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 12, 2021

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety, Social Media And Security Matters. Lots Of Interesting Perspectives - October 12, 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.zdnet.com/article/scott-morrison-says-social-media-platforms-are-publishers-if-unwilling-to-identify-users/

Scott Morrison says social media platforms are publishers if unwilling to identify users

Morrison, Joyce, and Cash all on Thursday called out the tech giants for the content that resides on social media platforms.

By Campbell Kwan | October 7, 2021 | Topic: Social Enterprise

Australian Prime Minister Scott Morrison has criticised tech giants for the conduct that occurs on their platforms, stating that platforms would be viewed as publishers if they are unwilling to identify users that post foul and offensive content.

"Social media has become a coward's palace where people can just go on there, not say who they are, destroy people's lives, and say the most foul and offensive things to people, and do so with impunity," Morrison said at a press conference.

"The companies that [do not] say who they are, well, they're not a platform anymore. They're a publisher, and you know what the implications of that means in terms of those issues. So people should be responsible for what they say in a country that believes in free speech."

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https://www.theaustralian.com.au/business/technology/society-could-unfriend-facebook-as-its-reputation-takes-a-battering-facebook/news-story/34a75c24152590e44e6e79fdb6ecc651

Society could unfriend Facebook as its reputation takes a battering Facebook

By Economist

3:13PM October 8, 2021

Disaster struck the world’s biggest social network on October 4th when Facebook and its sister apps were knocked offline for six hours. It was one of the less embarrassing moments of the company’s week. The next day a whistleblower, Frances Haugen, told Congress of all manner of wickedness at the firm, from promoting eating disorders to endangering democracy. Some wondered whether the world would be a better place if the outage were permanent.

A share of the opprobrium heaped on Facebook is incoherent. Politicians are angry but so far seem incapable of co-ordinating reform to rein it in. And investors have kept buying the stock, regardless of the bad headlines. Yet the company should take no comfort from this. The blind fury unleashed shows that its reputational problems have got out of hand.

Some of this week’s criticism was tendentious. Reports highlighted internal research showing that Instagram, Facebook’s photo-sharing app, makes one in five American teenagers feel worse about themselves. They paid less attention to the finding that Instagram makes twice as many feel better about themselves. Facebook’s critics are right that it should be more open. But the firm has half a point when it says that the hysterical reaction to unsurprising findings will lead companies to conclude that it is safer not to do such research at all.

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https://www.smh.com.au/technology/dossiers-and-cover-ups-facebook-puts-profits-before-safety-whistleblower-reveals-20211005-p58xci.html

Dossiers and cover-ups: Facebook puts profits before safety, whistleblower reveals

By Caitlin Fitzsimmons and Lisa Visentin

October 9, 2021 — 5.00am

When Sydney teenager Tilda first started using Instagram, it sparked a crisis of confidence in how she looked that lasted two years.

“I would constantly compare myself to Victoria’s Secret models when I was a 12-year-old girl with a flat chest,” Tilda says. “I was faced with these images of girls who are fully grown, and have probably had some work done - it was challenging, but it’s also what’s to be expected when you’re a 12-year-old who goes on Instagram with no real idea of reality or expectation of what social media is like.”

With the support of her mother, Tilda eventually gained the perspective and maturity to move past this. Now 15, she uses Instagram mainly to follow Liverpool Football Club and message friends, TikTok for the humour and SnapChat to connect with friends. She no longer worries “about what other girls look like or if they have a smaller waist than I do or bigger lips or whatever.”

Tilda was officially too young when she joined Instagram - the terms and conditions state users must be at least 13 - but this is common. As we now know, thanks to damning testimony from a whistleblower in the US, former Facebook employee Frances Haugen, Instagram is not safe for young people aged 13 and older anyway.

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https://www.smh.com.au/politics/federal/australia-urges-us-to-follow-its-lead-in-regulating-social-media-giants-20211008-p58yd5.html

Australia urges US to follow its lead in regulating social media giants

By Lisa Visentin and Caitlin Fitzsimmons

October 9, 2021 — 5.00am

Australia has intervened in the global push to regulate tech giants, writing to the US Senate to urge it to follow the nation’s lead to make social media companies deliver safer products.

Facebook whistleblower Frances Haugen has drawn global media coverage and ignited a bipartisan push in the US congress to rein in the tech giants, after testifying this week that the company knowingly harms its users and prioritises profit, stokes division, and undermines democracy.

In a letter to the chairs of the Senate hearings this week, Communications Minister Paul Fletcher and eSafety Commissioner Julie Inman Grant said the issues the US committees were grappling with “are ones of truly global impact”, adding that Australia’s “leading regulatory approach” had been internationally recognised.

The letter included an offer for Ms Inman Grant to give evidence to the committees on Australia’s actions, noting that the World Economic Forum in June had recommended that other nations should consider forming a body specific to online safety, “such as Australia’s eSafety Commissioner”.

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https://www.smh.com.au/politics/federal/how-barnaby-joyce-sent-the-fear-of-god-through-big-tech-20211008-p58ycm.html

How Barnaby Joyce sent the ‘fear of God’ through Big Tech

Peter Hartcher

Political and international editor

October 9, 2021 — 5.00am

Here’s a puzzle. On Wednesday, the Minister for Communications, Paul Fletcher, appeared at the National Press Club in Canberra. He took the national media spotlight to talk about his new booklet, Governing in the Age of the Internet. It’s a vast and urgent problem. But he had nothing new to say on the topic.

Fletcher didn’t so much as utter the words “social media” in his speech. Yet on Thursday, the very next day, Prime Minister Scott Morrison made news on Fletcher’s chosen topic when he damned the big social media companies that Fletcher is supposed to be in charge of regulating:

“Social media has become a coward’s palace where people can just go on there, not say who they are, destroy people’s lives and say the most foul and offensive things,” Morrison said at a press conference, signalling a crackdown. This made news not only in Australia but around the world. The global newsagency Reuters made it their “quote of the day”.

Morrison went further. It was “not a free country” where people could destroy lives with impunity. “So people should be responsible for what they say, in a country that believes in free speech. I think that’s very important … we intend to set the pace because we value our free society and in a free society, you can’t be a coward and attack people and expect not to be held accountable for it.”

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https://www.smh.com.au/world/north-america/qr-codes-turn-analog-interactions-into-digital-ones-stirring-privacy-fears-20211008-p58y9y.html

QR codes turn analog interactions into digital ones, stirring privacy fears

By Tatum Hunter

October 8, 2021 — 7.00am

Your favourite server at your local pizza spot may remember you love anchovies. Now, thanks in part to the QR code you used to open the menu and order, other eateries might know, too.

These tiny black-and-white squares originated in factories in the 1990s and have seen a resurgence during the pandemic, as more people took extra steps to keep their hands clean and touchless technologies gained ground at restaurants and retailers.

Just open a phone camera, point it at this special type of link and get transported to a website with more information than a paper menu ever offered. Even classically brick-and-mortar businesses like furniture retailers are using QR, or quick response, codes to help shoppers choose what to buy.

But QR codes serve a purpose beyond cutting down on germs. They turn analog interactions - like ordering a pizza - into digital ones, and those digital interactions can be subject to tracking by the restaurant or store. Because QR codes open a browser, companies might use that digital signal to connect the dots between online and offline activity.

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https://www.smh.com.au/business/companies/what-is-facebook-doing-to-us-20211008-p58yb1.html

What is Facebook doing to us?

By Shira Ovide

October 8, 2021 — 9.35am

In Facebook’s major scandals of the last five years, some of the scary details or breathless conclusions have been off base. But each one has moved us closer to essential truths about how Facebook affects our lives.

In 2016, the worst fears were that a wildfire of Russian propaganda on Facebook persuaded a bunch of Americans to vote for Donald Trump. In 2018, people spun yarns that the political consulting firm Cambridge Analytica brainwashed us with data they vacuumed up from Facebook users. Not quite right.

In the firestorms, there may have been too much credit given to the Kremlin, Cambridge Analytica and Facebook — and too little to human free will.

And in Facebook’s crisis du jour, kicked off by a whistleblower’s claims that the company repeatedly chose its short-term corporate interests over the good of humanity, some nuance has likely been lost. Instagram’s internal research about the app’s influence on teenage girls’ mental health does not appear conclusive, as some researchers told me and NPR reported.

So yes, we have all gotten stuff wrong about Facebook. The company, the public and people in power have at times oversimplified, sensationalised, misdiagnosed the problems or botched the solutions. We focused on how the heck Facebook allowed Macedonian teenagers to grab Americans’ attention with fabricated news and did less to address why so many people believed it.

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https://www.itnews.com.au/news/a-cowards-palace-pm-slams-social-media-amid-defamation-law-controversy-570951

'A coward's palace': PM slams social media amid defamation law controversy

By Byron Kaye on Oct 8, 2021 6:50AM

Pushes for platforms to be treated as publishers where identity is unknown.

Prime Minister Scott Morrison lambasted social media on Thursday as "a coward's palace", saying platforms should be treated as publishers when defamatory comments by unidentified people are posted, pouring fuel on a raging debate over the country's libel laws.

Morrison's comments suggest he would favour making companies like Facebook liable for defamation with regards to some content posted by third parties, a position that could further cement Australia's outlier status on the subject.

The country's highest court ruled last month that publishers can be held liable for public comments on online forums, a judgement that has pitted Facebook and news organisations against each other and spread alarm among all sectors that engage with the public via social media.

That in turn has lent new urgency to an ongoing review of Australia's defamation laws, with the federal attorney general this week writing to state counterparts stressing the importance of tackling the issue.

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https://www.greaterdandenong.vic.gov.au/events/seniors-festival-my-digital-health-information-session

Seniors Festival - My Digital Health Information Session

ADHA Propaganda

Join us for an information session about My Health Record – an online database that stores your important health information.
This online session will cover what My Health Record is used for, what its benefits are, and what documents are stored in the database.
We will also look at who has access to your health information and how you can access it for yourself.

There will be an opportunity to ask questions.
The session will be presented by the Australian Digital Health Agency and the Australian Library and Information Association.

Registration

Registrations are required for this event.
Select the 'Register now' button below or telephone the library during opening hours on 1300 630 920.
Registrations will close 9am on the day of the event unless fully booked.

Location

This program will be delivered online via Zoom.
This is a live streamed event accessed via a link, which you will receive on the day of the event.

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https://www.smh.com.au/politics/federal/pay-the-price-tech-giants-could-face-legal-responsibility-for-trolls-20211007-p58y2o.html

‘Pay the price’: Tech giants could face legal responsibility for trolls

By Lisa Visentin

October 8, 2021 — 5.00am

Tech giants could be held legally responsible for the content published on their platforms after Prime Minister Scott Morrison and his deputy Barnaby Joyce launched extraordinary attacks on social media companies.

Facebook is already under fire globally after an American whistleblower leaked documents accusing the company of knowingly harming users, with Assistant Minister for Mental Health David Coleman declaring “social media platforms can’t be trusted to act in the best interests of children”.

Prime Minister Scott Morrison indicated support for defamation reform that could hold platforms legally liable for the comments of anonymous users.

“Social media has become a coward’s palace, where people can just go on there, not say who they are, destroy people’s lives and say the most foul and offensive things to people, and do so with impunity. Now that’s not a free country where that happens,” Mr Morrison said on Thursday.

“That issue, and the technology that enables it, and the lack of accountability that sits around it, is just not on. You can expect us to be leaning even further into this.”

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https://www.afr.com/technology/it-is-time-to-imagine-a-post-facebook-world-20211007-p58xxo

It is time to imagine a post-Facebook world

A huge market opportunity has opened up to build a social media platform that prioritises users rather than advertisers.

John Thornhill

Oct 7, 2021 – 10.18am

It goes against the unwritten rules of the columnists’ guild to admit that there are some complex problems that defy simple solutions. But dealing with the toxic exhausts from Facebook’s social networks counts as one.

With 2.8 billion users, accounting for about 60 per cent of the world’s internet-connected population, the company has arguably become too big to run, let alone regulate. Yet, a mass of messy, half-measures can still help push social media in a better direction.

The damning testimony to the US Senate this week of Frances Haugen, the former Facebook product manager, provided further evidence that the company is damaging society and society needs to respond. “I believe Facebook’s products harm children, stoke division and weaken our democracy,” she told the hearing.

In spite of Facebook’s attempts to trash her credibility, Haugen made a powerful case. A computer scientist by training, she has worked at Facebook, Google, Pinterest and Yelp since 2006, and had access to reams of internal Facebook research, which she leaked to The Wall Street Journal.

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https://wildhealth.net.au/vaccine-proof-is-under-way-but-dont-call-it-a-passport/

7 October 2021

Vaccine proof is under way – but don’t call it a passport

COVID-19 Government Interoperability

By Fran Molloy

Australia is now at the rollout stage for one of the biggest digital challenges in the pandemic – providing proof of vaccination for some 20 million residents – and we’re nailing it, according to Medical Software Industry Association CEO Emma Hossack.

“There has been unprecedented co-operation between various government authorities and the software industry throughout the pandemic,” she said.

The Australian Immunisation Register Amendment (Reporting) Act 2021, which came into force in March, means that, by law, a record of every covid vaccination must be uploaded to the Australian Immunisation Register (AIR).

“This makes the AIR a source of truth for every Australian,” said Ms Hossack.

Behind the scenes, medical software providers ranging from GP practice software to state-wide health systems and community pharmacy programs, have all linked new covid data collection capabilities to the AIR, with a free app from the Australian Digital Health Agency handling data from vaccination providers without existing clinical software.

Ms Hossack said the approach was designed to ensure that getting (and recording) a covid vaccine was straightforward and no one fell through the gaps.

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https://wildhealth.net.au/the-emerging-potential-of-balancing-system-load-with-virtual-services/

23 September 2021

The emerging potential of “balancing system load” with virtual services

Cloud Government Hospital Telehealth

By Jeremy Knibbs

Telehealth and smart virtual services that are starting to aggregate around it offer us significant new opportunities to manage healthcare budgets more efficiently, while maintaining and sometimes even improving access and safety.

Large electricity stations are the most capital intensive investments for state governments and up to four times the cost of large new city based hospitals, so it’s not surprising that the economics of electricity generation has some firmly established fundamentals which enshrine a lot of efficiency in resource allocation and sharing.

The most fundamental concept in affording electricity generation (until now – things are changing because of coal) is base load versus peak load supply integration, something that deals with the biggest system issue in generation, a substantive 24 hour cycle of peaks and troughs in demand.

Big, usually coal fired, base load power stations handle about 80% of all generation at a very low relative cost per kilowatt generated, but running them for that final 20% to meet the peak loads which only last for 2-3 hours at a time during a day is vastly expensive. So, we have smaller agile peak load stations (often gas, now more and more renewables) which fire up quickly during the day to deal with these peaks.

With Australia embracing telehealth at scale by deciding to rebate it on the MBS, we’ve introduced to our healthcare system something of the potential of the economics of load balancing in power generation.

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https://www.itwire.com/technology-regulation/fletcher-slams-big-tech-firms-for-resisting-attempts-at-regulation.html

Thursday, 07 October 2021 10:27

Fletcher slams big tech firms for resisting attempts at regulation

By Sam Varghese

Big technology companies have come in for criticism by Communications Minister Paul Fletcher for resisting attempts by the Australian Government to create regulations to keep them in line.

Answering questions after a speech, made virtually to the National Press Club in Canberra on Wednesday, Fletcher said recent reports about Facebook luring youth towards damaging content were a reminder that such companies needed to be regulated.

A former Facebook employee named Frances Haugen appeared before the US Congress this week outlining ways in which Facebook and Instagram were posing a danger to young users.

She had leaked a number of documents to the Wall Street Journal weeks ago, based on which the newspaper published a number of articles that were damaging to the social media site.


Said Fletcher: “What we’ve seen over the past few days in the statements from the Facebook whistleblower, in the US Congressional hearing and in associated media coverage, is a reminder of the significance of these issues.

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https://www.itnews.com.au/news/urgent-govt-digital-capability-review-still-not-finalised-570870

'Urgent' govt digital capability review still not finalised

By Justin Hendry on Oct 7, 2021 6:49AM

Almost two years after Thodey review.

A comprehensive audit of federal government IT and digital capability deemed “urgent” almost two years ago is still yet to be finalised, the Digital Transformation Agency has revealed.

The audit was announced in response to David Thodey’s root-and-branch review of the Australian Public Service in December 2019 to understand IT spending, as well as “capability, risks and needs”.

Thodey’s review found “no detailed inventory of systems… nor of associated risks, costs and upgrade needs” across government, resulting in “limited knowledge and understanding about the overall state of ICT”.

It said that the audit could be completed within six months of being commissioned to enable “prompt development of an ICT blueprint ” that would be used to understand where to focus investment.

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https://ourlibrary.mornpen.vic.gov.au/Whats-On/Events/Online-workshop-Introduction-to-My-Health-Record

Online workshop: Introduction to My Health Record

Next date: Friday, 08 October 2021 | 03:00 PM to 04:00 PM ADHA Propaganda

Recommended for adult audiences.

Are you overwhelmed by the Digital world of health care? Would you like to learn more about My Health Record?

My Health Record can store all your health information in one place with any access to that information remaining in your control. Mornington Peninsula Libraries can teach you how during this workshop.

Join us online via Zoom for an information session about My Health Record, Australia’s national digital health record system. Learn how to manage your own health information online and where to access health and well-being resources through the library.

Free, but bookings essential.

Book Now

Note: If you can't make it on the day, please let us know, so that your tickets can be freed up for others to attend

When

·         Friday, 08 October 2021 | 03:00 PM - 04:00 PM

Location

Online event via Zoom.
We will send you a link closer to the day

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https://www.transparency.gov.au/corporate-plan/australian-digital-health-agency/reporting-year/2020-21-0

ADHA 2020-21 Corporate Plan

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https://www.hospitalhealth.com.au/content/clinical-services/article/opinion-how-precision-oncology-is-transforming-patient-care-1354450539

Opinion: How precision oncology is transforming patient care


By Professor David Thomas, Director of the Kinghorn Cancer Centre and Lab Head of Genomic Cancer Medicine at the Garvan Institute of Medical Research Australia
Thursday, 30 September, 2021


Cancer is fundamentally a genetic disease, driven by mutations that drive cancer growth. Just as each person is genetically unique, so the genomic profile of no two cancers is the same.

Precision oncology uses knowledge of the genomic profile of each patient’s cancer to guide accurate and personalised therapy. Rapid developments in two related fields have enabled precision oncology. First, the robust and affordable access to genomic tools in the clinic. Second, the development of biomarker-dependent drugs that can exploit the genomic vulnerabilities identified. 

The effects of these innovations are transformative.

Patients may be able to avoid treatment that is unlikely to work, and have an increased likelihood of more effective treatment, which has the potential to reduce healthcare costs and improve patient outcomes.

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https://www.theaustralian.com.au/business/the-wall-street-journal/facebook-whistleblower-frances-haugens-testimony-builds-momentum-for-tougher-tech-laws/news-story/c012654bb96f6c7367adb9a658cd31ba

Facebook whistleblower Frances Haugen’s testimony builds momentum for tougher tech laws

By John Mckinnon and Ryan Tracy

Dow Jones

October 6, 2021

Former Facebook employee Frances Haugen testified to Congress Tuesday on internal documents showing harms from the company’s products — from teenagers’ mental-health problems to poisoned political debates — adding fuel to efforts to pass tougher regulations on Big Tech.

The documents gathered by Ms Haugen, which provided the foundation for The Wall Street Journal’s Facebook Files series, show how the company’s moderation rules favour elites; how its algorithms foster discord; and how drug cartels and human traffickers use its services openly.

“I saw Facebook repeatedly encounter conflicts between its own profit and our safety. Facebook consistently resolved these conflicts in favour of its own profits,” Ms Haugen told a Senate consumer protection subcommittee. “As long as Facebook is operating in the shadows, hiding its research from public scrutiny, it is unaccountable. Until the incentives change, Facebook will not change.”

Republican and Democratic politicians at the hearing renewed their calls for regulation, such as strengthening privacy and competition laws and special online protections for children, as well as toughening of the platforms’ accountability. One idea that got a particular boost was requiring more visibility into social-media data as well as the algorithms that shape users’ experiences.

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https://www.itnews.com.au/news/govt-lowers-barriers-to-consumer-data-right-participation-570804

Govt lowers barriers to consumer data right participation

By Justin Hendry on Oct 5, 2021 6:06PM

Amends rules, introduces new sponsorship models for data access.

The federal government has removed a significant barrier to participation in the consumer data right scheme, with new levels of accreditation to become available to businesses wanting to ingest data.

The additional pathways, which are aimed at encouraging greater uptake and were first flagged by Treasury in May, are contained in changes to the rules made on Tuesday.

Until now, only accredited data recipients (ADRs) have been able to receive consumers' data from a data holder and make use of it in their own products or services.

But accreditation has been slow, with only 18 businesses able to call themselves ADRs to date, including the Regional Australia Bank, Commonwealth Bank and, more recently, NAB.

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https://www.smh.com.au/national/i-was-afraid-i-was-going-to-die-misinformation-fuels-vaccine-hesitancy-20211004-p58wyu.html

‘I was afraid I was going to die’: Misinformation fuels vaccine hesitancy

By Jewel Topsfield

October 5, 2021 — 5.00am

Margaret Thanos was so overwhelmed by what she had read online about whether it was safe for young people her age to get the AstraZeneca vaccine she found herself sobbing outside the chemist on the day of her injection.

“The fear from what I had heard and online misinformation meant I was afraid I was going to die even though statistically it’s so unlikely,” says Ms Thanos, a 21-year-old artist, who is now fully vaccinated.

COVID-19 is regarded as the first pandemic of the social media age, according to a global report by girls’ equality charity Plan International, which surveyed more than 26,000 girls and young women from 26 countries and found false information was severely impacting their lives.

In Australia, 95 per cent of the 1001 girls and young women surveyed said they were concerned about misinformation or disinformation online, while 83 per cent said they had been exposed to false or misleading information. (While misinformation and disinformation both refer to wrong or false information, only disinformation is deliberately misleading.)

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https://www.afr.com/technology/hasta-la-vista-baby-australia-not-dealing-with-ai-threat-20210929-p58vtn

Hasta la vista, baby! Australia not dealing with AI threat

John Davidson Columnist

Oct 5, 2021 – 5.00am

Fewer than one in 10 Australian companies using artificial intelligence as part of their business have taken the steps required to ensure the technology is used responsibly and without gender or race bias, a new study shows.

The The Responsible AI Index 2021 study, which analysed the practices of hundreds of Australian businesses using AI for applications ranging from manufacturing to financial services, found only 8 per cent of companies took a “mature” approach to AI ethics, meaning they had a strong focus on the moral and ethical issues raised by AI, and had auditing processes in place to ensure their AI was socially responsible.

But, on average, Australian companies lacked confidence, understanding and leadership when it came to the dangers of AI, the study found.

Numerous tech leaders, including Elon Musk, Bill Gates and Jeff Bezos, have warned about the grave dangers posed by AI, especially if it is allowed to work on its own self-improvement, creating a virtuous circle in which its ability to self-improve improves with each iteration.

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https://www.fsh.health.wa.gov.au/Hospitals/PCH/Home/For-patients-and-visitors/Your-childs-medical-record/My-Health-Record

ADHA Propaganda

My Health Record

What is My Health Record?

My Health Record is an online summary of your key health information. When you have a My Health Record, your health information can be viewed securely online, from anywhere at any time and it includes information such as:

  • Allergies
  • Medical conditions
  • Treatments
  • Medicines
  • Test and scan results (such as blood tests and x-rays).

Perth Children’s Hospital contributes to Australia’s My Health Record system and is currently uploading information from five clinical applications: 

  • Patient Administration System (webPAS)
  • Notifications and Clinical Summaries (NaCS)
  • iSoft Clinical Manager (iCM)
  • eReferral
  • Allergy and Dietary Advice (ADA). 

These applications upload:

  • discharge summaries
  • shared health summaries
  • specialist letters
  • event summaries 
  • prescription and dispensary records  
  • pathology results
  • diagnostic imaging reports
  • referral information for consumers.  

For a list of benefits of having a My Health Record, please refer to the My Health Record website

If you have a My Health Record these documents will be automatically uploaded, if you do not want this to occur you need to inform us at every attendance. Please ask us for a Change of Consent to Upload Documents to My Health Record form.

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https://www.theaustralian.com.au/business/technology/tech-industry-hits-back-at-esafety-code-plans/news-story/088ba17bd74a96ef8b9501c2d067cfdf

Tech industry hits back at eSafety code plans

David Swan

October 4, 2021

Industry groups and academics have hit back at the eSafety Commissioner’s plans for codes to tackle child sex abuse and other adult materials, which they say is overly broad and could potentially weaken Australia’s cyber security defences and cripple encryption.

The Australian first revealed last week that tech giants Facebook and Twitter and other providers including search engines, dating apps, private messaging services and device manufacturers have been asked to draft new codes, which will operate under Australia’s Online Safety Act.

The codes are expected to include solutions to be deployed across pornographic sites and social media platforms including proactive human and machine monitoring, account suspensions, de-indexing of search results, and the use of forms of age assurance or parental controls.

John Stanton, the chief executive of Communications Alliance which represents telcos including Telstra, Optus and TPG, said that while he‘s still digesting the 200-page report, the requirements to constantly monitor messaging may not be workable.

“So far it appears that the breadth of the sectoral definitions may not marry well with all of the Commissioner’s expectations, for example to proactively monitor or remove content where services such as SMS, MMS or email are concerned,” he said.

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https://www.afr.com/companies/professional-services/minister-reveals-how-to-avoid-parasitic-consultants-20210729-p58e1u

Minister reveals how to avoid ‘parasitic’ consultants

Edmund Tadros Professional services editor

Oct 3, 2021 – 6.08pm

The minister behind the successful Service NSW mobile app says government departments and agencies need to have enough internal experts to ensure they have productive, as opposed to “parasitic”, relationships with external consultants.

NSW Minister for Customer Service Victor Dominello, who presides over a department that has roughly 900 public servants in technology-based roles, said having in-house skills had allowed him to constantly release updates to the Services NSW app.

The app’s “check-in” function has allowed contract tracers in NSW to track COVID-19 infections during the pandemic, with the app updated last week with a new feature that alerts users when they have been to an exposure site.

“It’s absolutely essential in an age that is dominated by pace and agility that governments build their own internal capability that can partner with and collaborate with external partners to develop new products and services,” he said. “You need a critical mass of human capital so that you can build that furnace of capability.”

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David.

Monday, October 11, 2021

Weekly Australian Health IT Links – 11 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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The focus for me this week has been on Social Media and the harm it seems to be doing, driven by the profit motive. (Lots tomorrow.)

Otherwise the PHNs and their data / power / software grab is brewing nicely. These administrators need to back off I suspect!

Otherwise not much happening other than Genie being sold to PE.. Read on!

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https://www.ausdoc.com.au/news/gps-call-doctorled-national-covid19-hotline

GPs call for doctor-led national COVID-19 hotline

It comes as Victoria says it will tell some patients of their positive diagnosis via text messages

5th October 2021

By Carmel Sparke

Prominent GPs have called for a national COVID-19 home healthcare service, warning current arrangements will be unable to cope with the number of cases likely to flood GP practices and hospitals.

Based on overseas experiences, Dr Nathan Pinskier says COVID-19 cases in Australia could jump to 10,000 to 15,000 a day once the nation reopens.

The Melbourne GP is proposing a dedicated 24/7 hotline staffed by doctors to provide a central point of contact, triage and support for patients.

“We know we have an immediate and acute problem which is inevitably going to get worse," he told 6minutes.

“General practices are really over-stretched. The same applies for hospitals, community health centres and ambulance services.

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https://www.theceomagazine.com/executive-interviews/healthcare-pharmaceutical/paul-richard/

07 October 2021 - 3:59 PM

“It’s About Early Detection.”: Paul Richard

In an age where we rely on devices to do everything from our banking to our weekly food shop, one crucial area has so far resisted the digital revolution – our health records. It’s an evolution that is well overdue, according to PRP Imaging CEO Paul Richard.

He believes digitalising healthcare processes is an essential pathway to better outcomes for patients. Originally from Ottawa in Canada, Paul arrived in Australia 26 years ago with a degree in chemical engineering. He initially worked for Mars, before moving into the healthcare sphere and discovering he had a passion for streamlining processes using patient data.

“Patient data sounds very bland and very sterile,” Paul admits. But in a world where retail data has generated billions of dollars for companies like Amazon, its value is undeniable. “It is seen as highly valuable. People pay billions of dollars for that data,” he stresses. “But no-one’s done anything smart and clever with it.”

It is a problem he is determined to fix. Dealing with patient data is, however, an entirely different ball game. The immense potential of this type of information lies not in profits but in health.

“In the retail space, it’s about selling more stuff, and growing revenue and profits,” Paul says. “Whereas in the patient environment, it’s about clinical outcomes – you actually save more lives, find more cancer, cure more people. It’s about early detection, early treatment and reduced cost to the healthcare community.”

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https://www.afr.com/street-talk/terms-out-for-250m-genie-solutions-float-20210929-p58vn1

Terms out for $250m Genie Solutions float

Anthony Macdonald, Yolanda Redrup and Kanika Sood

Sep 29, 2021 – 9.19am

The terms are set for practice management software provider Genie Solutions’ initial public offering, which will attract a seven times forward-looking sales multiple.

The IFM Investors-backed company is understood to be asking for $2 per share, giving it a market capitalisation around $250 million.

The price leaves some value on the table for IPO investors, with pre-deal reports from analysts at its sponsor brokers RBC Capital Markets and E&P Corporate Advisory suggesting it could be valued as high as 8.9-times forecast sales, which would give it a market capitalisation around $300 million.

The business will have a 58 per cent free float, with the remaining shares owned by IFM, the Carr family (the founding shareholders), and management.

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https://www.afr.com/street-talk/pep-s-citadel-snaps-up-ifm-s-float-candidate-genie-solutions-20211003-p58wrg

PEP’s Citadel snaps up IFM’s float candidate Genie Solutions

Anthony Macdonald, Yolanda Redrup and Kanika Sood

Oct 3, 2021 – 9.34pm

IFM Investors has a deal to sell its medical practice software business Genie Solutions to Pacific Equity Partners owned software and services company, The Citadel Group.

Only days out from taking institutional investor bids for a Genie Solutions’ mooted $250 million sharemarket float, its owners have cancelled the IPO plans and instead cut a deal with Citadel.

The deal, which could be announced as early as this week, is understood to value Genie Solutions at more than the targeted IPO price, and would allow financial investor IFM Investors to cash in its chips in full.

Genie Solutions’ management, who own a minority stake, are expected to retain some of their exposure to the business.

The deal’s expected to see IFM Investors record a hefty payday. The firm’s private equity unit paid about $55 million for the software company in 2017 and four years later will sell it for about five-times that price. IFM’s head of PE, and former CHAMP Ventures dealmaker, Stuart Wardman-Browne, and colleague David Odgers are on Genie Solutions’ board.

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https://www.mobihealthnews.com/news/asia/australia-based-citadel-group-buys-practice-management-solution-provider-genie-solutions

Australia-based Citadel Group buys practice management solution provider Genie Solutions

Citadel intends to invest in innovation to extend Genie's position in practice management.

By Adam Ang

October 04, 2021 05:05 am

Genie Solutions, a medical practice management software provider in Australia, has been acquired by the Citadel Group.

This comes as the company has shelved its initial public offering plan and instead cut a deal with the enterprise software firm, according to a news report.

WHY IT MATTERS

Founded in 1995, Genie Solutions offers two practice management software. One is Genie, a desktop product that provides medical professionals access to clinical, demographic and account records directly from an appointment book; it also allows them to access fee schedules and set custom fees to ensure the correct billed amount. 

The other is cloud software Gentu, which helps reduce human error and enhance workflow through automated batching and receipting claims. 

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https://wildhealth.net.au/genie-sale-highlights-cloud-vs-legacy-pms-paradigm-shift/

7 October 2021

Genie sale highlights cloud vs legacy PMS paradigm shift

Cloud DoH Money Technology

By Jeremy Knibbs

The sale of PMS vendor Genie Solutions to Citadel could help it significantly consolidate its leadership position in the specialist and hospital market, and perhaps even set it on course to perturb the slow moving GP sector.

On Friday night, Genie Solutions CEO James Scollay went to bed thinking he needed a good long weekend rest for a hectic coming week, where the company would be moving on its IPO plans.

By Sunday night the Citadel group had intervened and acquired the company privately. The press release came out first thing Monday morning, long weekend and NRL grand final hangovers notwithstanding. 

Scollay wasn’t the only one surprised. No one saw Citadel coming (except perhaps some executives high up IFM private equity, which was selling).

If you had to choose between all the expense, distraction and hassle of an IPO (and the subsequent politics, governance and scrutiny of being public), and getting scooped up by a private company with money, aspiration, an international footprint, and quite a lot of synergy, the choice is pretty easy.

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https://www.itnews.com.au/news/nib-switches-on-voicebot-in-its-support-centre-570854

Nib switches on 'voicebot' in its support centre

By Kate Weber on Oct 6, 2021 11:50AM

Powered by Amazon and open source components.

Health insurer nib has launched a 'voicebot' as the first point of contact for customers that call in with a question or issue.

Called nibby voice, the 'voicebot' is expected to assist with automating basic conversations, improving operational efficiency and member experience.  

The voicebot acts as the primary contact when calling nib’s support centre and can conduct privacy checks and ask for standard customer information before transferring members to a consultant.

nibby voice was built using the Amazon Connect cloud contact centre platform, Amazon Lex and open source AI platform Rasa.

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https://www.ausdoc.com.au/news/telehealth-crackdown-not-feasible-reject-gp-medicare-claims-says-dept

Telehealth crackdown: Not feasible to reject GP Medicare claims, says dept

Many doctors have asked why 'inappropriate claims' cannot be identified when they are lodged

7th October 2021

By Siobhan Calafiore

A Medicare block that automatically rejects GPs' incorrect telehealth claims is “not feasible” in the current system, federal health officials say.  

RACGP president Dr Karen Price has backed the idea to stop doctors falling foul of the 'existing-relationship' rule without the need for audits or damaging compliance campaigns. 

The argument is that Medicare’s online claims system could instantly determine if a patient has seen a doctor at the practice for a face-to-face consult in the previous 12 months based on MBS records. 

“It is up to the Department of Health to create the environment in which meeting compliance obligations is easy and stress free,” she said this week. 

But the department has rejected the proposal, saying, because it could not identify those patients who are exempt to the existing relationship rule, such as those who are homeless or living in a COVID-19 hotspot, some would end up with claims being rejected unfairly. 

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https://www.innovationaus.com/innovationaus-2021-awards-medtech-and-biotech-finalists-revealed/

InnovationAus 2021 Awards: Medtech and Biotechnology finalists


Staff Writers
InnovationAus

5 October 2021

There has never been more attention on Australia’s medtech and biotechnology industry, with the COVID-19 pandemic shining a spotlight on the sector and its importance to the country’s health and economy.

Australia already has a global reputation for medtech and biotech innovations, our research community and commercialisation output. The sector contributes significantly to the domestic economy, and governments at all levels are providing unprecedented levels of funding and support.

The sector has proved crucial in Australia’s response to the pandemic, from the development of rapid testing to the manufacturing of vaccines. 

The 2021 InnovationAus Awards for Excellence MedTech and BioTechnology category celebrates innovative companies in this space. The finalists for 2021 include a company utilising the power of light to combat COVID-19 and other pathogens, Australia’s most trusted video telehealth platform helping remote consultations happen, and a company working with the aged care workforce to improve health outcomes for older Australians.

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https://www.smh.com.au/business/entrepreneurship/beyond-vaccine-bookings-homegrown-healthengine-branches-out-20211003-p58wqc.html

Beyond vaccine bookings: Homegrown HealthEngine branches out

By Emma Koehn

October 4, 2021 — 5.00am

Online health directory HealthEngine has spent the past year connecting thousands of Australians to COVID-19 vaccines, but the business, which launched with the goal of competing with Google in the healthcare space, now has prescription medicine delivery in its sights.

HealthEngine, which was founded in 2006 by Marcus Tan, Adam Yap and Darius Wey, has had an eventful 18 months. In August 2020, it was ordered by the Federal Court to pay $2.9 million for misleading and deceptive conduct for sharing patient information with insurance brokers and publishing misleading ratings of practices on its platforms.

By March 2021, the Telstra Ventures and Seven West Media-backed company had convinced the department of health it had overhauled its systems and was awarded a $4 million federal government contract to build a national COVID-19 vaccine booking platform.

Dr Tan said the court action against the company was painful, but the situation came about because of outdated business systems rather than any malicious behaviour. Confronting the errors and overhauling its processes put HealthEngine in a better position to win contracts like for vaccine bookings.

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https://www.hinz.org.nz/news/582301/Digital-health-identity-service-piloted.htm

Digital health identity service piloted

Monday, 4 October 2021  

NEWS - eHealthNews.nz editor Rebecca McBeth

A new consumer digital identity service, My Health Account, is being piloted as part of the release of My COVID Record.

My Health Account is being developed to support the release of the My COVID Record website, which will provide secure access to Covid-19 vaccine and testing records.

Darren Douglass, GM digital strategy and investment at the Ministry of Health, says it will be further developed to support Ministry Covid and other national digital services and across the sector through the Hira (National Health Information Platform) programme.

“The design is what we will leverage for Hira and other services going forward,” he explains.
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https://www.hinz.org.nz/news/582290/Dashboard-identifies-unvaccinated-in-Southern-region.htm

Dashboard identifies unvaccinated in Southern region

Monday, 4 October 2021  

NEWS - eHealthNews.nz editor Rebecca McBeth

A new Covid-19 Vaccination Coverage dashboard is identifying unvaccinated people and populations in the Southern region so providers can reach out and help them get the jab.

WellSouth PHO is providing the dashboard to general practices in its network as a tool for finding unvaccinated people and helping them to get their first or second dose.
 
Thalamus, from Datacraft, is a data and information support tool and this latest dashboard uses data drawn directly from the  CIR (Covid Immunisation Registrar) each day and blended with patient management system data.
  
WellSouth chief digital officer Damon Campbell says identifying and contacting unvaccinated patients, or those who have only had a single dose, is increasingly important as the region works to reach hard-to-engage populations and those who may be vaccine hesitant.

The dashboards are also made available to other organisations, such as local Māori health providers,  to ensure everyone is “on the same page” when it comes to the data. Campbell says one of the benefits of Thalamus is that this can be done without revealing practice or patient identifiable data.
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https://www.hospitalhealth.com.au/content/technology/article/leveraging-ai-and-automation-to-save-lives-1107486794

Leveraging AI and automation to save lives

Schneider Electric

Monday, 04 October, 2021


The COVID-19 pandemic has stretched healthcare systems to their limits and highlighted the need for digital innovation within our hospital facilities.

Amidst the struggles to suppress the outbreak, technological leaders have continued to develop smart healthcare solutions to improve patient outcomes, using automation and AI to ultimately save lives.

“Being able to predict a medical issue could have a life-or-death outcome,” said Daniel Garcia Gil, a Solution Architect with automation and digital solutions corporation Schneider Electric. “If you use an early-warning system that constantly monitors a patient’s vital signs, this system could automatically detect whether or not the patient is at risk of developing a serious medical condition.”

By integrating a range of digital solutions within a healthcare facility’s assessment workflow — from automating patient monitoring to predict treatment, to digital systems to improve staff efficiency and workload — hospitals have the capacity to improve patient care and comfort as well as reduce critical care scenarios.

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https://www.hospitalhealth.com.au/content/aged-allied-health/news/healius-partners-with-philips-to-deploy-digital-pathology-solution-328600987

Healius partners with Philips to deploy digital pathology solution

Wednesday, 29 September, 2021


Royal Philips, a global health technology player, has partnered with Healius Pathology, an Australian provider of private medical laboratory and pathology services, to deploy a multisite digital pathology solution.

Digital pathology aims to reduce pressure on pathology services by streamlining workflow and extending collaboration to increase diagnostic confidence. The Philips IntelliSite Pathology Solution will initially be rolled out through Healius Pathology's National Pathology Division with the goal of providing easy and immediate access to medical and veterinary pathology information across the business, allowing clinicians to make timely decisions about patient care.

A pathological review of patient tissue has historically been done using a microscope. Pathologists can now gain new insights through real-time collaboration with Image Management System (IMS) software and algorithms designed to aid, streamline and maximise diagnostic confidence. The Philips solution will allow Healius pathologists to digitise their workflow with consistently high image quality and fast first time right scanning capabilities.

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https://www.digitalhealth.gov.au/careers/partnership-lead-identified-position/258

Partnership Lead - Identified Position

APS6 ($99,860 - $112,659)
Digital Programs and Engagement Division > Communications
Brisbane, Canberra, Sydney

Closing - 11 Oct 2021

Division overview

Digital programs and engagement – responsible for external relationships, implementation and change and adoption, as well as being the place of excellence for driving program delivery, reporting and outcomes.

Primary purpose of position

The APS6 Partnership Lead position is an APS6 classified position and is an ‘identified position’. This signifies that the role has a strong involvement in issues relating to Aboriginal and Torres Strait Islander people and must have the ability to communicate sensitively and effectively with Aboriginal and/or Torres Strait Islander People’.

The APS6 Partnership Lead is accountable under limited direction to perform complex work with external partners and key stakeholders to ensure the effective and sustainable implementation of the National Digital Health Strategy. Key stakeholders may include clinical and consumer peak organisations, industry, primary health networks and government. They will exercise both initiative and judgment in the application of practices and procedures in order to provide technical, professional, and/or policy advice in relation to complex problems.

The APS6 Partnerships Lead will assist in the delivery of strategic outcomes, coordinating program and project management, working across a diverse range of stakeholders to identify and deliver mutually beneficial initiatives aligned to the National Digital Health Strategy.

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https://www.hospitalhealth.com.au/content/technology/article/three-critical-ways-to-keep-your-data-healthy-1055272270

Three critical ways to keep your data healthy

Dell Technology

By Lucas Salter, General Manager, Data Protection Solutions, Asia Pacific & Japan, Dell Technologies
Thursday, 07 October, 2021

Working with large datasets, the health industry has embraced artificial intelligence and machine learning to solve challenges in everything from patient care, medical imaging, diagnosis to genetic analysis and drug research and development. This critical and valuable data needs to be handled with the utmost care and kept securely to comply with government regulations and to protect patient confidentiality.

The correct handling and storage of this data is a concern for many in the sector. According to a recent survey by Dell Technologies1, 74% of health industry decision-makers say they struggle to find suitable data protection for their AI and machine learning solutions. These evolving technologies will contribute to already ever-growing datasets with Statista reporting that the total amount of data consumed globally will reach 180 zettabytes in 2025, up from 64.2 zettabytes this year2.

Data faces a range of threats — from cyber attacks, to human error, to technical glitches. When a business is unable to access the data that’s driving business services, it causes a ripple effect. Departments are unable to work, money is lost and the IT team has to down tools to get systems back online.

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https://www.hospitalhealth.com.au/content/clinical-services/article/how-technology-is-changing-maternity-care-1255565355

How technology is changing maternity care

By David Groberman, CEO, HeraMED
Thursday, 07 October, 2021

What a time to be in health care. With the rise of personalised care, home monitoring and telehealth, specifically, during the pandemic, we are witnessing a transformation in the way doctors and nurses interact with and care for patients.

By bringing greater efficiency and convenience to the doctor–patient relationship, this new standard is allowing the medical community to redesign current models of care. This, in turn, is creating opportunities for medical technology companies like ours to provide innovative solutions for delivering on that vision.

Consumers, for their part, have shown they’re on board and expect telehealth services to remain post-pandemic. Like the disruption we’ve seen in media, hotels and taxis, the next generation of general practitioners, specialists and hospitals will need to meet this expectation to remain sustainable. The slogan of this new model of care is: ‘The patient will see you now’. But I'd like to offer an extension of it as, ‘Health in the palm of your hand’.

Of course some fields evolve more easily compared to others. Take maternity care, for example.

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https://www.itwire.com/home-it/windows-11-arrives,-claimed-to-be-start-of-a-new-era-for-the-pc.html

Windows 11 arrives, claimed to be start of a new era for the PC

By Sam Varghese

Microsoft has released Windows 11, with the company's chief product officer for Windows + Devices, Panos Panay, describing it as the start of a new era for the PC.

"As the day becomes 5 October in each time zone around the world, availability of Windows 11 begins through a free upgrade on eligible Windows 10 PCs and on new PCs pre-installed with Windows 11 that can be purchased beginning today," he said in a blog post.

Panay claimed Windows was a driving force for innovation. "It’s an enduring platform for each one of us to create. And its home for over a billion people to do their jobs, live their dreams and connect with the people they love," he said.

"We’re pumped to be launching Windows 11; the entire user experience brings you closer to what you love, empowers you to produce and inspires you to create."Windows 11 provides a sense of calm and openness. It gives you a place that feels like home. It’s secure and everything is designed to be centered around you.

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Enjoy!

David.

 

Sunday, October 10, 2021

This Seems Rather Fascist In Tone From A Children’s Hospital.

I really think this is very unreasonable – while recognizing some ‘true believers’ will disagree!

I noticed this last week:

My Health Record

What is My Health Record?

My Health Record is an online summary of your key health information. When you have a My Health Record, your health information can be viewed securely online, from anywhere at any time and it includes information such as:

  • Allergies
  • Medical conditions
  • Treatments
  • Medicines
  • Test and scan results (such as blood tests and x-rays).

Perth Children’s Hospital contributes to Australia’s My Health Record system and is currently uploading information from five clinical applications: 

  • Patient Administration System (webPAS)
  • Notifications and Clinical Summaries (NaCS)
  • iSoft Clinical Manager (iCM)
  • eReferral
  • Allergy and Dietary Advice (ADA). 

These applications upload:

  • discharge summaries
  • shared health summaries
  • specialist letters
  • event summaries 
  • prescription and dispensary records  
  • pathology results
  • diagnostic imaging reports
  • referral information for consumers.  

For a list of benefits of having a My Health Record, please refer to the My Health Record website

If you have a My Health Record these documents will be automatically uploaded, if you do not want this to occur you need to inform us at every attendance. Please ask us for a Change of Consent to Upload Documents to My Health Record form.

For parents

Parents or guardians (who are linked to their child via the Medicare system) are automatically added as an authorised representative to view or delete their child’s record. When the child turns 14, this access will be automatically removed. Read more here

For under 14 years

If you are the parent or guardian of a child or dependent under 14, you can opt your child out of a My Health Record if you don’t want them to have one. More information is available here.

For 14-17 year olds

If you are 14 years or over, it is your choice whether you have a My Health Record or not. You can also give a parent or guardian or other trusted person access to your record, adding them as a nominated representative. If you choose to delete your record, you can do so online or via the My Health Record help line on 1800 723 471. You will need to be able to verify your identity with your Medicare card as well as a current drivers licence/learners drivers licence, Immicard or Passport.
More information can be found here.

Contact us

For more information on My Health Record, please visit myhealthrecord.gov.au.

If you have any questions or concerns about how your child’s My Health Record is being managed by Perth Children’s Hospital, please contact the Child and Family Engagement Service.  

Here is the link:

https://www.fsh.health.wa.gov.au/Hospitals/PCH/Home/For-patients-and-visitors/Your-childs-medical-record/My-Health-Record

This is the bit I really object to:

“If you have a My Health Record these documents will be automatically uploaded, if you do not want this to occur you need to inform us at every attendance. Please ask us for a Change of Consent to Upload Documents to My Health Record form.”

So every time you bring your child into the hospital, if you want to keep their data out of a centralised Government system, you have to remember to ask for and fill out a special form – which you can bet will be hard to find and submit. Who too is not specified.

Surely a tech advanced hospital with all the systems described can just allow the parent to make a choice once and then action the choice from then on.

In passing those who read here will know how often such instructions are ignored by pathology providers.

It just gets harder and harder to avoid the tentacles of this ‘information grasping and aggregating’ Federal Government!

Rant off!

David.

 

 

AusHealthIT Poll Number 600 – Results – 10th October, 2021.

Here are the results of the poll.

Is The ADHA Being Transparent Enough In Explaining The Purpose Of The Various Extra $10 Million Investments To Develop 'Enhancements' To The #myHealthRecord?

Yes - It Is Fully Explained. 9% (6)

No - No One Really Knows What Is Being Done. 86% (57)

I Have No Idea 5% (3)

Total votes: 66

Pretty clear cut outcome – It seems readers here believe the ADHA is much too obscure as to where the money is going and why..

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

A fair number of votes with a pretty clear outcome! 

Only 3 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.