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."

Monday, February 26, 2018

Weekly Australian Health IT Links – 26th February, 2018.

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

Not much happening except the RACP debacle - fire the CEO I say - and the Global Gabfest where Australia suggests it is an a position to offer advice to others in Global Digital Health! Put your own house in order I would suggest - but then I would say that!
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https://www.itwire.com/government-tech-policy/81803-data-breach-law-takes-effect-on-thursday.html

Data breach law takes effect on Thursday

Australia's data breach notification law takes effect this Thursday and new resources for the public have been released by the Office of the Australian Information Commissioner before the law comes into force.
The NDB scheme makes it mandatory for Australian Government agencies and other bodies that are obliged to comply to secure personal information under the Privacy Act 1988 (Cth) and notify individuals who are affected by data breaches that are likely to result in serious harm.
One new resource, titled Receiving data breach notifications, provides guidance on what to expect when a data breach notification is received, including how organisations might deliver notifications and when a privacy complaint can be made to the OAIC.
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http://apo.org.au/node/133696

Data breach preparation and response

19 Feb 2018
Description
Strong data management is integral to the operation of businesses and government agencies worldwide. Digital platforms and technologies that utilise user data to provide personalised products or services have proliferated across communities and industries. At the same time, data analysis has been widely recognised for its value as fuel for innovation that can benefit the community in unprecedented ways, including identifying gaps in services, revealing needs for new or different products, and enabling better-informed policy-making.
In this environment, the success of an organisation that handles personal information or a project that involves personal information depends on trust. People have to trust that their privacy is protected, and be confident that personal information will be handled in line with their expectations.
As we’ve found in our long-running national community attitudes to privacy survey, if an organisation does not demonstrate a commitment to privacy, people will look for alternative suppliers, products, and services.
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https://www.itwire.com/security/81816-data-breach-law-60-of-businesses-unaware-of-basics.html

Data breach law: 60% of businesses 'unaware of basics'

Nearly 60% of Australian businesses are not aware of the details of the data breach law that takes effect on Thursday, a survey by GfK Australia for imaging solutions provider Canon claims.
Additionally, the survey, named the Business Readiness Index, found that small businesses, in particular, were seen to be least concerned about data security, stemming from a lack of awareness where only one in five (19%) were conscious of, and prepared for, the new regulations.
The survey was conducted in January and gathered insights from 400 key decision-makers from the business and IT communities. It aimed to gauge Australian businesses' existing information security practices, and determine their preparedness and ability to comply with the Data Breach Notification obligations.
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http://www.smh.com.au/technology/technology-news/important-email-likely-to-be-missed-in-flood-that-s-about-to-hit-your-inbox-20180221-p4z14q.html

Important email likely to be missed in flood that's about to hit your inbox

Mark Vincent
Published: February 21 2018 - 7:46PM
"Once more unto the (data) breach, dear customer."
To misquote Oscar Wilde, there is only one thing worse than not being told about a data breach, and that is being told about a data breach 10 times a day from 10 different service providers for the rest of eternity.
From today, Australian business enters a brave new world of data protection. Under the watchful eye of the Office of the Australian Information Commissioner, the Notifiable Data Breaches scheme will require businesses with an annual turnover of more than $3 million to let their customers know if there has been unauthorised access to personal data in a way that could cause harm.
The scheme is an attempt to have Australia catch up with the rest of the world in terms of its corporate data security. Failure to notify a breach attracts fines of up to $360,000 for individuals and $1.8 million for businesses, for serious or repeated infringements.
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https://www.themandarin.com.au/88709-last-man-standing-information-and-privacy-commissioner-timothy-pilgrim-to-retire/

Last man standing: information and privacy commissioner Timothy Pilgrim to retire

By Stephen Easton • 20/02/2018
Timothy Pilgrim has announced his resignation from his dual-role as privacy and information commissioner, effective March 24.
Pilgrim started as the privacy commissioner in 2010, when the Office of the Australian Information Commissioner was a much better resourced body with a separate commissioner for FOI and an overarching information commissioner in John McMillan, who left in 2015, when the Abbott government intended to abolish the agency.
Soon Pilgrim was the only one of the three left, and was a steady hand during that period of uncertainty, explaining clearly what was going on even though it was not clear how long the OAIC would last.
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Privacy Commissioner’s small budget to make policing new data breach laws difficult, experts say

Ben Grubb
Published: February 23 2018 - 8:55AM
Australia's new data breach laws require businesses and government entities to disclose hacks and leaks that cause "serious harm", with fines of up to $2.1 million for those who don't comply, but experts say the agency responsible for enforcing them may not have the resources to do so.
The Notifiable Data Breaches (NDB) scheme — which came into effect on Thursday — is likely to cause a swell in reported breaches. Former NSW Deputy Privacy Commissioner Anna Johnston, now head of Sydney-based private consultancy Salinger Privacy, questioned whether the Privacy Commissioner could enforce the new laws, considering it hadn't been allocated any new funding by the Turnbull government.
In an interview with Fairfax Media, Privacy Commissioner Timothy Pilgrim — who recently announced his retirement — did not deny it would be tough to keep on top of the office's growing caseload, revealing there were already long wait times for existing matters in his office.
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https://www.medicalobserver.com.au/professional-news/practices-need-a-way-to-ensure-unwanted-people-dont-get-appointments

Practices need a way to ensure unwanted people don't get appointments

20 February 2018

THE ISSUE

Many businesses and professional practices screen potential new clients to decrease the risk of accepting those likely to cause unnecessary stress or disruption, financial loss, disciplinary action or litigation.
Such a strategy, however, is not commonly used in medical practice.  General practices tend to accept as new patients anybody who seeks care.  However, there are certain types of people that a practice might not want to accept automatically, including:
  • People known to have been aggressive, abusive or violent, including former partners of current patients;
  • People known to be seeking opioids, benzodiazepines, amphetamines or other medicines for non-therapeutic purposes;
  • People who seek to induce GPs to engage in behaviour that is illegal, unethical or unprofessional, including those who insist that the GP request unnecessary investigations or provide inappropriate treatments;
  • New patients who have failed to attend a first appointment; or
  • Others whose bad reputation precedes them.
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http://www.innovationaus.com/2018/02/AMA-chief-on-disruptive-tech
Beverley Head
February 19, 2018

AMA chief on disruptive tech

The Establishment
If your doctor whips out her smartphone to take a photo of your skin rash to share with a colleague, how will that image be protected, how long will it be stored and will your identity be protected? Will an artificial intelligence diagnostic tool pay any attention to the Hippocratic Oath?
Artificial intelligence in diagnostics, telemedicine, augmented reality to train doctors and surgeons, bionic eyes and ears, genome sequencing, genome editing, digital health records are all impacting the delivery of health services across Australia.
But are policy and process keeping pace?
The Australian Medical Association (AMA) has been the peak national body representing medical practitioners and students since the 1960s; it has a membership of 30,000 members plus 9,000 students. Nationally there are around 100,000 registered health practitioners.
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http://www.hospitalhealth.com.au/content/technology/article/personalising-digital-health-care-1485223217

Personalising digital health care

By Ian Manovel
Tuesday, 20 February, 2018
When it comes to digital health care, one size doesn’t fit all. We look at the benefits of personalising services to cater for different attitudes — and aptitudes.
The 2017 Federal Budget revealed $10 billion would be dedicated to health spending. As the Australian healthcare system moves to implement digital services such as Telehealth, eMedical Records, eMedication Management and eHealth Records, the industry needs to reconsider its one-size-fits-all approach.
While this legacy model is attractive for its simplicity, it generates a degree of waste and inefficiency, with some patients over-serviced, some neglected and a few dissatisfied. The health system needs to ensure that existing digital health technologies are effectively implemented, used by healthcare professionals and delivering patient benefits. By harnessing the power of digital, the healthcare system can evolve to innovate, improve data sharing and secure organisational trust. Digital will play a crucial role in creating a person-centric segmentation of patients, allowing policymakers and service providers to optimise resources and deliver the right services, at the right time, in the right way.
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https://www.itnews.com.au/news/act-health-wins-award-for-barcodes-for-blood-485191

ACT Health wins award for barcodes for blood

By Staff Writers on Feb 21, 2018 6:00AM

Project delivering big results.

ACT Health's innovative effort to reduce the instances of wrongly labelled blood samples and medications was rewarded as the top IT project in the healthcare category of the iTnews Benchmark Awards.
The health department has equipped patients and clinicians with barcodes and rolled out computers-on-wheels in order to reduce the risk of labels being incorrect or misapplied.
Patients are now cross-referenced with pathology orders and medication at their bedside to eliminate errors; a patient's wristband and the clinician's ID card must be scanned before a label can be printed on the computer-on-wheels and attached to the blood sample or medication at the point of care.
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http://www.smh.com.au/technology/sci-tech/google-s-neural-networks-detect-heart-attack-risk-by-looking-at-patients-eyes-20180220-p4z0z7.html

Google's neural networks detect heart attack risk by looking at patients' eyes

Drew Harwell & Carolyn Y. Johnson
Published: February 20 2018 - 1:50PM
By looking at the human eye, Google's algorithms were able to predict whether someone had high blood pressure or was at risk of a heart attack or stroke, researchers at the company have confirmed, opening a new opportunity for artificial intelligence in the vast and lucrative global health industry.
The algorithms didn't outperform existing medical approaches such as blood tests, according to a study of the finding published in the journal Nature Biomedical Engineering. The work needs to be validated and repeated on more people before it gains broader acceptance, several outside physicians said.
But the new approach could build on doctors' current abilities by providing a tool that people could one day use to quickly and easily screen themselves for health risks that can contribute to heart disease, the leading cause of death worldwide.
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https://www.theaustralian.com.au/business/technology/the-human-body-the-next-frontier-for-technology/news-story/58fbfb2754e5066f5c762169849ac96d

The human body: the next frontier for technology

The brain could potentially be trained to operate technology planted in the body.
Get ready for the technology body invasion. Connected sensors, millimetre-sized robots and even a supplementary brain could enhance our lives from within our bodies. And we may not mind if we like the benefits. Then again, we may care if this internal technology makes us more vulnerable to hacking. Imagine being murdered from across the globe by an anonymous bot. An Inspector Morse, Holmes or a Vera might hit a brick wall trying to find the villain.
The truth is, humankind already is comfortable with some tech augmenting our bodies. We welcome Cochlear implants, pacemakers, replacement hips and knee joints when we need them, and the prospect of organs being 3-D printed or grown from stem cells is on the horizon. That will extend lives. At the cutting edge there are prosthetic limbs we can control with the brain.
But going further, the debate gets contentious. Biohacking was a discussion point at this week’s SingularityU conference in Sydney, organised by US-based start-up Singularity University.
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https://www.theaustralian.com.au/news/health-science/heart-attacks-the-latest-cycbercriminal-method-to-extort-victims/news-story/da012d620e1f6232a24814ed674e1d4d

Heart attacks the latest cycbercriminal method to extort victims

  • The Australian
  • 6:00AM February 21, 2018
Cybercriminals are poised to strike their victims literally in the heart, US cardiologists have warned, with pacemakers vulnerable to hackers motivated by politics, greed or malevolence.
A new scientific paper warns that implanted cardiac devices can be rigged to fail or deliver ­lethal electric shocks, while malware or ransomware attacks can thwart the remote monitoring of heart patients.
The paper has been released this morning by the electro­physiology council of the ­American College of Cardiology.
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'Budget' contractor behind bungled RACP exam has a long record of failure

The low-cost operator has a well-documented history of mishaps
22nd February 2018
10 Comments
The company employed by the Royal Australasian College of Physicians to run its botched fellowship examination is known as a “budget” option and has been involved in dozens of testing mishaps over the past two decades, a US exam watchdog says.
The contractor, Pearson VUE, is yet to explain the "unknown technical fault" that locked registrars out of Monday's five-hour test, causing chaos, tears, and the exam's eventual abandonment.
Yet Monday was just the latest instance of the company’s examination systems causing problems.
The UK-based multinational has been involved in more than 70 testing mishaps worldwide over the past 20 years, according to the US National Centre for Fair and Open Testing (NCFOT).
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https://www.itnews.com.au/news/govt-to-ditch-pki-certs-for-medicare-look-up-system-485342

Govt to ditch PKI certs for Medicare look-up system

By Justin Hendry on Feb 16, 2018 1:11PM

DHS to accelerate move to PRODA.

The Department of Human Services will accelerate plans to end the use of PKI certificates for accessing the HPOS Medicare verification service after the federal government agreed to scrap the mechanism. 
The government today published its response [pdf] to a review into how health providers access Medicare numbers, following revelations last year that Medicare details were being sold on the dark web for around A$29 per file.
It had ordered the review after it appeared the individual selling the card numbers had exploited legitimate access - specifically DHS’ HPOS Medicare verification service for health providers - to obtain the data.
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https://www.digitalhealth.gov.au/news-and-events/news/media-release-new-global-digital-health-partnership

Media Release: New Global Digital Health Partnership

International participants from thirteen countries, Hong Kong SAR, and the World Health Organization (WHO) have kicked off a new global network to support best use of digital technology in modern healthcare.
The Hon. Greg Hunt MP, Australian Minister for Health, and the Hon. Shri Jagat Prakash Nadda, Minister for Health and Family Welfare, welcomed the participants to the inaugural Global Digital Health Partnership (GDHP) Summit held in Canberra today.
Minister Hunt said the partnership will create a common platform for international experts to share knowledge and experiences, to network, and to forecast emerging trends to support the digital health landscape.
Digital Health is the penicillin of our time, with precision medicine and genomics offering opportunities to cure previously incurable diseases and deliver better life saving medicine”.
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Media Release: International Digital Health Symposium brings leaders together

Digital health leaders from around the globe have met at the inaugural International Digital Health Symposium in Sydney to learn from different global approaches to digital innovation that are inclusive, evidence-based, and support sustainable, high quality health and care.
The leaders discussed the global advancement of digital health policy, how digital health can support clinical quality and safety, challenges in healthcare interoperability, data sharing for health systems improvement, and building the evidence base for digital health benefits. The management of global public health priorities, new approaches to disease prevention, and maximising the benefits of precision medicine were also discussed.
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Global digital health network announced as Australia takes a lead role in international collaboration

Lynne Minion | 23 Feb 2018
Australia has taken a leading role in digital health internationally, with the announcement of a global network of health agencies that have come together to support the implementation of digital technologies.

At a summit in Canberra this week hosted by the Australian Digital Health Agency, representatives from 13 countries, Hong Kong SAR and the World Health Organisation joined in creating the Global Digital Health Partnership.

The coalition, which will allow international experts to share knowledge, learn from each other and collaborate on projects, satisfies a global appetite, according to the Chief Medical Adviser at the ADHA, Dr Meredith Makeham.

“It's been a great honour for us to have such an overwhelmingly big response with our first call to like-minded people around the globe who also felt that this was a very important initiative to support their local policy and initiatives,” Makeham told Healthcare IT News Australia.
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Launch of the beta Health website

We're creating a new health.gov.au website that's easier for our stakeholders to understand and use.
Page last updated: 15 February 2018
You can access our new website at beta.health.gov.au.

The new health.gov.au website is the first step of Health’s new digital presence. It currently has updated corporate information about us and what we do. We have also improved our immunisation information by re-writing it to make it easier to find and understand. This is the first stage of information that has been moved to the new website.

We have created our new website to make it easier for you to use. We are:
  • Rewriting our information so you can easily understand it.
  • Better organising our information so that you can find what you are looking for.
  • Improving our search to help you find information fast.
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“We need to raise the bar”

PSA president says current levels of med-related hospitalisations are not good enough, but pharmacists can’t help without access to data

Pharmacists are expected to contribute to healthcare and reduce medication errors in an information vacuum, PSA national president Dr Shane Jackson told delegates at the inaugural International Digital Health Symposium held at UNSW Sydney on Wednesday.
“If you look at it from a community pharmacy perspective, [pharmacists] don’t have the data,” said Dr Jackson.
“The information they have is the dispensing information of the person.
“We expect pharmacists to contribute to healthcare and reduce hospital admissions in an information vacuum.”
Dr Jackson said the situation is dire considering the high levels of hospital admissions related to medication errors.
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http://www.afr.com/news/special-reports/future-of-healthcare/data-and-technology-to-transform-the-medical-system-20180219-h0wbek
Feb 21 2018 at 7:00 PM
  • Updated Feb 21 2018 at 7:00 PM

Data and technology to transform the medical system

This content is produced by The Australian Financial Review in commercial partnership with the Commonwealth Bank of Australia. 
"We collect one billion times more data on our cars than our bodies," Murray Brozinsky recently stated at the Commonwealth Bank's Future of Health Conference.
A recognised digital health leader, and chief strategy officer at Conversa, Brozinsky advises some of the world's leading healthcare organisations on the changing nature of health.
Comparing cars with humans might seem a bit of a stretch but his point is we're able to get so much diagnostic information from our car every time we get it serviced yet most of us still know very little about how our bodies are performing.In his presentation, Brozinsky outlined how healthcare was evolving with augmented reality technologies and artificial intelligence and illustrated a not-too-distant future where passive invisible sensors will be able to track everything biologically relevant on the body.
"They will feed into our electronic health records and all that information will go to create rich artificial intelligence-driven conversations between care teams and patients. We will be able to move from descriptive to predictive to preventative care very quickly. Patients will be providing valuable patient-generated health data (PGHD) and will be virtually involved in the consult," Brozinsky said.
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http://www.healthcareit.com.au/article/online-patient-consent-platform-one-ten-tech-innovators-latest-hcf-accelerator-intake

Online patient consent platform one of ten tech innovators in latest HCF accelerator intake

Lynne Minion | 19 Feb 2018
It was while working on a scabies eradication program in East Timor that two dermatologists formed a bond that would lead to a new technology start-up, but the innovation epiphany that inspired the development of their PracWay platform was actually much closer to home.

A personal medical crisis showed the formidable duo – Rebecca Saunderson and Julia Rhodes – that there was a need for them to channel their altruistic ambitions into empowering patients.

“In 2017, I was diagnosed with a mass in my jaw,” PracWay co-founder Saunderson said.
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19 February 2018

Data laws might reveal horrifying levels of GP ransomware attacks

Posted byJeremy Knibbs
Changes to legislation around medical data breaches, with fines of up to $340,000 for a single GP and up to $1.7 million for a practice, are set to a create a lot more havoc than the government, and many doctors running practices, currently suspect.
From Thursday this week, GPs and GP practices will be required by changes to the Privacy Act 1988 to notify individuals likely to be at risk of serious harm because of data breach, and to notify the office of the Australian Privacy Commissioner.
Until now, breaches did not have a mandatory reporting requirement.
Not surprisingly, there have not been a lot of breaches reported by any GP practices since the legislation introducing heavy fines for allowing breaches came into effect nearly four years ago. If you have had a breach, how likely are you to want anyone to know about it? So you do all you can do to fix it and move on. That can’t happen anymore.
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https://www.themandarin.com.au/88590-digital-identity-crisis-how-many-solutions-are-too-many/

Identity Crisis: how many solutions are too many?

By Victoria Draudins • 19/02/2018
The Commonwealth may have clamped down on its agencies competing for digital identity dominance, but Australia’s state governments are playing a different game. Global trends might soon make all these efforts moot.
In United Nations project ID2020, Microsoft is partnering with Accenture to create identities for over some of the world’s poorest people without a documented identity. The system will use Blockchain to connect existing records and manage fingerprint, iris and other biometric data. The underlying system is currently being used by the United Nations to enrol 1.3 million refugees and is expected to support 7 million refugees by 2020.
Australia certainly has its own issues with digital identity, after all, our government has been thrown into crisis by a small number of our parliamentarians who can’t properly prove where they come from. But despite a great deal of work and money being thrown by government and industry to deliver identity solutions over the years, our digital identity landscape still seems confused and increasingly cluttered. There is also the risk that like Queensland’s smart driver licence, the landscape may have moved on by the time we rollout a solution.
And unlike the very real problems being solved by the UN’s ID2020, as Queensland Privacy Commissioner Philip Green has told The Mandarin, in some ways government efforts are “a solution in search of a problem”.
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Feb 18 2018 at 11:00 PM

Bank push for new digital identity regime

Banks want an economy-wide, seamless approach to establishing customer identity. Karl Hilzinger
Banks want the government to work more closely with them on the national framework for establishing digital identity, and say it must include changes to "know your customer" (KYC) rules to allow them to rely on identity information provided by other organisations. 
A new digital identity regime promises to reduce costs for banks by making it easier for customers to prove who they are. It will also make it easier to switch accounts.
The Reserve Bank of Australia says a framework for trusted digital identity "has the potential to make online interactions more convenient and secure" and "could help mitigate the scope for identity fraud". The central bank has suggested the regime could be incorporated into the government's plans for "open banking".
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https://www.itnews.com.au/news/australia-posts-digital-id-named-best-federal-govt-it-project-485017

Australia Post's Digital ID named best federal govt IT project

By Staff Writers on Feb 21, 2018 6:00AM

Clear path to success.

Australia Post's strategic maneouvre towards digital identity has earned it the top prize in the federal government category of the iTnews Benchmark Awards 2018.
The postal firm's internally developed Digital ID identity verification solution positions it as a first mover in the Australian market.
Not only does the platform make big strides in AusPost's pivot away from its declining letters business and into digital solutions, but an early partnership with the DTA also promises to cement the organisation as potentially the first identity provider on the federal government's game-changing Govpass digital identity network.
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https://www.computerworld.com.au/article/633673/government-releases-digital-id-framework/

Government releases digital ID framework

Step towards allowing private sector to provide ID services
Rohan Pearce (Computerworld) 21 February, 2018 13:03
The government has released the first component of the Trusted Digital Identity Framework for oganisations seeking to provide identity services.
The framework, whose development has been overseen by the Digital Transformation Agency, is intended to set standards for organisations providing digital ID for access to online services.
The framework will help underpin the development of a federated digital identity system and provide the the standards for the government's Govpass ID platform
The intention is allow individuals to only have to prove their identity once and then be able to use a digital ID across multiple government services.
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https://www.computerworld.com.au/article/633524/5-early-warning-signs-project-failure/

5 early warning signs of project failure

Far too many projects still do not meet intended goals. Here are five leading indicators of a failing project that — when caught — can drastically improve your project’s chances for success.
Moira Alexander (CIO (US)) 16 February, 2018 22:00
Project failure is costly. While the Project Management Institute (PMI) last year reported that a 20 percent decrease in project failure rates versus the previous year, the amount of money lost to failed projects remains staggering, with an average of US$97 million for every $1 billion invested in projects going to waste.
There are many reasons why projects still fail but paying close attention to and addressing these five early warning signs immediately can help keep things moving in the right direction with less strife and causes for concern, and ultimately decrease the risk of project failure.

1. A change-resistant culture

One of the first (and biggest) warning signs that your project may be headed for failure is an internal culture that is resistant to change. Projects bring about improvements in workflows and new operational best practices, often with an increased use of technology. These changes can create a significant amount of fear, as employees assume the end result will mean job losses or major disruption to their individual working world. Many projects have been internally sabotaged right from the start as result of these fears.
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https://www.itnews.com.au/news/nbn-co-told-to-expect-new-service-standards-485473

NBN Co told to expect new service standards

By Ry Crozier on Feb 19, 2018 5:55PM

Before industry consultation even finishes.

NBN Co has been warned to “expect much higher levels of regulation” this year as the competition watchdog turns its attention to the network builder’s role in the end-to-end NBN experience.
In November last year, the ACCC launched an inquiry into NBN Co’s wholesale service standards, including missed appointments, connection delays and fault rectification.
Industry submissions to the inquiry don’t close for another fortnight, but already the ACCC is indicating it will intervene.
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NBN business case, regional rollout to be scrutinised

Parliament’s NBN committee to dissect NBN financial forecasts, regional rollout progress
Rohan Pearce (Computerworld) 16 February, 2018 14:41
Parliament’s Joint Standing Committee on the National Broadband Network will put NBN’s financial forecasts under the microscope as one of two new inquiries.
The committee will examine the publicly owned company’s business model, including the competitive risks facing the “multi-technology mix” rollout model and “the Commonwealth’s accounting treatment of government debt/investment in NBN, and the prospect of future sale, in whole or part, of NBN”.
NBN has previously indicated that the growing popularity and capabilities of wireless services could potentially have an impact on its financials.
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Enjoy!
David.

Sunday, February 25, 2018

Just To Continue The Outrage For A Moment Or Two Longer - The CEO Has No Place To Go But Out!

After the blog this morning this appeared I found these:

'Budget' contractor behind bungled RACP exam has a long record of failure

The low-cost operator has a well-documented history of mishaps
22nd February 2018
10 Comments
The company employed by the Royal Australasian College of Physicians to run its botched fellowship examination is known as a “budget” option and has been involved in dozens of testing mishaps over the past two decades, a US exam watchdog says.
The contractor, Pearson VUE, is yet to explain the "unknown technical fault" that locked registrars out of Monday's five-hour test, causing chaos, tears, and the exam's eventual abandonment.
Yet Monday was just the latest instance of the company’s examination systems causing problems.
The UK-based multinational has been involved in more than 70 testing mishaps worldwide over the past 20 years, according to the US National Centre for Fair and Open Testing (NCFOT).
This week's RACP bungle sits at number 74 on the non-profit watchdog’s public list of Pearson exam failures, which stretch back to 1998 and have been widely documented in the press.
NCFOT's public education director Robert Schaeffer says the company has aggressively expanded since the early 2000s by offering "budget" computerised testing.
In 2015, Pearson was responsible for up to 40% of US secondary examinations. But the firm has been fired by the country’s four most populous states in the past five years because of its repeated failures, Mr Shaeffer told Australian Doctor on Thursday.
“This latest failure doesn’t surprise me at all," he said.
"Pearson does not seem to be able to deliver high-quality, consistently accurate assessments.
"It is easy to see online that Pearson has a very poor track record of performance."
Lots more here:

So lets add failure to test to failure to research the quality of your paid provider.

Really astonishingly pathetic.

And the Australian headline said it all!

Royal Australasian College of Physicians exam scores epic fail

  • The Australian
  • 1:00AM February 24, 2018
  • Sean Parnell
About 1200 trainee physicians in Australia and New Zealand have had to reschedule crucial exams after a serious failure with the computer-based testing process this week, throwing their lives and hospital schedules into chaos.
The Royal Australasian College of Physicians had engaged the company Pearson Vue to conduct its divisional written examination across multiple sites via computers on Monday.
But several hours into the exam a problem was detected at some sites and, although many trainees were urged to continue, the exam ultimately was cancelled.
The computer failure not only had implications for trainees — concerns for their mental health have been paramount this week — but is likely to have ongoing ramifications for the RACP and Pearson Vue. Similar incidents in the past have ended up in the courts.
The divisional written examination tests a trainee’s knowledge in adult internal medicine or pediatrics and child health at the end of basic training.
This assessment, completed before trainees undertake the divisional clinical examination, is the gateway for progression to advanced training.
Not only does the exam cost each trainee about $1800, it requires months of study and in some cases logistical work for the junior doctors to be able to set aside the six-plus hours needed just to sit the test.
Every trainee is photographed, required to provide proof of identification and their signature, and put under strict supervision during the exam.
The computer failure also comes after considerable debate in the professions about the pressure medical students, trainees and junior doctors are under, and the impact on their psychological wellbeing. The RACP previously has acknowledged the potential for trainees to have increased anxiety undertaking a computer-based exam for the first time.
More here:

I will leave it now - until I can announce the CEO and hopefully the CIO and most of the Board have resigned in shame!

David.

AusHealthIT Poll Number 411 – Results – 25th February, 2018.

Here are the results of the poll.

How Well Do You Believe The GP Community Is Being Served By The Current Generation Of Practice Systems?

Great 1% (2)

Not Bad 52% (74)

Neutral 36% (51)

Not Well 9% (12)

Badly 1% (1)

I Have No Idea 1% (1)

Total votes: 141

This is an interesting poll suggesting that there is room for more work but that mostly people are going reasonably well with their present systems.

Any insights welcome as a comment, as usual.

A really great turnout of votes!

It must have been an easy question with just 1 not sure what the appropriate answer was.

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

David.

Talk About An Appalling IT Stuff-Up - I Really Feel For The Victims!

This story broke in the middle of last week.

Trainee doctors forced to resit exam after 'technical fault'

By Allie Coyne on Feb 20, 2018 6:22AM

First computer-based test failed, results voided.

Trainee doctors who sat a basic exam yesterday have had their results voided after a "technical fault" locked some students out of the second half of the test.
It was the first time the Royal Australasian College of Physicians (RACP)'s divisional written exam had been delivered online, managed by computer-based testing solutions provider Pearson Vue.
The medical college apologised to students for yesterday's technical error and said it had decided that all students would resit the exam - this time via pen and paper - "in order to be fair".
"We understand that some trainees have booked leave or holidays following today’s computer based test, and we are working as quickly as possible to reschedule a new exam," the RACP said in a statement.

"It is likely to be more than 24 hours before we can notify candidates of a new exam date."
The college said it had "explored all options" with Pearson Vue after the "unknown technical fault" locked a "significant" number of students out of the computer-based test and unable to complete the second part of the exam, but ultimately decided to call it off.
"The RACP is very disappointed that there has been a problem with today’s [exam], and we apologise to all trainee candidates for the distress caused," it said.
More here:
https://www.itnews.com.au/news/trainee-doctors-forced-to-resit-exam-after-technical-fault-485491
Harrowing reporting on the impact of the issue is found here:

Burnt-out doctors deeply distressed by botched high-stakes exam

Kate Aubusson, Jenny Noyes
Published: February 21 2018 - 9:32AM
Up to 1200 doctors are deeply distressed by the Royal Australian College of Physicians “appalling” handling of an IT meltdown that wiped out a crucial, high-stakes examination on Monday.
Senior physicians have raised serious concerns for the mental health and wellbeing of the registrars now forced to resit the test after months of gruelling study regimen, hospital workloads and personal sacrifice.
A technical fault abruptly shut down the basic training exam. The test cost each candidate $1800 to sit and is a requirement for doctors aspiring to specialise as physicians or paediatricians.
The college is facing mounting criticism from its membership, with calls for its president and others responsible for the incident to resign.
Several doctors who sat the botched exam spoke to Fairfax Media on condition of anonymity over concerns that speaking publicly could impact on their future careers.
As crowds of confused registrars poured out of exam centres across the country, many were crying inconsolably, visibly distressed and angry.
“It was just awful … complete chaos” one registrar said.
“There were a number of candidates sitting on kerbs crying ... no one [was] advising of what happens next.”
Several registrars described chaotic scenes long before the technical meltdown.
Lots more here:

Also included in a lot of subsequent coverage was commentary from some one who had sat the exam the year before:

Computer glitch in hardest exam of your life is unforgivable

Sanj Mudaliar
Published: February 21 2018 - 12:06PM
It’s hard to explain to someone outside the medical field what this examination means to those who sit it. The anguish that it can cause and the amount of time that candidates spend preparing.
After roughly 10 years of training and a lifetime of exams, the Royal Australian College of Physicians examination is the last written one you have to sit - and pass - on the road to becoming a fully fledged physician or paediatrician. It assesses your knowledge across all the medical specialties. It is the final hurdle, the finish line, what many see - correctly or incorrectly - as the point where they can stop striving for a life and start actually living one. Holidays, weddings, even births, have all been put on hold, planned around this last brutal test.
Which is why the 1200 or so junior doctors who had to abandon their attempts at the exam on Monday because of a computer glitch are so distressed.
The written exam consists of two papers -  a basic sciences and a clinical paper - and is held only once a year, on the same day nationwide. It takes 6.5 hours to complete, with a one-hour break, and covers two years' worth of study.  The written exam is like the hardest, broadest university-level final exam you have ever sat.  This year, for the first time, it was held in small venues across the country, with eight to 15 candidates per room, instead of in one central venue in each capital city.
Lots of annoyed rage found here:

Now in another life, in another time, I did a similar exam - (the Part 1 for the Anaesthetics Fellowship - which I passed on my first attempt much to my relieved amazement.) and I can say had my 4 hour exam suffered a similar fate there might have been enraged homicide ensue.

That these systems were not tested to within an inch of their life is simply unbelievable and unforgivable. My view is that the CEO of the College should resign - as simple as that - given the centrality of conducting these exams to the College’s role.

It is possible to ensure such important systems work and this should have been 100% ensured. It is really hard to understand how such a mission-critical system was not fully bullet-proof?

I feel for all the victims can I say!

David.

Saturday, February 24, 2018

Weekly Overseas Health IT Links – 24th February, 2018

Here are a few I came across last week.
Note: Each link is followed by a title and 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.
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Investment in e-health proposed under development plan

Previous estimates for electronic health record suggest it will cost up to €875 million

17 February, 2018
Digital health services will enable the right information about the right patients to be available securely in the right health care setting at the right time.
Investment in electronic health records and new IT systems will directly improve patient services and allow chronic disease to be managed at home and in the community, the new National Development Plan says.
The plan confirms proposals already announced by the Health Service Executive in recent years, which were also a feature of the Sláintecare report on reforming the health system.
It says ICT systems such as electronic prescribing and tele-health will “directly improve patient services allowing chronic disease to be managed in a more patient centred environment at community level including in patient’s homes”.
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Nokia starts review of digital health business, cuts jobs in Finland

Reuters Staff
HELSINKI (Reuters) - Finnish network gear maker Nokia has started a strategic review of its digital health business and announced more than 400 job cuts in its home country.
FILE PHOTO: Flags with the Nokia logo flutter at company's headquarters in Espoo, Finland, May 5, 2017. REUTERS/Ints Kalnins /File Photo
Digital health, part of Nokia Technologies unit, is one of the areas where the company had been looking for growth opportunities amid a tough market for its mainstay telecom network gear business.
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Roche to buy Flatiron Health for $1.9B

Feb 16, 2018 12:29pm
Roche has agreed to buy Flatiron Health for $1.9 billion. (Getty/Martin Barraud)
One of the world’s largest pharmaceutical companies has agreed to buy Flatiron Health, a health IT company founded by two former Google employees.
Switzerland-based Roche Group has agreed to pay $1.9 billion for the health IT company. The pharmaceutical and biotechnology company had already invested $200 million into Flatiron and owned 12.6% of the company.
The acquisition was first reported by CNBC and then confirmed in a joint announcement by the two companies.
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Special Report: Cybersecurity

The recent review of WannaCry attack by NHS England CIO has shone a bright light into NHS cyber defence deficiencies. With the General Data Protection Regulation coming into force this Spring, and an array of legacy Microsoft systems hitting their end of support status, just where do things stand now regarding cybersecurity strategy within the NHS? Davey Winder investigates.
According to the newly published review authored by Will Smart, chief information officer of NHS England, only 1 percent of NHS activity was directly impacted by WannaCry with 80 of the 236 hospital trusts affected, plus 595 of the 7,545 GP practices. However, the vulnerability of NHS infrastructure was laid bare for all to see.
An historic underinvestment in network security, unpatched legacy software and unpatchable hardware devices, were exposed; along with poor discipline and accountability at the highest levels within individual trusts.
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HHS wants to leverage data to track opioid prescribing

Published February 16 2018, 7:24am EST
President Trump’s proposed Fiscal Year 2019 budget for the Department of Health and Human Services would make combating the opioid epidemic one of the agency’s top priorities, including $10 billion in HHS funding to address the crisis.
As part of the effort, a proposal in the administration’s FY 2019 budget is to “require states to monitor high-risk billing activity to identify and remediate abnormal prescribing and utilization patterns that may indicate abuse in the Medicaid system,” HHS Secretary Alex Azar told members of Congress Thursday.
Rep. Michael Burgess, MD (R-Texas), chairman of the House Energy and Commerce Subcommittee on Health, agreed that the Centers for Medicare and Medicaid Services has a lot of data that could be used to “identify a practitioner who is writing an inordinate number of prescriptions.” Burgess added that this information is “actually knowable” within CMS databases.
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EMR alert may help physicians screen children for physical abuse, study suggests

Written by Jessica Kim Cohen | February 13, 2018 | Print  | Email
A team of researchers from Children's Hospital of Pittsburgh of UPMC developed an EMR-based alert system to improve rates of screening for physical abuse among pediatric patients, according to a study published in the February issue of the Journal of the American Medical Informatics Association.
To develop the child physical abuse alert system, the researchers coded 30 age-specific "triggers" into the EMR at a freestanding pediatric hospital with a level 1 trauma center. These triggers would identify children under 2 years of age who were at risk for physical abuse.
Between October 2014 and April 2015, the system flagged 226 children as being at risk for physical abuse. The system ran in "silent mode" in the background of the EMR, meaning that while physicians were unaware of the system, study personnel received data on children who triggered an alert.
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4 study insights into physicians overriding decision support alerts in EHRs

Written by Jessica Kim Cohen | February 14, 2018 | Print  | Email
Clinical decision support alerts displayed in EHRs are associated with reduced incidence of medication errors and adverse drug events. However, a physician who inappropriately overrides one of these alerts may hinder their full potential to influence patient safety.
To evaluate this concern, a team of researchers analyzed 712 encounters from patients admitted to one of six intensive care units between July 2016 and April 2017, according to a study published in BMJ Quality & Safety. The researchers considered potential patient harm associated with medication-related CDS overrides for doses, drug allergies, drug interactions, and geriatric and renal alerts.Here are four insights from the study.
1. The researchers identified 2,448 overridden CDS alerts from 712 patient encounters. Of the 2,448 alerts, 81.6 percent of the alerts were appropriately overridden.
2. The researchers found more potential and definite adverse drug events following inappropriate overrides, compared to appropriate overrides.
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Report: Healthcare Way Behind other Major Sectors in Proper Cybersecurity Protocols

February 14, 2018
by Rajiv Leventhal
The healthcare industry is one of the lowest performing industries in terms of endpoint security, and the sector as a whole ranks near the bottom in cybersecurity strength compared to other major industries, according to a new report from New York City-based security risk company SecurityScorecard.
The report, "SecurityScorecard 2018 Healthcare Report: A Pulse on The Healthcare Industry's Cybersecurity Risks," pulls data from more than 1,200 healthcare companies. SecurityScorecard's research team analyzed information such as issue severity, industry-defined risk level, corporate peer performance, and more. The team's analysis revealed insights on how the healthcare industry performs compared to others, and specific areas of cybersecurity weakness within healthcare organizations.
Some of the report’s key insights include:
  • The healthcare industry ranks 15th when compared to 17 other major U.S. industries.
  • The healthcare industry is one of the lowest performing industries in terms of endpoint security, posing a threat to patient data and potentially patient lives.
  • Social engineering attacks continue to put patient data at risk.
  • 60 percent of the most common cybersecurity issues in the healthcare industry relate to poor patching cadence (which measures how quickly an organization applies an update that patches a security vulnerability).
  • All healthcare organizations struggled with patching cadence and network security.
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U.K. says Russia was behind Petya cyberattack that shut down Nuance, hospitals

Officials found the Russian military “was almost certainly responsible” for the massive global attack, and serves as a reminder that nation-state actors can impact even small organizations that weren’t the intended target.
February 15, 201812:33 PM
The hackers disguised the wiper malware, Petya, as ransomware in order to distract from its real purpose -- to destroy data.
The U.K. government has found the Russian government responsible for the global Petya cyberattack that shut down a wide range of major companies in June, including parts of FedEx, biopharma giant Merck, Nuance Communications and some U.S. health systems.
Officials specifically find the Russian military at fault.
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Bedrock for pop health success: physician buy-in

The best population health management program is built on data and supported by robust operations that can scale up to meet the organization’s needs.
February 15, 2018 10:46 AM
A good population health strategy requires physician engagement, C-suite involvement and the flexibility to be able to scale up to meet the organization’s needs, according to Renee Broadbent, associate vice president of Population Health Information Technology and Strategy for UMass Memorial Healthcare.
Broadbent’s role is to organize the data for the numerous hospitals and physician offices within the UMass system that may be located on the other end of state. Many are also in an accountable care organization. 
Only about 60 percent use the same electronic medical record, Epic, while the other 40 percent are in various EMRs.
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Blockchain not a panacea for managing health records, fed expert says

Published February 15 2018, 7:42am EST
While blockchain has a number of potentially promising healthcare applications, including the management of electronic health records, the technology has certain pitfalls that may inhibit its utility.
That’s the message delivered on Wednesday to lawmakers by Chris Jaikaran, a cybersecurity policy analyst in the Government and Finance Division at the Congressional Research Service.
Blockchain technology employs a data structure that can be time-stamped and signed using a private key to prevent tampering; many experts in the healthcare industry see the technology as a natural fit for managing the accountability, authentication, confidentiality and sharing of information.
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HIT Think Three keys to a multi-layer security strategy

Published February 14 2018, 5:30pm EST
User-based protections. As many as 68 percent of attacks are caused by internal users. Healthcare organizations have an even greater responsibility to educate and train their users, given the number of people who have access to sensitive information and the frequency with which that information is distributed. Prioritizing regular training, testing and education and requiring users to use complex passwords and two-factor authentication will help to limit unauthorized access and minimize the risk of a threat.
Contingency plans. Every effort must be made to block cyberattacks, but there must also be contingency plans in place to limit the scope and scale of the damage in the event a breach occurs. Abnormal traffic monitoring and refined network segmentation do just that. If a hacker is exporting data out of a system and into an independent server, then a spike in traffic results. Monitoring for these spikes enables a faster mitigation response, and networks that are properly segmented fundamentally limit the effects of an attack from spreading.
Even following these practices, organizations should consider using external audits to better assess their security strategy and look for the deeper gaps that may exist. In the U.S., the American Institute of Certified Public Accountants’ Service Organization Control 2 accreditation and SOC3 certification can help ensure that service organizations provide the appropriate controls for security, availability, integrity and confidentiality.
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The training of Dr. Robot: Data wave hits medical care

Feb 15, 2018 12:08pm
Artificial intelligence could help doctors recognize dangerous infections, but the use of algorithms in healthcare is still novel.
The technology used by Facebook, Google and Amazon to turn spoken language into text, recognize faces and target advertising could help doctors combat one of the deadliest killers in American hospitals.
Clostridium difficile, a deadly bacterium spread by physical contact with objects or infected people, thrives in hospitals, causing 453,000 cases a year and 29,000 deaths in the United States, according to a 2015 study in the New England Journal of Medicine. Traditional methods such as monitoring hygiene and warning signs often fail to stop the disease.
But what if it were possible to systematically target those most vulnerable to C-diff? Erica Shenoy, an infectious-disease specialist at Massachusetts General Hospital, and Jenna Wiens, a computer scientist and assistant professor of engineering at the University of Michigan, did just that when they created an algorithm to predict a patient’s risk of developing a C-diff infection, or CDI. Using patients’ vital signs and other health records, this method—still in an experimental phase—is something both researchers want to see integrated into hospital routines.
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The future of harvesting patient generated health data

The trickiest part is getting people to keep using the devices, even six months is a challenge.
February 13, 2018 03:32 PM
As remote monitoring becomes more and more popular providers are starting discussions about how to harvest and use the incoming data. But a serious challenge lies in how to synthesize data coming in from different sources. People have preferences — you might even go so far as to say there are “Fitbit people” and “Apple Watch people.”
What we are trying to do with these devices is collect non-episodic data. Apple watches, Fitbits, all of these devices capture it for you now,” said Ajay Mittal, associate director of IT at the American College of Cardiology. “Our top process was to harness this data that people are already using to support better outcomes.”
Mittal and the team at ACC ran a pilot study aimed at integrating non-episodic data, or data that wasn’t collected at a doctor’s appointment, into the providers system. The team then looked at whether these data points could help improve long-term outcomes.
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Precision medicine: Huge promise, but high health IT-related hurdles, too

John Halamka and Paul Cerrato sift through the hope and the hype of personally-tailored care, spotlighting to real-world success stories while not ignoring some significant potential pitfalls along the way.
February 13, 2018 03:42 PM
John Halamka (above) and Paul Cerrato to talk about some of the biggest obstacles holding back more widespread implementation of precision medicine at HIMSS18.
In their new book, Realizing the Promise of Precision Medicine, Paul Cerrato and John Halamka, MD, take a hard look at the potential for genomic discovery and technological advances set to cause a sea change in how healthcare is delivered.
"The goal of the precision medicine movement is to give clinicians and patients access to the kinds of information needed to create individually tailored programs to treat a variety of diseases and to ward off those that are preventable," they wrote. "To accomplish those twin goals will require the collection of far more data than clinicians now collect when they evaluate patients. It will require more sophisticated analytic tools to glean meaningful insights from the data collected. And equally important, it will require the public to become more engaged in its own care."
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FDA approves AI stroke application, signaling a shift in triage software oversight

Feb 14, 2018 12:00pm
Attorney Bradley Merrill Thompson says the FDA's latest approval shows the agency "seems to be warming to artificial intelligence used for triage." (FDA)
The Food and Drug Administration (FDA) approved an application that uses artificial intelligence to alert physicians of a potential stroke, signaling a notable shift in the way the agency reviews clinical decision support software used for triage.
The application, called Viz.AI Contact, uses an AI algorithm to analyze computed tomography (CT) scans and identify signs of a stroke in patients. The application notifies a neurovascular specialist via smartphone or tablet when it has identified a potential blockage in the brain, reducing the time it takes for a specialty provider to review the scans.
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FDA’s Scott Gottlieb wants to use funding boost to create a Center of Excellence on Digital Health

Feb 15, 2018 10:18am
The Food and Drug Administration plans to use a proposed $400 million boost in federal funding to focus on a range of innovative approaches to speed the approval of new medical devices and create a new center that would support digital health oversight and address cybersecurity concerns.
Overall, the FDA would receive an additional $473 million in discretionary spending under a budget proposal released by the Trump administration earlier this week, bringing the agency’s total to $3.25 billion in 2019. If that level of spending moves through Congress, the FDA plans to funnel about $400 million to promote innovation and competition, FDA Commissioner Scott Gottlieb, M.D., announced on Wednesday. That would include specific carve-outs planned for a new Center of Excellence on Digital Health and furthering the agency’s ability to use EHR data to evaluate medical devices.
The Center for Excellence on Digital Health would oversee a revamped regulatory paradigm created through the FDA’s new software precertification program launched with nine companies in September. But the center would also create a cybersecurity unit to “enhance its ability to coordinate device-specific responses to cybersecurity vulnerabilities and incidents.” Over the past several years, medical device cybersecurity has emerged as particular concern for industry and regulators.
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Trump budget eliminates AHRQ, makes major cuts to OCR, ONC

Published February 13 2018, 7:38am EST
President Trump on Monday released his proposed Fiscal Year 2019 budget for the Department of Health and Human Services, suggesting the elimination of funding for the Agency for Healthcare Research and Quality and slashing budgets for the Office of the National Coordinator for Health IT and HHS Office for Civil Rights.
Congress has traditionally ignored past White House budget proposals, but the plan does show the Trump administration‘s overall intentions for managing federal spending.
The FY 2019 HHS budget includes $256 million to consolidate the activities of AHRQ, which supports health services research addressing patient safety and healthcare quality as well as the application of HIT, into the National Institutes of Health—as the National Institute for Research on Safety and Quality (NIRSQ)—to eliminate duplication and redundancies.
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Azar: 'I Am a Big Supporter of Telehealth'

Steven Porter, February 15, 2018

The HHS secretary’s words of support coincide with a number of other promising signs for burgeoning acceptance and application of the technology.

During his third congressional hearing within 24 hours, Health and Human Services Secretary Alex Azar told lawmakers Thursday he’s looking forward to clearing reimbursement obstacles that have impeded the growth of telemedicine.
Azar, who’s been on the job two weeks, fielded questions from the House Energy and Commerce Committee, covering a wide range of issues facing the massive department.
Rep. Morgan Griffith, R-Va., asked specifically about how payments for telehealth services are handled currently and how they might be better handled in the future.


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AI just at the early stages of showing real results

Published February 09 2018, 7:16am EST
Artificial intelligence—a broad set of technologies that enable machines to mimic the human brain’s ability to process information, learn and adapt—holds potential in healthcare to improve patient outcomes and reduce costs, but it hasn’t yet been widely adopted in daily clinical practice.
However, some leading healthcare organizations, such as the Cleveland Clinic, Intermountain Healthcare and others, are beginning to build the infrastructure and data science capabilities to use AI to deliver clinical and financial benefits.
While some industries are using AI programs designed to recognize speech, written language or visual data or do problem-solving, health systems are gaining experience with machine learning, a subset of AI focused on finding patterns or relationships in data in an iterative, or learning, fashion. Early projects have demonstrated promising results.
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AAFP calls on feds to eliminate health IT utilization measures, focus on data blocking

Feb 12, 2018 10:23am
The nation’s leading association of family physicians is urging federal officials to eliminate health IT utilization measures, pare down documentation guidelines and instead focus their energy eliminating data blocking.
In a letter (PDF) to the Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma and Donald Rucker, M.D., the top official at the Office of the National Coordinator for the Health IT(ONC), the American Academy of Family Physicians (AAFP) outlined ways in which the two agencies can ease the “crushing administrative and regulatory burden” that drives physicians out of practice.
The letter comes on the heels of an announcement that the organization plans to focus on administrative simplification, with medical record documentation listed among its four priorities.
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What’s propelling health IT spending in 2018?

Feb 7, 2018 at 12:26 PM
Value-based care initiatives are the biggest drivers of healthcare technology spending this year, according to a new survey from Damo Consulting.
Patient engagement and care management efforts came in as the number two drivers.
The Illinois-based healthcare advisory firm surveyed 38 individuals from global tech firms, population health management organizations, digital health companies, global management consulting firms and more. The majority of respondents were CEOs, heads of business or in sales/marketing roles.
Other key topics pushing health IT spending include enterprise digital transformation (47.37 percent of respondents), cybersecurity and ransomware (39.47 percent) and population health management (28.95 percent). M&A doesn’t appear to be as significant of a driver, as less than 11 percent of respondents selected it.
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Enjoy!
David.