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, May 15, 2015

We Really Do Need To Be Paying More Attention To The HIT Safety Issues.

I spotted this from one of our local experts this week.

In Conversation with…Enrico Coiera, MB, BS, PhD

Editor's note: Enrico Coiera, MB, BS, PhD, is a professor and director of the Centre for Health Informatics (Australian Institute of Health Innovation) at the University of New South Wales. Dr. Coiera has researched and written about clinical communication processes and information systems. We spoke with him about how interruptions and distractions in the clinical environment influence patient safety.
 This interview can be heard by subscribing to the AHRQ WebM&M Podcast (.MP3 | 11.9 MB | 8 minutes, 40 seconds)
Interview
Dr. Robert Wachter, Editor, AHRQ WebM&M: How big a problem are interruptions and distractions in the world of patient safety?
Enrico Coiera: Interruptions happen every day to every clinician, nurse, and doctor. It's become clear over the last decade that in some clinical settings, not only are interruptions frequent but they're also a patient safety risk. We're not saying every interruption is a bad interruption, but we do know that for certain places and times, they can lead to significant patient risk.
RW: Which areas have the highest risk?
EC: The challenge is in understanding why interruptions can cause harm. They essentially disrupt working memory with the consequence that you can forget to do what you're about to do or, very oddly, repeat the task you've already done. For example, you might have administered a medication to a patient and then been interrupted, but because you do the task so often any individual act is not particularly memorable, and you give the same dose again.
An interruption can also result in the interrupted task being incorrectly executed. My classic example is driving to the shops on a Saturday morning, when the cellphone goes off. By the time you've finished your call, you don't find yourself at the shops but instead in the car park at work. The call has occupied your attention and because you are distracted, you follow an initially similar, but ultimately wrong plan, which dominated because it is well rehearsed and easily enacted.
Psychology tells us certain variables predict higher risk of memory disruption. Probably the most important is working memory load, which is governed by many things you have to remember at any one time, and how complicated each is. If a task involves mental calculation or many steps, then your working memory load will be high and thus put you at more risk of disruption by interruption. Another issue is if the interrupting task is very similar to what you're currently doing, this also increases the risk that it will lead to memory disruption.
Another variable is the interruption modality—is the interrupting task visual or auditory for example? Those modalities are processed differently in the brain. It's quite possible to be talking about one thing and looking at a something different, to multitask. If the interruption uses the same modality however, like two visual tasks, then you have more chance of one disrupting the other. The final variable is how good you are at the task you're doing. If you have a lot of practice and experience, your opportunity to do well with interruption increases.
So, the kinds of clinical tasks that we worry about include administering medications, preparing injectable chemotherapy and IVs, induction of anesthesia, or putting a central line in. They're all tasks for which cognitive and task variables suggest that they are at risk of disruption by interruption.
Lots more here:
Well worth a listen!
David.

Surely This Is Shuffling The Deck Chairs On The Titanic!

This appeared a little while ago.

Immigration CIO leaves to join Health


Paul Madden takes over e-health drive.

The Department of Immigration's chief information officer Matt Yannopoulos will leave the agency to take over as CIO at the federal Department of Health.
Yannopoulos will end an almost two-year stint as Immigration's top tech chief in July to take on a position held by former Health CIO Paul Madden, as first reported by Intermedium.
Madden was moved into a new special adviser role at Health - responsible for strategic health systems and information management - as the result of an internal restructure several months ago.
His remit includes the agency's e-health initiatives.
Following Madden's promotion, Bettina Konti was placed into the role of CIO.
She will now move into the department's e-health division under Madden to deliver the switch from opt-in to opt-out for the national myHealth Record (formerly PCEHR).
Yannopoulos will take on the title of CIO and responsibility for the systems that support the Department’s operations.
More details here:
Given that according to the Budget Papers there is no National E-Health Strategy or plan one can only wish them some luck and hope they are very good at making it up as they go along!
One would have to think maybe Bettina has been given a poisoned chalice! We can all watch on with interest…..
This really has the feel of a disaster in the making, not because of the people but because of the bizarre way they are apparently being forced to proceed.
David.

Thursday, May 14, 2015

The Privacy Act and The Rules Will Suddenly Get More Attention If An Opt-Out PCEHR Is Implemented!

There were a couple of articles appeared last week.
First we had this:

Privacy complaints leap as companies struggle with compliance

Date May 4, 2015 - 3:09PM

Hannah Francis

Technology Reporter

More than half of all major Australian companies recently examined by Australia's Privacy Commissioner have failed to comply with privacy rules.
Privacy Commissioner Timothy Pilgrim said that 55 per cent of the 20 top websites run by the companies examined published inadequate privacy policies, while privacy-related complaints had leapt 43 per cent in the year since the nation's privacy laws were revamped.
The companies surveyed included the "big four" Australian banks; social media sites Instagram, LinkedIn and Twitter; the Department of Human Services; and major media outlets including news.com.au, ninemsn.com.au, The Guardian Australia, Yahoo!7 and The Sydney Morning Herald, owned by Fairfax Media, publisher of this article.
Government agencies performed the best out of 11 industry sectors when it comes to handling users' personal data and privacy.  
A separate report from Deloitte Australia, also launched on Monday to coincide with Privacy Awareness Week, found more than a third of consumers had experienced privacy "issues" with Australian companies.
The findings come just over a year after the Office of the Australian Information Commissioner (OAIC) introduced revamped privacy rules for government agencies and businesses, as well as increased powers for the Privacy Commissioner.
More here:
Second we have this.

NSW Privacy Commissioner calls for mandatory data breach notification

State privacy act needs an overhaul
NSW Privacy Commissioner Doctor Elizabeth Coombs has called for amendments to be made to the state's Privacy and Personal Information Protection (PIPP) Act from 1998 to bring it in line with 21st Century privacy concerns.
A report (PDF) was tabled in state parliament which outlined a number of recommendations.
These include:
  • The PPIP Act to be amended to provide mandatory notification of serious breaches of an individual’s privacy by a public sector agency.
  • Access to and amendment of personal information to be governed solely by the PIPP Act and access to non-personal government information to be governed by the Government Information Public Access (GIPA) Act
  • All NSW state owned corporations should be covered by privacy legislation
  • Principle of anonymity and pseudonymity where lawful and practicable
  • Coombs to prepare guidance for agencies on the use of surveillance technologies such as CCTV
  • The PPIP to include privacy by design
  • ISO/IEC 27018 standard covering privacy, security and cloud services to be considered for inclusion in the NSW government’s information security management systems policy
  • A Code of Practice to be developed to enable information sharing for planning and policy analysis purposes between agencies.
More here:
Lastly we have this:

Nearly half of employees inadequately trained on Privacy Act compliance

Only 54 percent of workers believe their employers have given them adequate training about how to preserve the privacy of customers' personally identifiable information (PII), a new survey has found as privacy authorities spruik a new privacy management framework designed to help Australian organisations improve privacy compliance efforts that have been slammed as inconsistent and unbelievable by consumers.
Released by the Office of the Australian Information Commissioner (OAIC) to mark the 2015 Privacy Awareness Week – an annual awareness exercise run by the Asia Pacific Privacy Authorities (APPA) forum – the new Privacy management framework is designed to help organisations boost employee awareness of privacy responsibilities.
Specific recommendations are intended to inform organisations' privacy response along four key steps: embedding a culture of privacy, establishing robust and effective privacy processes, evaluating privacy processes to ensure continued effectiveness, and enhancing organisations' response to privacy issues.
“Privacy management is an obligation that is continuous and proactive and for it to be successful, it must have support from an organisation's leadership team,” Australian privacy commissioner Timothy Pilgrim said in a statement.
More here:
While the Government agencies typically do a good job of protecting personal information their responsibility rises dramatically with a compulsory opt-out system.
It seems to be certain new legislation will be required with the change to opt-out as we believe is the case - so we will need to wait and see just how it is framed - especially as the Privacy Commissioner would seem to be at least partially defunded!
There are some serious issues to be sorted out - and these will need to be sorted before the trials commence.
David.

Wednesday, May 13, 2015

The Budget Has Some Pretty Tough Details For The Health Sector. Rises Are Less Than Health Inflation.

This appeared yesterday and highlights the bigger picture.

Federal budget 2015: Nearly $2 billion in cuts to health system

Date May 12, 2015 - 8:41PM

Amy Corderoy, Dan Harrison

The Abbott government will cut nearly $2 billion from the health system over the next five years, while pushing ahead with controversial changes to the way it funds state-run public hospitals.
After angering voters last year with proposals for a Medicare co-payment, Health Minister Sussan Ley has looked for savings from a range of little-known programs, including grants for preventative health research, chronic disease prevention and rural outreach. 
Ms Ley says the budget still represents a "sensible and moderate" increase in funding – to more than $69 billion next financial year. Health spending is projected to increase by 3.2 per cent in real terms over the next four years.
The government is proceeding cautiously on Medicare reform, allocating $34 million to support the work of taskforces which will examine elements of the system and present reform blueprints to the government by the end of the year.
But it has not retreated on its plans to cease funding hospitals based on the services they provide and shift to a new model based on population growth and inflation, which will leave states and territories $57 billion worse off over 10 years.
The Australian Medical Association has said this "will fall well short of the funding needed to position public hospitals to meet the increasing demand", locking them in to having inadequate capacity to give people the treatment they need.
Patients will welcome $1.6 billion in new drug listings, including medicines for melanoma and bowel cancer.
A number of services will be added to Medicare, including a new treatment for early-stage breast cancer, while a new cervical cancer test will mean women will only need to get a pap smear every five years instead of every two.
More here:
The really bad bit of this is the pressing on with the huge cuts to the Public Hospital Sector. You can be sure that the Premiers on either side of politics are going to become increasingly noisy regarding this issue.
Also we still don’t quite know where Pharmacy and Drug costs will land as the Agreement with the Pharmacy Guild is still unresolved - and looks like taking a few more weeks. It is good to see that some additional drugs are added to the PBS - but speaking today Mr Hockey confirmed the Government is still pushing up the PBS Co-Payment by $5.00 per prescription. That will be a big hit to some.
We will need a few more details for the full extent of what has been added and what has been removed to become totally clear.
One additional bit of good news is a new MBS item for Telehealth in ophthalmology in remote areas in 2015-16. Small but sensible I reckon.

The AMA reaction to what they saw in Health was less than keen.

See here:

https://ama.com.au/media/spectre-2014-budget-overshadows-modest-measures-2015-health-budget

What was particularly odd was this comment:

"A/Prof Owler said it was evident tonight that the health sector was not impressed with the withholding of Budget detail in the Health Budget lock-up.
“It was insulting to have the leaders of Australia’s health organisations locked in a room with no Budget detail,” A/Prof Owler said.
The AMA will make a more detailed response when full details of the health Budget are made available."

I wonder what was going on there? I also wonder of the AMA has thought through its comments on the e-Health reboot?

David.

Here Are The Main Details Of The E-Health Area Of The Budget For 2015-16. Very, Very Interesting!

This is the detail.
Programme 7.1: eHealth
Programme Objectives

Redevelop and operate a national shared eHealth record system

The report from the Review of the Personally Controlled Electronic Health Record, released in May 2014, made recommendations aimed at improving the operation of the system and increasing use by healthcare providers and individuals. In 2015-16, the Government will work with stakeholders to implement key recommendations from the review including: usability improvements; renaming the system as My Health Record; revised incentives; and education and training for healthcare providers. The Government will also commence trials of new participation arrangements, including an opt-out system recommended by the review, to inform future strategies for increasing uptake and meaningful use of the My Health Record.

Provide national eHealth leadership

The Australian Government will continue to lead the national roll out of eHealth technology and services, and work with the States and Territories to support eHealth foundations, and finalise a national eHealth strategy. This strategy will identify the priorities for future Commonwealth and jurisdictional investment in eHealth.
In 2015-16, an Implementation Taskforce will be established to oversee and manage the transition of governance arrangements and eHealth operations from the National eHealth Transition Authority and the Department of Health to the Australian Commission for eHealth. This Commission will assume responsibility for the governance, operation and ongoing delivery of all eHealth across Australia, including the My Health Record from 1 July 2016.

In 2015-16, the Practice Incentives Programme (PIP) eHealth Incentive will be reviewed with the aim of encouraging general practices to contribute to and use the My Health Record system to improve clinical decision-making and the continuity of care for their patients.

Programme 7.1 is linked as follows:
·           This Programme includes National Partnership payments for:
-    Tasmanian electronic patient information sharing.
National Partnership payments are paid to State and Territory Governments by the Treasury as part of the Federal Financial Relations Framework. For Budget estimates relating to the National Partnership component of the programme, refer to Budget Paper No. 3 or Programme 1.9 of the Treasury’s Portfolio Budget Statements.
·           The Department of Human Services (Services to the Community – Health Programme 1.2) to support operation of the My Health Record.
·           The Department of Industry and Science (Business and Market Development – Programme 3.2) to expedite clinical trial reform in Australia.
Programme 7.1: Expenses

Table 7.2: Programme Expenses

2014-15 Estimated actual
$'000
2015-16 Budget

$'000
2016-17 Forward Year 1
$'000
2017-18 Forward Year 2
$'000
2018-19 Forward Year 3
$'000
Annual administered expenses





Ordinary annual services
135,221
135,981
129,963
120,944
5,062
Non cash expenses1
18,309
18,309
18,308
-
-
Programme support
23,127
20,829
10,515
10,577
10,830
Total Programme 7.1 expenses
176,657
175,119
158,786
131,521
15,892
1    “Non cash expenses” relates to the depreciation of computer software.

Programme 7.1: Deliverables

Qualitative Deliverables for Programme 7.1
Redevelop and operate a national shared eHealth record system
Qualitative Deliverables
2015-16 Reference Point or Target
Good practice principles and methods are applied to the operation and support of the My Health Record system.
The My Health Record system operations and practices are regularly reviewed to improve performance and usability.
Trials of new participation arrangements are undertaken, including for an opt-out system.
Trials to commence in 2016.
Provide national eHealth leadership
Qualitative Deliverable
2015-16 Reference Point or Target
New eHealth governance arrangements are implemented, including establishment of the Australian Commission for eHealth.
The Commission is operational from 1 July 2016.
Programme 7.1: Key Performance Indicators
Qualitative Key Performance Indicators for Programme 7.1
Redevelop and operate a national shared eHealth record system
Qualitative Indicator
2015-16 Reference Point or Target

Participation trial findings inform future planning to increase participation in, and meaningful use of, the My Health Record.
Trials to commence in 2016.



Quantitative Key Performance Indicators for Programme 7.1
Redevelop and operate a national shared eHealth record system
Quantitative
Indicator
2014-15 Revised Budget
2015-16 Budget
Target
2016-17 Forward
Year 1
2017-18 Forward
Year 2
2018-19 Forward
Year 3
System availability
99% of the time (excluding planned outages)
99% of the time (excluding planned outages)
99% of the time (excluding planned outages)
99% of the time (excluding planned outages)
N/A

The amazing details are as follows:

1. They don’t actually have a National -Health Strategy at present.

2. They will establish the usual task force in 2015-16 to implement the changes - presumably after some planning!

3. They will begin trial of Opt-Out in 2016 - so hardly likely to see much actually until 2017.

4. ePIP will be fiddled with again to increase pressure to use the system.

5. The funding allocated is hardly more than was already planned - if at all!

6. And in the notes we see this:  The Government has agreed to continue and improve the operation of eHealth records for three years, ending 30 June 2018. The funding largely stops at that date.

The suggestion that this is all just a holding action to keep things ticking over while actually doing a new Strategy and working out what to do is looking better and better!

More comments later.

David.

Tuesday, May 12, 2015

2016 Budget Watch. Parliament Closed Until Budget Later Today. Here Is The Latest!

Budget Night is May 12, 2015.
Here is what seems likely the day before!
The key points seem to be:
1. Major changes to PBS. Pharmacists not happy

2. Large spending on the PCEHR. With what sort of actual plan unclear.

3. A small dental package and some major PBS drug listings

4. A big time social / childcare package. Big backflip on Paid Parental Leave.

5. Some cuts to richer pensioners with some less well-off helped.

6. A major small business package with all sorts of goodies.

7. Some tax shifting changes - announced Monday - effect unclear

8. A deficit which Mr Hockey says will be a bit better than the market thinks - maybe a bit under $40 Billion is the betting

9. Apparent abandonment of the hoped for surplus for years into the future.

The main flavour from Mr Abbott is that there are goodies - but that they will need to all be paid for with some of the old and some new plans. Be assured there will be some stings in the tail - there always are!

Now to wait till 7:30 pm and see what surprises there are!
Details of recent reports follow.
-----

General Budget Issues.

Coalition reveals details of its childcare assistance package ahead of budget

Government set to means test new benefits, which will reportedly be paid directly to childcare centres rather than parents
The federal government has announced the continuation of funding for accessing preschool, as further leaks on its yet-to-be-released childcare package emerged ahead of next week’s budget.
News Ltd reported the government would means test its new childcare assistance measures, with families on a combined income of $165,000 or less getting the greatest benefit. The assistance would be tapered up to and above $250,000.
The new assistance would replace existing childcare rebate and subsidies, and would reportedly be paid directly to childcare centres rather than parents, as recommended by the Productivity Commission.
-----

Budget 2015: Budget tax trap laid for Labor

David Crowe

Cabinet ministers have killed off a new option to increase revenue in order to cut the deficit as Tony Abbott marshals a new attack on Labor for proposing higher taxes rather than tougher spending cuts, preparing the ground for a fundamental political fight over budget repair.
Ministers have rejected a proposal for a new charge on internet shopping that could have raised hundreds of millions of dollars, amid concern it would have been seen as a hit to consumers and a naked grab for more money.
The decision comes after ministers dismissed the idea of extending the deficit levy on wealthier Australians.
-----

Deficit blowout will be $50bn worse than official forecasts

David Uren

Commonwealth deficits will total $150 billion over the next four years — almost $50bn worse than official forecasts — with next week’s budget to reveal further massive shortfalls in tax revenues as spending blows out to its highest level in 30 years.
Consulting firm Deloitte Access Economics expects personal income tax revenue to fall short of the rapid growth expected by Treasury as wage rises are pegged, while company and superannuation tax revenue will also fail to meet the forecasts on which the budget update in December was based.
The firm’s budget preview shows deficits out to 2017-18 will be a combined $46.7bn worse than had been expected in December. Every budget and budget update since December 2010 has now shown deficits worse than Treasury’s forecasts.
-----

No more shortcuts to budget surplus

Date May 4, 2015 - 6:27AM

Ross Gittins

The Sydney Morning Herald's Economics Editor

Maybe we're getting somewhere. The nation's almost unanimous rejection of the proposed Medicare co-payment has proved to be a blessing. It's obliged the replacement Health Minister, Sussan Ley, to go back to basics and find genuine savings.
It won't be long before we find out what effect the failure of last year's budget has had on this year's. Judging by most accounts, it won't a favourable one.
Badly burnt by the monumental misjudgments in his first attempt, Tony Abbott seems to have swung to the opposite extreme of doing little or nothing to tackle our medium-term budget deficit problem.
4 May 2015, 5.38am AEST

Three tests the 2015 federal budget must pass

PPro-reformists Some may view 2014 as a wasted year, but the lessons from the federal budget could make it a watershed one instead.

Author Mark Triffitt

Lecturer, Public Policy at University of Melbourne
If poor policy were to gather all its devils together, they would fit – with plenty of room to spare - between the pages of federal budget released last May.
Broken promises and quarter-truths, ill-thought through spending cuts targeting the less well-off, a cosmic-sized disconnect from public sentiment, consumer confidence undermined. With such a hellish list, it’s little surprise the political and policy debate of the last 12 months has been dominated by the budget’s sorry legacy.
In a new post-mining boom world, Australia has much to do in terms of updating its economic and fiscal settings. It must also set out new policy foundations to grapple with systemic problems such as an ageing population and rising inequality.
-----

Apparent Budget Leaks.

Budget 2015: Tighter pension assets test

David Crowe

The dollar can't save Australian business

Federal cabinet has locked in plans to tighten access to the age pension for wealthy retirees who have enough private assets to pay their own way, securing a major budget saving while leaving room to reward others on modest ­private incomes.
A new pension assets test will scale back payments to older ­Australians who have substantial private wealth in addition to their family homes, but the changes will be balanced so there will be ­winners as well as losers from the changes.
Cabinet ministers have ­decided the details of a new policy that dumps last year’s proposal to adjust the indexation of the pension in favour of tighter rules on the value of the assets people can hold while still qualifying for a part-pension.
-----

Budget 2015: Boost for 120,000 seniors

David Crowe

The federal budget will offer higher payments to more than 120,000 retirees and ensure thousands more can keep a valuable concession card that cuts their cost of living, easing the impact of pension savings that will cut the deficit.
The sweeteners will help build support for changes to the Age Pension assets test to target payments to those who need them most, as an opportunity emerges to get the reform through the Senate.
While wealthier retirees will face a stricter test on the assets they can own while still getting the Age Pension, The Australian has been told the part-pension will be increased for those with relatively modest assets in addition to their family homes. Access to the Commonwealth Seniors Health Card will be preserved as part of the reforms so that anybody who currently gets the concessions — on medicines, hospital visits and transport — will be able to keep them. About 80,000 older Australians will lose the part-pension, as revealed by The Australian yesterday, but this will be offset by the number of retirees who will get higher payments under a new scale to “taper” the amounts, according to each recipient’s private wealth.
-----

Federal Budget 2015: pensions overhaul to help the poor and hit the rich

Date May 7, 2015 - 8:27AM

Matthew Knott

Communications and education correspondent

Pensioners welcomes 'fairer' changes

The government's pension overhaul makes sense, but a wider review into retirement incomes is needed says Councils on the Ageing Chief Executive Ian Yates.
The Abbott government will overhaul Australia's pension system in next week's budget, with over 170,000 low to middle income pensioners to be $30 a fortnight better off.
We're helping those with more modest assets 
But the tightening of the pensions assets will hit wealthier retirees, with around 91,000 expected to lose access to the part-pension and 236,000 people to have their pensions decreased.
-----

Federal budget 2015: Budget 2.0 will determine future of Joe Hockey-Tony Abbott partnership

Date May 9, 2015 - 8:39AM

Heath Aston

Political reporter

"There are no choices here. This is about the sustainability of our quality of life. It is about what we want to be in five, 10ten, 20 years' time. I often ask myself if there was a drug that is going to save my child's life in 10ten years' time and I couldn't afford it ... in 10ten years' time is the government going to have the money to afford the drug? ... they won't have it tomorrow unless we actually start fixing the budget now and we fix it early."
Joe Hockey said this before his first budget.
Even the Treasurer's own children might go without lifesaving medicine if he did not take an axe to spending, tackle Labor's "debt and deficit disaster" and end the "age of entitlement".
Compare Hockey's 2014 rhetoric to his modest assessment on Thursday of the impending budget: "It's an optimistic document. It's a realistic document but it's focused on growing the economy."
Invited by a Sydney talkback radio host on Thursday to wade back into the story of debt and deficit disaster, Hockey thanked him and brought the interview to a quick close.
-----

The $1,500 Mother’s Day gift: Childcare reforms to get mums back to work

  • EXCLUSIVE Samantha Maiden National Political Editor
  • The Sunday Telegraph
  • May 10, 2015 12:00AM
  • Families will gain $1,500 to encourage mums to get back to work
  • Stay-home mums to lose some subsidies
  • Two years to wait, then some fee relief for working families
FAMILIES will be better off by $1500 a year on average under childcare reforms that will encourage mums back to work and create a Medicare-style childcare smartcard.
Social Services Minister Scott Morrison will today unveil reforms that will put $30 a week back into the pockets of low and middle-income families who are currently earning up to $165,000.
But parents will have to wait until 2017 to secure childcare relief as the changes will be phased in over time.
-----

Federal Budget 2015: Why the new budget will be completely different

Date May 10, 2015 - 1:03AM

Peter Martin

Economics Editor, The Age

A few years back Coca-Cola decided to enter the energy drink market. It launched a product called Mother that was so bad eight out of 10 consumers said they hated the taste. Instead of deleting it Coca-Cola completely reformulated it and printed on the top of every can: "New. Tastes nothing like the old one".
Tuesday's budget is genuinely new. Two of the six-member expenditure review committee that put it together weren't there before – the new Social Services Minister Scott Morrison and the new Assistant Treasurer Josh Frydenberg​. The three top bureaucrats who put it together are new in their jobs – Michael Thawley​ in prime minister and cabinet, John Fraser in treasury and Jane Halton in finance. 
This time the Prime Minister Tony Abbott chaired almost every meeting. The nominal Treasurer and deputy chair Joe Hockey played less of a role.
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Health Budget Issues.

Budget 2015: Federal Government to subsidise $1.3 billion life-saving drugs

By medical reporter Sophie Scott and Alison Branley
Patients waiting on life saving medicines will get a sweetener in this week's budget with the Federal Government spending $1.3 billion on subsidies for new drugs.
Health minister Sussan Ley said medications for melanoma, breast cancer and blindness would now be listed on the Pharmaceutical Benefits Scheme.
"Access to new medicines is crucial if we're to help Australians beat life-threatening diseases such as cancer, as well as overcome chronic and degenerative conditions that can rob them of their independence," Ms Ley said.
-----

Govt to give $200 million in dental health

  • May 10, 2015 8:52AM
  • AAP
LABOR has labelled reports that the Abbott government intends to spend $200 million in dental health care as a "cruel hoax".
FAIRFAX media reported that Health Care Minister Sussan Ley will announce $200 million in dental health funding for the state and territories in Tuesday's budget to "allow for reform work to be undertaken over the next 12 months".
-----

Medical Future Fund.

Medical research fund gets second life

EXCLUSIVE Andrew Probyn Federal Political Editor
May 9, 2015, 12:55 am
The Abbott Government will recommit to a multibillion-dollar medical research fund in next week's Budget despite abandoning the $7 Medicare co-payment which was to help fund the plan.
The Weekend West understands the Government intends the Medical Research Future Fund to reach $20 billion within four years.
Sources concede this is ambitious given the 2019-20 timeframe was originally to be achieved through patient contributions for 70 per cent of Medicare services.
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Pharmacy Issues.

  • May 4 2015 at 12:16 PM

Federal budget 2015: Pharmacy faces $5b cut

The Abbott government is preparing to endorse $5 billion savings on pharmaceuticals for next week's federal budget, which will hit manufacturers and wholesalers, and appears set to spark an advertising war by pharmacists claiming changes will hit the sickest people in the community.
The expenditure review committee of federal cabinet is understood to have last week signed off on a package of changes to the pharmaceutical benefits scheme to be announced in the budget. But the package is still to be considered by the full cabinet this week.
A furious pharmacy sector is understood to be preparing an aggressive advertising and public relations war against the plans – already confirmed by Health Minister Sussan Ley – to introduce a 'discount' on pharmaceutical co-payments. The cost of the discount, estimated to be worth between $800 million and $1 billion to the budget, would have to be borne by individual pharmacies.
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PBS copayment discount ‘will punish elderly’

Joe Kelly

The government is facing a damaging industry backlash if cabinet greenlights a plan this Thursday to clawback $400 million in new savings over the next five years by introducing optional $1 discounts on prescriptions in next week’s budget.
The $1 discount, if passed on by pharmacists, means a concession card holder would need to pay for 72 scripts a year instead of 60 to reach the $366 threshold at which point medicines under the Pharmaceutical Benefits Scheme safety net drop to zero.
The measure is likely to be part of a package of changes to the medicine industry to be included in the budget generating net savings of $3bn and which are likely to heavily impact manufacturers, wholesalers and pharmacists.
The proposal for an optional discount on PBS co-payments — reducing the costs of medicine for pensioners from $6.10 to $5.10 and general patients from $37.70 to $36.70 — was approved by the Expenditure Review Committee of cabinet last Friday.
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Pharmacy Guild vows campaign to fight $1 prescriptions discount

Joe Kelly

The government will save some $400 million over five years introducing an optional $1 discount on prescriptions in the budget.
However, the Pharmacy Guild of Australia will launch a fierce ­advertising campaign against it.
The discount is likely to be one of several changes to the medi­cines industry generating net budget savings of about $3bn, say industry sources.
While encouraging competition, given the reluctance of government to free-up location restrictions the discount is still thought to cost pharmacists about $800m over a half decade.
The move would reduce the costs of medicine for pensioners from $6.10 to $5.10 and for general patients from $37.70 to $36.70.
It would also mean a concession cardholder would have to pay for 72 scripts a year instead of 60 to reach the $366 safety net threshold, after which medicines under the Pharmaceutical Benefits Scheme become free.
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Pharmacy Guild threatens campaign over $1 discount that could save $400m

Government plans to make budget saving by allowing chemists to offer discounts on the amount they are required to charge for scripts, among other measures
The Pharmacy Guild – sometimes dubbed the most powerful lobby group in Canberra – is threatening an intensive lobbying campaign against the Abbott government if cabinet agrees on Thursday to change what Australians are required to pay for medicines.
The changes involve relatively small budget savings for the federal government – at most $400m over five years and probably less – but would open the door to chemists competing with one another because they would be allowed to offer $1 discounts on the amount they are required to charge for scripts.
While the savings will be included in the budget, the changes are part of the closed-door negotiations for a new five-year agreement between the government and the Pharmacy Guild to replace the existing $15bn deal.
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Defiant Sussan Ley stands up to Big Pharma

Sid Maher

The budget battle over proposed cuts to medicine prices has deepened, with Health Minister Sussan Ley vowing to stare down drug company protests amid warnings from the industry that the cuts will harm cancer patients and the vulnerable elderly.
Medicines Australia chief exec­utive Tim James wrote to Ms Ley yesterday seeking an urgent meeting on the cuts, warning that they could “destroy’’ the Pharmaceutical Benefits Scheme and create a two-tiered scheme where rich patients gained quick access to drugs while poor patients had to wait.
However, government sources hit back, arguing that Medicines Australia was affected by only about $1 billion out of the $3bn in total cuts to medicine prices.
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I plan a blog on Wednesday 13th May on what we actually saw.
Enjoy.
David.