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, December 05, 2022

Weekly Australian Health IT Links – 05 December, 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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Lots of NBN news this week with more discussion of what a waste of time and space the MyHR is.

Given the whole world is going to Epic just what is the MyHR going to be good for???

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https://www.afr.com/policy/health-and-education/my-health-record-struggles-to-be-useful-for-patients-20221129-p5c218

My Health Record struggles to be useful for patients

Tom Burton Government editor

Nov 30, 2022 – 4.28pm

Poor uploading of pathology and diagnostic imaging reports, lack of participation by specialists and clunky interoperability between clinical systems continue to hamper uptake of My Health Record, with only about a quarter of registered users participating in the e-health system.

My Health Record is only capturing a fraction of clinical information and despite efforts to lift participation, officials say progress has been slow.

Despite a boost from COVID-19 PCR testing, health officials estimate only around half of all pathology test results are being uploaded to patients’ My Health Record. In radiology, federal authorities estimate that only about 20 per cent of diagnostic reports generated annually in Australia are being uploaded to the system.

Statistics from the Australian Digital Health Agency show that only 12 per cent of all specialists are using the system. Key sectors such as first responders and ambulances have limited access patients records to inform their clinical response for emergencies. Aged care usage remains similarly limited.

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https://www.sbs.com.au/news/podcast-episode/the-security-model-for-my-health-record-is-appalling-privacy-expert/qb4l03xcy

'The security model for My Health Record is appalling' - privacy expert

Published 3 December 2022 at 7:30am

By Arianna Lucente

Source: SBS News


Experts say more steps need to be taken to protect the health data of Australians, following the Medibank hack. It comes as new laws pass parliament increasing the maximum fine for serious data breaches to $50 million dollars.

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https://www.itnews.com.au/news/govs-new-privacy-breach-penalties-pass-parliament-588401

Gov's new privacy breach penalties pass parliament

By Ry Crozier on Nov 28, 2022 5:57PM

With only minor wording change.

The government has secured passage of a sizable increase in civil penalties for organisations that experience “serious” or “repeated” privacy breaches.

The new penalties will come into effect a day after Royal Assent by the Governor-General.

The bill passed the senate on Monday with only one minor wording amendment, and was then approved by the lower house later in the afternoon.

The catalyst for government action was a series of high-profile privacy breaches in Australia, for which the maximum fine payable is $2.22 million.

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https://itwire.com/business-it-news/data/fhir-interoperability-to-rise-sixfold-report.html

Monday, 28 November 2022 15:08

FHIR interoperability to rise sixfold: report

By Stephen Withers

A report prepared by tech advisory firm Ecosystm for health software provider InterSystems found that a large majority of healthcare executives want to change their existing data exchange mechanisms, and that the adoption of FHIR-enabled interoperability is expected to increase sixfold.

The State of Healthcare Analytics & Interoperability Study – Australia & New Zealand draws on a survey of 180 healthcare executives around the region.

Findings include 94% of healthcare executives wanting to change their existing data exchange mechanisms, 66% wanting healthcare organisations to focus more on the standardisation of data exchange, and an expectation that the adoption of FHIR-enabled interoperability would increase from 11% to 66%.

Around half (52%) of healthcare organisations could use inpatient clinical data in their health analytics solutions, but only 41% could analyse data from diagnostic systems, and only 38% could analyse patient administration data.

Clinical data from outpatient services was available for analysis at just 34% of surveyed organisations surveyed, while less than a quarter could analyse text from communications systems or log files. Less than a fifth could use sensor or medical device data for analytics.

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https://www.healthcareitnews.com/news/anz/most-anz-healthcare-execs-demand-standardised-data-exchange-report

Most ANZ healthcare execs demand standardised data exchange: report

Many healthcare organisations in the region have been underutilising volumes of data due to interoperability issues.

By Adam Ang

November 27, 2022 11:13 PM

Healthcare organisations in Australia and New Zealand have found it difficult to harness the power of data and analytics to improve clinical and patient outcomes due to their inability to exchange data seamlessly and in real time. To address this challenge, healthcare executives in the region are calling for the standardisation of data exchange, according to a new report.

A new study commissioned by InterSystems sought to understand the present state of healthcare analytics and interoperability in ANZ. Conducted by tech advisory firm Ecosystm, the survey gathered responses from 180 healthcare executives in the region.

FINDINGS

Based on the survey, almost eight in 10 healthcare organisations polled have regarded analytics as a top priority in their businesses. They mainly expect analytics solutions to help in identifying patient risks, reducing clinical errors, improving patient outcomes and experience, and cutting down costs. 

For 2022-2023, ANZ healthcare organisations said they will focus on the following key technology areas: EMR revamp, cloud IT optimisation, clinical analytics and AI, and data interoperability. 

Despite having the will to pursue digital transformation through using data and analytics, these organisations are still found to underutilise the immense volume of data at their disposal. 

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https://www.itnews.com.au/news/medibank-faces-formal-privacy-investigation-588614

Medibank faces formal privacy investigation

By Staff Writer on Dec 2, 2022 6:55AM

And prospect of penalties.

Medibank is facing the prospect of financial penalties for its data breach after the Office of the Australian Information Commissioner (OAIC) opened an investigation on its personal information-handling practices.

The OAIC said its investigation would “focus on whether Medibank took reasonable steps to protect the personal information they held from misuse, interference, loss, unauthorised access, modification or disclosure.”

“The investigation will also consider whether Medibank took reasonable steps to implement practices, procedures and systems to ensure compliance with the Australian Privacy Principles (APPs),” the office said in a statement.

An adverse finding could expose Medibank to penalties of up to $2.2 million for each contravention. 

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https://www.innovationaus.com/privacy-watchdog-opens-investigation-into-medibank-breach/

Privacy watchdog opens investigation into Medibank breach

Justin Hendry
Editor

1 December 2022

Australia’s privacy watchdog has launched an investigation into the Medibank data breach that compromised the personal details of 9.7 million customers, on the same day the would-be hackers posted the full trove of data on the dark web.

The Office of the Australian Information Commissioner (OAIC) announced the investigation on Thursday, having already conducted preliminary inquiries in the immediate aftermath of the breach in October.

A similar investigation into Optus’ September data breach – which compromised the personal information of around 10 million past and present customers, including identity credentials – is ongoing.

The critically underfunded OAIC received a $5.5 million boost in the October federal Budget to conduct the Optus inquiry. It is unclear whether the funding will also now be used to probe the Medibank breach.

In a statement, the OAIC said the new investigation will consider whether Medibank took “reasonable steps to protect the personal information they held from misuse, interference, loss, unauthorised access, modification or disclosure”.

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Analytics and Data-Driven Healthcare to Be Fuelled by FHIR Interoperability Boost: InterSystems ANZ Study

Survey of 180 ANZ healthcare executives reveals a sixfold expected increase in FHIR adoption that would increase the limited data currently available for health analytics

Sydney, Australia & Auckland, New ZealandNovember 28, 2022 – InterSystems, a provider of next-generation solutions for enterprise digital transformation to help customers solve the most critical data challenges, today revealed expected changes in Australia and New Zealand’s interoperability landscapes that would increase the limited data currently available for health analytics and boost data-driven care.

 

A new study, The State of Healthcare Analytics & Interoperability Study – Australia & New Zealand, was conducted by tech advisory firm, Ecosystm for InterSystems. It surveyed 180 healthcare executives across public and private organisations, large and small hospitals, and city and rural locations. Among its findings are that:

  • 94% of healthcare executives want to change their existing data exchange mechanisms
  • 66% want healthcare organisations to focus more on the standardisation of data exchange
  • Adoption of FHIR®-enabled interoperability is expected to increase sixfold from 11% to 66%

 

These improvements in interoperability would address limitations in the data available for health analytics that currently hamper data-driven care initiatives needed to meet community expectations and boost the effectiveness of healthcare without increasing costs.

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https://swsphn.com.au/news/my-health-records-medicare-overview/

My Health Record’s Medicare Overview is important source of patient health information

30 November 2022

What is My Health Record?

My Health Record is a secure online summary of important patient health information which has been shared between healthcare providers across the sector.

Medicare Overview – MBS and DVA information

The Medicare Overview section of My Health Record is an underutilised source of information. As consumers interact with the Medicare system, a record of these interactions will be displayed in their My Health Record.

It can reveal information about other services your patients have accessed through the Medicare Benefits Schedule (MBS) or the Department of Veterans’ Affairs (DVA) such as allied health, pathology, imaging, specialists and other GPs.

Medicare information may include:

MBS/DVA claims information

MBS and DVA claims information. The MBS provides benefits for an extensive range of medical services, procedures, and consultations, including consultation fees for doctors and specialists, tests and examinations doctors require to diagnose and treat illnesses, for example X-rays, ultrasounds, and pathology tests.

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https://www.nqphn.com.au/events/digital-health-foundations-series-4-setting-access-my-health-record-and-electronic

Digital Health Foundations Series 4 - Setting up access to My Health Record and Electronic Prescriptions

Posted Friday 02 December 2022 | Australian Digital Health Agency

The meaningful use of digital health in Australia is underpinned by healthcare organisations connecting to the Healthcare Identifiers service.

This four-part webinar series will provide managers of medical practices, community pharmacies and other healthcare organisations with an understanding of the foundations of digital health and how to put in place the pre-requisites required to connect to digital health services (such as Electronic Prescriptions, My Health Record and Secure Messaging). 

This session, ‘Setting up access to My Health Record and Electronic Prescriptions’, is the fourth in the series and will cover the steps required to set up an organisation for My Health Record and Electronic Prescribing after registration with the HI service has been completed. The session will cover NASH certificates, CSP linking, system configuration and Electronic Prescribing requirements

Last updated: Tuesday 29 November 2022

Event details

Register for this event

Webinar series Friday 16 December 2022 12.30pm-1pm Online

Primary care providers

Free

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https://cesphn.org.au/general-practice/help-my-patients-with/my-health-record/using-my-health-record-and-resources

Using My Health Record


Digital health offers local health care providers and their clients a streamlined means of accessing information which aims to improve the efficiency and effectiveness of care.

Once your organisation has completed the digital health registration and set-up steps to connect to the national My Health Record system, your organisation will be able to start using the My Health Record system features that are available in your clinical software.

To achieve the full potential benefits of digital health for both your organisation and patients, it is important to find ways to incorporate use in to your daily activities.


Resources for GPs

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https://cesphn.org.au/allied-health/healthpathways

HealthPathways (Sydney and South Eastern Sydney)


Overview

HealthPathways (Sydney and South Eastern Sydney) is an online local health information portal to support local GPs and health professionals to the point of consultation. It provides clinical decision support frameworks on how to assess and manage medical conditions, and how to appropriately refer patients to local services and specialists in the most efficient way.

HealthPathways Sydney is based on a highly successful model of collaboration developed in New Zealand. It has resulted in significant improvements in the way that hospitals and general practices share the care and clinical management of patients. It has reduced costs and improved the quality of patient care.

The name HealthPathways reflects the referral lines, or ‘pathways’, which link patients to the most appropriate treatment, local service or specialist. While HealthPathways is aimed at general practitioners, it can also be used by hospital specialists, practice nurses, Residential Aged Care Facility staff and allied health providers.

HealthPathways is a dynamic collaboration between Central and Eastern Sydney PHN and neighbouring Local Health Districts (LHDs) and Local Health Networks (LHNs). General practitioners, hospital specialists and community and allied health providers are all actively involved in creating and reviewing HealthPathways.

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https://www.innovationaus.com/anao-asks-for-procurement-rules-rethink-after-damning-audits/

ANAO asks for procurement rules rethink after damning audits

Joseph Brookes
Senior Reporter

28 November 2022

The federal watchdog has asked Parliament to consider if the rules at the heart of the government’s $80 billion procurement framework remain “fit for purpose” after its series of scathing audits uncovered non-compliance and unethical behaviour.

A joint committee is currently examining Commonwealth procurement after five concerning reports from the Australian National Audit Office (ANAO) that covered billions of dollars in government spending on technology, defence assets, infrastructure, and grant programs.

The recent audits found evidence of conflicts of interest, bias towards certain suppliers, above market rates, duplicate payments, poor management of contracts, and proper tender processes being bypassed.

The contract management process – to ensure suppliers are delivering on their commitments once the contract is signed – is also “not systematically monitored” across government, while there are significant gaps in capability across the Australian Public Service, the ANAO said.

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https://www.hospitalhealth.com.au/content/facility-admin/article/workforce-in-focus-at-medinfo-sydney-2023-879737579

Workforce in focus at MedInfo Sydney 2023

Monday, 28 November, 2022

MedInfo 2023, the 19th congress on medical and health informatics, will be held in Sydney from 8–12 July 2023.

Presented by the Australasian Institute of Digital Health (AIDH), an industry body for digital health representing a united and influential single voice for health informatics and digital health leaders and practitioners, on behalf of the International Medical Informatics, the conference will be held at the International Convention Centre (ICC) in Sydney, Australia.

The conference, supported by the NSW Government and Business Events Sydney, will bring together thousands of digital health leaders and practitioners at the forefront of health care and is considered a landmark event on the global calendar.

Themed ‘the future is accessible’, the conference puts the focus on building a health sector where data is not locked in silos and where both clinicians and consumers can work together in true partnership towards the vision of the AIDH — ‘healthier lives, digitally enabled’.

Early bird registrations close 7 April 2023 and delegates can purchase one-, three- or five-day passes at medinfo2023.org.

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https://www.hinz.org.nz/news/624449/Big-decisions-on-future-of-Covid-tech.htm

 

‘Big decisions’ on future of Covid tech

Monday, 28 November 2022  

NEWS - eHealthNews.nz editor Rebecca McBeth

Te Whatu Ora - Health New Zealand is assessing the future of more than 110 systems built as part of the Covid response, as well as embedding learnings on how solutions are developed and delivered.

Budget 2022 allocated $125 million to provide ongoing funding to retain selected capability and infrastructure developed in response to the Covid-19 pandemic and to provide a basis for future population health and disease management digital capability.

Te Pae Tata the Interim New Zealand Health Plan, made a recommendation to “scale and adapt population health digital services developed to support the COVID-19 response to serve other key population health priorities.”

Michael Dreyer, group manager national digital services and chief technology officer, Te Whatu Ora, is presenting at Digital Health Week 2022 and says there are big decisions to be made regarding the technology developed as part of the Covid response.

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https://www.hinz.org.nz/news/624363/National-Data-Platform-to-simplify-and-unify-data-environments.htm

National Data Platform to ‘simplify and unify’ data environments

Sunday, 27 November 2022  

NEWS - eHealthNews.nz editor Rebecca McBeth

Te Whatu Ora has released a call for Registrations of Interest (ROI) for a partner to design and implement a National Data Platform, which will “simplify and unify” the health system’s data environments.

The ROI document says Te Whatu Ora is “seeking to establish a nationally consistent system of data capture, analytics and intelligence that supports the use of health intelligence and insights to ensure equity of access and outcomes from all health services across Aotearoa New Zealand”.

Core to this is a federated data platform, made up of a suite of integrated technology products, which has at its centre national datasets organised into an integrated, conformed data model, called a National Data Platform (NDP), it says.

“At its periphery will be self-governing zones where Te Whatu Ora, its districts and regions, Te Aka Whai Ora and potentially other organisations can manage their own data, complemented by data sharing to and from the central data model.”

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https://www.smh.com.au/business/companies/we-ve-come-full-circle-labor-declares-regulatory-reset-of-nbn-20221201-p5c30u.html

‘We’ve come full circle’: Labor declares regulatory reset of NBN

By Jessica Yun

December 2, 2022 — 3.51pm

Communications Minister Michelle Rowland has defended the Labor government’s policy to return the national broadband network closer to its original design despite fresh admissions it will not be able to recover $31 billion invested into the project.

Speaking alongside Finland’s Prime Minister Sanna Marin, as the pair announced a major upgrade that aims to boost internet speeds for 7 million Australians by 100 times, Rowland said the current government’s policy would future-proof the NBN.

“I think by coming in, myself and Finance Minister [Katy] Gallagher as shareholder ministers, we have effectively undertaken a regulatory reset,” Rowland said.

“We will keep the NBN in public ownership for the foreseeable future whilst we finish this job of making it a better network.”

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https://www.afr.com/companies/telecommunications/nbn-warns-on-fixed-wireless-threat-20221202-p5c33q

NBN warns on fixed wireless threat

Lucas Baird Reporter

Dec 2, 2022 – 5.08pm

NBN Co says it is increasingly at risk from fixed-wireless alternatives offered by major telcos, arguing it is at a serious cost disadvantage and under siege from increasing investment by smaller players in major cities.

In a new pricing proposal lodged with the Australian Competition and Consumer Commission (ACCC) this week, in which wholesale prices would be cut on the higher end of the spectrum but increase on the middle-speed tier, NBN Co said competition from new 5G technology was “accelerating”.

“[Mobile Network Operators (MNOs)] are increasingly advertising 5G home broadband products as alternatives to NBN services and pricing them below comparable NBN-powered retail services,” the submission says.

This references efforts by Telstra, Optus and TPG Telecom, which NBN says are all advertising comparable fixed-wireless services at anywhere from $5 to $15 less than its similar fixed-line option.

Fixed-wireless services are seen as a way for telcos to fatten anaemic home internet margins where NBN dominates. With a fixed-wireless service, telcos bypass the NBN and offer internet service over a mobile signal like 5G.

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https://www.afr.com/politics/federal/nbn-won-t-ever-earn-commercial-return-former-exec-20221202-p5c31t

NBN won’t ever earn commercial return

John Kehoe and Lucas Baird

Dec 2, 2022 – 5.38pm

The National Broadband Network will never earn a commercial return for taxpayers as pledged by the Rudd Labor government, and a former NBN executive says the $29.5 billion equity value should be cut.

The federal government’s accounting for NBN Co is under scrutiny, after the Department of Infrastructure and Communications estimated its equity value was $10 billion less than the federal budget booked.

The NBN has been praised for allowing people to work from home during the pandemic, but its relatively slow speeds by international standards have frustrated some users.

NBN Co told the competition watchdog this week it will not seek to recover at least $31 billion of $44 billion of accumulated losses to build and maintain the network, to allow it to cut wholesale internet prices and claw back only $12.5 billion from retail internet providers.

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https://www.afr.com/companies/telecommunications/nbn-writes-off-recovering-31b-of-government-investment-20221201-p5c2xv?\

NBN writes off recovering $31b of government investment

Lucas Baird Reporter

Dec 1, 2022 – 7.24pm

NBN Co will not recover at least $31 billion the government invested to build the network in a move designed to allow it to cut wholesale internet prices in the future.

In a new draft pricing proposal lodged with the Australian Competition and Consumer Commission this week, the government-owned company said it would no longer seek to recover the full $44 billion sunk into the initial build and instead would only claw back $12.5 billion from retail internet providers.

NBN Co stressed the $31.5 billion contraction to its Initial Cost Recovery Amount (ICRA) would not itself lead to any writedown or impairment of its value, which would hurt the federal budget’s bottom line, saying it will allow instead the setting of “lower wholesale prices in future” than otherwise.

“[ICRA] is a recognised regulatory concept that reflects NBN’s un-recovered costs to date,” a spokesman said. “Limiting drawdown of the ... ICRA is not a write-down, and NBN Co has no plans for a write-down or impairment.“

The regulatory write-off comes largely down to the shock reset of NBN Co’s policy aims in August, when Communications Minister Michelle Rowland said the company would stay in public hands for the foreseeable future and opened the door to forgetting about recovering some costs incurred in the building and maintenance of the network.

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https://www.theaustralian.com.au/business/technology/nbn-co-lobs-new-pricing-proposal-after-criticism/news-story/1b4d715bc30134822265778b5832b4bb

NBN Co lobs new pricing proposal after criticism

By David Swan

7:03PM November 30, 2022

Australian consumers are a step closer to lower NBN prices across some speed tiers after Australia’s competition and consumer watchdog published proposed plans to axe controversial capacity charging and implement new wholesale prices from July 2023.

NBN Co in July backed down from changes that would have locked in price rises until 2040 and doubled the price of entry-tier plans, after new Communications Minister Michelle Rowland intervened and called for a “reset”.

NBN Co’s submission, known as the Special Access Undertaking (SAU), provoked an angry response from telcos and many consumers who are facing cost of living pressures amid higher interest rates and rising inflation.

The company withdrew those proposals, and its new submission, which would lower the cost of most wholesale speed tiers – though not its most popular ones – was made public by the regulator on Wednesday.

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https://itwire.com/it-industry-news/telecoms-and-nbn/nbn-co-submits-revised-special-access-undertaking-variation-accc.html

Wednesday, 30 November 2022 14:41

NBN Co submits revised Special Access Undertaking variation: ACCC

By Staff Writer

The competition watchdog, the ACCC has published National Broadband Network operator NBN Co’s revised proposed variation to its Special Access Undertaking and the material that NBN Co has so far provided in support of its proposal.

The Special Access Undertaking is a key part of the regulation of the NBN, setting out the rules for broadband providers to access the NBN over the coming decades, which can include minimum service standards and wholesale price controls.

In July this year, NBN Co withdrew its previous proposal and notified industry, Government and the ACCC that it would develop a revised variation.

The ACCC says that when the it receives the remainder of NBN Co’s supporting material, it will confirm that material meets the ACCC’s disclosure requirements - and the remaining documents will then be published at NBN Co SAU variation 2022.

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https://www.itnews.com.au/news/nbn-co-warns-of-copper-networks-mounting-costs-588537

NBN Co warns of copper network's mounting costs

By Ry Crozier on Dec 1, 2022 12:09AM

Four times as many faults as fibre, and continuing to degrade.

NBN Co has made its strongest criticism of copper-based broadband yet, arguing it faces mounting operational and maintenance costs for premises it can’t switch over to fibre.

The network operator finally filed a revised 400-page special access undertaking (SAU) on Wednesday afternoon, but the real interest will be in its explanatory notes. [pdf]

These include, among other things, an entire chapter devoted to “the rationale for investing in fibre”, which paints an unflattering image of the enormous costs of operating copper-based services compared to fibre-to-the-premises (FTTP).

The company revealed that fibre-to-the-node (FTTN) fault volumes averaged “approximately 27,000 in FY22, which is nearly four times higher than the average FTTP fault volumes at approximately 7200”.

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https://www.itnews.com.au/news/nbn-co-struggles-to-stack-up-for-value-against-the-competition-588541

NBN Co struggles to stack up for value against the competition

By Ry Crozier on Dec 1, 2022 1:56AM

Complains about increased ‘cherry-picking’ of its addressable market.

NBN Co says its fixed-line broadband services are increasingly seen by users as not providing value for money compared to alternatives.

The company said yesterday [pdf] that a survey it had commissioned and run over the past six years showed a gradual erosion in customer sentiment about the cost-performance of its broadband services.

NBN Co has previously only once released these figures - in late July [pdf] - but they did not contain the 2022 numbers.

The addition of the 2022 numbers show that the value-for-money gap is widening between NBN and non-NBN fixed-line and mobile services.

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https://www.itnews.com.au/news/nbn-co-sets-ericsson-up-as-sole-radio-backhaul-supplier-588542

NBN Co sets Ericsson up as sole radio, backhaul supplier

By Ry Crozier on Dec 1, 2022 7:30AM

Unveils contract extension to cover $750m 5G wireless upgrade.

NBN Co has extended a decade-long partnership with Ericsson to cover upgrade works to its fixed wireless network, and to consolidate the supply of related transport infrastructure.

In a statement, Ericsson said it had picked up the contract “extension” to make 4G and mmWave 5G upgrades to NBN Co’s fixed wireless network.

The upgrades were announced earlier this year at a total cost of $750 million, of which $480 million will come from the government.

In addition to upgrades for the existing footprint, spanning some 650,000 premises, “the additional capacity and reach of the upgraded network will provide up to 120,000 homes and businesses in NBN Co’s satellite footprint access to fixed wireless for the first time,” Ericsson noted.

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https://itwire.com/it-industry-news/telecoms-and-nbn/vocus-to-resell-starlink-business.html

Wednesday, 30 November 2022 10:48

Vocus to resell Starlink Business

By Stephen Withers

Network provider Vocus has signed an agreement with SpaceX to sell Starlink Business services to Australian enterprise and civil government customers.

The services will be branded as Vocus Satellite – Starlink, and will include 100% Australian-based support and integration with existing network solutions.

Customers will be able to choose to install the equipment themselves, or have the job done by Vocus technicians.

Vocus staff are also available if required to integrate the service with managed firewalls, software defined WANs and private LTE/5G networks.

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https://www.itnews.com.au/news/nbn-co-names-its-next-cio-588458

NBN Co names its next CIO

By Ry Crozier on Nov 29, 2022 4:36PM

Former Telstra architecture director returns from Asia.

NBN Co has named Rob Sewell as its new permanent chief information officer.

Sewell has spent the past decade in Asia, and is currently the chief technology strategy officer at Malaysian telco Maxis.

However, he is also a former long-time Telstra staffer, and was at one time its director of architecture.

Sewell will relocate to be based in Melbourne, and will start in the CIO role at NBN Co from February 6, 2023.

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https://www.itnews.com.au/news/government-urged-to-end-broadband-tax-588425

Government urged to end 'broadband tax'

By Richard Chirgwin on Nov 29, 2022 11:51AM

And fund loss-making NBN wireless and satellite itself.

The federal government should scrap its so-called “broadband tax” and spend $750 million directly funding NBN Co’s loss-making remote satellite and wireless services, according to a two-year investigation by a unit of the Productivity Commission.

The investigation, by the Australian Government Competitive Neutrality Complaints Office (AGCNCO), was launched in 2020 in response to a complaint from fibre builder Opticomm, which asked the office to look into whether NBN Co’s debt accounting, tax treatment, and regulatory obligations breached the government’s competitive neutrality policies.

The office delivered its report [pdf] today, and mostly rejected Opticomm's complaint.

However, the office found that NBN Co’s is financially advantaged by its government ownership, which provides the company access to cheap debt, on terms that non government-backed telcos could not hope to replicate.

AGCNCO estimated that to be worth around $150 million a year. It said NBN Co should pay that to the government instead of holding onto it.

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https://www.theaustralian.com.au/science/what-happens-when-a-star-gets-too-close-to-a-black-hole/news-story/1004ee6dc5ead9bffb884924bb2f4cc3

What happens when a star gets too close to a black hole?

By Chloe Whelan

3:00AM December 1, 2022

Scientists at Swinburne University of Technology have helped to capture the moment a star travelled too close to a black hole and was torn apart, emitting a powerful jet of light and matter – an ­entirely unique stellar event.

Artistic impressions, released in Nature magazine on Thursday and provided exclusively to The Australian, revealed the moment a star found a supermassive black hole in its path.

“It was extremely bright and fading fast,” astronomer and co-author Jeff Cooke said.

“We could see a star travelled too close to a supermassive black hole – a black hole millions of times more massive than our Sun – which wasn’t very good for the star but was very cool for us, as it provided crucial information.”

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Enjoy!

David.

 

Sunday, December 04, 2022

I Had Not Realised We Had Lost Such A Huge Amount Of Money And Were In Such A Mess!

This appeared a few days ago:

NBN writes off recovering $31b of government investment

Lucas Baird Reporter

Dec 1, 2022 – 7.24pm

NBN Co will not recover at least $31 billion the government invested to build the network in a move designed to allow it to cut wholesale internet prices in the future.

In a new draft pricing proposal lodged with the Australian Competition and Consumer Commission this week, the government-owned company said it would no longer seek to recover the full $44 billion sunk into the initial build and instead would only claw back $12.5 billion from retail internet providers.

NBN Co stressed the $31.5 billion contraction to its Initial Cost Recovery Amount (ICRA) would not itself lead to any writedown or impairment of its value, which would hurt the federal budget’s bottom line, saying it will allow instead the setting of “lower wholesale prices in future” than otherwise.

“[ICRA] is a recognised regulatory concept that reflects NBN’s un-recovered costs to date,” a spokesman said. “Limiting drawdown of the ... ICRA is not a write-down, and NBN Co has no plans for a write-down or impairment.“

The regulatory write-off comes largely down to the shock reset of NBN Co’s policy aims in August, when Communications Minister Michelle Rowland said the company would stay in public hands for the foreseeable future and opened the door to forgetting about recovering some costs incurred in the building and maintenance of the network.

The change comes just a few days after the Productivity Commission’s Competitive Neutrality Complaints Office found the fair value of the NBN was significantly lower than the government’s equity investment.

“In 2021-22 ... the market value of NBN Co after acquitting its debt was an estimated $19.7 billion, well below the Australian government’s (then) $29.5 billion of contributed equity,” the review said.

The government has since poured more cash into the NBN, most recently a $2.4 billion injection to extend its fibre-to-the-premise footprint to a million more homes in the October budget.

ICRA downgrade ‘politically palatable’

Telecommunications analyst Paul Budde told The Australian Financial Review that the change in ICRA was unlikely to end with an immediate writedown of the NBN’s value.

“The cost of the NBN has blown out to such an extent that you cannot see it as a commercial investment, because if you do then the reality is that you need to set prices that are too high for consumers,” Mr Budde said.

“The only way to overcome that is to accept this is a loss that has nothing to do with the management of the NBN, but more to do with the upgrade and building costs.”

He thought the ICRA contraction was a “politically palatable” solution that would push any conversation about a writedown out to 2040, which is when the pricing proposal is set to expire.

“This is not a writedown but if this loss is still on the books in 2040, they will have to figure out what to with that,” Mr Budde said.

The pricing proposal – known as the NBN Special Access Undertaking (SAU) – will determine the wholesale pricing structure of the network until 2040 or when NBN Co is privatised.

NBN Co lodged its first draft on Thursday, which was largely consistent with a discussion paper on the topic it released in August. The draft SAU scraps capacity-based charges on all plans for a flatter access charge set to reduce the costs on retail internet providers by up to $7 on NBN’s highest-speeds.

“Our proposed SAU Variation puts the responsibility and investment risk on NBN to meet the expected growth in data demand over the next two decades, while earning the minimum revenues required to invest in the network to deliver faster speeds and greater capacity,” NBN Co said.

More here:

https://www.afr.com/companies/telecommunications/nbn-writes-off-recovering-31b-of-government-investment-20221201-p5c2xv?\

The question that runs through my mind – accepting that the money has gone and the NBN is largely built – is just how this scale of money was lost what why did no-one seem to notice, or care, about reducing this huge bill.

While I have no idea who will actually pick up this tab I am pretty sure it will be the taxpayers in the end and you really have to wonder – given the patchwork NBN we now have – could this not have been done better and cheaper and have we got value for money?

The other issue that is now emerging is the following:

NBN Co struggles to stack up for value against the competition

By Ry Crozier on Dec 1, 2022 1:56AM

Complains about increased ‘cherry-picking’ of its addressable market.

NBN Co says its fixed-line broadband services are increasingly seen by users as not providing value for money compared to alternatives.

The company said yesterday [pdf] that a survey it had commissioned and run over the past six years showed a gradual erosion in customer sentiment about the cost-performance of its broadband services.

NBN Co has previously only once released these figures - in late July [pdf] - but they did not contain the 2022 numbers.

The addition of the 2022 numbers show that the value-for-money gap is widening between NBN and non-NBN fixed-line and mobile services.

NBN Co said it needs to retain customers to meet financial projections and to “recover substantial investments in its network”, although the extent to which that recovery should be permissible is a hotly-debated regulatory topic.

The contest for apartment dwellers

The numbers are offered in an explanatory statement that accompanied a freshly revised special access undertaking (SAU) submitted to the ACCC for review.

And they are far from the only ones concerning competition. 

While NBN Co has routinely criticised cellular operators for offering NBN-like 5G fixed wireless services - even going so far as to scope the size of the exodus it faced back in April - it hasn’t previously put forward a level of detail on its competitive threats as it did late on Wednesday.

More here:

https://www.itnews.com.au/news/nbn-co-struggles-to-stack-up-for-value-against-the-competition-588541

So price competition as well as the inevitable need to re-do all those Fibre To The Curb copper based links as well as a need to start to upgrade to 1000 Mbit links paints a pretty dire picture.

It seems there are costs out there for the next decade or two and we all know who will pay!

This says it all:

‘We’ve come full circle’: Labor declares regulatory reset of NBN

By Jessica Yun

December 2, 2022 — 3.51pm

Communications Minister Michelle Rowland has defended the Labor government’s policy to return the national broadband network closer to its original design despite fresh admissions it will not be able to recover $31 billion invested into the project.

Speaking alongside Finland’s Prime Minister Sanna Marin, as the pair announced a major upgrade that aims to boost internet speeds for 7 million Australians by 100 times, Rowland said the current government’s policy would future-proof the NBN.

“I think by coming in, myself and Finance Minister [Katy] Gallagher as shareholder ministers, we have effectively undertaken a regulatory reset,” Rowland said.

“We will keep the NBN in public ownership for the foreseeable future whilst we finish this job of making it a better network.”

Rowland’s comments come after NBN Co admitted in a newly submitted pricing proposal that it will not be able to recover $31 billion in regulatory costs attached to the initial build of the network.

Under the new model, NBN Co will charge telcos such as Telstra and Optus much lower wholesale prices, which have been a major point of contention between the telecommunications industry and the industry.

The NBN was first announced by the Rudd Government in 2009 and was intended to provide fibre network coverage for 93 per cent of Australian homes and businesses. In 2014, under the new Coalition government, then-Communications Minister Malcolm Turnbull said the roll-out would switch from a primarily fibre-to-premises model to a mix of different technologies. The NBN currently involves six different underlying technologies.

Rowland took aim at the Coalition government over its decision to use Telstra’s copper network for fibre-to-the-node (FTTN) connections which she said had resulted in cost blowouts and made the NBN less reliable.

Lots more here:

https://www.smh.com.au/business/companies/we-ve-come-full-circle-labor-declares-regulatory-reset-of-nbn-20221201-p5c30u.html

Frankly I am not sure this can ever really be sorted! What do you think?

David.

AusHealthIT Poll Number 660– Results – 4th December, 2022.

Here are the results of the poll.

Should NSW Patients Have Access To Their Information Held In The Proposed Epic Single Digital Health Record (SDHR)?

Yes                                                                                          49 (88%)

No                                                                                             7 (13%)

I Have No Idea                                                                          0 (10%)

Votes: 56

A slightly mixed view with a large majority feeling patient access to their record is important.

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

A great number of votes. and a clear outcome. 

0 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.

Saturday, December 03, 2022

Weekly Overseas Health IT Links – 3rd December, 2022.

Here are a few I came across last week.

Note: Each link is followed by a title and 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

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https://ehrintelligence.com/news/pew-focuses-health-it-efforts-on-public-health-data-sharing

Pew Focuses Health IT Efforts on Public Health Data Sharing

After working to support policies for enhanced health IT use, Pew is looking to improve data sharing between providers and state public health agencies.

By Hannah Nelson

November 23, 2022 - Pew Charitable Trusts is working to improve health IT infrastructure for data sharing between healthcare providers and state public health agencies.

“As COVID-19 pandemic demonstrated, the health system’s patchwork IT infrastructure and policies can endanger public health,” Kathy Talkington, director of health programs at The Pew Charitable Trusts, wrote in an article.

In November 2021, CMS finalized policies requiring healthcare providers who treat Medicare patients to share more health data with public health agencies. The agency encouraged hospitals to take similar action in August 2022.

“Now, it’s up to state regulators and ONC to further increase the sharing of data that is essential to prevent the spread of disease, curb chronic illness, and enable everyone to be as healthy as possible,” Talkington said.

Over the past six years, Pew has focused on enhancing EHR use to improve patient care.

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https://mhealthintelligence.com/news/state-ags-urge-continued-virtual-care-access-for-opioid-use-disorder-treatment

State AGs Urge Continued Virtual Care Access for Opioid Use Disorder Treatment

A group of 45 attorneys general from various US states asked the DEA and the SAMHSA to preserve access to opioid use disorder treatment through telehealth.

By Mark Melchionna

November 21, 2022 - Led by Attorney General Josh Stein of North Carolina and Attorney General Ashley Moody of Florida, a group of 45 attorneys is urging the Drug Enforcement Administration (DEA) and the Substance Abuse and Mental Health Services Administration (SAMHSA) to allow providers to continue virtually prescribing buprenorphine for opioid use disorder indefinitely.

The prevalence of opioid use disorders has grown significantly in recent years, affecting varied populations and resulting in high numbers of overdoses. According to the Centers for Disease Control and Prevention (CDC), over 564,000 people died from opioid-related overdose between 1999 and 2020.

The request to the DEA and the SAMHSA aims to expand the treatment offerings for opioid use disorder, specifically by allowing providers to prescribe buprenorphine through telehealth permanently.

"We join a chorus of advocates, addiction treatment providers, medical practitioners, recovery groups, public health experts, and members of the House of Representative’s Bipartisan Addiction and Mental Health Task Force in urging the administration to permanently extend these telehealth flexibilities for buprenorphine," the letter states. 

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https://healthitsecurity.com/news/analysis-of-addiction-treatment-mhealth-sites-highlights-data-privacy-risks

Analysis of Addiction Treatment mHealth Sites Highlights Data Privacy Risks

The Opioid Policy Institute and the Legal Action Center called for additional data privacy protections for addiction treatment data collected by mHealth sites.

By Jill McKeon

November 23, 2022 - An analysis of a dozen opioid use disorder (OUD) treatment and recovery websites revealed significant data privacy concerns and a need for stronger legal protections for addiction treatment data, a report by the Opioid Policy Institute and the Legal Action Center suggested.

The two organizations teamed up to analyze the websites of 12 virtual care platforms that provide OUD treatment or recovery services using the publicly available “Blacklight” tool, described as a “real-time website privacy inspector”, developed by The Markup.

Over the 16-month observation period, researchers observed the use of third-party session cookies, key logging, Meta Pixel and Google Analytics use, and the presence of ad trackers. The research was unable to determine whether or what information was actually collected or how it was being used. However, the websites were consistently using tools with the capability to collect sensitive information.

According to the report, all 12 websites used ad trackers capable of identifying people who visited the sites, and 11 of the 12 sites used third-party cookies, which could identify people who visited the sites and track them across other websites. Half of the websites used Meta Pixel at some point during the observation period.

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https://www.fiercehealthcare.com/health-tech/10-state-ags-call-apple-beef-privacy-protections-reproductive-health-daa

State attorneys general call on Apple to beef up privacy protections for reproductive health information

By Heather Landi

Nov 22, 2022 04:05pm

Editor's Note: This story has been updated with a response from Apple highlighting its privacy controls

Ten state attorneys general are calling on Apple to implement stronger privacy controls for third-party apps that collect consumers’ reproductive health data.

In a letter (PDF) sent Monday to Apple CEO Tim Cook, the group of state AGs raised privacy concerns in the wake of the U.S. Supreme Court’s Dobbs ruling overturning Roe v. Wade.

Third-party apps available on Apple's App Store such as period tracking apps and pregnancy and fertility apps collect consumers’ private reproductive health data, which can be "weaponized against consumers by law enforcement, private entities, or individuals," the state AGs wrote in the letter.

"This gap in Apple’s protections threatens the privacy and safety of App Store consumers and runs directly counter to Apple’s publicly expressed commitment to protect user data," the New Jersey-led coalition wrote.

When reached for comment, an Apple spokesperson pointed to the privacy controls built into the company's Health app. When consumers have enabled two-factor authentication and use Apple's "cycle tracking" feature, for example, the health data synced to iCloud is encrypted end-to-end and "Apple does not have the key to decrypt the data and therefore cannot read it," the policy states.

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https://medcitynews.com/2022/11/digital-health-in-oncology-emerging-opportunities-across-the-cancer-patient-journey/

Digital Health in Oncology – Emerging Opportunities Across the Cancer Patient Journey

Cancer is a serious public health issue, accounting for nearly 10 million deaths and over […]

By Wolfgang Schleifer

Nov 22, 2022 at 4:37 PM

Cancer is a serious public health issue, accounting for nearly 10 million deaths and over 19 million new cancer cases around the world in 2020. The WHO estimates that the number of new cancer cases will increase to nearly 29 million in 2040. This alarming statistic is indicative of the huge focus and investment that will flow into oncology worldwide.

What are the objectives of digital health technologies in the journey of the cancer patient?

Innovative Digital Health solutions have the potential to revolutionize each step of the cancer patient journey. The approach is a shift towards data-centric solutions aimed to complement manual intervention and judgments in areas critical to patient outcomes. The cancer patient journey and the associated potential digital health objectives look as follows:

  • Symptom and screening awareness

Early recognition of cancer symptoms, adherence to cancer screening, and potential genetic testing is of great importance to optimize the outcomes of cancer treatment. A broader awareness of comprehensive information among doctors and patients can be promoted through counseling and education campaigns leveraging digital technologies.

Great examples of public campaigns raising awareness of the potential cancer symptoms and cancer screening options leveraging digital channels are UK NHS’ “Be Clear on Cancer” and “Help Us Help You”.

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https://www.healthdatamanagement.com/articles/amazon-rolls-out-telehealth-marketplace-aws-services?id=131803

Amazon rolls out telehealth marketplace, AWS services

Amazon Clinic will initially operate in 32 states to offer virtual care, while additions to Amazon HealthLake take aim at imaging, analytics.

Nov 17 2022


Fred Bazzoli

Editor in Chief, HDM

Amazon Clinic will aim to link consumers with telehealth providers who can treat about 20 conditions and do prescription renewals.


Amazon is strengthening its play in healthcare, making separate announcements with one aimed at extending its reach into consumer delivery, while another effort from Amazon Web Services aims to bring data lake and analytics capabilities to medical imaging.

On November 15, the retail giant announced the rollout of Amazon Clinic, which it expects to initially operate in 32 states and provide virtual care for more than 20 common health conditions.

That same day, Amazon announced new capabilities for its Amazon Web Services division – it’s detailed a preview of an expansion of its Amazon HealthLake initiative to store, structure and apply analytics to medical imaging. Called Amazon HealthLake Imaging, it expects to enable storage of vast quantities of medical imaging for healthcare organizations. Also, it announced Amazon HealthLake Analtyics to facilitate data analysis.

Together, the efforts show the retail company’s efforts to expand its healthcare footprint and, in the case of Amazon Clinic, provide another competitive option for healthcare consumers looking for virtual care. It pairs with Amazon’s proposed plan to buy One Medical to make care more convenient and accessible.

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https://www.healthdatamanagement.com/articles/8-meaningful-ways-to-improve-the-clinician-experience?id=131806

8 meaningful ways to improve the clinician experience

Healthcare organizations can take steps to enable physicians to focus more on caring for patients rather than other tasks.

Nov 18 2022


Tristan Dooley

Contributor

With increasing shortages, healthcare organizations need to find better ways to recruit and retain their clinicians.

Here are a few key steps for dealing with shortages by improving the clinician experience:

1. Improve the documentation experience

Documentation can be frustrating for clinicians. Because of paper workarounds, many clinicians end up writing notes in different formats – paper, email, text, google docs – throughout the day, and then spend time finding and re-writing all this information for the official patient note in the EHR.

In addition to this duplicative documentation, complying with an ever-increasing number of regulations and coping with an increased number of patient visits can contribute to the sheer amount of notes that clinicians need to write.

Better tech can help clinicians focus on their patients while still documenting the relevant patient information.

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https://www.healthcareitnews.com/news/ransomware-attacks-trend-holidays-weekends

Ransomware attacks trend up on holidays, weekends

While healthcare cybersecurity experts indicated longer response times to cyberattacks during these times, the new report cited hospital emergency rooms as models for SOC staffing.

By Andrea Fox

November 23, 2022 10:46 AM

Incident response plans can help healthcare security teams mobilize when incidents do occur, according to Cybereason, a provider of predictive prevention, detection and response cybersecurity tools.

WHY IT MATTERS

According to Organizations at Risk 2022: Ransomware Attackers Don't Take Holidays, it's a lack of contingency plans along with reduced staffing levels in security operations centers (SOCs) that resulted in lengthier investigation and response times as well as increased costs. 

Launched last year, the annual, global study looks at the impact of cyberattacks that occur on holidays and weekends. Cybereason conducted an online survey of cybersecurity teams that experienced one or more weekend or holiday cyberattacks in the United States, United Kingdom, Germany, France, Italy, United Arab Emirates, South Africa and Singapore in September and October. 

When asked about the type of security incident that SOC teams are most frequently trying to resolve, nearly half (49%) of respondents pointed to ransomware. Supply chain attacks (46%) and targeted attacks (31%) were also cited as the most frequent attack type. 

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https://www.healthcareitnews.com/news/patients-prefer-telehealth-common-illnesses-study-shows

Patients prefer telehealth for common illnesses, study shows

But more than half are concerned about the quality of care they're receiving, according to the Software Advice survey. One of the firm's analysts dives into the results.

By Bill Siwicki

November 23, 2022 09:38 AM

Telemedicine has, at long last, become very popular. But lingering concerns remain on its effectiveness for certain diagnoses and treatments.

Software Advice's 2022 State of Telemedicine Survey finds that while a majority of people prefer virtual appointments for common illnesses, more than half of patients still are concerned about the quality of care they're receiving.

Software Advice, a Gartner company, polled more than 1,000 patients on telemedicine usage after the worst of the pandemic – whether they intend to keep using it and improvements that can be made.

We interviewed Lisa Hedges, associate principal analyst at Software Advice, to discuss the findings of the study and talk about the future of telemedicine.

Q. What is the overarching message healthcare CIOs and other health IT leaders should take from your study?

A. That failure to invest in telemedicine is downright foolish at this point. It's been around for a long time, and fully took off during the pandemic. It isn't going anywhere now that so many patients have experienced the convenience it offers.

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https://healthitanalytics.com/news/new-risk-score-tool-provides-accurate-predictions-of-dementia-patterns

New Risk Score Tool Provides Accurate Predictions of Dementia Patterns

Research from the UK shows that a newly developed risk-scoring tool can help clinicians in determining the five-, nine-, and 13-year probability of dementia.

By Mark Melchionna

November 22, 2022 - Published in JAMA Network Open, a recent study described the development and accuracy of a risk score tool that predicts individual dementia risk, providing clinical teams with guidance on timely actions and treatment.

Dementia affects large numbers of people, mainly those who are older. According to the Centers for Disease Control and Prevention (CDC), about 5 million people over the age of 65 had dementia in 2014. The CDC predicted that this would rise to 14 million by 2060.

In the past, research has been directed toward developing methods for preventing dementia. However, there is still no effective treatment method.

In this study, researchers from the United Kingdom aimed to create a point risk score prediction model for dementia. They used data from a large UK population-based prospective cohort study that occurred between March 13, 2006, and Oct. 1, 2010. They performed a data analysis between June 7 and Sept. 15, 2021.

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https://mhealthintelligence.com/news/providers-can-glean-useable-health-metrics-from-wearable-tracker-data

Providers Can Glean Useable Health Metrics from Wearable Tracker Data

Johns Hopkins Medicine researchers found that data gathered by wearable activity trackers can be used to calculate health metrics, including heart health status, which can help boost clinical care.

By Anuja Vaidya

November 22, 2022 - Data from wearable activity trackers can be used to determine various health metrics, including users' cardiovascular health status, new research shows.

Conducted by Johns Hopkins Medicine, the study was published in npj Digital Medicine earlier this month.

According to researchers, though the use of wearable sensors, like activity trackers, has grown significantly in recent years, they are primarily used to measure daily step counts. The researchers' objective in conducting this study was to show that clinically relevant metrics beyond daily step count can be gathered from wearable activity trackers.

"There is a large resource of untapped information contained within the data from these devices, enabling a much more granular fingerprint of an individual's activities of daily life," they wrote in the study.

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https://www.medpagetoday.com/opinion/patientcenteredmedicalhome/101845

Take My Word for It: We Need the EHR to Let Patients Add Health Information

— If patients got their flu shot elsewhere, they should be able to add that to their health record

by Fred N. Pelzman, MD November 21, 2022

"Doc, can you update my chart so that it shows I did my mammogram already this year?"

How many times a day do you get messages like this through the patient portal? I figure it must be about a dozen or more: people requesting we annotate their chart in some way, note that they had their flu shot at the pharmacy, received their new COVID-19 booster, or had their bone density test at an outside radiology facility.

In addition, there are lots of questions about tests they haven't done that the system through the patient portal prompts them that they are due for. "Why does the system tell me I'm overdue for a tetanus shot, when I just did it last year when I went to the emergency room at the beach after I cut my leg on that seashell?"

What I've learned is that patients are not able to make adjustments to these items from their end, so, once again, the work falls to us. It's not that it's that onerous, but it doesn't take no time -- it takes some time and effort. Is it worth it? Is this what we're really trained for? It takes a lot of clicks to get to the right place, to go through the questions the system wants us to answer, and then don't get me started on requiring we enter the exact date they had gotten their bone density test or mammogram or colonoscopy done, when the records lie outside our system.

There has been vast improvements in the past few years in the vaccine registries, such that many of the vaccines our patients receive at different locations, including many pharmacies and vaccine sites set up through the pandemic, will automatically flow into our electronic medical record, updating the health maintenance section. But many things do not, and this leads to a lot of manual work to keep the chart clean, and the patients happy.

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https://www.healthcareitnews.com/blog/golden-moment-telehealth-depends-meeting-need-broadband

A golden moment for telehealth depends on meeting the need  for broadband

The FCC established the Affordable Connectivity Program in December 2021 to provide access and subsidized computing devices. It's free to enroll in ACP, but too few people are taking advantage.

By Craig Settles

November 22, 2022 09:33 AM

Imagine y­­­­­ou had $14 billion, but you couldn't give it away. The Federal Communication Commission has a similar problem with a key broadband grant program – but telehealth might help save the day.

For better or worse, the internet is embedded into everything humans do, from educating our young to practicing medicine. Delivering telehealth is difficult without the internet. However, nearly 28 million U.S. households still lack internet access.

The FCC established the Affordable Connectivity Program in December 2021 to provide access and subsidized computing devices. It's free to enroll in ACP, but many people are reluctant.

Telehealth can win over fence-sitters. The universal need for healthcare can make ACP coupled with telehealth a win-win for everyone.

Just about everybody gets sick, or they're responsible for someone who is sick. "More than half of Americans aged 50 and up are helping an older adult manage tasks ranging from household chores to care for medical conditions," according to University of Michigan's National Poll on Healthy Aging.

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https://healthitsecurity.com/news/oig-hhs-must-modernize-its-approach-to-cybersecurity

OIG: HHS Must Modernize Its Approach to Cybersecurity

OIG called on HHS to modernize its cybersecurity approaches and improve data governance efforts.

By Jill McKeon

November 21, 2022 - In the 2022 edition of its annual report on HHS’s top management and performance challenges, the Office of Inspector General (OIG) called on HHS to improve data governance, secure HHS systems, and modernize its approach to cybersecurity across the department.

“Persistent and growing cybersecurity threats exacerbate the challenges facing HHS associated with data and technologies used to carry out the vital health and human service missions of HHS divisions,” the report noted.

“These threats, if not mitigated, can put critical HHS program operations at risk and potentially impact the health and welfare of individuals served by HHS.”

The report shed light on the numerous challenges that HHS faces as it works fulfill its mission to “enhance the health and well-being of all Americans” while combatting daily cyber threats.

First, OIG noted that HHS “continues to improve how it collects, manages, shares, and secures its data.”

For example, the department is currently finalizing its HHS Data Strategy, which will ideally help the department address data sharing, privacy, governance, and security challenges.

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https://www.fiercehealthcare.com/health-tech/google-epic-ink-deal-migrate-hospital-ehrs-cloud-ramp-use-ai-analytics

HLTH22: Google, Epic ink deal to migrate hospital EHRs to the cloud to ramp up use of AI, analytics

By Heather Landi

Nov 16, 2022 10:40am

LAS VEGAS—Google Cloud and Epic, one of the largest medical records software companies in the U.S., inked an infrastructure agreement to enable hospital customers to run their Epic workloads on the tech giant's cloud technology.

New Jersey-based Hackensack Meridian Health plans to move its Epic workloads to Google Cloud, the health system announced this week. The health system aims to accelerate digital transformations by moving to the cloud. The 17-hospital system also plans to leverage technology like analytics and AI to improve patient outcomes while benefiting from enhanced security.

"Our mission to innovate requires accessible, cutting-edge technology," said Robert Garrett, CEO for Hackensack Meridian Health, in a statement. "With our Epic EHR on Google Cloud, we'll be able to innovate faster, and benefit from a more efficient and secure cloud environment."

"We expect running Epic on Google Cloud will be simpler for our IT and developers,  and will allow them to focus more on uncovering creative ways to improve patient care," said Kash Patel, executive vice president and chief digital information officer for Hackensack Meridian Health, in a statement. "Having everything with Google Cloud will provide a huge opportunity for discoveries. For example, data from our AI Avatar for natural language processing will already be in Google Cloud, ready for us to ask questions. This will speed up our work and make information more accessible."

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https://www.fiercehealthcare.com/digital-health/virtual-physical-therapy-provider-onestep-using-smartphones-determine-upper

Virtual physical therapy provider OneStep using smartphones to determine upper-extremity range of motion

By Annie Burky

Nov 17, 2022 09:00am

OneStep has expanded the capabilities of its technology, which transforms smartphones into clinical-grade motion analysis devices, to assess upper body motion.

By holding a OneStep-enabled smartphone and moving the arm in directed ways, physical therapists are able to assess range of motion to inform post-surgical recovery and treatment of functionality of joints. The platform allows patients to connect directly with physical therapists to develop care plans including OneStep’s library of over 700 video exercises.

OneStep’s patented technology has been used most notably to assess a user’s gait after just 30 seconds of walking. OneStep is also able to take data collected regarding gait and predict and alert providers to a patient that may be a fall risk. Just as with OneStep’s previous offerings, no additional wearables are needed to asses upper extremities.

“In addition to capturing gait data with a phone in a pocket, we're also able to have the patient grab the phone, put in their hand, lift their arm up overhead, and we are able to capture reliable range of motion measurements,” Patrick Tarnowski, OneStep’s chief commercial officer, told Fierce Healthcare. “What we're doing is giving our providers an even more enhanced 360-degree point of view of their patients so our technology is now applicable to all of their patients who present with some kind of an upper extremity problem.”

Traditional range of motion measurements, taken in a clinic with a goniometer, have a margin of error plus or minus five degrees, according to Tarnowski, who previously worked as a physical therapist.

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https://www.beckershospitalreview.com/ehrs/u-of-central-florida-researchers-create-algorithm-to-fill-in-incomplete-ehrs.html

U of Central Florida researchers create algorithm to fill in incomplete EHRs

Noah Schwartz -

Varadraj Gurupur, PhD, an associate professor at Orlando-based University of Central Florida's School of Global Health Management and Informatics, has developed an algorithm that can help fill in incomplete EHRs. 

The tool can predict and measure the incompleteness of EHRs in lab results, disease diagnosis, medical history and prescription records. Hospitals can lose an average of $5 to $8 million a year due to incomplete EHR data that impacts insurance reimbursement, according to a Nov. 17 UCF news release.

Dr. Gurupur's algorithm works by identifying medical attributes that are more likely to be incomplete.

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https://www.healthcareitnews.com/news/third-party-vendor-risk-guidance-renown-healths-ciso

Third-party vendor risk guidance from Renown Health's CISO

Steven Ramirez previews his HIMSS Healthcare Cybersecurity Forum session, explaining how provider organizations can best avoid security problems that stem from associates outside their four walls.

By Bill Siwicki

November 21, 2022 11:11 AM

Data breaches are at an all-time high across all sectors, especially healthcare with its treasure trove of private data.

Many bad actors are entering networks through third-party entities. Healthcare provider organizations are especially vulnerable as they possess a vast amount of sensitive and valuable data – and because third-party vendors have become so critical to healthcare infrastructure.

Risk management of this kind poses a unique challenge and it's critical that security leaders understand how to properly select and vet third-party vendors.

A CISO with plenty of experience

Steven Ramirez is chief information security officer at Renown Health and one of three panelists during the educational session entitled "Making Third Party Risk Management a Priority" at the HIMSS Healthcare Cybersecurity Forum, December 5-6 in Boston. In his role as CISO for a health system, Ramirez knows plenty about third-party risk.

For example, he knows why so many bad actors are entering healthcare information networks via third-party vendors.

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Enjoy!

David.

 

Friday, December 02, 2022

I Had Not Really Noticed Just How Useful Twitter Was In The Health Sector!

This appeared last week, as we wondered if Elon would blow up Twitter.

Twitter meltdown is a threat to health in many ways. So what to do?

·         Melissa Sweet

·         Thursday, November 24, 2022

Introduction by Croakey: The upheaval at Twitter has profound, wide-ranging implications for Aboriginal and Torres Strait Islander people’s health and wellbeing and for public health, emergency responses, public discourse, policy development and rural health, according to health leaders.

They told an online meeting hosted by Croakey this week that the concerns surrounding Twitter merit serious consideration and systematic responses by governments and policymakers, and also advocacy efforts by civil society and the health sector.

Participants shared diverse ways that Twitter has been used to promote public health, build communities and provide a platform for showcasing Aboriginal and Torres Strait Islander excellence in public health.


Melissa Sweet writes:

Elon Musk’s disruptive takeover of Twitter has sent shockwaves across the health and community sectors, where the platform has been a powerful tool for community-building, advocacy, engagement, research dissemination and connection.

About 40 people attended a snap online meeting convened by Croakey this week, which was chaired by Professor Megan Williams, who is Wiradjuri through her father’s family, Chair of Croakey Health Media and an academic at UTS Sydney.

Participants shared stories about the difference that Twitter had made for them and their work, as well as a collective sense of apprehension, grief and loss about where the platform is heading.

Despite these concerns and interest in alternative platforms such as Mastodon, many participants were resolved to stay with Twitter as long as possible, to ensure public health voices remain active on the platform.

“We need to keep our voices in the mix,” said Croakey editor Dr Ruth Armstrong. “And we need to keep moving, and we need to keep contributing, and we need to keep being a force for public health on Twitter.”

On a similar note, Dr Summer May Finlay, a Yorta Yorta woman, senior lecturer at the University of Wollongong and a contributing editor at Croakey, said she planned to stay on Twitter until it became intolerable “or literally carked it”, because of its ongoing value.

At least one participant said they were considering taking a break from social media after finding the changes at Twitter distressing, with the effect of reducing their professional engagement and personal enjoyment in the space.

“We’ve all got our own personal worlds here and I’m feeling an anticipated sense of loss as well, which I’m struggling with,” said this person, who asked not to be quoted by name.

Declaration of interest

As this image below indicates, Twitter has been an essential platform for Croakey, for our journalism and the development of our business model.

As a small independent media organisation of modest means, Twitter has allowed us to be incredibly efficient at sourcing news from diverse leads across Australian and globally, with the ICYMI column being one such example.

It’s been important for dissemination and also for innovation and development of our professional practice, through engagement, listening and impact.

For example, Twitter has been integral to the Croakey Conference News Service, Twitter festivals, the CroakeyGO walking journalism, special projects such as #JustJustice, and also our commercial arm, Croakey Professional Services.

Our rotated, curated Twitter account @WePublicHealth, modelled on the successful @IndigenousX account, contributes directly to our Croakey coverage of important health issues.

That said, we’ve already experienced the adverse consequences of Twitter’s market dominance, when Twitter bought and then closed down the app Periscope, which had been an important element of our conference reporting.

The impact of Twitter’s troubles upon our sustainability remains an open question.

Aboriginal and Torres Strait Islander peoples’ health

Twitter has been embraced by Indigenous people in Australia and globally, as evidenced by initiatives such as @IndigenousX, Dr Summer May Finlay told the meeting.

“Reflecting on the impact that Twitter has had on Indigenous conferences is enormous and what a loss it’s going to be,” she said.

“For example, with covering things like the Lowitja [Institute] conference, we were able to really get out messages to Indigenous people and into the world more broadly that wouldn’t have necessarily been seen by a mainstream audience.

“On a personal level, I have certainly been able to connect to like-minded Indigenous people, and it’s become like a really supportive community in a whole bunch of ways. For our research, in particular, but also for personal stuff as well.

“From a public health point of view, we know that Aboriginal and Torres Strait Islander people do public health really, really well, and it has been a fantastic way of being able to showcase the really good work for a broader audience. I honestly, I don’t think there is another platform…that’s really had the same impact.”

Finlay said Twitter had also  been “a fantastic” platform for Aboriginal and Torres Strait Islander people to be able to critique policies, research, and the media.

She gave as an example of its impact the engagement of Federal politicians, including then Minister Ken Wyatt, with the #JustJustice project. “These are people that we wouldn’t have reached otherwise, had we not been on Twitter,” she said.

“So if Twitter doesn’t continue in its current form, and it’s not a platform that, you know, necessarily we want to participate in, or it does implode on itself completely, it’s really going to be quite a loss for the Aboriginal and Torres Strait Islander community.”

Professor Megan Williams said it was important to keep the futures of young Aboriginal and Torres Strait Islander people in mind when envisioning alternatives to Twitter going forward.

“I think we’ll always look back and know what a transformative time Twitter’s been for us, you know, Aboriginal people about research, research translation and models of care and conveying our excellence,” she said.

“We’ve really been able to feel that power and convey our excellence so clearly. We’ve really got to be thinking hard about what next and we’ll spend a bit of time doing that.”

Dr Tim Senior, a non-Indigenous GP who works in the Aboriginal community controlled sector and is a contributing editor at Croakey, said Twitter had been important for the development of his professional practice.

“The Aboriginal and Torres Strait Islander voice on Twitter particularly has been really striking and…the Indigenous X accounts and so many really good Aboriginal Torres Strait Islander Twitter users…have taught me so much from a sort of a broad range of Countries across what we now call Australia,” he said.

Advocacy tool

Professor Kathy Eagar, Director of the Australian Health Services Research Institute at the University of Wollongong, spoke of her personal experience with Twitter’s power in shaping and setting agendas.

“I’ve done a lot of tweeting, as people know about aged care, about elder abuse, about COVID in aged care… the interesting thing for me is how often I’m contacted by journalists in the mainstream, to do follow up stories,” she said.

“Tweeting consistently, advocating for an issue has actually ended up being very powerful in the mainstream media, much more so than I realised when I started.

“I often have that comment back from Ministers and others, ‘Oh, I saw your comments on Twitter about that’.”

Eagar gave the example of tweeting out a journal paper that she had published on staffing ratios while the aged care Royal Commission was underway.

“So I tweeted it that night and senior counsel quoted it the next day in the Royal Commission, and that’s because they had a team scouring Twitter for feedback … and it was shaping the Royal Commission issues,” she said.

“I found that a very powerful case study in how Twitter can be used to shape an agenda – not just disseminate information.”

Public health roles

Alison Barrett, managing editor at Croakey, highlighted the importance of Twitter for emergency responses, amid bushfires and floods of recent years, as well as for sharing news and evidence on public health, including COVID.

Like other participants, she highlighted concerns about Musk’s Twitter becoming a vehicle for increased misinformation and disinformation, with “huge implications for public health”.

Digital health researcher Dr Becky White underscored these concerns, pointing to the problems that can be predicted to arise from changes to the blue tick verification process.

Kristy Schirmer, principal of Zockmelon Health Promotion and Social Media Consulting, said Twitter remains the most important platform for public health.

She teaches that social media platforms are tools for public health – to connect with people of influence including politicians, journalists, academics and others – and also a setting for health, where there can be positives (such as connections made, education, information), and negatives for health (trolling, disinformation).

“Viewing platforms in this way is helpful for public health practitioners,” she said.

Community building

Dr Amy Coopes, rural doctor and a Croakey editor, said she had been reflecting on the significance of Twitter’s upheaval, especially in the wake of the shootings in Colorado Springs.

While some were downplaying Twitter’s importance as “just a social media platform and another one will just step into the vacuum”, Coopes said she felt there were much broader implications to consider.

“There’s a culture wars kind of thing happening and the signals that are being sent into the public square by Elon taking over Twitter, and then in…emboldening a dog whistling to the far right, the Trumpites, putting Trump back into a position where he’s got like a soap box – it emboldens people to do things like what we saw in Colorado Springs,” she said.

“So I think it’s really disturbing. And I really worry about…the implications for civil society and discourse around this issue, and I think that is a massive problem for public health.”

Coopes also stressed the importance of communities that had built up on Twitter.

“There’s such a community that’s built up over many years and communities of practice and alliances, professional and otherwise, that have been so important and so valuable,” she said.

This had been especially important during the recent difficult years of the pandemic, where Twitter, while it could be a polarising space, also had contributed to cohesion and networks.

Dr Tim Senior said Twitter had many different functions, included in providing real-time reports – for example, from COP27 – and its use in fostering and developing communities.

“I think that’s sort of a misunderstood thing, that it’s not just broadcasting, it’s actually an interactive community and so the loss of that is potentially massive,” he said, adding that no other platform could fill this role quickly.

Rural health connections

Coopes, who live-tweeted the discussion, joined the webinar from Wiradjuri Country on the border of NSW and Victoria, and also stressed the importance of Twitter’s connectivity for rural communities.

It had helped amplify their voices in times of crisis, like fires, flooding and COVID, and this was especially important when mainstream media’s capacity was so depleted.

“Twitter in particular was such a kind of place to organise and to share information and I think that’s really important in dispersed rural communities…where they don’t sort of get much of a look in necessarily,” Coopes said.

“I think it’s been a real force for good and I wonder how we’re going to organise as a…community of people who are passionate about climate action when we have lost this space.”

Sustainable food systems advocate Lisa Brassington agreed that there was no other platform to replace Twitter, whose important features included its accessibility for rural communities. As it is a low data platform, it can be accessed in poor data areas.

“Our farmers use this not only for mental health, connectivity; if you’re bogged on farm, you’ve broken an axle, you do a shout out on Twitter and someone from 3,000 kilometres away gets online and helps you out,” she said.

Brassington said efforts were being made to develop alternative ways to keep farmers connected for the sake of their mental health and wellbeing. “There’s a lot of people at the moment scared of isolation,” she said.

Wider determinants

Sharon Friel, Professor of Health Equity at ANU, said the potential implications for social and health inequities globally were “quite phenomenal”, and she stressed the importance of having such conversations as the Croakey webinar.

The risk of Twitter becoming even more of a “rabid, toxic tabloid space” was really concerning, while the impact upon Twitter employees was a reminder of the power of Big Tech and their influence over working and living conditions.

On the other hand, Twitter had been “incredibly helpful” for coalition building, Friel said, and for raising awareness of issues that people may not otherwise have connected to public health, such as some of the social, environmental, political determinants that Twitter has enabled us to communicate very quickly.

Lots more here.

https://www.croakey.org/twitter-meltdown-is-a-threat-to-health-in-many-ways-so-what-to-do/

This is really a great effort pointing out just how much the Health Sector has to loose f Twitter fails!

There is no doubt we need to start considering alternatives!

David.