentional drug-related deaths

The Penington Institute has released Australia’s Annual Overdose Report 2021, which examined the 2,227 drug-induced deaths in Australia in 2019, of which 1,644 were unintentional – a key focus of the report.

Drug overdose is a leading cause of death for Australians of all ages, it notes – rising to the second-leading cause of death (behind suicide) for male and female 30 to 39-year-olds, and the third-leading cause of death for both men and women aged 20 to 29, or 40 to 49.

Dr Karen Gelb, the report’s lead author, told the AJP that the fact that most overdose deaths involve pharmaceutical drugs means that “pharmacists need to have really good, open, honest conversations with their patients”.

While measures such as real-time prescription monitoring and My Health Record are a step in the right direction, she said, health professionals need to do what they can to boost their patients’ health literacy, and step up in a constructive manner when they notice concerns with the way their patients are using medicines.

“Having open, non-judgemental conversations are really critical for a pharmacist to do,” she said.

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https://www.fool.com.au/2021/08/31/beamtree-asx-bmt-share-price-rockets-21-on-acquisition-news/

Beamtree (ASX: BMT) share price rockets 21% on acquisition news

It’s a big day on the ASX for Beamtree. Here’s what’s sent its shares skyrocketing.

Brooke Cooper

Published August 31, 1:57pm AEST

The Beamtree Holdings Ltd (ASX: BMT) share price is soaring today after the company announced its plan to acquire data analytics firm, Potential(x).

Potential(x) specialises in the health and human services market. According to Beamtree, the acquisition will set it up as the largest health and artificial intelligence-led support platform in Australia.

Right now, the Beamtree share price is 59,5 cents, 21.43% higher than its previous close.

Let’s take a closer look at today’s news from the health data insights and health coding solutions provider.

New acquisition

The Beamtree share price is gaining after the company announced it’s entered an agreement to acquire Potential(x).

The agreement will see Beamtree paying $4 million in cash and providing Potential(x)’s shareholders with 30 million Beamtree shares.

…..

Commentary from management

Beamtree’s CEO Tim Kelsey commented on the news sending the company’s share price through the roof today:

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https://www.swan.wa.gov.au/Event-Bookings/Digital-Health-Literacy-My-Health-Record-Seminar-Ballajura-168887373681

Digital Health Literacy: My Health Record Seminar (Ballajura)

Next date: Thursday, 30 September 2021 | 01:00 PM to 02:00 PM ADHA Propaganda

Join Tim Coghill of Technologically Speaking to get all your My Health Record questions answered!

Please note that this is a program for adults and young people aged 16+.

What is My Health Record? How is your medical information used, and how can you make sure it's safe and secure? Get an introduction to the government's online health record management system and find out everything you've been wondering about My Health Record, including how to manage your online account. You'll be able to ask technology expert Tim Coghill your questions in this session - and enjoy a complimentary morning tea!

In accordance with hygiene requirements, social distancing will be maintained throughout this program and hand sanitizing stations and cleaning products will be available for use.

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https://www.miragenews.com/clinician-vaccine-integrated-platform-622076/

30 Aug 2021 1:05 pm AEST

Clinician Vaccine Integrated Platform

Reporting immunisation events to the Australian Immunisation Register (AIR) is a vital part of public health monitoring.

It is mandatory for vaccination providers to report to the AIR all COVID-19, influenza, and NIP vaccines given. Reporting of other vaccines is encouraged but not mandatory.1

To facilitate reporting to the AIR, the Australian Digital Health Agency has developed the Clinician Vaccine Integrated Platform (CVIP). The CVIP makes it easier for vaccination providers who do not have clinical software that reports to the AIR to record vaccination information.2

While providers may be familiar with recording vaccinations using HPOS, CVIP is a more streamlined method that makes uploading information to AIR more efficient.

While it is not a requirement for healthcare professionals to use CVIP, it provides a simpler solution in some instances by integrating vaccination check-in with vaccination recording and reporting in AIR.

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https://www.digitalhealth.gov.au/newsroom/events-and-webinars/understanding-compliance-requirements-for-accessing-my-health-record-%E2%80%93-practical-tips-for-practice-managers

Understanding compliance requirements for accessing My Health Record – practical tips for practice managers

Event details  ADHA Propaganda

When Thursday, 2 September 2021
1:00pm - 2:00pm (AEST)

Where Online

Hosted by Australian Digital Health Agency

Register here

These one-hour sessions will equip Practice Managers and administrative staff with a sound knowledge of how to implement and maintain policies and procedures to govern access to the My Health Record within their organisation.

These demonstrations will be run multiple times each week and at varying times throughout the day.

Upon completion participants will be able to:

  • Understand the legislative framework for accessing My Health Record
  • Create and maintain security and access policies for My Health Record
  • Manage My Health Record user accounts and training registers
  • Understand the importance of Health Identifiers and correct system configuration 
  • Designate roles and responsibilities for practice staff engaging with My Health Record
  • Understand when and how to access information contained within a consumer’s My Health Record

This education is CPD accredited by AAPM and NAATSIHWP.

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https://www.australiantenders.com.au/tenders/447733/apply-for-a-adha-racp-digital-health-scholarship/?searchId=1611644068&page=38

Apply for a ADHA/RACP Digital Health Scholarship
[Closed Tender]

Organisation: Private ADHA Propaganda

Issued by: Royal Australasian College of Physicians

Location: Australian Capital Territory, Tasmania
New South Wales : Central West, Far West, Hunter, Illawarra, Murray, Mid North Coast, Riverina, New England, Orana, Southern Highlands, Far North Coast, Sydney
Queensland : Cairns & Far North Queensland, Gladstone, Mackay Whitsunday Region, Mount Isa & North West Region, Rockhampton, South East Queensland, South West & Darling Downs, The Central West, Townsville, Wide Bay Burnett
Western Australia : Gascoyne, Goldfields/Esperance, Great Southern, Kimberley, Mid West, Peel, Perth Metropolitan, Pilbara, South West, Wheatbelt
Victoria : Barwon South West, Gippsland, Grampians, Hume, Loddon Mallee, Melbourne Metro
Northern Territory : Alice Springs, Darwin, Katherine, Nhulunbuy
South Australia : Central Region, Eyre Peninsula, Metropolitan, Murray Mallee, Outback, Southern & Hills, South East

Category:

Healthcare Services : Health & Wellbeing Services, Medical Speciality Services

Status: Closed

Closing date: 17-03-2021(closed)

Description: In partnership with the Australian Digital Health Agency, we're offering 10 x $4000 scholarships to RACP members using My Health Record and electronic prescribing in the healthcare environment. 

This tender has closed.

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https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-021-05438-8

Clinical and healthcare improvement through My Health Record usage and education in general practice (CHIME-GP): a study protocol for a cluster-randomised controlled trial

Abstract

Background

There is an international interest in whether improved primary care can lead to a more rational use of health resources. There is evidence that educational interventions can lead to improvements in the quality of rational prescribing and test ordering. A new national platform for shared medical records in Australia, My Health Record (MHR), poses new opportunities and challenges for system-wide implementation. This trial (CHIME-GP) will investigate whether components of a multifaceted education intervention in an Australian general practice setting on rational prescribing and investigation ordering leads to reductions in health-service utilisation and costs in the context of the use of a national digital health record system.

Methods

The trial will be undertaken in Australian general practices. The aim of the research is to evaluate the effectiveness of components of a web-based educational intervention for general practitioners, regarding rational use of medicines, pathology and imaging in the context of the use of the MHR system. Our target is to recruit 120 general practitioners from urban and regional regions across Australia. We will use a mixed methods approach incorporating a three-arm pragmatic cluster randomised parallel trial and a prospective qualitative inquiry. The effect of each education component in each arm will be assessed, using the other two arms as controls. The evaluation will synthesise the results embedding qualitative pre/post interviews in the quantitative results to investigate implementation of the intervention, clinical behaviour change and mechanisms such as attitudes, that may influence change. The primary outcome will be an economic analysis of the cost per 100 consultations of selected prescriptions, pathology and radiology test ordering in the 6 months following the intervention compared with 6 months prior to the intervention. Secondary outcome measures include the rates per 100 consultations of selected prescriptions, pathology and radiology test ordering 6 months pre- and post-intervention, and comparison of knowledge assessment tests pre- and post-intervention.

Discussion

The trial will produce robust health economic analyses on the evidence on educational intervention in reducing unnecessary prescribing, pathology and imaging ordering, in the context of MHR. In addition, the study will contribute to the evidence-base concerning the implementation of interventions to improve the quality of care in primary care practice.

Note: This paper needs a very close read -as there are major flaws I believe

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Comments more than welcome!

David.

Monday, September 06, 2021

Weekly Australian Health IT Links – 06 September, 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

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A fair bit going on with misrepresentation, worsening digital divide, bludgeoning of myHR use and tech shortages.

You have nothing to loose but your innocence reading on!

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https://www.canberratimes.com.au/story/7377320/people-linked-to-my-health-record-for-vaccine-certificates-despite-opting-out/?src=rss

September 2 2021 - 4:30AM

Australians redirected to My Health Record for vaccine certificates despite opting out

Finn McHugh

Australians looking to access their Covid vaccine certificate are being directed to My Health Record, even if they have opted out of the scheme.

Fully vaccinated Australians have been able to receive a digital vaccination certificate to their phone for the past week, via Medicare's Express Plus app or myGov.

To access the certificate via myGov, users must ensure their account is linked to their Medicare profile.

But people whose myGov account and Medicare profiles aren't linked have been directed to the My Health Record website, even if they have opted-out of the contentious service, via a link which promises to "Get proof of your vaccinations".

Services Australia general manager Hank Jongen insisted there was no error in the system, saying My Health Record was just one way to access a vaccine certificate.

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https://www.smh.com.au/national/queensland/digital-medical-record-systems-causing-fatigue-and-burnout-in-health-staff-20210831-p58nlb.html

Digital medical record systems causing fatigue and burnout in health staff

By Stuart Layt

August 31, 2021 — 8.43pm

The inability of doctors and nurses to properly use electronic record-keeping systems remains the biggest challenge to how well the systems perform across Australia, new research has found.

Over the past few years, all states and territories have moved to some form of electronic medical record system (EMR) to replace old paper records.

The first large-scale study into the use of EMRs across the country has found smaller venues, such as GP clinics, are integrating the systems better than larger facilities, such as hospitals, which are struggling with a one-size-fits-all approach.

Lead author Sheree Lloyd, from Griffith University’s School of Applied Psychology, said problems experienced with EMRs contributed to fatigue and burnout in health staff, as well as more errors.

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https://www.hospitalhealth.com.au/content/technology/news/problems-with-emr-cause-burnout-increased-errors-study-610244408

Problems with EMR cause burnout, increased errors: study

Wednesday, 01 September, 2021

Problems with electronic medical record systems (EMRs) contribute to fatigue, burnout and increased errors, according to a study on EMR usability in Australia.

The study, led by Griffith University, captured views from medical, nursing and allied health professionals across the acute, primary and community care sectors. It found that nursing and medical professionals have differing experiences depending on where they work.

Results showed technical and quality features were more positively experienced by doctors in the primary care sector than nurses, as well as ease of obtaining patient information and prevention of errors.

In the hospital sector, nurses’ experiences with EMRs were more positive with regards to support for routine task completion, learnability, ease of obtaining patient information and entry of patient data.

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https://www.healthcareitnews.com/news/anz/independent-review-found-australias-covid-19-contact-tracing-app-inefficient-cumbersome

Independent review found Australia's COVID-19 contact tracing app 'inefficient,' 'cumbersome'

Some contact tracers said the app created two additional hours of work for them.

By Adam Ang

August 31, 2021 03:00 AM

An independent report has found that Australia's COVID-19 contact tracing app COVIDSafe has not been helpful in the country's pandemic response. 

The report, written by consulting firm Abt Associates, was accessed and read by the Canberra Times via a freedom of information request. It covered the March-November 2020 period of the app's implementation. 

FINDINGS

Australia introduced the COVIDSafe app last year in April as a contact tracing tool. Jointly developed by the Health Department and the Digital Transformation Agency, the mobile app adopted the same Bluetooth technology used in Singapore's TraceTogether contact tracing app. By May this year, there were more than 7 million registered users of the app in the country.

The document stated that the app has led to a "cumbersome and inefficient" process for government contact tracers to access information, such as entering data manually from a screen into a system or spreadsheet. Some tracers disclosed to reviewers that the app added two hours to the tracing process.

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https://www.itnews.com.au/news/dta-sheds-covidsafe-app-duties-569370

DTA sheds COVIDSafe app duties

By Justin Hendry on Sep 3, 2021 7:00AM

Health department to take over.

The Digital Transformation Agency will seed all responsibility for the much-maligned COVIDSafe contact tracing app to the Department of Health at the end of this month as its "significant" restructure continues.

As the government’s lead IT agency, the DTA was tasked with the development and operation of COVIDSafe in the early stages of the pandemic last year, including the app and national COVIDSafe data store.

The data store, which is hosted in Amazon Web Services, stores personal information like names and phone numbers, as well data collected through "digital handshakes" or encounters with devices.

But with COVIDSafe now operating in what former CEO Randall Brugeaud described as a business-as-usual mode, the DTA has now transfered all responsibility to the Department of Health.

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https://www.theaustralian.com.au/life/prosthetic-arm-so-sensitive-it-can-tell-if-a-peach-is-ripe/news-story/dc9a8efaeefff027fa106d374ad786fd

Prosthetic arm so sensitive it can tell if a peach is ripe

By Rhys Blakely

The Times

1:08PM September 2, 2021

Scientists have developed a robotic prosthetic arm that restores a sense of touch through each finger.

One of the two patients who have tested the technology is Claudia Mitchell, 41, who lives in Arkansas and lost her left arm at the shoulder in a motorcycle accident in 2004. Her new limb is so deft she can use its robotic fingers to slice a peach, or even to test how firm the flesh is. “I know if something I’m holding is starting to slip away, or if I’m squeezing someone’s hand too hard,” she said.

“Before I could only tell by looking. These are things that may not seem like a big deal, but that really make a difference in someone’s life.”

Crucially, the researchers say that the arm has been designed to restore the sense of kinaesthesia – the ability to know, without looking, where your limbs are in space and whether they are moving.

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https://medicalrepublic.com.au/telehealth-rules-deprive-bush-docs-of-care/52177

31 August 2021

Telehealth rules deprive bush docs of care

Rural Telehealth

By Francine Crimmins

Rural healthcare workers have been marooned by travel restrictions and left without access to Medicare-subsidised telehealth, says a GP who works in one of Australia’s most remote communities.

In a recent webinar hosted by the Regional Australia Institute, Associate Professor Jill Benson said she would like to see Medicare grant exemptions to the “existing relationship” rule so healthcare workers could access subsidised telehealth.

As the medical director of Spinifex Health Service, Professor Benson provides services to the remote West Australian Aboriginal community of Tjuntjuntjara, which is about 700km from the nearest town, Kalgoorlie.

“The road is very bad and occasionally is completely unusable,” she said on the webinar.

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https://www1.racgp.org.au/newsgp/professional/they-ve-got-the-maths-wrong-gps-say-telehealth-sho

‘They’ve got the maths wrong’: GPs say telehealth should be part of PIP

Recent changes to the way Practice Incentive Payments are being calculated is threatening the viability of general practice, according to a new GP-led petition.

Anastasia Tsirtsakis


01 Sep 2021

When GP and practice owner Dr John Henderson noticed that his practice’s Practice Incentive Program Quality Improvement (PIP QI) payments had significantly declined, he was surprised given his clinic’s busy workload.
 
But that surprise soon turned to disbelief.
 
‘Our practice manager was told that our SWPE [Standardised Whole Patient Equivalents] had gone down because they’re not counting telehealth – I actually did not believe it,’ Dr Henderson told newsGP.
 
‘As it turns out, that’s been happening since the start of the pandemic.
 
‘We didn’t know if we’d missed an announcement. But all the searching I did, I couldn’t find any sign of any announcement.’
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https://www.news-medical.net/news/20210901/New-trial-to-assist-patients-with-severe-and-enduring-mental-health-illnesses.aspx

New trial to assist patients with severe and enduring mental health illnesses

Reviewed by Emily Henderson, B.Sc.Sep 1 2021

The pandemic has made it more difficult for the 430,000+ Australians living with severe mental illnesses who are highly vulnerable to acute illness relapses when their habitual routines and standard health care arrangements are disrupted.

With telehealth solutions now responding to the rising demand for mental health services across the board, a new project led by Flinders University is targeting this more vulnerable group with a digital solution created with their special needs in mind.

The AI2 (Actionable In-time Insights) project aims to change the way healthcare is delivered - both for better mental health service delivery and for wider chronic disease management in the community. Regular remote checks on these patients aim to reduce the number who end up in hospital or emergency departments, adding $2.6 billion to hospital care costs every year.

After extensive research and trials, the AI2 software model is now rolling out across Adelaide and South Australia in partnership with public mental health services linked to the Local Health Networks of Southern Adelaide, Northern Adelaide, Central Adelaide, Barossa Fleurieu and Adelaide Hills, as well as the State Government's Digital Health SA.

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https://www.innovationaus.com/craig-kelly-texts-show-need-for-spam-privacy-reform-experts/

Craig Kelly texts show need for spam, privacy reform: experts


Ben Grubb
Editor

1 September 2021

United Australia Party MP Craig Kelly’s ‘spam’ text messages to thousands of people across the nation highlight the need for reform to privacy, spam and electoral laws, experts say.

The Australian Communications and Media Authority (ACMA) told InnovationAus it had received 3,420 complaints over the past several days about the controversial MP’s messages, which state “You can never trust the Liberals, Labor or Greens again” with a link directing them to the UAP website.

The messages prompted news website Crikey to publish Mr Kelly’s mobile number and invite readers to spam him back, and follow similar mass blasts by the Labor Party during 2016’s election, dubbed the “Mediscare” texts, and the Australian Marriage Equality campaign’s “Yes” messages in 2017.

Mr Kelly told The Sydney Morning Herald he had not purchased a list of phone numbers, but rather had sent the messages using software that generated phone numbers at random – the same method used by the Australian Marriage Equality campaign in 2017.

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https://rpassistants.com.au/news/immunisation-events-need-to-be-reported-to-the-air/

Immunisation events need to be reported to the AIR

Margaret Mielczarek

August 31, 2021

As part of public health monitoring, it is encouraged that vaccinators report immunisation events, including Covid-19, influenza, and NIP vaccines, to the Australian Immunisation Register (AIR).

To facilitate reporting to the AIR, the Australian Digital Health Agency has developed the Clinician Vaccine Integrated Platform (CVIP), which is expected to make it easier for vaccination providers who do not have clinical software that reports to the AIR, record vaccination information.

While it is not a requirement for healthcare professionals to use CVIP, it is said to provide a more streamlined method that makes uploading information to AIR more efficient – it provides a simpler solution in some instances by integrating vaccination check-in with vaccination recording and reporting in AIR.

To help pharmacists gain an understanding on how to report to the AIR and on how to use CVIP to undertake this reporting, Guild Learning and Developing has announced the availability of the online module titled Clinician Vaccine Integrated Platform (Pharmacy), which has been developed by the Australian Digital Health Agency.

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https://www.healthcareit.com.au/article/incident-management-system-victorias-health-department-not-yet-fully-implemented-state

Incident management system at Victoria's Health Department not yet fully implemented: state auditor

Adam Ang | 03 Sep 2021

The Victorian Auditor-General's Office has published a review of Victoria's Department of Health to determine if it has improved clinical governance over the past five years.

While the department did make "some clinical governance improvements," it still has "limited" ability to assure the health system's safety and quality, according to the report.

FINDINGS

Among findings, the VAGO noted that the DH still has not fully implemented a statewide incident management system to detect systemic risks.

In 2009, the then-Department of Health and Human Services (DHHS) introduced the Victorian Health Incident Management System (VHIMS), which categorises all incidents occurring in public health services by four incident severity ratings, from "no harm" to "severe". It was envisioned to provide reliable and accurate incident data from all health services for regular and systematic analysis of clinical incidents.

However, there was no data dictionary established that comprehensively defines all data fields in the system, which led health services to use inconsistent data collection methods and rendered flaws in statewide incident reporting.

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https://newsroom.nt.gov.au/mediaRelease/34890

Fast-Tracked Breastscreening Results For Territorians

28 August 2021

Territorian women will now have faster access to mammogram results as BreastScreenNT becomes the second breast screening service in the country to connect to My Health Record.

This means consenting women in the Northern Territory will have their breast screen results uploaded to their My Health Record account following assessment from two consultant radiologists.

Using My Health Record ensures medical results are kept in one secure place and can be accessed at any time to inform decisions around patient care.

BreastScreenNT is a joint Territory and Australian Government funded program which provides free breast screening for Territory women without signs or symptoms of breast cancer.

The free breast screening service is available to all women over the age of 40 and is specifically targeted to women aged 50 to 74.

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https://www.hospitalhealth.com.au/content/aged-allied-health/news/digital-resource-to-improve-aged-care-nutrition-906262817

Digital resource to improve aged-care nutrition

Nestle Professional


Wednesday, 01 September, 2021


Nestlé Professional has launched a new digital resource designed to help aged-care providers improve the nutritional quality of the meals they provide for the elderly under their care.

The free online recipe book, Nourished: Make Every Bite Count, was created in collaboration with nutrition and culinary experts to provide appetising menus with appropriate nutrition for those in aged care and healthcare settings.

The recent Royal Commission into Aged Care identified food and nutrition as one of the critical areas of focus requiring immediate attention.

Accredited Practising Dietitian and Brand Nutritionist for Nestlé Professional Karen Kingham said research shows malnutrition among elderly people living in care exceeds 1 in 2.1 While ageing can present many barriers to good nutrition, a menu offering a range of nutritious, energy and protein dense foods can make a difference.

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https://www.hospitalhealth.com.au/content/technology/article/the-power-of-technology-in-creating-more-equitable-and-accessible-health-care-27341637

The power of technology in creating more equitable and accessible health care

By Gadi Bichler, Head of Growth and Customer Experience at Curve Tomorrow
Thursday, 26 August, 2021

There has never been a more important time for the medical industry to redefine what the future of patient health care looks like. While the last year and a half has tested the healthcare sector and pushed it beyond what we knew was possible, it’s remarkable to see what we’ve been able to achieve through the power of technology.

Curve Tomorrow is focused on using technology to create purpose-led healthcare solutions that help to improve people’s lives, with a mission to positively impact one billion lives in the next 25 years.

To do that, we take a human-centred approach to developing healthcare solutions that not only address the unique needs of our users, but help to remove barriers to equitable and accessible health care. Over the last 10 years we’ve built more than 20 patient engagement mobile apps; from helping to identify symptoms, to tracking patient outcomes, to collecting data for scientific research.

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www.alcidion.com

Watch Managing Director Kate Quirke's recent interviews on Alcidion's FY21 Full Year Results

Last week, Alcidion released its Full Year Results for FY21. Managing Director Kate Quirke was interviewed by ausbiz, Kalkine Media and the ASX Investor YouTube Channel to discuss the Company's record year of growth and its strong position going into FY22. 

In the interviews, Kate Quirke talked about how Alcidion expanded its footprint in Australia, New Zealand and the United Kingdom, signing important contracts that provided the Company with a solid foundation to lead the digital transformation of the healthcare industry.  


Click on the links below to watch the interviews.

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https://www.healthcareitnews.com/news/anz/project-develop-digital-analytics-tool-patient-safety-south-australia-underway

Project to develop digital analytics tool for patient safety in South Australia underway

The analytics tool aims to predict the risk of adverse events in hospitals.

By Adam Ang

September 02, 2021 03:15 AM

The government-backed Digital Health Cooperative Research Centre, along with the University of South Australia and SA Health, has started working on a project that will create a digital analytics tool predicting the emerging risk of adverse events in hospitals. 

WHAT IT'S ABOUT

Based on a press statement, a research team behind the project has studied and developed a preliminary predictive harm algorithm using 18 months of data from the Royal Adelaide Hospital and the Queen Elizabeth Hospital. It was developed to "effectively inform safety, quality and risk management strategies related to patient medication strategies".

The research has been expanded to cover falls risk and code blacks (personal threats).

Utilising existing software frameworks, the analytics tool will be instrumental for the development of a "visual, interactive programme" that will be accessible via a dashboard summary for clinicians and administrators, according to Marion Eckert, director of the Rosemary Bryant AO Research Centre at the UniSA.

The said programme will deliver real-time insights describing risk exposure in a hospital setting, informing decision makers' assessments and predictions to forecast special considerations for the implementation of safety measures. 

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https://www.hinz.org.nz/news/578580/Tech-skills-shortage-hitting-digital-health-sector.htm

Tech skills shortage hitting digital health sector

Tuesday, 31 August 2021  

NEWS - eHealthNews.nz editor Rebecca McBeth

A skills shortage means New Zealand’s data and digital health sector is struggling to recruit the people and skills needed to meet the demand for work and projects are being delayed, industry experts say.

NZTech chief executive Graeme Muller says problems getting tech professionals into the country is, “causing an explosion in salaries, delays in projects and offshoring of jobs”. 

NZTech conducted a digital skills survey in July, which found there more than two thousand open jobs for highly paid tech people with specialist or technical skills in New Zealand.

Gina Hills, chief financial officer and executive vice-president of people at Orion Health says the shortage of experienced tech workers is a “very real concern” as the company needs to employ a number of software developers and engineers for new roles. 

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https://www.itwire.com/home-it/windows-11-arrival-date-unveiled-october-5-in-the-us,-october-6-in-australia.html

Wednesday, 01 September 2021 11:02

Windows 11 arrival date unveiled: October 5 in the US, October 6 in Australia

By Alex Zaharov-Reutt

The free Windows 11 upgrade to PCs that qualify starts rolling out on October 5, which is the same date new PCs with Windows 11 pre-loaded will become available for purchase, heralding a new era for Microsoft as it fights Apple and Google for computing supremacy.

Windows 11. The launch was sadly marred by Microsoft insisting on strict hardware requirements that didn't apply in the same to Windows 10, and even though Microsoft has reportedly relented in that "unsupported" hardware can still be made to install Windows 11, there's confusion on whether those "unsupported" PCs will get security and other updates via the Windows Update mechanism.

However, if your computer DOES have an Intel Core i-Series 8th-generation processor or better, or is a Surface Studio 2 with qualifying 7th-gen Core i-Series chip, along with a TPM 2.0 chip or equivalent capability, then you'll find the PC Health Check app will give you a clean bill of upgrade health, and you'll have no problems upgrading.

Microsoft's blog post announcing the October 5 date, which is presumably October 6 in Australia due to the usual time zone differences, was published by Aaron Woodman, the General Manager of Windows Marketing, and naturally, Woodman explains all of Windows 11's features and benefits.

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https://www.zdnet.com/article/nbn-forecasts-slightly-lower-revenue-and-earnings-for-fy22/

NBN forecasts slightly lower revenue and earnings for FY22

Another NBN corporate plan, another revision downwards for its finances.

By Chris Duckett | August 30, 2021 -- 21:00 GMT (07:00 AEST) | Topic: Networking

Sticking to its mantra that publishing long term forecasts could hurt the company responsible for the National Broadband Network, the NBN Co Corporate Plan 2022 has restricted itself to stating finances for the current fiscal year.

"NBN Co is targeting annual revenue and other income in FY22 of between AU$5 billion to AU$5.2 billion and EBITDA in the range of AU$3 billion to AU$3.2 billion," the company said in a rare mention of fiscal information. Unlike in years past, it did not state net profit nor capital expenditure for the coming year.

Compared to the last year's set of figures that did, the company said it was previously expecting revenue to be AU$5.3 billion, earnings before interest, tax, depreciation, and amortisation (EBITDA) to be AU$3.3 billion, and to post a net loss of AU$2.2 billion. Capital expenditure for FY22 was previously flagged as AU$3.8 billion.

On topics it would talk about, NBN said it was on track to get 75% of its footprint, around 8 million premises, capable of handling 1Gbps ultrafast speeds by 2023.

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https://www.itnews.com.au/news/nbn-co-delays-app-throttling-plans-for-fixed-wireless-569387

NBN Co delays app throttling plans for fixed wireless

By Ry Crozier on Sep 3, 2021 12:45PM

While continuing to consult on what to do about heavy fixed-line users.

NBN Co has delayed plans to limit the bandwidth available to certain apps on its fixed wireless network during periods of heavy usage.

The company unveiled the proposal in October last year as a response to heavy users that routinely dominated available capacity in a particular cell, to the detriment of the experience of other users.

NBN Co said it intended to limit the bandwidth available to applications that heavy users favoured, such as peer-to-peer services and ultra high-definition streams.

With industry consultation completed at the end of last year, NBN Co had been targeting a Q3 2021 introduction of the capability, which it later clarified as September this year.

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https://www.itnews.com.au/news/nbn-co-reveals-future-foray-into-smart-buildings-569385

NBN Co reveals future foray into smart buildings

By Ry Crozier on Sep 3, 2021 7:00AM

Intends to launch commercial service in 2022.

NBN Co will launch a new internet service for connected systems in smart buildings, with individual homes and commercial facilities both appearing to be targets.

The company will call the new offering ‘smart connect’, which it describes as “a ‘modular’ wholesale Layer 2 product to be offered to facilities management [and/or] utilities as an ancillary service.”

Smart connect will be able to provide connectivity to “all non-broadband applications within the facility, such as intercom, metering, CCTV, health and safety alarms [and] building management systems.”

An NBN Co spokesperson confirmed the development of the product, which is currently intended to launch in the third quarter of 2022.

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https://www.theaustralian.com.au/business/technology/nbn-co-cuts-revenue-earnings-forecasts/news-story/0ff994214b52573a67431ba08983d4ee

NBN Co cuts revenue, earnings forecasts

David Swan

7:21PM August 31, 2021

NBN Co has unveiled its latest corporate plan, revising down its forecast revenue and earnings by hundreds of millions of dollars while the project’s total cost has ballooned to $57bn.

The plan, released to the public on Tuesday, marked down the company’s revenue for the 2021-2022 period down from $5.3bn in the 2020 plan to between $5bn and $5.2bn, while earnings before interest, tax, depreciation and amortisation (EBITDA) has been revised down from $3.3bn to between $3bn and $3.2bn.

The project was originally forecast to cost an estimated $29.5bn before the 2013 election, a figure that was revised to $51bn by 2018. That cost is now out to a total of $57bn.

NBN Co’s corporate plan meanwhile removed all financial projections beyond the next 12 months, which it blamed on its debt financing arrangements with overseas investors. Previous corporate plans included four-year financial forecasts.

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https://www.afr.com/street-talk/nbn-co-in-500m-plus-aussie-bond-deal-three-banks-tapped-20210831-p58ner

NBN Co in $500m-plus Aussie bond deal, taps three banks

Anthony Macdonald and Yolanda Redrup

Aug 31, 2021 – 10.12am

NBN Co is stepping up its private for public debt replacement program.

The company, still owing about $11.7 billion to government, is talking to Australian bond investors this week ahead of a $500 million-plus deal.

NBN Co has mandated ANZ, Westpac and MUFG to arrange the bond deal. The brokers kicked it off with a call for indications of interest on Monday.

The proposed deal was structured as a three-year Australian medium term note, with indicative pricing in the “low 40s” basis points above the three year swap rate.

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https://www.itnews.com.au/news/nbn-co-drops-financial-projections-from-its-corporate-plan-569236

NBN Co drops financial projections from its corporate plan

By Ry Crozier on Aug 31, 2021 12:01AM

Coincides with release of a new statement of expectations.

NBN Co has unveiled a threadbare corporate plan for 2022, with all forward financial projections beyond the next 12 months now removed from view.

Where even last year’s corporate plan contained a table of the company’s key financials between FY20 and FY24, including its forward projections for revenue, earnings, net profit and capex, NBN Co said it could no longer offer these numbers due to its ongoing efforts to secure debt financing.

“Historically, NBN Co has included within its corporate plan forward-looking estimates of core operational and financial metrics beyond a 12-month horizon,” the company said.

“However, since commencing activity in local and global debt capital markets, the company has come under a new suite of obligations and limitations. 

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https://www.itwire.com/telecoms-and-nbn/nbn-continuing-to-be-the-political-football.html

Monday, 30 August 2021 15:13

NBN continuing to be the political football

By Chris Coughlan

The Shadow Minister for Communications and Member for Greenway Michelle Rowland, issued a media release titled 'Department slaps down dodgy Fletcher for misleading about fibre NBN'.

Rowland says, the Minister has tried to peddle a debunked claim that: “If we'd stuck with Labor's plan, then we would in 2020 have had five million fewer Australian premises able to connect”.

Labor Senators spent six months seeking to establish the reference for this claim, Rowland says.

However, Rowland continues, after the Minister proved unable to produce any page reference for his “source”, the Department cut him loose and effectively advised the Senate the Minister swindled them as well, saying, "The Department does not manage the Minister’s Twitter account and did not provide advice on the Minister’s statement to the House of Representatives."

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Enjoy!

David.

 

Sunday, September 05, 2021

The Observed Overall Population Digital Literacy Really Means High Digital Health Readiness Is A Fantasy At Present.

This fascinating article appeared a few days ago.

How Australia's tech-savvy COVID-19 response is leaving CALD communities behind

Australia's culturally and linguistically diverse communities are what makes the country unique, but have they been let down and left behind during the pandemic?

By Aimee Chanthadavong | September 2, 2021 -- 22:30 GMT (08:30 AEST) | Topic: E-Commerce

Culturally and linguistically diverse communities across greater Sydney are struggling to keep up with COVID-19 digital initiatives. 

For parts of greater Sydney that have been labelled as "areas of concern", it's now the 10th week of COVID-19 lockdown. These once vibrant communities are fraught with overwhelming frustration, anger, resentment, anxiety, and are simply just tired. I know this because I currently reside in one of these affected local government areas (LGAs).

Besides being locked down, one of the unfortunate issues -- which has not been widely addressed -- is that state and federal governments, as well as retailers, have leaned heavily on using technology to help these LGAs cope with such restrictions.

For instance, one of the initial actions that retailers took to operate in a "COVID safe way" was to discourage the use of cash payments.

This was followed by the New South Wales government introducing its QR code check-in system for COVID-19 contact tracing. Initially, QR check-in was only mandated at hospitality venues and Service NSW centres across the state but in July that was extended to all retail businesses, supermarkets, individual shops within shopping centres, entry points at shopping centres, gyms, offices, call centres, manufacturing and warehousing businesses, universities and TAFE, and schools including teachers and visitors.

More recently, as part of enforcing even stricter lockdown restrictions in LGAs of concern, the NSW government announced that retailers -- garden centres and plant nurseries, office supplies, hardware and building supplies, landscaping material supplies, rural supplies, and pet supplies -- were required to close and operate via click and collect only.

Introducing these systems make perfect sense for a majority, given that the uptake of digital technology continues to grow. What this system has failed to consider though is for more than half of the households living in these impacted areas, which includes some of Sydney's most multicultural communities, English is a second language and cash is king.  

My mum, who neither reads English nor speaks it very well, is a prime example. She not only struggles with using a smartphone, but using a digital payment method, checking into a venue using the QR code system, and turning to online shopping are incomprehensible to her.

Speaking to ZDNet, a Woolworths spokesperson admitted that customers in the LGAs of concerns require language support, highlighting it offers these customers access to translation services to help with website navigation through its Customer Hub phone line. 

"Customers can use a range of third-party digital translation services on our website. We're exploring ways to better integrate translation into the digital experience to make it easier for our customers in the future. We know it's important to meet the needs of our diverse customer base," the retail giant said.

IGA, which prides itself as being a community-minded supermarket chain, said it too has been offering impacted communities with alternative purchasing solutions.

"As IGA stores are independent family-owned businesses, they already have many systems in place to meet the needs of their communities, with many stores already taking orders directly from their local customers by phone and email as well as operating their own online shopping and click and collect systems," said the Metcash-owned retailer. 

"At the beginning of the pandemic, we launched IGA Priority Shop, which was a basic home delivery service to support elderly, vulnerable, or isolated customers by providing essential grocery packs to their door.

"This evolved into an online portal that provided a home delivery service to customers from their local participating store straight to the door. We have now accelerated the development of IGA Shop Online, a full online shopping offer that is being rolled out rapidly nationally."

"We were also first to market with partnerships with Door Dash and Uber Eats to provide fast delivery of essential items to IGA customers," IGA added.

For Bunnings, which has not only chosen to close stores to non-tradespeople in LGAs of concern but across greater Sydney, it has encouraged customers to shop online.

"Following the latest government announcement, we've taken additional steps to protect the safety and wellbeing of team and customers by closing all stores in Sydney to retail customers, including those located in impacted LGAs. During this time, trade customers can continue to access stores, while retail customers will be able to purchase items online using click and deliver and our contactless drive and collect service," Bunnings Operations general manager Ryan Baker said.

"Our team are doing an amazing job preparing online orders, however, given the increased demand we do expect it to take a little longer to get items ready for customers and we appreciate their understanding."

Much more here:

https://www.zdnet.com/article/how-australias-tech-savvy-covid-19-response-is-leaving-cald-communities-behind/

Reading this it becomes clear that even the most skilled and capability aware organisations – the major retailers – are finding it difficult to use digital channels with the simplest transactions, such as on-line purchasing, with even most of the population. In passing I also note remote communities point out they also don't have Uber Eats of 'click and collect'!

There is a powerful lesson here for all those who are in the process of considering offering digital health apps and solutions that they need to very carefully consider the alternative channels they need to make available to be even reasonably inclusive of the whole Australian population.

The ADHA should formally review and research just how technology has been deployed to support consumers during the COVID19 pandemic and what the implications are for offering inclusive Digital Health solutions and what needs to be done to fill the gaps that have been exposed.

Doing this research, and developing solutions, could form a useful part of the planned new ADHA Strategic Plan I reckon.

David.

 

AusHealthIT Poll Number 595 – Results – 5th September, 2021.

Here are the results of the poll.

With The ADHA Starting A New 5 Year Strategic Planning Cycle How Would You Rate The Impact And Success Of The Earlier Strategy Which Ran From 2018 To 2022?

Just Wonderful And Successful 0% (0)

OK - Mostly Successful 0% (0)

Very Ordinary 4% (3)

Mostly Failed To Deliver 36% (27)

Abject Failure 58% (43)

I Have No Idea 1% (1)

Total votes: 74

Pretty clear cut outcome – The previous strategy was left pretty unfinished with over ½ saying it failed. Before they start a new effort, how about publishing an honest review and evaluation of the last effort?

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

A fair number of votes with a pretty clear outcome! 

Only 1 of 74 who answered the poll admitted to being clueless!

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

David.