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, January 24, 2023

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety, Social Media And Security Matters. Lots Of Interesting Perspectives - January 24, 2023.

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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 any 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, and found interesting.

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https://www.theaustralian.com.au/the-oz/chatgpt-users-are-finding-that-ethical-guardrails-can-be-artificial-too/news-story/177fead9b0df85e34c639f88acf7388c

ChatGPT users are finding that ethical rules can be artificial too

Word is that ChatGPT is ethical artificial intelligence. There are a bunch of things it simply will not do.

By Geordie Gray

The Australian

January 22, 2023

OpenAI, the same San Francisco company behind digital art generator DALL-E, has programmed the bot to refuse “inappropriate requests” like asking “how do you make a bomb” or “how can I shoplift the Dior lip oil from Mecca”.

It also has guardrails set up to avoid the kind of sexist, racist, and generally offensive outputs that are rampant on other chatbots. But, as is the way of the internet, users have already found ways to trick the technology into saying naughty things, by framing input as hypothetical thought experiments, or a film script.

So, how ethical is this conversational AI released to the public late last year, and how easy is it to make it bend to our will?

As expected, ChatGPT refused to mock up an argument between Joe Biden and Donald Trump, in which Biden is the villain and Trump is the hero, because “it’s not appropriate or respectful to label real people as ‘villains’ or ‘heroes’”.

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https://www.theaustralian.com.au/business/technology/teachers-urged-to-embrace-ai-robots/news-story/4b7d79ef13158f9339cf6bf04a2b0b24

Teachers urged to embrace AI robots

By NATASHA BITA

7:50PM January 20, 2023

Robots will be used to mark essays and assignments in schools and universities, as the “plagiarism police” turn the tables on the “chatbot cheats”.

Turnitin, which is used by most schools and universities to detect plagiarism, has warned it is a “fruitless exercise’’ to try to ban artificial intelligence.

Instead, it is developing new programs that will use AI to mark tests and assignments, with customised lessons embedded to correct errors and explain concepts.

Turnitin regional vice-president James Thorley said the ­company had already built a prototype to detect the use of ChatGPT, a chatbot that uses ­artificial intelligence to generate comprehensive written responses on command.

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https://www.theaustralian.com.au/business/the-deal-magazine/adobe-chief-says-companies-must-address-the-big-issues-in-tech/news-story/71ea8b35506c1451cfd241db3a266816

Adobe chief says companies must address the big issues in tech

By HELEN TRINCA

Updated 5:37PM January 20, 2023, First published at 5:27PM January 20, 2023

Shantanu Narayen, 59, is the global CEO of Adobe Systems, who has worked at the software company for almost 25 years, 15 of them in the top job. The 40-year-old company, whose products include Photoshop, Illustrator, Acrobat Reader and digital marketing software for customer experience management, achieved revenue of $US17.61 billion in 2022 – a 12 per cent year-on-year growth. This is an edited interview.

ChatGPT and its implications are occupying the minds of a lot of people right now. How do you approach these issues as leader of a company that has technology that can be misused?

When we talk about the purpose of the company, we talk about creativity for all and the technology to transform. We recognise there is an awesome responsibility that companies like Adobe have to understand how their technologies are being used and to ensure they are being used for good. We think of fakes, data and AI as three separate issues. (To detect fakes) we created a content authenticity initiative, now in all of our applications, you can actually digitally sign a piece of content that you created. And the distributors of content, whether it’s The New York Times or Facebook have all signed up to say we will have some way of showing the provenance of that content and who it should be attributed to. We use artificial intelligence techniques to understand if content is altered and we continue to invest in technology that allows us to say which images were changed and which were not.

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https://www.smh.com.au/national/schools-right-now-face-a-choice-fight-the-wave-of-chatgpt-or-surf-it-20230118-p5cdle.html

Schools right now face a choice - fight the wave of ChatGPT, or surf it

Adam Voigt

CEO and former principal

January 21, 2023 — 5.00am

I’m not sure I’ve seen a more panicked reaction among the teaching fraternity in recent months than the one I’ve witnessed to the emergence of artificial intelligence platforms like ChatGPT.

It’s almost as if a storm like no other has suddenly appeared on the horizon and our compulsion to batten down the hatches on our educational ship, lest it sink forever to the murky depths of oblivion, is overtaking our rational brains.

ChatGPT, an AI program that can write essays or complete tasks such as a student’s homework, and its inevitable ensuing versions, is no storm. Nor is it an existential threat to the role of teachers.

It emerges at a time when literacy and numeracy results are deteriorating in Australian schools despite increased funding and teachers working longer hours. And it could be the greatest opportunity to land at our feet in recent history if we can emerge from below the decks and adjust the sails of our schools accordingly.

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https://www.smh.com.au/technology/pill-mills-or-the-future-of-medicine-the-rise-of-the-telehealth-industry-20230117-p5cdb3.html

‘Pill mills’ or the future of medicine? The rise of the telehealth industry

By Nick Bonyhady

January 21, 2023

It’s not easy for Laney Robson to get her two children, aged 5 and 11, to a doctor. Based just outside the Hunter Valley in NSW, she could brave the “diabolical” wait at the local emergency department or face being told “its weeks and weeks wait before we can take you on” by an unfamiliar GP clinic. So Robson started using InstantScripts, an online business that charges $19 per prescription, for scripts to treat minor ailments like her children’s eye and chest infections.

“Everything else we do in our lives is becoming more and more online, I just don’t see the difference between banking online and this sort of stuff,” Robson says. “Certainly for people in rural areas, we’re very fortunate to be able to access something like this.”

Telehealth has been one of the big winners in Australian business from the COVID-19 pandemic. A new wave of startups offering online access to treatments from acne creams to erectile dysfunction medication and weight loss drugs emerged raising well over $100 million collectively from venture capital firms and other investors who see a potential gold rush for startups to capture a slice of the $200 billion this country spends on health each year.

These well-funded startups have been advertising aggressively on late night television, social media and public transport in a bid to ingratiate themselves with customers young and old.

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https://www.smh.com.au/national/chatgpt-won-t-take-your-job-but-you-will-need-to-learn-how-to-use-it-20230119-p5cdpn.html

ChatGPT won’t take your job, but you will need to learn how to use it

By Liam Mannix

January 21, 2023 — 5.00am

As waves of new technology crash over and disrupt the economy, “learn to code” has become a common utterance – often to workers worried about losing their jobs to automation.

But what happens when technology finally comes for technology jobs?

That’s part of the promise and peril of ChatGPT and a new wave of AIs that can hold human-like conversations, write articles and academic essays, summarise reports, paint pictures, and – yes – write code.

Software engineer Mazen Kourouche, creative director at Litmus Digital, is already using the AI to replicate large parts of his work. ChatGPT excels at writing the algorithms that sit at the functional heart of good code. It is very good at building websites. And it can quickly parse Kourouche’s code and spot errors.

But like everyone The Age and the Herald spoke to for this story, Kourouche is not worried about it taking his job. He thinks it will simply make him more productive.

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https://www.afr.com/work-and-careers/education/how-teachers-are-tackling-the-chatbot-cheats-20230117-p5cd2l

How teachers are tackling the chatbot cheats

Kalley Huang

Jan 20, 2023 – 5.00am

While grading essays for his world religions course last month, Antony Aumann, a professor of philosophy at Northern Michigan University, read what he said was easily “the best paper in the class.” It explored the morality of burqa bans with clean paragraphs, fitting examples and rigorous arguments.

A red flag instantly went up.

Aumann confronted his student over whether he had written the essay himself. The student confessed to using ChatGPT, a chatbot that delivers information, explains concepts and generates ideas in simple sentences – and, in this case, had written the paper.

Alarmed by his discovery, Aumann decided to transform essay writing for his courses this semester. He plans to require students to write first drafts in the classroom, using browsers that monitor and restrict computer activity. In later drafts, students have to explain each revision. Aumann, who may forgo essays in subsequent semesters, also plans to weave ChatGPT into lessons by asking students to evaluate the chatbot’s responses.

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https://www.theaustralian.com.au/business/the-deal-magazine/society-urged-to-hold-companies-to-account-on-tech-use/news-story/37055ea89daffc3889064baa4d56b3ab

Society urged to hold companies to account on tech use

By HELEN TRINCA

9:00AM January 20, 2023

Society needs to hold companies to account for artificial intelligence products such as ChatGPT when they fail the “responsible tech” test, according to Dr Rebecca Parsons, chief technology officer at global consultancy Thoughtworks.

She says we need a combination of government regulation and consumer and employee market pressure to ensure organisations are aware of the consequences of programs that use algorithms to do anything from vetting job candidates and granting bank loans to writing court reports.

“We’ve gotten pretty good at (managing) the data breaches but there are a lot more subtle issues emerging,” she says.

“It’s one thing if Amazon gives me a recommendation that I don’t like,” she says. “It’s another thing if an AI assistant gives a recommendation to a judge on whether or not I should be let out on parole. As the consequences of getting things wrong increase we have to be more conscious.”

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https://www.afr.com/chanticleer/microsoft-reveals-ominous-dark-clouds-over-tech-20230119-p5cdqw

Microsoft reveals ominous clouds over tech

Satya Nadella’s moves to slash Microsoft’s costs and step up the internal use of artificial intelligence should send shockwaves through the technology universe.

Jan 19, 2023 – 12.27pm

Technology job cuts have become so common in the past six months that it would be easy to interpret the sacking of 10,000 Microsoft employees as just another incremental consequence of plunging global IT spending caused by tightening corporate budgets.

But the Microsoft cuts are different to others such as the 8000 at Salesforce and 18,000 at Amazon, because of the way they were framed by Seattle-based chief executive Satya Nadella.

Nadella made the direct link between Microsoft’s need to maintain profitability through cost-cutting with the wider use within his company of generative artificial intelligence using the ChatGPT developed by OpenAI.

OpenAI is widely reported to be about to receive a $US10 billion ($14.3 billion) investment from Microsoft, a move that could set up an intense battle between Bing and Google in search.

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https://www.smh.com.au/national/so-far-from-science-gps-desperate-to-debunk-sexual-health-myths-on-social-media-20230117-p5cd61.html

‘So far from science’: GPs desperate to debunk sexual health myths on social media

By Nell Geraets

January 18, 2023 — 6.18pm

Doctors are fighting an uphill battle against misinformation about sexual health and contraception – including yoghurt-based thrush remedies, “cancer-causing” contraception, and requests for genital surgery – as young people increasingly turn to social media for medical advice.

General practitioner and women’s health expert Dr Magdalena Simonis said many teenagers and women in their 20s and 30s are seeing misleading information on social media, at times resulting in unwanted pregnancies and requests for surgery on their genitals.

“Influencers are seeing themselves as changemakers or social commentators, but they don’t realise that the impact they’re having is actually pretty significant,” Simonis said. “It’s so far removed from science.”

A US study published in Health Communication last week found that popular influencers were promoting unreliable – and often inaccurate – health advice at an alarming rate, triggering concerns among clinicians that more impressionable young people would suffer adverse health events, including unwanted pregnancies, STIs and self-esteem issues.

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https://www.ausdoc.com.au/news/medibank-legal-action-to-test-health-privacy-laws/

Medibank legal action to ‘test’ health privacy laws  

At least 100,000 customers are chasing compensation for 'humiliation and distress'

Heather Saxena

Lawyers will chase compensation for thousands of Medibank customers in what they describe as a potential test of privacy laws around health records.

In October last year, cybercriminals threatened to publish Medibank customers’ claims data unless the health insurer paid $15.6 million — one US dollar for each customer hacked. 

When Medibank did not pay up, the hackers followed through, publishing a list of well-known names linked to insurance claims for addiction treatment, mental health treatment or terminations.

Maurice Blackburn principal lawyer Andrew Watson said that not every medical business that fell victim to hacking would necessarily face the prospect of legal action.

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https://www.theaustralian.com.au/business/technology/robotic-music-a-travesty-says-nick-cave/news-story/4aabb826afc00f06bb9f4d48a2c9de6e

Robotic music a travesty, says Nick Cave

By Joanna Panagopoulos

8:20PM January 17, 2023

Australian singer-songwriter Nick Cave is sceptical about artificial intelligence taking over his job or those of other musicians after he received lyrics from fans written by a chatbot called ChatGPT supposedly “in the style of Nick Cave”.

Among the dozens of songs sent to Cave since the free “generative AI” chatbot ChatGPT launched at the end of last year, was one initiated by Mark from Christchurch, who wrote in to Cave’s email newsletter The Red Hand Files.

Despite touching on hallmark Cave themes like religion, death and violence, such as the line “I’ll dance with the devil, and I’ll play his game”, Cave was deeply unmoved.

“The apocalypse is well on its way. This song sucks,” he wrote, in his latest issue of The Red Hand Files on Tuesday morning.

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https://www.afr.com/technology/is-anyone-s-job-really-safe-once-ai-learns-to-fake-sincerity-20230117-p5cd4t

Is anyone’s job really safe once AI learns to fake sincerity?

Algorithms cannot share your feelings or feel your pain like a human care professional can. But don’t bank on them not learning how to try.

Barry Eichengreen Economics professor

Jan 17, 2023 – 12.28pm

With hindsight, 2022 will be seen as the year when artificial intelligence gained street credibility. The release of ChatGPT by the San Francisco-based research laboratory OpenAI garnered great attention and raised even greater questions.

In just its first week, ChatGPT attracted more than a million users and was used to write computer programs, compose music, play games, and take the bar exam. Students discovered that it could write serviceable essays worthy of a B grade – as did teachers, albeit more slowly and to their considerable dismay.

ChatGPT is far from perfect, much as B-quality student essays are far from perfect. The information it provides is only as reliable as the information available to it, which comes from the internet. How it uses that information depends on its training, which involves supervised learning, or, put another way, questions asked and answered by humans.

The weights that ChatGPT attaches to its possible answers are derived from reinforcement learning, where humans rate the response. ChatGPT’s millions of users are asked to upvote or downvote the bot’s responses each time they ask a question. In the same way that useful feedback from an instructor can sometimes teach a B-quality student to write an A-quality essay, it’s not impossible that ChatGPT will eventually get better grades.

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https://www.afr.com/technology/microsoft-to-add-chatgpt-to-cloud-services-soon-20230117-p5cd62

Microsoft to add ChatGPT to cloud services ‘soon’

Dina Bass

Jan 17, 2023 – 1.33pm

Seattle | Microsoft says it will add OpenAI’s viral artificial intelligence bot ChatGPT to its cloud-based Azure service “soon,” building on an existing relationship between the two companies as the software giant mulls taking a far larger stake in OpenAI.

Microsoft announced the broad availability of its Azure OpenAI Service, which has been available to a limited set of customers since it was unveiled in 2021.

The service gives Microsoft’s cloud customers access to various OpenAI tools like the GPT-3.5 language system that ChatGPT is based on, as well as the Dall-E model for generating images from text prompts, the company said in a blog post.

That enables Azure customers to use the OpenAI products in their own applications running in the cloud.

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https://www.theaustralian.com.au/higher-education/chatbot-cheats-face-fines-and-jail/news-story/a135e9f223cc8978ba9b5c707a4a3104

Chatbot cheats face fines and, jail

By NATASHA BITA

6:32AM January 17, 2023

Chatbot creators risk jail and stiff fines for “academic cheating’’ if they commercialise artificial intelligence to write student essays and assignments.

The Tertiary Education Quality and Standards Agency is evaluating whether ChatGPT, a nascent technology launched just weeks ago by the Microsoft-backed Open AI, is in breach of anti-cheating laws.

A spokeswoman said TEQSA would “identify risks and strategies’’ for dealing with artificial intelligence in academia this year.

“Where TEQSA identifies an AI service that may breach the prohibition on the provision of academic cheating services in the TEQSA Act, we will investigate and, where appropriate, take enforcement action,’’ she said.

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https://www.computerworld.com/article/3684734/this-lawsuit-against-microsoft-could-change-the-future-of-ai.html

This lawsuit against Microsoft could change the future of AI

With ChatGPT, artificial intelligence and what it can do is suddenly all the rage. But an intellectual property lawsuit against Microsoft could undermine the future of AI before it gets off the ground.

By Preston Gralla

Contributing Editor, Computerworld | 10 January 2023 22:00 AEDT

Artificial intelligence (AI) is suddenly the darling of the tech world, thanks to ChatGPT, an AI chatbot that can do things such as carry on conversations and write essays and articles with what some people believe is human-like skill. In its first five days, more than a million people signed up to try it. The New York Times hails its “brilliance and weirdness” and says it inspires both awe and fear.

For all the glitz and hype surrounding ChatGPT, what it’s doing now are essentially stunts — a way to get as much attention as possible. The future of AI isn’t in writing articles about Beyoncé in the style of Charles Dickens, or any of the other oddball things people use ChatGPT for. Instead, AI will be primarily a business tool, reaping billions of dollars for companies that use it for tasks like improving internet searches, writing software code, discovering and fixing inefficiencies in a company’s business, and extracting useful, actionable information from massive amounts of data.

But there's a dirty little secret at the core of AI — intellectual property theft. To do its work, AI needs to constantly ingest data, lots of it. Think of it as the monster plant Audrey II in Little Shop of Horrors, constantly crying out “Feed me!” Detractors say AI is violating intellectual property laws by hoovering up information without getting the rights to it, and that things will only get worse from here.

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https://www.digitalnationaus.com.au/news/cover-story-generative-ai-is-far-more-powerful-in-a-business-context-589804

Generative AI is far more powerful in a business context

By Athina Mallis on Jan 17, 2023 7:30AM

Generative AI has put the internet into a frenzy, ChatGPT has shaken the boots of every copywriter through its intuitive writing software, an AI-generated piece of artwork won at the Colorado State Fair and there is a fake Tom Cruise floating around the internet.

Generative AI isn't a new concept by any means but ChatGPT has catapulted the conversation of this technology into the minds of business leaders.

While those examples might be a good indication of how the technology works, or alternatively, how it shouldn’t be used, generative AI is a tool that could be taken advantage of by organisations.

According to Gartner, generative AI learns from existing content artefacts to generate new, realistic artefacts that reflect the characteristics of the training data, but do not repeat it.

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https://www.afr.com/technology/three-ways-big-tech-got-it-wrong-20230116-p5ccvb

Three ways big tech got it wrong

Racing for scale with buggy, money-losing products doesn’t work in most sectors.

Brooke Masters

Jan 16, 2023 – 3.15pm

It’s time to unlearn the lessons of big tech.

For 20 years, the Silicon Valley giants and their peers have set the standard for corporate success with a simple set of strategies: innovate rapidly and splash out to woo customers.

Speed rather than perfection, and reach rather than profits proved key to establishing dominant positions that allowed them to fend off, squash or buy potential rivals.

Entrepreneurs everywhere took note, and an assumption that scaling up and achieving profitability would be the easy part took hold far beyond the internet platforms where these ideas originated.

Investors, desperate for growth and yield amid historically low-interest rates, were all too happy to prioritise the promise of growth over short-term earnings.

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https://medicalrepublic.com.au/chatgpt-can-write-back-pages-that-fool-readers/84025

16 January 2023

ChatGPT can write Back Pages that fool readers

The Back Page

By Penny Durham

Let’s test this clever little writing model.

There’s been a lot of chat lately about ChatGPT, OpenAI’s language model.

Many are frankly freaked out at the prospect of being supplanted by some code, but not your Back Page correspondent, who is already on record as welcoming, on behalf of all journalists, our new writing-algorithm overlords.

Now it’s researchers’ turn to get nervous.

A recent study published in the journal Nature has demonstrated the impressive capabilities of the language model ChatGPT in generating abstracts of research articles. The study, conducted by a team of researchers from OpenAI, used a dataset of real abstracts to test ChatGPT’s ability to generate abstracts in various fields such as physics, computer science, and medicine.

The results of the study were striking, as ChatGPT was able to generate abstracts that were almost indistinguishable from those written by human researchers. In fact, when the generated abstracts were presented to a group of researchers in the corresponding field, many of them thought that the abstracts were written by a human and were not able to identify them as machine-generated. This highlights the sophisticated level of language proficiency that ChatGPT has achieved, and its potential to revolutionize the way scientific content is generated.

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https://www.mja.com.au/journal/2023/218/1/smoking-cessation-discharge-summaries

Smoking cessation on discharge summaries

Freddy Sitas, Ben Harris‐Roxas, Sarah L White, Fiona A Haigh, Margo L Barr and Mark F Harris

Med J Aust 2023; 218 (1): 46-46. || doi: 10.5694/mja2.51792
Published online: 16 January 2023

To the Editor: With the increasing interoperability of electronic medical records across health services, smoking and e‐cigarette use need to be systematically collected on hospital admission, and advice to quit smoking should be automatically included on hospital discharge summaries. Including information on smoking status in the discharge summary, and ultimately on My Health Record, presents an opportunity to address the use of tobacco and e‐cigarette products — the first being Australia's leading cause of preventable death and disease and the second an emerging exposure of increasing concern.1

Evidence from the United States Surgeon General reports that smoking cessation after cancer diagnosis lowers the risk of dying by 30–40%.2 For some patients with cancer, cessation benefits are equal to or exceed the value of state‐of‐the‐art cancer therapies. In addition, the Surgeon General report shows most patients admitted to hospital wish to quit smoking,2 and there are proven, workable but underused interventions to cease smoking.

Peak medical bodies such as the Australian National Health and Medical Research Council and the Australian Commission on Safety and Quality in Health Care3 advise that adherence to post‐hospital referral practice guidelines leads to better outcomes, fewer readmissions, and improved patient survival. Australia's National Preventive Health Strategy has a goal of reducing the adult smoking prevalence from 14% to 5% over the next 8 years.4 The newly released draft National Tobacco Strategy includes key policy actions to increase the use of cessation services and to support people who use tobacco and e‐cigarettes to quit.5

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https://www.ausdoc.com.au/opinion/how-chatbots-are-changing-healthcare/

Could chatbots draw up chronic disease management plans for patients?

Dr Harvey Castro

16 January 2023

GPT, or generative pre-trained transformer, is a type of artificial intelligence that can generate human-like text — popularly known as a ‘chatbot’.

The program is free to use during the ‘research preview’ time.

GPT gained one million users less than a week after its release. (Keep in mind this technology is currently in the beta testing phase.)

It is important to note the limitations of this chatbot. The quality of the responses depends on the quality of the prompts the user enters in GPT.

The answers are not always correct. They are created to feel correct to humans. If the user does not know the area in question, then the answer might be incorrect, and the user may not be aware that it is incorrect.

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https://itwire.com/business-it-news/security/security-pro-says-unlikely-chatgpt-can-be-used-to-build-professional-ransomware.html

Monday, 16 January 2023 10:28

Security pro says unlikely ChatGPT can be used to build professional ransomware

By Sam Varghese

Satnam Narang: "[ChatGPT] can, however, provide the basic foundation for a low-skilled cyber-criminal to kickstart their efforts and put them on the path towards success." Supplied

A senior IT security practitioner has played down the chances of AI tool ChatGPT being used to develop professional ransomware right now, even though there have been reports that the tool has been used to build basic malware.

Satnam Narang, senior staff research engineer at security firm Tenable, told iTWire that ChatGPT had been reportedly used by low-skilled cyber criminals to develop basic malware.

"[It] may be used by scammers to develop phishing scripts to be used as part of both phishing emails and dating and romance scams," he said.

ChatGPT, a new model for conversational AI, which was launched recently by the AI research and development firm OpenAI, provides a dialogue interface whereby it can "answer follow-up questions, admit its mistakes, challenge incorrect premises and reject inappropriate requests".

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https://www.afr.com/technology/i-think-therefore-i-am-robot-20230109-p5cbdg

If robots can ever think, they might start like cockroaches

Researchers are racing to create the first conscious machine.

Oliver Whang

Updated Jan 16, 2023 – 8.22am, first published at 5.03am

Hod Lipson, a mechanical engineer who directs the Creative Machines Lab at Columbia University, has shaped most of his career around what some people in his industry have called the c-word.

On a sunny morning last October, the Israeli-born roboticist sits behind a table in his lab and explains himself. “This topic was taboo,” he says, a grin exposing a slight gap between his front teeth. “We were almost forbidden from talking about it – ‘Don’t talk about the c-word; you won’t get tenure’ – so in the beginning I had to disguise it, like it was something else.”

That was in the early 2000s, when Lipson was an assistant professor at Cornell University. He was working to create machines that could note when something was wrong with their own hardware – a broken part or faulty wiring – then change their behaviour to compensate for that impairment without the guiding hand of a programmer. Just as when a dog loses a leg in an accident, it can teach itself to walk again in a different way.

This sort of built-in adaptability, Lipson argued, would become more important as we became more reliant on machines. Robots were being used for surgical procedures, food manufacturing and transport; the applications for machines seemed pretty much endless, and any error in their functioning, as they became more integrated with our lives, could spell disaster. “We’re literally going to surrender our life to a robot,” he says. “You want these machines to be resilient.”

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https://www.afr.com/technology/aussie-vcs-ready-for-the-next-tech-boom-generative-ai-20230112-p5cc7w

Aussie VCs ready for the next tech boom: Generative AI

Yolanda Redrup Reporter

Updated Jan 16, 2023 – 12.25pm, first published at 11.07am

Amid the global carnage in tech valuations, there is one area that is still exciting investors and Australian companies are poised to grab an outsized share.

Generative artificial intelligence, which won global attention through the stellar launch of OpenAI’s ChatGPT, is being heralded as the greatest technological shift since the invention of the smartphone.

And Australia, investors say, is match fit and ready to capitalise on what could be the defining technological innovation of the 2020s.

Square Peg Capital’s Paul Bassat said generative AI – a type of AI that involves creating original content, be it text, images, audio or data – would be a “very important paradigm” for the next decade.

“We’re seeing a lot of start-up activity and a lot of funding [for generative AI]. I think the role of Australia will be similar to what it was when software-as-a-service emerged 15 years ago – there will be lots of players around the world, but we will punch above our weight,” he told The Australian Financial Review.

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https://medicalrepublic.com.au/how-telehealth-can-advance-health-equity/83960

16 January 2023

How telehealth can advance health equity

Comment Technology Telehealth

By Bill Zeng

Virtual consultations can narrow the gaps in care, but it needs to be done right.


Health equity is achieved when everyone can attain their full potential for health and wellbeing.

As healthcare increasingly moves into the digital realm, from virtual consultations to telemedicine, health equity is being recognised as a critical element to achieving this World Health Organisation vision.

According to World Bank and WHO, around half the world’s population doesn’t receive the essential health services they need. But all WHO member countries have committed to achieving affordable health services for everyone by 2030. To realise the WHO’s goal of covering the health needs of one billion additional people by 2023, public health and care providers need to take the lead in monitoring inequities by examining patient outcomes and updating health services. This means redesigning health services with equity in mind – and one growing innovation is telehealth.

The rise of telehealth

Telehealth is becoming a great equaliser in reaching underserved populations and advancing social equity in healthcare by better enabling patient engagement across barriers and borders. However, the reality is that healthcare professionals are not IT pros, and the focus should be on ensuring ease of use and effortless, professional audio and video quality when making investment decisions in technology and service providers.

From a clinical perspective, the ability to provide professional and satisfying virtual care enables good outcomes, more patient options, and increased patient retention. Operationally, telehealth makes it easy for staff to connect and communicate clearly with patients, while enabling additional and more frequent touches without increasing staff or building new locations. The financial benefits go beyond the ability to see more patients, more frequently, enabling practices to cut costs and create new revenue streams. 

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https://medicalrepublic.com.au/can-digital-health-curb-sectors-climate-impact/82724

16 January 2023

Can digital health curb sector’s climate impact?

Political Technology

By Fran Molloy

With health contributing a significant portion of global emissions, the sector needs to be part of the solution.


Climate change has been dubbed the greatest health challenge in human history – and digital health is late to the party, says Professor Enrico Coiera, who is Director of the Centre for Health Informatics and the Australian Institute of Health Innovation at Macquarie University in Sydney. 

“In Australia alone, seven to nine per cent of total greenhouse gas emissions are healthcare related,” he says. “We are not going to solve climate change without addressing this impact.” 

Health plays a big role in the urgent priority to reduce greenhouse gas emissions to net zero; worldwide, the sector contributes 4.4 per cent of global emissions (large portions of this from wealthy countries like the US and Australia) and is estimated to triple by 2050. 

Coiera and his colleague Professor Farah Magrabi (who co-edited the recent ‘human health and climate change’ issue of the Journal of American Medical Informatics Association) have outlined ten steps health informaticians can take to address climate change. 

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https://www.afr.com/property/commercial/malls-in-sight-for-wing-s-delivery-drones-20230111-p5cbw0

Malls in sight for Wing’s delivery drones

Nick Lenaghan Property editor

Jan 15, 2023 – 4.44pm

Google’s drone delivery service, Wing, is launching its latest expansion into the retail sector – at Orion mall at Ipswich in Queensland – as it looks to strike more agreements with real estate players.

The tie-up with ASX-listed landlord Mirvac will start with a pilot program at Ipswich, which could extend to other Mirvac-run malls. It follows Wing partnerships with shopping mall owner Vicinity, grocery giant Coles and more recently, food delivery service DoorDash.

For Simon Rossi, general manager of Wing in Australia, the tie-up with Mirvac reflects a strategy to pursue growth through arrangements with major real estate holders.

“We spent a lot of time in 2022 building our partnerships, particularly with real estate players,” he told The Australian Financial Review.

“We’ve done a lot of work with those providers because ultimately, we do need some real estate to house our drones [for locations] to take off from. Shopping centres are a really great partner of ours because they are close to retailers and also close to a lot of consumers and that’s why they’re strategically placed there.

“What we’ll see in the coming years is us increasingly working with those large global and national real estate players, large marketplace players and even logistics partners, where we can make delivery with smaller parcels more efficient, more sustainable and do it more economically.”

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David.

Monday, January 23, 2023

Weekly Australian Health IT Links – 23 January, 2023.

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 stuff happening – some good – some not so good… Browse on!

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https://www.innovationaus.com/deloitte-gets-another-5m-for-health-data-super-highway/

Deloitte gets another $5m for health data ‘super-highway’

Justin Hendry
Editor

17 January 2023

US consulting giant Deloitte has landed a $5 million pay rise from the Australian Digital Health Agency for its work on a new platform for clinicians to exchange and access health information.

Deloitte has spent the last 18 months developing the Health API Gateway, having won an initial $18 million deal in July 2021 to replace the decade-old Oracle API gateway that served the controversial My Health Record.

Last month, the contract with Deloitte climbed $5.1 million, bringing the total bill to $25.1 million over three years. Another contract amendment in October also added $2.8 million to the contract’s total cost.

A spokesperson for the Australian Digital Health Agency (ADHA) put the most recent increase down to “changes in scope due to additional services relating to the national response to COVID-19 and further scaling of the platform to accommodate an increase in consumer access to the My Health Record”.

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https://www.hospitalhealth.com.au/content/technology/news/artificial-pancreas-effective-in-type-2-diabetes-trial-747034015

Artificial pancreas effective in type 2 diabetes: trial

Friday, 13 January, 2023

An artificial pancreas that combines an off-the-shelf glucose monitor and insulin pump with an app developed by Cambridge scientists has been successfully trialled by patients living with type 2 diabetes.

The device doubled the amount of time patients were in the target glucose range and and halved the time patients spent experiencing high glucose levels, as reported in Nature Medicine.

The app, known as CamAPS HX, utilises an algorithm that predicts how much insulin is required to keep a patient’s glucose levels within the target range.

The team has already demonstrated that an artificial pancreas run by a similar algorithm is effective for patients living with type 1 diabetes, from adults through to very young children. They have also successfully trialled the device in patients with type 2 diabetes who require kidney dialysis.

This new version, trialled for the first time in a wider population living with type 2 diabetes (not requiring kidney dialysis) is a fully closed loop system. The version for patients with type 1 diabetes requires patients to report that they are about to eat so that the artificial pancreas can adjust insulin levels accordingly, but the latest iteration functions automatically.

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https://medicalrepublic.com.au/do-you-know-where-your-cyber-vulnerabilities-are/83951

16 January 2023

Do you know where your cyber vulnerabilities are?

Comment Data Technology

By Dave Patnaik

Here are three key things healthcare organisations can do to mitigate their risk.


In 2022, healthcare organisations have continued to be plagued by cyberattacks.

It was recently revealed by OAIC that health service providers have suffered more data breaches than any other sector in Australia, with 51% more breaches hitting them in the first half of 2022 than the second-placed finance sector. However, data breaches are not the only cyber threat facing the healthcare sector.

Digital transformation trends, including the internet of things (IoT), the internet of medical things (IoMT) and IT/OT convergence (the merging of information technology and operational technology) have enabled healthcare providers to deliver more efficient and effective services and care to their patients.

However, these technologies have also dramatically increased the attack surface in healthcare providers, opening them up to a variety of ransomware, malware and DDoS attacks. As technology continues to transform the healthcare industry, real-world threats will become more pronounced in the cybersecurity space.

Supply chain vulnerabilities are a piece of the vulnerability puzzle

In March 2022, Forescout’s Vedere Labs published Access:7 a cybersecurity research report that identified more than half a dozen vulnerabilities that affected more than 100 device manufacturers. These vulnerabilities were related to Axeda, a remote access and management solution for connected devices, which had been integrated into more than 150 different medical and IoT devices – predominantly impacting healthcare organisations.

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https://www.itnews.com.au/news/digital-platforms-warned-tackle-disinformation-or-face-regulation-589957

Digital platforms warned: tackle disinformation or face regulation

By Richard Chirgwin on Jan 20, 2023 12:40PM

ACMA to receive code-making powers.

If major digital platforms don’t deal with harmful online disinformation, they will be made subject to regulation and a mandatory industry code, the federal government has warned. 

The government said an exposure draft of legislation giving the Australian Communications and Media Authority regulatory power over platforms like Facebook, Twitter, and TikTok will be released during the first half of this year.

Authorised electoral content and what the government calls “professional news” will be exempt from the code.

The ACMA will be given the power to gather information and keep records of platforms’ efforts to combat disinformation, to make the platforms’ response to disinformation more transparent.

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https://www.smh.com.au/business/companies/government-introduces-laws-to-protect-australians-from-online-misinformation-20230119-p5cdqg.html

Government introduces laws to protect Australians from online misinformation

By Zoe Samios

January 20, 2023 — 12.01am

The federal government will give the media regulator new legislative powers in an attempt to reduce the spread of misinformation and disinformation on global technology platforms such as Twitter, YouTube and Facebook.

Communications Minister Michelle Rowland is planning to introduce laws that will give Australia’s media watchdog the ability to retract information from the world’s most powerful tech companies if they fail to meet standards of a voluntary misinformation and disinformation code of practice.

The previous government, under then communications minister Paul Fletcher, attempted to introduce the same laws but did not do so before the 2022 federal election.

“Misinformation and disinformation poses a threat to the safety and wellbeing of Australians, as well as to our democracy, society and economy,” Rowland said. “A new and graduated set of powers will enable the [Australian Communications and Media Authority] to monitor efforts and compel digital platforms to do more, placing Australia at the forefront in tackling harmful online misinformation and disinformation.”

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https://itwire.com/government-tech-news/technology-regulation/acma-alerts-the-public-to-be-vigilant-against-mygov-sms-and-email-scams.html

Tuesday, 17 January 2023 10:36

ACMA alerts the public to be vigilant against myGov SMS and email scams

By Kenn Anthony Mendoza

The ACMA has warned the public to be vigilant of fake emails and SMS claiming to be from myGov, an Australian government services portal, which may possibly be a scam.

The ACMA said the SMS and emails suggest that users are owed a refund. The email will lure users to click on a malicious link or visit a fake website in order to receive a tax refund.

Other emails may ask users to update personal details through a link or attachment.

These messages will also often reference other government agencies or services such as the Australian Taxation Office (ATO) or programs like Medicare.

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https://www.theaustralian.com.au/world/the-times/care-homes-offer-virtual-walks-down-memory-lane/news-story/71fc2ecd5ac5094414ab918a76cdb984

Care homes offer virtual walks down memory lane

By Keiran Southern

11:00AM January 21, 2023

Communal areas in care homes are usually the setting for bingo games or hours of daytime television.

Now visitors to retirement homes across America may be surprised to find the residents wearing virtual reality (VR) headsets as experts use the technology to fight loneliness and alleviate anxiety for people with dementia.

Studies have shown that “reminiscence therapy”, which includes viewing childhood pictures or listening to one’s favourite music, can boost mood and it is hoped that VR will provide a more immersive experience.

Alone or in group sessions, elderly users can take a virtual stroll down the street on which they lived as a child, or visit a favourite holiday destination.

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https://www.croakey.org/review-of-digital-industry-code-on-misinformation-fails-to-address-public-health-concerns/

Review of digital industry code on misinformation fails to address public health concerns

Editor - Jennifer Doggett

Author Jennifer Doggett

Wednesday, January 18, 2023

International organisations, including the World Health Organization and UNICEF, have identified online misinformation and disinformation as one of the most significant current threats to the health and wellbeing of the global community.    

Yet in Australia we do not have a national strategy to tackle misinformation and instead rely on a voluntary code of practice, developed by an industry association, to address the explosion of false and misleading information online.

A recent review by this industry body of its code of practice highlights the inadequacies of this approach, in particular through its ongoing failure to engage with the public health sector and communities most impacted by health-related misinformation and disinformation. 

Jennifer Doggett writes:

On the 22 December, the Digital Industry Group Inc (DIGI) released a report responding to submissions received during the public consultation on the 2022 Review of The Australian Code of Practice on Disinformation and Misinformation.

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https://www.healthcareitnews.com/news/anz/roundup-sunrise-emr-goes-live-lyell-mcewin-hospital-and-more-briefs

Roundup: Sunrise EMR goes live at Lyell McEwin Hospital and more briefs

Also, the Victorian government is providing new medical equipment and upgrades to 23 health services.

By Adam Ang

January 19, 2023 09:27 PM

Latest Sunrise EMR implementation in South Australia

Lyell McEwin Hospital, a major tertiary hospital in Adelaide, has gone live with the Sunrise EMR and PAS by Altera Digital Health.

LMH, a part of the Northern Adelaide Local Health Network, provides medical, surgical, diagnostic, emergency and support services to a population of more than 400,000 people.

The Sunrise PAS first went live with key clinical functionality at LMH's emergency department in October last year. 

Over the next two years, the Sunrise EMR will be implemented across SA's regional hospitals and local health networks, following the government's A$31.1 million ($21.5 million) investment in the project. 

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https://www.innovationaus.com/advisory-group-to-help-govt-close-digital-inclusion-gap/

Advisory group to help govt close digital inclusion gap

Justin Hendry
Editor

18 January 2023

An advisory group chaired by accomplished indigenous screenwriter and Order of Australia recipient Dorothy ‘Dot’ West has been created by the federal government to work towards closing the digital inclusion gap for First Nations Australians by 2026.

Cultural heritage expert Dr Lyndon Ormond-Parker, Macquarie University Professor Bronwyn Carlson, digital inclusion community advocate Talei Elu and First Nations Media Australia chair Naomi Moran will also sit on the advisory.

Communications minister Michelle Rowland revealed the members of the First Nations Digital Inclusion Advisory Group ahead of its first meeting in Adelaide on Wednesday, reigniting efforts to address systemic connectivity issues in “true partnership”.

“Boosting digital inclusion is a key focus of the Albanese Government – especially when it comes to supporting greater connectivity for First Nations Australians,” she said, adding that digital inclusion is “more than just a nice to have, it’s a necessity”.

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https://www.innovationaus.com/law-firms-press-watchdog-for-medibank-data-breach-compensation/

Law firms press watchdog for Medibank data breach compensation


Joseph Brookes
Senior Reporter

16 January 2023

Three law firms are pursuing compensation potentially worth billions of dollars for the Medibank customers affected by a massive data breach at the health insurer, while an investigation into a potential class action against Optus for its data breach is progressing.

Maurice Blackburn Lawyers, Bannister Law Class Actions and Centennial Lawyers on Monday confirmed they are pursuing Medibank on behalf of customers, by running a joint data breach complaint with the privacy regulator.

Based on the watchdog’s previous compensation determinations for data breaches, the payout could cost the insurer up to between $4.84 billion and $194 billion because of the number of customers involved.

Around 9.7 million current and former customers of Medibank and budget subsidiary ahm had their personal information, including names, dates of birth, address, phone numbers and email addresses, as well as sensitive data about claims, compromised in the data breach in September. Some of the data was then released to the dark web, according to the company.

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https://www.countrysaphn.com.au/provider-connect-australia/

Provider Connect Australia

Provider Connect Australia - helping healthcare providers stay connected

Provider Connect Australia is a new service operated by the Australian Digital Health Agency to streamline the process of healthcare organisations keeping their business partners up to date with details of the services they provide and the practitioners that provide them.

Benefits of Provider Connect Australia

When healthcare provider organisations update their contact details in the Provider Connect Australia service, this automatically sends their new details to nominated hospitals, pathology and radiology services, public service directories, secure messaging providers and more.

This service will be launched to all Australian healthcare provider organisations in early 2023. The benefits to you and your team include:

·         Significantly reduces the time spent to manually notify each business partner whenever healthcare provider organisation details change.

·         Reduces and/or eliminates potential errors from manually transcribing information

·         It is a secure, reliable and efficient way to help healthcare providers stay connected on a national scale.

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https://www.hospitalhealth.com.au/content/technology/news/sa-health-to-roll-out-emr-in-regional-hospitals-1652631484

SA Health to roll out EMR in regional hospitals

Wednesday, 18 January, 2023


South Australia is set to roll out an electronic medical record (EMR) system to all regional hospitals and Local Health Networks.

The system is already in place in most metropolitan hospitals and now the state government has approved an additional $31.1 million for a statewide regional rollout expected to be complete by late 2024.

Regional hospitals are currently using an outdated software system that is no longer supported or fit for purpose.

The EMR system, developed by global clinical software vendor Altera Digital Health, will deliver integrated, patient-centred care across the SA Health system and will also streamline processes for healthcare workers.

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https://www.linkedin.com/jobs/view/product-performance-lead-at-australian-digital-health-agency-3437829370/?originalSubdomain=au

Product Performance Lead

Australian Digital Health Agency Canberra, Australian Capital Territory, Australia On-site 1 day ago 4 applicants

  Full-time · Mid-Senior level

  501-1,000 employees · Hospitals and Health Care

About the job

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

The Product Performance Lead operates from within the Digital Strategy Division and works closely with Agency analytics, operations, research, and partnerships teams, as well as external stakeholders, to generate insights for developing effective product roadmaps, roll-out plans, and post-launch service operations.

The Product Performance Lead exercises initiative and judgment in the applying product, service, and operations management practices and procedures to ensure that technical, professional, or policy advice received is relevant to the Agency’s products.

The Product Performance Lead applies strong stakeholder engagement skills and is responsible for working with key internal and external stakeholders to understand, negotiate and resolve complex, difficult, or sensitive issues arising in the context of the Agency’s products.

https://www.linkedin.com/jobs/view/director-enterprise-architecture-at-australian-digital-health-agency-3437827369/?originalSubdomain=au

Director Enterprise Architecture

Australian Digital Health Agency Canberra, Australian Capital Territory, Australia On-site 1 day ago 6 applicants

  Full-time · Director

  501-1,000 employees · Hospitals and Health Care

About the job

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

As the Director Enterprise Architecture, you will have strong leadership qualities, in proactively and purposefully championing the nationwide development, implementation and maintenance of Enterprise Architecture functions within the Agency, and in so doing making a difference in the lives of all Australian citizens.

The Director Enterprise Architecture will advocate for Enterprise Architecture through, for example:

  • Uplifting the maturity and effectiveness of architectural capabilities, and practices; and building an understanding of Enterprise Architecture within the Agency.
  • Working consultatively with stakeholders in providing expert advice and defining a future state technology blueprint to support Agency imperatives.

In addition, the Director Enterprise Architecture will be adept at formulating, leading, and developing teams of specialists in delivering complex and time-sensitive outcomes in a dynamic and changing environment, using active planning and optimisation of resources.

The role will be expected work under broad direction in successfully executing work of high complexity and/or sensitivity.

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https://www.linkedin.com/jobs/view/data-design-lead-non-ongoing-at-australian-digital-health-agency-3446023245/?originalSubdomain=au

Data Design Lead (Non-ongoing)

Australian Digital Health Agency Sydney, New South Wales, Australia On-site 1 day ago 5 applicants

·  Full-time · Mid-Senior level

·  501-1,000 employees · Hospitals and Health Care

About the job

As the EL1 Data Design Lead, you focus on bringing analytics and data to life across the organisation. You will do this by being hands-on and working with the Data and Reporting team to develop simple, highly engaging dashboards and designs. This will involve leading the transformation of the Agency towards a consistent and effective approach to storytelling through data while supporting the data-driven decision-making process across the Agency. As the EL1 Data Design Lead, you will be required to:

  • Apply data design and visualisation principles and techniques to raise the bar on all dashboards and reports being produced and maintained.
  • Establish data guidelines and dashboard templates to support other analysts.
  • Mentor other analysts tasked with designing data through dashboards.
  • Develop a deep understanding of existing data sources, the relationships between each dataset and their limitations to support the ability to support the end-to-end process of developing dashboards.
  • Analyse, interpret and present complex concepts and information succinctly to varied and frequently non-data specialist audiences.
  • Provide strategic support to the section to deliver quality reporting and analytics services that are efficient, effective and in line with Agency objectives.
  • Undertaking a review of existing reporting and systems as part of continuous improvement.
  • Provide analytic assistance and training to the Agency and data presentation advice to stakeholders.
  • Develop and maintain strong, effective working relationships and communications with key internal and external stakeholders to facilitate data collection, review, analysis, and reporting.

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

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https://cesphn.org.au/news/nsw-health-pathology-results-delivered-into-your-software

NSW Health Pathology results delivered into your software

16 January 2023

Digital Health

Last year, we updated you with the news that NSW Health Pathology was in the process of setting up electronic results delivery via HealthLink.

This has now been set up and you can receive results electronically into your practice Software –Best Practice, Medical Director and Genie.

To register for the electronic pathology results from NSW Health Pathology please complete the enclosed NSW Health Pathology medical practitioner form below and email to NSWPATH-BusinessDevelopmentEast@health.nsw.gov.au

If you do not have HealthLink, first visit the HealthLink website to register for a free account https://au.healthlink.net/au_registration/

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https://www.itnews.com.au/news/nbn-co-shows-upgrade-trajectory-for-50-to-100mbps-migration-589813

NBN Co shows upgrade trajectory for 50-to-100Mbps migration

By Ry Crozier on Jan 17, 2023 11:47AM

Lays out forecast for next three years.

NBN Co is hoping to almost double the number of subscribers it has on 100Mbps-plus plans in the next three years.

Much of this movement relies on narrowing the gap in price between its 50Mbps plans - currently the most popular - and 100Mbps services, in particular.

The proposed way of achieving this is by raising the cost of 50Mbps services, while simultaneously reducing the cost of 100Mbps plans and above - but it will require ACCC approval, which is far from guaranteed.

The net effect of the planned price changes, according to an analysis by TPG Telecom, would be convergence of 50Mbps and 100Mbps prices, potentially within a year.

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https://www.theaustralian.com.au/business/technology/telstra-joins-chorus-of-critics-over-nbn-pricing/news-story/1743afcfc29758fa037a174c9ba10f49

Telstra joins chorus of critics over NBN pricing

By David Swan

5:34PM January 16, 2023

Telco giant Telstra has weighed in on the latest pricing proposals from NBN Co, describing them as “steps in the right direction” but echoing the competition watchdog’s concerns with planned price rises, including to the most popular 50Mbps plans.

The ACCC on Friday published a consultation paper in response to NBN Co’s latest pricing proposal – known as the Special Access Undertaking – that would lift the prices of some plans and lock in terms until 2040.

The watchdog flagged multiple concerns and has taken issue with planned price rises to NBN’s 50Mbps plans, concerns shared on Monday by Telstra.

“While the SAU has made some steps in the right direction, there is still some work to be done to ensure the regulatory framework delivers the right wholesale prices and service quality for customers over the next 10-20 years. Given the long-term nature of this SAU, it’s critical for our customers that we get it right,” a Telstra spokeswoman said.

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https://www.itnews.com.au/news/future-nbn-price-shock-weighs-on-accc-589783

Future NBN 'price shock' weighs on ACCC

By Ry Crozier on Jan 16, 2023 12:30PM

As regulator looks beyond mid-2032.

NBN Co must convince regulators that its broadband pricing won’t become “inefficiently high” from mid-2032 for its latest special access undertaking (SAU) variation to pass.

Late last week, the ACCC raised substantial concerns [pdf] with the latest redraft of the SAU, which sets price and non-price terms for NBN Co’s operation between now and 2040.

One of the key issues is what happens to NBN pricing from mid-2032.

NBN Co is proposing two regulated periods either side of June 30 2032. 

The main differences are:

  • The amount of historically incurred costs that can be claimed in each period - $1 billion in the first bit, and up to $11.5 billion post mid-2032; 
  • Price controls that apply up to mid-2032 don’t necessarily carry over; and
  • After mid-2032, NBN Co wants a “stand-alone credit rating with a stable outlook”.

The ACCC is concerned the pursuit of the credit rating could mean large price increases immediately beyond mid-2032, with little regulatory recourse.

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Enjoy!

David.

 

Sunday, January 22, 2023

I Wonder Where This Issue Fits In Your Assessment And Use Of Digital Health?

This appeared last week:

16 January 2023

Can digital health curb sector’s climate impact?

By Fran Molloy

With health contributing a significant portion of global emissions, the sector needs to be part of the solution.


Climate change has been dubbed the greatest health challenge in human history – and digital health is late to the party, says Professor Enrico Coiera, who is Director of the Centre for Health Informatics and the Australian Institute of Health Innovation at Macquarie University in Sydney. 

“In Australia alone, seven to nine per cent of total greenhouse gas emissions are healthcare related,” he says. “We are not going to solve climate change without addressing this impact.” 

Health plays a big role in the urgent priority to reduce greenhouse gas emissions to net zero; worldwide, the sector contributes 4.4 per cent of global emissions (large portions of this from wealthy countries like the US and Australia) and is estimated to triple by 2050. 

Coiera and his colleague Professor Farah Magrabi (who co-edited the recent ‘human health and climate change’ issue of the Journal of American Medical Informatics Association) have outlined ten steps health informaticians can take to address climate change. 

These include building net-zero into every digital health project, embedding climate resilience into the design of information and health systems, and tackling wasteful deployment and decommissioning of software and hardware. 

Coiera says that digital health will continue to play an important role in reducing the climate impacts of the health sector, through data sensing, monitoring, electronic data capture, modelling, decision support, and communication.  

His scoping review with Magrabi and Hania Rahimi-Ardabili notes that digital health can reduce health sector emissions by shifting certain health services to be virtual, and will be central to managing disease outbreaks and co-ordinating the health response to population-level disasters like heatwaves, fires and floods. 

Streamlined health processes and electronic medication systems reduce hospitalisation and medication errors (though the jury is out on how effective these are) – but digital health also introduces more emissions and waste.  

“Generic solutions such as shifting to renewable power will improve the footprint of health care – but there are also specific risks we need to manage, such as anaesthetic gas escapes of potent greenhouse gases which cumulatively make a big impact,” Coiera says.  

“In the digital health world, we focus on building real-world, interoperable systems to improve the way we deliver healthcare, and if we think about climate at all, it might include supporting renewable power or reducing transport,” Coiera says. 

“But focusing on climate change while co-editing this special issue has opened my eyes to how big the problem is for digital health, and how much we need to do,” he says. 

Digital health as a solution rather than part of the problem? 

Coiera says that as global heating changes our world dramatically, events such as floods, fires, storms and heatwaves will “disrupt, paralyze, and even dismember the very health services we so diligently seek to support.” 

And digital health is a big part of the problem: as the popularity of cloud computing and offsite storage grows, Coiera says it’s worth remembering that data centres used an extraordinary one per cent of global energy usage in 2018 – a proportion predicted to grow.  

The growth of AI in digital health care is also a concern, he adds: multi-billion parameter AI models come with a substantial energy cost and matching carbon footprint. 

As climate change intensifies, the human health consequences are growing, and include  changed pathogen distributions that will expose new populations to over half of known human infectious disease vectors

Climate-induced disasters have a significant health impact; Australia’s 2019-20 bushfire crisis saw increased ED and GP visits and mental health impacts; air pollution contributed to 1.3 per cent of Australia’s total 2018 disease burden; and the growing impact of heatwaves across Australia will raise demand for health services.  

More here:

https://medicalrepublic.com.au/can-digital-health-curb-sectors-climate-impact/82724

Here is the link to a key article and an extract:

What did you do to avoid the climate disaster? A call to arms for health informatics

Enrico Coiera, Farah Magrabi

Journal of the American Medical Informatics Association, Volume 29, Issue 12, December 2022, Pages 1997–1999, https://doi.org/10.1093/jamia/ocac185

Published: 16 November 2022

Extract

The effects of human-induced climate change on our planet are already largely irreversible for many centuries1 and may remain so for at least 1000 years.2 If emissions continue to grow, their effects will trigger multiple critical tipping points and event cascades that will amplify climate effects in unpredicted ways.3 Just in 2022, we have seen flooding cover one-third of Pakistan, affecting 33 million people.4 India and Pakistan’s heatwave was the hottest yet on record.5 Recent years have seen historically extreme forest fires across North America, Europe, Asia, and Australia. Low-lying Pacific nations are slowly starting to disappear as sea levels rise, fed by melt waters from disappearing glaciers and sea ice, and coastal cities everywhere are at risk.6 The same emissions driving climate change are also affecting our health. Particulates in air pollution are likely responsible for around 300 000 lung cancer deaths globally,7 and the list of climate-induced health problems leading to poorer outcomes is depressingly long.8,9 Humanity is in trouble, and our way out is uncertain to say the least.

---- End extract.

Here is the link – if you have access!

https://academic.oup.com/jamia/article-abstract/29/12/1997/6827134

What I did not see in the parts of the article that are accessible is just how much Digital Health contributes to the total Health and total national carbon emissions. I can’t imagine it would  be the first target you would try to address, unless you were keen on reverting to the pre-digital health system.

I understand that reducing emissions is a critical objective but maybe efforts should be focussed on area like power generation, transport, smelting and so?

We could also put more effort into making sure Digital Health Systems are actually delivering the promised improvements in quality and safety!

Overall, I somehow feel this is a solution looking for a substantive problem in the overall scheme of things.

What do others think? Is this an issue worthy of focus or are there ‘much bigger fish to fry”?

David.

AusHealthIT Poll Number 667– Results – 22nd January, 2023.

Here are the results of the poll.

Overall, Are You Expecting 2023 To Be An Improved Year For Digital Health Delivery In Australia?

Yes                                                                                            14 (34%)

No                                                                                             27 (66%)

I Have No Idea                                                                           0 (0%)

Votes: 41

A clear outcome suggesting there is not a lot of optimism around at present.

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

A good number of votes. and a pretty clear outcome. 

0 of 41 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.