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, October 05, 2021

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety, Social Media And Security Matters. Lots Of Interesting Perspectives - October 05, 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.innovationaus.com/australias-vaccination-certificate-approach-sad-news-for-privacy/

Australia’s vaccination certificate approach ‘sad news for privacy’


Denham Sadler
National Affairs Editor

27 September 2021

There is “no rational reason” for the way Australian governments are currently planning to roll out digital COVID-19 vaccination certificates, which is less secure and more damaging to privacy than other approaches used elsewhere in the world, a prominent cryptography expert says.

National Cabinet recently agreed that states and territories will integrate digital vaccination certificates into their own check-in apps, with the exact details of how this will work left up to each jurisdiction. Australians are also now able to download a pdf version of their vaccination certificate, which can be added to a smartphone wallet.

It’s unclear exactly how these certificates will be integrated into the QR code check-in apps, and little further information has been provided so far.

The approach is significantly different to that taken by the European Union, which has adopted a QR code certificate with a digital signature to provide its authenticity.

This is now the biggest vaccine passport scheme in the world with more than 40 countries using it, including all 27 EU members. The EU has provided a digital platform, which acts as a gateway through which vaccination certificates from participating countries can be scanned and verified.

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https://www.innovationaus.com/audit-launched-into-services-australias-reliance-on-contractors/

Audit launched into Services Australia’s reliance on contractors


Denham Sadler
National Affairs Editor

30 September 2021

The national audit office has turned its attention to the prevalence of contractors at Services Australia, following concerns the agency has a “serious problem” with tech capability due to its over-reliance on outsourced work.

The Australian National Audit Office (ANAO) has launched an inquiry into the effectiveness of Services Australia’s management of contractors, to be tabled in June next year.

The audit will investigate the agency’s arrangements for the management of contractors, and whether fit-for-purpose frameworks are in place for the use, engagement and management of these contractors.

The ANAO has also launched an audit into the Department of Defence’s use of contractors with the same terms of reference.

The audit will likely focus on the use of contractors for tech work, with Services Australia being the government’s primary service delivery agency, and labour hire commonly used for digital work.

Auditor-General Grant Hehir flagged the inquiry at a Senate committee hearing in August.

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https://www.innovationaus.com/sydney-healthtech-big-picture-has-big-plans/

Sydney healthtech Big Picture has big plans


Joseph Brookes
Senior Reporter

1 October 2021

An Australian healthtech company has its sights set on the digital infrastructure behind the multitrillion-dollar healthcare market after nearly a decade building out a digital platform that began as a student’s thesis.

The company, Big Picture Medical, needed to go offshore to finance and prove the platform but says Australian government support to commercialise it was “instrumental” because it plugged the gaps in local capital markets and validated its technology.

Big Picture Medical’s ultimate plan is to become the “operating system for healthcare”, its founder and chief executive Dr Tom McKinnon tells InnovationAus.

Like an operating system, the Big Picture platform provides the infrastructure, for existing care providers and technologies. Dr McKinnon acknowledges this is a massive challenge to deploy widely but believes it will bring down costs, improve patient outcomes and open new care models.

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https://medicalrepublic.com.au/phns-go-to-war-with-industry-on-gp-data-and-software/54795

1 October 2021

PHNs go to war with industry on GP data and software

AIHW Data General practice Government PHNs TheHill

By Jeremy Knibbs

If “Data is the new oil” (Clive Humby ) patient data is the “new oil” of health transformation.

People all over the world aren’t quite there in realising its value yet but everyone understands it is hugely valuable so there is a rush on to obtain it and control it.

In Australia, there are two huge oil wells of data that parties are rushing to obtain and use: patient data from the electronic medical records (EMRs) of hospitals, and patient data from the patient management systems of GPs and specialists.

In the data lie secrets to all sorts of upside for our healthcare system – how to much better identify and manage patients for chronic conditions, where to concentrate particular health system resources, where and how to fund doctors in the community more efficiently, where to locate hospitals, what resources to put in those hospitals, and so on.

Given the inexorable shift of our health system towards chronic care management in the community, GP patient data is probably the most valuable and accessible data well. So the rush to control GP data is in full swing.

It started in earnest messily mid 2019 when the Department of Health set up Practice Incentives Program (PIP) and its Quality Improvement (QI) incentive and started paying doctors to extract data and send it on to their PHNs.

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https://www.itnews.com.au/news/government-unveils-digital-identity-bill-570671

Government unveils digital identity bill

By Justin Hendry on Oct 1, 2021 12:38PM

For state govt, private sector expansion.

The government has published an exposure draft of its long-awaited bill for the expansion of the country’s federated digital identity system to state and territory governments and the private sector.

The exposure draft, which is open for feedback until October 27, follows two previous rounds of public consultation over the last 12 months comes as the government prepares to introduce the legislation into parliament.

The Trusted Digital Identity Bill will enshrine the privacy and consumer protections behind the system, including some of those within the existing trusted digital identity framework (TDIF), in law and establish long-term governance arrangements.

New privacy protections that are in addition to those already provided through the Privacy Act will also be created through the bill, while grounds for the disclosure of personal information to law enforcement agencies will be tightened.

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Greater Houston Healthconnect Uses InterSystems HealthShare® to Create Largest Known COVID-19 Outcomes Study

GHH has assembled a cohort of more than one million COVID-19 positive cases with all associated medical histories for outcomes analysis

Sydney, Australia, October 1, 2021 — InterSystems, a data technology provider dedicated to helping customers solve the most critical scalability, interoperability, and speed challenges, and Greater Houston Healthconnect (GHH) health information exchange (HIE) today announced the initial results of the largest COVID-19 outcome research study to date. Conducted using InterSystems HealthShare®, the study examines more than one million COVID-19 cases to identify comorbidities that may represent risk factors for severe illness or death.

GHH is one of the largest HIEs in the United States and is connected to more than 95% of hospitals and healthcare systems in the greater Houston area. In total, GHH reaches over 15 million unique individuals and is linked to more than 1,500 healthcare facilities across greater Houston, South and East Texas, and Western Louisiana.

Since the onset of COVID-19 in early 2020, GHH began identifying positive-tested patients into a cohort, then queried for the medical histories of the cohort, aggregating and standardising the data. A community-wide collaboration of specialists and researchers performed extensive analysis to determine symptom complexes and other risk factors resulting in bad outcomes. Using InterSystems HealthShare, GHH collected and refined sociodemographic, behavioural, clinical and laboratory data from these individuals in order to track the proliferation of the pandemic across geographical areas and provide situational awareness to Public Health Authorities, healthcare providers and health services researchers.

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https://stayhappening.com/e/mygov-and-my-health-record-launceston-library-E3LUSS0B5NF7

myGov and My Health Record @ Launceston Library

Wed Nov 24 2021 at 09:30 am to 11:00 am UTC+11:00

Launceston Library | Launceston  ADHA Propaganda

Publisher/Host Launceston Library

Learn more about the myGov website and your My Health Record on myGov.
About this Event

This session will show you how My Health works, how to set it up, how you can control what information it contains and who can see it.

If you have any questions or accessibility requirements, please contact us at (03) 6777 2446.

As this program is currently modified to meet public gathering restrictions, we have limited spaces available.

We ask that you please register here, or call your local library if you need help making a booking. If you are no longer able to make an event, please let us know so that others don’t miss out.

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https://www.itwire.com/technology-regulation/panel-calls-for-giving-government-emergency-powers-during-cyber-attacks.html

Thursday, 30 September 2021 09:43

Panel calls for giving government emergency powers during cyber attacks

By Sam Varghese

A joint parliamentary committee has proposed that an amendment to the laws governing critical infrastructure be split up into two, in order to pass what it says are "urgent reforms".

The Parliamentary Joint Committee on Intelligence and Security said in a statement on Wednesday that emergency powers which were part of the Security Legislation Amendment (Critical Infrastructure) Bill 2020 should be passed immediately.

The bill expands greatly the sectors that are covered to include communications, financial services, data storage and processing, defence industry, higher education and space technology.

Companies from these sectors would have to compulsorily report to the government if they suffered cyber attacks. They would also have to allow government security experts to step in and do what whatever was deemed necessary to stop an attack progressing.

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https://www.theaustralian.com.au/business/the-wall-street-journal/youtube-to-remove-videos-containing-vaccine-misinformation/news-story/c514e02aa84f70cb7420ad722ac9e3a4

YouTube to remove videos containing vaccine misinformation

By Dave Sebastian

The Wall Street Journal

7:01AM September 30, 2021

YouTube said it would remove content that falsely alleges approved vaccines are dangerous and cause severe health effects, expanding the video platform’s efforts to curb Covid-19 misinformation to other vaccines.

Examples of content that would be taken down include false claims that approved vaccines cause autism, cancer or infertility or that they don’t reduce transmission or contraction of diseases, the Alphabet division said.

The policies cover general statements about vaccines -- not only those for Covid-19 -- and about specific routine immunisation such as those for measles and hepatitis B. YouTube said it has removed more than 130,000 videos for violating its Covid-19 vaccine policies since last year.

“We’ve steadily seen false claims about the coronavirus vaccines spill over into misinformation about vaccines in general,” YouTube said. “We’re now at a point where it’s more important than ever to expand the work we started with Covid-19 to other vaccines.”

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https://www.itnews.com.au/news/accc-wants-new-powers-to-counter-googles-ad-tech-dominance-570461

ACCC wants new powers to counter Google's ad tech dominance

By Kate Weber on Sep 28, 2021 1:15PM

Existing competition laws not strong enough to address issues.

The Australian Competition and Consumer Commission (ACCC) wants new powers to rein in Google and its dominance in the advertising technology ('ad tech') sector.

In a report [pdf], the ACCC said more than “90 percent of ad impressions traded via the ad tech supply chain passed through at least one Google service in 2020”.

The commission said it had identified "systemic competition concerns relating to conduct over many years" in the sector, and needed better intervention options than are currently available.

"Investigation and enforcement proceedings under general competition laws are not well suited to deal with these sorts of broad concerns, and can take too long if anti-competitive harm is to be prevented,” ACCC chair Rod Sims said.

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https://www.itwire.com/technology-regulation/google-ad-tech-supply-chain-dominance-harming-businesses,-inviduals.html

Tuesday, 28 September 2021 11:01

Google ad tech supply chain dominance 'harming businesses, individuals’

By Sam Varghese

Google's dominance in the advertising technology supply chain is harming both companies and individuals, the ACCC says in a report published on Tuesday.

The Australian Competition and Consumer Commission had undertaken an inquiry into the ad tech sector beginning in March last year. It said it had identified significant competition concerns and likely harm to publishers, advertisers and consumers. A preliminary report was issued in January this year.

Google was found to have a dominant position in key parts of the ad tech supply chain and the ACCC estimated more than 90% of ad tech impressions traded via this chain passed through at least one Google service.

The ACCC commented that Google's dominance was made possible by multiple factors, "including its access to consumer and other data, access to exclusive inventory and integration across its ad tech services".

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https://www.theage.com.au/business/workplace/big-tech-is-monitoring-our-moods-and-employers-are-paying-attention-20210928-p58va0.html

Big Tech is monitoring our moods and employers are paying attention

By Andrew Orlowski

September 28, 2021 — 11.15am

Imagine dying suddenly and failing to inform Facebook. It’s probably the thing about death we fear most - that Mark Zuckerberg doesn’t find out right away. Fear not, because Apple has this awful eventuality covered.

Apple now interprets sensor information to report your emotional state, and has published technical details of how to access it. In their wisdom, Apple’s boffins have decreed that there are 10 detectable emotional states, and curiously, one of these is “death”. How do you emotionally convey you’re dead? The absence of a pulse would make this one of the simpler interpretive challenges, you might think.

But joking aside, this macabre discovery is part of a worrying trend by big technology companies: gleaning your emotional condition for others to peruse. Unscrupulous employers and lazy public health officials will barely be able to contain their glee, but for employees, and the rest of us, this may be very ominous indeed.

Last year Amazon introduced a fitness watch, Halo, with an unusual feature. Halo does all the usual things every fitness tracker does, like count steps and take your pulse. Only it introduced something new, too: a mood monitor. Listening to your voice, the Halo judges if you’re being too angry or assertive - and not only that, but gives you warnings to mind your tone. This is an electronic mood cop that lives on your body, telling you off. It doesn’t take much imagination to see how employers will use this data when they want to shed staff for reasons other than performance - as some are keen to do already. Injudicious employees now don’t have to worry about upsetting the staff - they might upset the sensor censors, too.

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https://marketplace.service.gov.au/2/digital-marketplace/opportunities/16170

Australian Digital Health Agency

Probity Advisory Services

Opportunity ID

16170

Deadline for asking questions

Monday 27 September 2021 at 6pm (in Canberra)

Application closing date

Wednesday 29 September 2021 at 6pm (in Canberra)

Published

Friday 24 September 2021

Panel category

Support and Operations

Overview

The Australian Digital Health Agency requires an independent probity advisor to oversee and/or assist in ICT related procurement processes.

Estimated start date

1st October 2021

Location of work

Australian Capital Territory
New South Wales
Queensland
Victoria
Offsite

Working arrangements

Work can be completed off site, with attendance to meetings either face-to-face or virtually.

Length of contract

12 Months

Contract extensions

2 x 12 Months

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David.

Monday, October 04, 2021

Weekly Australian Health IT Links – 04 October, 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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Another quiet week, to say the least. It seems either there is not much going on or no-body is talking about it much!

Beamtree seems to be trying to raise some news. Will be interesting to see how that goes.

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https://www.healthcareitnews.com/news/anz/new-app-australia-help-parents-support-their-childrens-mental-wellbeing

New app in Australia to help parents support their children's mental wellbeing

The free mobile app covers subjects such as anxiety, bullying, temperament and shyness.

By Adam Ang

September 28, 2021 03:13 AM

The Australian government has unveiled a new mobile application that helps parents support their children's mental health and wellbeing.

WHAT IT DOES

The Raising Healthy Children app by federal government-backed Raising Children Network provides parents with children aged 12 and below with information on their child's health, development and wellbeing. It guides parents, carers and professionals in ensuring their own mental health as well.

Developed by a panel of 85 parents and 21 child health experts, the free mobile app – now available on the Google Play store and Apple App store – covers subjects such as anxiety, stress, work-life balance, bullying, temperament, grief and loss, gender identity, shyness, depression, bonding and exercise. Over 30 topics are currently listed on the app, with more to come later.

In the event of toddler tantrums, for instance, the app can guide users in handling their child by providing tips to manage tantrums, such as identifying triggers and reducing stress. It also directs them on when and how to seek further professional help.

WHY IT MATTERS

In Australia, over 300,000 children each year are experiencing mental disorders, Health Minister Greg Hunt noted in a media release. Based on the 2015 government-commissioned report on the mental health of children and adolescents in the country, one in seven children aged 4-17 experienced mental illnesses with ADHD as the most common disorder.

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https://medicalrepublic.com.au/telehealth-touted-as-ed-deterrent/54484

27 September 2021

Telehealth touted as ED deterrent

COVID-19 Hospitals Patients

By Francine Crimmins

Fewer patients are presenting to emergency departments during the covid pandemic, says Australian research – but the role of telehealth as a long-term fix is up in the air.

A population-based survey, recently published by Flinders University, found that almost a quarter of respondents had avoided an ED presentation in the previous four weeks.

The study surveyed about 1200 adults in May 2020 who all had recently experienced a health issue that, prior to the beginning of the covid pandemic, would have been a catalyst for them to seek hospital care.

Of those individuals who forwent an emergency attendance, about 60% chose an alternative form of health care while the remaining 40% said they self-managed their condition.
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https://digitalhealth.org.au/blog/institute-backs-standards-based-approach-to-digital-vaccine-passport/

Institute backs standards based approach to digital vaccine passport

Sep 29, 2021 | AIDH news, Allied Health, Australian Health News, Data, Digital Health, eHealth, Featured, International Health News

The Australasian Institute of Digital Health says a standards-based approach is required to give Australians the confidence they are seeking in a smart health card that proves their COVID vaccination status. AIDH CEO Dr Louise Schaper said Australians expected to be able to prove they are double vaccinated with one digital passport wherever they travel across the country, not have to use a different app for each state.

She said the Institute was endorsing a webinar on 5 October, hosted by HL7 Australia and supported by the VCI Consortium, as a way to explore how the SMART health cards could work in Australia, given our unique requirements.

AIDH Fellow and global health informatics leader Grahame Grieve said in Australia at present the state governments seem to be focused on building an app-based solution that looks likely to create difficulties between the states and could see those without smartphones out in the cold.

Mr Grieve said an Australian profile would need to be developed around the SMART Card to bring it closer to Australia’s own requirements. Anyone in the digital health community interested in hearing from key thinkers and implementers in the US health IT community on the SMART Health Card and FHIR are invited to register for the webinar.

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https://www1.racgp.org.au/newsgp/clinical/how-a-covid-hotline-could-help-hospitals-and-gps

How a COVID hotline could help hospitals and GPs

A GP-led initiative is proposing a 24/7 hotline to take the burden off emergency services and ensure continuity of care.

Anastasia Tsirtsakis


30 Sep 2021

As COVID-19 continues to spread, emergency services are being pushed to their limits.
 
Currently, isolated COVID-positive patients being treated in the home often have little recourse when their condition deteriorates other than to call triple-zero.
 
The situation has reportedly intensified to the point where a record number of triple-zero calls were made in Victoria this week, resulting in significant wait times. On Monday alone, 3250 calls were made – up from around 2000 the same time last year – 40% of which were not life-threatening situations.
 
But a 24/7 COVID hotline, being proposed by a group of GPs, is aiming to ease the burden.
 
Staffed by healthcare workers, people who are confirmed to have COVID or suspect they do, would be able to call direct and be triaged to either receive support through their own general practice, if available, or through the hotline directly.
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https://medicalrepublic.com.au/deadline-looming-for-nsw-hotspots/54780

1 October 2021

Deadline looming for NSW hotspots

COVID-19 RACGP Telehealth

By Francine Crimmins

GPs across Greater Sydney were left guessing again today, with the Department of Health website having misled a number of doctors into thinking the Commonwealth-declared hotspots were set to expire, and some telehealth privileges to vanish overnight.

It’s led to questions yet again over the future of MBS rebates for level C phone consults and the need prove a patient has attended at least one face-to-face appointment in the previous 12 months.

GPs took to social media yesterday to inform their colleagues of the deadline, which could spell the end of long telephone consults for a number of GPs and their patients.

But in a last-minute reprieve, the DoH today extended the Commonwealth hotspot status for the affected Sydney local government areas, with a new deadline instated for 11 October.

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https://www.digitalhealth.gov.au/newsroom/media-releases/queensland-northern-nsw-and-tasmanian-consumers-can-now-access-a-pathology-lab-that-uploads-reports-to-my-health-record

Queensland, Northern NSW and Tasmanian consumers can now access a pathology lab that uploads reports to My Health Record

Published 1 October 2021

Consumers across Queensland and Tasmania as well as Northern New South Wales can now access a pathology lab that shares reports with My Health Record. 

QML Pathology General Manager, Kerri McPhie, announced that QML, IQ Pathology and TML Pathology are sharing reports with consumers and healthcare providers in My Health Record.

“Consumers in Queensland and Northern NSW can take any pathology request form to one of more than 500 QML collection centres from Port Douglas to Ballina, and we will send a copy of their report to My Health Record.”

“For consumers in Tasmania, their reports are sent to My Health Record from our 22 TML collection centres that service the state’s north from Burnie to Launceston, and in the south in and around Hobart.”

Healius Pathology Chief Executive, John McKechnie, is pleased to see labs connecting to My Health Record across the country.

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https://themarketherald.com.au/beamtree-asxbmt-partners-with-calhn-for-safer-patient-care-2021-09-30/

Beamtree (ASX:BMT) partners with CALHN for safer patient care

Health Care

Jessica De Freitas Markets Reporter  jessica.defreitas@themarketherald.com.au

30 September 2021 15:30 (AEST)

  • Beamtree (BMT) partners with the Central Adelaide Local Health Network (CALHN) to implement AI products to support safer care for patients
  • The companies will implement a data quality product across CALHN's hospital network as well as launch a new trial using RippleDown
  • The trial supports clinical decision making for pathology services and will integrate the Ainsoff Index into the electronic medical record
  • The collaboration also involves assessing RippleDown in clinical workflow to get feedback from practicing doctors
  • Company shares end the day 20.2 per cent in the green to close at 59.5 cents

Beamtree (BMT) has partnered with the Central Adelaide Local Health Network (CALHN).

The partnership will see the pair implement artificial intelligence (AI) products to support better and safer care for patients.

Specifically, the companies will implement the RISQ data quality product across CALHN's network of four hospitals. RISQ is a comprehensive measurement and auditing tool which supports better health data accuracy and the management of potential hospital-acquired complications.

Beamtree and CALHN will also launch a new trial using RippleDown, an AI decision support product, and launch the Ainsoff index which is used to detect deterioration in its early stage.

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https://www.itnews.com.au/news/accenture-gets-another-11m-for-my-health-record-enhancements-570292

Accenture gets another $11m for My Health Record enhancements

By Justin Hendry on Sep 27, 2021 6:51AM

Decade-long deal climbs higher.

Accenture has been handed $11 million to further enhance the My Health Record system, bringing its long-standing national infrastructure operator (NIO) deal to $641 million.

The Australian Digital Health Agency revealed the nine-month contract with the tech giant earlier this month amid its massive national infrastructure modernisation program.

The new deal comes just two months after the AHDA extended Accenture’s decade-long umbrella deal until at least July 2022 at a cost of $42.7 million.

Accenture has held the NIO contract for the design, build and integration of the My Health Record system since 2011, when it was known as the personally controlled electronic health record (PCEHR).

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https://www.innovationaus.com/accenture-gets-11m-boost-for-my-health-record-enhancements/

Accenture gets $11m boost for My Health Record ‘enhancements’


Denham Sadler
National Affairs Editor

27 September 2021

Accenture has been handed more than $11 million to make “enhancements” to My Health Record across this financial year, with the Irish-domiciled multinational now paid nearly $641 million over a decade for work on the platform.

In June 2012 Accenture was awarded a contract for “national infrastructure services” for the My Health Record system, with the tech firm operating an Oracle-based platform underpinning the digital health service.

Across a number of amendments this contract has now ballooned out to be worth just under $641 million, running until the end of June next year.

The first value increase was awarded in October 2019. In July last year, Accenture won a one-year extension of the contract worth $42.5 million, and a further $15 million to make a number of improvements to the system in the 2020-21 financial year.

The Australian Digital Health Agency (ADHA) awarded Accenture a further $11.5 million recently to make more “enhancements” to My Health Record this financial year, a spokesperson said.

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https://www.ausdoc.com.au/news/aussie-doctors-make-surgical-devices-using-3d-printer

Aussie doctors make surgical devices using 3D printer

Onsite printing could bridge supply shortages of urological devices, say Melbourne researchers

28th September 2021

By Reuters Health

Melbourne doctors have helped come up with a way to ease global shortages of medical devices using an over-the-counter desktop 3D printer. 

Researchers led by Austin Health surgical resident Dr Jasamine Coles-Black, have described a method to create a meatal dilator using 3D-printing. 

They said the dilator would provide a "simple entry point" for low risk devices that urology units can print in-house. 

Dr Coles-Black and colleagues, including urologists and surgeons from a number of Melbourne hospitals, published the dilator design in an appendix to a research letter in European Urology.

Dilators treat meatal occlusive disease and are in short supply worldwide, the authors wrote.

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https://www.hinz.org.nz/news/581608/Progress-on-national-Electronic-Oral-Health-Record.htm

Progress on national Electronic Oral Health Record

Tuesday, 28 September 2021  

NEWS - eHealthNews.nz editor Rebecca McBeth

Four regional agreements for DHBs that use Titanium software and a new Oral Health Data Standard have been developed as part of progress towards a nationally consistent Electronic Oral Health Record.
 
Titanium is a clinical system used by publicly funded oral health providers and the University of Otago Faculty of Dentistry in New Zealand.  It contains critical information about the status of patients and treatments provided to nearly all children up to the age of 12, and some adults.

Sixteen DHBs are using Titanium Solutions, but each have their own instance and customisation of the software, making it challenging to get nationally consistent information from the system.

These 16 licences for the software have been incorporated into four regional support and service agreements covering the Southern, Central, Midland and Northern regions of New Zealand.

Professional services organisation TAS is leading the project on behalf of the DHBs and the Ministry of Health. Bryan Pay, EOHR programme manager, says
the implementation plan was approved by DHB chief executives in May 2019, and the new regional agreements were agreed with Titanium in May this year.
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https://www.hinz.org.nz/news/581820/System-identifies-children-missing-health-checks-in-Northern-region.htm

System identifies children missing health checks in Northern region

Wednesday, 29 September 2021  

NEWS - eHealthNews.nz editor Rebecca McBeth

The National Child Health Information Platform (NCHIP) is live in the Northern region and being used to ensure all children are connected with health providers and getting the health checks they need.

In New Zealand, children are eligible for 30 child health milestone checks between birth and six years such as; metabolic screening, immunisation, oral health, before school checks, and vision and hearing.  

Orion Health clinical consultant Angela de Zwart says these health checks are done by many providers and information is held in data silos, making it difficult to recognise patterns and identify those children who are missing out on services. 

NCHIP is a cloud-based platform that collates non-clinical information - including ethnicity, deprivation level and milestone updates - into a unified view of milestones and care provider relationships. 
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https://www.innovationaus.com/digital-ministers-in-vaccination-pact/

Digital ministers’ in vaccination certificate pact


Joseph Brookes
Senior Reporter

27 September 2021

Australian governments are working to incorporate federal vaccination certificates into state and territory check in apps and are cooperating on home quarantine for fully vaccinated people as states and territories prepare to ease COVID restrictions.

It follows varying support from premiers and chief ministers on requiring vaccination proof and questions about how to integrate such proof into existing digital services – all in the absence of a national approach.

The challenge was discussed at a Data and Digital Ministers’ Meeting on Friday, while the National Cabinet is expected to include more talks on the issue later this week.

Since June Australians have had access to digital proof of vaccination certificates through myGov or the Medicare app, but the digital documents are easily forged.

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https://www.itwire.com/accounting-software/nhmrc-picks-link4-as-an-access-point-provider.html

Friday, 24 September 2021 12:43

NHMRC picks Link4 as an e-invoicing access point provider

By Kenn Anthony Mendoza

The National Health and Medical Research Council has selected Link4 as an e-invoicing access point provider due to its strong track record in working with government agencies.

“We have to remember why e-invoicing is being implemented,” comments Link4 CEO Robin Sands. “E-invoicing helps small business and helps the economy.”

“We are happy to be supporting NHMRC with this service," Sands says.

According to Link4, in 2020, businesses lost $128 million to payment redirection scams. This figure is projected to be more than five times higher in 2021.

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https://www.theaustralian.com.au/life/gadgets/review-suunto-9-peak-smartwatch-could-lead-an-exercise-revolution/news-story/5eecdaa7a164fba229fa15a4ce969289

Review: Suunto 9 Peak smartwatch could lead an exercise revolution

Chris Griffith

12:15AM September 30, 2021

Finnish premium smartwatch maker Suunto has somewhat of a cult following. It has been making navigation gear for 80 years. The legend goes that in 1939, a Suunto M-311 field compass saved the life of a Finnish soldier when he was hit by a Russian sniper’s bullet. It wasn’t high tech that saved him though. The bullet hit the Suunto compass in his pocket.

The brand isn‘t a household name in Australia, but the company’s hardy watches are popular among outdoor adventurers and serious sportspeople.

This latest offering, the Suunto 9 Peak, is still a largish smartwatch compared to Apple and Samsung watches. It has a round face and three operating buttons at right. However, it is significantly smaller than the existing Suunto 9 Baro and lightweight.

Suunto says it is 37 per cent thinner and 36 per cent lighter than the Baro. You barely feel it on your wrist.

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https://www.hospitalhealth.com.au/content/technology/article/telehealth-in-aged-care-does-it-have-a-promising-future--289071937

Telehealth in aged care: does it have a promising future?

By Gareth Mohan*
Wednesday, 29 September, 2021

During lockdowns, senior Australians used fewer in-person visits with their GPs and telehealth visits became a core service for non-urgent care. Now, after months of near-normalcy, the COVID-19 delta variant is sending the numbers of daily cases climbing to their highest point yet and driving cities back into lockdown.

In this latest wave of the pandemic, ensuring that senior Australians continue to have safe access to health care is an important priority. The government recently approved new Medicare items for telehealth consultations, and in a statement about the new items, Health Minister Greg Hunt cited telehealth’s “important role in supporting Australians through the pandemic”.

With these new Medicare guidelines, it’s clear that telehealth is here to stay. But will it be able to effectively meet the needs of elderly Australians? It’s one thing for doctors to offer telephone consultations; it’s another for seniors to utilise them effectively.

As an aged-care provider headquartered in Perth and with additional offices throughout the country, we’ve had a front row seat to the impact of the COVID-19 pandemic on healthcare access. We wanted to find out how comfortable Australians are with telemedicine and how likely they are to choose it when other options are available, so we conducted a survey to find out.

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https://www.theaustralian.com.au/business/technology/aws-launches-55m-health-grants-program/news-story/4dc5881cb256569591b923138690e9d9

AWS launches $55m health grants program

Chris Griffith

September 28, 2021

Amazon Web Services wants to make telehealth and telemedicine available to remote and marginalised communities around the world through a $55m grants program.

It’s one of many aspirations of its new Healthcare Equity program that aims to offer free credit and technical expertise to struggling health providers so they can access AWS cloud services.

Health-based organisations can apply online with an application deadline set at November 15. The money is made available as credits and services.

AWS says eligible applicants could be customers from industries such as non-profit healthcare, academic medical centres, national governments, primary care, ambulatory care and elderly care. AWS partner network members can also apply.

It says the program will focus on providers to underserved populations around the world.

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https://www.itwire.com/telecoms-and-nbn/nbn-meeting-its-social-responsibility-to-australians-during-covid.html

Tuesday, 28 September 2021 13:27

NBN meeting its social responsibility to Australians during COVID

By Chris Coughlan

That's the title of an open letter sent by CEOs; Phillip Britt of Aussie Broadband, Kelly Bayer Rosmarin of Optus, Andy Penn of Telstra, Iñaki Berroeta of TPG Telecom and Kevin Russell of Vocus to NBN Co CEO Stephen Rue. They wrote to appeal to NBN Co's social responsibility towards all Australians requesting additional broadband capacity during this time of need. The letter was also copied to Paul Fletcher, Minister for Communications, Urban Infrastructure, Cities and the Arts.

The five telcos represent more than 96% of the 8.3 million Australians connected to the NBN.

They said, "Australians are suffering from the impact of COVID more today than at any other time since the outbreak began. Australia’s most populous states remain in lockdown and State borders remain closed as daily case numbers continue to hit record highs.

"We appreciate that NBN Co understands its heightened level of social responsibility during this national crisis caused by COVID, and has supported Australians working online, educating their children online, and staying connected with loved ones they cannot see in person. We are thankful for the relief that NBN Co has provided in the past.

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Enjoy!

David.

 

Sunday, October 03, 2021

It Really Looks Like The #myHealthRecord Is Just An Unexplained Money Sink!

These two articles appeared last week. First we have this:

Accenture gets another $11m for My Health Record enhancements

By on

Decade-long deal climbs higher.

Accenture has been handed $11 million to further enhance the My Health Record system, bringing its long-standing national infrastructure operator (NIO) deal to $641 million.

The Australian Digital Health Agency revealed the nine-month contract with the tech giant earlier this month amid its massive national infrastructure modernisation program.

The new deal comes just two months after the AHDA extended Accenture’s decade-long umbrella deal until at least July 2022 at a cost of $42.7 million.

Accenture has held the NIO contract for the design, build and integration of the My Health Record system since 2011, when it was known as the personally controlled electronic health record (PCEHR).

A spokesperson told iTnews the contract signed this month – as well as one signed in December 2020 for $15 million – as relating to “enhancements to the My Health Record system”.

“Amendment two [is] for work undertaken in the 2020-21 financial years and amendment four [is] for work in the 2021-22 financial year,” the ADHA said.

Further enhancements to the system come as Deloitte gets to work building the new health information gateway that will support the My Health Record.

The gateway, which will be used for exchanging and accessing health information, is considered the first stage of the ehealth record refresh, called the national infrastructure modernisation program.

More here:

https://www.itnews.com.au/news/accenture-gets-another-11m-for-my-health-record-enhancements-570292

Second we have this:

Accenture gets $11m boost for My Health Record ‘enhancements’

Denham Sadler
National Affairs Editor

Accenture has been handed more than $11 million to make “enhancements” to My Health Record across this financial year, with the Irish-domiciled multinational now paid nearly $641 million over a decade for work on the platform.

In June 2012 Accenture was awarded a contract for “national infrastructure services” for the My Health Record system, with the tech firm operating an Oracle-based platform underpinning the digital health service.

Across a number of amendments this contract has now ballooned out to be worth just under $641 million, running until the end of June next year.

The first value increase was awarded in October 2019. In July last year, Accenture won a one-year extension of the contract worth $42.5 million, and a further $15 million to make a number of improvements to the system in the 2020-21 financial year.

The Australian Digital Health Agency (ADHA) awarded Accenture a further $11.5 million recently to make more “enhancements” to My Health Record this financial year, a spokesperson said.

“Separate amendments were made to distinguish enhancement work from the contract extension,” the spokesperson told InnovationAus.

The Agency did not comment on what these further “enhancements” will involve, or what Accenture delivered as part of the previous contract amendment for more work.

The ADHA is embarking on a significant update to Australia’s digital health ecosystem.

In July the agency awarded consulting giant Deloitte a near-$18 million contract to develop the “foundational capability” for this ecosystem, known as the Health Information Gateway. This will be a “secure and scalable platform for exchanging and accessing health information” and will eventually replace the system currently managed by Accenture.

Microsoft was also recently awarded a short closed tender worth more than $600,000 by the ADHA as part of its whole-of-government sourcing agreement.

The ADHA has also gone to the market for a contractor to develop a MHR app which will connect to the broader system through a new gateway, supporting two interaction models for consumer-focused apps.

More here:

https://www.innovationaus.com/accenture-gets-11m-boost-for-my-health-record-enhancements/

Reading closely we see there has been a range of little $M10-15 extras – adding up to a fair bit - just happening with Accenture while we see other extras of similar amounts to other contractors.

The major offender is this one with all the add-ons.

https://www.tenders.gov.au/Cn/Show/adf5f1db-6c83-440c-b390-dc8b2d706038

Contract Notice View - CN3612552

AusTender holds Contract and Standing Offer Notices for the 07/08 financial year forward. For information related to previous years, please refer to https://data.gov.au/dataset/historical-australian-government-contract-data

Subcontractors:  For Commonwealth contracts that started on or after 1 December 2008, agencies are required to provide the names of any associated subcontractors on request.  Information on subcontractors can be sought directly from the relevant agency through the Agency Contact listed in each Contract Notice.

National Infrastructure Services for the My Health Record System

Agency Details

Contact Name:  Australian Digital Health Agency

Email Address: contracts@digitalhealth.gov.au

Office Postcode: 2606

CN ID: CN3612552

Agency: Australian Digital Health Agency

Publish Date: 22-Jul-2019

Category: Management information systems MIS

Contract Period: 27-Jun-2012 to 30-Jun-2022

Contract Value (AUD): $640,975,227.00

Original: $529,557,294.00

Description: National Infrastructure Services for the My Health Record System

Amendments:

Procurement Method: Open tender

ATM ID: DH0070-DOVZ5

Agency Reference ID: 4500121282


Supplier Details

Name: ACCENTURE AUSTRALIA HOLDINGS PTY LTD

Note that the various amendments added about $110,000!

Then there is also this:

https://www.tenders.gov.au/Cn/Show/f0aa7b81-9eea-458a-8745-f2a3101358bb

Contract Notice View - CN3805871

AusTender holds Contract and Standing Offer Notices for the 07/08 financial year forward. For information related to previous years, please refer to https://data.gov.au/dataset/historical-australian-government-contract-data

Subcontractors:  For Commonwealth contracts that started on or after 1 December 2008, agencies are required to provide the names of any associated subcontractors on request.  Information on subcontractors can be sought directly from the relevant agency through the Agency Contact listed in each Contract Notice.

Software Agency Details

Email Address: contracts@digitalhealth.gov.au

Office Postcode: 2606

CN ID: CN3805871

Agency: Australian Digital Health Agency

Publish Date: 18-Aug-2021

Category: Software

Contract Period: 30-Jun-2021 to 31-Aug-2021

Contract Value (AUD): $269,192.00

Description: Software

Procurement Method: Open tender

ATM ID: DH3519

SON ID: SON3413842

Agency Reference ID: DH3519


Supplier Details

Name: Accenture Australia Pty Ltd

Between these to very vaguely specified contracts almost a $1billion has wandered out the door. Who knows what we got for most of it? Looks like a very profitable 'gravy train' to me. I wonder what the margin is? Remember all this is meant to be spent by July 2022!

I reckon there should be much more public explanation of all this! What do others think?

David.

AusHealthIT Poll Number 599 – Results – 3rd October, 2021.

 Here are the results of the poll.

Overall, Do You Rate The NBN A Success In The Provision Of Fast And Reliable Broadband For All Australians?

Yes 11% (7)

No 86% (57)

I Have no Idea 3% (2)

Total votes: 66

Pretty clear cut outcome – It seems readers here see the NBN as not having to actually delivered as planned.

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

A fair number of votes with a pretty clear outcome! 

Only 2 of 66 who answered the poll admitted to not being sure about the answer to the question!

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

David.