Quote Of The Year

Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"

or

H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Monday, April 18, 2022

Weekly Australian Health IT Links – 18 April, 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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The sad news of the week is that yet again we find the Federal Government trying to screw smaller digital health firms. They really need to be reined in I believe.

Otherwise just the usual tid-bits!

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https://www.healthcareitnews.com/news/anz/australian-government-seeks-slash-funding-escripts-80-and-may-acquire-ip

Australian government seeks to slash funding for escripts by up to 80% and may acquire IP

A request for tender by the Department of Health has caused alarm in the industry with its plan to shake up the nation's most successful digital health infrastructure project.

By Lynne Minion

April 14, 2022 03:57 AM

Australian companies behind the most successful and widely used digital health infrastructure programme, the nation's electronic prescription network, could face a drastic reduction in profits or may lose their projects due to a new Commonwealth Department of Health request for tender.

The implications of the government's move has sent shockwaves through the industry, with about 100 representatives of digital health organisations attending a closed door meeting held by the Medical Software Industry Association (MSIA) on Tuesday.

The department's RFT – issued without consultation with industry – is seeking companies to apply to provide prescription delivery services and an active script list registry.

These services are currently provided by eRx (owned by Fred IT) and MediSecure, which developed the systems over 10 years.

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https://www.tenders.gov.au/Atm/Show/f318621c-7a5e-4a7f-8337-8e6a74114f6a

Current ATM View - RFTHealth/E21-576909

Request for Tender – Electronic Prescription Services

Contact Details Procurement Lead

Email Address: eprescribing@health.gov.au

ATM Documents Lodgement Page  ATM ID: RFTHealth/E21-576909

Agency: Department of Health

Category: 85101700 - Health administration services

Close Date & Time: 2-Jun-2022 2:00 pm (ACT Local Time)
Show close time for other time zones

Publish Date: 31-Mar-2022

Location: ACT, NSW, VIC, SA, WA, QLD, NT, TAS

ATM Type: Request for Tender


Multi Agency Access: No

Panel Arrangement: No

Multi-stage: No


Description:

The Department of Health is issuing this Request For Tender (RFT) to engage providers of Electronic Prescription Services, specifically, Prescription Delivery Services (PDS) and an Active Script List Register (ASLR).

Since 2010, there has been significant development and growth in the electronic prescribing ecosystem and the Department has engaged with service providers and stakeholders to fund and operate the environment. Approximately 91% of dispensed scripts are now digitally supported.

To ensure continued optimisation, value for money and quality customer experiences, the Department is issuing this RFT with a view to engaging a single or multiple Prescription Delivery Services (PDS) providers and a single Active Script List Register (ASLR) provider, for an initial term of four years and three optional further terms of one year each.

Tenderers may offer to supply PDS AND/OR the ASLR as part of their Tender.

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https://www.itnews.com.au/news/tasmanians-to-get-a-single-government-identifier-578606

Tasmanians to get a single government identifier

By Justin Hendry on Apr 12, 2022 6:09AM

With the arrival of myServiceTas portal.

The Tasmanian government will introduce a single identifier for residents as part of its planned one-stop digital services portal, myServiceTas.

Service Tasmania revealed plans to link “discrete government identities to a single whole-of-government identifier” in its request for tender for the portal released on the weekend.

myServiceTas – the centrepiece digital pledge by the government in the lead up to last year’s election – is being created to ensure Tasmanians can access digital services in a unified manner.

The government set aside $4.3 million in last year’s budget to kick-start development, as well as redevelop its website and create a life events framework, following an unflattering review.

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https://www.theaustralian.com.au/business/resapp-health-is-trialling-a-smartphone-app-to-diagnose-covid-through-sound-of-coughing/news-story/32263c4f597e1254ac5e3f5c75f5d4f4

ResApp Health is trialling a smartphone app to diagnose Covid through sound of coughing

CITY BEAT CHRIS HERDE

4:42PM April 10, 2022

A Brisbane digital health start-up is on the way to the commercialisation of a smartphone application which will use the sound of your coughing to diagnose Covid-19.

ASX-listed ResApp Health is preparing for talks with regulators after positive results on the technology for screening before the use of a rapid antigen (RAT) or PCR test.

Dr Tony Keating, who founded the company in 2015 with Brian Leedman, says trials found the app could detect Covid in 92 per cent of people with the infection through the use of cough audio and patient-reported symptoms.

“The Covid tests are still in the early trial stages but we have had great results,” he says.

“Basically the way we’ve designed the test is that of it says No and you don’t have Covid, you don’t have to do a RAT or a PCR test but if it says YES then you go down the normal path of testing.”

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ADHA - Health API Gateway transition

Dear Valued Industry Partner,

The Australian Digital Health Agency is upgrading Australia’s digital health platform to ensure it continues to meet the needs of Australians into the future.

The first key upgrade is a new Health API Gateway that will provide a secure and scalable digital platform for exchanging and accessing health information. It will be a key enabler of the Agency’s work to create a collaborative environment to accelerate adoption and use of innovative digital services and technologies. It’s the first step in achieving a future where digital health is in broad use.

The current gateway (Oracle API gateway) is being decommissioned and the new Health API Gateway Services will constitute a standalone, contemporary capability to provide services for the My Health Record system that can be extended to support the infrastructure in the national digital health infrastructure and broader future state concept.

Services will be consumed by clinical systems, web portals and mobile apps developed by the Agency and software vendors in support of consumer and provider applications.

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https://www.ausdoc.com.au/news/more-1000-gps-stress-test-online-fellowship-exam

More than 1000 GPs 'stress test' online fellowship exam

The RACGP says mock assessment was a success and will mean the AKT in July will be computer-based

14th April 2022

By Siobhan Calafiore

The RACGP’s computer-based exams are making a comeback after its mock online fellowship exam passed a 45-minute 'stress test’ involving more than a thousand GPs.  

The volunteers completed a version of the Applied Knowledge Test (AKT) last week.

While the RACGP provided them with correct answers after the exam, it did not attempt to check whether qualified GPs would have flunked their fellowship. 

To test yourself, check out the sample questions below.

But in the result that mattered, the software did not break down when candidates logged on at the same time. 

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Alcidion Customer Newsletter April 2022

A message from our Managing Director

The beginning of the new year has brought both new faces and new customers to Alcidion. In particular, I am pleased to welcome Florian Stroehle to the leadership team as Director of Strategy and Business Development along with two new additions to our UK team in Steve Leggett (UK Head of Strategic Markets) and Dr Paul Deffley (UK Chief Medical Officer). I look forward to working with them all as our team and product offering continue to grow.

>From new partnerships to extensions of current agreements, I am extremely pleased by the momentum of deals which have been finalised by our team in recent weeks. Dartford and Gravesham NHS Trust were the first NHS site to procure Alcidion’s new Miya Emergency module alongside new partner Provation®’s anaesthetics module iPro. NHS Tayside are the third Scotland based board to implement Miya Observations, a milestone that recognises the benefits of the solution realised at NHS Fife and NHS Lanarkshire. We welcome our first community trust in Herefordshire and Worcestershire Health and Care NHS Trust who will deploy Miya Flow, the foundation module of Miya Precision. Congratulations to our UK team for continuing to develop our relationships across the NHS.

With the new year has come the return of in-person conferences in some regions and we welcomed the chance to catch up with colleagues and customers at the Australasia Institute of Digital Health (AIDH) Digital Health Summit in Melbourne in February and Digital Health Rewired in London in March. These conferences provide Alcidion the opportunity to present the latest releases and products to the market and we look forward to the return of further opportunities as the year progresses.

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https://www.digitalhealth.gov.au/careers/contract-administration-officer

Contract Administration Officer

APS5 ($90,901 - $98,303)
Technology Services Division > Procurement, Contract Management
Brisbane, Canberra, Sydney

Closing - 2 May 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

Supporting the Technology Division, the Contract Administration Officer is responsible for assisting in the management of Contracts related to the My Health Record, including but not limited to the National Infrastructure Operator, Services Australia, Oracle and the Health API Gateway. The Contract Administration Officer is required to deliver outcomes in line with the Agency’s strategic objectives. Working closely with internal and external stakeholders, the role will provide support and advice in relation to contract management, finance and compliance. The Contract Administration Officer is also accountable for:

  • Assisting with the successful management of contracts including the review of quotes relating to additional services and track, monitor and advise on financial expenditure of Contracts and additional services.
  • Assisting with the coordination, communication and reporting of Contract performance and issues, including written advice to internal stakeholders and Executive.
  • Assisting in the undertaking and coordination of supplier performance meetings (including developing agendas and secretariat duties), supplier performance reporting and effective management of suppliers, including review and execution of contract extensions, variations and amendments.
  • Ensuring financial compliance and adherence to the relevant Government legislation e.g. PGPA Act,CPRs and the Agency Accountable Authority Instructions.
  • Assisting in the management of allocated budget against Contract funds, including assessment of monthly financial forecast against estimates and seeking relevant approvals.
  • Tracking, monitoring and advising key stakeholders on performance against service standards and service indicators, including monitoring and reporting on Contract Deliverables.
  • Coordinating the raising of purchase orders in SAP for financial commitment, including reviewing and acquitting invoices against the relevant Contract and seek delegate approval for payment;
  • Liaising with internal and external stakeholders and develop and maintain effective relationships.

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https://www.hinz.org.nz/news/601984/Improvements-made-to-CCCM.htm

Improvements made to shared care record for Covid patients

Wednesday, 13 April 2022  

NEWS - eHealthNews.nz editor Rebecca McBeth

Improvements have been made to the Covid Clinical Care Module (CCCM) to make it more user friendly for GPs, who are struggling to deal with the large number of Covid-19 cases in the community.

The CCCM is a national shared care record for Covid patients. It is an iteration of the
Border Clinical Management System, which was developed for use in Managed Isolation and Quarantine Facilities and is a modified version of the indici practice management system.

All Covid-19 care coordination hubs, general practices and some other healthcare providers, such as Urgent Care Centres and Emergency Departments, are able to access the CCCM.

When eHealthNews spoke to GP leaders in February, they said the system was creating more work and stress when GPs were already exceptionally busy and they wanted it to be an ‘option’ for them to use.
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https://www.afr.com/companies/telecommunications/redactions-force-delay-to-nbn-co-pricing-talks-20220414-p5adgz

Heavily redacted documents force delay to NBN Co pricing talks

Lucas Baird Reporter

Apr 14, 2022 – 11.38am

The competition watchdog has delayed its formal consultation on an update to NBN Co’s controversial wholesale pricing model until late May to address issues around the release of commercially sensitive information.

NBN Co – the owner and operator of the national broadband network – had given the Australian Competition and Consumer Commission its submission on potential changes, but it was redacted to such an extent the regulator did not think it would facilitate a transparent consultation process.

Telcos say wholesale costs for the NBN are rising. 

“The ACCC is required by legislation to publish and consult on the variation to the undertaking in full, and proposes to do so as soon as is practical to allow third parties to fully engage in a meaningful consultation process,” ACCC commissioner Anna Brakey said.

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https://www.itnews.com.au/news/nbn-co-has-to-rewrite-its-own-rules-to-be-publishable-578786

NBN Co has to rewrite its own rules to be publishable

By Ry Crozier on Apr 14, 2022 11:47AM

SAU variation sent back due to redactions.

NBN Co is having to rewrite parts of a document that outlines planned changes to the rules that govern its existence through to 2040 because too much of it was claimed commercially sensitive and unpublishable.

The Australian Competition and Consumer Commission (ACCC), which is running the review, said today that it is obligated to publish the document in full - unredacted - for consultation.

While it received the document on March 29, it could not reach an easy agreement with NBN Co on unredacting or removing sensitive portions, meaning it has to be sent back to NBN Co for rework.

“NBN Co submitted a version of the proposed variation for publication in which information it considers to be commercially sensitive was redacted,” the ACCC said.

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https://www.theaustralian.com.au/nation/politics/nbn-fix-key-to-boosting-flagging-productivity/news-story/58cc1cb7786c6d8adde8aada4d1d66b9

NBN fix ‘key to boosting flagging productivity’

Joe Kelly

10:52PM April 10, 2022

Anthony Albanese has promised to “fix the National Broadband Network” as part of his pitch to lead Labor into government from opposition for only the fourth time since World War II.

Labor has a policy to expand full-fibre NBN access to 1.5 million premises and promised 90 per cent of Australians in the fixed-line footprint – or more than 10 million premises – would have access to world-class speeds by 2025.

The Opposition Leader says his plan will create 12,000 jobs for construction workers, engineers and project managers. He has also vowed not to sell off the NBN in a bid to keep internet costs down for families.

Mr Albanese mentioned the NBN several times in his Sunday press conference, saying it was a key project that would help boost Australia’s flagging productivity.

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Enjoy!

David.

Sunday, April 17, 2022

There Is An Extrenme Level Of Worry Welling Up In The E-Prescribing Space!

This appeared a few days ago.

Australian government seeks to slash funding for escripts by up to 80% and may acquire IP

A request for tender by the Department of Health has caused alarm in the industry with its plan to shake up the nation's most successful digital health infrastructure project.

By Lynne Minion

April 14, 2022 03:57 AM

Australian companies behind the most successful and widely used digital health infrastructure programme, the nation's electronic prescription network, could face a drastic reduction in profits or may lose their projects due to a new Commonwealth Department of Health request for tender.

The implications of the government's move has sent shockwaves through the industry, with about 100 representatives of digital health organisations attending a closed door meeting held by the Medical Software Industry Association (MSIA) on Tuesday.

The department's RFT – issued without consultation with industry – is seeking companies to apply to provide prescription delivery services and an active script list registry.

These services are currently provided by eRx (owned by Fred IT) and MediSecure, which developed the systems over 10 years.

The companies also created the National Data Exchange that is the foundation of the real-time prescription monitoring systems being rolled out nationally.

But according to the RFT, funding is expected to drop from 18 Australian cents per valid escript to as low as three Australian cents, representing a loss of up to 80 per cent.

The intellectual property of the systems could also be handed over to the Department of Health.

According to procurement rules, no companies planning to submit a tender – including incumbent companies – are able to speak publicly about the issue. Others are unwilling to risk getting the department offside by commenting on the record.

Behind the scenes, however, many industry insiders claim the RFT could damage the Australian companies that have built the systems that save lives and lower health expenditure. It also risks the industry losing confidence in dealing with the Department of Health, and has implications into broader technology procurement by the federal government.

In response to questions, the Department of Health told Healthcare IT News that "no decisions have been made in regards to funding" and that it will take into account the anticipated increase in the use of escripts, presumably due to growing uptake and an ageing population, and will also consider any improvements to existing systems.

"The Request for Tender proposes both fixed and variable funding options for tenderers, and allows for tenderers to propose alternative models. The variable option reflects the anticipated exponential growth in the number of electronic scripts generated," the department said.

"The RFT also outlines that tenderers must outline specific initiatives and innovations that would or could drive continuous improvement including those initiatives that would require additional funding to supplement implementation.

"The Department will negotiate the terms, including the rates associated with fixed and variable components of any future contract, with short-listed tenderer(s)."

The four-year term draft contract included in the RFT proposed that companies relinquish their intellectual property but the department said it would be subject to negotiations.

"No decisions have been made regarding IP. The IP regime will be a matter for contractual negotiation with short-listed tenderer(s)."

Boston Consulting Group was commissioned by the department to advise it on "future funding and models to support electronic prescribing" in 2021 but the report has not been made public.

The alarm within the industry at the RFT is compounded by the relatively low cost to the government of eprescribing despite its widespread use.

More here:

https://www.healthcareitnews.com/news/anz/australian-government-seeks-slash-funding-escripts-80-and-may-acquire-ip

There is also a lot of coverage here.

7 April 2022

Liberal government decides it might just nationalise our digital health industry

By Jeremy Knibbs

Strange thing to do just prior to an election, but a tender just released by the Department of Health for the future running of the electronic scripts ecosystem in Australia technically outlines a plan to nationalise one and perhaps even a few of our privately (and well) run digital health companies in Australia. 

Just when you thought things couldn’t get much stranger in how much micro-control the Department of Health (DoH) seeks to exert over every part of our healthcare system (GP education and training, PHN influence and power, rural health doctor placements, to name a few).  

Just six weeks out from a federal election, the Department have put out a tender which overtly expresses the intent of the government to exert near complete control of two well running and successful private digital health companies, and with them, a crucial and evolving piece of our digital health infrastructure; electronic scripts. 

You’d have thought that a Liberal government seeking to radically rewrite a pricing deal and appropriate all the IP and commercial value of one (or both) of two long running privately held eScript exchanges might be a risky play in the run up to an election.  

The idea that a federal government department is setting out to, in essence, have a go at nationalising a few key private companies that run a major part of our e-health infrastructure, should scare the whole business sector – not just those in health tech. 

At the very least, the existence of a tender with this intent will significantly dent the confidence of anyone thinking about investing privately into digital health innovation in Australia.  

It will also have come as a shock to the many long established private local medical software vendors and their investors that underpin much of our healthcare system with key EHR, billing and other patient data platforms.

Who will be next to be subsumed by the DoH at a whim when they want something more to their liking?  

In eScripts, the DoH is the primary direct funding body for both companies involved, so it has always had a large degree of power in the background of our eScripts ecosystem.  

But, this tender proposes pricing up to 65-80% less than what the government has been paying for eScripts for 10 years now, which threatens the two existing long term vendors with extinction if they don’t behave. It suggests the Department can pick a new provider if they like, and mandates that anyone who wins their tender will have to hand over all of their hard earned IP to the Department (though this is a boiler plate type term in federal health contracts, it’s a real consideration for anyone wanting to tender their services and offer up their IP).  

The reality is the DoH thinks they indirectly fund a lot of our other important healthcare tech vendors, like our patient management system companies, via the MBS.  

A tender like this makes one think the department is developing a God complex. 

If this tender process keeps going, and the price paid for eScripts in the country is reduced by 65-80%, a big chunk of that reduction will come off the margins of our PMS vendors and our pharmacy dispensing vendors. This is because, of the current 15c per valid script that the DoH pays the Rx exchanges today, nearly 60% is remitted by the Rx exchanges to other vendors as key partners in the ecosystem. 

The tender is not only threatening to stifle the two main Rx exchange vendors; it is going to rip away good chunks of margin from at least six other key PMS and dispensing vendors in the country.  

In other words, there is going to be a very bad ripple effect. 

In this awkwardly timed and constructed tender, the DoH is pulling the rug from under our entire commercial digital health sector, their investors, and anyone thinking of investing in the sector.  

Who would privately invest in building anything of import to our digital health infrastructure – and we need a lot of new investment, innovation and thinking, given we have stranded ourselves on the rocks of the My Health Record legacy – if they thought that at any point the DoH might move the goal posts using their funding power (direct or through the MBS), radically attempt to rewrite pricing to suit the government, and even appropriate all your IP in the process, which is what this tender describes? 

You can’t build and run a business with this sort of uncertainty. 

If you’re not familiar with our electronic script ecosystem, how it has evolved, and what it has done for you as a patient, a doctor, a tech entrepreneur, an investor or company, here is a quick potted history of eScripts in Australia, all the way up to this tender.  

The really weird thing in this story is that eScripts is probably the only truly successful digital health interoperability project that the government has been involved in in the past 20 years. It is demonstrably saving lives and money (see further down for some stats).   

Why is the DoH is happy to put a wrecking ball through what has been achieved so far and with it, other key parts of our digital health sector?  

See if you can work out the logic in what the DoH is doing. 

History 

Showing some admirable foresight, the DoH decided more than 10 years ago that having some form of centralised electronic script exchange in order to facilitate far more efficient and accurate medication management across the healthcare system (although not hospitals) was a good idea. 

The Department seed funded a couple of private companies to build the exchanges, with the promise of funding at 15c per valid electronic script that was used in the system. Ten years ago we started using the system via bar codes on all scripts, which when taken to a pharmacy could be validated as being correct against the scriptwriter. 

In the last ten years the DoH might have paid these companies about $100m, which maybe the DoH thinks entitles them to be ghost owners of these companies. 

Along the way, the Australian Digital Health Agency (ADHA) provided moderation and guidance, as eventually the government wanted scripts to be fully electronic (as they now can be). 

Between the DoH and the ADHA, and the two vendors who took the risk on such a complex and important infrastructure project – ERx and Medisecure – we managed to develop a ‘point of the spear’ medication management interoperability project. This means that today, after covid forced the hand of various parties to get their act together even faster, we have a system where a patient can accept a token on their mobile from their GP, go to any Pharmacy in the country, and get their script.  

It’s an amazing system with a lot of potential still to build out better healthcare services for patients, doctors and pharmacists. Already there is quite a bit of innovation riding on the back of system – in things like aged care medication management, consumer-controlled management, and in things like end-to-end script delivery for patients through services such as Chemist 2U. 

If you think about the importance of medication management in avoiding clinical decision making and system error, this was a great project to pick and move to full operational capability within just 10 years.  

Kudos is due to all parties involved. It works, and it is saving us a mass of money in things like avoidable hospital admissions, controlling problems like doctor shopping for opioids and benzodiazepines, and in time and effort of pharmacists, doctors and patients.  

But the best bottom line of this set up is that it is saving a lot of lives. 

Vastly more here:

https://wildhealth.net.au/liberal-government-decides-it-might-just-nationalise-our-digital-health-industry/

Coming from different perspectives both of the article authors have it right. In essence this tender is totally disruptive – and probably destructive – of the private Digital Health ecosystem in Australia as it basically says that if you have an operational and working implementation we will take it over, take all you intellectual property (I/P) and can choose to leave you high and dry with no business. All other players are basically killed off straight away!

Here is the key points of the tender.

https://www.tenders.gov.au/Atm/Show/f318621c-7a5e-4a7f-8337-8e6a74114f6a

Current ATM View - RFTHealth/E21-576909

Request for Tender – Electronic Prescription Services

Contact Details Procurement Lead

Email Address:
eprescribing@health.gov.au

ATM Documents Lodgement Page

ATM ID: RFTHealth/E21-576909

Agency: Department of Health

Category: 85101700 - Health administration services

Close Date & Time: 2-Jun-2022 2:00 pm (ACT Local Time)
Show close time for other time zones

Publish Date: 31-Mar-2022

Location: ACT, NSW, VIC, SA, WA, QLD, NT, TAS

ATM Type: Request for Tender

Description:

The Department of Health is issuing this Request For Tender (RFT) to engage providers of Electronic Prescription Services, specifically, Prescription Delivery Services (PDS) and an Active Script List Register (ASLR).

Since 2010, there has been significant development and growth in the electronic prescribing ecosystem and the Department has engaged with service providers and stakeholders to fund and operate the environment. Approximately 91% of dispensed scripts are now digitally supported.

To ensure continued optimisation, value for money and quality customer experiences, the Department is issuing this RFT with a view to engaging a single or multiple Prescription Delivery Services (PDS) providers and a single Active Script List Register (ASLR) provider, for an initial term of four years and three optional further terms of one year each.

Tenderers may offer to supply PDS AND/OR the ASLR as part of their Tender.

---- End Extract.

You can log in to read the full tender documentation.

The two present providers (ERx from Fred IT and Medisecure) are both incurring significant costs delivering the services and the anticipated drop in return be script would make them unviable financially and prevent ongoing delivery of the service which is the clearly the most effective in Digital Health in Australia.

Basically what industry is being told – out of the blue, and within days of an election being called – is that you have done well, invested for a decade and built a very useful service but now is the time for the Department of Health to take it all over!

This really is more like Communist Cuba than Liberal Australia and strongly to suggests to all to avoid the digital health space as if you do well we will take you out and you will loose you business!

Note the ADHA/DoH has form for doing this twice before at least – no names, no pack drill – but I am sure the older hands reading here know who I am talking about.

To me there has to be fierce and co-ordinated resistance to this take-over/ expropriation and the Tender needs to be withdrawn as it is a clear and present danger to evolving Digital Health in Australia.

All changes need to be negotiated on a fair basis with the incumbent players and evolutionary improvement fostered.

What do you think? Is the DoH the enemy of Digital Health innovation in OZ? I also wonder whether some form of political discussions,and pressure, with both sides during the election period might bear fruit?

David.

AusHealthIT Poll Number 627 – Results – 17th April, 2022.

 Here are the results of the poll.

Who Do You Believe Is Doing The Best Job In Advocating For Digital Health In Australia?

Australasian Institute Of DIgital Health                    3 (4%)

Medical Software Industry Association                  29 (39%)

Pulse + IT                                                                  3 (4%)

ANDHealth                                                                 2 (3%)

Digital Health CRC                                                     3 (4%)

Someone Else                                                            20 (27%)

No One                                                                       14 (19%)

I Have No Idea                                                              1 (1%)

People voted: 75

It is fair to say this poll is a dog’s breakfast with the figures being distorted by a lack or clarity on what some votes meant and at least one vote distorted by organised interest-group voting! My bad for not understanding what interests would be excited.

I will leave it to the reader to make what they can of the results!

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

A good number of votes. and a very unclear outcome. 

1 of 75 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.