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, January 03, 2019

Should Podiatrists Be Provided With Full Access To A Patient's #myHealthRecord?

This popped up last week:

WEBINAR - My Health Record: Revolutionising The Way We Consult

How often have you wasted time chasing clinical information about your patients or spending precious minutes in consult paper pushing? The My Health Record is here to ease your load and free up your time to focus on doing what you do best – providing exceptional patient care and delivering positive patient outcomes.
This webinar will provide you with all the information you need to gain the maximum benefit out of My Health Record to enhance shared clinical and patient centred care and integrate the My Health Record system into your business as usual daily practice.
Presentation by: Abby Raupach. Digital Health Implementation Consultant
Abby is a University qualified Accredited Practising Dietitian and has a keen interest in both community and preventative health measures. Abby’s role within the Brisbane South Public Health Network (BSPHN) is related specifically to the the My Health Record Expansion Project. Abby’s main focus as part of the My Health Record team is to build awareness and create meaningful use of the My Health Record amongst Allied Health practitioners within the Brisbane South region.
When: Wednesday 27 March, 2019
Where: Webinar (online)
Time: 7:00pm AEDT* (daylights savings is in effect so please check local times)
Cost: Free for APodA Members | $50 Non Members
Here is the link:
So this presentation by a Dietician is to help Podiatrists integrate the #myHealthRecord into their ‘business’.
In all my years of following the myHR topic never have I seen a discussion of the benefits of having podiatrists – and presumably their office staff etc. – utilising the myHR or even providing this group with access.
Do you think when people signed up for the myHR they were re-minded that the local podiatrist could access their record or that podiatrists will have the tech savvy to protect the information properly?
FWIW I reckon this is nuts and that the risk / reward ratio does not support such access.
What do others think of the allied health professions having myHR access. My view is we stick with doctors, nurses and their direct staff. The rest seems just an unvalidated grab for users who want to sticky-beak.
Such access was never contemplated in the myHR business cases AFAIK – pathetic though they were.
David.

Wednesday, January 02, 2019

Health IT Is In The Front Line To Try And Stem The Opioid Crisis in The US – Relevant Here Too!

This appeared last week:

Providers turning to health IT to combat the opioid crisis

Published December 26 2018, 7:49am EST
Providers have begun to harness technology to improve their management of opioids and avoid misuse.
It’s not a moment too soon. The Centers for Disease Control and Prevention’s most recent reports, released in November, confirm that the opioid crisis is worsening. The number of drug overdose deaths in the United states in 2017 was 9.6 percent higher than in 2016. The rate of drug overdose deaths involving natural and semisynthetic opioids like oxycodone and hydrocodone has risen steadily since 1999. The rate of drug overdose deaths involving synthetic opioids such as fentanyl, which individuals frequently turn to when they can no longer obtain prescribed opioids, increased 45 percent between 2016 and 2017.
One of the key components to reversing these trends is to keep people from becoming addicted in the first place, says Jim Turnbull, CIO of University of Utah Health and Co-chair of the College of Healthcare Information Management Executives (CHIME) Opioid Task Force. Providers are uniquely positioned to address this problem because they are the ones prescribing the drugs.
“We want to make sure we’re not contributing to addiction. We don’t want to be the source of people getting addicted,” Turnbull adds.
CHIME’s Opioid Task Force was launched in early 2018 to leverage the knowledge and expertise of its members to find and share IT-based solutions to the opioid crisis. It is compiling examples of data-driven initiatives and raising funds for its Health IT Action Center, a web-based repository for healthcare organizations seeking resources. The Task Force has also partially completed a playbook for CIOs, says Turnbull.
However, using technology to combat the crisis is still relatively new. A KLAS report on opioid management published this past September found that most provider organizations relied mainly on their EHR vendor to help them with opioid stewardship.
Some enterprising providers are taking a more hands-on approach and directly applying health IT to address opioid prescribing in their organizations. Many of these initiatives are homegrown, using an entity’s own data, and are so recent that their effects have yet to be determined. But even those projects in their infancy look promising.
“We realized we needed to see how data and IT plays into this. We’re using data as a platform to make cultural change,” says Alexander Garza, MD, chief quality officer at St. Louis based SSM Health.
Mining the EHR
Danville, Pa.-based Geisinger Health System is one of the first provider organizations to spearhead the use of data to assess its opioid prescribing habits. Pennsylvania has one of the highest death rates from opioid overdoses in the nation, according to the CDC.
“About three to four years ago, we realized that we were prescribing more opioids than we should. So we started using analytics to see how much was being prescribed and compare prescribers to others in the network,” says Geisinger’s Senior Vice President and CIO John Kravitz.
The health system created a provider dashboard linked to its EHR, using Tableau’s platform, to display the volume of opioid prescribing. The dashboard identified prescribing patterns among the providers and flagged several “heavy” prescribers. Geisinger then used the information to focus on these prescribing outliers and instill best practices in prescribing overall.
Opioid prescriptions have declined from 60,000 per month across the system to 22,000 a month, and the number continues to drop. “No one wants to be on the high end of opioid prescribing. The doctors are very aware of the numbers in the dashboard,” says Kravitz.
The dashboard was implemented in tandem with Geisinger’s redesign of its surgical program to reduce opioid use and improve the patient experience, which includes presurgical consults alerting patients to the pain levels they’ll have and the provision of alternative pain medications. That pilot program, launched in June 2017 and called ProvenRecovery, drove an 18 percent decrease in opioid usage across the organization, says Kravitz.
On November 15, Geisinger announced that the program will be rolled out across 42 surgical procedures impacting approximately 15,000 surgery cases a year, with the goal of reaching 100 surgical specialties by the end of 2019.
“We’ve started closing the spigot on getting new people addicted. It will be instrumental to have treatment programs to help [those already addicted] to help them get out of it,” says Kravitz.
SSM Health is taking a similar approach, extracting the data from its EHR and creating a heat map colored coded by diagnosis and dose to flag outlier opioid prescribers. “The heat method was used to develop a performance improvement tool. It will become part of a dashboard going forward,” says Garza. SSM is now working on how best to share the results with prescribers.
Kravitz recommends that other providers dive into this data.
“This is not rocket science. We all have the capability to produce a dashboard, pull the data and see what providers are ordering and how big a problem you have. When we saw our volume, our eyes were wide open. We had no idea,” he says.
Many more ideas are found here:
 This is really a useful summary of a range of sensible idea. Well worth a read of the full article.
David.

Tuesday, January 01, 2019

Commentators and Journalists Weigh In On The MyHR Debate And Related Matters. Lots Of Interesting Perspectives - Week 24.

Note: I have excluded (or marked out) any commentary taking significant  funding from the Agency or the Department of Health on all this to avoid what amounts to paid propaganda. (e.g. CHF, RACGP, AMA, National Rural Health Alliance etc. where they were simply putting the ADHA line – viz. that the myHR is a wonderfully useful clinical development that will save huge numbers of lives at no risk to anyone – which is plainly untrue) (This signifies probable ADHA Propaganda)
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Note: This week has just covered all the privacy compromising announcements in a week – along with the myHR. It never seems to stop!
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Making you you Establishing identity is a vital, risky and changing business

A state monopoly on people’s official identities may be weakening

Print edition | Christmas Specials

| BALTIMORE, MARSEILLE AND NEW DELHI
NEVER DITCH a party without an excuse. On a cold Sunday night in 1409, the great and the good of Renaissance Florence—men of the governing classes, painters, goldsmiths, sculptors—had gathered for dinner. Donatello was there, so was Filippo Brunelleschi, the engineer behind the great dome of the Duomo. But where was Il Grasso the woodcarver? “The fat one” had not even had the decency to send his regrets. Such a snub deserved a response.
Brunelleschi had a plan: take away his identity. “In revenge for his not coming this evening,” he said, according to Antonio Manetti’s 15th-century biography of the architect, “we’ll make him believe that he has become someone else.”
Grasso returned home from his workshop the next day to find his front door locked. He knocked, expecting his mother, only to hear a voice—Brunelleschi’s—that sounded uncannily like his own. The voice called itself Grasso and referred to him as Matteo, a local craftsman. Just then, Donatello walked by: “Good evening Matteo, are you looking for Grasso? He’s just gone inside.”
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Newcastle My Health Record Forum

When:
January 21, 2019 @ 6:30 pm – 8:30 pm
Where:
Noah's on the Beach
29 Zaara Street
Newcastle
Positive Life NSW along with KarumahHealth Consumers NSW, and the Australian Digital Health Agency (ADHA) are jointly hosting a Community Forum in Newcastle for people living with chronic health diagnoses (hep C, HIV, mental health, diabetes, disability etc) and NGO services about My Health Record (MyHR).
This is an opportunity to ask questions, get answers and work out what’s right for you. Topics will be: privacy and system security; how to use MyHR; and what MyHR means for doctors and health consumers interactions.
Note: Interesting that the ADHA is working with non-paid groups who are concerned re the myHR.
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Can Mark Zuckerberg turn around Facebook?


By Paul Smith
For a tech leader with a mission centred around creating the future, there must be a small part of Facebook chief Mark Zuckerberg that hankers for the recent past.
As 2010 ticked into 2011, the man whose company now stands accused of causing a huge variety of societal outrages, was viewed in a very different light.
Those were the days before Facebook stood accused of crimes ranging from the destruction of large parts of the free press, to the mass misappropriation of millions of users' data, proliferation of abusive content, multiple election rigging and the enablement of genocide.
Back then Zuckerberg's expressionless face stared from the cover of Time, chosen as person of the year as the world marvelled at the astonishing growth of a college dorm room creation, which had already earned the Oscar-winning Hollywood biopic treatment.
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Facebook's annus horribilis

By Paul Smith
January: Mark Zuckerberg posts a New Year's resolution to "fix" Facebook's failings.
February: 13 Russian individuals and three Russian organisations are indicted for interfering with US political and electoral processes, including the 2016 presidential election. The Facebook ads cited were seen by more than 11.4 million Americans.
February: Unilever threatens to pull its ads from Facebook if it doesn't do more to minimise toxic content.
March: United Nations investigating genocide of Rohingya Muslims in Myanmar says Facebook played a role in spreading hate speech.
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Voter tracking software changing the face of Australia's federal elections

27 Dec 2018 — 11:00 PM
As voters prepare to cast judgment in the 2018 federal election, the major parties are getting ready to study them using campaign software stacked with personal information and electorate data.
Ahead of the NSW state election in March and a likely federal poll in early May, Labor and the Coalition are refining their voter information platforms and election systems. Both sides sent staff and volunteers to the United States for the November mid-term elections as part of their efforts to roll out the latest and best technology.
Labor maintains a vast voter tracker system, known as Campaign Central, while the Coalition has attracted controversy for its use of the Feedback platform, operated by its privately owned-company, Parakeelia.
Liberal MPs each pay about $2500 to use Parakeelia's software, funds sourced from taxpayer-funded electorate allowances.
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Want to build an independent campaign? First step: find 50 supporters

By Max Koslowski
28 December 2018 — 11:45pm
After announcing she would contest Wentworth, a seat so blue ribbon that it has been held by the Liberal Party or its conservative predecessors since Federation, Kerryn Phelps did not know where to start.
"It was unfamiliar territory,” she said. "We didn’t have any kind of campaign infrastructure, we didn’t have a list of volunteers, we didn’t know whether we would be able to raise the funding that we needed. We didn’t even know what kind of budget we would need to run the campaign.
“We were a pop-up campaign - and the reason that I say that was that we really literally did pop-up from nothing.”
Two-term Indi independent Cathy McGowan knew Dr Phelps would be struggling in Wentworth. Ms McGowan called up to offer help from her Indigo Valley farm, 600 kilometres away in Victoria, and was soon on a plane to Sydney. Centre Alliance’s Rebekha Sharkie - who has won an election in Mayo twice in the past three years - had done the same, and when she arrived she shared advice and helped Dr Phelps through an early press conference.
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Nova warns listeners of data breach affecting 250,000 Australians

By Jennifer Duke
28 December 2018 — 4:50pm
Lachlan Murdoch’s Nova Entertainment has warned more than 250,000 listeners that data collected about them between 2009 and 2011 has been publicly disclosed, including residential addresses and birth dates.
Nova chief executive Cathy O’Connor said in a statement on Thursday that individuals were being notified about the steps they can take, with the disclosed information varying from person to person.
 “We are taking all necessary measures to ensure the strength and effectiveness of our cyber security, and there is currently no evidence of any suspicious activity or threats on Nova Entertainment's systems,” Ms O’Connor said.
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Nova Entertainment admits to publicly disclosing listener information

  • AAP
  • 2:26PM December 28, 2018
Australian media company Nova Entertainment says information it collected from listeners over a two-year period has been “publicly disclosed”. The company says it recently became aware listener information from May 2009 to October 2011 has been leaked and it is in the process of contacting those affected.
“We have notified the Office of the Australian Information Commissioner of this incident, and we are in the process of contacting law enforcement bodies,” CEO Cathy O’Connor said in a statement.
“We will fully and transparently engage with these entities in relation to this incident.” The information disclosed may include names, gender, dates of birth, addresses, emails and phone numbers and user account details such as user names and passwords, which are protected by a security technique, known as ‘hashing’. While passwords are not visible in plain text, there is a risk they can be decrypted, potentially allowing others to gain unauthorised access to online accounts.
Note: As one expert asked – just what was Nova holding personal data from 2009-2011 for. An outrage and violates all sorts of principles and laws I believe.
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Open banking: Consumer data rights a double-edged sword for financial sector

Updated 21 Dec 2018 — 5:14 PM, first published at 20 Dec 2018 — 11:00 PM
Warning: the banking sector is entering a consumer data minefield.
After a year of unprecedented scrutiny by the Hayne inquiry, banks are desperate to ensure the sharing of customer data under the government's "open banking" regime doesn't sow the seeds of the next royal commission.
Hailed by the government as a landmark policy to facilitate competition, its proposed "consumer data right" is a double-edged sword for both banks and their customers.
For banks, using data to ascertain the true financial position of a customer has many benefits. It could help them respond to the Hayne inquiry, which is expected to recommend lending requires more than just estimating income and expenses. Real transaction data can provide the decisive picture.
But there are also dangers. Community expectations on the use of data are amorphous and still developing. And data sharing creates new security and privacy risks, which will be tough for banks to manage.
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Medibank boss diagnoses issues

  • 12:00AM December 24, 2018
In his CEO Survey, John Durie asked more than 60 of the biggest names in business five key questions about what’s coming in 2019. Here’s what Medibank’s chief executive Craig Drummond had to say:
What should be the key issues in the next federal election campaign?
All political parties should be focused on ensuring a strong economy and delivering higher real wage and jobs growth. Australia has done well over the past quarter century or so and the country needs to look in a mature and considered way at the reforms necessary to ensure our standard of living continues to rise.
What use are you making of customer and company data and how are you collecting it?
Using analytics and predicative modelling of claims, administrative and publicly available data, Medibank is able to better predict customers with the highest risk of hospitalisation in the next 12 months. Insights enable us to identify Medibank customers who will benefit most from our chronic disease programs, supporting people in managing their own wellbeing and reducing the risk of hospital attendance or admission.
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My Health Record – what you need to know

My Health Record promises better coordinated health care for all Australians – but what about privacy and security concerns?

Stay in or opt out?


  • By the early 2019, electronic health records will be set up for every Australian, including children
  • They can be accessed by you, your doctor and other healthcare professionals
  • You can opt out until 31 January 2019
  • Six million Australians already have a record – some without their knowledge
  • Health care experts welcome the new centralised record, but security experts warn of data breaches that can expose sensitive data
By the end of 2018, the federal government will have set up an electronic health record for all your health data – including sensitive issues like mental health treatments and other conditions you may wish to remain private – unless you opt out by 31 January 2019.
Doctors will be able to access your record to assist in their treatment of you, which could be essential in emergency situations. But security experts warn privacy breaches are only a matter of time.
There's been a lot of public discussion since the three month opt-out period started last week. So we've looked into the pros and cons to help you decide if you want in or out.
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Facebook can't fake it any longer

21 Dec 2018 — 11:00 PM
The photograph is horrific. An Indian man in a blood-soaked shirt is standing on a road. Dangling from his hand is a severed head, dripping blood. Staring out from the familiar white and blue frame of a Facebook news feed, the photo's caption says the image is of a Hindu man who beheaded a Muslim politician for raping his sister. It then asks provocatively: "Does the Hindu deserve punishment?"
But something isn't right. The photo is real but the story behind it is completely false, made up in an apparent attempt to stoke religious tensions in a country where such provocations can quickly lead to violence.
In a busy New Delhi newsroom, on the third floor of a weather worn building in the Indian capital's business district, Facebook's fight against lies kicks into gear. Having been flagged by a fact checker freshly hired by Agence France Presse, the photo is put through a reverse image search. Taken six weeks earlier, it actually shows a Hindu man turning himself in to police after murdering another Hindu, who had insulted his mother. Religion had nothing to do with it.
The fact-check is done by Australian journalist Karl Malakunas and his team at Agence France Presse, which has been hired by Facebook. In this instance they limit the damage. The post, which has already been shared hundreds of times across different Facebook groups, including one called "War Against Paid Media", is labelled 'false'.
At this point Facebook intervenes. When a post is confirmed as 'false' the social media giant removes it or dramatically reduces its distribution in an effort to stop it going viral – something that can happen very quickly in India, where the number of active Facebook users is heading toward 300 million, the most of any country. If it is not removed, Facebook adds a pop-up alert so that users who still find the post are prompted to read the fact-checker's report explaining why the claim is wrong.
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How to prevent specific health information being uploaded to My Health Record

Note:
A participating provider is authorised by law to upload health information about an individual to their My Health Record, unless the individual withdraws their consent or the information relates to a prescribed State or Territory law.
To prevent Shared Health Summaries or Event Summaries being uploaded
1. If your patient requests that no Shared Health Summaries or Event Summaries be uploaded to My Health Record by your practice, go to the Consent section (e.g. via patient demographic section).
Tick Consent for My Health Record indicate how the consent was provided, tick Refused and click Save.
Once consent has been refused withdrawn MMEx will not allow access to My Health Record by users from the organisation.
 Read about MMEx here:
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WEBINAR - My Health Record: Revolutionising The Way We Consult

How often have you wasted time chasing clinical information about your patients or spending precious minutes in consult paper pushing? The My Health Record is here to ease your load and free up your time to focus on doing what you do best – providing exceptional patient care and delivering positive patient outcomes.
This webinar will provide you with all the information you need to gain the maximum benefit out of My Health Record to enhance shared clinical and patient centred care and integrate the My Health Record system into your business as usual daily practice.
Presentation by: Abby Raupach. Digital Health Implementation Consultant
Abby is a University qualified Accredited Practising Dietitian and has a keen interest in both community and preventative health measures. Abby’s role within the Brisbane South Public Health Network (BSPHN) is related specifically to the the My Health Record Expansion Project. Abby’s main focus as part of the My Health Record team is to build awareness and create meaningful use of the My Health Record amongst Allied Health practitioners within the Brisbane South region.
When: Wednesday 27 March, 2019
Where: Webinar (online)
Time: 7:00pm AEDT* (daylights savings is in effect so please check local times)
Cost: Free for APodA Members | $50 Non Members
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Australia made third highest number of requests for Apple data in the world

In the first half of 2018 Australian authorities made 2,375 requests, more than China, Singapore or the UK
Apple received 2,357 “device requests” from the Australian government and law enforcement in the first half of 2018, the third-highest rate of requests in the world.
The tech company published its twice-yearly transparency report on Friday, which reveals how many times governments asked Apple for data and information about iPhone, iPads, computers and Apple accounts.
Requests can be made for a range of reasons – from helping to find a lost phone, to investigating iTunes gift card fraud. They include subpoenas, court orders, warrants and wiretap orders.
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Apple reveals scale of government requests for users' data

By Laurence Dodds & Olivia Feld
24 December 2018 — 10:01am
National governments demanded access to 163,823 Apple devices in the first half of 2018, according to figures released by the company.
The latest Apple transparency report showed that it received 32,342 requests to access the contents of iPhones, iPads and other gadgets, a 9 per cent increase from the second half of 2017.
The tech giant, which granted 80 per cent of requests worldwide, disclosed the number of devices from which data was provided to governments.
The UK made 572 requests, of which 77 per cent were deemed legitimate, while the biggest applicant was Germany, with 13,704, and the United States, with 4570. Apple did not disclose which government agencies made requests.
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Comments welcome!
David.

Monday, December 31, 2018

Weekly Australian Health IT Links – 31st December, 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 really quiet week leading up to 2019. However, a few sleeper issues seem to have emerged. Read on….

Happy New Year To All. For the record the Blog started in 2006 - A while ago now!
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Data Integration Partnership Australia (DIPA)

Page last updated: 19 December 2018

Accessibility

The documents on this page may not be accessible. If you need help please contact us using the enquiries form.

Overview

Data held by Health is a valuable national asset. The use, re-use and sharing of Health data can help us explore the health journeys of Australian citizens. This helps researchers and policy makers to provide better health and wellbeing for all Australians, now and for future generations.

New insights regarding important and complex policy questions can be discovered through data integration and analysis. Health is committed to unlocking the value of health data and better leveraging our infrastructure investments through collaboration across government.
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‘Fast-track tool’ to save aged-care sector $250m

  • 12:00AM December 27, 2018
Bureaucrats will enter the homes of older Australians destined for care and separate them into “cost classes” using a one-hour ­assessment tool that will save providers and businesses a quarter of a billion dollars each year.
Documents obtained by The Australian under Freedom of ­Information laws provide the first details of a new funding model being considered by the federal government that would ­replace the Aged Care Funding ­Instrument.
The report from Pioneering Economics reveals that aged-care providers currently spend more than $250 million each year on performing assessments of residents’ care needs, while the federal government spends just $5m to check these claims.
Despite overall savings to the sector, a new system would cost the federal government $145m ­annually. So-called ACFI assessments are the foundation for the basic care subsidies taxpayers provide to the $17 billion aged-care sector each year, but the system is so unwieldy that it has been criticised by providers and government and is due for reform.
In 2016, Scott Morrison as then treasurer cut $1.2bn from the ACFI by freezing indexation rates and changing the scoring matrix for the care subsidies that flowed to providers which has, for the first time in more than a decade, seen rising care costs jump ahead of the amount organisations receive from taxpayers to pay for that care.
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Amazon's plan to mine GP data may be Christmas miracle

A new medical machine-learning program 'reads' clinical notes to draw inferences about patient health
Antony Scholefield
18th December 2018
It's that time of year when a certain bloke takes credit for flying millions of presents across the world.
Yes, Amazon CEO Jeff Bezos, the $150 billion man.
His retail mega-corporation is celebrating one year since launching in Australia, but back in the US, it has announced its latest product, called Amazon Comprehend Medical.
It’s a machine-learning program that can supposedly analyse unstructured ­doctors’ notes and extract specific information such as diagnosis, treatment and symptoms.
Amazon says it will help — for a fee — identify patients eligible for clinical trials or build population health databases.
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How to fix your family’s tech problems

  • By David Pierce
  • December 25, 2018
If you’re the tech-savvy person in your family, you know what the holidays really mean: getting ambushed by a year’s worth of tech-support questions. Why is everything slow? Where did those icons go? Can you really get an Amazon gift card by clicking on this survey? (Answers: Because, somewhere and NO!)
Since it’s the giving time of year, I present my cheat sheet for solving in-home IT problems. I can’t help with everything, and some issues will unfortunately involve customer-service calls. For that I can only recommend a nice cup of spiked eggnog — or a meditation app.
But most problems, I’ve found, are simpler than they sound. And we can fix ’em before those chestnuts are done roasting. Let’s get into it.
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Is Googling Your Symptoms As Bad As Everyone Says?

Editor
We’ve all done it – heading online to figure out whether that throat tickle may be something more sinister, or whether the cough you’ve had for weeks could really mean something more. But while using Google as a medical database to look up health issues has been typically discouraged and has generally not been super helpful in specifying actual health concerns in the past, a new study suggests it could actually be helpful in some ways, after all.
While there’s very little actual systematic research on how our relationship with Google might affect real-world interactions with medical professionals, and the medical field as a whole, particularly in fields that impact he emergency department, a new team of Australian health researchers have set out to survey a representative sample of ED patients in two clinics, St. Vincent’s Hospital Melbourne and Austin Health.
The Australian researchers began their study by gathering anonymous data from 400 participants. Unsurprisingly, the researchers discovered that more than one-third of the adults did indeed consult the internet about their medical problem before attending the ED. In fact, 49 percent of the survey participants admitted that they searched for online health information regularly.
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All I want for Xmas is a reliable connection': Telco customers irate

By Jennifer Duke
26 December 2018 — 2:20pm
Telstra customers were left irate after a National Broadband Network-related outage caused some Australians to be without internet services late on Christmas Eve and stretching into Christmas Day.
A disruption for some NBN-connected households in Victoria and Tasmania on Monday and Tuesday came at "the worst time of the year" for telecommunications companies and their customers, with network staff at Telstra working through the night on Christmas Eve to get services back up and running.
Global internet measurement company Ookla's Down Detector (also known as Aussie Outages locally) shows the issue was largely kept to the two states, with some complaints from NSW. Some reported their NBN-connected landlines were also not working during the outage.
It's unclear how many customers were affected, with many Telstra customers using a recently introduced smart modem with a 4G back-up that kicks in when there are drop outs or issues. Vodafone Hutchison Australia also offers a 4G option in its modems in case of outages.
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My way or the Huawei: Chinese firm deserves inclusion in 5G network

By Clive Williams
29 December 2018 — 12:00am
Much of the recent media reporting about the potential security threat posed by Huawei telecommunications and networking equipment, and Huawei consumer electronics products, is poorly informed and smacks of hysteria.
Huawei (meaning “Splendid Act” or “Able China”) was started in China in 1987 by Ren Zhengfei a former People’s Liberation Army engineer. He started by developing phone switches, but soon realised that future success in the electronics industry required advanced research. Some of Huawei’s early research knowledge may have come from China’s global industrial espionage program.
Although China has managed to shortcut research across the board through industrial espionage, I suspect China's advanced IT capabilities largely came about because the US leaked like a sieve during a critical period of IT development.
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Hold the phone. A 5G future is still quite far away

By James Fernyhough
27 Dec 2018 — 11:00 PM
Around this time next year the first 5G smartphones will have started to hit the shelves, and already the buzz around this fifth generation of mobile technology is getting deafening.
When you ask experts what 5G is, the conversation quickly descends into futuristic discussions of smart cities, with cars that drive themselves and fridges that do your shopping for you.
But the question most consumers will want to know is: How will it change what I can do with my smartphone? The answer lands with a disappointing thud: It probably won't change much, at least initially.
That's because 4G technology is already more than capable of doing what we demand from our phones.That has led analysts and commentators to warn consumers are unlikely to pay a premium to access a service they don't need.
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Pluto explorer ushering in new year at more distant world

By MARCIA DUNN 28 December, 2018
CAPE CANAVERAL, Fla. (AP) — The spacecraft team that brought us close-ups of Pluto will ring in the new year by exploring an even more distant and mysterious world.
NASA’s New Horizons spacecraft will zip past the scrawny, icy object nicknamed Ultima Thule (TOO-lee) soon after the stroke of midnight.
One billion miles beyond Pluto and an astounding 4 billion miles from Earth (1.6 billion kilometers and 6.4 billion kilometers), Ultima Thule will be the farthest world ever explored by humankind. That’s what makes this deep-freeze target so enticing; it’s a preserved relic dating all the way back to our solar system’s origin 4.5 billion years ago. No spacecraft has visited anything so primitive.
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Dark liquid: Radical new model of the universe revealed



Annual Report Alert: The ADHA Has Published Its 2017-2018 Annual Report

Here is a link from which to download the .pdf.

https://www.digitalhealth.gov.au/about-the-agency/publications/reports/annual-report/Annual_Report_Australian_Digital_Health_Agency_2017-2018_Online.pdf

You can play the "seek out all the spin" game and you will score pretty highly. There is a fair bit to be found!

David.