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, August 17, 2010

And Just Where Will Reliable Information Come From For This?

The present Government has announced it is establishing a web site to provide comparative information on Australia’s hospitals.

Here is the original announcement.

Myhospitals Website

17 July 2010

For the first time all Australians will soon be able to view important data about their public hospitals thanks to a new website being developed as part of the Government’s ambitious health reform agenda.

The MyHospitals website will provide clear, comparable and user-friendly information about all Australian public hospitals in all states and territories, except Western Australia.

People will be able to find, at the click of a mouse, the latest data on their local hospital. MyHospitals will show how that hospital performed compared to national average waiting times for elective surgery and emergency department care, list the medical services provided, bed numbers and if outpatient services, such as allied health and dental services, are provided.

Once operational, all Australians will see – for the first time and from the one source – which hospitals throughout Australia are performing well, and which hospitals may need more targeted assistance to help lift their performance.

Holidaymakers will be able to check whether a hospital at their destination offers accident and emergency services, and expectant mums in Sydney can check whether their nearest hospital has an obstetrics and maternity unit.

Similarly, people in Launceston will be able to see how their local hospital compares against the national average waiting times for a range of elective surgery procedures, while residents in Adelaide will be able to see how many beds are provided in Queen Elizabeth Hospital.

The website is being developed by the Australian Institute of Health and Welfare using the latest nationally comparable data from 2008-09. As a result of the COAG agreement in April this data has been provided with the agreement and support of every State and Territory government except Western Australia. The site will be ready in August.

Measuring and publicly reporting on the accessibility, performance, quality and safety of our hospitals is a key component of our health reform plans.

Full release here:

http://www.health.gov.au/internet/ministers/publishing.nsf/Content/mr-yr10-nr-nr150.htm

A day or so ago we learnt a little more.

Labor spends $2m on MyHospitals website

  • Karen Dearne
  • From: Australian IT
  • August 12, 2010 12:00AM

HEALTH Minister Nicola Roxon has spent $1.9 million on creating the "MyHospitals" website.

MyHospitals is a twin to the provocative schools comparison website MySchool launched by Julia Gillard in January.

Ms Roxon said the website - myhospitals.gov.au -would be ready this month.

The Australian Institute of Health and Welfare is building the website under a one-year contract to the Health Department, which includes site support until June 30 next year.

The AIHW has also been given $1.5m to boost its data management, analysis and reporting capabilities over the next two years.

Ms Roxon said the website would provide comparable, user-friendly information about all public hospitals nationwide - apart from Western Australia. The states agreed to provide their hospital data as part of the Council of Australian Governments' deal on health funding.

"Once operational, all Australians will - for the first time and from the one source - which hospitals are performing well, and which may need more targeted assistance to help lift their performance," she said when announcing MyHospitals last month.

There are plans to include private hospital data and reports for individual hospitals against a range of safety and quality measures.

See the full details.

http://www.theaustralian.com.au/australian-it/government/labor-spends-2m-on-myhospitals-website/story-fn4htb9o-1225904080312

Playfully the Croaky blog then had a huge range of experts say what content was needed.

What should the new MyHospitals website tell us?

, by Croakey

From next month, Australians will be able to search a MyHospitals website to find out information about public hospitals, according to recent statements from Health Minister Nicola Roxon and the Australian Institute of Health and Welfare.

Roxon says we will learn how any hospital performed compared to national average waiting times for elective surgery and emergency department care, and that the website will also list the medical services provided, bed numbers and if there are outpatient services, such as allied health and dental services. The range of information available on MyHospitals will continue to be developed in the future, including providing data on private hospitals and reporting data for each hospital against a range of safety and quality measures.

What else could the website include? This is a list of discussion-starters that I suggested, and keep reading below to see a wealth of other ideas from Croakey contributors:

• how healthy is the food provided to patients and available for visitors/staff etc

• how effectively the hospital engages with Indigenous patients and communities

• the demographics of patients compared with demographics of population need (to determine relative servicing of SES groups)

• how many staff smoke, drink to risky levels, are physically active (to determine the reach and effectiveness of health promotion programs for staff)

• the range and impact of efforts to improve local population’s health

• the support available to patients from rural or remote areas

• patients’ access to parking and its cost

• what proportion of the hospital’s funding is spent on administration, clinical service delivery, population health programs, research, teaching?

And here are stacks more suggestions from Croakey contributors…

There are all a huge number of suggestions here:

http://blogs.crikey.com.au/croakey/2010/07/23/what-should-the-new-myhospitals-website-tell-us/

In case you think this is forward looking – note this recent report.

DH reviews Dr Foster Intelligence

10 Aug 2010

The future of Dr Foster Intelligence, the UK’s best known provider of hospital performance information and analysis, is under review by KPMG on behalf of the Department of Health and Dr Foster Holdings LLP.

Dr Foster Intelligence is best known for its annual hospital guides, providing league tables of hospital performance data.

DFI was launched as a joint venture between Dr Foster and the NHS Information Centre in 2006. On 9 July the IC transferred its shareholding to the DH.

The review will explore strategic options for the future of DFI in line with government’s stated objective to create an open market in health performance and outcomes data.

This was a key aim of the recent white paper 'Equity and Excellence: Liberating the NHS', which stated the government’s commitment to an NHS "information revolution", providing patients with quality information and data on all aspects of healthcare.

Lots more here:

http://www.e-health-insider.com/news/6149/dh_reviews_dr_foster_intelligence

Of course the critical thing here will be whether useful, reliable and comparable data can be found and made available in a timely manner.

The key providers of the basic information, it seems, will be the Australian Institute of Health and Welfare (AIHW).

See here for their site.

http://www.aihw.gov.au/

There is no doubt that AIHW does a great job in collecting a very useful range of statistics and indicators and their two flagship publications are highly credible and carefully put together pieces of work.

See here:

http://www.aihw.gov.au/publications/index.cfm/title/11374

And here:

http://www.aihw.gov.au/publications/index.cfm/title/10872

However there is a serious ‘fly in the ointment’ in all this. This blog explores the issue and reminds one of the key issue:

http://aushealthit.blogspot.com/2010/04/just-watch-bureaucrats-game-this-system.html

Bottom line, as soon as you make comparable data available there will be winners and losers and the losers will have a strong incentive to ‘game the system’.

The only way a genuinely credible system can be created is when the activity and similar statistics are collected automatically from operational systems that are used to deliver care.

I think we are all aware we are a day or so away from that being a reality!

One can only wish the AIHW luck in this endeavour. It is interesting that the proposed new National Performance Authority which was planned to measure all this information does not seem to be mentioned in the press release. I wonder why that would be?

David.

Monday, August 16, 2010

AusHealthIT Poll Number 31 – Results – 16 August, 2010.

The question was:

How Confident Are You NEHTA and DoHA will Deliver a Successful PC EHR?

Extremely

- 6 (13%)

Moderately

- 6 (13%)

Neutral

- 3 (6%)

Not Really Sure

- 6 (13%)

Not A Snowflakes Chance in Hell

- 24 (53%)

Votes 45

I think it is fair to say there is a degree of scepticism out there about all this!

Again, many thanks to all those who voted!

David.

E-Health Features at the Labor Party Campaign Election Launch – Sort Of!

Prime Minister Gillard focussed on E-Health at the Labor Party Campaign Launch today, as reported a few hours ago on the blog.

Coverage has now appeared here:

Gillard stakes political future on broadband and health at Labor launch

  • Patricia Karvelas, Political Correspondent
  • From: The Australian
  • August 16, 2010 12:45PM

JULIA Gillard has vowed to transform the health system by allowing rural and regional Australians to see specialists using videoconferencing and online consultations.

Linking her national broadband network to the health of Australians, the Prime Minister said that from July 1 2012 Australians would have access to rebates to see doctors through the internet as part of a $392.3 million investment.

Ms Gillard said in the middle of the night a parent with a child with swelling or rash would be able to get help through the power of broadband access to the internet.

She said Tony Abbott would let children down, while Labor would complete the education revolution for every child in every school.

More here:

http://www.theaustralian.com.au/national-affairs/gillard-stakes-political-future-on-broadband-and-health-at-labor-launch/story-fn59niix-1225905855473

and here:

Updated: NBN to deliver online consultations: Gillard

Fibre-to-the-home network essential in delivering healthcare to regional and rural Australia, PM claims

Prime Minister, Julia Gillard, has used the Labor Party’s official campaign launch to link the future health of Australians with the National Broadband Network (NBN).

Speaking in Queensland, Gillard said the Government would use the speed and connectivity of the NBN to facilitate online consultations between patients and doctors via videoconferencing.

The $392.3 million initiative would see Medicare rebates issued from 1 July 2012 for some 495,000 online consultation services over four years to rural, remote and outer metropolitan areas.

The scheme would also include financial incentives for general practitioners and specialists to participate in delivering online services in tandem with an expansion of Labor’s GP after-hours helpline.

The new service would provide a link between a nurse or GP and the patient allowing online triage and basic medical advice to be delivered via videoconferencing.

A fund to support the training and supervision of health professionals on how to use online technologies would also be set up.

According to Gillard the NBN would be essential in curbing the rates of cancer-related deaths in regional and rural Australia.

“It is unacceptable to me, it is offensive to me, that if you live in rural and regional Australia you are three times more like to die within five years if you are diagnosed with cancer, than other Australians,” she said.

“That is because it is harder for people in regional and rural Australia to get access to the services, to the healthcare professionals they need. I want to transform that relying on the National Broadband Network.”

Patients would also be able to access specialist healthcare staff via dedicated videoconferencing units at their local GP’s office or medical centre, rather than commuting to the specialists’ offices.

According to the Government, more widespread utilisation of tele-health services outside of hospitals had been held back by lack of infrastructure, poor bandwidth and lack of Medicare rebates for consultations delivered online.

More here:

http://www.computerworld.com.au/article/357077/updated_nbn_deliver_online_consultations_gillard/?eid=-6787

and here:

http://www.theaustralian.com.au/business/news/julia-gillard-announces-392m-health-plan/story-e6frg90f-1225905869843

Julia Gillard announces $392m health plan

  • From: AAP
  • August 16, 2010 1:08PM

PRIME Minister Julia Gillard has announced a $392 million plan to modernise the health system, including allowing patients to access Medicare rebates for online consultations.

Ms Gillard said a re-elected Labor Government would use the internet to modernise the health system by funding online consultations and videoconferencing.

"For the first time, patients will be able to access Medicare rebates for online consultations across a range of specialties, helping Australians, including those in our regions and outer suburbs, get the healthcare they need," Ms Gillard said.

The announcement was made as Ms Gillard addressed the party faithful at the official launch of the Labor party in Brisbane.

The package includes $250 million for online consultations, providing about 495,000 services over four years for rural, remote and outer metropolitan areas.

There will also be financial incentives for GPs and specialists to deliver the online services at a cost of $56.8 million and an expansion of the GP after-hours helpline at a cost of $50 million.

Labor would also spend $35 million to support training for health professionals using online technologies.

and lastly here (so far).

Labor promise: Medicare rebates for online consults

16th Aug 2010

Andrew Bracey

LABOR has promised to establish Medicare rebates for online consultations if returned to government this weekend, with an announcement today it will allocate $250.5 million over the next four years.

The new funding would be shared “across a range of specialties”, according to a Labor statement, along with an additional $56.8 million in financial incentives that would be available to GPs and specialists who participated in delivering online services.

The latest election promise, which Labor estimated would provide about 495,000 additional services to Australians in remote, rural and outer metropolitan areas, has been welcomed by GP groups.

RACGP president Dr Chris Mitchell said that while more detail was needed regarding the levels of rebates and what they would cover, the college would be keen to work with a re-elected government to implement the program.

“There are issues such as having a quality framework around these [rebates] to make sure they are being used appropriately, but it is very innovative suggestion,” Dr Mitchell told MO.

“While this is not a substitution for face-to-face consultations, there are in fact a number of consultations that could very effectively be delivered through [telehealth].”

More here:

http://www.medicalobserver.com.au/news/labor-promise-medicare-rebates-for-online-consults

I guess I have two reactions to this:

First these seem like reasonable initiatives to help improve services to those patients who do not have easy direct access to specialists. I do wonder why there needs to be delay in implementation to 2011 and 2012 given how well Skype video conferencing works - which would be adequate for many consultations today while faster services are eventually rolled out - given the full NBN delivery time table is 7-8 years.

Second I am a little concerned that if these funds are available that they might have been better spent on more coherent and strategic delivery of other, more central, e-Health initiatives as per the National E-Health Strategy. Drip feeding funds into e-Health is really not the way to provide the leadership, governance, coherence and support the e-Health space needs.

One sort of gets the feeling this sort of ‘almost e-Health’ is being used politically for points scoring while we are still in the dark about what is happening with the harder and rather more important stuff in my view. Anyway at least e-Health seems to be a bit more ‘top of mind’ than it has been to date which is a good thing!

I liked the comment posted in response to the flash announcement. Good thinking 99!

David.

E-Health Flash From Labor Campaign Launch - Aug 16, 2010

According to the ABC a re-elected Gillard Government will provide payments for practitioners who provide services (e-mail, consults etc) via the Internet.

More to come!

David.

Update:

6minutes.com.au is reporting the following:

http://www.6minutes.com.au/articles/z1/view.asp?id=522106

Medicare rebates for online consults

Prime Minister Julia Gillard has just announced that a Labor government will allocate $250 million to fund Medicare rebates for online consultations for people in rural and regional areas. Labor will also offer $57 million in incentives for GPs to deliver online services from July 2011.

David.

Sunday, August 15, 2010

Weekly Australian Health IT Links – 15 August, 2010.

Here are a few I have come across this week.

Note: Each link is followed by a title and a paragraph or two. 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:

Only one week to go and e-Health seems to have slipped down the agenda and debate about where the NBN fits and how much we should spend seems to have fired up.

Reading through the various commentary it seems to me, as I heard suggested from a range of sources, that maybe somewhere in the middle might make sense and deliver all we need. Also with the very high speeds available from Telstra and Optus Cable (50+Mbits per sec) going past 2.5 million homes we will know pretty soon just what sort of take-up the NBN might generate.

In passing I note the same debate seems to be on in the USA.

http://www.washingtonpost.com/wp-dyn/content/article/2010/08/11/AR2010081106216.html

Support for broadband loses speed as nationwide growth slows

By Cecilia Kang
Washington Post Staff Writer
Thursday, August 12, 2010; A10

More than half of Americans generally disagree with federal government efforts to expand broadband connections around the nation, saying those projects are not important, according to a survey released Wednesday by the Pew Center.

The findings come as the Obama administration has allocated $7.2 billion in stimulus money for broadband grants, saying fast access to the Internet is essential to encourage innovation and expand the economy. The Federal Communications Commission and some members of Congress have also pushed to overhaul a $8 billion federal subsidy program used to bring phone lines to rural areas so that it will subsidize broadband, as well.

"As broadband technologies have been adopted in the majority of American homes, a debate has arisen about the role of government in stepping in to ensure availability to high-speed Internet to access for all Americans," said Aaron Smith, a senior research specialist at the Pew Centers' Internet & American Life Project and author of the report. "The majority think not, and the surprise is that non-users are the least inclined to think government has a role."

-----

It should be noted this is a public view. The Obama administration sees powerful arguments for continuing investment.

In passing I must note that all the discussions on e-Health have sadly been so way too superficial and poorly informed that the average voter, if they care, will be making a decision while lacking the information they need.

This time next week it will all be over and we can go back to normal!

-----

http://www.theaustralian.com.au/news/health-science/parties-must-recognise-importance-of-e-health/story-e6frg8y6-1225904662779

Parties must recognise importance of e-health

  • ELECTION 2010: Terry Hannan
  • From: The Australian
  • August 14, 2010 12:00AM

E-health systems that include computers, the internet, mobile phones and other handheld devices is saving HIV patients' lives in Africa.

It's efficient, inexpensive and managed by local communities using programs such as OpenMRS, a community-developed, open-source, enterprise electronic medical record system platform.

Don't Australians deserve the same? Apparently not. The Coalition has vowed to postpone e-health should it win office and, despite its pre-campaign health reform push, Labor has gone quiet on the matter.

Yet, given the political will and appropriate funding, we could treat patients with acute and chronic disease in remote Aboriginal communities, inner-city suburbs, regional areas and, well, anywhere.

-----

http://www.computerworld.com.au/article/356934/healthcare_grocery_recalls_go_private_cloud/?eid=-6787

Healthcare, grocery recalls go private cloud

GS1 Australia has signed an agreement with HP to implement a private cloud infrastructure for product recalls across healthcare, grocery industries

Non-profit standards organisation, GS1 Australia will look to implement recall services for the healthcare and grocery industries into a private cloud infrastructure, with a pilot of the system beginning this month.

Though the organisation has already begun testing a local version of its international recall service for the grocery sector, it will follow in the steps of its Canadian counterpart in using HP’s private cloud infrastructure to deploy the program.

GS1 is also looking to repurpose its barcode-based system for the healthcare sector in Australia, with medicine and medical goods recalls to be coordinated by the Therapeutic Goods Administration (TGA) and the National eHealth Transition Authority (NeHTA). The program would ultimately eliminate recall concerns in the industry, which currently undergo little oversight and are largely the onus of the medical goods provider and pharmacy who are not compensated for the extra work.

-----

http://www.misaustralia.com/viewer.aspx?EDP://1281661566671&section=news&xmlSource=/news/feed.xml&title=Software+pain+for+health+service+providers

Software pain for health service providers

Business at thousands of health service providers has been thrown into chaos because of a meltdown with the system used across the sector to process payments.

-----

http://www.proactiveinvestors.com.au/companies/news/9273/stirling-products-closes-acquisition-of-telemedcare-9273.html

Wednesday, August 11, 2010

Stirling Products closes acquisition of TeleMedCare

Pharmaceutical and Healthcare group Stirling Products (ASX: STI) has reported that the acquisition of a 65% controlling interest in TeleMedCare has now been finalised with all outstanding documentation completed.

The transaction enables the company to tap opportunities arising from health authorities around the world seeking efficiencies through e-health applications.

TeleMedCare is well positioned within this rapidly emerging market having developed some of the world’s most comprehensive advanced and integrated remote vital signs monitoring products that are fully video, voice and data enabled for use through the Internet.

-----

http://www.motioncomputing.com/about/news/press_release_081210.asp

Aged Care Residential Home Chooses Tablet PCs to Drive Mobility and Paperless Initiative

Motion’s new C5v Mobile Clinical Assistant ‘sold itself’ as mobile wireless solution

SYDNEY and AUSTIN, TX – August 12, 2010 – Residential aged care home Jacaranda Village is one of the first Australian healthcare organisations to take delivery of the new Motion C5v Mobile Clinical Assistant (MCA) as it commits itself to mobility solutions and aims to be paperless within two years.

The aged care facility ordered the new Motion C5v for nursing staff through Melbourne-based aged care solutions experts Axishealth; and early reaction to the new wireless technology is universally enthusiastic.

Jacaranda Village CEO Susan Bowditch said that they wanted to work more efficiently, while operating within their limited resources. “We have been working for some time finding ways to work smarter. So far this has generally been in areas of work practices and equipment, such as trying to cut down staff time spent walking up and down corridors. This is our first serious venture into technology solutions.

“We discussed our goal of going paperless for greater efficiency with Axishealth’s Doug Smith, who suggested adding a solution of mobile tablet PCs to more efficiently use our specialist aged care software i-Care.

-----

http://www.theaustralian.com.au/australian-it/government/centrelink-medicare-goes-wireless-to-cut-queues/story-fn4htb9o-1225904775229

Centrelink, Medicare go wireless to cut queues

  • Karen Dearne
  • From: Australian IT
  • August 13, 2010 9:28AM

CENTRELINK and Medicare door-greeters will use handheld devices to access customers' information and direct them to a seat instead of a queue.

Human Services Department ICT infrastructure deputy secretary John Wadeson said photos of recession-times always showed queues, and were "symbolic of people having to line up for government services".

But queues had no place in today's approach to customer service.

-----

http://www.theaustralian.com.au/australian-it/government/labor-spends-2m-on-myhospitals-website/story-fn4htb9o-1225904080312

Labor spends $2m on MyHospitals website

  • Karen Dearne
  • From: Australian IT
  • August 12, 2010 12:00AM

HEALTH Minister Nicola Roxon has spent $1.9 million on creating the "MyHospitals" website.

MyHospitals is a twin to the provocative schools comparison website MySchool launched by Julia Gillard in January.

Ms Roxon said the website - myhospitals.gov.au -would be ready this month.

The Australian Institute of Health and Welfare is building the website under a one-year contract to the Health Department, which includes site support until June 30 next year.

The AIHW has also been given $1.5m to boost its data management, analysis and reporting capabilities over the next two years.

-----

http://www.computerworld.com.au/article/356602/technologyone_scores_epworth_healthcare_deal/?eid=-6787

TechnologyOne scores Epworth Healthcare deal

Deal adds to software company's growing $3 million portfolio of healthcare contracts

ASX-listed software provider, TechnologyOne (ASX:TNE), has added a 26th healthcare organisation to its list of clients following a deal secured with private hospital group, Epworth Healthcare, for an undisclosed sum.

Victoria’s largest not-for-profit private group will implement accounting, supply chain, business intelligence, enterprise resource management (ERP) and customer relationship management (CRM) software from TechnologyOne across its systems, with a scheduled completion date of July 2011.

A spokesperson for TechnologyOne was unable to disclose the value of the deal, but the company’s healthcare clients are currently worth just over $3 million in revenue annually.

-----

http://www.e-health-insider.com/news/6156/csc_contract_end_would_be_%27disputed%27

CSC contract end would be 'disputed'

13 Aug 2010

CSC has said that any immediate attempt by the government to end its contract under the National Programme for IT in the NHS would result in legal action.

On a corporate earnings conference call held on Wednesday to advise stakeholders on the company’s first quarter results, the company refused on a number of occasions to provide details on how much the NHS contract is worth, its revenues or it margins.

However, one caller who was trying to get more information about the importance of the local service provider contract for the North, Midlands and East of England, asked: “If [NPfIT] were to end today, what would be the impact in terms of your recoverability in terms of growth and margins going forward? Would you be on the hook for anything?”

-----

http://www.theaustralian.com.au/australian-it/nsw-health-cio-to-run-deloitte-practice/story-e6frgakx-1225903299868

NSW Health CIO to run Deloitte practice

NSW Health's ex-acting chief information officer Craig Smith has returned to his consulting roots to run Deloitte's local e-health practice.

The recruitment of Mr Smith as national e-health practice leader is a coup for Deloitte, which has played a major role in the federal government's electronic health strategy.

Mr Smith spent three years at NSW Health and oversaw several transformation projects, including the department's involvement in the whole-of-government data centre consolidation exercise.

Prior to joining the public sector he was with consultancy firm Accenture for nearly a decade.

-----

http://www.nehta.gov.au/media-centre/nehta-news/677-amt-i

AMT implementation Victoria

10 August 2010. NEHTA is pleased to announce the first live implementation of the Australian Medicines Terminology (AMT) in a clinical environment. Box Hill Hospital, part of Eastern Health Services (one of Melbourne’s largest metropolitan health services), has started generating prescriptions for outpatients and discharge using AMT, through their HealthSMART Clinical System.

AMT delivers a standard national approach for the identification and naming of medicines. This includes standardised naming conventions and associated coded terminology structure to accurately describe marketed medications for computer systems, clinicians and patients. The terminology is for use by medication management computer systems, in both primary and secondary healthcare and is made available to computer system developers and their users without charge.

-----

http://www.computerworld.com.au/article/356442/nehta_claims_e-health_milestone/?eid=-255

NeHTA claims e-health milestone

First live implementation Australian Medicines Terminology

The National e-Health Transition Authority (NeHTA) is claiming a milestone in the advancement of a national e-health system with the first live implementation of the Australian Medicines Terminology (AMT).

The AMT is a NeHTA-developed set of specifications that standardise the identification, naming, and describing of medicine information.

The standard is needed so that branded and generically equivalent medicines and their components, and standard naming conventions and terminology, are accurately described.

NeHTA claims the use of an AMT also helps reduce errors due to standardised terminology structure, the safer exchange of medicines information using common computer readable codes, and improved decision support.

-----

http://www.medicalobserver.com.au/news/national-registration-info-errors-raise-data-integrity-concerns

National registration info errors raise data integrity concerns

9th Aug 2010

Caroline Brettingham-Moore

THE integrity of the Australian Health Practitioner Regulation Agency (AHPRA) database is in question after reports that conditions have been mistakenly dropped from, and in one case added to, some doctors’ registration status.

In one case, West Australian surgeon Dr Alison Phillips felt compelled to contact AHPRA after she checked the registration of a doctor she held concerns about.

The doctor had previously had conditions placed upon their registration, including restricted clinical duties and a requirement to work under supervision. These conditions however were not present on the doctor’s AHPRA registration.

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http://www.smh.com.au/national/hiccup-has-medicos-twiddling-thumbs-20100810-11y7c.html

Hiccup has medicos twiddling thumbs

KATE BENSON

August 11, 2010

SIX weeks after a new federal government agency took over the registration of more than half a million health professionals, scores of doctors, nurses and psychologists are unable to work because their applications have not been processed.

Some say they have been told it could be three months before their applications would be approved, leaving them without income.

The Australian Health Practitioner Regulation Agency took over the registration and accreditation of 10 professions on July 1, eliminating 85 smaller state-run boards.

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http://www.theage.com.au/national/doctors-waiting-room-20100810-11y98.html

Doctors' waiting room

KATE BENSON

August 11, 2010

SIX weeks after a new federal government agency took over the registration of more than 500,000 health professionals, scores of doctors, nurses and psychologists are still being left stranded and unable to work because their applications have not been processed.

Some say they have been told it could be three months before their applications will be approved, leaving them languishing without income.

The Australian Health Practitioner Regulation Agency took over the registration and accreditation of 10 professions on July 1, eliminating 85 smaller, state-run boards. Those affected include doctors, nurses, midwives, psychologists, dentists, pharmacists, physiotherapists, chiropractors, optometrists, podiatrists and osteopaths.

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http://www.computerworld.com.au/article/356437/we_will_break_up_telstra_liberals/?eid=-255

We will not break up Telstra: Liberals

The Opposition promise not to break up Telstra, but will commit to regulatory reform

Shadow communications minister, Tony Smith, has delivered the strongest mandate yet that a Liberal Government will block legislation aimed at structurally separating Telstra.

Speaking at the Australian Computer Society’s (ACS) ICT Policy Forum between Smith, Labor Senator Stephen Conroy and Greens Senator Scott Ludlam this week, the Liberal MP said that regulatory reform was a key aspect of the broadband policy he announced earlier that day. However, those aspects pertaining to a Telstra breakup were counter-intuitive to the competitive landscape the Liberals hope to build.

“We have said all along with respect to that legislation that if the minister [Conroy] only split the bill and took away the Telstra forced breakup provisions, we would be very happy to deal with those competitive issues,” he said.

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http://www.computerworld.com.au/article/356402/coalition_launches_6_25_billion_alternative_broadband_plan/?eid=-6787

Coalition launches $6.25 billion alternative broadband plan

Fibre backhaul, wireless and ADSL2+ optimisation form key tenets of alternative policy to NBN

A Coalition Government will spend up to $6.25 billion of public and private funding on an alternate broadband policy to the Gillard Government’s $43 billion National Broadband Network (NBN).

The funding will directed at providing 97 per cent of Australians with a minimum peak speed of 12 megabits per second (Mbps). The remaining three per cent will have access to satellite access at an as-yet-undisclosed speed.

The broadband plan composes four separate aspects:

  • $2.75 billion of public funding and an additional $750 million private funding on building an open access, optical fibre backhaul network
  • $750 million on “fixed broadband optimisation” with a focus on upgrading telephone exchanges without existing ADSL2+ capabilities
  • $1 billion public grant funding and additional, undisclosed private funding for building a wireless network for rural and regional areas
  • $1 billion on building a metropolitan wireless network focussed on outer metropolitan areas

Opposition communications minister, Tony Smith, said the plan was responsible and affordable.

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http://www.zdnet.com.au/coalition-broadband-safer-than-nbn-analysts-339305136.htm

Coalition broadband safer than NBN: analysts

By Colin Ho, ZDNet.com.au on August 10th, 2010

In wake of the Opposition's broadband policy announcement today, some analysts said that Liberal's plan could potentially be safer, more flexible and "give more bang for your buck" than the National Broadband Network (NBN).

While industry analysts Paul Budde and IDC's David Cannon argued that the Opposition's policy built on "old technology" lacked vision, IBRS's Guy Cranswick and Ovum's David Kennedy said that a lack of market demand, uncertainty and complexity in the telecommunications market meant that the Liberal's policy could come out trumps.

Kennedy believed that the parties' differing approaches are indicative of two different philosophies in addressing broadband. He called the government's policy a "big, snowy mountains style" infrastructure scheme. He believed that the plan could easily provide all the bandwidth Australia will ever conceivably need.

He said that it "was hard to tell" which one would be best for the long term and that both policies had advantages and disadvantages. Both hang on what "is going to happen in the future" particularly in terms of demand for high-speed broadband.

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http://www.smh.com.au/business/speed-limits-20100814-1244k.html

Speed limits

Stephen Cauchi

August 15, 2010

BUSINESS groups are split over whether the ALP's high-speed national broadband network or the Coalition's cheaper internet plan would deliver better results for companies.

The Victorian Employers Chamber of Commerce and Industry will not endorse either major party's broadband policy, arguing ''the truth lies somewhere in between'' the positions on offer.

Although peak bodies representing Australia's $100 billion-a-year information technology sector have thrown their support behind Labor's $43 billion fibre-to-the-premises plan - while deriding the Coalition's $6.3 billion policy as inadequate - broader business groups have been more impartial.

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http://www.computerworld.com.au/article/356414/opposition_broadband_plan_lacks_leadership_vision_budde/?eid=-6787

Opposition broadband plan lacks leadership and vision: Budde

Policy a "bag full of unrelated goodies" respected telco analyst says

A leading telecommunications analyst has slammed the Federal Opposition's broadband policy announced today as lacking vision and leadership.

Buddecom director, Paul Budde, said the Liberal’s plan to scrap the fibre-to-the-premises National Broadband Network (NBN) in favour of investing in backhaul, upgrading existing telephone exchanges and rolling out wireless networks, would leave Australia at the bottom of the international telecommunications heap.

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http://www.businessspectator.com.au/bs.nsf/Article/NBN-Internet-telecommunications-election-broadban-pd20100810-877PX?OpenDocument

The Coalition's broad-bland plan

Paul Budde, Election 2010

Published 6:18 AM, 11 Aug 2010 Last update 10:04 AM, 11 Aug 2010

There are several elements in the opposition’s broadband plan that could be used to advance Australia's internet infrastructure. However, it lacks a vision and a strategy for the future. It is like having all the parts of a car spread out on the floor and no plan for putting them together.

When the Coalition was in government it produced 12 plans over a period of 11 years. As a result, Australia ended up on the bottom rung of the international broadband ladder. And we were also given Sol Trujillo, who, as Telstra CEO, was more than happy to exploit the mess that the inept government policies of the time had made of the telecommunications market.

It appears that the opposition's plan will simply take us back to 2007. In fact, it might take us even bit further back than that – before the last election then Minister for Communications Helen Coonan indicated that the structural separation of Telstra would be her agenda if the Coalition was re-elected. It now looks as though that is no longer on the Coalition's agenda and that Telstra will once more be put in charge of carrying out telecommunications policies.

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http://www.theaustralian.com.au/national-affairs/coalition-unveils-63bn-broadband-plan/story-fn59niix-1225903367034

Coalition unveils $6.3bn broadband plan

THE Coalition will spend $6.31 billion over seven years to provide Australians with faster broadband using a mix of technologies.

An Abbott government will stimulate investment in backhaul fibre networks, fixed wireless networks in metropolitan, rural and regional Australia and improve DSL services.

Under the plan released this morning, the Coalition is promising that 97 per cent of households will get speeds of up to 100 megabits per second – and a minimum of 12 megabits – by 2016 through a mixture of HFC cable, DSL and fixed wireless services.

A $2.75bn investment by 2017 in open access fibre backhaul is central to the plan, with private sector investment of a further $750m expected under the plan.

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http://www.theage.com.au/business/coalition-confirms-plan-to-scrap-nbn-20100810-11vct.html

Coalition confirms plan to scrap NBN

LUCY BATTERSBY

August 10, 2010 - 11:01AM

The Coalition has confirmed its plan to scrap the National Broadband Network if elected at the August 21 election, just hours before spokesman Tony Smith debates communications Minister Stephen Conroy and the Greens' communications spokesman Scott Ludlam.

While further details are likely to be revealed shortly, it remains unclear how the Coalition will deliver its alternative pledge of offering an affordable high-speed network instead.

One possibility is the Coalition could revive the OPEL project to subsidise services in regional areas without broadband, which was scrapped by the Rudd government in favour of the NBN project.

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http://www.theaustralian.com.au/australian-it/industry-slams-oppositions-wireless-broadband-plan/story-e6frgakx-1225903146920

Industry slams Opposition's wireless broadband plan

  • Andrew Colley and Mitchell Bingemann
  • From: The Australian
  • August 10, 2010 12:00AM

THE Coalition's plan to drop the $43 billion National Broadband Network in favour of wireless broadband has been slammed by the ICT sector.

Last Friday opposition treasury spokesman Joe Hockey confirmed, in a radio interview with the ABC, that the Coalition would return wireless technology to the centre of the commonwealth's broadband strategy.

Also making some unscripted on-air comment on the strategy, opposition finance spokesman Andrew Robb told the public broadcaster that a Coalition return to power would see the NBN halted and sold off.

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http://www.standard.net.au/news/local/news/general/schools-ultranet-fails-to-launch/1908261.aspx

Schools ultranet fails to launch

SHANE FOWLES

10 Aug, 2010 12:00 AM

A CRASH of the Education Department's much-vaunted ultranet computer system has been labelled a disaster.

South-west school students were given a day off school and teachers were scheduled for training, but a system overload meant most could not log on to the $77 million network.

Opposition education spokesman Martin Dixon labelled the training day as a "debacle".

"Every John Brumby IT project ends in fiasco, failure and massive financial losses," he said.

"Ultranet, myki, HealthSmart, the Integrated Courts Management System and the LEAP database are all John Brumby IT projects which are late, over budget and don't work properly.

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Enjoy!

David.

Saturday, August 14, 2010

Don’t Miss Commentary from The Co- Editor of the Medical Observer.

The following appeared on the Croaky Health Blog a day or so ago. I will just extract the e-Health comments – and encourage people to read the full post. I agree it is a must not miss!

Kellie Bisset’s insightful analysis of election health policies (don’t miss this piece)

, by Croakey

In part 3 of Croakey’s election series, Kellie Bisset, the Co-Editor of Medical Observer, writes:

What a grand vision it was: to reform the health system, end the cost shifting blame game and bring about a healthier Australia.

Perhaps, after all the Labor reform rhetoric and the excitement over the possibility of real change, disappointment was inevitable.

On a positive note, we have had a vigorous Labor-led reform debate and a Government at least prepared to talk about the big picture.

But what are we left with as we head to the polls?

......

• Glacial progress on e-health. Yes, the Healthcare Identifiers Bill has passed the Senate but so far much of the discussion has been around the personalised electronic health record as the e-health Holy Grail. The Government has committed $466 million to develop a personally controlled health record but what about a broader policy on connectivity? Where’s the grand plan for e-health? Are we expecting personalised health records to solve all our problems and if so, is this wise? There are still many questions around how patient content and clinician content will be delineated in these records – and whether doctors will trust and use the information recorded from other clinicians.

......

And what of the Coalition alternative?

The major question here is whether the Coalition’s series of announcements constitutes a health policy. Where is the bigger picture? What is the main thread drawing all this together? We know what government programs they’d scrap, but what’s their vision for the future?

• The announcement that a Coalition Government would freeze the existing e-health program is astounding. Yes the $467 million saved will be spent in areas such as mental health, which is in dire need of a decent funds boost. But the care integration fostered by a functional e-health system is vital to all patients, including the mentally ill, who so often fall through the system’s cracks. Tony Abbott has in the past said e-health is a crucial piece of reform. But let’s not forget that in 2005 as Federal Health Minister he let Healthconnect lapse – the $128million plan to drive national electronic health records, replacing it with NEHTA, recently described to Medical Observer as “Never Ever Having to Achieve”.

How will we position ourselves for the future to cope with serious looming health challenges if we keep lurching from one day to the next?

The full blog is here:

http://blogs.crikey.com.au/croakey/2010/08/13/kellie-bissets-insightful-analysis-of-election-health-policies-dont-miss-this-piece/

I could not have said it better myself. We really do deserve better than this!

David.

Friday, August 13, 2010

Weekly Overseas Health IT Links - 13 August, 2010.

Here are a few I have come across this week.

Note: Each link is followed by a title and a paragraph or two. 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 payment.

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http://www.govhealthit.com/ArticlePrint.aspx?id=74072

Uncle Sam Wants Usability!

By John Morrissey

Federal policymakers and the health IT community are converging rapidly around the need to agree on standard practices for clearly communicating information contained in electronic health records and making it much easier for clinicians to navigate their way around tasks in an EHR.

Healthcare researchers, technology experts and EHR user advocates, bolstered by a new government commitment, are championing the idea that the “usability” of EHR systems is critical to efforts to get the nation’s clinicians to effectively use the software in daily healthcare practice.

The conclusion that uneven or poor usability is a barrier to IT adoption and must be overcome is being advanced strongly by Dr. David Blumenthal, who heads up the Office of National Coordinator for Health Information Technology (ONC). The ONC boss has put his special assistant, Dr. Sachin Jain, in charge of an internal usability work group to light a fire under the issue.

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http://www.healthdatamanagement.com/news/phr-microsoft-surescripts-medication-history-40808-1.html

Surescripts Teams with HealthVault

HDM Breaking News, August 3, 2010

A new service from electronic prescribing network operator Surescripts will enable consumers using the Microsoft HealthVault personal health records software to download records of their dispensed medications from community pharmacies that use the Surescripts network.

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http://www.modernhealthcare.com/article/20100806/NEWS/100809955

Maine law on prescriber privacy upheld

By Joseph Conn / HITS staff writer

Posted: August 6, 2010 - 12:00 pm ET

A Maine law aimed at constraining state spending on prescription drugs by protecting physicians from having their prescription patterns data-mined for commercial use by drug marketers has been upheld by a federal appeals court in Boston, the Associated Press reported.

In an 87-page ruling, the appeals panel found that although empirical evidence was sparse that using prescription drug data for marketing influenced physician prescribing patterns, the court nonetheless gave the state initial latitude for a program aimed at controlling spiraling costs for its publicly funded healthcare programs.

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http://www.mlive.com/business/west-michigan/index.ssf/2010/08/electronic_exchange_begins_con.html

Electronic exchange begins connecting health care providers

Published: Thursday, August 05, 2010, 11:54 AM Updated: Thursday, August 05, 2010, 11:55 AM

Mark Sanchez

Providing a platform for doctors to electronically access diagnostic test results is just the start for the newly formed Michigan Health Connect.

The regional health information exchange, based in Grand Rapids, in the future aims to offer clinical messaging that pushes data about a patient from a hospital to a doctor’s office, as well as add capabilities that would enable emergency room physicians, for instance, to access medical data about patients who are unable to relay that information on their own.

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http://www.computing.co.uk/computing/news/2267786/government-considers-cfh-npfit

Flagship NHS IT programmes head for the rocks

Government review suggests CfH should go, and the NPfIT be vastly reduced

Written by Stuart Sumner

A report on web site E-Health Insider (EHI) states that the NHS National Programme for IT (NPfIT) will be dramatically scaled down, and Connecting for Health (CfH) will be rebranded, losing much of its remit to the Department of Health Informatics Directorate.

The government has been reviewing its major IT projects, and it appears that neither the NPfIT nor CfH emerged favourably from the analysis.

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http://www.modernhealthcare.com/article/20100805/NEWS/100809975

Health IT proficiency a priority for medical board

By Jennifer Lubell / HITS staff writer

Posted: August 5, 2010 - 12:00 pm ET

The American Board of Medical Specialties announced that it will incorporate tools to promote the meaningful use of health information technology into its maintenance-of-certification program.

More than 750,000 U.S. physicians are certified by an ABMS member board, and building health IT proficiency and use can "help to facilitate physicians' knowledge, skill and use of health IT and in turn can improve physician performance and patient outcomes,” ABMS President and CEO Kevin Weiss said in a written statement.

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http://www.e-health-insider.com/news/6136/judgement_day_arrives_for_cfh_and_npfit

Decision day arrives for CfH and NPfIT

05 Aug 2010

The National Programme for IT in the NHS is set to end in its current guise, with plans tabled for further deep cuts, and the name NHS Connecting for Health to be dropped.

E-Health Insider understands that a far-reaching review of the National Programme and Connecting for Health was completed by the coalition government last week, as part of a wider review of all public sector IT major projects.

The recommendations of the review was due to be evaluated today by a panel chaired by government chief information officer John Suffolk. Assuming it is approved, a ministerial announcement expected to follow within the next two weeks.

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http://huffpostfund.org/stories/2010/08/fda-obama-digital-medical-records-team-odds-over-safety-oversight

FDA, Obama Digital Medical Records Team at Odds over Safety Oversight

By Fred Schulte and Emma Schwartz
Huffington Post Investigative Fund

Created 2010-08-03 17:07

Previously Undisclosed Hospital Mixup Underscores Challenges on Road to Reform

Computers at a major Midwest hospital chain went awry on June 29, posting some doctors’ orders to the wrong medical charts in a few cases and possibly putting patients in harm’s way.

The digital records system “would switch to another patient record without the user directing it to do so,” said Stephen Shivinsky, vice-president for corporate communications at Trinity Health System. Trinity operates 46 hospitals, most in Michigan, Iowa and Ohio.

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http://healthaffairs.org/blog/2010/08/05/adoption-and-meaningful-use-of-ehrs-%E2%80%93-the-journey-begins/

Adoption and Meaningful Use of EHRs – The Journey Begins

Posted By David Blumenthal On August 5, 2010 @ 9:20 am

On July 13, with the issuance of two regulations defining and supporting “meaningful use” of electronic health records (EHRs), our nation began in earnest its journey toward ubiquitous and effective use of health information technology. In considering the significance of this moment, it is useful to remember the events and energies that have brought us to this starting point, and to understand the many different elements that will support this initiative.

The proximate event leading us to the July 13 announcement was the enactment of the Health Information Technology for Economic and Clinical Health (HITECH) Act, in February 2009. This act makes available unprecedented resources to support the nation’s transition to EHRs. In the months since its enactment, extensive preparations have been made. These constitute the operational supports for a multiyear, multiphase campaign of EHR adoption and use. But behind these preparations lies a longer and deeper history that has prepared us to seize this moment.

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http://www.healthdatamanagement.com/news/disease-management-mobile-diabetes-smart-phone-fda-40804-1.html

FDA Approves Mobile Diabetes Tool

HDM Breaking News, August 3, 2010

The Food and Drug Administration has given 510 (k) clearance to the mobile phone-based DiabetesManager System of WellDoc Communications Inc.

The application enables Type 2 diabetic patients to enter their blood sugar readings into their mobile phone and receive real-time feedback on what they should eat and other ways they can help stabilize their blood sugar. The software also can alert patients when they need to test their levels.

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http://www.networkworld.com/news/2010/080210-iphone-applications-medical.html?hpg1=bn

iPhone apps that could save your life

Developers create mobile apps that help consumers make better medical decisions

By Carolyn Duffy Marsan, Network World

August 02, 2010 04:26 PM ET

Move over games and make room for medicine. A growing number of developers are tapping into a treasure trove of U.S. government healthcare data and coming up with innovative iPhone apps that help consumers make better medical decisions.

Here are three iPhone apps that point towards a future of patients having more medical data at their fingertips.

These smartphone applications were showcased at an event held this summer by the U.S. Department of Health and Human Services when it launched its Community Health Data Initiative. The initiative is releasing federal healthcare data with a standard application programming interface for developers.

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http://www.techworld.com.au/article/355845/cyberchondriacs_jump_almost_one-third_all_adults

'Cyberchondriacs' jump to almost one-third of all adults

Most users very satisfied with their ability to find reliable health information online

Lucas Mearian (Computerworld (US)) 05/08/2010 04:55:00

The number of adults using the Internet to find health-related information leaped from 154 million in 2009 to 175 million this year, according to a Harris Interactive poll released today. It's the largest year-over-year increase since the poll began in 1998.

The new poll shows that 32% of adults say they regularly look online for health-related information compared with 22% last year.

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http://www.modernhealthcare.com/article/20100804/NEWS/100809982

AMA will offer NextGen EHRs

By Joseph Conn / HITS staff writer

Posted: August 4, 2010 - 11:30 am ET

The American Medical Association will offer remote-hosted electronic health-record and practice management systems from NextGen Healthcare Information Systems through the AMA's information technology platform, according to a news release from NextGen.

The EHR and PMS will be provided using the software-as-a-service delivery model on a subscription basis, according to the release. The AMA announced in April 2009 that it was developing the platform with technical assistance from Covisint, a division of Detroit-based Compuware. The platform is being tested in Michigan. It is expected to debut nationwide next year, according to the news release.

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http://www.guardian.co.uk/society/2010/aug/04/nhs-websites-failing-patients

NHS spends millions on websites that fail patients, says government report

Leaked review suggests many of NHS's 2873 sites do not cater for vulnerable members of public

Randeep Ramesh, social affairs editor

guardian.co.uk, Wednesday 4 August 2010 21.06 BST

The NHS spends up to £86m a year on thousands of websites that are difficult to find, badly designed and irrelevant to patient needs, according to a leaked government report.

The Department of Health's digital communications review, circulated internally in June, identified 4,121 NHS websites – but noted that more than 1,000 were no longer accessible. Almost a third of the 2,873 live NHS websites had "at least one notable deficit in standards" with confusing navigation or poor content.

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http://www.e-health-insider.com/features/isoftRTaug2010/

Pathology, the present and the future

On July 8 2010, E-Health Insider convened a round table debate on clinical pathology, sponsored by iSOFT. The event gathered together some of the leading players in pathology in the UK, with industry, the NHS and academia represented.

The event was chaired by Ian Barnes, who is currently national clinical director for pathology for the Department of Health, on secondment from Leeds Teaching Hospital, although he was speaking in a personal capacity.

He started by setting out what he hoped the debate would cover, arguing that technology had moved faster than pathology had been able to respond.

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http://www.govhealthit.com/newsitem.aspx?nid=74347

Policymakers press for public health IT measures

By Mary Mosquera
Monday, August 02, 2010

Public health experts last week lobbied for including more public health goals into the “meaningful use” incentive plan, including ways to make it easier for public health minders to measure population health trends in chronic and virus-borne diseases.

One idea floated during the July 29 meeting of Health IT Policy Committee’s meaningful use work group was to have certified electronic health record systems carry a feature or “button” that would transmit data to state public health agencies to make case reporting easier for physicians and hospitals.

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http://www.healthleadersmedia.com/content/TEC-254619/Physicians-Get-Over-Your-Fear-of-Electronic-Messaging.html

Physicians: Get Over Your Fear of Electronic Messaging

Gienna Shaw, for HealthLeaders Media, August 3, 2010

The more effectively patients and physicians can communicate the better healthcare will be. And that includes better electronic communications, such as by e-mail. Yes, I understand doctors’ concerns that it would take up too much of their time—uncompensated time at that—and expose them to liability and leave an electronic trail of typos. But I believe that deep down inside they also know it is the right thing to do.

Almost every non-healthcare business uses e-mail to communicate with its customers (and it’s probably safe to drop the modifier “almost” on that one). And we know that most patients would like the option to e-mail their doctor.

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http://www.modernhealthcare.com/article/20100803/NEWS/308029955

CPOE requires long-term perspective

By Leah Binder

Posted: August 3, 2010 - 12:01 am ET

Some time ago, I toured one of the nation's top hospitals—a Leapfrog survey participant—and had a chance to talk with them about Computerized Physician Order Entry. When it comes to health information technology, this hospital is one of the most advanced and experienced. I wanted to know how the system functioned at the bedside. “Does the nurse check the order and record that in the system somehow?” I asked. The awkward silence that followed suggested I inadvertently struck a nerve. And indeed I had. It turned out nurses at the hospital waged something of a mini-revolt when the CPOE system was first adopted, and their concerns surrounded exactly that issue. On the “go-live” date, nurses were expected to stop rechecking orders at the bedside and rely on the CPOE system protocols to verify each order. “No way,” said the nurses, and ultimately their role as the final safety check was restored.

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http://www.washingtonpost.com/wp-dyn/content/article/2010/08/02/AR2010080203773.html

Insurers and ratings groups post information to help patients choose doctors

By Michelle Andrews

Tuesday, August 3, 2010; HE04

For most people, picking a doctor is hardly a scientific process. They ask friends or family members to pass along names of doctors they like and trust, or rely on another doctor's referral.

Increasingly, health plans and independent groups are making physician information available online to help consumers make these choices more methodically. But experts caution that most doctor-rating systems are still rudimentary, and a four-star rating or other high-performance designation may not reliably reflect a doctor's abilities. While ratings can provide helpful information, consumers still need to dig a little to find the best doctors for their needs.

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http://www.modernhealthcare.com/article/20100803/NEWS/100809991

Accenture to help develop Singapore EHR system

By Joseph Conn / HITS staff writer

Posted: August 3, 2010 - 12:15 pm ET

U.S.-based consultancy Accenture and several other U.S. vendors have been awarded a contract by the Singapore Ministry of Health to implement a national electronic health-record system, Accenture has announced.

Under the proposed system, providers will be able to exchange patient demographics, allergy lists, diagnoses, medication histories, radiology and lab reports and discharge summaries, according to an Accenture news release. The system is expected to debut in April 2011.

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http://www.ehiprimarycare.com/news/6122/ico_issues_guidance_on_scr_opt-outs

ICO issues guidance on SCR opt-outs

30 Jul 2010

GPs must inform their patients before carrying out a blanket opt-out of all their patients from the Summary Care Record, the Information Commissioner’s Office has said.

The ICO said that opting out all of a practice’s patients without first informing them could be considered as “unfair processing”. Earlier this week a former chair of the BMA’s GP IT Committee, Dr Paul Cundy, recommended that GPs should opt-out all their patients en masse.

The ICO’s stance on mass opt-outs has been revealed in response to a request for guidance from Dr Neil Bhatia, a Hampshire GP who has campaigned against the SCR and pledged only to upload SCRs for patients who have given explicit consent.

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http://www.ehiprimarycare.com/news/6125/birmingham_scr_scare_proves_false

Birmingham SCR scare proves false

03 Aug 2010

The vast majority of the Summary Care Records identified as out-of-date are actually up-to-date, an investigation has discovered.

An NHS investigation has found that the problem was caused by EMIS GP systems incorrectly logging SCRs as out-of-date.

NHS South Birmingham launched an enquiry into out-of-date SCRs after it emerged that 8,800 of the 82,000 created were logged as “out of date SCR items” by GP practices using the EMIS computer system.

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Hospital Building Community Health Information Exchange

Fremont Area Medical Center using Lawson software to develop a patient information exchange for Nebraska healthcare providers.

By Marianne Kolbasuk McGee, InformationWeek

Aug. 3, 2010

URL: http://www.informationweek.com/story/showArticle.jhtml?articleID=226500195

While the HITECH Act allotted about $547 million to states and state entities to develop health information exchanges, some healthcare providers are taking matters into their own hands to create data exchanges that more immediately meet the information needs of regional clinicians.

Such is the case of Fremont Area Medical Center, located in northeast Nebraska, about 35 miles from Omaha. The 202-bed non-profit hospital, which is owned by Dodge County, just signed a contract to implement Lawson Enterprise Exchange to create a single source of patient data across all care settings, including hospital, clinics, primary care, and specialty physicians, that are affiliated with or employed by FAMC.

Like most states, Nebraska is building a statewide health information exchange, however to date, patient data that's part of the Nebraska Health Information Initiative, or NeHii, includes primarily lab and radiology reports and demographic info, said Richard Beran, FAMC director of hospital information systems.

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Health IT Alone Won't Improve Primary Care

Federal report raises numerous questions about whether electronic health records and other technologies can advance the patient centered medical home model.

By Nicole Lewis, InformationWeek

July 29, 2010

URL: http://www.informationweek.com/story/showArticle.jhtml?articleID=226300284

Health information technology can be a strong facilitator for the establishment of the patient centered medical home (PCMH), but health IT alone is not a panacea for building an efficient model, a government study reveals.

Published last month by the Department of Health and Human Services' Agency for Healthcare Research and Quality, the report, "Necessary but Not Sufficient: The HITECH Act and Health Information Technology's Potential to Build Medical Homes," said available evidence on the ability of health IT to support the medical home is mixed.

While some evidence suggests that health IT improves the cost effectiveness, efficiency, quality, and safety of medical care delivery, there is not broad evidence of success. "It may take 5 to 10 years to figure out the full unintended effects of health IT on transforming practices into medical homes," the report said.

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http://www.healthcareitnews.com/news/telehealth-demo-boston-will-involve-patients-congestive-heart-failure

Telehealth demo in Boston will involve patients with congestive heart failure

July 30, 2010 | Molly Merrill, Associate Editor

CAMBRIDGE, MA – Patients who have been hospitalized for congestive heart failure may benefit from a “Home Telehealth” demonstration project set to take place in the Greater Boston area that aims at testing the efficacy of home-based monitoring equipment for older adults with chronic illnesses.

The project is being funded by a 100,000 grant from the Center for Technology and Aging, which was awarded to the New England Healthcare Institute (NEHI), an independent, nonprofit organization that conducts evidence-based research.

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http://news.yahoo.com/s/pcworld/20100730/tc_pcworld/smartphonestabletsseenboostingmobilehealth/print

Smartphones, Tablets Seen Boosting Mobile Health

Fred O'Connor Fred O'connor Thu Jul 29, 8:50 pm ET

Smartphones, tablet PCs and other wireless devices are poised to play a greater role in health care as doctors and patients embrace the mobile Internet, panelists at a mobile health technology conference in Boston said Thursday.

A study from Manhattan Research found that 71 percent of physicians consider a smartphone essential to their practice and 84 percent said that the Internet is critical to their jobs.

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http://healthsystemcio.com/2010/07/25/snapsurvey-cios-feel-good-about-mu-but-concerned-about-peers/

SnapSurvey: CIOs OK With MU, But Concerned About Peers

Posted by Anthony Guerra on July 25th, 2010

Many CIOs Feel Good About Meeting MU

An overwhelming majority of CIOs are both pleased with how public comments impacted the final Meaningful Use regulation and optimistic about their ability to meet it, according to the July healthsystemCIO.com SnapSurvey; however a majority of those same CIOs thought it far less likely that the “average” hospital will make the grade.

And the apparent bullishness — at least at their own institutions — further dissipates when analyzing the comments CIOs left after confirming they would meet the measure. That copy (see text below) is peppered with phrases like “we should qualify … we hope to meet the measures … we are fairly certain of reaching the goals.”

In an attempt to identify the reasons for any concern, CIOs volunteered the specific core measure that most distressed them, with “Report clinical quality measures to CMS or states. For 2011, provide aggregate numerator and denominator through attestation; for 2012, electronically submit measures,” taking the top spot at 24 percent.

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http://govhealthit.com/newsitem.aspx?nid=74346

ONC finds exchange standards hard to nail

By Mary Mosquera
Friday, July 30, 2010

When the Veterans Affairs and Defense departments began testing health information sharing for their joint virtual lifetime electronic record (VLER) project, they could not initially exchange patient data successfully using the very standards specified by the Office of the National Coordinator for health record formatting.

The popular C32 standard format for sharing information about a patient’s health status allows some flexibility in how organizations use it to accommodate their different needs. Ironically, that same feature limited the exchange of patient information between VA and DOD.

Dr. Doug Fridsma, acting director of ONC’s standards and interoperability office, used the experience of VA and DOD as an example of the trickiness of getting standards right so healthcare providers can exchange health information properly. C32 is among the requirements of ONC’s recent final rule on standards and certification of electronic health records (EHRs).

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http://www.healthdatamanagement.com/blogs/HDM_blog_Tholemeier_security-40664-1.html

Privacy--Get Over It?

Rob Tholemeier

Health Data Management Blogs, July 23, 2010

You have zero privacy anyway. Get over it.” I'm not defending this quip by the master quipster, founder and former CEO of Sun Microsystem, Scott McNealy, but is this the de facto consequence of the mad dash to implement EHRs and HIEs?

Lately, my e-mail inbox is full of stories about hospitals fined for what looks like minor breaches of patient privacy. In one case, a California hospital was dinged $25,000 for two employees accessing three patients’ health information. Fines for more “egregious” breaches have been higher.

Really, how in the world can a medical facility ensure that there will be no unauthorized viewing of health information given the state of EHR’s internal data privacy, and given the fact that much of this information is now being more widely distributed via HIEs? Clearly, busting employers on a HIPAA beef is not working to prevent employees from accessing or leaking out personal health information.

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http://www.post-trib.com/news/2555686,new-eprescription0802.article

E-prescription use grows, but some hurdles remain

August 2, 2010

BY MARK TAYLOR, POST-TRIBUNE CORRESPONDENT

By 2012, physicians who do not electronically prescribe medications -- instead of hand-writing them -- will be penalized financially by the federal government.

The Centers for Medicare and Medicaid Services, or CMS, has employed this carrot and stick approach to encourage complete adoption of e-prescribing to improve healthcare quality and cut costs.

While e-prescribing has grown dramatically in recent years, local doctors said there continue to be barriers to widespread acceptance of a technology that could save thousands of lives.

In a study released last week the Washington-based health policy think tank the Center for Studying Health System Change found that fewer than one-third of the nation's office-based physicians were e-prescribing.

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http://www.ihealthbeat.org/features/2010/hhs-moves-forward-with-hitech-privacy-security-provisions.aspx

Monday, August 02, 2010

HHS Moves Forward With HITECH Privacy, Security Provisions

One of the guiding principles behind the federal government's efforts to improve health care through health IT is that the benefits of health IT can be fully realized only if patients and health care providers are confident that electronic health information is kept private and secure.

The Health Information Technology for Economic and Clinical Health Act -- enacted on Feb. 17, 2009, and designed to promote widespread adoption of electronic health records and electronic health information exchange -- included a number of provisions to strengthen the privacy and security protections established under the Health Insurance Portability and Accountability Act. Amid a flurry of other regulations, including the final rule defining "meaningful use" of EHRs under HITECH's Medicare and Medicaid incentive programs, HHS last month released a Notice of Proposed Rulemaking that both implements many of the HITECH provisions and modifies other HIPAA requirements.

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http://www.fiercehealthit.com/story/hhs-quietly-withdraws-hipaa-breach-notification-rule/2010-08-02

HHS quietly withdraws HIPAA breach-notification rule

August 2, 2010 — 11:51am ET | By Neil Versel

Following a firestorm of criticism from privacy advocates who say federal officials gave too much leeway to healthcare organizations that inadvertently disclose protected health information, HHS has without fanfare withdrawn its controversial HIPAA "breach notification" interim final rule.

The move was "to allow for further consideration, given the department's experience to date in administering the regulations," the HHS Office for Civil Rights posted on its website late Wednesday. "This is a complex issue and the administration is committed to ensuring that individuals' health information is secured to the extent possible to avoid unauthorized uses and disclosures, and that individuals are appropriately notified when incidents do occur," OCR explained.

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http://www.healthdatamanagement.com/news/ocr-breach-notification-final-rule-40707-1.html

HHS to Rework Final Breach Rule

HDM Breaking News, July 30, 2010

The Department of Health and Human Services' Office for Civil Rights has temporarily pulled a final breach notification rule it has developed but not yet published, according to an HHS notice. The rule had been submitted to the Office of Management and Budget for review before publication. It now is being withdrawn for further consideration based on OCR's experience thus far in administering the notification rule under an interim final rule.

OCR will not comment on factors that compelled the withdrawal. "These are routine, formal regulatory processes," according to a statement from the agency.

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http://www.fiercehealthit.com/story/aha-group-purchasers-ask-blumenthal-include-supply-chain-management-ehr-standards/2010-08-02

AHA, group purchasers ask Blumenthal to include supply-chain management in EHR standards

August 2, 2010 — 12:11pm ET | By Neil Versel

We're finding more and more that electronic health records, as defined by the standards for "meaningful use," are far less than comprehensive. Mental health providers, with the exception of psychiatrists, aren't eligible for federal subsidies. Dental records aren't required. And now, two organizations say federal officials should consider integrating two standards from the healthcare supply chain into EHRs and supply-chain management systems as an additional safeguard against medical errors.

Specifically, the Health Industry Group Purchasing Association and the American Hospital Association's Association for Healthcare Resource and Materials Management say that standards known as the Global Location Number to pinpoint the location of a product or service and the Global Trade Item Number, which identifies specific products and services, can help take harmful devices and supplies out of care settings in case of a recall.

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http://www.fiercehealthit.com/story/fiercehealthit-gets-some-insight-histalk-just-not-identities-principals/2010-08-02

FierceHealthIT gets some insight from HIStalk--just not the identities of the principals

August 2, 2010 — 1:44pm ET | By Neil Versel

The most mysterious force in health IT is getting a little more Fierce. No, I'm not talking about the secret cabal of physicians united against ditching their paper records, I'm referring to HIStalk, the anonymously written blog that's often been referred to as the National Enquirer of health IT.

For the next several weeks, FierceHealthIT and HIStalk will be cross-posting links on each other's sites. That means you'll get the fierce insight of anonymous bloggers Mr. HIStalk and his crafty assistant, Inga, alongside the Fierce insight of this not-so-anonymous veteran health IT reporter and commentator. (I bet Mr. H and Inga still get more email than I do, and you know exactly how to find me.)

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http://www.fiercehealthit.com/story/mayo-clinic-aims-accelerate-online-presence-new-social-media-center/2010-08-02

Mayo Clinic aims to accelerate online presence with new social media center

August 2, 2010 — 11:17am ET | By Dan Bowman

As readers of FierceHealthcare and its related publications well know, despite a notion by some that combining social media and healthcare is a dangerous mix, more and more health professionals appear to be taking the leap into the online world. From Facebook fan pages for practices to social networks like Ozmosis for physicians, the future is definitely now.

So it should come as no surprise that Mayo Clinic--with its 60,000 followers on Twitter, its medical provider channel on YouTube and its several successful blogs--is launching a Center for Social Media to "accelerate effective application of social media tools" within its own facilities, as well as to help other facilities in their efforts to connect patients and doctors online.

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http://online.wsj.com/article/SB10001424052748704271804575405413774685550.html?mod=djemTEW_h

GE, Intel Form Health-Care Joint Venture

By KEVIN KINGSBURY

General Electric Co. and Intel Corp. announced plans to create a health-care joint venture focused on chronic disease and age-related conditions.

The corporate giants entered into a health-care alliance in April 2009, and the companies said Monday they will combine assets of GE Healthcare's home-health division and Intel's digital-health group. Terms of the venture weren't disclosed.

The effort will focus on developing products, services and technologies aimed at both at-home and assisted-living settings. Primary aspects will be chronic-disease management, independent living and technologies that assist the ill.

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Enjoy!

David.