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, July 07, 2016

The Macro View – Post - Election And Health News Relevant To E-Health And Health In General.

July 07  Edition.

Election Outcome.

I deliberately deferred writing the blog until today – confident that we would have an election result and that I would be in a position to comment.
To catch me out – this is definitely not the case! As everyone knows we are not there yet and as of 1:30pm we do not have a result.
Looks like 74 / 71 / 5 or 75/ 72 /5 will be the outcome. With the order being Coalition /Labor / Others according to the ABC Election Computer. Namely a hung parliament with all that comes with that!
This is a good link to watch for the next day or so!
To also just shake things up a little we have also had this happen.

S&P adjusts Australia's credit outlook to negative

Ratings agency S&P has revised its ratings outlook for to negative from stable on Thursday.
In a statement, the agency said it had also affirmed a AAA long-term and A-1+ short-term unsolicited sovereign credit ratings.
At the same time, S&P revised its outlook on Export Finance & Insurance Corporation to negative from stable and affirmed its AAA long-term and A-1+ short-term issuer credit rating on the wholly owned government company. 
"The negative outlook on Australia reflects our view that without the implementation of more forceful fiscal policy decisions, material government budget deficits may persist for several years with little improvement," S&P said in a statement. 
"Ongoing budget deficits may become incompatible with Australia's high level of external indebtedness and therefore inconsistent with a AAA rating."
----- End Extract
Needless to say this has set off a lot of discussion – and concern to just what it means!
Since the election there have been some interesting articles – which I have linked below – but the most interesting little factoid I noted were a number of suggestions that the Health Minister had really done badly failing to counter Labor on health and was at risk of being re-located. Maybe a new minister might see what nonsense the myHR is????
Sadly another major macro issue has also emerged!

Forget Brexit -- Italy is poised to tear Europe apart

Jul 6, 2016, 6:45 AM
Italy is on the cusp of tearing Europe apart but the economic and political crisis brewing in the nation is largely going unnoticed.
All eyes have turned to Britain’s vote to leave the European Union as having the most drastic political and economic impact onto the 28-nation state but if you look at the country’s economic data, bank issues, and the impending constitutional referendum coming up, Italy is like a bomb waiting to explode.
The Italian financial system, to put it gently, is in a major state of flux right now. While Britain’s EU referendum in June was seismic in terms of having economic and political repercussions across the bloc, there is another referendum of equal importance, coming up in Italy in October, and the result could fundamentally alter the state of the already delicate Italian economy.
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What a mess!

General Budget Issues.

Hello, Pauline, Derryn, Nick, Jacqui, let’s negotiate: why the budget is toast

All those nice shiny figures in the May budget showing a path back to surplus are now just figments of Scott Morrison’s imagination
 ‘While the old Senate was tough enough, the likelihood is that the LNP will need nine extra votes to get legislation passed in the new Senate.’ Pictured: Jacqui Lambie and Nick Xenophon Photograph: Mick Tsikas/AAP
It is entirely apt given the government used the budget as its de facto election campaign launch that we now find after the election result that the budget is completely trashed.
Launching the campaign so closely after the budget meant none of the key measures contained in it have been presented before parliament. That budget included a large number of spending cuts which failed to get through the old parliament; they have even less of a chance now. In the old parliament, the issue was the merely the Senate, now there is a strong possibility the cuts wouldn’t even pass the lower house.
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Health Budget Issues.

Federal Election 2016: Voters tell Turnbull to leave Medicare alone

July 3, 20168:45pm

Election 2016: Turnbull confident his government will be returned

Sue Dunlevy News Corp Australia Network
VOTERS have told politicians to keep their hands off Medicare and medical groups say billions of dollars in cuts must be reversed after health emerged as the key issue in the election.
Acknowledging a powerful Labor Party “Mediscare” campaign could have cost him the government Prime Minister Malcolm Turnbull said he wanted a criminal investigation into Medicare text message to voters on Saturday.
The Australian Federal Police confirmed on Sunday they had been asked to investigate the texts.
“The Australian Federal Police (AFP) can confirm it received a referral on Saturday 2 July 2016 in relation to the receipt of text messages allegedly sent from Medicare,” a spokeswoman said.
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Federal election 2016: How Labor’s Mediscare plot was hatched

  • The Australian
  • 12:00AM July 4, 2016

Pamela Williams

With the temperature outside fit to freeze, Malcolm Turnbull ­arrived at the Coalition’s campaign headquarters in Canberra at close to 1.45pm last Thursday. He had wrapped up a successful speech to the National Press Club and now he would thank excited campaign staff for their hard work.
They would win “with the luck of the gods”, he told the crowd as it gathered in a bland room adorned with a few posters on the wall. It was now up to the judgment of the Australian people. He added optimistically: “I think Labor’s lies have started to wear thin.”
Turnbull did not reveal the bad news he had just received. In a ­private office, party director Tony Nutt had walked the Prime Minister through the numbers. It was not a happy picture. The ­Coalition’s recovery in the polls had stalled. The advertising blackout had begun. They could not counter Labor’s ground campaign with mass union volunteers. And with seats up-ended by the exodus to independents, the outcome was unclear.
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Election 2016: 'Mediscare' campaign worked because voters were already scared

Date July 3, 2016 - 6:39PM

Peter Martin

Economics Editor, The Age

COMMENT
Scare campaigns only work when they reinforce or add to what is already known. 
The scare campaign worked because Medicare's supporters were already scared 
Within weeks of its election in 2013 the Coalition entertained a proposal from a former advisor to Tony Abbott as health minister to end free visits to the doctor by requiring a mandatory co-payment of $6. Anyone who didn't like it would be invited to take out private health gap insurance.
Its Commission of Audit recommended a co-payment of $15 per visit and $5 per concession card holder, and then its first budget announced that "previously bulk-billed patients can expect to contribute $7 towards to cost of standard consultations." Medicare Rebates would be cut by $5 and bulk billing incentives would "only be paid to providers when they collect the $7 patient contribution". It encouraged public hospitals to charge public patients who walked in off the street in order to stem the leakage from doctors.
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The real winners of the Mediscare campaign are doctors and the medical industry

Date July 6, 2016 - 12:00AM

Ross Gittins

The Sydney Morning Herald's Economics Editor

The success of Labor's "Mediscare" in this election is worrying - but not for the reason you may imagine. Its greatest effect may be to fatten the incomes of medical specialists and corporate medical suppliers.
Scare campaigns are often effective politically, but they can impose a high price on the country's good government. 
Scare campaigns are often effective politically, but they can impose a high price on the country's good government.
Tony Abbott's highly successful scare about depredations of the carbon tax at the last election has left us bereft of an effective and relatively low-cost means of reducing our greenhouse gas emissions at a time when climate change is worsening and we've been obliged by international pressure to agree to a tighter target.
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Federal election 2016: Medicare can’t be a ‘money pit’

  • The Australian
  • 12:00AM July 7, 2016

David Crowe

David Uren

Malcolm Turnbull and Scott Morrison are staring down Labor demands for a spending splurge on Medicare as the nation faces a $93 billion bill for the universal health service over the next four years, prompting the Treasurer to warn it cannot become a “money pit” for taxpayer funds.
Medicare is the third-largest government cost behind payments to the states and the Age Pension and has also been one of the fastest growing. The Medicare levy, which ­extracts 2 per cent from all ­income, only covers just over half the cost of the scheme, with the remainder financed by taxes and government borrowing. The total cost for each taxpayer is $1850 a year.
The Coalition is mobilising against Bill Shorten’s campaign for higher Medicare spending in a renewed political fight that will decide whether the vast health system is locked away from major reform despite concerns about whether its costs can be ­sustained.
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Health Insurance Issues.

Tax not the big driver for health insurance

  • The Australian
  • 12:00AM July 5, 2016

Sarah-Jane Tasker

The fight to form government in Australia continues but one message from both major parties that cut through was “buyer beware” on health insurance, with fewer policies taken out to avoid tax.
Financial research and comparison site Canstar has reported a significant drop in the number of Australians shopping for cheap health insurance policies specifically to avoid additional tax.
Canstar editor in chief Justine Davies said usually there was a build-up at the end of the financial year in the proportion of visitors to the website looking for a health policy in order to avoid tax.
The figures normally peaked in June, with 8.45 per cent of visitors to the site last year looking for a health insurance policy just to avoid tax.
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Craig Drummond has problems to fix at Medibank Private

  • The Australian
  • 12:00AM July 6, 2016

John Durie

Craig Drummond faces a monumental task to get Medibank Private into shape amid falling market share and what promises to be a regulatory overhaul no matter which team takes government.
The private health insurance sector is over-capitalised and in the process of being hit with a digital revolution, which should remove the fundamental im­balances that limit consumer choice and inhibit competition.
Drummond started his new job on Monday, replacing 14-year veteran George Savvides, who left earlier than the market was expecting, less than two years into life as a listed company.
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Superannuation Issues.

Australian federal election 2016: Malcolm Turnbull faces superannuation backlash as postmortem begins

Date July 3, 2016 - 12:46PM

Michael Gordon

Political editor, The Age

Malcolm Turnbull is coming under massive pressure from within to recast the superannuation changes he took to the election amid widespread anger and despair in Liberal ranks over his election campaign.
My phone hasn't stopped ringing this morning from people saying it serves them right. 
Insiders are convinced the superannuation changes contributed to the loss of so many Coalition seats and the prospect of a hung parliament.
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Federal election 2016: Morrison urged to retreat on super changes

  • The Australian
  • 12:00AM July 4, 2016

David Uren

Scott Morrison is under pressure from conservatives within the Coal­ition to roll back the budget changes to superannuation taxation, with former minister Eric Abetz claiming they contributed to the loss of three Coalition seats in Tasmania.
Super fund members affected by the budget changes can expect months of uncertainty as whichever party is able to form government reaches a final position to be negotiated with a difficult Senate.
The most controversial of the changes, the lifetime $500,000 cap on non-concessional super contrib­utions, took effect on budget night, May 3, and covers contributions backdated to July 2007.
Anyone who was about to breach that threshold would not know their position. Both Coal­ition members and many sectors of the super industry contend that the changes breach the principle that new regulation should not ­affect the treatment of investments that have already been made. Senator Abetz said this principle was “very dear to the core base of the Liberal Party”.
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I look forward to comments on all this! It really is a bit of a mess for all of us!
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David.

Wednesday, July 06, 2016

Despite The Plans The myGov Web Site Seems To Have Some Real Risks. I Hope The Implementation Is Well Planned!

As part of the election campaign we had the following announcement.

Malcolm Turnbull promises $50 million reboot for troubled myGov

Date June 22, 2016

Noel Towell

Reporter for The Canberra Times

The Coalition says it will spend $50 million in an effort to sort out the government's much maligned myGov web portal if it wins the election.
The Prime Minister has also confirmed that his pet project the Digital Transformation Office will be taking the lead in trying to reinvent the service, as revealed by Fairfax in January.
Malcolm Turnbull said the DTO would "partner" with other departments who used the gateway, like the ATO, Centrelink and Medicare in an effort to improve the user experience of myGov.
He promised to revamp the hated log-in protocols with a new system allowing users to choose their own unique username, starting with their email address and "the overall sign-in experience will be simplified and improved".
Users will be able to sign in to participating agencies directly without having to first go through myGov and better usability and design of the portal has been promised, especially on phones and tablets.
The myGov site was launched in 2013 and is used by several million Australians as a portal to access their Centrelink, Medicare, Child Support, Department of Veteran Affairs, e-health, and DisabilityCare accounts.
But serious problems have emerged with the security and operability of the site, with users complaining of being locked out of their accounts, outages and other glitches.
A storm of criticism was aimed in mid-2015 at the myTax portal, linked to the myGov system, for its performance at the end of the 2014-2015 financial year as millions of taxpayers tried to finish their tax returns.
More here:
Very recently some commentary on the portal appeared.

myGov is a disaster waiting to happen

With the announcement that, from this year onwards, Australians will have to file their taxes online using the myGov portal, a nice new target has been created for hackers who, like all other humans, want maximum returns for minimum work.
While the idea of having a single portal for all government dealings online sounds very good in theory, it may not be the best idea in practice.
Part of this tasty data soup will be the material collected in the forthcoming 9 August census. The Australian Bureau of Statistics has announced plans to store the names and addresses collected in the 2016 census for years to come.
In the short term, it will be cheaper for the government to have a portal that holds all the information about its citizens; if it were hacked, there would be hell to pay.

But many of the government's policies, the latest being the move to crack down harder on welfare cheats announced by treasurer Scott Morrison, can only be implemented if all the data is available in one place and in a format that lends itself to being searched.
When different agencies control different datasets in formats that are often incompatible with other systems — and vice versa — little correlation can be done. Government offices often tend to have antiquated technology which does not lend itself to being used across platforms.
Big data is a concept that has become more and more fashionable recently and the idea of using it for governmental purposes is very seductive.
The lack of security on myGov was exposed two years ago when a security researcher found very basic vulnerabilities in the setup and was able to demonstrate the extraction of data without jumping through too many hoops. And that's not the only case of bungled security.
The problem is that when a researcher or even a group of researchers finds weaknesses in government or corporate systems, their findings are not taken seriously until they go public. And when they do that, quite often red-faced officials try to retaliate for having been shown up.
Or the Australian Federal Police could land up on your doorstep and proceed to trash your home.
So what eventuates is that many individual researchers end up selling their discoveries on the dark web and keeping quiet about it. It's a much better option than trying to do good and then getting harassed about it.
Lots more here:
Given that the myHR consumer portal uses the myGov gateway it is clearly vital that it be easy to use, secure and reliable.
It will be interesting to see what impact the recent election has on these plans.
David.

Tuesday, July 05, 2016

This Is An Interesting Review Of The Progress Made In My Health Record Usability. A Desperately Sad And Incompetent Saga.

I had missed this page when on the NEHTA site or maybe it is a new page from ADHA. Not sure.
Anyway it makes for interesting reading

Usability Improvements

PCEHR means the My Health Record, formerly the "Personally Controlled Electronic Health Record", within the meaning of the My Health Records Act 2012 (Cth), formerly called the Personally Controlled Electronic Health Records Act 2012 (Cth).
By operation of the Public Governance, Performance and Accountability (Establishing the Australian Digital Health Agency) Rule 2016, on 1 July 2016, all the assets and liabilities of NEHTA will vest in the Australian Digital Health Agency. In this website, on and from 1 July 2016, all references to "National E-Health Transition Authority" or "NEHTA" will be deemed to be references to the Australian Digital Health Agency.
When GPs began using the My Health Record system, they identified some usability issues within their vendor software that were impacting workflow, and some of the digital health features of their software were not as intuitive as originally hoped.

Clinical Usability Programme (CUP)

The Clinical Usability Programme (CUP) was established in 2013 to develop recommendations on how current and future general practice software vendors implementing the Agency specifications within their products might improve the usability of digital health functionality. CUP recommendations have been developed in close consultation with general practice users and clinical stakeholder groups. The recommendations are primarily aimed at GP software vendors, but can be used by software developers more broadly where they think their users will benefit.
Version 1.0 of the usability recommendations (Release 1) were issued in November 2013, with a subsequent updated version 1.1 (Release 2) issued in May 2014. These releases resolved the GP usability concerns that had been raised in relation to displaying My Health Record information on the screen, providing clear wording around clinician responsibilities for uploading Shared Health Summaries, and providing clear indication whether the patient has an active My Health Record.
In December 2015, version 1.2 of the usability recommendations (Release 3) were made available, giving vendors guidance on how to enhance their software through the use of prompts and reminders, as well as allowing GP users to customise and configure their My Health Record system interactions.
Version 1.3 is now available. This release gives vendors guidance on recording adverse reactions, specifically around the use of clinical terminology for recording a reaction type. Minor amendments and new recommendations were also included to make the recommendations clearer and easier to understand. An additional set of mock-ups have been developed to provide a visual representation of the CUP guidelines around the recording of adverse reactions.
Click on the following links for a visual representation of the CUP recommendations:
A number of software vendors are working on making usability enhancements to their software. Clinicians can check whether their software vendor has incorporated usability recommendations here. Alternatively, contact your software vendor to find out how and when they plan to incorporate usability recommendations into their product.
Please provide usability feedback by submitting the form as below:
----- End page
This is really an amazing saga where NEHTA has spent over two years trying to work out how to make the PCEHR / MyHealth record usable for clinicians.
In this process they have simply ignored the underlying conceptual flaw of building a system which was parallel to the present systems used by GPs, which adds work to their day and which distorts their workflows – while providing an unreliable source of information.
Usability should have been worked out before system implementation – not been an afterthought.
Another reason why it is vital that NEHTA’s errors be properly addressed in a planned and thorough and properly researched way! It is interesting to note just how few of the vendors have adopted the recent recommendations for improvement. Might it be they know they are simply putting lipstick on a pig?
Guess I am dreaming again.
David.

Monday, July 04, 2016

Weekly Australian Health IT Links – 4th July, 2016.

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

The election has meant that the news in e-Health was pretty thin on the ground. A few bits of news but really a lost e-Health week.
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Malcolm Turnbull promises $50 million reboot for troubled myGov

Date June 22, 2016

Noel Towell

Reporter for The Canberra Times

The Coalition says it will spend $50 million in an effort to sort out the government's much maligned myGov web portal if it wins the election.
The Prime Minister has also confirmed that his pet project the Digital Transformation Office will be taking the lead in trying to reinvent the service, as revealed by Fairfax in January.
Malcolm Turnbull said the DTO would "partner" with other departments who used the gateway, like the ATO, Centrelink and Medicare in an effort to improve the user experience of myGov.
-----

myGov is a disaster waiting to happen

With the announcement that, from this year onwards, Australians will have to file their taxes online using the myGov portal, a nice new target has been created for hackers who, like all other humans, want maximum returns for minimum work.
While the idea of having a single portal for all government dealings online sounds very good in theory, it may not be the best idea in practice.
Part of this tasty data soup will be the material collected in the forthcoming 9 August census. The Australian Bureau of Statistics has announced plans to store the names and addresses collected in the 2016 census for years to come.
In the short term, it will be cheaper for the government to have a portal that holds all the information about its citizens; if it were hacked, there would be hell to pay.
-----

Message from the CEO

Created on Thursday, 23 June 2016
I am pleased to announce that the Australian Digital Health Agency officially commenced operations on July 1st.
Thanks to the actions we have taken over the past 12 months, I can tell you with confidence we have achieved our goal of establishing a newly focussed agency to advance the digital health agenda in this country.
I want to thank the members of the Transition Steering Committee, the staff and executive at the Department of Health, and the NEHTA Board and staff for their efforts and support over the past months.
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Artificial pancreas for diabetes patients could be available within a year

Date July 2, 2016 - 4:34PM

Bridie Smith

Science Editor, The Age

People living with type 1 diabetes could soon be free of regular insulin injections, after researchers said an artificial pancreas could become available within a year.
Those diagnosed with the autoimmune condition need regular insulin injections, sometimes up to six times a day, to compensate for a pancreas that produces little or no insulin. The body needs insulin in order to convert glucose into energy.
The artificial pancreas is able to monitor the wearer's blood glucose levels and automatically adjust the level of insulin entering the body. Current devices allow insulin pumps to deliver insulin after a reading from a glucose meter.
Cambridge University researchers behind the artificial pancreas say the device would "close the loop" and combine both tasks.
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Neptune’s Trident Health unit dives into telehealth

  • The Australian
  • 12:00AM June 28, 2016

Supratim Adhikari

Melbourne-based IT integrator Neptune Managed Services’ Trident Health unit is delving deeper into the aged-care service sector with the launch of a comprehensive telehealth platform that it says will help it capture at least 30 per cent of the market over the next 18 months.
The platform, dubbed Connect2Care (C2C), has been created in partnership with Queensland-based Telehealth Networks.
It facilitates patient evaluation diagnosis and treatment in remote locations by healthcare organisations and specialists. The end-to-end telehealth solution is fully designed, managed and supported locally. It comprises a user-friendly mobile client application, a web-based portal for healthcare professionals to securely access and integrate patient data and a one-touch video conferencing function.
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BOSSnet enabling increased participation in My Health Record across Victoria

27 June 2016
Core Medical Solutions’ (CMS) Electronic Medical Record (EMR) BOSSnet is enabling increased participation in My Health Record (MyHR) in Victoria with several sites actively contributing and more than ten others set to follow in the coming months.
Barwon Health is already contributing discharge summaries and medications to MyHR through BOSSnet whist Ballarat Health Services and a further four sites of another soon-to-be-announced Victorian regional health service are being primed to begin submitting discharge summaries directly to MyHR.
Dr Rohan Ward, Managing Director of CMS, said even more BOSSnet sites are in advanced stages of preparedness to also contribute to MyHR, bringing the number of sites involved to more than ten.
“BOSSnet’s unique architecture furthers the aims of MyHR by making it easier for clinicians to access patient information,” stated Dr.Ward. “CMS has been able to provide an integrated view of the MyHR within the local BOSSnet Medical record.  Ballarat Health Services and other BOSSnet sites will use BOSSnet EMR to deliver discharge summaries directly into the MyHR System,” added Dr Ward.
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Doctors Are Burned Out by Busywork: Study

June 27, 2016

Electronic health records and digital clerical work are strongly linked to burnout

Of all professionals in the U.S., doctors experience some of the highest rates of burnout: the feeling of being so emotionally exhausted from work that you start to feel indifferent about those you’re serving. More than half of doctors feel this way, recent research shows.
If that sounds like a bad thing for people whose job it is to heal others, it is. (Check out TIME’s in-depth investigation into doctor stress for more.) Studies have linked burnout to a rise in unprofessional behavior, a drop in patient satisfaction and a greater chance that a doctor will make a major medical error.
There’s no one cause for doctor burnout, but a new study published in Mayo Clinic Proceedings has found a major one: the increasingly electronic nature of medicine. The digital parts of doctoring, like maintaining electronic health records, were linked to physician burnout.
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Meet the biohackers letting technology get under their skin

Date June 28, 2016 - 11:50AM

Kevin Warwick

For some people, the human body isn’t a temple. Instead they see it as a source of frustration thanks to the considerable limitations compared to the powerful technology available today. In the last few years, a new community of biohackers or "grinders" has sprung up to experiment with enhancing the human body with technology. Largely outside of the mainstream disciplines of science or philosophy, it is a raw, exciting field that turns longstanding ethical beliefs on their head.
It is a long time since my own first electronic implant — a simple radio frequency transmitter — was inserted in 1998. It allowed me to open doors and switch on lights with a wave of my arm. To do it I had the assistance of my GP in his surgery, not only to burrow a hole in my arm, but to make sure that my implant remained in place and that no infection occurred.
Perhaps the most common implant tried out is the radio frequency identification device (RFID), more recently in the form of a near field communication (NFC) version. This is essentially the same technology as is used in contactless payment cards except that it’s packaged in a small tube about the size of a grain of rice. Back in 1998 my RFID was almost an inch long — technology has clearly moved on since then.
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Snapchat changes face of cosmetic surgery

Date June 30, 2016 - 5:35AM

Harriet Alexander

Health Reporter

Plastic surgery blows up on internet

Cosmetic surgeons are using social media platforms to market themselves and interact with potential clients.
Along with the scalpels, syringes and bulbous implants that adorn Kourosh Tavakoli's​ operating theatre, there is an extra tool that may not boost any breasts but will certainly boost the good doctor's social media profile: a mobile phone.
The phone is logged into Snapchat and it has been documenting the daily rhythm of the practice since the morning, when Dr Tavakoli trained it on his own face and announced the operations he would perform that day.
The patients have given their consent, often eagerly - as long as their faces are not shown. And over the next 24 hours, up to 2500 followers will watch as patients are prepared for surgery and come out the other side with bigger breasts, perkier bottoms or straighter noses - and a few scars.
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How cheaper supercomputers are aiding the fight against cancer

High-tech genome research across UTS and UNSW.

By Andrew Sadauskas
Jun 30 2016 3:50PM
The cost of sequencing a human genome has dropped from $3 billion to about $1000, and the time it takes has shrunk from decades to days, completely revolutionising the work that cancer researchers like Professor Dominik Beck do on a daily basis.
Beck, a research fellow and senior lecturer at the UTS Centre for Health Technologies and the Lowy Cancer Research Centre at UNSW, told iTnews where once "we required specialised sequencing labs we can now [obtain DNA samples] with the power of a desktop computer".
His current projects are focused on better understanding the biology of acute myeloid leukaemia (AML) and improving the life expectancy of patients with blood-related cancers.
Beck's work focuses on identifying treatments that can target and destroy non-functional leukemic cells while sparing the precious few normal healthy cells sufferers of the disease are producing.
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Healthcare not so healthy in preventing cyber attacks

Cybercriminals are attacking the healthcare industry more than any other. Why? It’s a gold mine of privately identifiable information usually running on older, unpatched versions of Windows and ripe for being exploited through ransomware or data breaches.
Evidence of this is overwhelming:
  • IBM’s 2016 Cyber Security Intelligence Index states healthcare is now the number one target with more than 100 million healthcare records compromised.
  • The SANS Institute said healthcare’s major weakness was the mishmash of old end-point devices, mixed with IoT (healthcare monitors) all running on reasonably insecure Wi-Fi networks. “Exploited medical devices, conferencing systems, web servers, printers and edge security technologies all sending out malicious traffic from medical organisations. Some of these devices and applications were openly exploitable (such as default admin passwords).”
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A hacker wants to sell 10 million US patient records on a black market

The stolen data includes 9.3 million records from a health insurance provider
Michael Kan (IDG News Service) 28 June, 2016 06:24
A hacker claims to have stolen close to 10 million US patient records and is selling them for about US$820,000.
Over the weekend, the hacker, called thedarkoverlord, began posting the sale of the records on TheRealDeal, a black market found on the deep Web. (It can be visited through a Tor browser.)
The data includes names, addresses, dates of birth, and Social Security numbers – all of which could be used to commit identity theft or access the patient’s bank accounts.
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Six New Medical Technologies Worth Watching

Among them: advances in surgical robots and early cancer screening

By Joseph Walker
June 26, 2016 10:02 p.m. ET
From growing blood vessels in labs to applying advanced nanotechnology to cancer testing, here are some emerging technologies that could have a big impact on medicine in coming years.
Engineered blood vessels
Humacyte Inc., a Morrisville, N.C., startup, is notching big advances in growing human tissue in labs that can be implanted safely in the body. Its lead product is a blood vessel designed for patients undergoing kidney dialysis.
The company uses donor cells to grow the human tissue needed to make the blood vessels. It cleanses the donor cells from the vessels before implanting them, so patients’ immune systems don’t reject them.
Two midstage studies published in the Lancet in May showed patients’ natural cells merged with the engineered blood vessels, which could make them less prone to infection and more durable than the metal tubes often used to facilitate blood flow in dialysis patients. Humacyte hopes to bring the first bioengineered blood vessel to the U.S. around 2019.
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WTF is happening with Medicare?

Posted Tue 28 Jun 2016, 6:58pm
You've probably been hearing a lot about changes to Medicare and what they could mean for bulk-billing, blood tests and X-rays this election campaign.
But are these changes a reality or are some of them just a scare campaign?
Hack breaks down the different parties' policies to help you make an informed decision on health at the ballot box.

What about that $7 GP co-payment & what's a 'rebate freeze'?

Back in 2014, as part of Tony Abbott's government, then treasurer Joe Hockey announced a $7 Medicare co-payment, as a way of keeping ballooning health costs under wraps.
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Australians need access to reliable, high-speed broadband

  • Anthony Wong
  • The Australian
  • 12:00AM June 28, 2016
The recent National Press Club debate between the Minister for Industry, Innovation and Science, Christopher Pyne, and his Labor counterpart Kim Carr reinforced that both sides of government want to be seen as owning the innovation high ground. Unfortunately, neither has offered anything new to the voters on the subject.
Our ability to commercialise our innovations will really make a difference to the economy. Factors like research funding, forging links between businesses and a stable operating environment are all going to play their part.
However, another important factor that can’t be overlooked is access to reliable broadband. The National Broadband Network has been a controversial project and yet to deliver on its potential. Leaving the technology debate to one side, it’s imperative the NBN rollout is competed as quickly as possible.
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Telstra’s future in doubt after NBN compo ends

  • The Australian
  • 12:00AM June 27, 2016

Tim Boreham

The nation’s most widely-held stock and a dividend staple for its 1.38 million investors, Telstra faces ebbing investor confidence as the market questions where the erstwhile monopolist’s next dollar of revenue will come from.
As nimble rivals niggle Telstra on pricing, the telco’s reputation as the premium network work paying more for is wearing thin after six recent major network outages that prompted peeved users to rename the telco “Hellstra”.
Rightly or wrongly, Telstra is perceived as needing a bolder strategy to plug the earnings gap when the billions of dollars of National Broadband Network compensation dry up at the end of the oft-delayed rollout.
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NSW Education LMBR costs almost double to $752 million

Department finally comes clean on figures.

By Allie Coyne
Jun 28 2016 9:54AM
The cost of the NSW Department of Education's beleaguered finance and student systems overhaul will soar to almost double its original budget by the time the project is complete.
The department yesterday quietly slipped out new figures on its learning management and business reform (LMBR) program, revealing the new estimate of its total cost over nine years is $752 million.
At last count the project had already blown out to $579 million, according to the state's audit office [pdf].
It had originally been slated for completion in 2014 with capital expenditure of $386 million. The timeframe has since been pushed out to late 2017 after the department last year opted to split the rollout in two.
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NASA tests massive rocket booster it says will go to Mars

Date June 29, 2016

Christian Davenport

NASA's Mars rocket milestone

Exciting footage of NASA testing its next generation boosters, built specifically to propel a rocket to Mars. Vision courtesy: NASA
NASA has tested one of the solid rocket boosters that will power its new rocket, the Space Launch System, which the agency hopes will one day fly to Mars. Shortly after 11am Tuesday, eastern time, NASA fired the engine, sending a torrent of fire gushing from the nozzle and a volcano-like plume of smoke that could be seen for miles.
After an hour delay because of a glitch with the ground computer system, the booster fired horizontally for just over two minutes at a test site in Utah, burning through 5000kg of propellant per second, shooting flames out at three times the speed of sound, with temperatures that were expected to reach 2000 degrees celsius. The booster test comes ahead of the rocket's first mission, planned for 2018, when it will launch the unmanned Orion spacecraft on a three-week journey that will take it around the moon.
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Enjoy!
David.

Sunday, July 03, 2016

The NEHTA Replacement Starts Out With More Of The Same Apparently. Pretty Bland To Stay The Least.

This appeared a day or so ago:

Message from the CEO

Created on Thursday, 23 June 2016
I am pleased to announce that the Australian Digital Health Agency officially commenced operations on July 1st.
Thanks to the actions we have taken over the past 12 months, I can tell you with confidence we have achieved our goal of establishing a newly focussed agency to advance the digital health agenda in this country.
I want to thank the members of the Transition Steering Committee, the staff and executive at the Department of Health, and the NEHTA Board and staff for their efforts and support over the past months.
I also want to thank the governments of Australia – Commonwealth, States and Territories alike for their guidance and support during this time of transition.
I am honoured to be leading the Agency at this exciting time and working with a new Board of Directors committed to driving the innovation needed to deliver improved digital health information for all Australians.
Regards,
Richard Royle
Acting Chief Executive Officer
Here is the link:
I must be picky but surely this message could have had a last paragraph outlining the major priorities of the organisation over the next few months – excluding the obvious timing for the appointment of a permanent CEO – which is needed ASAP!
So far this really feels like the same old, same old with a new name.
I look forward to some more information regarding future plans – even of only short term for now. The clock is really ticking on this.....
The time has come for the ADHA to urgently differentiate itself from NEHTA and show us that the new board and CEO actually understand what is needed going forward.
David.

AusHealthIT Poll Number 326 – Results – 3rd July, 2016.

Here are the results of the poll.

With The Election Less Than A Week Away Which Party Do You Think Would Be The Best For The Health System Overall?

Coalition 22% (20)

Labor 20% (18)

Greens 2% (2)

Other 1% (1)

I Have No Idea 55% (51)

Total votes: 92

Looks like the poll rather reflects what we have seen in the actual election – an unclear outcome.

A good turnout of votes.

Again, many, many thanks to all those that voted!

David.