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, June 07, 2022

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety, Social Media And Security Matters. Lots Of Interesting Perspectives - June 07, 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/opportunity-to-undo-raft-of-surveillance-powers-passed-by-coalition/

Opportunity to ‘undo’ raft of surveillance powers passed by Coalition


Denham Sadler
National Affairs Editor

2 June 2022

The restructuring of the Home Affairs Department by the new Labor government and the ongoing review of surveillance powers offers an opportunity to “undo” many of the privacy-invasive digital-focused laws passed during the Coalition’s time in power, Deakin University senior lecturer Dr Monique Mann says.

Labor this week unveiled its Administrative Arrangements Order, revealing that responsibility for the Australian Federal Police (AFP) from the Department of Home Affairs to the Attorney-General’s Department.

This comes five years after former Prime Minister Malcolm Turnbull moved the AFP into the new Home Affairs super-portfolio.

The new order “transfers responsibility for criminal justice, law enforcement policy and operations, and protective services from the Home Affairs portfolio to the Attorney-General’s portfolio”.

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https://www.innovationaus.com/sensitive-ndis-health-data-breached-in-client-platform-hack/

Sensitive NDIS health data breached in client platform hack


Denham Sadler
National Affairs Editor

31 May 2022

A “large volume” of highly sensitive health data has been compromised as part of a hack of a cloud-based client management system for NDIS service providers, with a sample posted on a “deep web forum” last week.

CTARS – a cloud-based client management system provider for NDIS, disability services, out of home care and children’s services – revealed this week that an unauthorised third-party had gained access to its systems on 15 May.

The third-party posted a sample of the stolen data around a week later on a “deep web forum”, the company said.

In the statement, CTARS said it is unable to determine what data has been compromised, but it likely includes sensitive health data such as the details of diagnoses, treatments and conditions and disabilities.

“Although we cannot confirm the details of all the data in the time available, to be extra careful we are treating any information held in our database as being compromised. This data includes documents containing personal information relating to our customers and their clients and carers,” the CTARS statement said.

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https://www.croakey.org/what-are-digital-platforms-doing-to-tackle-misinformation-and-disinformation/

What are digital platforms doing to tackle misinformation and disinformation?

Alison Barrett  Jennifer Doggett

Wednesday, June 1, 2022

Twelve months after the launch of The Australian Code of Practice on Disinformation and Misinformation, signatories to the code have provided their transparency reports to peak industry body DIGI.

Highlights from these reports and the ongoing concerns from health groups about the inadequacy of the Code and Australia’s media policy more generally are outlined below by Croakey editor Jennifer Doggett.


Jennifer Doggett writes:

The voluntary Australian Code of Practice on Disinformation and Misinformation aims to provide the public, industry and government different avenues to strengthen tech efforts to combat misinformation.

The Code has so far been adopted by eight signatories – Apple, Adobe, Google, Meta, Microsoft, Redbubble, TikTok and Twitter – which are required to report annually to DIGI on their performance against the terms of the code.

The transparency reports provide insights into the activities being undertaken by these companies to combat misinformation and disinformation, promote accurate information and to improve Australians’ media literacy.

In releasing the reports, DIGI Managing Director Sunita Bose said:

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https://www.digitalhealth.gov.au/careers/hr-business-partner

APS6 HR Business Partner

APS6 ($101,757 - $114,800)
Corporate Services Division > Human Resources (HR) and People
Brisbane, Canberra, Sydney

Closing - 13 Jun 2022

Division overview

Corporate services – responsible for bringing together our corporate enabling services so that they are coordinated, effective and mutually reinforcing.

Primary purpose of position

Australian Digital Health Agency operates under the Public Governance, Performance and Accountability (Establishing the Australian Digital Health Agency) Rule 2016 as a corporate Commonwealth entity. The Agency operates in a unique environment engaging both APS and non-APS employees to deliver strategic outcomes. A strong background in the delivery of generalist human resources services is required to provide operational and strategic advice to managers through the interpretation and application of award conditions, APS conditions, employment legislation, government policy and Agency people policies to operate successfully in this environment.

This requires an ability to work in a fast-paced environment to support the evolving priorities of the Agency.

Reporting to the Manager, HR Business Partners, the HR Business Partner will be responsible for providing a HR business partner function for the Agency. This position is responsible for supporting internal business customers with the provision of timely advice and coaching in relation to human resource matters in alignment with the Agency’s objectives across the full spectrum of HR. The role also supports the implementation of organisational processes including the annual performance review cycle, annual remuneration cycle, organisational restructures and/or role changes in alignment with work programme delivery.

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https://www.theaustralian.com.au/world/the-times/fake-skin-to-give-robots-the-human-touch/news-story/e7b1ce6666baa2690e8a8a6dd36bfee3

Fake skin to give robots the human touch

A new type of artificial skin could give robots “near-human levels” of touch sensitivity.

The electronic skin, developed at the University of Glasgow, draws inspiration from the human nervous system.

Information is partially processed in tiny printed circuits contained in the skin itself, mirroring the way in which tactile sensations are generated at the fingertips. This should make it more sensitive and quicker to react, its inventors say.

Fengyuan Liu, a co-author of the research, said: “This research could be the basis for … building prosthetic limbs which are capable of near-human levels of touch sensitivity.”

The system involves an articulated, human-shaped robot hand coated in a flexible plastic material that contains a network of pressure sensors.

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https://www.smh.com.au/technology/online-watchdog-demands-full-transparency-as-tech-giants-act-on-sexual-abuse-20220602-p5aqn4.html

Online watchdog demands ‘full transparency’ as tech giants act on sexual abuse

By Nick Bonyhady

June 2, 2022 — 4.41pm

Australia’s online safety watchdog has welcomed moves by the world’s largest technology companies to create a framework for reporting on child sexual abuse material, but questioned whether they truly have the will to tackle the problem properly.

eSafety Commissioner Julie Inman Grant warned the technology giants she will use new legal powers to demand the companies reveal what systems they are using to check if child sexual abuse is on their platforms and how long it has been online.

Speaking to The Sydney Morning Herald and The Age from an anti-abuse summit in Brussels, Inman Grant said a newly unveiled abuse reporting framework from the Tech Coalition, which sets out what kind of information firms should disclose, was a positive step.

“We’ve seen a lot of selective transparency in the past and you can’t have accountability if you don’t have full transparency,” Inman Grant said.

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https://wildhealth.net.au/lockdown-no-barrier-for-elderly-adventurers/

2 June 2022

Lockdown no barrier for elderly adventurers

Aged Care Technology Virtual/Remote Care

By Amanda Sheppeard

With the elderly among the most vulnerable to the virus, facilities were often closed off to visitors and families for extended periods. 

But for some residents in Queensland and Victoria, a novel trial using virtual reality (VR) has provided new experiences in which lockdowns have ceased to matter. 

The Transforming Aged Care with Virtual Reality project was a collaboration between researchers from the Queensland University of Technology, Griffith University, the University of Melbourne and La Trobe University, and was funded by a philanthropic research grant from Facebook. 

And last week the project organisers launched a toolkit they hope would help aged-care facilities across the country integrate VR into the lives of all their residents. 

The chief investigator, QUT’s Professor Evonne Miller, told Wild Health the project had been a massive success, with some residents using VR to skydive, visit their childhood home and towns, swim with sharks and dolphins, travel overseas and even take a helicopter ride. 

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https://wildhealth.net.au/post-war-health-tech-boom-sees-womens-services-multiply/

2 June 2022

‘Post-war’ health-tech boom sees women’s services multiply

COVID-19 Money Telehealth

By Fran Molloy

Covid had a serious impact on all health screening, and gaps in women’s routine health care included missed screenings for cervical and breast cancer, treatment of menstrual and menopause symptoms. and tests for sexually transmitted infections (STIs).  

The United Nations Population Fund reports that by January 2021, the pandemic had disrupted contraceptive use for around 12 million women globally, resulting in around 1.4 million unintended pregnancies.  

In response, telehealth services addressing menopause, contraception, fertility and at-home screening have multiplied, according to the 2021 FemTech Collective market report on digital health – which notes that founders and leaders of this new boom in female health-tech have overwhelmingly been women. 

But while Frost and Sullivan estimats that the FemTech market will be worth $1.1 billion a year by 2024, the segment represent less than 3 per cent of total digital health investments for 2013-2020. 

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https://wildhealth.net.au/planting-a-standards-stake-into-the-ground-first-thing-would-be-a-seismic-change-for-good/

2 June 2022

Planting a standards stake into the ground first thing would be a seismic change for good

By Jeremy Knibbs

If you were the new health minister really wanting to do good things and make an early statement of positive change to show intent, you’d put a stake in the ground immediately on digital health standards. Here’s why.  

OK, you’re the new health minister and you want everyone to know: 

  1. You know what you’re doing, and 
  1. You mean business. 

What’s your first move? 

You could send no greater signal of meaningful change to the system, while taking virtually no political risk at all, by getting the Department of Health (DoH) to announce to all our healthcare providers and software vendors, that, as has already done in the US, we have an intention to much more meaningfully share data between providers and patients in the future. And therefore, we are going to require that in five years’ time everyone updates their systems in some way so they can share their patient data easily and securely via the cloud (or the web, if you like). 

What is the upside of such a move for the new Labor government? 

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https://www.itnews.com.au/news/dta-to-move-from-pmc-to-finance-580802

DTA to move from PM&C to Finance

By Justin Hendry on Jun 2, 2022 7:00AM

Returns to its AGIMO roots.

The Digital Transformation Agency will shift to the Department of Finance a year after it was moved from the Social Services portfolio to the Department of Prime Minister and Cabinet.

Prime Minister Anthony Albanese revealed the machinery of government change late on Wednesday, just hours after swearing in his first ministry.

“The Department of Finance will gain responsibility for data policy, including the Digital Transformation Agency, as well as de-regulation,” he said in a statement.

Administrative orders released on Wednesday night provide additional detail on the changes, with “responsibility for data and digital policy and services” to transfer to Finance from July 1, 2022.

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https://www.digitalhealth.gov.au/newsroom/events-and-webinars/my-health-record-for-specialist-practices

My Health Record for specialist practices

Event details

When

Friday, 17 June 2022
1:00pm - 2:00pm (AEST)

Where

Online

Hosted by

Australian Digital Health

Register here

Contact us

General enquiries

Phone: 1300 901 001
8am - 5pm (AEST/AEDT) Monday - Friday
Email: help@digitalhealth.gov.au

More information

Join this webinar to learn about the core features of My Health Record and using your clinical software (Clinic to Cloud, Audit 4, BpVIP.net and others) to view and upload clinical information. The sessions are designed to be interactive where participants are encouraged to ask questions. Following a live demonstration during this webinar, you will understand how to:

  • Save time by accessing overview summary documents including medicines, immunisations, pathology and diagnostic imaging reports
  • Find documents relevant to your clinical practice e.g. Discharge Summaries
  • View the available Medicare information.
  • Upload Specialist Letters.  

This activity is tailored specifically for Specialists and the their teams.

This activity can be counted for 1 hour of Group-1 CPD (or 1 CPD credit), suitable for inclusion in an individual’s CPD plan.

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https://lens.monash.edu/@medicine-health/2022/05/31/1384611/leveraging-the-digital-era-for-fitter-healthier-happier-children

31 May 2022

Medicine and health

Leveraging the digital era for fitter, healthier, happier children

Overweight and obesity is the second-largest contributor to Australia’s disease burden and health costs, including significantly driving Australia’s high-cost diseases (for example, musculoskeletal disorders, cardiovascular diseases, diabetes, cancers).

It’s estimated to cost the Australian economy $11.8 billion, and if obesity rates continue to increase, will cost Australia an additional $87.7 billion in 10 years’ time.

Australians with obesity are at a higher risk of developing major chronic conditions, such as cardiovascular disease, type 2 diabetes and cancers, mental health disorders, experiencing social exclusion, and/or lower quality of life.

In Australia, obesity rates have increased the past 10 to 15 years, and remain a historically high proportion of the population. For instance, in Victoria, about two in three adults and one in four children are classified as overweight or obese.

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https://www.smh.com.au/world/europe/digital-offspring-will-replace-human-babies-says-ai-expert-20220531-p5apsb.html

Digital offspring will replace human babies, says AI expert

By Tom Ough and Maighna Nanu

May 31, 2022 — 8.00am

London: They will cuddle you, play with you and, of course, resemble you. They will require minimal resources and will cost next to nothing to bring up.

But the one catch with these “ideal children” is that they are, in fact, not human, but a virtual creation which an artificial intelligence expert predicts will be commonplace in 50 years.

Catriona Campbell, one of the UK’s leading authorities in AI and emerging and disruptive technologies, made the prediction in a book published this week. In AI by Design: A Plan For Living With Artificial Intelligence, she argues that concerns about overpopulation will prompt society to embrace metaverse-hosted digital babies. It is a demographic transformation she calls the “Tamagotchi Generation”.

“Virtual children may seem like a giant leap from where we are now,” she writes, “but within 50 years technology will have advanced to such an extent that babies... in the metaverse are indistinct from those in the real world.

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https://www.hospitalhealth.com.au/content/technology/article/opinion-health-care-must-bolster-privacy-security-efforts-60819687

Opinion: Health care must bolster privacy, security efforts

By Carol Chris, Regional General Manager for Australia and New Zealand, GBG
Monday, 30 May, 2022

A recent report from Australian cybersecurity consultancy CyberCX found the healthcare industry ranked second last when it comes to protecting the online privacy of its customers and users.

In an industry that deals with incredibly sensitive and personal information, such as medications, mental health history, and drug and alcohol use, the implications for a lack of privacy within the sector are severe, both at an individual and organisational level.

Privacy threats are growing in the healthcare industry, in both frequency and sophistication. Macquarie Health Corporation was hit by a cyber attack in late 2021 with thousands of patients’ highly sensitive documents leaked by hackers. Just last week Western Australia’s COVID-19 contact tracing system was deemed by the auditor-general to be riddled with privacy and security concerns, putting the personal and medical information of hundreds of thousands of citizens at risk.

During COVID-19, when significantly more medical appointments were both made and conducted online than ever before, the risk for cybercrime also increased as patients divulged personal and medical information via apps and websites. Indeed, in the final few months of 2021, more than 12 million telehealth appointments were conducted via phone and videoconference — representing 25% of all Medicare Benefits healthcare appointments.

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https://www.smh.com.au/technology/behind-the-australian-publication-topping-facebook-s-most-viewed-pages-20220524-p5anz0.html

Behind the Australian publication topping Facebook’s most viewed pages

By Nick Bonyhady

May 29, 2022 — 4.45pm

In 2014, Nine screened the last ever season of Australia’s Funniest Home Videos, the show where excruciating but mostly harmless pranks and accidents were caught on camera and sent in by viewers to be screened to the nation.

Axing the show rather than moving it online now looks like a missed opportunity. Just four years later, LadBible launched in Australia from its UK base with basically the same formula. It now tops Facebook’s list of widely viewed pages, with posts and videos boasting 104 million viewers in the US alone during the first quarter of 2022.

LadBible’s formula is easy to describe and hard to execute, given the number of clout-hungry influencers and publications it is up against. It scours the internet for trendy topics and viral clips, accepts submissions of cute, funny or shocking videos, and repackages it all into a constantly tweaked fire hose of “content” that social media algorithms and users seem to love.

One of its most popular recent videos on TikTok (1.1 million views) is of a sulfur-crested cockatoo perched on a side-view mirror, eating a McDonald’s hash brown, as the driver goes for a spin. “Only in Australia” is the caption.

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David.

 

Monday, June 06, 2022

Weekly Australian Health IT Links – 06 June, 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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Not much happening as the new Government gets it feet under the desk(s).

Will be interesting to see if there is any movement in he Digital Health space that is not the ADHA business as usual!

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https://www.smh.com.au/national/nsw/new-smartphone-app-to-compare-emergency-department-wait-times-20220524-p5ao26.html

New smartphone app to compare emergency department waiting times

By Mary Ward

May 30, 2022 — 5.00am

NSW residents will soon be able to compare hospital emergency department waiting times and book specialist appointments using a phone app as health authorities urge people to visit emergency only when necessary.

The Patient App, scheduled to be released by the middle of the year, will use data from NSW Health’s surveillance systems to tell the public which emergency rooms are busiest.

“There’s a whole lot of information NSW Health publishes that not a lot of people know about,” said Customer Service Minister Victor Dominello. “It’s currently just lying around in dark corners.”

The first iteration of the app will contain data on waiting times as well as hospital parking availability, using the state government’s Park & Pay platform.

Emergency departments in NSW are under pressure as both COVID-19 and influenza create higher patient loads and rates of staff absenteeism. Last week, NSW Health secretary Susan Pearce asked the public to consider whether they definitely needed to attend an emergency department before setting off, due to longer waiting times.

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https://www.cesphn.org.au/news/latest-updates/5392-new-my-aged-care-e-referral-tutorial-videos-released

Register for the eReferrals to the SLHD webinar

30 May 2022 

General practices using Best Practice, Medical Director and Genie can easily and securely submit electronic referrals using Healthlink Smartforms technology directly from their clinical software. The Sydney Local Health District now has over 65 clinics accepting electronic referrals with more being connected in 2022. The recently released RPAH Maternity eReferral will be demonstrated.  

Paul Bennett, Program Manager Sydney Health Pathways and eReferral SLHD Project and Sarah Friend, eReferrals SLHD Project Officer will conduct an interactive presentation using Medical Director and Best Practice software to demonstrate how easy the process is and also to answer your question.

Click here to register for the webinar.

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https://itwire.com/it-industry-news/strategy/oracle-acquisition-of-cerner-approved.html

Friday, 03 June 2022 01:38

Oracle acquisition of Cerner approved

By Staff Writer

Enterprise applications provider Oracle has announced that all required antitrust approvals have been obtained for its proposed acquisition of Cerner, including European Commission clearance.

Cerner is a leading provider of digital information systems used within hospitals and health systems to enable medical professionals to deliver better healthcare to individual patients and communities.

Oracle says it expects to complete the tender offer promptly following the expiration of that offer at midnight Eastern time on June 6, 2022.

Completion of the tender offer remains subject to the conditions described in the tender offer statement on Schedule TO filed by Oracle with the US Securities and Exchange Commission on January 19, 2022, as amended.

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https://www1.racgp.org.au/newsgp/professional/extension-to-subsidised-sms-e-scripts-needs-long-t

Extension to subsidised SMS e-scripts ‘needs long-term plan’

The SMS fees will continue to be reimbursed until September, but some GPs are concerned about the uncertainty once the current extension expires.


Morgan Liotta


01 Jun 2022

On 18 May, the Department of Health (DoH) sent a letter to healthcare providers to inform them that reimbursements of electronic prescription tokens sent via SMS will be extended until ‘at least’ 30 September 2022.
 
This is a further extension to the announcement in August last year, and includes reimbursement for both original electronic prescription tokens and the cost of repeat tokens, as well as the 15 cents electronic prescription fee to be maintained until the Request for Tender process is finalised.
 
The RACGP supports the further extension and states it will continue to work with the DoH and the Australian Digital Health Agency (ADHA) to advocate for an ongoing funding model that supports uptake and provision of electronic prescriptions.
 
But while also supportive of the extension, Dr David Adam, RACGP Expert Committee – Practice Technology and Management member, is frustrated with the ongoing uncertainty.
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https://www.healthcareitnews.com/news/anz/melbourne-based-northern-health-taps-clinician-patient-registration-platform

Melbourne-based Northern Health taps The Clinician for patient registration platform

The platform enables remote patient health assessment and immediate triaging by staff.

By Adam Ang

May 31, 2022 12:37 AM

Northern Health, a health provider serving Melbourne's northern region, has engaged digital health firm The Clinician to develop its new patient registration and intake platform.

The newly built digital platform replaces the provider's old intake technology as part of the state-wide expansion of its Victorian Virtual Emergency Department (VVED).

WHAT IT DOES

According to a media release, The Clinician's ZEDOC digital health platform has been configured to simplify the digital patient intake and clinical tracking processes at VVED.

It features a digital registration form supporting 22 languages; SMS verification; automated clinical tracking; and streamlined integration with the telehealth service of HealthDirect, Australia's public health information service.

Launched in April this year, the platform enables patients to register and complete an online health assessment through their devices, allowing them to seek non-urgent medical care. Staff can also immediately access intake reports for triaging and following up on patients via video call.

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https://www.hospitalhealth.com.au/content/technology/news/northern-health-the-clinician-team-up-to-expand-vic-virtual-ed-37110

Northern Health, The Clinician team up to expand Vic virtual ED

Wednesday, 01 June, 2022


Northern Health has partnered with The Clinician, a digital health company, to develop a patient registration and intake platform as part of the statewide expansion of the Victorian Virtual Emergency Department (VVED).

Through this service, patients can access non-critical emergency care on their own devices, in the comfort of their own homes. The Clinician's digital health platform (ZEDOC) has been configured to provide the VVED with a streamlined digital patient intake solution and clinical tracking dashboard for timely access to virtual emergency care.

The Clinician has been working with Northern Health to replace the VVED's original intake technology with an improved digital front door solution. Launched in April 2022, individuals seeking non-urgent medical care can now register their details and complete a digital health screening assessment on their own devices. Through ZEDOC's tracking dashboard, VVED staff can access intake results immediately for triage and follow up patients via video call.

Taking less than eight weeks from ideation to implementation, The Clinician team worked with Northern Health to include important features such as a registration form available in 22 different languages as well as SMS verification, automated clinical tracking and a streamlined integration with HealthDirect's telehealth service.

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https://www.miragenews.com/state-of-the-art-augmented-reality-technology-790871/

30 May 2022 4:10 am AEST

State-of-the-art augmented reality technology launches at Westmead Children’s Hospital to support those with haemophilia

Sanofi

Press Release Australia MAT-AU-2201215

State-of-the-art augmented reality technology launches at Westmead Children’s Hospital to support those with haemophilia.

Sydney, 30 May 2022 – An Australian-designed, first-of-its-kind Augmented Reality technology has been unveiled today at The Children’s Hospital at Westmead (CHW). The technology will enable young people living with Haemophilia to view the potentially irreversible impact of disabling joint disease.

Haemophilia, an incurable, inherited rare blood disorder, is estimated to impact more than 3,000 Australians.1 Haemophilia is diagnosed when there is not enough clotting factor VIII(8) or IX(9) in the blood to help control bleeding in the body.1 This bleeding most commonly occurs in the joints of the knees, elbows and ankles,2 and can lead to joint disease if not treated adequately. As haemophilia is also an inherited condition diagnosed at birth, joint disease caused by haemophilia can begin to develop as early as the age of 20.2,3

The Augmented Reality Joint Scanner, which will be used by clinical staff at the Kids’ Factor Zone at Westmead Children’s Hospital’s Paediatric Haematology Unit, will help educate young patients and their families on the possible future impact of joint disease and the importance of maintaining a regular treatment program to help prevent bleeding episodes.

The Scanner utilises a ‘leap motion’ 3D camera attached to a computer to scan and map a person’s hand when placed under the device. A specially designed software then overlays imagery onto the user’s hand to replicate normal ageing and the impact of joint disease. While the Scanner uses only the user’s hand as its reference point, it cleverly allows the user to expand the replicated view on the screen beyond the hand to see what is happening elsewhere in the body, focusing on specific joints known to be impacted by haemophilia including the shoulder, knee, or ankle.

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https://www.hospitalhealth.com.au/content/technology/article/five-digital-trends-impacting-health-care-359829571

Five digital trends impacting health care

By Andrew Aho*
Monday, 23 May, 2022

Innovation in digital health is flourishing. With rising consumer demands, rapid advancements in technology and more complex care needs, healthcare organisations are under pressure to deliver digital-first, seamless and connected healthcare experiences.

What trends are shaping the future of healthcare delivery? Which opportunities are ripe for innovation? And how can healthcare leaders ensure their organisations are equipped to take advantage of the emerging opportunities?

1. Rising data volumes create complexity

Over a decade ago, the world’s total data storage capacity was around 487 exabytes. By 2025, it’s estimated that we’ll be creating the same volume in under two days.

The healthcare sector is one of the biggest contributors to this data explosion, accounting for around 30% of the world’s data volume. The increased use of medtech devices, apps and monitoring technologies means more data is flowing into healthcare organisations than ever before.

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https://wildhealth.net.au/tas-sets-aside-150-million-for-state-wide-emr/

2 June 2022

Tas sets aside $150 million for state-wide EMR

Government Money

By Holly Payne

Tasmanian treasurer Michael Ferguson has announced a “game changing” investment into digital health of $150 million over four years.  

The money will go toward funding a fully integrated healthcare system and is expected to increase capacity by better connecting primary care with the hospital sector.  

The $150 million will just fund the first phase of the state’s digital health transformation, a state-wide electronic medical record system.  

It is anticipated that more than $475 million will be allocated to the project over the next decade.  

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https://wildhealth.net.au/what-was-hot-at-cxo-healthcare-cloud-summit/

2 June 2022

What was hot at CXO Healthcare Cloud Summit

Cloud Government Technology

By Wendy John

After two years of covid delays the CXO Healthcare Cloud Health Summit finally went live. It was an alchemy of clever and curious minds, all deliberating cloud possibilities and how to push Australia’s digital health skywards. 

Wild Health captured the spirit of the conference in conversation with speakers including FHIR guru Grahame Grieve, Best Practice’s Danielle Bancroft, and special guest Paul Wilder who had just disembarked from his flight from San Francisco.  

Delegates caught up with the latest case studies, debates and posed a few curly questions to panelists including, ‘Does a stake need to be out in the ground to move the sector to the cloud?’

Edweana Wenkart, CEO of Pen CS, advocated for the stake. 

“This is what we’re here for. We’re here to aspire to do things better and to deliver better technology solutions. I don’t think interoperability is the challenge. Technically we’re very capable. The biggest challenges that we’re still facing is around governance and commercial models and how do we fund the system to want to make change?” Ms Wenkart said. 

You can listen and subscribe to the show by searching for “Wild Health Podcast the Medical Republic” in your favourite podcast player. 

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https://www.hinz.org.nz/news/607480/Innovation-key-to-health-system-transformation.htm

Innovation key to health system transformation

Thursday, 2 June 2022  

NEWS - eHealthNews.nz editor Rebecca McBeth 

The new structure of the health system will provide significant opportunities for innovation, says senior member of the Health Transition Programme, Claire Braatvedt.

Braatvedt spoke at a Canterbury Health Innovation event at WebTools in Christchurch on May 31 and said the data and digital team going into Health NZ believes strongly in innovation being a key component of transformation.

“All of the progress towards connectivity and equity and person-centred care … is going to come out of innovation and it’s going to come out of local innovation,” she told the audience.

Under the newly reformed health system, Health NZ will manage a chain of national hospitals and commission all of the primary and community care.
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https://www.hinz.org.nz/news/607372/Third-Age-Health-expands-use-of-Celo-for-collaboration.htm

Third Age Health expands use of Celo for collaboration

Wednesday, 1 June 2022  

NEWS

Third Age Health is expanding the use of Celo’s secure communication and collaboration solution to include all clinicians and aged residential care partners.

Tony Wai, Third Age Health chief executive, says the implementation is expected to drive improvements in clinical efficiency, patient safety and quality of care.

The aged residential care provider piloted the platform earlier this year, to support their clinical team ahead of the Omicron outbreak, and is now implementing it more widely, diverting all internal clinical communications through Celo.

“Our clinicians often work in complex environments with multiple teams in aged care facilities who work shifts and there can be high staff turnover; this can make communication challenging,” he says.

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https://www.healthcareitnews.com/news/anz/third-age-health-brings-clinicians-aged-care-partners-celos-communications-platform

Third Age Health brings clinicians, aged care partners to Celo's communications platform

The aged care provider first adopted Celo's platform in January in preparation for a surge in COVID-19 infections.

By Adam Ang

June 02, 2022 04:12 AM

New Zealand-based aged care provider Third Age Health has expanded its use of Celo Health's internal clinical communications platform to include its clinicians and aged care residential partners.

The aged care provider, which runs over 50 residential aged care facilities and some primary healthcare services across New Zealand, first used Celo's platform early this year to ensure uninterrupted communication between its staff in preparation for a surge in COVID-19 infections.

It is now onboarding its clinicians and partners to the platform, expecting the process to "drive improvements in clinical efficiency, patient safety, and quality of care".

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https://www.healthcareitnews.com/news/anz/budget-2022-new-zealand-earmarks-nearly-400m-health-system-data-digital-infra

Budget 2022: New Zealand earmarks nearly $400M for health system data, digital infra

It includes funding for Hira tranche two and the new Dunedin hospital.

By Adam Ang

June 02, 2022 02:49 AM

The New Zealand government has set aside over NZ$600 million (around $400 million) in its Budget 2022 to invest in the health system's data and digital infrastructure and capability.

WHAT IT'S FOR

The budget includes investments over four years of:

·         NZ$320 million to continue building data and digital infrastructure and capability, including support to data and analytics; information sharing; potentially fixing or replacing out-of-support District Health Boards (DHB) technology infrastructure and systems; and the launch of the Hira tranche two.

·         NZ$155.3 million for setting up digital solutions across the Southern Health system and building the country's first digital hospital in Dunedin; and

·         NZ$125.315 million to expand existing population health and disease management digital capability and infrastructure to future-proof the health system from emerging pandemics and support the delivery of future public health programmes.

Additionally, the government is giving NZ$10.8 million over three years to implement a common data and digital platform for public health units, enabling the new National Public Health Service to operate as a "single, cohesive national service". 

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ADHA Request For Information

Log4j and Spring Framework vulnerabilities


31 May 2022

Please read and respond to this Request For Information, which is important to maintaining the security of Australia's digital health sector.

What's happened?


Recently two critical vulnerabilities in widely used software libraries have created vulnerabilities in many of the applications and devices that incorporate those software libraries. The Australian Cyber Security Centre issued alerts about critical vulnerabilities in:

Apache Log4j2 library; and 

Spring Framework library.

See this linked PDF (202K) for further details of these vulnerabilities and their potential impacts.

Given the criticality, and widely dispersed nature, of the Log4j and the Spring Framework vulnerabilities, the Agency, as the System Operator for the My Health Record system, is writing to health software vendors and hosted service providers whose software and/or infrastructure connects to the My Health Record system, when used by healthcare organisations. 

This includes:

·         conformant software vendors 

·         repository operators and portal operators 

·         hosted service providers and contracted service providers

·         mobile application/platform providers

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https://www.seek.com.au/job/57177316?type=standout

Lead, Education Development

First People Recruitment Solutions Sydney

Government & Defence Government - Federal

APS6 hourly rate contract  Contract/Temp

31 May, 2022

About the Department

Our client a highly sort after Federal Government Department tasked with improving health outcomes for Australians through the delivery of digital healthcare systems and the national digital health strategy for Australia

About the Role

Reporting to the Manger Education Development in the Community Engagement branch, this position is responsible for working with stakeholders and subject matter experts to create online and digital learning resources for healthcare providers and consumers in support of the Australian Digital Health Agency's strategic plan.

Duties

  • Develop eLearning modules using the Articulate 360 suite of software
  • Develop animation to accompany eLearning using Vyond or other animation software
  • Use the Adobe creative suite to create assets to accompany eLearning
  • Design, develop and implement effective, flexible and innovative learning development initiatives online learning, webinars, instructional manuals, digital content and video tutorials and other solutions to build capability within the healthcare workforce
  • Input relevant content into engaging eLearning storyboards and liaise with graphic designers and web developers
  • Liaise with PEAK bodies and other medical associations to accredit educational materials.

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https://www.afr.com/technology/coalition-leaves-behind-a-costly-nbn-legacy-20220527-p5ap5z

Coalition leaves behind a costly NBN legacy

As broadband technologies continue to evolve, with 5G and new satellite technologies in particular, NBN Co will face more competition which will make its economics even more challenging.

Gary McLaren Contributor

May 30, 2022 – 2.00pm

Immediately after the election the ACCC released NBN Co’s proposed new special access undertaking (SAU) which, if accepted, would govern the prices of fixed broadband services for most Australians until 2040.

The ACCC also released a 52-page consultation paper which contained extensive criticism of NBN Co’s proposed broadband pricing regime.

It is a dense read but the key message from the ACCC’s consultation paper is that, if the SAU was accepted, Australians could expect the prices of all broadband services to rise inexorably to eventually be the same as the price of a 100 Mbps download service.

Users would effectively be forced to pay much more for lower speed services as they rise to the price of the 100 Mbps service, the price of which would also be able to rise at the rate of the Consumer Price Index (CPI) plus 3 per cent.

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https://www.itnews.com.au/news/nbn-co-opens-fttc-to-fttp-upgrade-offer-to-160000-premises-580871

NBN Co opens FTTC-to-FTTP upgrade offer to 160,000 premises

By Richard Chirgwin on Jun 3, 2022 10:18AM

Hopes to cover a million premises by year-end.

A month after revealing plans to upgrade some customer copper lead-ins to fibre, NBN Co has kicked off the replacement of fibre-to-the-curb (FTTC) products with fibre-to-the-premises (FTTP).

The network operator said as of today, 160,000 premises in NSW, Victoria and South Australia can seek the upgrades.

Fibre lead-ins will be designed and constructed at no cost to retailers, once a customer orders the service.

NBN Co first revealed its intention to roll out an FTTC-to-FTTP upgrade program last month.

At the time it said it needed only to complete consultation with retailers, “define the process by which customers living in eligible premises currently served by FTTN or FTTC will be informed that their premises is eligible to receive higher speed services”.

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https://www.itnews.com.au/news/nbn-co-sizes-up-six-figure-customer-exodus-a-year-to-fixed-wireless-580374

NBN Co sizes up six-figure customer exodus a year to fixed wireless

By Ry Crozier on May 24, 2022 6:30AM

Ratchets up regulatory pressure.

NBN Co is expecting an exodus of customers from its network to alternative 4G and 5G fixed wireless services of at least 250,000 a year for the next two years.

The network operator revealed the figures in a lengthy submission [pdf] to the ACCC in support of revisions to its special access undertaking, the key document that governs price and non-price terms through to 2040.

“Increasing competition from 4G and 5G network operators is driving sustained and increasing net churn off the NBN,” the company said.

“Based on contemporary market conditions, net churn for FY22 is forecast to be 3.1 percent or 263,000 customers. 

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Enjoy!

David.

The Guardian Undertakes A Deep Dive Into The #myHealthRecord.

This appeared earlier today.

My Health Record

My Health Record: after 12 years and more than $2bn, hardly anyone is using digital service

Research shows many Australians find medical records not uploaded and clinicians fail to see benefits of using the national online database

Melissa Davey Medical editor

Mon 6 Jun 2022 03.30 AEST Last modified on Mon 6 Jun 2022 03.31 AEST

Twelve years after the introduction of My Health Record, Australians are struggling to access their medical information, while clinicians report frustrating difficulties uploading and finding vital health details such as pathology results and diagnostic tests.

The latest annual report from the Australian Digital Health Agency shows just 2.69 million of the 23 million people registered for a My Health Record accessed it in 2020-21. While this is an increase of 14% from the previous year, it was largely driven by people accessing Covid-19 vaccination records and Covid-19 test results.

The chief executive of the Consumers Health Forum (CHF), Leanne Wells, said while upgrades to My Health Record to include access to vaccination information and Advanced Care Plans were welcome, day-to-day health records from consultations, emergency department visits, hospital discharges, pathology, and diagnostic testing were still missing from many records. This is despite more than $2bn being spent on the system since it launched in 2012.

These items represent the vital health information that should be shared between health service providers, however, consumers report that their expectations are not met when these are not visible, or are only visible on supply from some, but not all, providers,” Wells said.

“CHF research on consumer experiences with digital health … reveals that consumers have high levels of willingness to share their health information with and between health care providers.

“However, the lack of sharing and access to relevant health information causes frustration and concerns about safety and quality of care.”

Wells said health providers were simply not uploading these documents. She said uploading records was not always straightforward and clinicians, especially GPs, had consistently raised issues about the system design.

A PhD candidate with Monash University’s school of Public Health and Preventive Medicine, Alex Mullins, led research into physicians’ and pharmacists’ use of My Health Record in the emergency department.

From my research we know that My Health Record is a valuable tool for pharmacists,” she said.

“Over 18% of patients who present to the ED are having their record accessed by pharmacists.

“Clinicians are seeing benefits in using the system, which may explain why there has been a significant increase in use by ED doctors, nurses and pharmacists over the past two years.”

But overall use is still low, she found. Mullins’ analysis of hospital log data revealed less than 2% of patients who present to the emergency have their My Health Record accessed by a doctor or nurse.

Challenges to date have included many clinicians failing to see benefits of My Health Record use.

Mullins said some clinicians need further training on accessing the records, and that incomplete information in the patient record also meant the information was not always useful.

When outdated or irrelevant information is included in the record, this could also lead to trust issues, Mullins said. Some hospitals also have their own record systems which clinicians find easier to access, she said.

More here:

https://www.theguardian.com/australia-news/2022/jun/06/my-health-record-after-12-years-and-more-than-2bn-hardly-anyone-is-using-digital-service

Well worth a read and fits with my earlier blog yesterday – comments welcome!

David.

Sunday, June 05, 2022

The ADHA And Digital Health Can Help In Keeping Australia Solvent in These Difficult Times.

We are all pretty aware the Budget is not in great shape at present and that the planned October Federal Budget will be looking for lots of savings!

See here:

Chalmers’ ‘dire’ budget pressure warning

John Kehoe and Ronald Mizen

Updated May 25, 2022 – 6.21pm, first published at 5.53pm

Treasurer Jim Chalmers has warned that the dire budget position and “skyrocketing” inflation mean the Labor government cannot afford extra spending beyond its election commitments, as he accused the Morrison government of failing to disclose all the budget pressures.

In his first news conference as Treasurer, Dr Chalmers said not to expect the budget to improve immediately despite high commodity prices and low unemployment.

In response, budget experts said there could be rising debt repayment costs due to higher interest rates, infrastructure projects cost increases from a shortage of workers and materials, defence spending pressures and cost overruns from the Coalition’s ongoing spending booked as one-off grants.

The very optimistic annual productivity growth assumption of 1.5 per cent used by Treasury for the former government may also need to be revised lower due to the slump in productivity over the last decade.

Productivity growth affects the budget’s long-term revenue forecasts by billions of dollars.

The US Congressional Budget Office and NSW have lowered their productivity growth assumptions to 1.2 per cent, which could be adopted as a more realistic benchmark.

Other factors working against us

Dr Chalmers dismissed former treasurer Josh Frydenberg talking up during the election campaign a potential $30 billion budget windfall from high commodity prices and a low 3.9 per cent unemployment rate.

“Commodity prices have been stronger than what the forecasts have assumed for a little while now, but there’s no guarantee on that uplift in the budget,” Dr Chalmers said in response to a question from The Australian Financial Review.

“And there are other factors working against us, including some pressures on the budget, which were not disclosed or booked by the previous government.

“You shouldn’t assume automatically that the budget, absent of any policy decisions, will necessarily be stronger in October than it was in the pre-election fiscal outlook.”

Pressed to disclose the areas of unexpected budget pressures, Dr Chalmers said he would have, “more to say about that on another occasion”.

New governments often accuse the former government of bequeathing shock budget black holes that necessitate budget repair, as the Howard government did after the Keating government in 1996 and the Abbott government did when it succeeded the Rudd government in 2013.

The Pre-election Economic and Fiscal Outlook (PEFO) signed off by the secretaries of Treasury and Finance forecast cumulative deficits of $224 billion over the next four years and gross debt of $1.2 trillion.

Dr Chalmers made the comments after hosting a group meeting in Canberra of Reserve Bank of Australia governor Philip Lowe, Treasury secretary Steven Kennedy, Australian Securities and Investments Commission chairman Joseph Longo, Australian Competition and Consumer Commission chair Gina Cass-Gottlieb, Australian Prudential Regulation Authority chairman Wayne Byres and Australian Taxation Office commissioner Chris Jordan.

Dr Chalmers said he plans to make a “blunt, frank and upfront” economic statement to Parliament in June or July.

The $1 trillion debt Labor had inherited meant there wasn’t enough money for “everything that we would like to do”, Dr Chalmers said.

“We have to prioritise, we have to sequence, we have to weigh up our priorities and work out what we can responsibly do and when we can do it.

“And that inevitably means that some things that we would like to do will take a bit longer for us to find room for a budget change.”

Line by line review

The planned October budget will enact Labor’s $18.9 billion of election spending commitments including $5.1 billion for childcare subsidies, $2.5 billion on aged care, about $2 billion on healthcare, $1.3 billion on 20,000 extra university places and fee-free TAFE and investments to support the clean energy transition.

Finance Minister Katy Gallagher said Labor’s audit of “waste and rorts” would be a “line by line” review that extended beyond $11.5 billion of spending cuts and revenue measures identified before the election.

More here:

https://www.afr.com/policy/economy/chalmers-dire-budget-pressure-warning-20220525-p5aoea

I am pretty sure most who read here can see a few hundred million dollars available from a close review of health spending. All that needs to be done is simply cancel ongoing expenditure on the #myHealthRecord, after is has failed to prove its value in the last decade, and while that is being done a check on what the public is getting for the millions spent on the ADHA might also see some pretty extra saves.

What is done will be a pretty good test of whether the new Labor Government has a real commitment to evidence based funding. There is plenty of evidence that the over $1Billion spent so far has delivered pretty much zilch in the way of lives saved or illness prevented! As for the ADHA who would actually notice if they vanished? (Again it has been a decade long experiment with Federal Digital Health which has gone pretty much no where!)

Before all the yelps of what about e-prescribing, secure messaging and telehealth remember they were pretty much privately led initiatives.

I wonder will the ‘line by line’ review identify these financial sinkholes?

Time to stop the ‘waste and mismanagement’ as the other political side said so loud and often!

It will also be wondrous to see just how little actually happens I fear!

David.

 

AusHealthIT Poll Number 634– Results – 5th June, 2022.

Here are the results of the poll.

Do You Think The New Federal Health Minister Should Cancel The #myHealthRecord Program And Develop An Alternative National Secure Distributed Clinical Information Sharing Program?

Yes                         53 (96%)

No                           2 (3%)

I Have No Idea   1 (1%)

Votes: 56

Clear cut vote – Change is really needed with the #myHR!

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

A fair number of votes. and a very clear outcome. 

1 of 56 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.