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, February 15, 2022

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety, Social Media And Security Matters. Lots Of Interesting Perspectives - February 15, 2022.

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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! It’s 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/anti-trolling-bill-introduced-to-parliament-before-inquiry-wraps-up/

‘Anti-trolling’ bill introduced to Parliament before inquiry wraps up


Denham Sadler
National Affairs Editor

10 February 2022

The highly controversial “anti-trolling” bill has been introduced to Parliament by the government despite the inquiry into it not having wrapped up yet and amid contradictory claims over its real purpose.

Communications minister Paul Fletcher introduced the Anti-Trolling Bill to the House of Representatives on Thursday morning, despite the inquiry the government has been using to seek feedback on the bill not having provided its advice yet.

The bill creates a “new novel framework to allow Australians to respond to defamatory content posted on social media” but officials have said it has almost nothing to do with online trolling.

The government had requested that stakeholders provide feedback on the draft legislation, unveiled in December last year, through the newly-established House Select Committee on Social Media and Online Safety.

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https://www.innovationaus.com/law-council-backs-statutory-tort-for-privacy-breaches/

Law Council backs statutory tort for privacy breaches


Denham Sadler
National Affairs Editor

10 February 2022

The peak body representing Australian lawyers has thrown its support behind the development of a statutory tort for serious invasions of privacy as part of the ongoing review of local privacy laws.

A key consideration of the Attorney-General Department’s review of the Privacy Act is whether to introduce a statutory tort of privacy. In a discussion paper unveiled last year, four different options for this reform were included.

These include the introduction of a statutory tort for invasion of privacy as recommended by the Law Reform Commission, a “minimalist” tort leaving the scope and application to the courts, leaving the issue to the states to consider, or not introducing a tort.

In its submission on the discussion paper, the Law Council of Australia backed the development of a statutory tort for serious invasions of privacy, so long as there are sufficiently high thresholds in place to ensure actions are limited to serious invasions of privacy.

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https://www.zdnet.com/article/beware-of-spies-and-radicalisation-attempts-online-asio-chief/

Beware of spies and radicalisation attempts online: ASIO chief

Mike Burgess warns of espionage via social media and dating sites, and a surge in the online radicalisation of minors. But on the plus side, good cybersecurity is achievable.

Written by Stilgherrian , Correspondent

on February 11, 2022 | Topic: Security

Foreign spies are increasingly approaching Australians on social media and even dating sites, according to Mike Burgess, director-general of the Australian Security and Intelligence Organisation (ASIO).

"Spies are adept at using the internet for their recruitment efforts," he said in his third annual threat assessment speech on Wednesday night.

Burgess said spies make "seemingly innocuous approaches" such as job offers on "any of the popular social media or internet platforms".

"This then progresses to direct messaging on different, encrypted platforms, or in-person meetings, before a recruitment pitch is made," he said.

During the COVID-19 pandemic, these approaches shifted from professional networking sites -- he means LinkedIn -- to more personal messaging platforms, such as WhatsApp.

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https://www.racp.edu.au/expressions-of-interest/2022-digital-health-scholarship

Calling Australian Fellows and Trainees: Apply for a 2022 Digital Health Scholarship

Date published: Feb 11, 2022, 15:06 PM ADHA Propaganda

Summary

10 Digital Scholarships to the value of $4,000 are available for Fellows and Trainees familiar with, or practicing, the use of My Health Record and electronic prescribing.

Description

Continuing the College’s partnership with the Australian Digital Health Agency, the RACP is offering 10 digital health scholarships to eligible Australian Fellows and trainees.

Scholarships to the value of $4,000 each are available for Fellows and trainees familiar with, or practicing, the use of My Health Record and electronic prescribing in the healthcare environment.

Applicants must:

  • be an RACP Fellow or trainee who resides in Australia
  • be currently employed in a public or private-accredited clinical environment
  • have a recent demonstrated record of prescribing electronically and/or adopting various digital health initiatives

Apply

To apply, submit an expression of interest form (DOC) to engagement@racp.edu.au by Friday 25 February 2022.

Creation Date:

Feb 11, 2022, 15:00 PM

Closing Date:

Feb 25, 2022, 23:59 PM

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https://www.noongarradio.com/news/myth-busting-vaccine-certificates-and-my-health-record/

Myth busting vaccine certificates and My Health Record

11 February 2022 · Consumer Protection · COVID · Noongar Radio Breakfast · Noongar Radio 

The Australian Digital Health Agency is warning consumers to be wary of scammers offering the use of online fake vaccination certificate generators.

It is highly likely you will be providing your personal information including credit card details to cyber criminals, putting you at risk of identity theft.

Personal health information is a valuable commodity on black market web forums and once you lose control of this information, it is extremely difficult to regain.

Creating or using fake vaccination certificates is illegal and also endangers the wider community.

Dr Andrew Rochford from the Australian Digital Health Agency spoke with Noongar Radio.

Myth busting vaccine certificates and My Health Record

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https://www.seek.com.au/job/55880568?type=standout

Insights Analyst

Australian Digital Health Agency

Brisbane CBD & Inner Suburbs

Information & Communication Technology

Business/Systems Analysts

$101,757.00 - 114,800.00 total rem including super

Full time

About the Agency

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

About the Role

Under limited direction, the Insights Analyst is accountable for work that is complex in nature, playing a critical role in creating actionable insights which will drive customer experiences, innovation and behavioural change utilising quality data and evidence.

Applying initiative and judgement in signifying the value of insights through the analysis of internal and external data, the Insights Analyst will leverage data to inform the design of digital products and services and drive health innovation research projects in a fast-moving environment with agility and adaptability.

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https://www.theaustralian.com.au/business/media/chinese-hackers-attack-local-media-group/news-story/55471bf51f36473a683baf36969b048b

Chinese hackers attack local media group

Ben Packham

6:36PM February 9, 2022

Chinese state-affiliated hackers have targeted a major Australian media company, stealing passwords and data using a publicised vulnerability within hours of the software flaw being revealed.

The nation’s biggest cybersecurity company, CyberCX, said the attackers moved swiftly to exploit the Log4j vulnerability in December last year, gaining access to the company’s IT systems before it had a chance to patch the affected software.

CyberCX said those responsible for the attack used “tradecraft consistent with Chinese state-sponsored actors” to gain access to the company’s mobile devices management software.

The company – which was not News Corp and understood not to be Nine Entertainment – was initially notified of the security breach by the Australian Cyber Security Centre. The attack occurred on December 10 – the same day the Log4j vulnerability was publicised, sparking a rush by users around the world to close the potential backdoor.

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https://wildhealth.net.au/proda-looks-like-a-horror-show-for-certain-healthcare-providers/

11 February 2022

PRODA looks like a horror show for certain healthcare providers

Government Patient Management Systems

By Jeremy Knibbs

It’s a perfectly natural technology iteration for our healthcare services infrastructure, but beneath the PRODA deadline lies some seriously difficult issues for healthcare providers and digital health vendors which the government is either underestimating or thinking they will simply “push through”.

News earlier this month that our largest patient management vendor needs another three months or so to prepare properly for the new Medicare Web Services regime is late warning that the scale and ramifications of this impending change for healthcare providers is much bigger and worrying than many have so far realised.

It is understood that quite apart from the issues faced by the major primary care software vendors in meeting the deadline, nearly all hospital software vendors in the country won’t be able to meet the PRODA deadline either.

PRODA (provider digital access) is an online authentication system that Services Australia are starting to use to verify the identity of users who want to access important government online services.

In the case of healthcare providers, it will be needed to access the Department of Human Services (DHS) HPOS (Health Professional Online Services) which processes just about every important healthcare transaction you can think of (see Table below).

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https://www.seek.com.au/job/55882498?type=standout

Chief Clinical Adviser (SES Band 2 equivalent)

Australian Digital Health Agency

Brisbane CBD & Inner Suburbs

The Australian Digital Health Agency (the Agency) is committed to the delivery of world-leading digital health capabilities. The Agency leads, coordinates, and innovates, in partnership with the health sector, across jurisdictions and with health consumers, to design and deliver seamless, safe and secure digital health services for the better health of all Australians. 

Reporting to the CEO, the Chief Clinical Adviser provides timely, high-quality, clinical and medico‑political advice and guidance to the CEO and the senior executive leadership team. This advice, informed by current clinical practice, supports the strategic objectives and key priorities of the Agency and in a government context forms a key pillar of the Agency’s multi-faceted approach to clinical governance and assurance. The role also requires the Chief Clinical Adviser to provide thought leadership on future directions in digital health and to support the CEO in maintaining strong relationships with key clinical bodies and peak organisations, jurisdictional health colleagues and other key stakeholders.

To be successful in this role you will need high level understanding of and engagement in Australian digital health infrastructure and systems, together with sound technical knowledge of health data, analytics and other emerging digital health innovations. You will have extensive and ongoing clinical experience in the Australian health system with direct responsibility for the care of patients. You will have a strong network and be well regarded across the health sector. As a senior executive in the Agency, you will be expected to contribute strong contemporary leadership and direction and be able to build and manage effective relationships with senior government stakeholders and with a broad range of health peaks and other key bodies. As an expert clinician with a high-level understanding of Australia’s health policy environment you will represent the Agency as a media spokesperson and at relevant public forums.

Applicants must be practising clinicians and are expected to work on average 30 hours per fortnight. 

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https://www.smh.com.au/technology/national-digital-id-plan-sparks-australia-card-warnings-20220209-p59v1t.html

National digital ID plan sparks ‘Australia Card’ warnings

By Nick Bonyhady

February 10, 2022 — 5.00am

The states and territories have agreed to work with the federal government on a national digital ID system, sparking fresh warnings from privacy advocates who have likened the proposal to the controversial ‘Australia Card’ plan of the 1980s.

A joint communique released this week outlined a proposed system that would allow Australians to create a verified online login that could then be connected to an array of state and federal services, potentially through platforms such as Services NSW, Service Victoria and the federal MyGov.

It could mean only one login would be required to prove a person’s identity, rather than supplying paper documents like a passport or birth certificate, when asking for a state service like a vehicle registration, a federal provision like welfare or potentially even when dealing with a business.

Federal authorities have been developing a digital identity system since 2015, and it is already in use for many Commonwealth services, but the communique issued this week from data and digital ministers confirms that states and territories are now involved in the process.

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https://www.digitalhealth.gov.au/healthcare-providers/initiatives-and-programs/nash/frequently-asked-questions 

Frequently asked questions – NASH Certificates.

How do I know if I need to renew my NASH PKI certificate?

Who in my organisation can renew the NASH PKI certificate?

I am a practice manager/pharmacy manager but have not been linked to my organisation as an OMO. What do I do?

What is the difference between SHA-1 and SHA-2 NASH PKI Certificates?

What happens if my NASH PKI certificate expires?

How do I know if my software is SHA-2 ready? 

How do I renew my NASH PKI certificate?

Within the certificates tab, I do not have the option to renew my certificate, what does this mean? 

If my software version is not compatible with NASH PKI SHA-2 and not included on the list, will I need to download a SHA-1 certificate? 

If I renew my NASH PKI certificate and receive another SHA-1 certificate, will my digital health services (e.g. My Health Record and electronic prescriptions) still work post 13 March 2022? 

If I have to download the SHA-1 certificate, when will it expire?

My organisation uses a software product from a Contracted Service Provider (CSP), do I still need to renew my NASH PKI certificate?

What about the transition to web services for Medicare and PBS claiming?

Who do I contact if I need more assistance in my NASH PKI certificate renewal? 

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https://www.itnews.com.au/news/asio-warns-of-increased-online-threat-landscape-575837

ASIO warns of increased online threat landscape

By Juha Saarinen on Feb 10, 2022 5:36AM

Foreign spies on dating apps.

The director-general of the Australian Security Intelligence Organisation, Mike Burgess, used an annual address to warn of a range of online threats, ranging from straight cyber criminality to radicalisation of young people and foreign intelligence service recruitment via social media and dating apps.

Burgess delivered the address from ASIO's headquarters and began by defending the national spy agency's drive for increased transparency.

Greater transparency could lead to increased trust, Burgess said, and help the spy agency in its own recruitment efforts.

Australia's threat landscape was complicated by the Covid-19 pandemic which has meant more people are going online and are working from home.

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https://www.digitalhealth.gov.au/careers/various-project-positions-infrastructure-delivery-section

Various Project Positions – Infrastructure Delivery Section

APS5 ($90,901 - $98,303), APS6 ($101,757 - $114,800), EL1 ($125,047 - $142,618)
Technology Services Division > Project Management
Brisbane, Canberra, Sydney

Closing - 20 Feb 2022

Division Overview

Technology services – responsible for the operation of high quality, trusted, reliable and secure national digital health infrastructure and health support systems.

Primary purpose of position 

All roles will be in the Technology Services Division which is responsible for the operation of high quality, trusted, reliable and secure national digital health infrastructure and health support systems.

APS5 Project Coordinator

In this role you will provide support to the Project Management Office (PMO) in driving best use of quality standards, frameworks, processes and governance for technology projects and assisting in project delivery support activities.  You will have the opportunity to exercise both initiative and judgment in the application of project management practices and procedures to provide support in relation to a range of activities and problems.  Project Management qualifications are desirable. The key skills and experience required include:

  • providing administrative and project support to a program/ project management team
  • ability to take the initiative to deliver own and teamwork tasks to agreed budgets, timeframes and standards
  • clear and effective communication skills with a strong customer focus

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https://www.policycircle.org/life/are-digital-health-apps-useful/

Digital health apps: How useful are they?

J oe ThomasFebruary 7, 2022

There is an exponential growth in the number of digital health apps available on Google Play and App Store. It is estimated that there were 53,054 Android apps and 53,979 iOS apps available in the beginning of last year (L. Ceci). Innovation in the digital health domain is taking place at an unprecedented scale. Studies found that about 25% of the adults aged between 18 and 34 years were using at least one health app.

Digital health is an umbrella term that discusses a range of information technologies that can collect health-related data and share health information. This includes mobile health applications (apps), electronic health records, telehealth, telemedicine, wearable devices, robotics and artificial intelligence.

Digital apps are expected to provide a new approach to the health and wellbeing of the users. Apps are supposed to help users and sponsors to take proactive action on individual and public health. Apps encourage users to access widely accepted health and medical facts to help them understand more about their conditions. This may help them engage in more productive discussions with healthcare providers. Health and medical apps also help collect more systematic data on health and wellness conditions.

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https://marketplace.service.gov.au/2/digital-marketplace/opportunities/18932

Australian Digital Health Agency

1 x Systems Safety Lead

Opportunity ID 18932

Deadline for asking questions Thursday 10 February 2022 at 6pm (in Canberra)

Application closing date Monday 14 February 2022 at 6pm (in Canberra)

Published Tuesday 8 February 2022

Category Agile delivery and Governance

Overview

The Systems Safety Lead is the primary owner of the Agency’s Clinical Assurance methodologies. This includes responsibility for embedding system safety engineering principles to the methodologies within the context of the Agency Clinical Governance and Risk Management Frameworks. This role provides direction and advice to the section and broader Agency on applying clinical assurance methodologies to product design, development, deployment, and operational use. This role requires a specialist with expert knowledge who can operate where there is uncertainty and limited direction and a need for judgment to be applied. The successful candidate will have proven abilities in probing information and identifying critical gaps and recommending viable solutions. An emphasis is to ensure the methodologies provide a firm foundation for contemporary clinical safety management.

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https://www.digitalhealth.gov.au/careers/various-project-positions-infrastructure-delivery-section

Various Project Positions – Infrastructure Delivery Section

APS5 ($90,901 - $98,303), APS6 ($101,757 - $114,800), EL1 ($125,047 - $142,618)
Technology Services Division > Project Management
Brisbane, Canberra, Sydney

Closing - 20 Feb 2022

Division Overview

Technology services – responsible for the operation of high quality, trusted, reliable and secure national digital health infrastructure and health support systems.

Primary purpose of position 

All roles will be in the Technology Services Division which is responsible for the operation of high quality, trusted, reliable and secure national digital health infrastructure and health support systems.

APS5 Project Coordinator

In this role you will provide support to the Project Management Office (PMO) in driving best use of quality standards, frameworks, processes and governance for technology projects and assisting in project delivery support activities.  You will have the opportunity to exercise both initiative and judgment in the application of project management practices and procedures to provide support in relation to a range of activities and problems.  Project Management qualifications are desirable. The key skills and experience required include:

  • providing administrative and project support to a program/ project management team
  • ability to take the initiative to deliver own and teamwork tasks to agreed budgets, timeframes and standards
  • clear and effective communication skills with a strong customer focus

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https://www.smh.com.au/business/companies/google-hits-out-at-australian-media-code-as-us-reviews-laws-20220204-p59u03.html

Google hits out at Australian media code as US reviews laws

By Zoe Samios

February 7, 2022 — 5.00am

Search advertising giant Google has hit out at Australia’s media bargaining laws, telling a US government department the legislation would be unworkable and harm democracy in the world’s largest economy.

Australia’s news media bargaining code came into effect last February. Google initially fiercely opposed the code, but it eventually relented with chief executive Sundar Pichai describing the laws to this masthead as “the right construct” allowing it to support news publishers.

However, in a submission to the US Copyright Office, which is reviewing the country’s media laws, the search giant indicated it is still strongly opposed to the framework of paying publishers for the ability to link to their news stories.

“While no digital platform has been designated under the code at this stage, we believe that it should not be replicated,” the submission says.

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https://www.fool.com.au/2022/02/08/2-small-cap-asx-shares-to-handsomely-reward-patient-investors/

2 small-cap ASX shares to handsomely reward patient investors

Ask A Fund Manager: SG Hiscock’s Rory Hunter reveals the 2 little-known stocks that will put smiles on investor faces in the long run.

Tony Yoo

Published February 8, 8:30am AEDT

Hottest ASX shares

The Motley Fool: What are the 2 best stock buys right now?

Rory Hunter: As the small companies guy, I’d probably mention two smaller caps in this space at the moment, with the caveat of course that within a rising rate environment, you’re going to get to the valuation-multiple compression. So one would have to be quite patient with the stock picks. 

The first one I’d mention would be a company called Beamtree Holdings Ltd (ASX: BMT).

So Beamtree used to be known as PKS Holding, which, I think, was Pacific Knowledge Systems. Basically, it’s a technology that works — they capture, manage, and analyse and review AI [artificial intelligence] analysis to provide to decision support systems — to doctors in hospital settings. 

Operating in the same space — data analytics or health IT — as the likes of Alcidion Group Ltd (ASX: ALC), Mach7 Technologies Ltd (ASX: M7T), and others. 

The first thing I’d say is, Beamtree is a fantastic growth profile. We see the prospect of them getting to about $50 million of ARR [annual recurring revenue] over the next 3 to 5 years from a base of around $10 million they are now. They operate in over 20 countries, 4 continents. 

From a valuation perspective, they’re trading on about 5 times ARR currently. 

If you look at the wider sector, you’ll probably get valuation multiples of, from about 9 to 15 times sales. So with the growth profile, we’re protective of the functionality that they have. Customer satisfaction, they have 99% client retention. We think that they’re fantastically placed to continue to grow really strongly.

Within the healthcare industry, something that’s key to remember, is that when customers come to making a decision on buying a product, technology or anything, a lot of the time it’s about the people involved. They need to be able to trust the people that they’re buying from. 

Tim Kelsey, who’s the CEO of Beamtree, he’s got a fantastic reputation in the industry. He was previously the national director for patients and information in the NHS in the UK. He’s incredibly well connected in this space and has a very reputable track record. 

So bringing all of that together in a really good place.

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https://www.theaustralian.com.au/business/technology/privacy-commissioner-in-court-win-against-facebook/news-story/c1895d4df0fc377476b8e754a9ba2236

Privacy commissioner in court win against Facebook

David Swan

5:55PM February 7, 2022

Tech giant Facebook has lost a case in the Federal Court against Australia’s privacy watchdog, with the full bench of the court dismissing Facebook’s appeal that it had lodged on the grounds that it doesn’t actually operate in Australia.

The judgment paves the way for a larger case to now proceed against Facebook over its privacy settings and how it handles user data.

The case relates to the now-infamous Cambridge Analytica data analysis firm and its personality quiz ‘This is Your Digital Life’, which the Australian Information Commissioner alleges unlawfully disclosed the personal information of thousands of Australians between 2014 and 2015.

When launching Federal Court action in 2020, Commissioner Angelene Falk said that Facebook had breached Australian privacy law and that its “opaque” privacy settings made it difficult to exercise control over their own data.

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https://www.computerworld.com/article/3648457/the-basics-of-patching-and-repairing-balky-windows-pcs.html

The Microsoft Patch Lady

By Susan Bradley, Contributing Writer, Computerworld | 1 February 2022 4:30 AEDT

Opinion

The basics of patching and repairing balky Windows PCs

When your Windows machine starts acting up, there are some simple ways to get things back on track.

When you have a Windows computer and have to deal with Microsoft patches, hard drives that die, and hard drives that should be updated to solid-state drives (SSDs), there are a few key tasks you need to know how to do.

This month’s updates turned out be disruptive for business patchers. For domain controllers and Server 2012 R2 virtual servers, in particular, users had to uninstall the January updates to keep their hardware from rebooting. I often see users deal with patching side effects by rolling back hardware to a saved recovery point. Instead, I recommend uninstalling the problematic update until it’s fixed.

To do so, open Settings, then go to Update and Security, then go to Windows Updates. Click on Advanced options and choose “Uninstall updates.” The list of updates will open and you can uninstall the ones you want to get rid of by right-clicking on them. Once they’re uninstalled, go back into the Windows Update section and pause updates until Microsoft fixes the offending update. (It’s useful to keep an eye on the Windows health release dashboard where Microsoft lists known issues and workarounds.)

For the updates released on the second Tuesday of the month (Patch Tuesday) it usually takes Microsoft a week to acknowledge problems and post workarounds. That’s why I recommend pausing updates for at least a week, if not longer, so any major side effects can be identified before you proceed.

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https://www.starobserver.com.au/news/are-older-lgbt-australians-being-forgotten/209715

Are Older LGBT Australians Being Forgotten?


Linc JenkinFebruary 7, 2022

It’s 2022 and it’s never been a worse time to be an older person or indeed, to be getting older!

And it’s a place that we are all going to be, eventually and yet, the level of shrug about the challenges that older Australians face is bewildering to many of us who are facing the prospect of ending up in these places in the next 20, 30, 40 years time.

It’s especially tough for LGBTQI Australians who are already accessing home care or currently living in an aged care facility. Not only do older LGBTQI Australians have to contend with all the challenges that heterosexual older Australians do, they have their own set of unique challenges to overcome.

Older LGBTQI Face Unique Challenges

Nicky Bath, Chief Executive Officer of LGBTIQ+ Health Australia spoke to Star Observer about the distinctive challenges that the older members of our communities are facing.

“LGBTQI older people have particular and unique needs. This is due to historic and continuing experiences of discrimination, criminalisation, stigma, poorer health and wellbeing outcomes, and invisibility within the aged care system. Older people who are trans and gender diverse and intersex people can face difficulty accessing their specific medical needs. Trans and gender diverse older people routinely report failure to use correct pronouns.”

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https://www.digitalhealth.gov.au/newsroom/podcasts/cyber-security-social-media-and-social-engineering

Podcasts • Cyber security

Cyber security: Social media and social engineering

Published 7 February 2022

In this podcast, find out how to minimise the risk of your information being used in ‘social engineered’ cyber-attacks. 

Speakers include: Dr Andrew Rochford (Facilitator), Donna Alexander (Agency Cyber Security Professional), Greg Gebhart (Senior Trainer, eSafety Commission), Dr Shane Jackson (Director of the Australian Association of Consultant Pharmacy and former national president of the Pharmaceutical Society of Australia).

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David.

 

Monday, February 14, 2022

Weekly Australian Health IT Links – 14 February, 2022.

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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While the quantity of Digital Health news is back to normal I am not sure about the quality. Seems to be a lot of nonsense about. Some good stuff also!

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https://www.healthcareitnews.com/news/anz/automated-high-risk-notification-coming-acts-contact-tracing-app

Automated high-risk notification coming to ACT's contact tracing app

The ACT government is relaxing its rules for public check-ins starting 11 February.

By Adam Ang

February 08, 2022 03:55 AM

The government of the Australian Capital Territory is working to introduce a new feature on its contact tracing app that automatically notifies users if they have been at a high-risk setting for COVID-19.

First launched in September 2020, the Check In CBR app is used by Canberrans aged 16 and above for entering various locations across the state. 

It logs in a user by scanning a QR code posted in public places, including public transport, venues, cafes, bars, restaurants, shops, supermarkets, and events. People's personal information is securely stored in the app and is only accessed by the state for contact tracing purposes.

Given its ease of use, tailored versions of the app have been adopted by Queensland, Tasmania, and the Northern Territory.

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https://www.healthcareitnews.com/news/anz/government-backed-study-finds-australias-covidsafe-app-ineffective-contact-tracing

Government-backed study finds Australia's COVIDSafe app ineffective for contact tracing

The findings show that the app has only added more work for already fatigued public health staff.

By Adam Ang

February 07, 2022 12:27 AM

Government-backed research has found Australia's nationwide contract tracing app unhelpful and inefficient for the country's COVID-19 pandemic response. 

A study funded by Australia's National Health and Medical Research Council and the New South Wales Ministry of Health evaluated the effectiveness and usefulness of COVIDSafe, a smartphone-based proximity tracing app introduced in April 2020. 

FINDINGS

Recently published in The Lancet Public Health journal this month, the study was done in NSW, the country's most populous state, and involved 619 confirmed locally acquired COVID-19 cases with over 25,300 close contacts identified through conventional contact tracing between 4 May and 4 November 2020. Semi-structured interviews with the state's public health staff were also conducted to assess the app's perceived usefulness.

The study identified three broad issues that seemed to make the app unhelpful for COVID-19 contact tracing in NSW:

·         Lower-than-expected uptake among the at-risk population; 

·         Poor diagnostic performance; and

·         Low perceived usefulness by public health staff. 

Among positive cases, more than one in five or 137 people were using the COVIDSafe app. Only 79 people were considered their close contacts, giving the app a positive predictive value of 39%. Its estimated sensitivity, meanwhile, is at 15% as only 35 out of 236 identified close contacts were detected by the app. Additionally, the app spotted 17 more close contacts who were not identified by conventional contact tracing.

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https://www.theaustralian.com.au/business/technology/privacy-commissioner-in-court-win-against-facebook/news-story/c1895d4df0fc377476b8e754a9ba2236

Privacy commissioner in court win against Facebook

David Swan

5:55PM February 7, 2022

Tech giant Facebook has lost a case in the Federal Court against Australia’s privacy watchdog, with the full bench of the court dismissing Facebook’s appeal that it had lodged on the grounds that it doesn’t actually operate in Australia.

The judgment paves the way for a larger case to now proceed against Facebook over its privacy settings and how it handles user data.

The case relates to the now-infamous Cambridge Analytica data analysis firm and its personality quiz ‘This is Your Digital Life’, which the Australian Information Commissioner alleges unlawfully disclosed the personal information of thousands of Australians between 2014 and 2015.

When launching Federal Court action in 2020, Commissioner Angelene Falk said that Facebook had breached Australian privacy law and that its “opaque” privacy settings made it difficult to exercise control over their own data.

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https://www.healthcareitnews.com/news/anz/more-funds-added-psychosocial-telehealth-support-ovarian-cancer-patients-australia

More funds added for psychosocial telehealth to support ovarian cancer patients in Australia

It will help reach 800 more women from regional communities.

By Adam Ang

February 09, 2022 12:17 AM

The Australian government has added A$2 million ($1.4 million) more to independent non-profit Ovarian Cancer Australia to help maintain its provision of psychosocial telehealth services to ovarian cancer patients. 

WHY IT MATTERS

Last year saw approximately 1,700 women in Australia diagnosed with ovarian cancer with 1,000 dying from the disease. Given a low 5-year survival rate of below 50% and a recurrence rate of up to 70%, four in 10 women with ovarian cancer experience clinical levels of anxiety or depression, according to OCA.

The government's additional funding, the group said, will help them continue providing psychosocial telehealth support services through its Teal Support Programme until the fiscal year 2023-2024. 

This programme employs trained oncology and gynaecological nurses to provide advice and support to people with ovarian cancer from diagnosis through post-treatment. It aims to "ensure continuity of care, greater access to support and improved quality of life for all women with ovarian cancer," the organisation said.

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https://wildhealth.net.au/app-significantly-increases-cardiac-rehab-participation/

10 February 2022

App significantly increases cardiac rehab participation

Apps Clinical Technology

By Staff Writers

A clinical study of patients with cardiovascular disease by Queensland researchers confirms a landmark study of more than eight years ago which found that offering a digital health platform as an option for patients considering cardiac rehabilitation substantially improved participation rates in cardiac rehabilitation.

The findings, published in cardiovascular medicine journal JMIR Cardio,  and involving 204 patients, found that participation in cardiac rehabilitation improved from 21% to 63% when app-based cardiac rehabilitation (SmartCR from Cardihab) was offered as an alternative in addition to a conventional in-person program.

The study split its cohort into patients who were offered conventional rehab only, and patients who were offered Cardihab as an alternative after declining conventional rehab.

Rates of conventional rehab rejection are very high, and can depend on a patient’s location relative to where a program might be available, the time needed to complete a conventional program, cost and psychological constraints. Often cultural factors also prevent adoption of a conventional program.

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https://www.thewire.org.au/story/australian-health-services-shifting-to-digital-platforms/

Australian health services shifting to digital platforms

The use of technology in government services has increased, and now Australians can obtain their health records online.

It’s critical Australians get familiarised with online health records because it’s how the health sector will operate in the near future.

My Health Record is an online platform developed by the Australian Digital Health Agency, and its aim is to make sure Australians know how to manage their health records.

It’s also a good tool to remind its users about their health management.

Download Audio

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https://digitalhealth.org.au/blog/summit-keynote-liz-ashall-payne-on-healthcares-inflection-point-mobile-virtual-decentralised/

Summit keynote Liz Ashall-Payne on healthcare’s inflection point: Mobile, virtual, decentralised

In the weeks leading up to our Digital Health Institute Summit we will be speaking with some of our keynote speakers who will share the key themes of their keynotes. We also asked them to share their insights on the challenges and their priority areas in their roles for digital health in 2022.

Our next preview chat is with Orcha Founding CEO, Liz Ashall-Payne whose keynote is ‘Healthcare’s inflection point: Mobile, virtual, decentralised’.

Liz’s career pathway from speech-language pathologist to CEO of Orcha and was inspired by the possibilities of digital health to give millions of people access to health care services.

Frustrated by the restrictions of her personal capacity in the early years of her career, she was inspired by the emerging prospects of the reach of digital health. Her keynote will go deeper into the world of digital health and why, in many areas we are still restricted.

We are at a proper inflection point in how we can use digital health to revolutionise the way we deliver health and care,” she said.

We have huge opportunities, growing numbers of usage and technologies coming on to the market to help people.

Here you can create the content that will be used within the module.

READ MORE ON OUR SPEAKERS

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https://www1.racgp.org.au/newsgp/professional/racgp-calls-for-immediate-exemption-to-12-month-te

RACGP calls for immediate exemption to 12-month telehealth rule for vulnerable GPs

The college is urging the Federal Government to change compliance rules to allow immunocompromised GPs and those in isolation to safely continue caring for patients.

Anastasia Tsirtsakis


10 Feb 2022

RACGP President Dr Karen Price has called for changes to the telehealth compliance rule in an open letter to the Department of Health.
 
Addressed to Daniel McCabe, First Assistant Secretary of Benefits, Integrity and Digital Health, Dr Price notes that the high demand for general practice care in conjunction with the high likelihood of exposure to COVID-19 is impacting general practice’s workforce capacity.
 
‘An exemption from the existing relationship rule for immunocompromised GPs and GPs in isolation for patients known to the practice [eg patients who have been to the practice within the last 24 months] would increase workforce capacity at this critical time,’ the letter reads.
 
The Federal Government first introduced the 12-month compliance rule for GPs
in July 2020, stipulating that a practice could only provide rebated telehealth services under the Medicare Benefits Schedule (MBS) to a patient that has been seen by a GP at the practice face-to-face in the preceding 12 months.
 
The rule was intially introduced to stop opportunistic telehealth-only pop up clinics from fragmenting care by ensuring patients had an existing realtionship with the GP or practice providing the service.

But with the risk of COVID-19 transmission so high since the emergence of Omicron, Dr Price said it is ‘not pragmatic’ for immunocompromised GPs and those in isolation, particularly given the demand for care.
 
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https://wildhealth.net.au/tick-tick-boomer-watch-the-over-65s-go/

10 February 2022

Tick tick boomer: watch the over-65s go

Apps Clinical Technology

By Fran Molloy

Apple Watch-wearing baby boomers were more likely to clock 150 minutes of activity a week than their younger counterparts during 2021, according to new data from the Apple Heart and Movement study. 

Is it because during 2021, over-65s had more time than stressed-out working parents also trying to home-school?  

Sadly we’re still in the dark on why boomers are best at closing the “activity ring” – but there’s plenty more revealed in the study, which is a collaboration between the American Heart Association and Brigham and Women’s Hospital exploring the link between physical activity and heart health. 

The study analysed 18 million workouts logged during 2021 by Apple Watch users who opted-in to the study via the Apple Research iPhone app, sharing health app, medical history and watch sensor data, completing surveys about fitness, mental health, and day-to-day habits, wearing their watch daily and using the Workout app while exercising. 

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https://www.itnews.com.au/news/department-of-health-cio-to-exit-575879

Department of Health CIO to exit

By Justin Hendry on Feb 11, 2022 12:01AM

Departs for private sector.

The federal Department of Health will lose chief information officer Daniel Keys to Canberra-based IT services provider xAmplify.

Keys, who has spent 20 years in the Australian Public Service, will join xAmplify as its head of future and innovation on March 1, 2022.

He joins the company, which was founded in 2018, as it expands its presence in Canberra following launch of a new head office in November 2021.

Keys joined the Health department as an assistant secretary in June 2018 following an eight-month stint as Civil Aviation Safety Authority CIO.

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https://www.hospitalhealth.com.au/content/technology/news/funding-boost-for-local-nurse-s-tech-startup-676055253

Funding boost for local nurse's tech startup


Friday, 04 February, 2022


Amelio Health, a provider of chronic pain management programs, has received the federal government’s Boosting Female Founder Initiative grant.

The company is one of 51 recipients from over 2200 applicants vying for $12m in funding. Applications were assessed by an Independent Assessment Committee made up of women entrepreneurs, which was led by Professor Jana Matthews, ANZ Chair in Business Growth and Director of the Australian Centre for Business Growth at the University of South Australia.

CEO, Nurse and Founder of Amelio Health Kathy Hubble said the grant will allow her company to accelerate global growth and develop technical enhancements that will be essential for scaling purposes. “Being a recipient of this grant is a fantastic way to shine the light on the problem of chronic pain and how we are helping thousands of people manage their pain and get their lives back, ” Hubble said.

The Amelio Health program has an 85% completion rate, with 95% of those participants increasing their capacity and getting their life back. Pain coaching alone does not address the complex nature of chronic pain, especially when it comes to medication rationalisation. The company also provides learning for rehabilitation consultants.

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https://www.eventbrite.com/e/staying-safe-online-and-navigating-my-govmy-aged-carecentrelink-websites-tickets-262351740117

Staying Safe Online and Navigating My Gov/My Aged Care/Centrelink Websites

by Sherwin Rise

Join us for a seminar to help improve your safety online and to help navigate the My Gov and My Aged Care services.

About this event

Join us for a seminar specifically designed to help seniors stay safe online and to help navigate the My Gov and My Aged Care services.

We explore helpful strategies, useful tools and basic guides to protect your personal details online and then learn how to navigate the My Gov website and create a single login that will enable you to access several government services including Centrelink, Medicare, My Aged Care & My Health Record and the NDIS.

1:00pm Scams - Staying Safe online

Do you feel anxious when you go online? If so, join us as we explore helpful strategies, useful tools and basic guides to arm you with the information needed to protect your hard-earned savings & keep your personal details secure online. Learn how to easily recognise a scammer knocking on your door or identify a fraudulent call, text or email to help you stay safe in this digital world. Discover easy ways to manage your passwords on all devices to keep one step ahead of these dishonest people and tick off the 5 “must dos” to keep safe.

2:00pm Afternoon Tea

Join us in-between sessions for a delightful afternoon and have your questions answered.

2:30pm Navigating myGov & My Aged Care websites

Are you constantly being directed to the My Aged Care or myGov websites but now sure how to access them? If so, you are not alone so join us as we explore the My Aged Care website which is brimming with information to help with your aged care journey. Learn about the different types of care available, how to get assessed, find a provider and manage your own services. Once registered with My Aged Care, learn how to navigate the myGov website and create a single login that will enable you to access a number of government services including the Centrelink, Medicare, My Aged Care & My Health Record and the NDIS. You will be amazed at the information you will have at your fingertips.

These sessions are provided complimentary thanks to Be Connected and Lendlease. Feel free to register, and attend one or both sessions as your needs demand.

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https://www.itnews.com.au/news/nbn-co-lifts-residential-revenue-by-1-per-user-per-month-575859

NBN Co lifts residential revenue by $1 per user per month

By Ry Crozier on Feb 10, 2022 11:49AM

After two years of flat ARPU due to Covid concessions.

NBN Co saw a one dollar lift in average revenue per residential user in the last six months of 2021, as Covid-related concessions eased and customers took up higher speed services.

The company saw its residential average revenue per user (ARPU) move from $45 to $46.

It had been “flat at $45 across the two previous fiscal years… because of considerable Covid support” that the company provided, mostly in the form of foregone excess charges for excess bandwidth usage, CEO Stephen Rue said.

Rue also said that “the uplift in residential ARPU was driven by increased customer demand for broadband including upgrade to higher speed tier plans.”

The six-month period coincided with an end to ‘focus on fast’, a marketing campaign that was intended to get users to trial higher speed services for free, before being presented a formal upgrade offer.

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NBN Co’s interim revenue jumps 12pc as Aussies seek faster broadband plans, underlying earnings surges to $1.5bn

David Swan

February 10, 2022

NBN Co has posted robust financial results for the six months ending December 31, lifting its revenue by 12 per cent year-on-year to $2.5bn as the government-owned group ramps up a multi-billion dollar network upgrade program and as its significant subscriber costs to Telstra and Optus taper off.

The company on Thursday declared it is on track to achieve full year guidance, reporting revenues for the half greater than that of the 2021 full financial year, with Australian households increasingly opting for higher speed tier broadband plans.

It booked interim underlying earnings of $1.5bn, up by $1.1bn, while subscriber costs paid to the telcos were $126m, down 84 per cent from $809m a year earlier. Revenue from business customers increased to $493m, up 24 per cent from $397m a year earlier.

NBN Co’s crucial average revenue per user (ARPU) metric was up marginally to $46 a month, from $45 a year earlier, as Covid-related concessions to retailers eased.

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https://www.afr.com/companies/telecommunications/bumper-half-year-earnings-for-nbn-co-outstrips-full-fy21-result-20220210-p59v9y

Bumper half-year earnings for NBN Co outstrips full FY21 result

Lucas Baird Reporter

Feb 10, 2022 – 10.20am

NBN Co boosted earnings by nearly $1.1 billion in the six months to December 31 as operating costs and subscriber payments fell sharply, surpassing the full-year earnings figure posted in the 2021 financial period.

In its 2021 full-year results, the government-owned entity’s earnings before interest, tax, depreciation and amortisation (EBITDA) was $1.35 billion. But in the first half of the 2022 financial year, it recorded EBITDA of $1.5 billion.

NBN Co connected 200 million more premises to the national network in the six months to December 31, with the total now 8.4 million premises. 

NBN Co said new customer acquisition and demand for higher speed tiers were the bedrock of the result, which also saw it lift its long-stuck per-user revenue – a closely watched figure in the telecoms sector – from $45 to $46.

Chief executive Stephen Rue said the national broadband network was “financially sound and sustainable” and on track to hit guidance laid out in its stripped-back 2022 corporate plan.

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https://www.itnews.com.au/news/nbn-co-lobs-fresh-discounts-at-12mbps-users-to-upgrade-575795

NBN Co lobs fresh discounts at 12Mbps users to upgrade

By Ry Crozier on Feb 9, 2022 10:02AM

Up to 25Mbps or 50Mbps plans.

NBN Co will begin the new year with a fresh round of discounts aimed mostly at getting fixed-line users to vacate the 12Mbps tier, in line with a recent push to set 25Mbps as its new minimum speed.

The company will offer six months of wholesale discounts to encourage retail service providers (RSPs) to get customers to trial higher-speed services under a scheme it is calling “step up”. [pdf]

That means an $8 a month discount to move up to 25Mbps services and a $10 a month discount to move up to 50Mbps.

Users would be expected to pay the difference in price once the discount expires.

The discount is a far less combative attempt at vacating the 12Mbps tier, which is still home to 923,684 active services as at November last year, roughly 11 percent of all NBN fixed-line subscribers.

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07 Feb 2022 9:43 AM AEST

Lifeline's new 24/7 Crisis Text Service opens up crisis support to hard-to-reach groups                    

Research shows that Lifeline’s Crisis Text service is reaching entirely new groups of Australians in distress and at high risk of suicide.

Since 2019, Lifeline has provided Australia’s only Crisis Text helpline, providing support to people in psychological distress. Thanks to a $1.5 million grant from the Australian Government, Lifeline Australia has now been able to fast-track the expansion of text and chat services to 24-hours-a-day, seven-days-a-week to meet demand and increase accessibility for hard-to-reach groups. 

Lifeline CEO Colin Seery said that rather than diverting phone calls from the 13 11 14 service, the always-on digital platform has in fact increased the range and total number of people contacting the organisation.

“This is a landmark in suicide prevention in Australia and is all about bringing help to people who are in situations and environments where accessing support through digital communication is the only safe or viable option,” said Mr Seery.

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https://www.itnews.com.au/news/nbn-co-refuses-to-say-if-execs-held-to-account-for-subcontractor-pay-scandal-575777

NBN Co refuses to say if execs held to account for subcontractor pay scandal

By Ry Crozier on Feb 9, 2022 6:59AM

Or if bonuses were impacted in any way.

NBN Co has refused to say whether anyone in the company was held accountable or had their bonuses reduced after a subcontractor pay cut scandal last year.

The network operator also angrily rejected an assertion by Labor Senator Tony Sheldon that cutting the take-home pay of its contract field force by restructuring agreements with its key delivery partners amounted to “unethical conduct” on NBN Co’s part.

The cuts came courtesy of a troubled program codenamed ‘Unify’ that changed the way NBN Co outsourced field services to its major delivery partners.

The program led to pay cuts, protests, a backdown by NBN Co in the form of a $75 “top-up fee” per job, and a KPMG audit that NBN Co refuses to release.

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https://www.itnews.com.au/news/australian-telcos-in-line-for-classified-threat-intelligence-briefings-575732

Australian telcos in line for classified threat intelligence briefings

By Richard Chirgwin on Feb 8, 2022 12:35PM

Recommendation that spy agencies share more, and vice versa.

Carriers, government agencies, and security agencies need a more structured forum for sharing classified information about security threats, according to the federal Parliamentary Joint Committee on Intelligence and Security (PJCIS).

In a 50-page report published yesterday, the committee also concluded that long-standing requirements that carriers “do their best” to secure their networks should be formalised with standards set by either the same forum or a second, separate one.

Currently, threat information is shared within the Trusted Information Sharing Network, a body that the report recommends be bolstered in two ways: with a “renewed focus on telecommunications security”, and with “advice from security agencies regarding ongoing and emerging threats”.

PJCIS wants the government to establish a dedicated forum for sharing telecommunications security threat information, allowing “ASIO and Australian Signals Directorate (ASD) to brief telecommunications stakeholders about ongoing and emerging threats to the maximum classified level possible”. 

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https://www.theaustralian.com.au/world/the-times/nuclear-fusion-breakthrough-smashes-world-record/news-story/ec894a9f337a5d03ffa619c1830fa6e8

Nuclear fusion breakthrough smashes world record

By Tom Whipple

The Times

4:11PM February 10, 2022

It was just five seconds. It was just a prototype.

But for that short period of time, one day last December, the hottest place in the solar system lay just south of Oxford. And in that place, a 25-year-old record in fusion energy was broken.

Here, over the course of those five seconds, a doughnut-shaped chamber managed to hold ­together a superheated plasma, 10 times hotter than the centre of the sun. Inside the plasma, hydrogen atoms fused to become helium nuclei, neutrons flew out and 59 megajoules of energy were made.

This output is less than a 250th of that produced by the coal and wood pellet-fired Drax power station in North Yorkshire, day in day out. It is far less than the ­energy put in to run the plant. It is also, though, more than double the record for fusion, set in 1997 by the same plant, the Joint ­European Torus (JET).

The result, fusion scientists said on Wednesday, cleared the path for the move to a commercial scale prototype, and – perhaps – the realisation of the long-held dream of clean and near-limitless energy.

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Enjoy!

David.

 

Sunday, February 13, 2022

It Looks Like The Agency That Tracks Digital Health Quality And Safety Has Lost Interest In The Topic!

Last week I noticed a passing reference to the Australian Commission On Quality And Safety In Health Care (ACQSHC) on some non-digital health matter and wondered just what they were doing in the Digital Health Domain – remembering they had had involvement in reviewing the #myHR for clinical safety a while ago. I could not recall any recent reports etc. so thought I would have a browse.

Their website is found here:

https://www.safetyandquality.gov.au/

Before diving in – here is what they say they do.

Our work

The Commission leads and coordinates key improvements in safety and quality in health care across Australia.

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The Commission works in partnership with patients, carers, clinicians, the Australian, state and territory health systems, the private sector, managers and healthcare organisations to achieve a safe, high-quality and sustainable health system.

Key functions of the Commission include: developing national safety and quality standards, developing clinical care standards to improve the implementation of evidence-based health care, coordinating work in specific areas to improve outcomes for patients, and providing information, publications and resources about safety and quality.

The Commission works in four priority areas:

  • Patient safety
  • Partnering with patients, consumers and communities
  • Quality, cost and value
  • Supporting health professionals to provide care that is informed, supported and organised to deliver safe and high-quality care

Here is the link:

https://www.safetyandquality.gov.au/our-work

Of interest to us is this section:

e-Health safety

The Commission contributes to e-Health safety by optimising safety and quality in the rollouts of digital clinical systems. It focuses on hospital medication management programs and discharge summaries, and uses e-Health initiatives to improve the safety and quality of health care, including antimicrobial stewardship.

Here is the link:

https://www.safetyandquality.gov.au/our-work/e-health-safety

These two sections from this page are interesting:

e-Health safety programs and resources

The Commission’s e-Health safety programs include:

The Commission works in collaboration with states and territories, the private hospital and primary care sectors, the Australian Digital Health Agency (the Agency), and other national bodies to promote the safety and quality agenda within national digital programs.

e-Health literature reviews

The Commission appointed Sydney University to develop a literature review The Impact of Digital Health on Safety and Quality of Health Care. The review analyses evidence for the types of digital health interventions which have been shown to improve health care. It focuses on the safety and quality impact of five digital health interventions:

  • Clinical decision-support systems (CDSSs)
  • Computerised provider order entry (CPOE) including electronic prescribing
  • Electronic patient portals
  • Electronic patient reminders (mobile technologies)
  • Information-sharing at discharge (electronic discharge summary or EDS).

The findings from the literature review will support jurisdictions, the Agency, and other healthcare providers to identify best-value approaches to digital health initiatives.

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Sadly the work on the #myHR seems to have ended at the end of 2018 and I can find no updates newer than 2019, other that some work on Digital Mental Health Standards in 2020.

I may be thick but I found the #myHR less than useful - to be polite.

Overall there was activity in 2016 – 2019 and then it largely stopped. Did the ADHA take over he work, was it just stopped or what happened?

Equally if you look at the reports it is by no means who they are for – developers, clinicians, system users etc.or whatever?

Does anyone know if there is evidence of any positive outcome from all this work – as I am struggling to find any!

Comments welcome!

David.

AusHealthIT Poll Number 618 – Results – 13th February, 2022.

Here are the results of the poll.

If Qualified, And Looking For Work, Would You Seek Employment With The Australian Digital Health Agency?

Yes. 5% (4)

No. 93% (69)

I Have No Idea, 1% (1)

Total votes: 74

A pretty clear vote with a vast majority feeling they would not want a job with the ADHA.

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

A great number of votes. with a clear outcome. 

1 of 74 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.