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, June 21, 2018

An Interesting Article Regarding How People Search For Health Information On Line.

This appeared list week.

Looking online for info on your child’s health? Here are some tips

June 11, 2018 6.05am AEST
Most parents look online for information about their child’s health. from shutterstock.com

Authors

  1. Karen Scott
  2. Patrina Ha Yuen Caldwell
Many parents can be anxious when their child is sick. So looking online for health information can help them understand their child’s medical condition and take an active role in treatment. Seeking health information can also be a coping strategy for parents coming to terms with their child’s illness.
But parents have reported being worried about whether the online health information they find is reliable and relevant, and are concerned about the possibility of misdiagnosis. They can also feel overwhelmed by the amount of information online, which can be difficult to understand.
Just more than half of the parents we surveyed for a recent study were hesitant to act on, or present the information they found online, to the treating doctor. This was despite the fact 73% believed the information influenced the questions they asked the doctor.
Previous studies have highlighted barriers to parents discussing their online research with doctors. They include finding a suitable time, given the doctor’s high workload, and a fear of being perceived as “bossy”, “a whinger”, “difficult” or “pushy”.
Other difficulties may arise if the doctor lacks interest in the information parents find because they believe it lacks credibility or is irrelevant.
A 2015 study found that, of the 110 parents of children with cancer who searched for online medical information, only 47% shared it with their child’s oncologist, but around 86% would have liked to have done so.
Unlike doctors, parents aren’t trained in how to verify the information they find. When seeking health information online or in parenting forums, it’s important to make sure it’s credible and discuss it with the doctor.

Parents looking for information

Our interviews with parents found online health information can provide reassurance and improve adherence to treatment.
We surveyed 308 parents of sick children at The Children’s Hospital at Westmead. We found 90% of parents searched for health information online. Of these, almost all (95%) looked for information after seeing their child’s doctor and many (63%) did so beforehand.
Some parents, especially those aged under 45, used online parenting forums (29%) or social media such as Facebook (27%) for health information.
Most parents (88%) who went online for health information before seeing the doctor wanted to prepare questions. Most (84%) wanted to find out what their child’s medical condition might be.
Of the parents who searched for information after seeing their child’s doctor, 94% wanted to know more about their child’s condition and 90% had more questions after thinking about what the doctor said.

Where to look

Only some parents (29%) believed the health information they found online was correct and just 61% understood it. Only a little more than half (57%) investigated to see if a website, app or Facebook group was trustworthy before accepting or using the information.
Most parents said they wanted help searching for (69%) and assessing (77%) the trustworthiness of online health information.
The Mayo Clinic features the HONcode logo, showing it’s a trustworthy source of information. Screenshot/Mayo Clinic
Parents can ask their child’s doctor to recommend a website so they can find out more about their child’s medical condition. And they can discuss with the doctor whether the online information they find is trustworthy and relevant.
Some online health information or advice from parenting forums may be untrustworthy, irrelevant to the child’s condition or incorrect. This can lead to misinformation, potentially harming the child and increasing parents’ anxiety and guilt.
When looking up health information online, parents can remember it’s more likely to be trustworthy if it’s on websites that are:
Also look to see if the health information is:
  • written by qualified health professionals
  • based on evidence-based research or the work of an expert panel (it’s helpful if the website cites the source of its information)
  • aimed at giving consumers information (such as Choosing Wisely Australia)
  • balanced, unbiased and unemotional
  • up to date, listing a recent revision date
  • separated from advertising
  • funded and any funding is declared.
The study was conducted by Griffith Medical School student Shruti Yardi while on a University of Sydney summer research scholarship in 2015.
Here is the link to the original.
All this seems more that useful advice and really shows how Dr Google is indeed very widely used.
The only question I have is why the medical student who conducted the research is not credited as an author? Seems odd to me.
David.

Wednesday, June 20, 2018

Magical Thinking Is Given A Whole New Meaning By This Release And Report.

This was released a few days ago:

Digital health to transform Australia’s health system and save lives


MEDIA RELEASE
Australia now has many of the building blocks in place to roll out a digitally enabled health system that could transform care services, an expert report has found.
The report, developed after an expert roundtable initiated by the Consumers Health Forum and The George Institute for Global Health, says “the time is now ripe” to support the expansion of digital health technology in vital areas including chronic care and residential aged care.
The report is based on discussions held by around 40 consumers, clinicians, academics, government and industry supported by the Australian Digital Health Agency.
Roundtable attendees considered four sectors --- chronic care, residential aged care, emergency care and end of life care --- in terms of what is wanted from digital health, the current state of digital health in that sector and how to meet goals for the future.
The report says major progress is being made with My Health Record, e-prescriptions, patient registries, shared care portals, state-based digital health strategies and linked hospital patient information systems.
“The time is now ripe to leverage this maturing digital health capacity in ways that are meaningful to both consumers and providers.  If done well, it has potential to be transformative for Australia’s health system bringing about rapid enhancements in quality, safety, accessibility and efficiency,” the CEO of the Consumers Health Forum, Leanne Wells, said.
“Digital disruption is not coming in health care – it is already here. For too long health has been lagging behind other sectors.
“For Australia to embrace digital health and benefit from its huge potential, we need national leadership. The COAG National Digital Health Strategy provides a foundation but what is needed is stronger, coordinated direction from the federal, state and territory governments.
“It would be good news for consumers to bring health into the 21st century but we need to be mindful that people have differing levels of health literacy and some will need support to embrace a digital health future or we risk inequities of access and knowledge.
“We need to invest in implementation and change management to avoid the risks and pitfalls that can accompany the roll-out of such powerful technology into a complex and sensitive area like health care,” Ms Wells said.
Professor David Peiris, Director of Health Systems Science at The George Institute, said emerging digital health strategies had the potential to transform Australia’s health system for both health care providers and consumers.
“Our report sets out clear recommendations on what is needed to enable people to be much more in control of their own health needs and to make informed choices about the care they choose – from urgent life-saving situations through to respecting their wishes at the end their life.
“We also want to ensure that every health professional in Australia can take full advantage of the digital health eco-system to improve people’s healthcare experience and provide care that can be co-ordinated across the system. Many Australians are tired of having to constantly repeat their story to multiple care providers and it’s vital that we tap into digital technology to ensure we deliver a more person-centred, safer and sustainable healthcare system.
“Australia has made a great start in its uptake of digital health technology and we have identified practical steps in several areas that could be rolled out rapidly. The challenge now is to ensure they are adopted.”
The recommendations identified by the roundtable included:
In chronic care: To trial virtual care teams to support patients with high care needs; and trial a “Patients Like Me” platform to enable patients with chronic and complex care needs to safely connect and share experiences with one another.
In residential aged care: Ensure that residents’ health and social services information is available in a single location, on a platform easily accessible by consumers and providers anywhere, anytime and on any device.  Collate and publicise data that allows patients, their carers and future consumers to compare residential care facilities based on health outcomes and patient experiences.
In emergency care: Develop digital health technologies that leverage My Health Record data to be rapidly accessible to paramedics and other emergency providers; develop a text/image message system to support improved communication between emergency care and other medical teams and assist with referrals to other health care providers for post-discharge care.
In end of life care: Develop and promote existing professional and consumer portals that provider information on care options, medical services and pathways for those nearing end of life; and engage in targeted social media campaigns to encourage consumers and medical professionals to normalise conversations about death.
ENDS
Media Enquiries
Mark Metherell, Communications Director
Consumers Health Forum of Australia
P: +61 429 111 986 E: m.metherell@chf.org.au 
Julia Timms, Senior Media Advisor, Australia      
The George Institute for Global Health
P: +61 410 411 983 E: jtimms@georgeinstitute.org.au

Consumers Health Forum of Australia
The Consumers Health Forum of Australia (CHF) is the national peak body representing the interests of Australian healthcare consumers. CHF works to achieve safe, quality, timely healthcare for all Australians, supported by accessible health information and systems. CHF is committed to being an active advocate in the ongoing development of Australian health policy and practice.
Facebook at CHFofAustralia  Twitter @CHFofAustralia  Web chf.org.au
The George Institute for Global Health
The George Institute for Global Health conducts clinical, population and health system research aimed at changing health practice and policy worldwide. Established in Australia and affiliated with UNSW Sydney, it also has offices in China, India and the UK, and is affiliated with the University of Oxford. 
Here is the link:
First it needs to be said that all this is just totally well intentioned and of value, but when you read the report you are left with the sensation of simply floating in a cloud if impracticality and fantasy.
Early on you read the following:
“The report says major progress is being made with My Health Record, e-prescriptions, patient registries, shared care portals, state-based digital health strategies and linked hospital patient information systems.”
Somehow this is all true but also fails to recognise that we are still on the beginning of these paths and by no means at the end. To reach full implementation of solutions to all these core problems, with the best will in the world, is 5 years off at least I believe!
No one I know is casting about for things to do saying we have got all the basics done and it is time to start working on new things!
Additionally the four proposals seem to me to lack clear cut sponsors and plans beyond the woolliest of motherhood statements.
This report is another poorly formatted .pdf document that needs to stay on the shelf until we have got the basics well and truly bedded down. Sorting out the data quality and usability in the myHR, if we are to have one, is way more important and necessary.  Testbeds that fully fix the basics are much more important than this list!
Heavens I am a depressive Grinch! But I believe I am also reasonable, realistic and practical.
Opposing views welcome!
David.

Digital Health On The Australian Stock Market - A Mixed Bunch Indeed.

This appeared last week.

Digital Health Stocks Win From Technology and Health Care Boom

By Bob Kohut | 11.06.2018
Many Investors with the time and temperament to manage their own portfolios of individual stocks gravitate towards high growth opportunities.  After all, given the effort required to research individual stocks, why not look for outstanding rewards?  For the risk averse with little inclination for individual stock research there are mutual and exchange traded funds.
Business sectors with the proverbial “tailwinds” at their backs and newcomers with business models set to disrupt traditional ways of doing business are prime targets. 
Right now, healthcare and technology are two of the hottest sectors on the ASX, and likely to remain so.  Both sectors were up 26% for calendar year 2017.  
Quality digital health stocks offer the opportunity to benefit from both the technology and healthcare sectors as well as the potential for disrupting the status quo in healthcare.
Digital health is a term encompassing a range of health care offerings, all made possible because of the digital transformation of our society. 
At their core, all are based on software applications ranging from diagnostic and analytic systems to mobile health monitoring and measurement systems.  
Telehealthcare today enables consumers to make appointments and payments as well as view test results all from their computer and in some cases from a mobile phone.
The term “digital health systems” has become somewhat of a buzzword, often limited to the increasing number of wearable health monitoring devices and smartphone apps.  However, a more precise description includes digital diagnostic tools and medical record systems.  The term mHealth is a subset encompassing all digital health offerings available on mobile devices. 
The following chart from market research and strategy consulting firm Global Market Insights forecasts growth in the digital health market by technology through 2024. According to GMI the total “digital health market in the US in 2016 was valued at US$60 million dollars, with more than 26% CAGR (compound annual growth rate) expected from 2017 to 2024.”
No matter how hot the sector or the disruptive potential of a new technology, start-up digital health stocks suffer from the obstacle confronting all early stage companies – the race against time.  Essentially, these companies engage in a struggle to turn profitable before their cash runs out.  Repeated capital raises and borrowings may generate cash needed to continue the struggle but erode investor confidence and can lead to deterioration of the stock price.
A prime example is an early ASX mover in wearable fitness monitoring technology – Catapult Group International (CAT).  The company came on the ASX in late December of 2014, full of promise and high-profile backers like the billionaire owner of the US Dallas Mavericks basketball team, Mark Cuban.
Initially investors were thrilled to see the growing client list of well-known sports teams around the world. In less than two years the stock price shot up 600% before the roof caved in. 
The company’s share price hit its all time high following the first major capital raise to fund two acquisitions, with both later failing to propel revenues as expected.  In its headlong pursuit of growth, the company management kept draining cash as though tomorrow would never come, only it did as investors grew weary of capital raise after capital raise.  The company remains a market leader and some analysts see potential, but Catapult’s FY 2017 Financial Results highlight the problem.  
Despite a massive 249% increase in revenue, the company failed to report a profit, increasing its loss 57% from the FY 2016 loss of $5.9 million to a loss of $13.9 million.  Analysts, however, remain enthusiastic about the stock with a consensus rating of OUTPERFORM and not a single SELL recommendation.  The stock price is down 33% year over year.
Eight other stocks are covered in the linked article:
These are:
1. ResApp Health Limited (ASX: RAP)
2. Alcidion Group (ASX: ALC)
3. dorsaVI Limited (ASX: DVL)
4. Global Health Limited (ASX: GLH)
5. G Medical Innovations (ASX: GMV)
6. LifeSpot Health Limited (ASX: LHS)
7. PainCheck Limited (ASX: PCK)
8. Volpara Health Technologies (ASX: VHT)
With the exception of Volpara, and possibly Catapult none has a market cap. even close to $100M so they are true microcaps!
They are a motley collection with only Volpara looking to me to be a really potential goer (AI Technology in Image Analysis).
One not mentioned in the list but now looking like a real success in ProMedicus (ASX: PME) who do Image Analysis and Transfer and who are winning major contracts in the US. They are a giant in this list with a market cap near to $800M. (Was a 1/10 of that 5 or so years ago.)
Whether any of those about is a possible ProMedicus only time will tell and it is definitely up to the reader to check very carefully before investing – you could do the entire investment with any of them!
For me I think I will stick with the likes of CSL, ResMed, Cochlear, Ramsay and Fisher Paykel Health and forego the speculative excitement!
David.

Tuesday, June 19, 2018

This Might Be Another Reason You Might Want To Stay Out Of The myHR.

This appeared a few days ago.

MBS access on the way?

Pharmacists having access to MBS items may be a step closer, PSA national president Dr Shane Jackson has hinted

Speaking at the opening session of ConPharm 2018, the Annual Consultant Pharmacy Seminar, Dr Jackson highlighted three areas of opportunity for accredited pharmacists – one of which is MBS access.
“Only three weeks ago I wrote to the chair of the MBS Review Taskforce, Professor Bruce Robinson, and highlighted again the glaring disparity where pharmacists are not able to be included on the list of allied health professionals who can deliver services to patients under the chronic disease management items,” Dr Jackson told the conference.
“I’ve received correspondence back from Professor Robinson highlighting that the inclusion of pharmacists will be included as part of the review to be conducted in the second half of this year.
“So I’m really positive that we’ll have an opportunity not only to be delivering services within the general practice environment in the future, but to be able to deliver MBS item services in multiple settings, whether that being on the high street, whether that be in community pharmacy, or whether that be in a general practice in the future.
“I think that there is great opportunity in that area.” 
MBS access and two other key areas clinical pharmacists need to be aware of will transform practice over the next year or two, Dr Jackson said. 
The first of these is the My Health Record, which will bring a range of health information to the fingertips of health professionals – “and that includes accredited pharmacists”.
“I know that some accredited pharmacists have struggled to register with the system – I’m assured by the Digital Health Agency from 1 July 2018, that the process for accredited pharmacists will be much more streamlined, and user-friendly, in signing up for the My Health Record system.”
Dr Jackson also highlighted the Workforce Incentive Program, which for the first time means “significant investment outside of the Community Pharmacy Agreement in pharmacists”.
The program allows general practice to employ a pharmacist to deliver services, from 1 July 2019, in what Dr Jackson called a “massive opportunity” for the profession.
Lots more here:
The point is that unless the patient knows how to and places an access code on the myHR the pharmacist(s) and probably many assistants will be able to see all the contents of the myHR.
Any drug, discharge summary and so on, no matter how unrelated to your present prescription, will be able to be noted (your medical abortion drug, your STI treatment, your anti-depressant and so on) and who knows where it MAY go from there….
Unless you trust all these people to do the right thing, opt-out or place the relevant controls on your myHR and help all your friends to do the same…..
The myHR may be a ‘game-changer’ for your medical privacy, and not in a good way, unless you are very careful.
David.

Older Australians Mostly Comfortable With Sharing Data For Health Research.

This article appeared last week:

Data sharing OK say older Australians, as MyHealth Record extends to all

Two thirds of older Australians say they are comfortable having their de-personalised medical data used for research purposes, according to a new survey.
The survey, published in the Australian and New Zealand Journal of Public Health,  asked 2000 Australians aged 55 and over if they found it acceptable to have data that had been collected during their aged care assessment de-identified, collected and used for health research.
A total of 66.7% of participants replied ‘yes’ with a third of this group indicating they would be comfortable for data sharing to occur without their consent.
A larger proportion (41%) of those who agreed said they would only find it acceptable if they were asked first (opt-in) while one quarter (26%) said they would only be comfortable having their data shared if they were first given the chance to opt out.
Meanwhile, 21.5% of participants said it was not acceptable to have their data utilised, and 11.9% said they were ‘not sure’.
A higher proportion (80%) of respondents who had already completed an aged care assessment found the inclusion of their data in a registry acceptable.
More here:
The link to the full paper – open access – is here:
Useful and interesting research.
David.

Monday, June 18, 2018

Weekly Australian Health IT Links – 18th June, 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

A pretty quiet week last week with a very significant highlight for me being the first article.
Enjoy the browse…
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My Health fears on genomics

  • The Australian
  • 12:00AM June 12, 2018

Supratim Adhikari

The federal government’s digital health record system, My Health Record, has been a magnet for ­security and privacy-related criticisms and there are growing concerns the platform may at some point host genetic profiles of Australian citizens.
Elizabeth Sigston, one of Australia’s leading head and neck surgeons, told The Australian the idea of adding genetic information to the My Health system continues to gain currency locally, ­especially on the back of the work being carried out in the US and China.
The $1.45 billion All of Us project, formerly known as the Precision Medicine Initiative, which aims to collect genetic and health data from one million US citizens by 2022, is continuing to grow from strength to strength. Meanwhile, similar work is under way in China, with the authorities in the city of Nanjing, the capital of ­Jiangsu province, working on a genetic database of residents.
-----
4:30pm, Jun 15, 2018 Updated: 2:38pm, Jun 13

Deadline for online health information sparks concern

Australians have just a three-month window to opt out of having personal information included in the new national My Health Online record.
However, many Australians know nothing about the looming deadline or the federal government’s new online system, according to the Australian Medical Association.
“Though the Australian Medical Association supports My Health Record and its benefits, many GPs are concerned there may be a current lack of public awareness about what it is and how it works,” AMA president Dr Tony Bartone said.
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Bringing healthcare into the 21st century

For too long health has been lagging behind other sectors, says consumer advocate

In March this year, The George Institute for Global Health and the Consumers Health Forum of Australia, with the support of the Australian Digital Health Agency, convened a policy roundtable with 40 key stakeholders including consumer advocates, healthcare providers, clinicians, academics, industry, government and policy experts from across Australia.
The purpose of the roundtable was to formulate independent recommendations on the implementation of Australia’s National Digital Health Strategy.
During their discussion, roundtable attendees considered chronic care, residential aged care, emergency care and end-of-life care in the context of digital health, with the results placed in a report that was published this week.
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HealthEngine chief 'unreservedly apologises' for editing patient reviews

By Esther Han
11 June 2018 — 12:42pm

In numbers

·         "Positive customer feedback" of GPs on HealthEngine's website. 47,900
·         Reviews that have been edited. 53%
·         Medical practices listed on the website that have reviews. 1840
The chief executive of HealthEngine, the online GP booking business at the centre of a review-tampering controversy, has apologised for the company's actions and announced a sweeping review of its "aspirational review system".
Fairfax Media revealed exclusively on Sunday that 53 per cent of the 47,900 "positive" patient reviews on HealthEngine had been edited in some way, with many turned from tepid or negative to "positive customer feedback".
Initially, HealthEngine's head, Marcus Tan, defended the company's review policies, saying it published only positive reviews because it wanted to celebrate high-performing GP practices.
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AHPRA weighs in on 'potentially unlawful' editing of negative online patient reviews

Legal warning over claims HealthEngine tampered with thousands of comments
14th June 2018
AHPRA is warning GP clinic booking sites that editing negative patient reviews to sound more positive could fall foul of the law.
The warning follows revelations earlier this week that HealthEngine, the biggest GP booking system in the country covering more than 1800 medical practices, allegedly tampered with more than half of the 47,900 reviews left by patients (see box below for examples).
“Selectively editing reviews or testimonials has the potential to be false, misleading or deceptive and, therefore, be unlawful," AHPRA said in a statement.
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Data sharing OK say older Australians, as MyHealth Record extends to all

Two thirds of older Australians say they are comfortable having their de-personalised medical data used for research purposes, according to a new survey.
The survey, published in the Australian and New Zealand Journal of Public Health,  asked 2000 Australians aged 55 and over if they found it acceptable to have data that had been collected during their aged care assessment de-identified, collected and used for health research.
A total of 66.7% of participants replied ‘yes’ with a third of this group indicating they would be comfortable for data sharing to occur without their consent.
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Leveraging new information technology to monitor medicine use in 71 residential aged care facilities: variation in polypharmacy and antipsychotic use

International Journal for Quality in Health Care, mzy098, https://doi.org/10.1093/intqhc/mzy098
Published: 08 June 2018

Abstract

Objective
The aim of this study was to use routinely collected electronic medicines administration (eMAR) data in residential aged care (RAC) to investigate the quality use of medicines.
Design
A cross-sectional analysis of eMAR data.
Setting
71 RAC facilities in New South Wales and the Australian Capital Territory, Australia.
Participants
Permanent residents living in a participating facility on 1 October 2015.
Intervention
None.
Main Outcome Measures
Variation in polypharmacy (≥5 medications), hyper-polypharmacy (≥10 medications) and antipsychotic use across facilities was examined using funnel plot analysis.
Results
The study dataset included 4775 long-term residents. The mean resident age was 85.3 years and 70.6% of residents were female. The median facility size was 60 residents and 74.3% were in metropolitan locations. 84.3% of residents had polypharmacy, 41.2% hyper-polypharmacy and 21.0% were using an antipsychotic. The extent of polypharmacy (69.75–100% of residents), hyper-polypharmacy (38.81–76.19%) and use of antipsychotic medicines (0–75.6%) varied considerably across the 71 facilities.
Conclusions
Using eMAR data we found substantial variation in polypharmacy, hyper-polypharmacy and antipsychotic medicine use across 71 RAC facilities. Further investigation into the policies and practices of facilities performing above or below expected levels is warranted to understand variation and drive quality improvement.
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AMA cautiously supports proposed specialist fee website

President Dr Tony Bartone says it should tell patients what the freeze has done
15th June 2018
The AMA is cautiously backing the idea of a government-funded website listing specialists’ fees, saying patients have a “strong desire” for more transparency.
A Senate committee has recommended the approach as a way of helping patients avoid unexpected out-of-pocket costs.
AMA president Dr Tony Bartone says any government website should tell patients that the Medicare freeze and a lack of indexation have been driving up fees.
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Australian Institute makes home in Vizag

Kalam Institute of Health Technology (KIHT) a regional hub for conducting Health Technology Assessment recognised by Department of Health Research, Ministry of Health and Family Welfare, has got another feather in cap by getting associated with Joanna Briggs Institute, University of Adelaide as the affiliated group.
The Joanna Briggs Collaboration (JBC) is a key body that contributes to the global success of the Joanna Briggs Institute (JBI), with respect to scholarly outputs and geographic footprint. The JBC has grown exponentially over the course of the 20-year history of the Institute and now incorporates more than 80 entities internationally across five regions of the world.
KIHT would focus on medical devices and diagnostic and associate with other JBI centres in this domain of research. All the studies done in this space would be submitted to JBI and KIHT would like to involve in supporting and leading JBI in medical devices and diagnostic space globally.
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New healthcare robot 'easier to talk to' than a doctor, say patients

12 June 2018
TECH TALK with Antony Scholefield
 “IT JUST felt like talking to a fun medical person ... without the disinterested look of your average GP.” That’s one patient’s verdict on a motivational speaking robot designed to ensure people follow lifestyle advice.
If you thought this aspect of your job was safe from the rise of the robots because they could never replicate the human connection underpinning the art of medicine, then think again.
Australian and UK researchers decided to see if a “brightly coloured, 58cm tall [robot] with large eyes and humanoid appearance” could encourage patients to make healthy lifestyle changes.
Rather than simply instructing patients what to do, the robot was programmed to hold a conversation with them that would help them self-reflect on their lifestyle. Initial results from 20 patients who wanted to increase their physical activity were positive, showing they found the robots more convincing than a human.
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Health claims of sex robots are all talk, no trousers

15 June 2018
It's less than a decade old, but the sex technology industry is already worth an estimated $39 billion, and it appears demand for robots for sexual gratification, so-called sexbots, is driving rapid growth.
This has given rise to an unlikely debate in the health sector.
Players in the sextech market — encompassing innovations designed to enhance human sexual experiences — are portraying their wares as harm-reduction tools to tackle issues ranging from loneliness and sex tourism to rape and paedophilia.
But are any of these claims supported by empirical evidence? The answer is no, according to an editorial in BMJ Sexual & Reproductive Health.
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The Importance of Health Record Keeping

Jane Fiske, Partner in the Lander & Rogers’ Health & Ageing team, discusses what should and should not be included in patient records and explains why good record keeping is essential.
Click here to view the video.
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Digital Health Stocks Win From Technology and Health Care Boom

By Bob Kohut | 11.06.2018
Many Investors with the time and temperament to manage their own portfolios of individual stocks gravitate towards high growth opportunities.  After all, given the effort required to research individual stocks, why not look for outstanding rewards?  For the risk averse with little inclination for individual stock research there are mutual and exchange traded funds.
Business sectors with the proverbial “tailwinds” at their backs and newcomers with business models set to disrupt traditional ways of doing business are prime targets. 
Right now, healthcare and technology are two of the hottest sectors on the ASX, and likely to remain so.  Both sectors were up 26% for calendar year 2017.  
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Does AI have to be a privacy nightmare?

AI is a privacy minefield but there could be privacy-enhancing aspects to the technology, argues an issues paper released by Victoria’s privacy watchdog
Rohan Pearce (Computerworld) 14 June, 2018 12:56
Although artificial intelligence (AI) presents challenges to many of the key principles that underpin privacy legislation, it’s not a forgone conclusion that AI has to usher in a data-driven Orwellian nightmare.
An issues paper (PDF) on AI and privacy issued by Victoria’s privacy watchdog — the Office of the Victorian Information Commissioner (OVIC) — argues that the increased use of AI technologies does not mean privacy will suddenly become irrelevant.
In fact, it is possible to imagine scenarios in which AI can be a privacy enabler, OVIC argues: “For instance, it is likely to mean that less people will actually need access to raw data in order to work with it, which could in turn minimise the risk of privacy breaches due to human error,” the paper argues.
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Media release - Men encouraged to connect with their health

13 June 2018
Creating a My Health Record is one way men can be proactive about their health and make it a priority this Men’s Health Week, running between June 11 – 17.
My Health Record is a secure online summary of a person’s health information that can be accessed at any time by the individual and their healthcare providers. 
Australian Men’s Shed Association Executive Officer David Helmers said My Health Record will make it easier for men who may find visiting healthcare professionals difficult or uncomfortable.
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Guiding end of life directions for aged care

Providing Australians in all parts of the nation with support and the right advice on palliative care and advance care planning will be easier, thanks to the results of a $15 million investment by the Australian Government.
15 June 2018
Providing Australians in all parts of the nation with support and the right advice on palliative care and advance care planning will be easier, thanks to the results of a $15 million investment by the Turnbull Government.
Aged Care Minister Ken Wyatt AM officially launched the End of Life Directions for Aged Care project today including a website that provides valuable palliative care and advance care planning resources.
The End of Life Directions for Aged Care website was developed by a consortium of eight partners comprising three of Australia’s leading universities and five peak industry bodies.
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Technology the Key to Caring for Regional Dementia Carers

The call is out for country carers of people living with dementia to join in a ground-breaking research project using technology to improve their lives and continue caring.
11 June 2018
The call is out for country carers of people living with dementia to join in a ground-breaking research project using technology to improve their lives and continue caring.
Launched in Brisbane today by Aged Care Minister Ken Wyatt AM, Caring for Carers of People with Dementia is appealing to carers from rural, regional and remote areas around Australia.
“By joining these research trials, they will help in mapping out a new network of support for dementia care across the nation,” said Minister Wyatt.
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“The art of what's possible”: Queensland Government and vendors collaborate in industry-first showcase

Lynne Minion | 14 Jun 2018
Placing aside their competitive instincts for what has been described as an industry-first collaboration, a collection of vendors partnered with Queensland Health and the CSIRO to demonstrate “the art of what's possible” for health delivery through integrated technology.
More than 25 industry partners, including Intel, AWS, VMWare and SAP, joined in working together to create the Customer Experience Centre at the Queensland Health eHealth Expo, showcasing the possibilities for cooperative digital health.
The installation simulated end-to-end care for hospitalised patients by demonstrating the technology intersecting throughout the care journey from hospital admission to critical care, diagnosis, treatment, discharge and in the home.
“To me, it's an industry first,” chief customer experience officer at eHealth Queensland Michael Berndt said.
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Blockchain technology

5 Jun 2018
Description
This paper discusses the new technology known as the 'blockchain'. It aims to demystify the blockchain by explaining how it works, outlining current and potential uses, as well as noting the potential risks and challenges this technology may pose to policymakers.
Publication Details
Identifiers: ISSN: 1838-0204
Copyright: State of New South Wales through the Parliament of New South Wales 2018
Language: English
Published year only: 2018
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Looking online for info on your child’s health? Here are some tips

June 11, 2018 6.05am AEST
Most parents look online for information about their child’s health. from shutterstock.com

Authors

  1. Karen Scott
  2. Patrina Ha Yuen Caldwell
Many parents can be anxious when their child is sick. So looking online for health information can help them understand their child’s medical condition and take an active role in treatment. Seeking health information can also be a coping strategy for parents coming to terms with their child’s illness.
But parents have reported being worried about whether the online health information they find is reliable and relevant, and are concerned about the possibility of misdiagnosis. They can also feel overwhelmed by the amount of information online, which can be difficult to understand.
Just more than half of the parents we surveyed for a recent study were hesitant to act on, or present the information they found online, to the treating doctor. This was despite the fact 73% believed the information influenced the questions they asked the doctor.
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Govt digital blueprint nears completion

By Justin Hendry on Jun 12, 2018 9:46AM

To become digital world leader by 2025.

The Digital Transformation Agency is just months away from delivering a new government-wide strategy that will underpin efforts by Australia to become one of the world’s top digital governments.
An alpha draft of the strategy is currently being “circulated for comments across the public sector”, assistant minister for digital transformation Michael Keenan will tell a AIIA luncheon in Canberra later today.
It will focus on making government interaction with citizens and business easier and is intended to help Australia become “one of the top three digital governments in the world [by 2025]”.
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One log-in for government services access

Matt CoughlanAAP
Tuesday, 12 June 2018 12:50PM
Australians will be able to access government services with a single log-in under a government plan.
Australians will be able to access government services with a single log-in under a plan to create a "single digital identity" by 2025.
Michael Keenan, the federal minister in charge of digital services, said face-to-face interactions with government services would be greatly reduced.
"Think of it as a 100-point digital ID check that will unlock access to almost any government agency through a single portal such as a myGov account," Mr Keenan said.
The minister wants Australia to be a world leader in digital government, with almost all services to be available online by 2025.
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Australians to soon get myGovID single government identity

The first of several pilot programs using a beta version of a myGovID will begin in October, the federal government confirmed on Tuesday.
By Asha McLean | June 12, 2018 -- 03:46 GMT (13:46 AEST) | Topic: Innovation
Minister for Human Services and Minister Assisting the Prime Minister for Digital Transformation Michael Keenan has offered further detail on Australia's digital identity, announcing the myGovID at the National Press Club on Tuesday.
In a statement, Keenan said having 30 different log-ins for government services is "not good enough", and it is anticipated the single log-in will allow Australians to access almost all government services by 2025.
"Think of it as a 100-point digital ID check that will unlock access to almost any government agency through a single portal such as a myGov account," he said. "The old ways of doing things, like forcing our customers to do business with us over the counter, must be re-imagined and refined."
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Digital assets not included in wills, estate planners warn

  • The Australian
  • 12:00AM June 13, 2018

Rhian Deutrom

Australians are placing their ­estates at risk by failing to secure their digital information in the event of their death or incapacity, estate planners warn.
A Society of Trust and Estate Practitioners conference in Sydney yesterday was told many Australians had not considered who would be handed control of their digital assets after their death.
Digital assets could include email, intellectual property, ­social media accounts, music or book libraries, or confidential business data.
A STEP estate-planning survey last year found more than 71 per cent of Australians with digital assets had no idea what would happen to their information when they died.
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12 June 2018
ASX announcement

MKM Health signs major contract with eHealth NSW

MKM Health signs three-year Integration Services contract with eHealth NSW
MKM Health is subject to binding acquisition agreement with Alcidion (announced to ASX on 24 April 2018)
Adelaide, South Australia, 12 June 2018 – MKM Health has signed a three-year Development & Support contract with eHealth NSW, to supply development and support of integration services on the Enterprise Service Bus (ESB) and Enterprise Patient Repository (EPR) platforms for up to $3.8M.
At the customer’s request we cannot provide any further information in the ASX release.
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Macaquarie Cloud launches healthcare data protection solution

Macquarie Cloud Services, a division of Macquarie Telecom Group, has developed LaunchHealth Cloud, a purpose-built solution to enhance data protection for the healthcare sector.
Macquarie says the solution has been developed in response to a policy decision by the Department of Human Services (DHS) designed to protect the integrity of people’s data entrusted to the Department.
The DHS policy applies to third-party software connecting with the Department to deliver online services, such as electronic claims payments for Medicare.
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Macquarie stands up Australian health cloud

The Macquarie Launch Health Cloud is a private cloud developed by the Australian heavyweight specifically for the healthcare sector.
By Asha McLean | June 12, 2018 -- 04:53 GMT (14:53 AEST) | Topic: Cloud
Macquarie Cloud Services, part of the Macquarie Telecom Group, has launched a new cloud service, purely for storing health information.
The company said its Macquarie Launch Health Cloud was developed in response to a policy decision by the Department of Human Services (DHS) aimed at protecting the integrity of the data it holds.
The DHS policy applies to third-party software connecting with the department to deliver online services, such as electronic claims payments for Medicare.
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PageUp says 'advanced methods' used to hack into system

The data breach at human resources outfit PageUp People has resulted in the leaking of names, street addresses, email addresses and telephone numbers among others, the company has said in an update on Tuesday.
Additionally, some employee usernames and passwords may have been accessed, PageUp People chief executive Karen Cariss said, adding that it had used hashing and salting to protect these credentials.
While the company said in its initial announcement that the breach was due to a malware infection, a statement on Tuesday said: "Advanced methods were used to gain unauthorised access to PageUp’s IT systems in Australia, Singapore and the UK."
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Internet users regret move to NBN from previous service: survey

Many Australians wish they could switch back to their previous Internet service rather than having to use the country's national broadband network, the NBN, according to newly published research from comparison website, finder.com.au.
Finder says the research reveals that the leading reasons for this desire is that respondents believe their previous connection was more reliable or faster.  
And, finder tech editor Angus Kidman, says that despite that lack of enthusiasm, there's no option to revert back.
“The reality is that everyone will need to switch over to the NBN. Aussies generally have 18 months to migrate to the NBN before all copper and cable networks will be disconnected.”
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Don't like the current NBN policy? Then you're a Labor stooge

At last week's hearing of the joint standing committee on Australia's national broadband network, the NBN, Associate Professor Mark Gregory of RMIT University was repeatedly questioned about his political affiliations, after he had made a fairly robust opening statement.
The bid to cast slurs on a technically competent person, who has been forthright in his views on what is turning out to be one of the great clusterf***s of all time, came from the chairperson of the panel, Sussan Ley, a former minister in the Turnbull cabinet who was forced to resign last year after questions were raised over trips she had made using taxpayer funds.
These comments, indeed this whole exchange, has not been reported. If anything, it illustrates the extent to which the issue of the broadband rollout has become a political issue.
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Enjoy!
David.