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 29, 2016

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

September 29 Edition.
Parliament has now risen and won’t be back for a good few weeks. (Back October 10, 2016).
On the global stage things are now clear – we are in for low interest rates all over the world for as far as you can see.
Even in the US, that is slowly recovering it is expected interest rates will reach 0.625% by the end of 2016 and about 1.125% by the end of 2017. (2 years ago the figures were 2.5% and 3.25%). Something seems not to be working.
Here is one view of what is wrong.

UN fears third leg of the global financial crisis - with prospect of epic debt defaults  

22 September 2016 • 7:22am
The third leg of the world's intractable depression is yet to come. If trade economists at the United Nations are right, the next traumatic episode may entail the greatest debt jubilee in history.
It may also prove to be the definitive crisis of globalized capitalism, the demise of the liberal free-market orthodoxies promoted for almost forty years by the Bretton Woods institutions, the OECD, and the Davos fraternity.
"Alarm bells have been ringing over the explosion of corporate debt levels in emerging economies, which now exceed $25 trillion. Damaging deflationary spirals cannot be ruled out," said the annual report of the UN Conference on Trade and Development (UNCTAD).
We know already that the poisonous side-effect of zero rates and quantitative easing in the US, Europe, and Japan was to flood developing nations with cheap credit, upsetting their internal chemistry and drawing them into a snare. What is less understood is just how destructive this has been.
Much of the money was wasted, skewed towards "highly cyclical and rent-based sectors of limited strategic importance for catching up," it said.
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There is also some concern back home!

Fix budget before the crunch hits, urges Ken Henry

  • The Australian
  • 12:00AM September 24, 2016

Paul Kelly

National Australia Bank chairman and former Treasury chief Ken Henry warns that Australia faces an unacceptable risk with its budget deficit and fears the nation will wait for a painful economic crunch before confronting true ­financial repair.
In an exclusive interview, Dr Henry issued his most powerful warning about the failure of politicians and the national parliament, saying responsible fiscal policy had become a “pretence”, the economic reform narrative “no longer exists” and politicians are fixated by “appeals to populism”.
Dr Henry said Australia was now running the risk that its AAA sovereign credit rating might be downgraded, coinciding with another global financial disturbance, and in this situation the consequences for Australia “would be truly catastrophic”.
He said this was a “small risk” in relative terms but “the consequences are so large you cannot take the risk”.
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Thursday Update:

Global markets have behaved this week - especially in the last 48 hours with OPEC suggesting they might slow down oil production a little

Our markets liked this news and seem to be liking the $5-10 Billion dollars of dividends that are being paid in the next week or so - some money of which will be re-invested!

Politically it is all about same sex marriage, the slowing down of pathology cuts, backpackers, the SA blackout and the slipping polls for MT.

Here are a few other things I have noticed.
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Budget Issues.

BIS flashes red alert for a banking crisis in China 

18 September 2016 • 11:00am
China has failed to curb excesses in its credit system and faces mounting risks of a full-blown banking crisis, according to early warning indicators released by the world’s top financial watchdog.
A key gauge of credit vulnerability is now three times over the danger threshold and has continued to deteriorate, despite pledges by Chinese premier Li Keqiang to wean the economy off debt-driven growth before it is too late.
The Bank for International Settlements warned in its quarterly report that China’s "credit to GDP gap" has reached 30.1, the highest to date and in a different league altogether from any other major country tracked by the institution. It is also significantly higher than the scores in East Asia's speculative boom on 1997 or in the US subprime bubble before the Lehman crisis.
Studies of earlier banking crises around the world over the last sixty years suggest that any score above ten requires careful monitoring.  The credit to GDP gap measures deviations from normal patterns within any one country and therefore strips out cultural differences.
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Lawrence Summers says regulators fail to make banks safer

  • The Australian
  • 12:00AM September 19, 2016

Adam Creighton

One of the world’s most influential economists, and a former US Treasury secretary, has delivered an unexpected, formative message to regulators who think they have made the financial system safer — you haven’t.
In the presence of former Federal Reserve chairman Ben Bernanke, George Akerlof, the serving chairwoman’s husband and a Nobel prize-winning economist, and former Fed vice-chairmen Donald Kohn and Alan Blinder, Lawrence Summers last week presented overwhelming evidence that the world’s biggest banks — including three of Australia’s — were no less likely to become insolvent than before the crisis.
In remarks given to The Australian afterwards, Mr Summers took aim at the Federal Reserve’s annual stress testing of large ­financial institutions — considered the world’s toughest.
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Focus on inflation, not growth, the right path for RBA: Morrison

  • DAVID UREN
  • The Australian
  • 12:00AM September 20, 2016
Scott Morrison has declared now is not the time for experimenting with monetary policy and has stuck to the Reserve Bank’s long-established inflation-targeting formula in a new agreement with governor Philip Lowe.
The Treasurer and Dr Lowe, who took over as governor yesterday, have rejected a push for more radical reform, with a number of economists, including former ­Reserve Bank board member Warwick McKibbin, arguing central banks should target growth rather than inflation.
“The governor and I agree that now is not the time to be making any major changes in the composition of this statement, nor is it the time to be engaging in any monetary policy setting experiments,” Mr Morrison said yesterday.
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Backpacker tax: Agriculture sector grows impatient for prompt resolution

By political reporters Stephen Dziedzic and Anna Vidot
Regional Coalition backbenchers who have been agitating against the controversial backpacker tax are increasingly confident the Prime Minister and Treasurer will give ground on the issue.

Key points:

  • The Government delayed the 32.5pc tax for six months after outcry from the tourism and agricultural industries
  • The ABC has been told the most likely compromise would be a 19pc tax
  • Industry says there has already been an identifiable fall in job inquiries
The Government delayed the controversial 32.5 per cent tax for six months following an outcry from tourism and agricultural industry representatives, and launched a review.
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Australian debt level raising eyebrows globally

  • The Australian
  • 12:00AM September 21, 2016

Adam Creighton

Australia’s ballooning public debt, which has more than quadrupled to 40 per cent as a share of GDP since 2007 with little sign of abatement, is raising eyebrows globally.
Canberra’s debt binge is putting at risk a AAA rating from Kroll Bond Rating Agency, an emerging competitor to ratings giants Moody’s and Standard & Poor’s, founded by legendary US businessman Jules Kroll in the wake of the global financial crisis to restore trust in credit ratings.
“If Australia’s government continues to accumulate debt the way they have been, it is certainly going to affect their credit rating,” said Christopher Whalen, senior managing director at Kroll, speaking to The Australian in New York.
“As long as the government keeps its eye on the ball as far as fiscal balance is concerned … I think it will be OK,” he said of Australia, striking an optimistic tone. The Treasury’s debt and deficit forecasts have undershot expectations every year since the GFC, with the federal budget not expected to return to surplus until 2021 at best.
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Bank of Japan spree ‘distorts’ Reserve Bank rate

  • The Australian
  • 12:00AM September 21, 2016

David Uren

The Bank of Japan’s trillion-dollar determination to kickstart the Asian nation’s economy is disrupting Australia’s short-term money market, according to the Reserve Bank, with economists concerned that today’s meeting of Japan’s central bank could make things worse.
Japanese investors are using Australia’s short-term secured lending market in a hedging strategy that effectively swaps Australian government bonds for Japanese government bonds, which are in strong demand under the Bank of Japan’s massive quantitative easing program.
In the process, they are distorting rates in the “repo” market, which is the market used by the Reserve Bank to set the cash rate and is also the key market that provides liquidity to trade in government bonds. Traders describe the repo market as “ground zero” for the Australian financial system, given that it is critical way that banks manage their vast balance sheets.
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New RBA chief Philip Lowe: I agree, banks have a big trust gap

  • The Australian
  • 12:00AM September 23, 2016

David Uren

The commercial banks have ­forgotten that the essence of their industry is trust, the new Reserve Bank governor Philip Lowe says, adding that bank leaders should place their duty of care to their customers above making sales.
Remuneration structures with rich incentives for bankers to make sales are at the heart of the problem, Mr Lowe said in his first appearance as governor before the House of Representatives economics committee in Sydney.
With Labor pressing for a royal commission to investigate the banks, Dr Lowe said there clearly was an issue with bank culture.
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RBA’s Philip Lowe: era of banks shielding investor returns over

  • The Australian
  • 12:00AM September 23, 2016

Michael Bennet

New Reserve Bank governor ­Philip Lowe has indicated that the era of big banks shielding shareholder returns is coming to an end, claiming material cost-cutting had run its course and more com­petition would dent their loan ­repricing power.
In his first appearance as gov­ernor before the House of Rep­resentatives committee on economics, Dr Lowe told politicians they should quiz the bank chiefs on whether the “spread” between the cash rate and small business lending rates had widened too far since the global financial crisis.
As the chiefs of Commonwealth Bank, ANZ, Westpac and National Australia Bank prepare to appear before the committee early next month, Dr Lowe said: “(The banks) moved quite early on during the financial crisis to reprice the credit spreads they charge over the indicator rates on many small business loans.
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  • September 22 2016 - 7:08PM

Reserve Bank governor Philip Lowe urges government to invest in infrastructure

Peter Martin
Incoming Reserve Bank chief Philip Lowe has appealed to the Turnbull government to help him out with economic management by borrowing big for infrastructure, saying there's only so much that further cuts in interest rates can do.
In what amounted to a plea to the Prime Minister and Treasurer to take advantage of near-record low interest rates and borrow now that the Reserve Bank's cash rate was close to zero at 1.5 per cent, he told a parliamentary hearing that monetary policy is "not working as effectively as it might have".
"One response is to keep doing more of it in the hope that it finally works, he said. "My judgment is that that has not been particularly useful.
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COMMENT
  • September 22 2016 - 9:04PM

How can Australian households get away with the biggest debts in the world?

Jessica Irvine
It is an extraordinary fact that Australian households shoulder the biggest debts in the world, relative to our incomes.
The latest global update on household debt released this week by the Bank for International Settlements reveals Australia once again taking the dubious crown of most-indebted.

Sydney house price growth jumps again

It's likely that house prices will continue rising in 2016, as improved affordability stimulates a surge in market confidence for both buyers and sellers.
Of the 44 countries surveyed, Australia is home to the highest ratio of household debt to GDP of all, at 125 per cent.
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COMMENT
  • September 23 2016 - 2:02PM

Forget the wealth effect: You're not as rich as you think you are

·         Satyajit Das
The idea that the world is awash in savings - one factor seen behind the stalling growth in developed countries - is, on the surface, a persuasive one. Too bad it may not be true.
Yes, the postwar generation is wealthier than any before it. But the ultimate value of any investment depends upon being able to convert it into cash and thus generate purchasing power. In fact, the world's accumulated wealth - around $US250 trillion ($327 trillion), according to Credit Suisse's Global Wealth Report - is almost certainly incapable of realisation at its paper value. The headline number thus vastly overstates the supposed savings glut.
Most of these savings are held in two forms: real estate, primarily homes, and retirement portfolios that are invested in shares and bonds.
Both are rising in value. A combination of population growth, higher incomes, increased access to credit, lower rates and, in some cases, limited housing stock have driven up home prices in key markets including Australia; those who got in early have done especially well.
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Budget balance: Are our leaders asking the wrong questions?

Analysis
By business reporter Andrew Robertson
Ever since the global financial crisis hit our shores in 2008 there has been no more discussed issue in federal politics than the need to balance the budget.
In the last few weeks Australia's top three economic leaders have all been singing from the same song sheet.
In London earlier this month, Treasury secretary John Fraser flagged the Government is "very much alive to do something about our fiscal situation", indicating it could do that by cutting spending.
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Politicians fiddle while our fiscal crisis awaits

  • The Australian
  • 12:00AM September 24, 2016
Although there are other reasons, avoiding catastrophe seems like a reasonably compelling imperative to undertake budget repair. Former Treasury secretary Ken Henry, who oversaw the Rudd government’s emergency response to the global financial crisis, has warned about the ongoing risks of our national fiscal reform ineptitude. He has outlined a scenario whereby international markets might lose faith in Australia and downgrade our triple-A credit rating at the same time the global economic system endured another shock. “The currency would depreciate a long way,” Dr Henry told editor-at-large Paul Kelly in an exclusive interview. “Unemployment would obviously go into double-digit figures, businesses would fail, banks would be unable to continue to provide credit to homeowners, to businesses small and large, infrastructure financing would stop dead in its tracks — it sounds catastrophic but actually it would be.” Dr Henry says the risk is small but it is a risk we cannot run.
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Health Budget Issues.

Coalition cut deal to silence pathologists before poll

  • The Australian
  • 12:00AM September 19, 2016

Sean Parnell

Malcolm Turnbull and Sussan Ley struck a mid-campaign deal with pathology companies to halt their criticism of the Coalition in exchange for a rent review the Health Department could not show was justified.
Documents obtained by The Australian under Freedom of Information laws suggest Coalition promises in relation to rental costs for pathology collection centres were premature and impractical, with at least one of the key measures dropped after the election.
Pathology companies had long complained about the rent charged by medical centres but although the department had no evidence it was excessive, the government convened a roundtable meeting of stakeholders in April.
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Inside Sussan Ley’s billion-dollar health battle

  • The Australian
  • 12:00AM September 19, 2016

Pamela Williams

A large group of powerful health industry players met at the Hel­lenic Club in the Canberra suburb of Woden on March 29.
It was their fourth meeting for the year, with medical experts, lobby groups, health fund executives, consultants and numerous federal health bureaucrats arguing over an estimated $800 million in savings for consumers.
On one side was the lobby group for manufacturers of dev­ices such as artificial knees and hips and pacemakers — including the giant US corporation Johnson & Johnson — that cost privately ­insured Australians up to five times more than those in public hospitals and overseas.
In addition, private hospital chains such as Ramsay Health Care were fighting to protect the prices they can charge private ­patients for these devices.
Ranged against the manufacturers and private hos­pitals were the big private health insurers, pleading for a cut to the high regul­ated price of implant ­devices.
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Health overhaul after policy review

  • The Australian
  • 12:00AM September 23, 2016

Sean Parnell

The federal Health Department has ramped up its policymaking capability after the Coalition government endured a tumultuous first term of reviews and industry stoushes.
The quiet overhaul comes as pressure mounts on Health Minister Sussan Ley to convert more ­reviews into reforms, particularly in relation to private health costs, including the inflated Prostheses List.
Ms Ley is understood to have initially proposed price cuts for the list of surgical implants available in the private system, but the government instead opted for more committee talks, after fierce lobby­ing from manufacturers and major hospital operators who bene­fit from the status quo.
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COMMENT
  • September 22 2016 - 4:34PM

Mediscare claims one more victim as Tony Nutt's 'complete lie' claims backfire

James Massola
It was the lie that defined the 2016 election campaign, slashed Malcolm Turnbull's majority by 14 seats and almost propelled Bill Shorten to victory.
And on Thursday, "Mediscare" claimed one more victim - Liberal Party federal director Tony Nutt.

Lies, damn lies and politics

Liberal Party Director Tony Nutt calls for an end of mediscare-type campaign 'lies', but finds himself called out over past coalition transgressions. Courtesy ABC.
In the traditional post-election address to the National Press Club, Mr Nutt attempted to take the moral high ground over lies in politics and take a stick to Labor over its claim the Coalition would privatise Australia's universal healthcare provider.
But all he did was shoot himself in the foot, facing a barrage of questions on the Coalition's own history of stretching the truth during election campaigns.
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  • September 23 2016 - 5:41PM

Consumer watchdog ACCC urged to investigate cartel claims against surgeons

Julia Medew
Concerns that Australian surgeons may be running cartels to protect their lucrative private markets will be discussed  at a national meeting of  health ministers next month.
The Australian Competition and Consumer Commission is also under pressure to investigate potentially anti-competitive behaviour by the Royal Australasian College of Surgeons after Fairfax Media revealed fresh concerns about its secretive practices.  
The Royal Australasian College of Surgeons is 'controlling the borders' to keep out highly-trained surgeons from abroad, says London-trained surgeon Patrick Tansley.
Following claims of bullying, professional mobbing and improper examinations for overseas-trained surgeons, NSW Health Minister Jillian Skinner and her Victorian counterpart, Jill Hennessy, said they both planned to raise the issue at the Council of Australian Governments' meeting of health ministers on October 7.  
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Health Insurance Issues.

  • Sep 19 2016 at 12:00 AM
  • Updated Sep 19 2016 at 12:00 AM

Medibank starts long climb back with $40m carrot to cranky customers

An exodus of policyholders which threatens to slowly undermine the long-term profits of Australia's largest health insurer, Medibank Private, has prompted the firm to roll out the first of several new carrots to try to rebuild faith in its products and service and win back customers.
Medibank will invest $40 million over the next three years to enable 2.7 million of its customers who have Medibank Extras cover to receive 100 per cent back on the cost of an annual dental check-up.
Medibank executive David Koczkar was last week handed the title of chief customer officer in a management shake-up under chief executive Craig Drummond's new mantra of putting the customer first. This comes after rising levels of annoyance over value, technology issues and the fine print of some policies, as 225,000 customers let their coverage lapse in 2015-16, and total policy-holder growth went backwards by 2.5 per cent.
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Medibank moves to stop customer dropouts with more benefits

  • The Australian
  • 12:00AM September 19, 2016

Andrew White

Medibank Private plans to spend more on providing benefits to policy holders in a move that will increase costs and could reduce returns, as it looks to arrest a rise in customers who are allowing policies to lapse or downgrading to cheaper cover.
Newly promoted chief customer officer David Koczkar said Medibank was examining a number of proposals to add services or benefits to policies amid a consumer backlash against steep rises in annual premiums.
“They have been saying to us that they want to see more value in their healthcare products,’’ Mr Koczkar said.
Last financial year, Medibank Private saw 225,500 policies lapse while the number of new policies fell 18 per cent to 180,000. That was before the federal government approved an average 5.59 per cent rise in premiums, the latest in a line of mid-to-high single- digit rises in costs, at a time when wages growth has stalled and amid a growing debate about the cost of health cover and fees paid to medical service providers.
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  • September 19 2016 - 12:15AM

Teeth new battle ground for embattled private health insurers

Madeleine Heffernan

Australia's biggest private health insurer Medibank Private has joined many of its peers in offering free annual dental checkups for its 2.7 million "extras" policyholders.
Fresh from an executive shake-up, legal action from the consumer watchdog, and troubles sending out tax statements to members, Medibank on Sunday said its new policy would cost $40 million over three years and save a family of four up to $400 a year.
"Our customers tell us they want to get more value from their health insurance, and we're listening," said Medibank chief customer officer David Koczkar.
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Jostling too late to spare prosthetic cost pain

  • The Australian
  • 12:00AM September 20, 2016

Pamela Williams

Sarah-Jane Tasker

Interest groups are jostling for position on a committee that will decide the cost of medical prostheses, amid claims some companies are profiting from ­inflated prices set for private hospitals for items such as hip replacements.
Attempts to cut the price of prostheses are unlikely to make any ground before private health funds set their fees for next year — meaning another round of premium increases due partly to the high cost of the items.
In a shock move yesterday, the peak lobby group for the medical device industry ­announced that chief executive Susi Tegen was stepping down immediately, citing health ­reasons. Ms Tegen had spearheaded the Medical Technology Association of Australia’s efforts to prevent the federal government from lowering prices on a mandated fixed-price list for surgical implants — known as the prostheses list. These high fixed prices mean that private patients in Australia can pay up to five times more than public patients and those overseas.
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Inquiry call by Nick Xenophon over implant price row

  • The Australian
  • 12:00AM September 21, 2016

Pamela Williams

Independent senator Nick Xenophon will push for a Senate inquiry into price differences for medical implants such as knees, hips and pacemakers that mean privately insured ­patients pay up to five times more than public hospital patients.
Senator Xenophon said yesterday the situation had all the hallmarks of a multi-million-dollar public scandal.
“It seems that over the years, consumers with private health cover have paid upwards of $800 million a year more than they should have. Predominant amongst these are our senior ­citizens,” he said.
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Stalling on health to ‘lock in high costs’

  • The Australian
  • 12:00AM September 21, 2016

Sarah-Jane Tasker

Sean Parnell

Government indecision over reforms to the prostheses list does not bode well for more difficult work to reduce costs in the private sector and stop people dropping their health insurance, according to key stakeholders.
Health Minister Sussan Ley is understood to have initially proposed price cuts for the list of surgical implants available in the private system, but, amid fierce lobbying from manufacturers, the Turnbull government instead opted for further committee talks.
Private health insurers have long argued the prices on the prostheses list are well in excess of prices paid in the public sector and overseas. They estimate up to $800 million, currently directed to manufacturers and some hospitals, could be saved through government intervention.
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  • September 21 2016 - 1:31PM

Australians pay thousands more for private health cover

Heath Aston

Australian families are paying up to $400 more a month for private health insurance than consumers in comparable countries like Britain and New Zealand.
The Turnbull government acknowledged during the election that a majority of the 13 million people with private health cover feel they are "not getting value for money from their policy".
The private health industry blames this on a range of factors, including the much higher cost of medical devices like pacemakers and hip replacements compared to other countries and the public health system.
An international comparison of premiums confirms Australia's place among the highest cost markets in the world for private health cover. 
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Dual-attack lobbyists target Sussan Ley over PBS and prostheses

  • The Australian
  • 12:00AM September 22, 2016

Sean Parnell

Lobbyists pushing for medical ­device manufacturers to maintain their lucrative deals on the government’s prostheses list also represent pharmaceutical companies fighting a landmark cost-saving measure proposed for the Pharmaceutical Benefits Scheme.
Health Minister Sussan Ley is understood to have initially proposed price cuts for the list of surgical implants available in the private system, but, amid fierce lobbying from manufacturers, the Turnbull government instead opted for further committee talks.
Independent senator Nick Xenophon has called for a police investigation into an apparent cabinet committee leak of Ms Ley’s original proposal to the Medical Technology Association of Australia and a broader Senate inquiry into issues with the prostheses list.
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Cost of private health insurance tipped to rise

index&t_product=CourierMail&td_device=desktopEXCLUSIVE Renee Viellaris, Herald Sun
September 25, 2016 12:00am
STRUGGLING families are facing another rise in the cost of health insurance as the Federal Government considers whacking customers with even higher premiums.
Health insurers, demanding an increase that will cost some customers an extra $200 a year, are lobbying the Government to allow them to pass on their medical inflation costs.
But major health funds, acknowledging the public’s intolerance for and inability to pay too many increases, have taken a swipe at the Government, saying Health Minister Sussan Ley could almost immediately save customers $800 million if she dramatically reduced how much insurers paid for internal medical devices.
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Medicare changes to cause long payment delays for cash claims

SAMANTHA MAIDEN, National Political Editor, The Sunday Telegraph
September 25, 2016 5:00am
LEAKED Medicare documents have revealed patients face long delays for cash claims after the Turnbull government outsourced processing to new centres and closed Medicare shopfronts.
The changes could leave ­patients undergoing expensive treatment, including IVF thousands of dollars out of pocket for weeks and will also impact big claims for breast prosthetics that previously had a three-day turnaround.
But the government insists only 20 per cent of claims not lodged online face longer wait periods with the overwhelming majority of patients now claiming online.
Whistleblower public servants have come forward to warn patients can expect an end to face-to-face claims and claim they have been banned from telling patients that their Medicare claims will be sent off-site for processing.
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Aged Care Issues.

Home care providers face fresh criticism over admin costs

By Linda Belardi on September 22, 2016 in Community Care Review
Andrew Wilkie told Parliament clients had complained of ‘ridiculous administrative costs’
Tasmanian independent MP Andrew Wilkie has accused community care providers of charging their clients excessive administration fees on a scale that amounts to “systemic rorting” of government subsidies.
Mr Wilkie told Federal Parliament last week he had received many complaints from older people and their families about “ridiculous administrative costs” being levied on consumers.
In one example described to Parliament, Mr Wilkie said a home care package client was being charged $165 per hour for basic house cleaning and showering services once non-direct care costs were added to their individual statement.
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David Tune to Lead Major Review of Aged Care Reforms

Assistant Minister for Health and Aged Care, Ken Wyatt AM, MP announced the appointment of David Tune AO PSM to lead the Aged Care Legislated Review.
Page last updated: 22 September 2016
22 September 2016
Assistant Minister for Health and Aged Care, Ken Wyatt AM, MP has today announced the appointment of David Tune AO PSM to lead the Aged Care Legislated Review.
The changes announced to aged care in 2012 included a comprehensive review of the aged care sector in 2016-17. This review will inform ongoing reforms to aged care.
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Pharmacy Issues.

Profits from unproven supplements ‘a conflict for pharmacists’

  • The Australian
  • 12:00AM September 24, 2016

Sean Parnell

Pharmacists who sell unproven ­vitamins and supplements have a conflict of interest, the doctors’ lobby has warned, saying they should not be distracted by a need to profit from other retail offerings.
The Weekend Australian ­revealed in July that the federal government’s Review of Pharmacy Remuneration and Regulation had heard concerns that pharmacists’ professional responsibilities clashed with their role as shopkeepers.
Nielsen research last year suggested vitamins and supplements made up one fifth of total over-the-counter pharmacy sales, a figure which is said to be growing at a rate of 20 per cent a year.
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Superannuation Issues.

  • Sep 19 2016 at 11:45 PM
  • Updated Sep 20 2016 at 12:21 AM

Defining super's purpose could spark new crackdown on tax perks

A new law to define the purpose of superannuation could foreshadow the end of tax perks for anyone better off than an age pensioner.
The government last week confirmed its plans to enshrine in legislation that the objective of the superannuation system is "to provide income in retirement that substitutes or supplements the age pension". 
A draft bill, including a set of secondary objectives, is expected to be released later this week
Lobbyists from the warring retail and industry fund sectors are campaigning in concert to pressure the government to change the wording of the planned legislation.
Super groups are pushing for the the new policy framework to also include reference to concepts such as "a comfortable standard of living", "dignity", or "an adequate retirement income". 
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  • Updated Sep 20 2016 at 11:30 PM

Super industry wants provision for 'comfortable' lifestyle written into law

​The powerful superannuation lobby is pressuring the government to lock in higher spending on retirement savings by passing laws referring to the provision of a "comfortable" lifestyle, which in today's dollars means a lump sum of $545,000 for singles and $640,000 for couples. 
Forming an unusually cogent front, industry groups have put forward an objective for super that would push the government's spending commitment beyond helping to replace or supplement the age pension to something more costly for the federal budget. 
While the maximum full-rate pension provides about $19,200 a year for singles (or $30,900 for a couple), the Association of Australian Superannuation Funds (ASFA) says singles seeking a comfortable retirement require a lump sum of $545,000, which is sufficient to provide an annual income stream of $43,062 a year. Couples require a lump sum of $640,000, which yields $59,000. 
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EXCLUSIVE
  • September 20 2016 - 10:08PM

Turnbull government considering national default superannuation scheme to save $1.5 billion

Peter Martin
The Turnbull government is considering a radical shake-up of Australia's superannuation system that would pit banks and industry funds against each other for the right to manage the deposits of every new entrant for at least two years.
The shift, detailed in an issues paper released by the Productivity Commission on Tuesday, would centralise the decision about which default fund new employees were placed into, taking it out of the hands of employers and making it the result of a national tender.

The great superannuation auction

A radical proposal being considered by government could see all Australian default super contributions flow into one super fund. Peter Martin explains.
Calculations by the Grattan Institute suggest it could slice $1.5 billion per year from the fees charged by default funds and put downward pressure on the fees charged by other funds.
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I look forward to comments on all this!
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David.

The ADHA Releases A Short Video On The Benefits Of The myHR. Did You Find It Useful?

This popped up a little while ago:

Dr John Aloizos discusses My Health Record system benefits

Created on Friday, 16 September 2016
Dr John Aloizos, Clinical Advisor to the Australian Digital Health Agency, discusses how the My Health Record and digital technologies are helping his team at Garden City Medical Centre develop clinical pathways for patients with chronic and complex illnesses, and provide comprehensive care and service for their patients.
Here is the link:
I look forward to comments on how useful people found it.
David.

Watch Live Inquiry Into Telstra Health And The Cancer Registries

29/09/2016
9:00AM - 4:30PM AEST

Wednesday, September 28, 2016

SA Health Seems To Be Having Ongoing Issues With EPAS And Is Attracting Increasing Public Comment. Not A Good Look So Far!

This appeared last week:

Maligned hospital computer system fails patient

Miles Kemp, The Advertiser
September 20, 2016 8:30pm
AN elderly dementia patient’s death was not reported to the Coroner because paperwork was “lost” in a controversial hospital computer system, an inquest has found
Gordon Smith, 91, had been subjected to a “treatment order” and shackled to a bed after he was found wandering in the Repatriation General Hospital carpark.
This meant his subsequent death from multiple organ failure must be reported to the Coroner and investigated by his office because he was technically “in custody”.
But the treatment order was lost among 200 other computer entries, Deputy Coroner Anthony Schapel found in an inquest into Mr Smith’s death.
He is critical of the Enterprise Patient Administration System, which Health Minister Jack Snelling says is being urgently upgraded as a result of the coroner’s findings.
The Coroner’s office was told of the death more than a month later after the error was realised, resulting in strong criticism in findings released this month.
It found the error “meant, among other things, that the State Coroner was denied the opportunity for Mr Smith’s remains to be examined by way of an autopsy or for an independent opinion as to cause of death to be obtained and considered while Mr Smith’s remains were still available’’.
The coroner’s office was not able to test if Mr Smith’s sedation and shackling contributed to his death, as suspected by one of his doctors, although it later ruled this out as a “major cause”, on doctors’ advice.
Doctors from the hospital were highly critical of EPAS, which is being introduced at a cost of $422 million.
More here:
This was followed up by an editorial in the main paper of the State.

Editorial: index&t_product=AdelaideNow&td_device=desktopThe Advertiser

September 21, 2016 9:30pm
Subscriber only
OUR state’s public-health system is being buffeted by unprecedented change – and that’s led to waves spreading across some of our most important institutions.
The latest is an elderly dementia patient’s death going unreported to the coroner because paperwork was “lost” in a controversial hospital computer network, the new Enterprise Patient Administration System, or EPAS.
Deputy Coroner Anthony Schapel has found a treatment order was lost among 200 other entries in the EPAS, which meant his office was told of the death only a month after the error was realised.
The coronial report draws the issue to the attention of Health Minister Jack Snelling. It will be added to his in-tray of political hot potatoes, which include a chemotherapy underdosing scandal and the continued saga of the new Royal Adelaide Hospital opening date.
Perhaps ironically, the EPAS’s smooth operation is critical to the new RAH, which has been designed as a paperless hospital. Clearly, the EPAS did not cause the 91-year-old man’s death but Mr Snelling concedes that the system is being changed as a result of the coronial recommendations.
Given the turmoil within the public-health system, Mr Snelling has the difficult task of ensuring understandable teething problems with the new RAH – and associated systems such as EPAS – do not career out of control.
The State Government is locked in a court dispute with the new RAH’s builders, SA Health Partnership, which might result in the hospital opening amid next year’s hectic flu season.
Despite the political pressure, the public likely would understand that such a large building project would experience delays, just like many housing renovations.
But it is vital that the hospital, the centrepiece of the state’s public health network, function smoothly once it is opened.
Our hospitals are under extraordinary pressure but resources are finite. Costly projects like EPAS and the new RAH must be executed correctly to ensure the system is improved.
The full editorial is here:
It really is rather a double wammy to be opening the State’s key teaching hospital with a new set of systems. The strain on the staff may turn out to be pretty intense!
Having the Government fighting with the hospital builders must also be a distraction.
Has the feeling of a big mess brewing.
David.

Tuesday, September 27, 2016

Here Is A Call For Progress In A Domain The ADHA Should Put At The Top Of Their List.

This appeared during the last week:

RACGP calls time on faxes and letters

22 September 2016
THE RACGP is calling time on the era of the fax machine and the letter, officially telling the government and other health services to catch up and integrate with the electronic communication systems of general practices.
The shift should happen within three years, the college says in a new position statement, citing cases where a lack of timely communication between general practice and other health services have put patient safety at risk.
In one well-known case, a South Australian coroner found that a specialist's "archaic" practice of sending a letter by ordinary post contributed to the warfarin-related death of an elderly Adelaide woman.
The statement says general practice has led the way in moving towards electronic clinical and administrative systems, but that the rest of the healthcare sector has been slow to move away from paper.
More here:
Here is the position paper:

RACGP position statement: The use of secure electronic communication within the health care system

September 2016

1.  Position

Secure electronic communication should be the preferred and default method of communication of all health services and government agencies communicating with general practice regarding patients. The systems should communicate via or integrate with general practices' electronic clinical and administrative systems. These electronic communications should be usable by and satisfactory to general practitioners and general practice staff. The RACGP advocates that services communicating with general practice work towards implementing two-way secure electronic communication within the next three years. The implementation and evolution of the National Health Services Directory now makes this achievable.
This position is consistent with the Australian Government Digital Transformation Office agenda. This agenda is focused on creating a user centered digital approach to ensure all government services are easy to use and communication can be completed entirely electronically.
Slow communication between hospitals and general practice via ordinary mail has been identified as one of the contributory factors resulting in a patient’s death. This position statement addresses safety issues where the lack of timely communication between healthcare services and general practice can result in medical errors that can cause severe injury or unexpected death.

2.  Background

The provision of modern day healthcare often involves patients interacting with multiple healthcare professionals or organisations in different physical locations. The provision of high quality, effective and safe healthcare depends on efficient communication between all parties involved in a patient’s care. Secure electronic communication is currently one of the most efficient methods of communication.
General practice has been an early adopter of electronic clinical, administrative and communication systems. This has enabled general practice to increase the quality, safety and efficiency of care provided. A national priority now exists for the rest of the healthcare sector to move away from paper based healthcare communication systems towards electronic systems.
The majority of health services and government agencies communicating with general practice do not currently use electronic communication systems which are compatible with those existing in general practice. As a result, general practices are often required to manually transfer information from their clinical or administrative systems into paper based or online forms. This information is then sent to the relevant agency via an online upload, by post, fax, or via standard and unsecured email. Information leaving general practice through these methods requires significant manual processing.
Hardcopy or image formats of letters, reports and requests received by general practice from other health services must be manually scanned and added to the patient’s clinical record. Most organisations fail to consider the implications and costs for General Practice’s to manage information transfers safely, reliably and efficiently. The inefficiencies of current processes creates a heavy burden on GPs, diverting their time away from providing essential medical care for patients.
Documents received by general practice provide the most clinical value when they can be searched and interrogated by general practice clinical software. Faxed reports which are scanned into clinical records and saved as an image are not easily searchable. Standard and unsecured email is not considered suitable for routine communication between healthcare providers and patients due to inadequate privacy and security features, and because the content of these messages has to be copied and manually ’transferred. Information manually obtained from web portals presents similar issues.

3.  The principles of electronic communication

The RACGP supports the following principles for electronic communication between general practice and other healthcare agencies:
·         all electronic communications templates and systems should where required use existing data and information from general practice clinical information systems to pre-populate documents and forms
·         all communications should be
o     created and sent from within the general practice’s electronic clinical software system and
o     automatically received into the local patient electronic health record via the clinical software system inbox
·         all electronic communications to external healthcare providers and agencies should be sent securely using secure messaging to align with to best practice data privacy handling principles protect re patient privacy and confidentiality.

4.  Conclusion

GPs are often the “information managers” for patients and rely on other healthcare organisations to reliably provide additional details regarding diagnosis, treatments, management plans and outcomes. The adoption of secure electronic communications should be a priority for the entire healthcare sector to ensure improved efficiencies and provision of safe quality care.
The original release is found here:
Regular readers will recall the poll of a week or so ago which pointed out that the ADHA needed to have a much broader agenda than the myHR. It was one of the most emphatic polls that had been conducted on the site.
Here are the results again.
AusHealthIT Poll Number 336  – Results – 18th September, 2016.
Here are the results of the poll.

Do You See The myHR As The Highest Priority For The ADHA Or Are There Other Issues (e.g. Secure Messaging)That Need To Be Addressed First?

Other Issues Need Addressing 98% (132)

The myHR Is The Highest Priority 1% (1)

I Have No Idea 1% (2)

Total votes: 135

What amazing unanimity again. It seems most think the myHR is a fair way down the priority list!
----- End Extract.
Seems the ADHA needs to simply get on with this and make sure all the barriers and issues are resolved ASAP. A list to address might include security, privacy, end-point location, ease of use etc. etc.
David.

Monday, September 26, 2016

Weekly Australian Health IT Links – 26th September, 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

It seems it was all about the States and Territories this week and not in a good way!
Other than that – a plea to notice the computer less and the patient more!
Lots more as you browse down!
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Turn Off the Computer and Listen to the Patient

The practice of medicine is a subtle art. Doctors need to give patients their undivided attention.

By Caleb Gardner and John Levinson
Sept. 21, 2016 6:50 p.m. ET
Of the many problems facing modern medicine, the deterioration of the patient-doctor relationship is one of the most pernicious. Today our health-care system is losing its humanity amid increasingly automated and computer-driven interactions between doctors and patients.
The signs and symptoms of this pathology are everywhere and have been described in these pages: Primary-care appointments are now as short as five minutes, and the physician must spend much of that time typing instead of attending to the patient and performing a physical examination. Medical students and residents are spending more time with screens than with patients. A 2013 study from Johns Hopkins showed that first-year physicians spent a meager eight minutes a day with each of their hospitalized patients while spending hours at the keyboard describing and quantifying those fleeting moments. Meanwhile, fewer doctors would like to see their children enter a career in medicine, and escalating health-care costs are crippling families and the economy without improving public health.
The electronic health record (EHR), once a promising new medical technology, is a major cause of this disconnect. Not long ago, doctors dreamed of a time when unwieldy paper charts would be replaced by streamlined computer systems, freeing them up for more direct patient care. But now these computer systems are distracting and burdensome. Senior physicians are retiring early because of the EHR, while young doctors feel the humanity draining from a profession to which many were drawn because of a desire to interact and connect with people.
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Maligned hospital computer system fails patient

Miles Kemp, The Advertiser
September 20, 2016 8:30pm
AN elderly dementia patient’s death was not reported to the Coroner because paperwork was “lost” in a controversial hospital computer system, an inquest has found
Gordon Smith, 91, had been subjected to a “treatment order” and shackled to a bed after he was found wandering in the Repatriation General Hospital carpark.
This meant his subsequent death from multiple organ failure must be reported to the Coroner and investigated by his office because he was technically “in custody”.
But the treatment order was lost among 200 other computer entries, Deputy Coroner Anthony Schapel found in an inquest into Mr Smith’s death.
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Editorial: The Advertiser

September 21, 2016 9:30pm
OUR state’s public-health system is being buffeted by unprecedented change – and that’s led to waves spreading across some of our most important institutions.
The latest is an elderly dementia patient’s death going unreported to the coroner because paperwork was “lost” in a controversial hospital computer network, the new Enterprise Patient Administration System, or EPAS.
Deputy Coroner Anthony Schapel has found a treatment order was lost among 200 other entries in the EPAS, which meant his office was told of the death only a month after the error was realised.
The coronial report draws the issue to the attention of Health Minister Jack Snelling. It will be added to his in-tray of political hot potatoes, which include a chemotherapy underdosing scandal and the continued saga of the new Royal Adelaide Hospital opening date.
Perhaps ironically, the EPAS’s smooth operation is critical to the new RAH, which has been designed as a paperless hospital. Clearly, the EPAS did not cause the 91-year-old man’s death but Mr Snelling concedes that the system is being changed as a result of the coronial recommendations.
-----

Why are smartphone health apps so hard to regulate?

Antony Scholefield 20 September, 2016 | 
When is a device not a device? When it’s an app
Australia’s drugs and devices watchdog has spent years grappling with the issue of how to regulate smartphone apps. 
At present, the TGA has no overall mandate to regulate apps, as they are rarely devices in the true sense of the word. 
However, last week, the need for more robust regulation came to the fore after a problem was found with the Accu-Chek Connect Diabetes Management app that is used in conjunction with Accu-Chek Aviva Connect and Accu-Chek Guide blood glucose meters. 
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How technology can help us conquer men's health

23 September 2016
THE 21st century is well upon us, and the scientific and health landscape is rapidly changing, yet there are still new horizons to conquer. The final frontier does not lie in a distant galaxy. It is much closer to home. Look no further than the place where men fear to tread: Men’s Health.
The prostate gland, which rarely sees the light of day, is suddenly in the spotlight and cancer is the focus. Prostate cancer is not just a disease of men, but a disease of couples, especially when issues of manhood and masculinity are at stake. Surgery for prostate cancer may result in erectile problems and urinary incontinence. These make up the very fabric that constitutes masculinity, wherein lies the reluctance to contemplate prostate screening. Can men learn to address this difficult topic, or are they too often reluctant to discuss it until it is too late?
New Advances
Advances in technology have been the driving force to further advances in medical treatments. The slow trickle of progress in newly found horizons of information has suddenly become a torrent of new information. Advancements in new ways of thinking and solving the reluctance of men to undergo prostate screening and treatment are major steps forward for all men. All of which is good news for managing the medical problems facing an ageing population in the future.
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COMMENT
  • September 20 2016 - 7:30PM

ACT Health's economy measures will undermine the Canberra hospital

·         Stephen Crook
ACT Health has told the managers at Canberra Hospital that they have to save $96 million over the next three years starting this year. Clearly they want to save money, but at what cost? Is the plan that services should be reduced or is it that staff should "simply" do more with less?
Front-line staff are already stretched – something as simple but vital as recording patient medications requires endless duplication as patients move from one speciality area to another.
Millions have been spent on an increasing number of electronic record systems. But, despite gold plated prices, these systems often fail to communicate with each other or even be available to doctors outside a particular specialty. This siloing of information wastes time and risks vital information not reaching doctors as they treat patients. With the increasing levels of documentation staff are removed from patient care frequently during the day to attend pointless paper-shuffling meetings, is it any wonder less time is spent treating patients?
And yet, while seemingly happy to spend vast sums on ineffective computer systems, ACT Health is considering saving money by reducing or terminating the attraction and retention incentives that brought many senior medical staff to Canberra. Affected staff have been given no guarantees of a fair hearing or appeal process if decisions are unfavourable. This morale-sapping process risks major effects on staff retention and performance.
…..
Stephen Crook is the executive and industrial officer of the Australian Salaried Medical Officers Federation (ACT)
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‘Dumbfounding’ failures at heart of WA health IT bungle

Inquiry doesn’t mince words over Department of Health centralised computing services contract
Rohan Pearce (Computerworld) 23 September, 2016 07:30
An inquiry by a committee of the WA Legislative Assembly has called for the state’s health minister to report to parliament on why the Department of Health failed to utilise the government’s Gateway review process, in the wake of a major contract bungle.
The Department of Health has been inconsistent in its use of the Gateway review
process for major ICT procurement projects, which reflects a disregard for the value of the process in improving project delivery performance,” the report by the Legislative Assembly’s Education and Health Standing Committee said.
The committee's inquiry focused on a damning audit of the department’s management of its centralised computing services contract.
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Expanding healthcare services in Asia Pacific through telehealth

Adrian M. Reodique | Sept. 20, 2016
The telehealth market in Asia Pacific (APAC) region - including telemedicine, mobile health (mHealth), and remote patient monitoring (RPM) - is expected to reach US$1.79 billion in 2020, according to the report by Frost & Sullivan titled "Asia-Pacific Telehealth Outlook 2016-2020".
The forecasted value indicates a 12 percent Compound Annual Growth Rate (CAGR) from its estimated value of US$1.02 billion in 2015.
The report said the growing usage of mobile and broadband Internet service across the region pushed the adoption of new healthcare delivery models to address the challenges in the industry, including rising cost of services, and increasing incidence of chronic and infectious diseases.
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Should we give patients copies of their medical correspondence?

20 September 2016
IN the evolving culture of healthcare, actively involving patients is seen as increasingly important. Written communication is a useful tool, yet most Australian patients don't receive copies of the correspondence between their specialist and GP.
Should they?
To test the question, a team of Victorian gastroenterologists randomised 70 patients referred for endoscopy to the Royal Melbourne Hospital. They gave 36 patients copies of the clinic correspondence and an endoscopy report. The remaining 34 received neither.
When the researchers asked the groups to fill out a survey a month later, they found those who received correspondence had similar levels of satisfaction, understanding and anxiety as those who didn't.
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NSW Government CIOs share what's on and what's next

Tim Catley, Chris Robson, Aaron Liu, Tim Hume and Dr Zoran Bolevich discuss current and future IT works in their agencies.
George Nott (CIO) 20 September, 2016 16:30
……
Zoran Bolevich, CEO and CIO, eHealth NSW
Established in July 2014, eHealth NSW is the dedicated organisation within NSW Health to deliver technology-led healthcare to the state. The agency launched its ten year plan in May this year, which includes the development of core clinical systems, integrated care solutions and workforce and business management systems.
Bolevich was appointed as CIO and CEO of eHealth NSW in March, after acting in both roles since July last year.
“Our vision is a one of digital enablement and transformation of health services and we are well under way in achieving that,” Bolevich said. “For us cloud-based technologies are a very important part of ehealth’s strategy, and a key vehicle towards great innovation.”
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National Cancer Screening Register – can Telstra deliver for consumers?

Editor: Jennifer Doggett Author: Dr Lesley Russell on: September 19, 2016
Just before the last election the Government announced that it had awarded Telstra a $220 million five year contract to run national cancer registries.  Concerns were raised at the time about both the process and the timing of this decision and many stakeholders questioned whether the telecommunications giant was the best choice for an organisation to collect and protect sensitive persona health data.
Four months later, without responding to these questions and concerns, the Government has introduced the legislation to establish the National Cancer Screening Register (which will be responsible for the collection, storage, analysis and reporting of cancer screen program data for the National Cervical Screening Program and the National Bowel Cancer Screening Program) into Federal Parliament.
This legislation has been referred to the Senate Community Affairs Committee by Labor, which also tried to introduce amendments into the legislation which could potentially make the contract with Telstra invalid.
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  • September 22 2016 - 2:20PM

VR app lets you see through the eyes of person with dementia

Tim Biggs
A new virtual reality app that puts users in the position of a person living with dementia has been released for Google's Cardboard VR platform.
Called EDIE (pronounced Eddy put standing for Educational Dementia Immersive Experience), the app was launched on Thursday by Alzheimer's Australia Vic, and is available free on Android and iPhone.
Dr Tanya Petrovich, manager of business development at Alzheimer's Australia Vic, says the app was designed to build empathy and make people more aware of the issues faced by those living with Dementia.
"The idea is you step into the shoes of a person named Edie, who's living at home with his wife, and who is living with dementia", Petrovich says. When Edie gets up in the middle of the night and has to go to the bathroom, players see the world through his eyes.
-----

RACGP calls time on faxes and letters

22 September 2016
THE RACGP is calling time on the era of the fax machine and the letter, officially telling the government and other health services to catch up and integrate with the electronic communication systems of general practices.
The shift should happen within three years, the college says in a new position statement, citing cases where a lack of timely communication between general practice and other health services have put patient safety at risk.
In one well-known case, a South Australian coroner found that a specialist's "archaic" practice of sending a letter by ordinary post contributed to the warfarin-related death of an elderly Adelaide woman.
-----

My Health Record

Peninsula Health is part of Australia’s My Health Record system so please register prior to or during your admission so your doctors and health care professionals can have access to your health information for your hospital stay and treatment. 

What is a My Health Record?

A My Health Record is an online summary of your health information. You control who can see each piece of your information. Peninsula Health currently uploads discharge summaries to the My Health Record, going forward it is proposed to contain other personal health information such as your current medications, immunisations, allergies, adverse reactions, advanced care directives and emergency contact details.
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Dr John Aloizos discusses My Health Record system benefits

Created on Friday, 16 September 2016
Dr John Aloizos, Clinical Advisor to the Australian Digital Health Agency, discusses how the My Health Record and digital technologies are helping his team at Garden City Medical Centre develop clinical pathways for patients with chronic and complex illnesses, and provide comprehensive care and service for their patients.
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Notes on #FHIR trademark usage

Posted on September 20, 2016 by Grahame Grieve
The FHIR trademark system is operational. There are 2 kinds of license to apply for:
You can use the name “FHIR” without applying for a trademark license in 2 circumstances.
Fair Use
You don’t need trademark permission to make use of the name “FHIR” to refer to the specification HL7 publishes, or the community that builds it. You can use “FHIR” as you like as long as you are referring to one of those things. That’s covered clearly under the “fair use” provisions of trademark law in most jurisdictions. HL7 asks that you mention that FHIR is a registered trademark, and provide attribution to HL7, but you don’t need to do those things under fair use law.
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Minor glitches aside, Best Practice Premier is a great GP tool

20 September 2016
MEDICAL software has become an integral tool in general practice.
One of the more commonly used systems is Best Practice, developed by former GP Dr Frank Pyefinch in 2004.
The two main components are for front-desk management and clinical management. But a practice can opt for only the clinical functionality and link to existing billing software.
The nature of Australian general practice requires software to be able to do online bulk billing claims, DVA claims, private claims as well as charging for products such as immunisations, all of which Best Practice caters for.
Appointment bookings are easy to use and allow for notations such as new patient, as well as reminders for a particular patient.
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ATO’s push for data sharing among agencies stirs privacy fears

  • The Australian
  • 12:00AM September 19, 2016

Annabel Hepworth

The Australian Taxation Office is pushing for a review of confidentiality rules that restrict the sharing of personal data across government, warning some of the laws are decades old.
In a move that has reignited privacy concerns, the tax office has declared there should be ­efforts to “broaden the social ­licence for the increased sharing of confidential government data-going forward”.
The call comes as the Australian Securities & Investments Commission has also pushed to widen the scope of sensitive data it secures from other government agencies, insisting it would benefit from “rapid access” to bankruptcy records, travel movements and criminal history.
In a submission to a Productivity Commission inquiry into data ordered by Scott Morrison, the tax office has argued for modernised rules on confidentiality as a way to deal with the rapid changes to technology.
-----

Wavelink targets ANZ healthcare markets

Paul Craven to lead new division
Wavelink, a value-added distributor of enterprise mobility and unified communications solutions has launched a new division focussed on the health industries markets in Australia and New Zealand and has named Paul Craven to lead it.
Wavelink said Craven would “focus on bringing together solutions for Wavelink’s partners targeting public hospitals, private healthcare groups, and aged care facilities across Australia and New Zealand.”
It said the establishment of its health practice would provide a level of specialisation to its partners by providing end customers with comprehensive solutions, not just hardware. “The premise of the practice is to build solutions from use cases that improve patient care and drive operational efficiency.”
-----

It’s a healthy market for data scientists at Orion

Orion Health says it is looking to hire the best analytics talent in New Zealand.
NZX-listed health technology company, Orion Health (NZX: OHE) says it is investing significantly in new analytics and machine learning applications and looking to hire the best analytics talent in New Zealand.
Orion Health CEO Ian McCrae said: “We are now focussed on boosting our ability to provide data insights that will help our customers improve their delivery of healthcare. We already have a talented analytics team based at our US headquarters in Arizona, but we need a team in Auckland where the majority of our research and development team of over 500 people are based.”
The company has appointed Peter McCallum, the former head of data & insights at Spark’s data solutions company, Qrious, to lead its analytics team and says he has over 15 years’ experience working exclusively in the business intelligence, data warehousing and data analytics domains.
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  • Updated Sep 20 2016 at 11:45 PM

Getting caught up in the science of the inconceivable

by Philip Ball
Late last year, an experiment carried out by scientists at the Delft University of Technology in the Netherlands appeared to demonstrate that one object can affect another from afar without any physical interaction between the two. The finding confirmed an idea so extraordinary that, nearly a century ago, Albert Einstein had rejected it with the dismissive phrase "spooky action at a distance". In quantum theory this phenomenon is known as "entanglement", and many physicists now regard it as the most profound and important characteristic of the physical world at the smallest scales, which quantum theory describes.
Quantum entanglement is a deeply counterintuitive idea, which seems to contradict human experience of the physical world at the most essential level. In the everyday ("classical") physical realm, objects affect one another via some kind of contact. The tennis ball flies from the racket when struck, and when it hits the window the glass will smash.
Sure, "invisible forces" seem to act across space – magnetic and electrical attraction and repulsion, say. But in quantum theory these interactions arise from the passage of a particle – a photon of light – between the two interacting bodies. Meanwhile, Einstein showed that the sun's gravity corresponds to a distortion of space, to which distant objects such as Earth respond. It's generally believed that in a quantum theory of gravity (which doesn't yet exist), this picture will prove to be equivalent to the exchange of "gravity particles" or gravitons between the sun and Earth.
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Canadian, Chinese scientists teleport quantum information

  • Tom Whipple
  • The Times
  • 12:00AM September 22, 2016
Generations have watched Captain Kirk say the words “Beam me up Scotty” and dreamed of a ­future in which teleportation is possible. Now, at last, it is. Provid­ed, that is, the thing you are beaming is a precisely entangled unit of quantum information, and Scotty isn’t too concerned about a high probability of it getting lost along the way.
For the first time, scientists have successfully teleported quan­tum information over a significant distance using a city’s fibre-optic infrastructure. Two separate teams of researchers achieved the feat, considered a prerequisite to building a secure “quantum internet”, and broke the distance record for fibre-optic teleportation in the process.
Quantum teleportation does not, alas, involve the science ­fiction-style transfer of objects. ­Instead, it involves moving inform­ation securely, using a phenomenon by which particles can be “entangled”, so that a change on one affects another, even when they are separated.
This weird property of part­icles so discombobulated Albert Einstein that he referred to it as “spooky action at a distance”.
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Enjoy!
David.