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."

Sunday, May 26, 2019

Greg Hunt Retains Health Minister Role - With Some Extras!

With some add ons as well.

It appears he has a responsibility now for the Public Service and some Cabinet Office functions

There is a new Services Minister who covers electronically delivered services. I wonder does the #myHR fit there now?

Time will tell.

David.


Here is the full list:

Second Morrison Ministry - 26 May, 2019 

Title                                                                                                                        Minister
Prime Minister                                                                                                         The Hon Scott Morrison MP
Minister for the Public Service                                                                                The Hon Scott Morrison MP
Minister for Women                                                                                                Senator the Hon Marise Payne
Minister Assisting the Prime Minister for the Public Service and Cabinet                 The Hon Greg Hunt MP
Minister for Indigenous Australians                                                                        The Hon Ken Wyatt AM MP
Assistant Minister to the Prime Minister and Cabinet                                                 Mr Ben Morton MP
Deputy Prime Minister and Minister for Infrastructure, Transport and Regional Development         The Hon Michael McCormack MP
Minister for Water Resources, Drought, Rural Finance, Natural Disaster and Emergency Management           The Hon David Littleproud MP
Minister for Regional Services, Decentralisation and Local Government                  The Hon Mark Coulton MP
Assistant Minister for Road Safety and Freight Transport                                          The Hon Scott Buchholz MP
Assistant Minister to the Deputy Prime Minister                                                         The Hon Andrew Gee MP
Assistant Minister for Regional Development and Territories                                     Mrs Nola Marino MP
Treasurer                                                                                                                 The Hon Josh Frydenberg MP
Minister for Population, Cities and Urban Infrastructure                                      The Hon Alan Tudge MP
Assistant Treasurer                                                                                                   The Hon Michael Sukkar MP
Minister for Housing                                                                                                The Hon Michael Sukkar MP
Assistant Minister for Superannuation, Financial Services and Financial Technology              Senator Jane Hume
Minister for Finance
(Vice-President of the Executive Council)
(Leader of the Government in the Senate)                                                                 Senator the Hon Mathias Cormann
Assistant Minister for Finance, Charities and Electoral Matters                                 Senator the Hon Zed Seselja
Minister for Agriculture                                                                                          Senator the Hon Bridget McKenzie
Assistant Minister for Forestry and Fisheries                                                              Senator Jonathon Duniam
Minister for Foreign Affairs                                                                                    Senator the Hon Marise Payne
Minister for Trade, Tourism and Investment
(Deputy Leader of the Government in the Senate)                                                    Senator the Hon Simon Birmingham
Minister for International Development and the Pacific                                            The Hon Alex Hawke MP
Assistant Trade and Investment Minister                                                                  The Hon Mark Coulton MP
Assistant Minister for Regional Tourism                                                                     Senator Jonathon Duniam
Attorney-General
(Leader of the House)                                                                                               The Hon Christian Porter MP
Minister for Industrial Relations                                                                             The Hon Christian Porter MP
Minister for Health                                                                                                  The Hon Greg Hunt MP
Minister for Aged Care and Senior Australians                                                         Senator the Hon Richard Colbeck
Minister for Youth and Sport                                                                                    Senator the Hon Richard Colbeck
Minister for Home Affairs                                                                                       The Hon Peter Dutton MP
Minister for Immigration, Citizenship, Migrant Services and Multicultural Affairs   The Hon David Coleman MP
Assistant Minister for Customs, Community Safety and Multicultural Affairs               Mr Jason Wood MP
Minister for Communications, Cyber Safety and the Arts                                     The Hon Paul Fletcher MP
Minister for Education                                                                                            The Hon Dan Tehan MP
Minister for Employment, Skills, Small and Family Business                                  Senator the Hon Michaelia Cash
Assistant Minister for Vocational Education, Training and Apprenticeships              The Hon Steve Irons MP
Minister for Industry, Science and Technology                                                       The Hon Karen Andrews MP
Minister for Resources and Northern Australia                                                      Senator the Hon Matthew Canavan
Minister for Energy and Emissions Reduction                                                        The Hon Angus Taylor MP
Minister for the Environment                                                                                  The Hon Sussan Ley MP
Assistant Minister for Waste Reduction and Environmental Management                   Mr Trevor Evans MP
Minister for Defence                                                                                                Senator the Hon Linda Reynolds CSC
Assistant Defence Minister                                                                                       The Hon Alex Hawke MP
Minister for Veterans and Defence Personnel
(Deputy Leader of the House)                                                                                  The Hon Darren Chester MP
Minister for Defence Industry                                                                                  The Hon Melissa Price MP
Minister for Families and Social Services
(Manager of Government Business in the Senate)                                                     Senator the Hon Anne Ruston
Minister for the National Disability Insurance Scheme                                           The Hon Stuart Robert MP
Minister for Government Services                                                                          The Hon Stuart Robert MP
Assistant Minister for Children and Families                                                              The Hon Michelle Landry MP
Assistant Minister for Community Housing, Homelessness and Community Services   Mr Luke Howarth MP
 

It Seems When Given The Choice Sensible Planners Move Away From Centralised National EHRs.

This appeared a few days ago.

National Health Information Platform replaces Electronic Health Record

Tuesday, 21 May 2019  
eHealthNews.nz editor Rebecca McBeth
 The Ministry of Health is going to Cabinet this June to get approval to develop a detailed business case for a national Health Information Platform.
 The Ministry has moved away from the idea of building a single Electronic Health Record, towards developing a national HIP that will enable data about a single patient to be shared, says deputy director data and digital Shayne Hunter.
Hunter was a keynote speaker at the Emerging Tech in Health conference in Christchurch on 21 May.
“We are moving beyond the agenda of ‘we will drive for a single EHR in a physical sense’,” he told attendees.
Rather, the Ministry is focusing on joining up data services to provide information about a patient via a national Health Information Platform.
“This is intended to be not just a technical platform, but a range of other components to enable us to support better information sharing across the sector,” he said.
The plan to build a national EHR was expected to take three to five years when first announced by government at the HiNZ 2015 conference.
An indicative business case was developed and presented to the Cabinet Committee on State Sector Reform and Expenditure Control in July 2017. 
The committee requested further information on the costs and benefits of an EHR and these were expected to go back to Cabinet for approval in December 2017, but the Ministry has since re-focused its efforts on building a business case for a nHIP.
Ministry group manager digital strategy and investment Darren Douglass told eHealthNews.nz that interoperability is core to the new platform, which will “have the ability to assemble a virtual electronic record on an ‘as required’ basis from multiple trusted sources, and provide access to data and services”.
The nHIP will be a key enabler for real-time clinical decision support, empowering patients to self-manage their health and wellbeing and data driven healthcare, he explains.
The Ministry is planning a phased approach to implementation with investment in tranches and avoiding ‘lock in’ to a single technology solution. 
The full article is here:
The My Health Record is, as everyone who reads know, is an architecturally flawed solution to an ill-defined set of problems. The data it contains is inevitably hard to search, non-current, incomplete, clinically risky and difficult, if not impossible, to properly synchronise with live systems. It is also flawed as a data source for both clinical decision support and health services planning.
Worse if is inevitably insecure and exposed to a real, non-zero risk of a catastrophic data breach!
NZ has been smart not to go down this path and the ADHA should be planning migration to a better designed distributed system ASAP. Australia really needs to ‘bite the bullet’ on this and sooner rather than later.
Maybe with a new Government – sorry I fear I am dreaming…..
David.

AusHealthIT Poll Number 476 – Results – 26th May, 2019.

Here are the results of the poll.

Will The Return Of The Coalition Federal Government Be Good For Progress In Digital Health?

Yes 0% (0)

It Will Make No Difference 77% (71)

No 21% (19)

I Have No Idea 2% (2)

Total votes: 92

Well that was pretty clear – no one said the return of the Coalition would be good for Digital Health, with most seeing them as irrelevant.

Any insights on the poll welcome as a comment, as usual.

A more than reasonable turnout of votes!

It must have been a slightly hard question as 2 /92 readers were not sure what the appropriate answer was.

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

David.

Saturday, May 25, 2019

Weekly Overseas Health IT Links – 25th May, 2019.

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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Harnessing Digital Information to Improve Population Health

May 14, 2019

Health systems do not systematically collect information on social determinants of health (SDH) — the conditions in which people are born, live, grow, and age — despite knowing that they have a big impact on individual and population health. But the shift from reimbursing providers for the volume of services they deliver (fee for service) to the quality of patient outcomes relative to cost (value) is causing them to focus more on maintaining patients health and not just curing disease. This shift is causing providers to start investing in population health management strategies, which require them to better understand the local population and identify unmet needs.
The challenge is that the SDH information that physicians collect from patients and enter into their electronic medical records (EMRs) is pretty limited. Even though 83% of family physicians agree that the Institute of Medicine’s 2014 recommendation that they collect sociodemographic, psychological, and behavioral information from patients and put it into their EMRs, only 20% say they have the time to do so. But alternative means of collecting such information are emerging: smartphones, credit card transactions, and social media.
Smartphones. The Pew Research Center estimates that more than three-fourths of Americans now own smartphones. One example of how these devices could be used to collect SDH information involves the mobile applications that health systems offer to allow patients to easily book appointments or contact medical providers. These apps can also access information on patients’ location, which can be cross-referenced with rich databases like Foursquare’s book of local businesses or city-level heat maps on crime/domestic violence to understand a patient’s experience of his or her neighborhood — e.g., the availability of fresh food via local grocers or bodegas and the ability to exercise outside in relative safety. In a research setting, this type of location sharing has yielded startling insights.
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Patient Intake Survey Tool Advances Population Health Management

The tool will help providers identify patients who might suffer from a complex chronic disease, opening the door for more population health management.
May 16, 2019 - Researchers from the Regenstrief Institute and Indiana University have effectively developed a tool that will help providers identify and track early onset symptoms of complex conditions, opening the door for advanced population health management.
The tool, called SymTrak, is a patient intake survey that looks for a set of symptoms that do not necessarily correlate to a specific chronic condition. Instead, SymTrak developers created the tool to track for symptoms that are tied to various chronic conditions, ideally to point clinicians in the right direction when assessing patients for potential illnesses.
The symptoms SymTrak tests for include pain, fatigue, sleep disturbance, anxiety, and depression.