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."

Friday, September 26, 2014

I Think These Are Pretty Important Findings Regarding The Use Of EHRs.

This appeared a little while ago.

RAND: EHR usability a 'unique and vexing' challenge to doc satisfaction

September 16, 2014 | By Marla Durben Hirsch
The RAND Corporation has released a new study warning that electronic health records worsen physicians' satisfaction, which in turn may adversely affect patient care.
The study, sponsored by the American Medical Association, evaluated data from 30 physician practices in six states, 28 of which used EHRs. Fourteen different EHR products were represented. 
The authors evaluated physician satisfaction, and determined that the "most novel and important findings" involved how EHRs affected the physicians' personal satisfaction. While most physicians like the concept of EHRs and how they enhanced remote access and electronic communication, their inadequate design and usability provided a "unique and vexing challenge to physician professional satisfaction" in areas such as increased time on data entry, interference with face to face care, interfaces that don't match workflow, poor health information exchange and a mismatch between Meaningful Use and clinical practice.
"The current state of EHR technology appears to significantly worsen professional satisfaction for many physicians--sometimes in ways that raise concerns about effects on patient care," the report's authors said. "Physicians look forward to future EHRs that will solve current problems of data entry, difficult user interfaces, and information overload.
More here:
Here is the direct link to the report:
The report is titled:

Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy

This part of the Table Of Contents is just fascinating:
“Qualitative Findings
Improved Professional Satisfaction: EHRs Facilitate Better Access to Patient Data
Improved Professional Satisfaction: EHRs Improve Some Aspects of Quality of Care
Improved Professional Satisfaction: Better Communication with Patients and Between  Providers
Worsened Professional Satisfaction: Time-Consuming Data Entry
Worsened Professional Satisfaction: User Interfaces That Do Not Match Clinical Workflow
Worsened Professional Satisfaction: Interference with Face-to-Face Care
Worsened Professional Satisfaction: Insufficient Health Information Exchange
Worsened Professional Satisfaction: Information Overload
Worsened Professional Satisfaction: Mismatch Between Meaningful-Use Criteria and
Clinical Practice
Worsened Professional Satisfaction: EHRs Threaten Practice Finances
Worsened Professional Satisfaction: EHRs Require Physicians to Perform Lower-Skilled Work
Worsened Professional Satisfaction: Template-Based Notes Degrade the Quality of Clinical
Documentation
Future Effects on Professional Satisfaction: Physicians Express Optimism About EHR
Development in the Long Term
----- End Extract.
The study was conducted a year ago with the support of the American Medical Association and they have suggested a response to this here:

AMA presses for better EHRs

Posted on Sep 17, 2014
By Bernie Monegain, Editor
The American Medical Association, which represents more than 200,000 members, says its time to fix poorly designed EHRs so doctors can use them more effectively and better serve their patients.
The demand follows an AMA study with RAND Corp. confirming that physician frustration with EHRs is taking a significant toll not only on them, but also on their patients.
Calling the need for better EHR design "urgent," the AMA on Tuesday released a new framework outlining eight priorities for improving EHR usability to benefit caregivers and patients.
"Physician experiences documented by the AMA and RAND demonstrate that most electronic health record systems fail to support efficient and effective clinical work," AMA President-elect Steven J. Stack, MD, said in announcing the initiative. "This has resulted in physicians feeling increasingly demoralized by technology that interferes with their ability to provide first-rate medical care to their patients."
Among physician concerns that the AMA highlighted is that EHRs are cumbersome, requiring too much time-consuming data entry, which leaves less time for patients.

Other studies support the findings, the AMA points out, including a recent survey by International Data Corporation that found 58 percent of ambulatory physicians were not satisfied with their EHR technology, "most office-based providers find themselves at lower productivity levels than before the implementation of their EHR" and that "workflow, usability, productivity, and vendor quality issues continue to drive dissatisfaction."
Lots more here:
Very useful and interesting stuff in my view.
David.

Thursday, September 25, 2014

Review Of The Ongoing Post - Budget Controversy 25th September 2014. It Just Rolls On!

Budget Night was on Tuesday 13th May, 2014 and the fuss has still not settled by a long shot.
It is amazing how the discussion on the GP Co-Payment just runs and runs. Some more this week.
Here are some of the more interesting articles I have spotted this 17th week since it was released.
Parliament is back this week so we will see what happens.

General.

Stephen Leeder: Let’s manage care

Stephen Leeder
Monday, 15 September, 2014
THE challenge we all face as doctors is how to manage the rising tide of patients with chronic illness.
Our success in preventing death from heart disease is a fine example of our dilemma. Mortality rates have tumbled but patients who previously would have died live on with damage, which can progress over years to heart failure.
Cancer has become a chronic disease, requiring ambulatory care services for years with only short hospital admissions at diagnosis and initial treatment, and at the end of life.
We have good health services in Australia but they exist within formal boundaries of hospital, general practice and community care. Getting these elements together is a big deal.
-----

Medecins Sans Frontieres slams Australia’s Ebola response

  • September 17, 2014 7:40PM
  • Sue Dunlevy National Health Reporter
  • News Corp Australia Network
The Federal Government has been embarrassed over its $7 million response to the Ebola virus with an international medical group rejecting the money and demanding Australian doctors be sent to Africa instead.
Medecins Sans Frontieres (Doctors without Borders) executive director Paul McPhun has told News Corp he won’t accept the $2.5 million Prime Minister Tony Abbott announced would go to his group.
“We have made clear we are not in a position to take the money,” he said.
-----

Aged care: funding cuts will impact on elderly patients

Date September 21, 2014 - 12:03AM

Julieanne Strachan

Reporter for The Sunday Canberra Times.

Funding cuts to aged care are hitting the nation's nursing homes hard and have been branded "cruel and heartless" by the federal opposition.
The Sunday Canberra Times revealed last week that advocates for aged care were alarmed over staffing levels in nursing homes, saying too few staff in some facilities meant elderly care was being compromised.
The Federal government withdrew its $16 a day Dementia and Severe Behaviours Supplement on July 31, which had allowed nursing homes to put on extra staff and was aimed at improving quality of life for vulnerable patients.
-----

Budget backdown: Treasurer Joe Hockey’s plan to slash aged pension and family handouts to be blocked by the Senate

  • EXCLUSIVE Samantha Maiden National Political Editor
  • The Sunday Telegraph
  • September 21, 2014 12:00AM
JOE Hockey’s nastiest budget cuts to the aged pension and family tax benefits will be put on ice in a stunning back down set to blow a $9 billion hole in the budget.
Some of the most contentious measures in the unpopular May budget face certain defeat, with Labor, the Greens and Clive Palmer united in blocking cuts to the indexation of the aged pension and family payments for over one million parents.
For the first time, Social Services Minister Kevin Andrews has now privately signalled to cross bench senators that he is prepared to cut a deal with Labor, listing the legislation for debate in the Senate this Tuesday. Government sources confirmed they hoped the amended legislation will be passed by the Senate the following week but the deal is likely to gut the most contentious budget measures.
-----

GP Co-Payment.

Michael Gliksman: Risky policy

Michael Gliksman
Monday, 15 September, 2014
IT’S almost 40 years since the Whitlam government introduced a publicly funded universal health care scheme called Medibank, which became Medicare almost 10 years later.
We were the twelfth nation in the world to introduce universal health care.
Now an Australian government seems intent on destroying the battered principal of universality — access to health care that responds to individual need, not individual income — that has survived despite the gradual erosion of the real value of rebates by successive federal Labor and Liberal governments. And it is set to do it with the perhaps unwitting assistance of the AMA.
Under the government’s proposal, Medicare rebates will be cut by more than $3.5 billion, with GPs to collect a $7 copayment from each patient for each occasion of service. The proposals are deeply unpopular. The effect on the less well off would be devastating.
-----

Five more reasons we should not have co-payments on GP visits

Michelle Hughes | Sep 18, 2014 6:53PM | EMAIL | PRINT
The GP co-payment had a brief period in the sun recently when the MRFF Action Group was formed to support the medical research fund.
The health sector was quick to respond that while the Medical research fund was a positive development its funding source was unacceptable.
-----

Medical Research Fund.

Medical research fund should not be political football, say experts

Date September 16, 2014 - 6:42AM

Matthew Knott, Fergus Hunter

Leading medical researchers have urged politicians not to let the federal government's proposed $20 billion fund for medical research become a victim of the divisive debate about the $7 GP co-payment fee.
Researchers, including immunologist and former Australian of the Year Gustav Nossal, admit their advocacy for the fund has been stifled by how it will be financed.
"This is a visionary idea for our children and grandchildren," Sir Gustav said. "I'd urge politicians with every fibre of my being to pick this idea up and run with it. 
"The debate has been muted because many people have been antagonistic to the co-payment [but] the potential for the Medical Research Future Fund is absolutely tremendous.
-----

Aust below par on medical research funding

  • September 16, 2014 10:05AM
  • AAP
AUSTRALIA is lagging behind on public funding for medical research and must back the federal government's plan for a $20 billion endowment fund, the scientific community says.
COMMONWEALTH investment in health and medical research is currently 64 per cent of the OECD average, and well behind comparable countries such as the UK, Canada and Korea.
The coalition government wants to set up a Medical Research Future Fund (MRFF), backed by money collected from a new $7 GP visit co-payment.
Now leading figures have formed a MRFF Action Group to back the initiative, which is facing opposition in the Senate where key crossbenchers are opposed to the co-payment requirement.
-----

Action group formed to back co-payment plan

16 September, 2014
Australia is lagging behind on public funding for medical research and must back the federal government's plan for a $20 billion endowment fund, the scientific community says.
Commonwealth investment in health and medical research is currently 64%t of the OECD average, and well behind comparable countries such as the UK, Canada and Korea.
The coalition government wants to set up a Medical Research Future Fund (MRFF), backed by money collected from a new $7 GP visit co-payment.
-----

Families will turn to Dr Google if Medicare co-payment is introduced

  • JEN KELLY
  • Herald Sun
  • September 15, 2014 9:35PM
A THIRD of families say they will visit the doctor less often if the proposed $7 Medicare co-payment is introduced by the federal government.
Many mums and dads quizzed in the Herald Sun Primary School Parents’ survey said they would put off visits to the doctor unless it was urgent.
Others said they would turn to “Dr Google”, try natural cures, wait until the illness worsens or rely on their own “amateur diagnoses”.
-----
16 Sep 2014 - 3:10pm

Co-payment not needed for fund: scientists

Leading scientists and health industry figures say the Medical Research Future Fund can survive without the GP co-payment
AAP
16 Sep 2014 - 10:00 AM  UPDATED YESTERDAY 3:10 PM
The $20 billion Medical Research Future Fund needs to go ahead with or without the $7 Medicare co-payment, according to Australia's leading scientists.
The co-payment announced in the May budget was intended to pay for the fund, but has met widespread criticism.
Internationally renowned Australian scientist Sir Gustav Nossal says the promised $20 billion could be raised by other means.
Sir Gustav is part of a group of leading Australian scientists and health researchers who are campaigning for the fund to go ahead.
-----

Pharmacy Related Articles.

Crackdown on unapproved pharmacies

16 September, 2014 Chris Brooker
The Federal government has announced a crackdown on pharmacies that dispense PBS medicines without an approval number.
In a statement issued today, Health Minister Peter Dutton says the Department of Health has “become aware of a small number of instances where approved pharmacists appear to be claiming for the supply of pharmaceutical benefits where the supply was not made at or from approved premises”.
Pharmacists who fail to comply with requirements under the National Health Act could have their approval status suspended or revoked, meaning they would no longer be able to supply and claim for pharmaceutical benefits, Mr Dutton warned.
-----

A matter of ethics: the homeopathy debate

15 September, 2014 David Brill
What will it take for pharmacists to stop selling diet pills, detoxes and homeopathic products? David Brill examines the debate around  stocking 'bogus' medicines.
On an otherwise unremarkable high street in Taree, NSW, two doors down from the Bait & Tackle fishing shop, stands a pharmacy with a difference.  
To the untrained eye, Saxby's might look like any other Australian chemist.   
But inside, a quiet revolution is underway, and the very soul of the pharmacy profession is at stake.  
What sets this store apart is the refusal of its owner, Ian Carr, to stock the bogus products that have become all too commonplace on pharmacy shelves in recent years. Gone are the 'miracle' diet pills, the 'detox' cleansers, the herbal supplements and the ear candles. If it doesn't have a decent evidence base, Mr Carr does not sell it.   
-----

Funding pharmacist health checks 'foolish': AMA

18 September, 2014 Chris Brooker
The Federal Government would be “foolish“ to fund pharmacist provision of primary health checks, the AMA believes.
The Pharmacy Guild of Australia’s call for funding for expanded pharmacy services is nothing more than a ploy to strengthen its bargaining position ahead of the 6CPA negiations, says AMA president, Professor Brian Owler.  
Writing in Australian Medicine, Professor Owler accused the Guild of cynically using primary health care as “a bargaining chip in its efforts to secure the best possible deal for pharmacy owners – not patients – under the new Community Pharmacy Agreement”.
Professor Owler was responding to Guild proposals that the Government fund pharmacists to conduct cholesterol and blood pressure checks, administer vaccinations, and devise non-prescription treatments for minor ailments. A fee of $50 for such services had been suggested, he said.
-----

AMA opposes government funding

19 September, 2014 Chris Brooker
The federal government would be “foolish“ to fund pharmacist provision of primary health checks, the AMA believes.
The Pharmacy Guild of Australia’s call for funding for expanded pharmacy services is nothing more than a ploy to strengthen its bargaining position ahead of the 6th Community Pharmacy Agreement negotiations, says AMA president Professor Brian Owler.  
Writing in Australian Medicine, Professor Owler accused the Guild of cynically using primary health care as “a bargaining chip in its efforts to secure the best possible deal for pharmacy owners – not patients – under the new Community Pharmacy Agreement”.
-----

Want a pill that will make you rich?

David Leyonhjelm
It is night, a fever takes hold and a mother starts to worry. A bathroom cupboard is raided, but it is full of medicine past its use-by date. A child is bundled into a car. A waiting room is endured. Then a GP provides a prescription.
With child in arms the mother returns to the car, then scratches her head. Where is a chemist that would be open at this time of night?
The mother scrounges for her mobile phone, but it is out of charge. Should she drive around in the hope of finding a chemist that’s open, or trek back home to look one up? Driving past the lit-up supermarket, the mother wonders, “Why is it so hard to find a chemist?”
-----

Medicare Locals.

Freo Medicare Local in limbo

THE future of Fremantle Medicare Local is still up in the air because the Abbott government is yet to decide what will replace it when funding runs out next year.
The organisation directly runs the Fremantle Street Doctor, the after-hours clinic at Fremantle Hospital, Closing the Gap indigenous health initiatives and the Partners in Recovery program for families affected by mental health issues. All are at risk if FML folds.
FML’s board met last month to discuss its future, but CEO Christa Riegler says there’s still not enough information from the federal government to make a decision.
-----

After-hours GPs and pharmacies relieve patients’ symptoms of stress

  • Lauren Tesolin
  • Penrith Press
  • September 15, 2014 11:09AM
AN INFLUX of doctors has alleviated a critical shortage of healthcare workers in the Nepean-Blue Mountains region.
Within the past 12 months, more than 16 GPs and practice staff have been recruited to serve the area’s growing population.
The decision to commit more staff in the west came after the area was declared a District of Workforce Shortage (DWS) last November.
Lizz Reay, acting chief executive of the Nepean Blue Mountain Medicare Local, said a DWS was issued as the shortfall of doctors was putting pressure on already stretched existing GP services.
-----
Comment:
I also have to say reading all the articles I still have no idea what is actually going to happen with the Budget at the end of the day. Now parliament is back we may get some clarity.
To remind readers there is also a great deal of useful health discussion here from The Conversation.
Also a huge section on the overall budget found here:
Enjoy.
David.

Wednesday, September 24, 2014

Sometimes I Really Wonder About The Powers That Be. Do They Actually Think When They Release Material Like This?

This tiny reference appeared a few days ago.

Revised eHealth publications

The OAIC has published updated versions of eHealth records and healthcare identifiers resources. Minor amendments have been made to the existing resources to reflect the Australian Privacy Principles and update the language to reflect the current functionality of the personally controlled electronic health record system.
More here:
The full Office Of Information Commissioner page on e-Health is found here:
The updated documents can be found here:

eHealth privacy fact sheets for consumers

All well and good and useful. There is only one problem. The documents lack a change log so you can see what has been updated and quickly understand whether there are any implications for you.
It would not have been hard to do and would have helped a great deal!
Wanders off just shaking head…
David.

Tuesday, September 23, 2014

This Really Says It All! The Department Of Health Has No Idea If Health Investments Are Paying Off Or Making A Difference. About Time They Did!

Was browsing around the other day and found this page:

eHealth Program Evaluations

Evaluations of the Health Connect, Managed Health Networks Grants, and Broadband for Health programs
Page last updated: 20 January 2011
The link is here:
The HealthConnect Evaluation Report - which is by no means the only one done - is dated from mid 2009 - and the program is defunct.
The Managed Health Networks Grants program similarly is defunct and died in 2009.
Astonishingly the Broadband for Health Program began over a decade ago and died in 2007.
Here is a summary of what this was about.
“The BFH program was a $69 million program to encourage the uptake of secure, business-grade broadband by general practitioners, Aboriginal Community Controlled Health Services, GP Afterhour locations, Royal Flying Doctors Service and community pharmacies nation­wide. The program commenced in August 2004 and concluded on 31 December 2007.”
Socrates made the point that “The unexamined life is not worth living” can I suggest, equally, the unexamined Government Health IT project is not worth doing.
Come on Department Of Health - show us the difference you have made since 2009.
If they can’t maybe the Auditor General or the Productivity Commission might like to take a close look!
David.

Monday, September 22, 2014

Weekly Australian Health IT Links – 22nd September, 2014.

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

Another quiet week with a lot of activity in specialist Health IT sectors and little happening with the National E-Health Program. It’s now 3 weeks since consultation on the fate of the PCEHR and no idea revealed as to what was learnt and what future plans are. We wait and watch….
The SAI-Global / Standards Australia imbroglio seems to have resolved itself without resolution and so we await Plan B!
Interesting to see lots of reporting on the Apple HealthKit.I wonder where this will all go over time and what difference this will make in the longer term?
-----

Blown-out Australian Defence Force e-health records rolled out

Summary: The Australian Defence Force has rolled out a new e-health program for initially 25,000 members at over double the initial budget of AU$55 million.
By Josh Taylor | September 19, 2014 -- 06:30 GMT (16:30 AEST)
The rollout of an AU$133 million national e-health system for the Australian Defence Force (ADF) is the first full national e-health record system, according to Assistant Minister for Defence Stuart Robert.
"This government places great demands on our soldiers, sailors, air men and women. Our expectations are high of our personnel, because we truly believe service is unique," he said.
"In return, we will ensure our personnel have the best possible healthcare and support."
The system, which began development in 2011 with CSC Australia, is based on a system that has been provided by Edgton Medical Information Systems in the UK since 2007. Robert said that for this reason, it is a mature technology that has been proven. However, despite the maturity of the technology, the budget for the project blew out from AU$55 million in 2011 to AU$133 million.
-----

ADF eHealth system rollout underway

The Defence eHealth Information System is being implemented for the Australian Defence Force's Joint Health Command by CSC.
The Defence eHealth Information System will hold the health records of each member from enlistment to retirement, and the information will be available to ADF health professionals at the point of care and at all levels of management.
The project began in 2011, but the rollout didn't start until April this year, and the parties have only just announced it.
-----

Defence deploying $56M e-health system

25,000 ADF members currently have an individual health record
Byron Connolly (CIO) on 19 September, 2014 16:26
The Australian Defence Force (ADF) in December plans to complete the rollout of a $56 million e-health information system, which will be used by 2,300 health practitioners and support staff across the country.
The rollout began in April in Queensland and has already started contributing to improved clinical outcomes for ADF members and overall efficiency of primary care delivery.
The Defence eHealth Information System, supplied by UK firm EMIS, provides ADF personnel with an individual medical record from enlistment through to retirement.
-----

Tech-savvy health fanatics could be sharing their most intimate information

Date September 15, 2014 - 11:41PM

Natasha Boddy

People using smartphone apps and wearable technology to track their health and fitness, weight loss or bodily functions could be unwittingly handing over some of their most private information to third parties. 
University of Canberra Centenary Research Professor Deborah Lupton has warned that when people use digital devices that connect to computing cloud storage facilities or developers' data archives, they could be losing ownership or control of their personal – and sometimes very private – data.
She said such information was a commodity that was potentially being used for commercial, managerial and government purposes and sometimes sold to third parties. 
-----

Mobiles, wearable media devices expose target

Lara Sinclair

MOBILE and wearable media devices such as watches and glasses will soon track the wearer’s pulse rate, as well as physiological changes and eye movements, which could help reveal not only the media and advertising messages people see, but how they react.
Combined with location data and spending information such as online purchases and mobile payments, that could help build a comprehensive picture of the consumer, according to Tom ­Eslinger, worldwide digital ­director at global advertising network Saatchi & Saatchi.
Eslinger says the mobile landscape is changing so quickly, companies must appoint a ­“mobile god” or goddess whose job is to keep up with new apps and other mobile developments.
-----

Bug infects Apple's iOS 8 HealthKit, delaying app launches

The iOS 8 feature plays a key role in Apple's health tracking ambitions
Zach Miners (IDG News Service) on 18 September, 2014 10:57
The Fitness app monitors all of your activity and movement through the day. Workout app lets you set specific goals for specific types of workouts, like cycling or running.
A bug in Apple's HealthKit -- a back-end feature in iOS 8 -- is delaying the launch of outside developers' fitness and health apps, the company said Wednesday.
HealthKit is a new tool for developers in iOS 8 designed to let their apps talk to Apple's native health apps. HealthKit is meant to pull in information from other apps and devices, like calories burned or heart rate, and make it more useful. For instance, it could allow a nutrition app, with the user's permission, to tell other fitness apps how many calories the person consumes in a day, Apple says.
-----

Apple yanks HealthKit apps due to unspecified bug

Summary: Third-party apps won't be allowed on the App Store until later this month thanks to a newly-discovered bug.
By Jo Best | September 18, 2014 -- 08:51 GMT (18:51 AEST)
Apps that work with Apple's HealthKit platform have been disappeared from the App Store due to an unspecified bug.
The health and fitness focused HealthKit, one of the headline features of iOS 8, was supposed to be supported by a range of apps when the operating system was released to users on Wednesday. However, Apple has temporarily removed them from its store.
Apple said: "We discovered a bug that prevents us from making HealthKit apps available on iOS 8 today. We're working quickly to have the bug fixed in a software update and have HealthKit apps available by the end of the month."
-----

Hooked on cloud - as Apple Watch debuts, new models step up

Socialisation technologies are inexorably drawing health and government into new models of industry engagement and industry-led protocols to protect health data. 
This week Apple CEO Tim Cook rolled out Apple's health-enabled smartwatch today amidst increasing scrutiny of healthcare apps and the storage of healthcare information in Apples iCloud service.
The new watch, known simply as Apple Watch, embodies a range of sensors, including pulse rate, workout intensity and the type of exercise. Using the HealthKit App, the watch is able to share the health information with healthcare providers and other associated apps, a move that has drawn interest in the US from players including Mayo Clinic and Memorial Sloan-Kettering.
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Wearable Sensor Launches in U.S. after FDA Approval

SEP 15, 2014 8:40am ET
Australia-based dorsaVi, a developer of wearable medical devices, has launched sales of its ViMove platform in the U.S., following 510(k) clearance by the Food and Drug Administration for measuring, recording, and reporting on movement and muscle activity of the lower back and lumbar spine.
ViMove consists of wearable sensors that are placed on the body to measure movement and muscle activity.
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Community Meds suppliers collaborate for safety, accuracy, efficiency.

The Australian community pharmaceutical industry is on the cusp of a significant change that will enable greater safety, efficiency and convenience in the supply and delivery of medicines.
Set to come into force in February 2015, Australia’s CSO pharmaceutical wholesalers (Symbion, Sigma, API and National Pharmacies) have agreed to set aside their differences to standardise their supply chain data by adopting the international GS1 standard and using GS1net, a national central product database managed independently by GS1 Australia.
Australia has an established history of industry-led collaborative/competitive projects such as the banking industry's BPAY that is unique to the country. In this case the wholesalers have been supported and encouraged by the National Pharmaceutical Service Association (NPSA), that represents them, along with the National E-Health Transition Authority (NEHTA) and GS1 Australia.
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Orion Health system underpins medical records in NSW

The Justice Health & Forensic Mental Health Network (JH&FMHN) has gone live with an electronic medical record suite from e-Health technology company Orion Health to support the delivery of complete electronic medical records across the New South Wales public health system.
Justice Health’s goal is specifically to provide a critical platform for the Justice Health electronic health system’s (JHeHS) migration to a computerised record of a patient’s medical history related to the clinical care received while in JH&FMHN. This will contain a subset of information previously held in paper medical records including patient details, medical conditions, appointments, pathology results, electronic forms and medicines prescribed. 
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Datacom makes e-health play

Company acquires 20 per cent stake in SmartWard, appoints chief medical information officer
Hamish Barwick (CIO) on 18 September, 2014 10:01
Datacom is set to acquire a 20 per cent share in Canberra-based health informatics software company SmartWard as it moves into the e-health space.
The Australasian IT services firm will install SmartWard’s health informatics software in hospitals around Australia. The software automates nursing records and removes the need for paper documents.
According to clinical trials conducted in 2013 by Deakin University’s Centre for Clinical Nursing Research at two Eastern Health hospitals in Melbourne, the SmartWard software reduced the amount of time nurses had to spend filling out patient records and increased patient care times.
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Government agency leaks customer details without telling

Date September 18, 2014

Beau Donelly

A government authority has leaked the billing and contact details of Victorians online, but decided against telling affected customers even though the privacy breach posed a "medium to high" level threat.
The undisclosed state authority responsible for the breach notified Privacy Victoria about problems affecting its online payment system after discovering the personal information of some customers could be seen by other users.
According to the Victorian Privacy Commissioner's annual report, tabled in state parliament on Thursday, the exposed details included customers' full names, home addresses and amounts owing on bills.
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Clinical Governance

The purpose of Clinical Governance is to:
  • Confirm that all NEHTA products, services and solutions are clinically appropriate and are clinically safe for release to the Australian community;
  • Making sure that clinical perspectives are clearly articulated, implemented and documented through the product development lifecycle.
Practicing clinicians with diverse clinical backgrounds are assigned to various areas of the NEHTA work programme. They are known as Clinical Governance Advisors.
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The 'Clinical Terminology Guidance' documents and 'AMT Development Approach' are now available for download

Created on Monday, 15 September 2014
These documents can be downloaded from the following areas of the NEHTA website.
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NEHTA Chair Dr Steve Hambleton Talks About eHealth

Created on Wednesday, 17 September 2014
NEHTA Chair Dr Steve Hambleton in Pulse+IT magazine talking about his role with NEHTA and his future plans for eHealth.
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#CochraneTech: technology and the future of systematic reviews

  • By: Julian Elliott, Ida Sim, Jessica Thomas, Nancy Owens, Gordon Dooley, Jacob Riis, Byron Wallace, James Thomas, Anna Noel-Storr, Gabriel Rada, Caroline Struthers, Tracey Howe, Harriet MacLehose, Linn Brandt, Ilkka Kunnamo & Chris Mavergames
  • On: September 19, 2014, 12:30
Since the birth of systematic reviews, technology has been an integral part of efforts to understand health evidence. Nevertheless, review authors commonly conduct the majority of their work on a patchwork of general software products poorly adapted to their needs, much of the data they handle is not captured for future use, and the core review output of a static PDF document limits the ability to search and process the contents of the review.
In recent years a combination of increasing frustration with the limitations of current systematic review technologies, an awareness of the impact technological developments have had in other fields, and promising results of recent innovations have led to an increasing focus on the opportunities afforded by emerging technologies. To help move the field forward Cochrane convened the #CochraneTech Symposium immediately prior to the 21st Cochrane Colloquium in Quebec City, Canada, in 2013. Following the success of this event, the second #CochraneTech Symposium will be held in Hyderabad, India, on Saturday 20th September (tech.cochrane.org/cochranetech).
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Google Analytics for your baby's movements is closer than you think

Date September 19, 2014

Sholto Macpherson

When Nico Miceli decided to help his aunt record her baby's first years, pulling out a video camera seemed a little old-fashioned. Instead the open-source software enthusiast added a motion sensor to the baby's crib, attached it to a miniature computer and tracked the child's movements using a Google software that monitors websites.
"I like measuring things like that. Especially around a time when mums want to scrapbook everything," Miceli, who works in California for Web Analytics Demystified, says.
Miceli's experiment was one of the earliest non-commercial uses of Google Analytics in sampling offline data. Two years ago Google released an updated version of its tool, called Universal Analytics, that could track information offline as well as online.
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SAI Global bidders get their Standards Australia meeting

In a truly 11th-hour move, bidders for standards, assurances and compliance firm SAI Global’s suitors were given full access to the top brass of Standards Australia in a meeting on Monday.
Just a day before final bids were due to be filed, and three days after the initial deadline, SAI took its suitors to meet with the company’s key counterparty Standards Australia.
But there was a catch, in the best traditions of a chaperone, to make sure everyone behaved properly.
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Standards Australia members angry over failed sale process

Simon Evans
Another of the member organisations of Standards Australia has come out swinging against what they consider to be a ‘’raw deal’’ from SAI Global as they back a push to try to wrestle back control of their own destiny.
Lighting Council Australia chief executive Bryan Douglas said he didn’t agree with the move to split off a lucrative publishing and licensing agreement in 2003 into the separate company SAI, which listed on the stock exchange with a motive to increase profits.
He was speaking after a sale process undertaken by SAI over the past four months ultimately didn’t deliver any whole-of-company bids for the company despite an initial $1.1 billion buyout proposal in May by Pacific Equity Partners, which later joined up with Kohlberg Kravis Roberts.
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Revised eHealth publications

The OAIC has published updated versions of eHealth records and healthcare identifiers resources. Minor amendments have been made to the existing resources to reflect the Australian Privacy Principles and update the language to reflect the current functionality of the personally controlled electronic health record system.
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MEDIA RELEASE

15 September 2014

New Chronic Pain Resource to Help GPs and Patients

Painaustralia and Healthshare have partnered to provide GPs with easy access to a useful resource to help patients with chronic pain better understand and manage their condition.

Painaustralia’s fact sheets are now available inside Healthshare’s Fact Sheets application. The application is integrated into the GP’s clinical software to provide patient education at the time of consultation. When the GP adds any chronic pain-related term as the patient’s “reason for visit” Healthshare’s application will present Painaustralia’s materials for the GP to print out or email to the patient.
Unlike acute pain which is relatively easy to treat, chronic pain is a very complex condition which can often challenge GPs. There is no simple answer and medication has limited – if any long term effect.
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Turnbull reflects on 'killing the dream' of NBN 'fibre fanatics'

Summary: A year into the job, Communications Minister Malcolm Turnbull says he is worried that some believe every Australian town can be a Silicon Valley with fibre to the premises, as he insists there is no money being saved in the fibre rollout.
By Josh Taylor | September 18, 2014 -- 05:36 GMT (15:36 AEST)
Communications Minister Malcolm Turnbull has warned of ongoing risk in the National Broadband Network (NBN) a year after coming to office, and claimed that there is no evidence that the cost of rolling out fibre to the premises (FttP) is declining, despite NBN Co's claims to the contrary.
Speaking today at the National Conference on Corporate Turnarounds and Transformations, Turnbull reflected on the NBN in the first year since the election of the Abbott government in September 2013. He said that while the fibre rollout has picked up pace in the last year, during which the government and NBN Co went through a number of reviews, a change of board and management, and a move to a "multi-technology mix" model that requires testing of fibre to the node and hybrid fibre-coaxial (HFC), the pace of the changeover has not been as fast as the government expected.
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Possible Telstra competition against NBN Co could upset economic model

Telstra may be constrained by structural separation undertaking, says Henry Ergas
Adam Bender (Computerworld) on 12 September, 2014 15:39
If Telstra were to compete against NBN Co, it would change the economic model for the National Broadband Network, NBN Co CEO Bill Morrow has said.
Telstra could be mulling whether it should copy TPG’s plan to compete against the NBN, according to reports.
Speaking at a Communications Alliance panel Friday morning, Morrow agreed this could be an issue for the NBN business model.
“If Telstra were allowed to go into this, and Telstra then had Optus follow and others, then it becomes material in nature, staying within that $29.5 billion and having the requirements of the speed, universal access, same price [and] all of those other factors, yes, it becomes a problem.”
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Hackers lock up thousands of Australian computers, demand ransom

Date September 17, 2014 - 3:36PM

Ben Grubb

Deputy technology editor

Thousands of Australian computers are being locked up by hackers using malicious software that encrypts files and asks for a ransom to make them available again.
Fairfax Media understands Australian government agencies and a number of large enterprises and individuals have been successfully targeted by the scam.
Called "Cryptolocker" and "CryptoWall", the "ransomware" comes in various forms with the CryptoWall version estimated by the government e-safety alert service Stay Smart Online to have infected approximately 20,000 Australian computers.
Computers are typically infected after victims click on a malicious link in an email purporting to be from Australia Post or Telstra. Files on their computer and network drives are then encrypted and a ransom demanded within a certain timeframe before a decryption key is supplied to unlock files. If no ransom is paid, the hackers threaten to never allow access to the files. 
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Enjoy!
David.