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."

Thursday, September 03, 2015

2016 Budget -Parliament Gone Again and The World Economy Maybe A Bit More Stable?

September 3 Edition
The big news this week will continue to be market turmoil which seems to have eased a bit but may not have finally stabilised as yet. This is not good for the Budget or our super accounts! It may be Mr Hockey has a real problem too with some calling for him to go.
Budget Night was May 12, 2015. We now await economic and  activity data reporting to see how successful it was. Interestingly there are some early indications the small-business stimuli might be working. Certainly JB HiFi and Harvey Norman seem to have been doing well recently.
Parliament came back on 10th August  and has now gone away for a few weeks so calm has returned! They all come back Sept 7 for another 2 weeks followed by another 2 weeks in October if I read the calendar right.
Well at least Spring is just around the corner - you can tell as the birds are waking up earlier each day and the daily top temps seem to be slowly rising!
Interesting that there seems to be pressure on Mr Hockey right now - especially after Mr Abbott’s comments regarding ‘hyperventilation’ regarding share market losses. A tiny bit more sympathy and reassurance might have been useful.
Comments early in the week on Mr Hockey must make him a little anxious. See here

Samantha Maiden: Treasurer Joe Hockey out for the count

August 30, 2015 12:00am
Samantha Maiden Sunday Herald Sun
TONY Abbott should sack Joe Hockey as Treasurer for Christmas. Trouble is, nobody thinks he has the savagery to do it and use a looming reshuffle to install Scott Morrison in the job.
Or Malcolm Turnbull, the only Liberal who would deliver instant economic credibility to the job.
It is what’s known in politics as the turkeys voting for Christmas.
The refusal to come to terms with the fact that Hockey is a lame duck is a real shame because the last treasurer with any authority was Peter Costello, who exited the stage in 2007.
and here:

Rough week? Joe Hockey's was worse

Date August 29, 2015 - 4:45PM

Michael Pascoe

BusinessDay contributing editor

COMMENT
If you've had a rough week courtesy of market volatility, just consider how much worse it could have been – you could have been Joe Hockey.
The federal Treasurer began the week with what had been billed as a major speech on taxation with a message the Coalition was keen to get back to after various "distractions", as blunders and embarrassments are euphemistically labelled.
Instead, the speech was a policy disaster, immediately shredded by just about everyone with an interest in the subject. 
CPA Australia CEO Alex Malley buried it for being "long on rhetoric and short on substance". When a conservative Treasurer loses the accountants…well, you know.
-----
Here is some other of the recent other news and analysis.

General Budget Issues.

Tony Abbott says 'don't hyperventilate' over sharemarket losses

Date August 25, 2015 - 2:31PM

Lisa Cox

National political reporter

Prime Minister Tony Abbott says "it's important that people don't hyperventilate" after the Australian sharemarket suffered its worst day on Monday since the global financial crisis.
It comes after the Australian sharemarket was hit by $60 billion in losses, on the back of major slump in China, which has sparked heavy losses across Asia.
Mr Abbott said he had been briefed by Reserve Bank governor Glenn Stevens on Tuesday.
"I think it's important that people don't hyperventilate about these type of things," Mr Abbott said from Thursday Island on Tuesday, where he is visiting Indigenous communities.
"Certainly I've been talking to Treasurer Joe Hockey about the stock market issues over the last couple of days.
----- 

Game of politics has dealt Joe Hockey a dreadful hand

  • Peter Brent, Mumble
  • The Australian
  • August 26, 2015 11:07AM
In his first budget last year, Treasurer Joe Hockey overprojected federal government revenue across the forward estimates by around $50 billion. That’s according to the revised numbers in this year’s document.
After all his carry-on about Wayne Swan’s repeated downgrades, Hockey looks pretty silly.
But another recent treasurer transgressed in this way much more severely: one Peter Costello, in 2007. That was to the tune of around $90 billion which, adjusting for inflation, constitutes an error more than twice the size of the current treasurer’s.
-----

Budget pain if cuts too quick: Hockey

  • AAP
  • 27 Aug, 6:12 PM
Treasurer Joe Hockey says more government spending cuts need to be made, but if reductions are made too quickly it will cause the community pain.
His comments came after a stark warning by former Treasury secretary Martin Parkinson that Australia will be "sleepwalking into a mess" unless fiscal and productivity reform are dealt with in tandem.
Dr Parkinson, who stood down as one of the nation's most powerful public servants late last year, told an economic reform summit on Wednesday that the growth of living standards could fall by half of what has been the norm over the past 50 years if nothing is done.
-----
  • Aug 27 2015 at 6:21 PM
  • Updated Aug 27 2015 at 7:01 PM

ACTU urges Joe Hockey to consider increasing tax brackets

The ACTU has urged Treasurer Joe Hockey to consider increasing the number of tax brackets as part of measures to reduce bracket creep and increase workforce participation.
In a 20-page policy blueprint arising from the National Reform Summit, the ACTU has also urged the government to take a leading role in the productivity debate by devising a program to lift the skills of the nation's managers.
Outlining broad-ranging proposals to change the tax system, the ACTU's draft document says any review of the personal income tax base should include consideration of the impact on workforce participation, incentives on bracket creep and additional tax brackets.
-----
Aug 29, 2015

Embattled PM ignores carbon, backs Hockey's tax cut pledge

Frustration with the lack of leadership coming from Canberra prompted two of the nation’s more influential newspapers to stage what was billed as a reform summit this week. But instead of a far-reaching agenda, on display was the sort of self-interested myopia the organisers bemoaned.
Few could disagree with the scene-setting statement: “For too long our politicians have been engaged in bitter personal conflicts, across different parties and within them.” They chided elected leaders for forgetting that Australians want and expect to see our country being well run. Voters certainly tired of the Rudd-Gillard soap opera that ran on repeat for six years of Labor government. But the replacement hasn’t impressed much either. Running the country well seems to be an elusive project. What makes it so much harder is the loss of trust or credibility. For Tony Abbott, regaining it is a losing struggle.
Already, the Liberals appear not to see Abbott as a plus. He doesn’t feature in their campaign material for the seat of canning. Julie Bishop is the big attraction there.
-----

Health Budget Issues.

Labor calls on Joe Hockey to rule out GST on health to pay for tax cuts

AM
By political reporter Peta Donald
The Federal Opposition has called on Treasurer Joe Hockey to rule out broadening the base of the Goods and Services Tax (GST) to include health care, as a way to fund income tax cuts.

Key points

  • Hockey left the door open to broadening the GST to pay for personal income tax cuts
  • Labor said applying the GST to healthcare "would be terribly regressive"
  • Any change to the GST would need the approval of the states
  • Economists said increased economic growth would not be enough to fund tax cuts
-----
  • Aug 24 2015 at 4:56 PM
  • Updated Aug 24 2015 at 7:47 PM

Joe Hockey leaves open GST on health

Treasurer Joe Hockey has left open the door to extending the GST to healthcare to help fund a possible $25 billion in income tax cuts needed to combat bracket creep.
Senior sources said the development was a concession that the government could not hope to fund the now-promised tax cuts through spending cuts alone, and may take to the next election a proposal which would involve increasing the rate or base of the GST, or both.
Mr Hockey and Prime Minister Tony Abbott have ruled out a GST increase without the unanimous approval of all the states and say any increase must be part of a tax reform exercise, rather than raising extra revenue.
-----

How a GST on health would hurt your hip pocket

  • August 25, 2015 10:00PM
  • Sue Dunlevy
TREASURER Joe Hockey denies he suggested extending the GST to health in a major tax speech on Monday but he won’t definitively rule out the option to pay for income tax cuts.
Doctors, chemists and health insurers have raised concerns at remarks he made on Monday.
Mr Hockey said he wanted an income-tax cut to compensate people when wage rises push them into higher tax brackets and left open the option of extending GST to health to pay for it.
“There’s no doubt that with the exemptions in place in relation to the GST, the GST’s base is narrowing,” Mr Hockey said.
-----

Labor slams proposal for GST on health

Published: 7:12 am, Tuesday, 25 August 2015
Labor says extending the GST to health would amount to a GP co-payment by stealth.
Opposition health spokeswoman Catherine King has told ABC radio the tax burden would fall disproportionately on the sickest Australians, costing patients $3 billion a year.
Shadow treasurer Chris Bowen says it would amount to a co-payment by 'stealth'.
Treasurer Joe Hockey said tax cuts were needed to address the growing problem of bracket creep, which pushes workers into higher tax brackets merely though wage inflation.
He left the door open to funding the tax cuts by broadening the base of the GST to include health.
-----

Proposed social security cuts pass huge cost to forensic patients

Date August 25, 2015 - 9:00PM

Dan Howard

A government bill seeks to end forensic patients' entitlement to social security payments.
The government has been debating the Social Services Legislation Amendment Bill 2015 which, if passed, will have the drastic consequence of denying social security payments to persons in psychiatric confinement who have been charged with a serious offence.
The changes aim to save the federal budget a meagre $30 million over four years. This will be at enormous cost to forensic patients – those charged with an offence, but found at court to be either unfit for trial or not guilty on the grounds of mental illness.
If passed, the proposal will have a seriously detrimental impact upon the well-being and therapeutic progress of these patients who are among the most disadvantaged in our society.
-----

Medicare Local bureaucracy leaves $1m legacy

24 August, 2015 Serkan Ozturk 
Now nothing more than another defunct health acronym, the top lobby group for Medicare Locals has been wound up despite enjoying a million-dollar surplus.
The Australian Medicare Local Alliance (AMLA) was set up to oversee the rollout of the nationwide Medicare Local network in 2011.
The victim of the changing party political tide, the network was scrapped within three years by former health minister Peter Dutton to make way for a new acronym, the PHN or Primary Health Network.
Administrators Kazar Slaven said AMLA — funded largely by taxpayers via the Federal Department of Health — left no bad debts but it had a surplus of more than $1 million.
-----

Concerns home doctor after hours bulk-billed service is costing taxpayers $220m a year

  • Samantha Maiden
  • The Sunday Telegraph
  • August 29, 2015 10:00PM
GENERAL practitioners have raised concerns about a booming home doctor service providing “free” bulk-billed home visits after 4pm that is costing taxpayers $220 million a year.
The concerns have also sparked a warning from Health Minister Sussan Ley that companies should be careful to ­ensure they are not “gaming’’ the system by claiming Medicare consultations are “urgent’’ when they are routine.
The flying squad of hundreds of GPs now providing home visits across Australia is helping slash health costs for state governments by reducing emergency visits — but the federal government is picking up the whopping bill.
GPs also claim some visits do not fit the criteria of ­“urgent’’ used to justify the $150 Medicare fee.
-----

Unnecessary procedures ripe for review

A new report has found that many Australians are undergoing unnecessary medical treatments, including treatments that have been found to be ineffective or downright dangerous.
The report, co-authored by Stephen Duckett at the Grattan Institute, focused on five treatments that should not be undertaken. Despite this warning, 6000 people have undergone those treatments in 2010-2011, or more than 16 people per day.
The five treatments that were identified included: hyperbaric oxygen therapy; the removal of healthy ovaries during a hysterectomy; laparascopic uterine nerve ablation for chronic pelvic pain; arthroscopic debridement for osteoarthritis of the knee and vertebroplasty for osteoportic spinal fractures.
-----

Medical Research Fund Issues.

Coalition buries its own medical research fund victory

  • The Australian
  • August 27, 2015 12:00AM

Niki Savva

On August 31 last year, Alastair Lucas, an investment banker with Goldman Sachs, announced the formation of an action group to lobby crossbenchers and the Labor Party to support the Abbott government’s proposed $20 billion medical research fund, which by then was in deep trouble.
It was a broad coalition including academics Nicholas Fisk and Bruce Robinson, researchers of the calibre of Christine Bennett, Brendan Crabb and Doug Hilton, high-flying business types such as Matthew Grounds and philanthropists such as Harold Mitchell.
Such are the cruelties of life that a week later Lucas, also chairman of the renowned Burnet Institute, was diagnosed with brain cancer that was so aggressive there was little that could be done for him. Lucas died in early July. He lived long enough to know a deal had been struck to establish the fund, not long enough to see the legislation passed and, sadder still, not long enough to derive some personal benefit from the important work that no doubt will flow from it.
-----

Health Insurance Issues.

Medibank ups pressure on hospitals

Sarah-Jane Tasker

Health insurance giant Medibank is stepping up its campaign against paying for hospital “mistakes” with the public release of the “events” it deems preventable.
The company (MPL) has today released its list of 165 adverse events that will no longer pay for, which has been the centre of its bitter dispute with Calvary Hospitals.
Medibank also announced today it would introduce an independent clinical-review process to clarify situations where responsibility for the adverse event was unclear.
Medibank has been locked in a heated contract dispute with Calvary after Medibank refused to renew a deal with the hospital unless it agreed to a list of what the insurer believes are preventable mistakes it will no longer pay for.
-----
3:50pm August 24, 2015

Ley warns Medibank over hospital list row

AAP
Medibank has been accused of jumping the gun in a move that could leave millions of Australians facing hefty out-of-pocket costs.
The nation's biggest private health insurer has been told by a federal government agency its policies are based on inaccurate information.
Medibank on Monday ramped up its campaign in a dispute with hospital operator Calvary, despite Health Minister Sussan Ley warning the warring parties to stop using patients as ransom in a cynical "Game of Thrones".
-----

Medibank Private releases list of procedures not covered at Calvary hospitals; crisis talks deadlocked

By Michael Coggan
Posted about an hour ago
A big list of medical procedures and complications will not be covered by Australia's biggest private health insurer, Medibank Private, as the stoush between it and health provider Calvary stands at a stalemate.
At the centre of the dispute are private hospitals run by the not-for-profit Catholic organisation Calvary in South Australia, Canberra, Wagga Wagga and Tasmania.
The insurer's list of 165 "Adverse Events" it will no longer cover includes falls in hospitals and readmission to hospital as a result of a wound infection.
But the Australian Commission on Safety and Quality in Health Care said the inclusion of about 131 of the 165 events on Medibank's list was "based on inaccurate information".
-----

Medibank restarts negotiations with Calvary Health Care over members’ large out of pocket expenses

  • August 27, 2015 12:00AM
  • Sue Dunlevy - News.com.au

Medibank Private: the float that shocked

MEDIBANK has resumed negotiations over a controversial private hospital contract just days before its members in four states were due to be hit with large out of pocket expenses.
Calvary Health Care and Medibank Private announced late Wednesday they had recommenced formal contract negotiations in Sydney.
“Both parties are pleased to announce that today’s discussions have been fruitful and are ongoing,” they said in a statement.
-----

Medibank, Calvary end row

  • August 30, 2015 11:00AM
  • AAP
AFTER months of bitter dispute, Australia's largest private health insurer Medibank and Calvary Health Care have agreed to declare a truce.
A DAY before a contract between the pair was due to expire, both parties released a joint statement saying they've signed a new three year agreement.
"We recognise that this was a robust and challenging negotiation," Medibank's Dr Andrew Wilson and Calvary CEO Mark Doran said on Sunday.
-----
August 30, 2015

Joint statement: Calvary and Medibank agree to terms

Calvary Health Care and Medibank today announced they had signed a new three year contract that will deliver enhanced healthcare outcomes and affordability for members and patients.
Medibank Executive General Manager Provider Networks and Integrated Care, Dr Andrew Wilson, and Mark Doran, Calvary National Chief Executive Officer, said:  “We recognise that this was a robust and challenging negotiation.
“However, we’ve reached an agreement that will deliver enhanced clinical safety, quality care and affordability for members and patients.  It is good for both our organisations and all other stakeholders, be they  staff or doctors,” they said.
“We are pleased to have achieved certainty about ongoing care for Medibank’s members who require care in Calvary hospitals.
“This renewed partnership places both organisations in a strong position to help tackle the growing challenges facing Australia’s world class health system.”
As the terms of the agreement are confidential, they would not be disclosed publicly, both parties said.
-----

Pharmacy Issues.

Health officials under attack over PBS deal

  • REBECCA URBAN
  • The Australian
  • August 28, 2015 12:00AM
Health officials have been savaged over the failure to adequately ­account for the payment of $14 billion­ to pharmacists, with a parliamentary committee hearing that just one page documented nego­tiations around the ­nation’s medi­cines supply chain deal.
The five-year deal, which was struck under the former Labor federal government, provided for the payment of more than 5400 pharmacies for their role in dispensing Pharmaceutical Benefits Scheme-listed medicines.
But the arrangement between the government and the Pharmacy Guild of Australia has been widely panned for its lack of transparency and accountability, ­potential conflicts of interest ­regarding the guild’s dual roles as an administrator and beneficiary of funds, and its failure to ­deliver promised savings to the ­national health budget. A damning report was released by the Australian Nationa­l Audit ­Office in March.
-----
It is going to be very interesting to see what happens to the polls and consumer confidence over the next 2-3 months with the present market chaos. I hardly see it improving in the short term.
Enjoy.
David.

Wednesday, September 02, 2015

Telstra Pushes Into Asia In A Serious Way In E-Health. Sounds A Little Risky To Me.

These release appeared last week.

Telstra Health Expands Presence in Asia with Hospital Contract Wins

Business | August 24, 2015
KUALA LUMPUR, Malaysia, Aug. 24, 2015 /PRNewswire/ — Telstra Health, a division of Australia’s largest telecommunication and technology company, today announced several key contract wins and implementations of hospital electronic medical record systems in Malaysia and Thailand, adding to its existing customer base in Asia and its established offices in Hong Kong, Malaysia and India.
Telstra Health creates solutions for key challenges in the healthcare sector by integrating leading eHealth solutions, such as the CloudMed Arcus Hospital Information System (Arcus), which is an integrated patient care system that provides hospital networks spreading over multiple locations with a single medical record.  
Implementation of Arcus has commenced at Sunway Medical Centre group, Penang Adventist Hospital group and Tung Shin Hospital’s Western Medicine and Traditional Chinese Medicine wings in Malaysia. In addition, through a distributor, Convergence Systems, Arcus is being delivered to Khon Kaen University Hospital in Thailand.
Jim Flynt, Managing Director of Telstra Health’s CloudMed subsidiary and General Manager of Health Applications, said finding more efficient and effective ways to deliver healthcare would be increasingly important across Asia, with healthcare costs in the region expected to increase from US$1.34 trillion in 2013 to US$2.21 trillion by 2018, due to growing populations and chronic illnesses becoming more common.
“Our Arcus product is designed to make it easier for doctors, nurses and pharmacists to treat patients, reducing the amount of time spent on paperwork and freeing up time to spend on what they do best – caring for patients,” said Mr Flynt.
“The system is highly flexible and can support multiple languages including English, Thai and Mandarin across multiple sites while it will also be able to record both western medicine and traditional Chinese medicine data in the future.
“While Australia remains our primary focus, the expansion into Asia marks an important milestone in the continued development of Telstra Health as we become a global health business. Many of the pain points in Australia - such as the need to digitalise and automate complex processes and share information in real time - are the same for healthcare sectors around the world.
“CloudMed, a wholly owned business of Telstra Health, acquired the assets of Indian based health software developer IdeaObject last December. Their Cloud Hospital Information System was already used by more than 250 hospitals across Asia. We’ve been able to build on this with these contract wins and are looking for growth in the region from our offices in Hong Kong, Kuala Lumpur and Chennai,” Mr Flynt said.
Sunway Group Healthcare Services’ Managing Director, Mr. Lau Beng Long said, “Arcus will be the first to introduce the use of tablet PCs to doctors, pharmacists and nurses to enable optimal mobility and flexibility when treating patients in both inpatient and outpatient environments. It will also be an integral tool for the consolidation of medical consultation notes and prescriptions at the end of a patient’s visit.”
Dr Wesley Toh See Wei, CEO and President of Penang Adventist Hospital, said “This system means any future hospitals in our pipeline can easily be brought online and become part of our healthcare ecosystem, be it on premise or in a hybrid setting, allowing us to achieve a holistic view of the care activities across the organization,” said Dr Wesley.
Mr. Chung King Keong, the Administrator of Tung Shin Hospital in Kuala Lumpur said, “We embrace Telstra Health’s vision of creating a connected healthcare system. Capturing, digitising and sharing clinical and administrative information can make healthcare smarter, safer and more efficient,” said Mr Chung. 
Telstra Health previously acquired UK based health analytics firm Dr Foster in March, currently with customers in 10 countries including the UK, the US, Italy and Spain.
About Telstra Health
Telstra Health is a provider of eHealth solutions with the ambition to create a better health system for patients, providers and health insurers. Telstra Health aims to be the partner of choice and is working with medical experts, the health sector, government, funders as well as the world’s best and most innovative eHealth companies to build a future where eHealth solutions are integrated together to create a brilliantly different health care system. Telstra Health is a business division of Telstra Corporation, Australia’s leading telecommunications company. For more information visit www.telstra.com/health
Media contact:
Cath Harris
Phone: +61-477-747-176 
The release is found here:
The release deserves very close reading from an Australian point of view. If this cloud based system can be shown to work / be adjusted to work here I am sure there will be many smaller hospitals who would find a remotely supported managed system a god-send.
It will be vital to keep an eye on what comes next - but this move into the hospital sector is clearly a major risk / benefit step for the Company.
I for one - with an major interest in e-Health and a few Telstra shares in my super fund - will be watching closely what comes next.
David.

Tuesday, September 01, 2015

Some IT Fiascos Seem To Drag On Forever. Witness The Queensland Health Payroll Debacle!

This appeared a few days ago:
  • Updated Aug 24 2015 at 5:04 AM

IBM 'negligent and misleading', Queensland alleges

The Queensland government has accused technology giant IBM of misrepresenting its credentials in delivering a $6 million payroll system that cost $1.2 billion to fix.
It said if IBM hadn't talked up its credentials to design, build and deliver the payroll system for Queensland Health before it signed a contract in 2007, it would have awarded the deal to its archrival Accenture, court documents reveal.
​ The state government is attempting to sue IBM for damages over the botched health payroll debacle, which partly contributed to the demise of the Bligh Labor government in 2012.
IBM has vowed to fight the claim and is blocking an attempt for the Queensland government to sue for damages in a four-day trial starting in the Supreme Court in Brisbane on Monday.
The technology system debacle – which overpaid some workers, underpaid others or paid them not at all – was described by former Supreme Court Richard Chesterman, QC, during his $5 million inquiry as possibly the worst failure in public administration in Australia.
The legal action against IBM was initiated by the Newman government, which blamed Labor for not pursuing the company for the botched payroll system for 80,000 health workers.
Despite speculation the Palaszczuk government would let the legal action lapse, it continued the compensation claim after winning office in January.
IBM is trying to block the action, saying it was cleared from future litigation during a 2010 agreement with the state.
In its submission to the courts, the Queensland government alleged it had suffered significant loss and damage as a result of the contract it signed with IBM in 2007 and the failed implementation of the payroll system for Queensland Health, which went live in 2010.
"The state alleges further that it would never have entered into the IBM contract and incurred the resulting losses had it not been for negligent and misleading representations made by IBM prior to the entry into the IBM contract," the submissions said.
It says the supplemental agreement with IBM in 2010 – where the IT company was paid a final payment of $718,861 to help fix remaining problems in the payroll system – did not terminate the IBM contract.
Lawyers for IBM claim the company was granted a release by the 2010 deal.
Lots more here:
This was followed a little later by this:
  • Updated Aug 26 2015 at 1:10 PM

Qld claims payroll project too complex for IBM


A former senior Queensland bureaucrat said IBM had underestimated the complexity and the resources required to deliver the health payroll system before it went live in 2010.
Mal Grierson, who was director general of the Department of Public Works, told the Supreme Court in Brisbane on Wednesday there was a belief in the government the global technology company had struggled to get on top of the problems with the IT system after it signed up to the contract in 2007.
He said IBM's strategy to transfer the existing payroll system it had developed for the Department of Housing to Queensland Health and its 80,000 workers was flawed.
Mr Grierson, who was negotiating with IBM over ways to fix the IT problems, said he was dealing with complaints about IBM's performance across three portfolios – housing, health and education – where it was delivering separate projects for the then Bligh government.

"There was a belief in government IBM had not understood the complexity of the Queensland Health payroll system. And they had not put enough resources – the numbers and calibre of people – that was required," Mr Grierson told the Supreme Court in Brisbane on Wednesday. 

"Comparing the health payroll system to the housing payroll system was like chalk and cheese. The assignment to take the housing payroll system and build that for Queensland Health was completely wrong."

IBM is attempting to block Queensland government from suing them over the botched implementation of the health payroll system – a $6 million contract which later cost taxpayers $1.2 billion to fix. 

The Queensland government is suing IBM not for breach of the original 2007 contract, but for allegedly misrepresenting their credentials to deliver the health payroll project on-time and on-budget. 

The misrepresentations also involve using the payroll system for the Housing Department as the basis for the Queensland Health project.

Mr Grierson said former premier Anna Bligh and senior ministers, including health minister Paul Lucas and housing minister Robert Schwarten, were perplexed with why IBM was struggling with the task.

"There was a message coming from the premier down saying, 'This is IBM we're talking about – why are they not doing this properly?'," he said.

Mr Grierson admitted one of the reasons IBM was selected for the 2007 contract was because of its international reputation for delivering big projects.

"When IBM was selected it was because of the expertise to replace the Queensland Health payroll system. The government didn't ask IBM about the complexities," he said.

"They just assumed IBM would do the analysis to deliver the project. That was the bottom line."

Much more here:

http://www.afr.com/technology/enterprise-it/ibm-negligent-and-misleading-queensland-alleges-20150820-gj42md

The ABC also provided coverage:
IBM tries to block legal action over Queensland Health payroll disaster

By Allyson Horn 

Tue at 6:27pm - August 25, 2015 

Former ministers have given evidence in a Supreme Court hearing as IBM tries to stop a State Government lawsuit over the Queensland Health payroll debacle.

The technology giant was contracted in 2007 by the Labor government of the time to set up a new payroll system that went live three years later and saw thousands of staff underpaid, overpaid or not paid at all.

The state launched legal action to recoup some of the $1.2 billion it cost to fix the bungle.

On Tuesday, lawyers for IBM appeared in the Supreme Court in Brisbane in a bid to block the case.

Former health minister Paul Lucas and former public works minster Robert Schwarten were questioned why the Government did not pursue legal action straight away.

Both men said their first priority was getting workers paid and that legal action might have jeopardised that.

Mr Lucas said he was "extremely disappointed" with IBM at the time, but he did not want to sack the company and risk workers not getting paid. 

http://www.abc.net.au/news/2015-08-25/ibm-tries-to-block-legal-action-over-qld-health-payroll-disaster/6723598 

I find it amazing this has not been sorted ages ago given the contract was let in 2007 - under an earlier Labor Government - which shows how long this has been rolling along!

I assume a working system is now in place - but I have not heard that is the case. A comment confirming Payroll is working up there now would be good for all our interest!

David.

Monday, August 31, 2015

Weekly Australian Health IT Links – 31st August, 2015.

Here are a few I have come across the last week or so.
Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.

General Comment

An interesting week with Telstra seemingly wanting to buy up the eHealth farm! Interesting they are into Asia with Hospital Systems. That is a hard market segment to say the least!
Interesting the Qld Health Payroll debacle continues to cause news ages after it has been resolved - or has it?
Reporting season has also seen some e-Health companies announce results - most seem reasonable.
Enjoy the browse.
-----

Telstra Health contract wins expand Asian profile

Telstra Health has secured four new contracts in the Asian region as the company looks to expand its presence in the region.
The company, which already has established offices in Hong Kong, Malaysia and India, has been awarded contracts which will see its Health CloudMed Arcus Hospital Information System deployed by hospitals in Malaysia and Thailand.  The integrated patient care system that provides an end-to-end single medical record system for hospital networks spread over multiple locations is currently in use in more than 250 hospitals across Asia.
Under the new contracts, implementation of Arcus has commenced at Sunway Medical Centre group, Penang Adventist Hospital group and Tung Shin Hospital’s in Malaysia and Khon Kaen University Hospital in Thailand.
-----

Telstra bets on e-health to become billion dollar business

Date August 24, 2015 - 12:15AM

David Ramli

Reporter

Exclusive
Telstra has launched its rapidly growing eHealth division into Asia, winning two key contracts worth tens of millions of dollars in Thailand and Malaysia.
The latest deals signal a bold new push for the telco and forms a new plank of its strategy to  extract billions of dollars from Asia's increasingly affluent middle class.
"Health is just such an extraordinary opportunity especially when you consider the rate of digitisation," Telstra group executive retail Gordon Ballantyne told Fairfax Media. "We first have to build it in Australia but we have been overwhelmed by the interest in other Asian countries to come and adopt some of the things we're doing here."
-----

Telstra Health Expands Presence in Asia with Hospital Contract Wins

Business | August 24, 2015
KUALA LUMPUR, Malaysia, Aug. 24, 2015 /PRNewswire/ — Telstra Health, a division of Australia’s largest telecommunication and technology company, today announced several key contract wins and implementations of hospital electronic medical record systems in Malaysia and Thailand, adding to its existing customer base in Asia and its established offices in Hong Kong, Malaysia and India.
Telstra Health creates solutions for key challenges in the healthcare sector by integrating leading eHealth solutions, such as the CloudMed Arcus Hospital Information System (Arcus), which is an integrated patient care system that provides hospital networks spreading over multiple locations with a single medical record.  
Implementation of Arcus has commenced at Sunway Medical Centre group, Penang Adventist Hospital group and Tung Shin Hospital’s Western Medicine and Traditional Chinese Medicine wings in Malaysia. In addition, through a distributor, Convergence Systems, Arcus is being delivered to Khon Kaen University Hospital in Thailand.
-----

Telstra Health scores hospital contracts in Malaysia, Thailand

Telstra's health division will roll out its Arcus media records system at four hospitals
Telstra Health has won four new contracts with hospitals in Malaysia and Thailand.
Telstra's eHealth business already had a presence in Malaysia, as well as Hong Kong and India.
The new contracts involve Telstra Health’s CloudMed Arcus Hospital Information System (Arcus). Arcus provides a single medical record system for hospitals across multiple locations.
"Our Arcus product is designed to make it easier for doctors, nurses and pharmacists to treat patients, reducing the amount of time spent on paperwork and freeing up time to spend on what they do best — caring for patients," said group executive of Telstra Retail Gordon Ballantyne,
"The system is highly flexible and can support multiple languages including English, Thai and Mandarin across multiple sites while it will also be able to record both western medicine and traditional Chinese medicine data in the future."
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Who’s who of Aussie (global) ICT

August 24, 2015
PRO MEDICUS (ASX:PME) is a leading provider of radiology information systems (RIS) Picture Archiving and Communication Systems (PACS) and advanced visualisation solutions across the globe with over 30 years experience helping clients deliver first-rate patient care by enhancing and streamlining medical practice management. The company’s expertise is in the client visualisation technology and the management of the supporting information. Pro Medicus does this by providing products and services that combine speed, scalability and smarts to help eliminate administrative tasks and workarounds, optimise the efficiency of clinical and administrative staff and maximise profits. The company provides a full range of radiology IT software and services to hospitals, imaging centres and health care groups worldwide. The company has global offices in Melbourne, Berlin and San Diego. www.promed.com.au
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  • Updated Aug 24 2015 at 5:04 AM

IBM 'negligent and misleading', Queensland alleges

The Queensland government has accused IBM of misrepresenting its credentials for the health payroll contract. Bloomberg
The Queensland government has accused technology giant IBM of misrepresenting its credentials in delivering a $6 million payroll system that cost $1.2 billion to fix.
It said if IBM hadn't talked up its credentials to design, build and deliver the payroll system for Queensland Health before it signed a contract in 2007, it would have awarded the deal to its archrival Accenture, court documents reveal.
​ The state government is attempting to sue IBM for damages over the botched health payroll debacle, which partly contributed to the demise of the Bligh Labor government in 2012.
IBM has vowed to fight the claim and is blocking an attempt for the Queensland government to sue for damages in a four-day trial starting in the Supreme Court in Brisbane on Monday.
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  • Aug 26 2015 at 12:53 PM

Qld claims payroll project too complex for IBM

IBM struggled to cope with the complexity of the Queensland Health payroll system. Craig Warga
A former senior Queensland bureaucrat said IBM had underestimated the complexity and the resources required to deliver the health payroll system before it went live in 2010.
Mal Grierson, who was director general of the Department of Public Works, told the Supreme Court in Brisbane on Wednesday there was a belief in the government the global technology company had struggled to get on top of the problems with the IT system after it signed up to the contract in 2007.
He said IBM's strategy to transfer the existing payroll system it had developed for the Department of Housing to Queensland Health and its 80,000 workers was flawed.
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Ian Maddocks: Record of care

Ian Maddocks
Monday, 24 August, 2015
INTEGRATION of care is a common theme in health, with expectations that information technology will play a major part to bridge gaps in offering patients continuous, seamless care.
 In 2012, the federal government launched the e-health record system, where patients could register for a personally controlled electronic health record (PCEHR). More recently, the government has announced moves to introduce an “opt out” rather than “opt in” system and will rename the PCEHR myHealth Record.
The PCEHR aims to provide continuity of care by providing full details of the patient’s health care, medical contacts and interventions. But is that enough?
Access to my own record finds it is designed to advantage health care providers rather than those receiving care.
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App Review: Boost health, one spoonful at a time

26 August 2015
ONE of the challenges in effecting dietary change in the modern world is avoiding the hidden sugars and fats found in processed foods. 
Following That Sugar Film, the That Sugar App aims to educate on the amount of hidden sugar in all of the foods we consume daily.
The app opens to a short video explaining the health benefits of limiting refined sugar. 
Accessing the home page then allows the user to look up a wide range of different foods commonly available in Australia and determine their sugar content in teaspoons per serve or per 100g. 
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Leading doctor takes aim at 'best' specialist site

Tessa Hoffman | 21 August, 2015 |
A senior doctor has rubbished a new website that claims it can put GPs and patients in touch with the country's top specialists.
Launched this month, the Specialist Doctors website says it has a database of some 750 clinicians across 21 specialties.
The site is co-founded by former AMA president Associate Professor Kerryn Phelps (picture above, on the website's home page) and two specialists who oversee hospital departments.
The doctors claim to have used a peer-review process to find and share "their preferred list of specialists at the top of their fields”.
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Medical messaging: What would you change?

27 August 2015
The RACGP says hospitals and specialists lag behind general practices in their healthcare communications. Following an SA coroner's finding in July that "archaic snail mail" contributed to the warfarin-related death of Adelaide woman Marjorie Aston, MO is inviting suggestions on ways to improve communications between doctors, and between hospitals and doctors. Contributions will be passed on to the federal and state health departments. Enter your suggestions in the comment field below.
DR PETER BRADLEY
Springwood, QLD
THERE is no excuse for all medical parties and providers – hospitals included, certainly specialists and allied health providers (most GPs already are) – not being set up on one of the commonly available and affordable encrypted email systems for exchanging patient information… period. 
Just make it happen. Faxes are not really secure, often poor quality and almost illegible. They also take up time and unnecessary memory space because of the need to scan them into electronic records, and, once scanned in, they are not able to be conveniently copied from or attached to subsequent communications. 
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What is the state of CDA R3?

Posted on August 23, 2015 by Grahame Grieve
Question
We have seen references to new extension methodologies being proposed in CDA R3; however I can’t seem to find what the current state of CDA R3 is.  Most searches return old results.  The most recent document related to CDA R3 using FHIR instead of RIM.  What is the current state of CDA R3 and where can I find more information.  HL7 pages seem to be pretty old.
Answer
The Structured Documents work group at HL7 (the community that maintains the CDA standard), is currently focused on publishing a backwards compatible update to CDA R2 called CDA R2.1. CDA R3 work has been deferred to the future, both in order to allow the community to focus on R 2.1, and to allow FHIR time to mature.
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SNOMED CT Foundation E-Learning Course: Call for Applications

Created on Wednesday, 26 August 2015
The International Health Terminology Standards Development Organisation (IHTSDO) is calling for applications for their SNOMED CT Foundation course.
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  • Aug 27 2015 at 4:31 PM

Sleeper stock Compumedics delivers healthy profit

Shares in Compumedics performed strongly on the back of an impressive 2014-15 result which featured profit growth of more than 100 per cent.
Over the last two years, the company has distinguished itself as one of the few small cap healthcare stocks generating a profit while maintaining a healthy balance sheet.
Providing investors with further confidence was the management's guidance, which pointed to net profit in a range between $2.8 million and $3.2 million in 2015-16. The company had minimal debt as at June 30, 2015, and was in a net cash position.
Compumedics develops and manufactures medical devices largely used in diagnosing sleep and brain activity as well as measuring blood flow. The group is highly diversified, owning US-based Neuroscan and DWL Elektronische Gmbh in Germany.
This provides access to markets in the Americas, Europe and the Middle East, complementing an established position in Australia and the Asia-Pacific region.
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NICTA merges with CSIRO to create new entity Data61

David Swan

Australia’s chief IT research facility NICTA is no more, with the government announcing a new organisation, Data61, that will see NICTA merge with CSIRO’s Digital Productivity flagship.
The decision comes after a long period of uncertainty for NICTA, which had been pushing ahead with research and innovation despite the federal government cutting its funding altogether from June next year.
Minister for industry and science Ian Macfarlane said the new entity, to be part of CSIRO’s digital productivity group, would be one of the largest digital innovation teams in the world.
“Both CSIRO and NICTA have an impressive track record in digital innovation and have demonstrated their ability to take homegrown technologies to market,” he said.
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Nanomedicine potential

Charlotte Mitchell
Monday, 24 August, 2015
THE world has just started to see the exciting potential of nanomedicine in the treatment of cancer, according to Australian experts, but several issues need to be addressed before the technology becomes more widely available.
Professor David Goldstein, senior staff specialist in the department of medical oncology at Prince of Wales Hospital, Sydney, told MJA InSight that Australia was actively involved in the global research effort into cancer nanomedicine, which “will ensure that we can get the right drugs into the patient, in the right place, at the right time, and with less side effects”.
As with any new medical treatment, determining which patients should get nanomedicine will be about weighing up the potential risks and benefits.
“This ratio has to be large. However, when patients have a malignancy, there usually is a relatively favourable benefit–risk ratio”, he said. 
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The Search For 'Dark Matter' And 'Dark Energy' Just Got Interesting

by The Conversation, The Conversation
-- this post authored by Ryan Wilkinson, Durham University
Only about 5% of the universe consists of ordinary matter such as protons and electrons, with the rest being filled with mysterious substances known as dark matter and dark energy. So far, scientists have failed to detect these elusive materials, despite spending decades searching for them. But now, two new studies may be able to turn things around as they have narrowed down the search significantly.
Dark matter was first proposed more than 70 years ago to explain why the force of gravity in galaxy clusters is so much stronger than expected. If the clusters contained only the stars and gas we observe, their gravity should be much weaker, leading scientists to assume there is some sort of matter hidden there that we can't see. Such dark matter would provide additional mass to these large structures, increasing their gravitational pull. The main contender for the substance is a type of hypothetical particle known as a "weakly interacting massive particle" (WIMP).
To probe the nature of dark matter, physicists look for evidence of its interactions beyond gravity. If the WIMP hypothesis is correct, dark matter particles could be detected through their scattering off atomic nuclei or electrons on Earth. In such "direct" detection experiments, a WIMP collision would cause these charged particles to recoil, producing light that we can observe.
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NBN Co says 9 million homes by 2018: believable?

After previously promising 8 million homes by 2020, NBN Co now says at least a million more homes will be connected two years sooner - do we believe it?
nbn, the company building the NBN network, which has already built itself a new logo, says in a media release today that 9.1 million homes and businesses will be ‘ready for service by 2018.’
The news comes as part of its ‘comprehensive corporate plan’, which iTWire colleague Graeme Philipson also wrote about this morning in terms of nbn, the company, unsurprisingly hitting its ‘revised’ targets
The company explains that ‘the introduction of additional technologies, a projected boost to the size of the construction workforce and newly-signed agreements with the construction industry are anticipated to see the total number of premises that are able to connect double over each of the next three years to 9.1 million.’
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Windows 95 – 20 years old today

Windows 95 released on 24 August 1995, was a big change from Windows 1.x, 2.x and 3.x – it was the end of Windows running over MS-DOS and the beginning of a complete operating system.
I still remember the excitement of this new 32-bit operating system based on NT 4.0 and installing it from 13, 3.5” floppy disks. That was relatively painless – Microsoft Office at that time had something like 20 separate floppies and often fell over during install.
It was the defining moment for Windows and its look and feel – design cues – carried right through to Windows 7 released in July 2009. These included the task bar, Start menu, and general use of multiple Windows for different tasks.
W95 was in another way a defining moment for marketing. Microsoft spent over US$300 million to launch it.
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Enjoy!
David.