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 27, 2019

The ACT Says That The #myHealthRecord Is Not Good Enough And Plans To Do Better. Is It Smart And Will It Work?

This appeared last week:

Digital Health Record to change the lives of those with a chronic illness in Canberra

Posted Sun 16 June, 2019 at 8:27am
When Jen Sutherland winds up in the emergency department in debilitating pain, she is often forced to relay to the staff a decade of complicated medical history before she can be treated.

Key points:

  • The ACT plans to introduce a new single electronic system for patients
  • $70 million has been set aside to build and implement the system over the next four years
  • Chronic illness sufferers have welcomed the decision
The 27-year-old Canberran lives with Type 1 diabetes and endometriosis, juggling multiple medications, specialist appointments and tests each month.
And because Canberra's public health system uses a complex combination of digital systems and paper records, it can be difficult for clinical staff to access patients' medical information.
The burden is inevitably placed on the patient to keep track of their history.
Lots omitted ……

New system places responsibility on healthcare system

But this record-keeping tradition could become redundant under the ACT's plans to introduce a new single electronic system for patients, to be known as the Digital Health Record.
It would record all patient interactions, referrals, clinical observations and test results across the public health system.
The ACT Government has set aside $70 million over four years to build and implement the system, with another $35 million expected the following four years.
Denise said the move was long overdue.
"At the moment the onus is very much often on the patient to be managing their health information," she said.
"If you're really unwell, remembering things and staying on top of information like that is actually quite a bit ask and it adds a lot of stress to the job that is already a job of being chronically ill."
The disjointed system also presents challenges for doctors.
Matthew Cook, director of immunology at Canberra Hospital, said the new system would improve accuracy and efficiency.
"This is no one's fault at the moment but there are delays, there is missing information and there is redundancy," Professor Cook said.
"Sometimes test results aren't available and they're repeated because that's the only way to achieve those results."
Professor Cook said it was unreasonable to expect patients to provide details of their medical records.
"We would like to focus on the patient's experience of the illness and that's what we will be able to do more when we have more efficient and complete medical records," he said.

Digital database will contain more detail than My Health Record

The digital health record would not be opt-in, so any person who uses the public health system will have one.
Peter O'Halloran, ACT Health's chief information officer, said patients cannot currently opt out of having paper records either.
"We already have a medical record for every patient," he said.
"This is simply taking those records from a variety of digital systems and paper systems into one single digital system."
It would contain more detailed information than the federally run My Health Record, which has prompted backlash over privacy concerns.
However, the digital health record would incorporate My Health information.
Mr O'Halloran said the Government was mindful of privacy concerns.
"We have designed the Digital Health Record from the ground up with privacy in mind," he said.
The new record would bring information from more than 250 IT systems and paper records into one place and would be the "biggest transformation of healthcare in 30 years in the territory", he said.
He said the Government had looked at challenges and successes of similar systems across the country and overseas to design the project.
The rollout of Queensland's system has faced delays and concerns over patient safety.
It's not yet known which company will design the ACT's system, with the project going out for procurement in the coming weeks.
It is expected to be operational in about three years.
The complete article is here:
At first reading it looks like ACT Health is planning a #myHR on steroids with many of the downsides of the current manifestation – honey pot effect, widespread access and worse almost everyone included. There also does not seem to be any opt-out!
I am not sure this has been fully thought through. What do others think?
David.

Wednesday, June 26, 2019

This Smacks Of Huge Ignorance Of The Truths Of Urgent Cardiac Care On The Part Of The ADHA.

This release appeared last week:

My Health Record launches Rapid Access Cardiology Clinic testing

19 June, 2019 - 9:00
The Australian Digital Health Agency, in partnership with the University of Sydney, is pleased to launch a study into the use of My Health Record in Rapid Access Cardiology care.
The Agency and the University of Sydney have launched the pilot to investigate how My Health Record can support the management of low to intermediate risk chest pain patients through the Rapid Access Cardiology Clinic (RACC) model, initially based at Westmead Hospital.
The pilot aims to enhance the quality, safety and efficiency of cardiology services, and if successful, may be scaled up to roll out across the country. It is expected that this study will yield lower rates of hospital readmissions and avoid a rise in major adverse cardiac events, such as heart attacks. Furthermore, the pilot, may also help to develop targeted cardiovascular disease prevention programs including lifestyle modifications to address common risk factors such as high blood pressure.
During the pilot, clinicians will access a person’s My Health Record when they present to the Rapid Access Cardiology Clinic at Westmead Hospital and draw on the information within the record to make quicker diagnoses and treatment decisions.
“Our study aims to provide greater accessibility to the information needed to better treat all Australians suffering chest pain, and to safely divert people with non‐acute chest pain from being admitted to hospital,” says Professor Clara Chow, Professor of Medicine, Academic Director, Westmead Applied Research Centre, at University of Sydney.
“Australia’s Health 2018 report revealed heart disease was the single leading cause of death in 2018 with 170 Australians aged 25 years and over having a heart attack every day. Last month we discovered more than two-thirds of Australian adults have risk factors for heart disease. Statistics like these remind us of the importance of looking after our heart health and My Health Record provides Australians with a place to store all-important records regarding your heart history and preferred treatment methods,” says Heart Foundation’s General Manager of Heart Health and Research, Bill Stavreski.
RACCs are outpatient clinics, located within hospitals, that provide prompt assessment and management of chest pain. Led by cardiologists, the clinics function to reduce the sizeable number of patients experiencing chest pain attending NSW hospitals.
Consumer Simone Marschner says, “I walked out of the Rapid Access Cardiology Clinic satisfied that I’d had a thorough health assessment and equipped with advice about how to reduce my risks at home. The clinic was not just easy to access, it kept me out of hospital. Now, the peace of mind that comes with knowing that my test results and management care plan are available at a glance on My Health Record, so I do not have to remember or repeat details to my GP later on, is invaluable.”
The test bed will explore how My Health Record can support risk stratification of patients referred to the RACC, reduce duplicate testing, and support communication among healthcare providers via the system’s shared healthy summary function. The study will attempt to understand and address existing barriers to the seamless flow of information along the patient journey and among healthcare providers. The results will be used to scope the feasibility of an innovative, cardiology-specific application that is populated with information from My Health Record to optimise patient care.
“We need all Australians to be aware of the prevalence of heart disease and the work left to do in improving our heart health. This program is a great example of how we can use digital technologies to meet this goal and deliver better health outcomes to all Australians,” says Agency CEO Tim Kelsey.
When appropriate, patients who attend a RACC may be given a management plan and allowed to go home without having to enter the hospital, saving emergency medical staff from admitting patients, organising urgent cardiologist assessments in the community and referring to GPs.
Not only will hospital staff benefit from the reduced burden of chest pain care but patients now have an alternative option to heading straight into emergency departments and prolonged hospital stays depending on their condition.
Further study into the effectiveness and safety of the RACC model of care is underway to reduce the burden of chest pain on NSW hospital emergency departments.
Here is the link to the release:
If I grasp what is planned here it is that someone who presents with chest pain to an Emergency Unit are going to be treated as they always would have been initially.
This will typically involve and clinical assessment and diagnostic testing (blood, X-Ray, ECG and so on) to stratify the patient as to the likelihood of a cardiac ischaemic event and the need for urgent inpatient treatment and investigation.
The test that is most used to decide this is a blood test that looks for any evidence of damage to the heart muscle recently (it is called a High Sensitivity Troponin Test). If it is abnormal you are admitted, investigated and treated to prevent recurrence.
If it is negative and there are no other worrying issues (high blood pressure, cholesterol, diabetes etc.) and the patient seems well you to go to one of these RACC to be more fully worked up and an advice and treatment plan developed promptly. (Note: you always err on the side of caution!)
Given your very recent Emergency Dept. visit in which this work up was done to decide if you should be admitted or go to the RACC for additional advice and treatment it seems very hard to figure out just what the #myHR is going to add other than maybe containing a record of the Emergency visit – which presumably is also available on the hospital’s system?
It is hard to work out what this trial is intending to show as for both encounters the patient is properly assessed and worked up. May be the myHR will, if it has any useful information and is active, will show the odd prescription the patient may have forgotten that will make little difference.  Anything important will have been noted long before the RACC visit I believe and basically the myHR is irrelevant to what should be done on either a RACC visit or discharge. In both cases good treatment and advice and back to the GP with a detailed letter!
My view is that this is a needless make-work and another example of a hammer desperately seeking a nail.
What do you think?
David.

Another Digital Health Project Goes Very Over Budget And Very Late!

This popped up last week:

WA's pathology provider needled for system delays, budget blowouts

By Justin Hendry on Jun 20, 2019 6:50AM

Behind schedule and risking legacy system outages.

Western Australia’s public pathology service PathWest has been blasted by the state’s auditor for the late-running and over budget overhaul of its legacy Ultra laboratory information system (LIS).
The delay is also risking “potential system failure” with PathWest’s existing legacy LIS, which reached end of life a year before the replacement system project began in 2014.
The state’s auditor-general said [pdf] on Wednesday that the project would be two years late and almost $24 million over budget when the system is finally deployed in April next year.
But “poor budgeting and tracking” during the first four years of the project meant that figure could be somewhat higher.
“PathWest expects the LIS replacement will be 2 years late and cost $50.5 million, an increase of more than $23.7 million against the original approved budget,” the audit initiated at the direction of the health department states.
“However, PathWest cannot confirm the precise cost of work carried out before 2018.”
PathWest, which conducts around 16 million pathology tests across the state’s public health system each year, has been trying to replace is legacy Ultra LIS since a 2011 review [pdf] found the system was expected to reach end of life in July 2013.
Ultra was first introduced in 1994 to order tests, track specimens, prepare and deliver reports and manage billing. and has undergone a series of alterations over the last 25 years to ensure it remains fit for purpose.
There are a lot more juicy details here:
It seems those in the West are struggling with both timing and budget.  Close to more than doubling the initial proposed cost is quite a feat I believe.
Here is the direct link to the report:
These lines are pretty telling from the A-G's forward:
“The size and scale of WA Health means that information communication technology (ICT) projects are a core activity in enabling delivery of health services across the State. However, major ICT projects are rarely simple and successful delivery remains challenging, perhaps more so in WA Health with its tiered governance and distributed management accountability.

This is not the first audit into ICT project governance and delivery that my office has undertaken, and the recurring nature of some of the findings is disappointing.”
We need some major learnings and soon!
David.

Tuesday, June 25, 2019

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - Week 49.

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: I have also broadened this section to try to cover all the privacy and security compromising and impacting announcements in the week – along with the myHR. It never seems to stop! Sadly social media platforms also get a large run most weeks. There are a lot of actors out there trying all sorts of things on!
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Inside the police database that holds 40 million private records and any officer can access

23 June, 2019
An ABC investigation has exposed privacy breaches of the central police records database that holds files on millions of Australians.
The Computerised Operational Policing System (COPS) database holds more than 40 million records that can be accessed by NSW's 16,000 police officers.
Lawyers have warned the data breaches uncovered by the ABC show people's information stored in COPS is at risk.

Key points:

  • The COPS database keeps information on victims, offenders and incidents requiring police action
  • A police accountability lawyer says privacy breaches could have long-term ramifications
  • NSW Police say the COPS database follows national guidelines
Single mother-of-three Talia Odone from Cooma had separated from her boyfriend when she became aware he had received information held on a COPS file.
She suspected her ex-boyfriend's neighbour — a policeman — had some involvement in the matter.
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Can 'smart' ring give BlackRock fund managers the edge?

Virginia Furness
Jun 22, 2019 — 7.15am
London | After years of using the internet, satellites, algos and other innovations to mine 'Big Data' for that edge over rivals, the world's biggest investment firm is trialling a gizmo that puts the focus back on humans -- its own portfolio managers.
In an world where marginal gains can translate into millions of dollars of returns BlackRock, which manages $US6.5 trillion ($9.4 trillion) in assets, is betting that healthier, happier fund managers make smarter investment decisions -- and wearable smart technology can help optimise their performance.
Several fund managers from BlackRock's European equities team now wear smart-tech rings that collate data on their sleep patterns, heart rate and other health indicators, according to three sources at the firm who are familiar with the trial.
The large, black ring is made by Oura, an Finland-based company which describes the $US300 ring on its website as "a secret weapon for personal improvement".
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Google Chrome has become surveillance software. It's time to switch

Geoffrey A. Fowler
Jun 21, 2019 — 10.56pm
You open your browser to look at the web. Do you know who is looking back at you?
Over a recent week of web surfing, I peered under the hood of Google Chrome and found it brought along a few thousand friends. Shopping, news and even government sites quietly tagged my browser to let ad and data companies ride shotgun while I clicked around the web.
This was made possible by the web's biggest snoop of all: Google. Seen from the inside, its Chrome browser looks a lot like surveillance software.
Lately I've been investigating the secret life of my data, running experiments to see what technology really is up to under the cover of privacy policies that nobody reads. It turns out, having the world's biggest advertising company make the most-popular web browser was about as smart as letting kids run a candy shop.
It made me decide to ditch Chrome for a new version of nonprofit Mozilla's Firefox, which has default privacy protections. Switching involved less inconvenience than you might imagine.
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Privacy obligations post-opt out for My Health Record

Hosted by Australian Digital Health Agency

Do you work within a GP clinic, Community Pharmacy, Public or Private Hospital? Is your organisation registered for My Health Record? If you have answered ‘yes’ to either of these questions this webinar will be a must attend.

This interactive webinar will inform healthcare providers of their privacy obligations when interacting with the My Health Record. Learning outcomes of this webinar include:
  • Governing access to My Health Record system and how this applies to your organisation
  • Ensuring appropriate policies are in place to adhere to legalisation requirements
  • Complying with consumer wishes in regard to accessing and uploading information
Please note, this webinar is a live repeat of the webinar previously held in April 2019.

Webinar - 'Privacy obligations post-opt out for My Health Record - Healthcare organisations' Details: 
Please note, registrations close 24hrs prior to each webinar event. Presentation slides will be made available following the event to individuals who have registered to attend the webinar.
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Inquest into the death of Melissa King

Australia June 20 2019
On 14 June 2019, the Coroner's Court of New South Wales released its findings into the death of Melissa King. The circumstances of her death highlight the risks associated with the use of electronic progress notes as a means of communicating concerns about the treatment decisions made in respect of patients.
Background
Ms King was 33 years old at the time of her death at Blacktown Hospital. On Wednesday 10 August 2016, she had called the National Home Doctor Service on account of having vomiting and diarrhoea for two to three days. The service referred her to Mount Druitt Hospital from which she was transferred to Blacktown Hospital. She had a history of chronic alcohol use and malnutrition, weighing 40kg upon her admission to hospital.
At Blacktown Hospital, she was treated with fluid and electrolyte replacement and was admitted to the ICU. She was ultimately diagnosed with urinary tract sepsis, severe malnutrition with electrolyte metabolic derangements, notable low sodium and a number of other micronutrients, deranged liver function and ascites, pulmonary effusions and obstructive renal calculus diagnosed by CT. Further investigations into the cause of her symptoms were arranged. A CT scan showed bowel wall thickening which suggested inflammatory bowel disease.
In replenishing her depleted micronutrients, one consideration for her treating team was the risk of ‘re-feeding syndrome' whereby a malnourished person who starts receiving artificial refeeding is at risk of a potentially fatal shift in fluids and electrolytes. That risk was identified in the records. There was fluctuation in her response to refeeding and also in relation to her overall condition. She had periods of lucidity, deterioration, confusion and agitation. On 15 August she began complaining of ongoing abdominal discomfort. An endocrinology registrar noted that her abdomen was distended and bowel sounds were difficult to hear.
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Facebook posts can predict who has diabetes

The social media platform is often better than demographic data at spotting illness: study
20th June 2019
Trawling through Facebook posts could help identify which patients have diabetes, with US research showing the language used in posts can predict 21 medical conditions.
In fact, Facebook is better than demographic data (age, sex and race) at predicting 10 of the conditions, researchers from Penn Medicine at the University of Pennsylvania have found.
They report in PLOS One that the social media platform used by more two billion people is superior for flagging diabetes, with common red-flag words including “god”, “pray” and “family”.
 Facebook is also a better bet for spotting pregnancy (females only), anxiety, depression and psychoses.
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Relationships with robots: Social AI surpasses humans in healthcare

20th June 2019
What use are social robots in healthcare? Do they have a therapeutic benefit? Do patients liken them to their humanoid counterparts?
Australian researchers have attempted to answer some of these questions with a systematic review of randomised controlled trials (RCTs).
For the uninitiated, if a robot provides social interventions, such as education, it’s a social robot.
As the researchers point out, social robots are new phenomena, meaning mostly experimental studies so far. But they did find 27 RCTs.
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After my miscarriage, 'big data' kept haunting me

By Bridget de Maine
June 19, 2019 — 12.00am
When I fell pregnant, it wasn't long before every corner of the digital landscape was celebrating my news. A few Google searches for local obstetricians on my morning commute soon yielded a near barrage of advertising dressed as advice to my palm. "Have you thought about dressing your newborn in a linen bonnet?", suggested Instagram. You’ll need bigger clothes. This maternity brand is having a sale! nudged Google.
I eventually allowed the heavy-handed hints to lead me to a baby-tracking app and entered my due date.
Not long after the confirmation during a holiday with my husband, I started to bleed. With a tentative, “It looks like that’s what’s happening” from a local doctor sporting a comfy sweater and a face of pity, we went home and I began to contemplate what it all meant.
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Spying on our own citizens' data: why Australia must tread carefully

By Ian McKenzie
June 20, 2019 — 12.00am
Two distinct proposals are under examination for a significant expansion of the role of the Australian Signals Directorate, the agency that until now has been focused on foreign signals intelligence, support to military operations, cyber warfare and information security. One of these proposals presents its challenges, but deserves consideration. The other is particularly serious and without precedent. It would involve the secret disruption, on our home soil, of the computers and data of Australians who are yet to be convicted of a crime.
The first proposal is for the ASD to work inside Australian critical infrastructure companies to help them defend against cyber attack that could do untold harm to our economic wellbeing, and even pose a national security risk.
The second is to use the ASD offensive cyber disruption capabilities in Australia against hardened criminal networks, including paedophiles and organised crime.
The first is a logical extension of ASD’s core business of information security – traditionally only for government, but increasingly necessary for our major businesses, especially critical infrastructure. It is, however, not without some risk.
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Winning at smarter healthcare with Track and Monitor

Business and Enterprise
Posted on June 19, 2019

We’re on a mission to make life better for every Australian through amazing technology and connectivity. That’s why we’re proud of our indoor equipment tracking proof of concept using Track and Monitor, which has just won the 2019 IoT Festival Award for best healthcare project.

Ballarat Health Services and Coregas, a division of the Wesfarmers Group, encountered a complex problem that we thought we could offer some valuable expertise to: how do you stop vital healthcare equipment from going missing? Together with our partners, we worked to ensure that valuable and specialised equipment was never out of reach, so that caregivers could spend more time doing exactly that: giving care.
Any hospital is a big place, where gear is constantly moved around to support the care and healing of different patients. Knowing where that equipment is – such as wheelchairs and bariatric care beds – is vital to not only providing care, but it’s also incredibly important from an accounting perspective. If a hospital can’t provide a clear chain of custody for this crucial equipment, it may need to be replaced before its serviceable life is over – especially if it is lost altogether!
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Health at the centre: responsible data sharing in the digital society

6 Jun 2019
The digitisation of health data creates opportunities for more personalised healthcare and prevention. When combined, different digital services make it possible to access, share and use electronic health data, including outside the healthcare domain. The public and political discussion no longer centres on the mere digitisation of patient records. A further aim is to activate people to work on improving their health using their own data. The expectation is that by controlling their data, people will be able to take charge of their healthcare.
At the same time, it remains to be seen whether this will lead to better healthcare advice, whether people will actually manage their health better, and whether it is even desirable for them to control more of their data. This report shows that responsible and secure data sharing is best achieved by remaining small in scale and by focusing on what is truly necessary. It gives government, the healthcare sector and policymakers the tools they need to ensure that digital health data services are used for the benefit of a ‘socially responsible digital society’. The quality of the data and of good and appropriate healthcare are at the centre here, with people being protected against the unwanted use of their data.
The report describes the outcomes of the investigation into four significant services that are emerging in parallel and that allow individuals to access, share and use health data, i.e. online portals run by healthcare institutions (which offer patients a ‘view’ into their own medical records and supporting digital programmes), health apps (‘digital coaches’), personal health environments (PHEs, a personal data vault Health at the centre 15 in which people can store and manage all their health data digitally from a single comprehensive overview), and public platforms (collective online databases, where people can share stories and health data with others). 
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Data61 wants to 'vaccinate' machine learning algorithms against attacks

By Matt Johnston on Jun 20, 2019 7:17AM

Recognising and fending off attacks.

The Commonwealth Scientific and Industrial Research Organisation’s Data61 has developed a set of techniques to protect machine learning algorithms from attacks, similar to how vaccines work in living creatures.
Machine learning techniques, now in common use across most industries and easily visible even in Google suggestions, gather vast amounts of data over time to work out which qualities meet the criteria of algorithms and which can be dismissed.
Data61’s machine learning group leader, Dr Richard Nock, said that by adding a layer of noise (ie, an ‘adversary’) over an image, attackers could deceive machine learning models into misclassifying the image.
“Adversarial attacks have proven capable of tricking a machine learning model into incorrectly labelling a traffic stop sigh as a sped sign, which could have disastrous effects in the real world,” Nock said.
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The International Encryption Debate: Privacy Versus Big Brother

Many governments, including the United States, are attempting to restrict the use of encryption services like WhatsApp and Snapchat to allow for a greater opportunity for surveillance. Although increased reliance on technology such as emails and texts has provided greater opportunity to gather evidence of criminal activity, in part because many communications are now memorialized forever, law enforcement agencies around the world complain that encryption technologies make it difficult to catch criminals and terrorists and therefore should be restricted.
Turning the traditional concept of privacy on its head, governments appear to be positing that the totality of every individual’s digital communications should be left open for scrutiny by government investigators in case some come to be suspected of wrongdoing at a later time. Not surprisingly, this Big-Brotheris-watching approach has met with resistance from public rights and civil liberty activists.
Before the technology explosion, two individuals desiring a private conversation might have opted for a phone call, secure in the expectation that the information shared during the call was not subject to eternal preservation. Indeed, such privacy generally is perceived as a human right. A detailed and extensive body of wiretap statutes and case law in the United States, arising from Fourth Amendment protections against unreasonable searches, insures that telephone conversations remain private absent evidence of probable cause that the subject individuals are actively involved in criminal mischief and issuance of a warrant by a court. The shift from oral conversation to digital communications should not change these fundamental privacy protections and assumptions.
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Are we in danger of missing the medical AI on ramp?

  June 18, 2019    

One of our iconic medical AI experts warns that AI is finally impacting the frontline of medicine seriously, with all its potential for good and bad outcomes but it’s such a hyped topic, Australia might end up organising for it too late to take proper advantage of this long coming revolution.

 “We tend to overestimate the effect of a technology in the short run and underestimate the effect in the long run” – Amara’s Law
Artificial Intelligence (AI) has a PR problem in Australia. It’s been coming so long, with such hype and promise, and failed to deliver so spectacularly so much – IBM Watson and cancer diagnosis, as our most recent example – that many in the sector aren’t really sure what is going on.
Last week, one of our most recognised experts in the field of medical AI, Professor Enrico Coiera, The Director of the Australian Institute of Health Informatics, made the situation clear. AI is here already, going very big overseas already, and unless we organised ourselves faster for the change, we could miss out on significant opportunities locally, or worse, end up with AI medical failures through poor governance and education.
He told Wild Health that Australia would never likely  be a hub for serious medical AI development, given the money behind and the march of the major global digital distribution platforms like Google, Apple and Amazon, but the Australian healthcare eco system was an ideal testing ground for major overseas investors and this was a way in for Australia in the medical AI revolution. Australia benefits hugely from significant involvement in the global clinical drug trials market.
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Cybercriminals set their sights on identity information

By Eve Maler, Vice President of Innovation and Emerging Technology, ForgeRock
Identity information remains the holy grail of cybercriminals. Australian organisations across a wide range of industries – including healthcare, government, and financial services – store and manage billions of consumer data records. As such, they are finding themselves under a constant barrage of cyberattacks. Even though investments in information security products and services have been on the rise, with $165 billion invested in 2018, it has done little to deter the persistent activity of cybercriminals.
In a move to increase awareness and accountability around information security practices, the Office of the Australian Information Commissioner (OAIC) made amendments to the Privacy Act which came into effect in February 2018. The legislation requires Australian businesses to disclose any breach that involves personal customer data. Known as the Notifiable Data Breaches (NDB) scheme, it regulates the reporting and notification of eligible data breaches to the OAIC and impacted individuals.
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The sick man of the cyber-security sphere…it’s time the Australian healthcare industry took a preventative approach to high tech ‘contagion’

by Priyanka Roy, Marketing Analyst at ManageEngine
Which industry is Australia’s worst offender when it comes to data breaches and cyber-security threats?
If you answered healthcare then congratulations, you’re on the money.
Health service providers were responsible for 58 of the 215 notifiable data breaches reported in the first quarter of 2019 according to the Office of the Australian Information Commissioner (OIAC), Australia’s privacy watchdog.
It was a similar story in the December 2018 quarter (54 of 262 documented breaches) and in the  September 2018 quarter (45 of 245 documented breaches).
They’re concerning statistics, particularly when considered against the backdrop of public concern about patient privacy generated by the national roll-out of Australia’s controversial electronic health record My Health Record in 2018.
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Engineer's 'smart speaker firewall' guards against Alexa eavesdropping

June 17, 2019 — 10.55pm
Chuck Carey is an experienced engineer and self-described technophile, but he's also wary of the proliferation of data-hoovering, internet-connected devices such as the microphone/speaker combos used with digital assistants such as Amazon Alexa and Google Assistant.
"While I have three Echo Dots, I have always been suspicious of what gets collected by them," says Carey, of Kirkland, Washington. "So I tried to solve that problem: how to keep Jeff's minions out of my private stuff."
Last month Carey posted to GitHub his prototype design for a 'smart speaker firewall'.
It is a box with a lid. Clap or snap twice – as with one of the original smart home products, the Clapper – and the lid pops open, allowing the device to be used as normal. Clap twice more and it closes and turns on a noise designed to prevent the device's sensitive microphones from detecting anything outside the box.
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Pharmacist Shared Medicines List

There’s a new way for you and your healthcare providers to securely access a list of medicines you take uploaded by your pharmacist. 

What is the Pharmacist Shared Medicines List? 

Soon your pharmacist will have the software to connect to and be able to upload a document called the Pharmacist Shared Medicines List to your My Health Record.
The Pharmacist Shared Medicines List is a list of medicines that may include those prescribed by your doctor, non-prescription medicines including over-the-counter or complementary medicines (such as vitamins or herbal medicines) you may take. This list will include details on how and when you take your medicines at the time the list was created. 
If your pharmacist has uploaded a Pharmacist Shared Medicines List, you can find it in the ‘Documents’ section in your My Health Record.

What is the difference between the Pharmacist Shared Medicines List and the Medicines Information view?

If you have a Pharmacist Shared Medicines List in your My Health Record, your healthcare providers will be able to quickly access your most up-to-date information. 
This document can only be added to your My Health Record by your pharmacist. 
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17 June 2019

We need a rethink on ‘health on credit’ plans

Posted by Grant Holloway
The news that Queensland-based pharmacy chain TerryWhite Chemmart stores are trialling a credit platform which would allow customers to purchase prescription drugs and pay for them via instalments, raises some disturbing questions.
The Afterpay digital service at pharmacies is being promoted as positive for customers, allowing them to spread out the cost of their prescriptions over four “interest free” fortnightly payments.
The trial is being run in five pharmacy locations in Queensland with a view to gathering feedback from both customers and pharmacists about the product, and assessing the potential expansion of the service to other pharmacies, according to a report in Pharmacy Daily.
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Friday, 14 June 2019 12:01

Rights body calls for govt to put people, not cost savings, first

The Federal Government is putting cost savings first and people second through its increasing use of technology and algorithms to control the lives of Australians who are in need and seeking income support, the Human Rights Law Centre says.
Tech developments should not be at the cost of human rights, the HRLC said in a submission to the UN Special Rapporteur on poverty.
Monique Hurley, a Lawyer at the Centre, said computer-automated penalties and robo-debt were causing distress and risked driving struggling families deeper into poverty.
“Computers making decisions about peoples’ livelihoods can be the difference between a child having food or going hungry,” said Hurley.
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Comments more than welcome!
David.

Monday, June 24, 2019

Weekly Australian Health IT Links – 24th June, 2019.

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

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A much busier week with all sorts of announcements and so on. It was especially rich on the security and NBN fronts.
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Digital Health Record to change the lives of those with a chronic illness in Canberra

Posted Sun at 8:27am
When Jen Sutherland winds up in the emergency department in debilitating pain, she is often forced to relay to the staff a decade of complicated medical history before she can be treated.

Key points:

  • The ACT plans to introduce a new single electronic system for patients
  • $70 million has been set aside to build and implement the system over the next four years
  • Chronic illness sufferers have welcomed the decision
The 27-year-old Canberran lives with Type 1 diabetes and endometriosis, juggling multiple medications, specialist appointments and tests each month.
And because Canberra's public health system uses a complex combination of digital systems and paper records, it can be difficult for clinical staff to access patients' medical information.
The burden is inevitably placed on the patient to keep track of their history.
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SA Pathology connects to MHR for better patient and clinician experience

June 17, 2019 03:38 AM
“As a GP who is often forced to waste valuable time chasing down pathology results, especially for a new patient, this will make my job easier and the patient's care safer,” said Dr Chris Moy, Adelaide General Practitioner.
Following Northern Territory Department of Health’s announcement that it will soon become the first pathology provider to link the online test results it is sharing via My Health Record (MHR) with Lab Tests Online, South Australia (SA) Pathology, the statewide pathology provider for the public health sector, has also connected to the MHR.
WHAT’S THE IMPACT
SA Health patients will be able to conveniently access their pathology reports, and clinicians will be able to get pathology results faster. South Australians can now take any pathology request form to any SA Pathology collection centre and their report can be uploaded to their MHR, giving patients timely access to their pathology results.
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The power of synergy: Health IT vendors integrate their technologies at Qld eHealth Expo

Stuart Corner | 19 Jun 2019
Hospitals today are awash with technology: for communication for people and asset tracking; for patient treatment and monitoring.
Trouble is, off the shelf, many of these products don’t talk to each other. So to gain maximum benefit and exploit synergies between them, hospitals must embark on costly custom integration projects.
It doesn’t have to be that way, and at the Queensland eHealth Expo in June the Customer Experience Centre demonstrated what is possible when vendors work with each other to integrate their respective products.
The centre was the brainchild of IT consultant Mitchell Simpson, managing director of Clear Engagement Pty Ltd, with support from Queensland Health. He told Health IT News that it represented the culmination of a long-held vision.
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Fed's digital ID system quietly hits the App Store

By Justin Hendry on Jun 18, 2019 6:36AM

myGovID enters public beta.

Australians are now able to create a digital identity to access online government services after the federal government’s new myGovID system progressed to the public beta stage of testing.
But the digital equivalent of the 100 point ID check currently works with only the Australian Taxation Office’s business portal, as an alternative to the soon-to-be-replaced AUSKey credential.
More online government services are expected to be accessible over the next six months, starting with the ATO’s new tax agent portal, known as online services for agents.
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WA's pathology provider needled for system delays, budget blowouts

By Justin Hendry on Jun 20, 2019 6:50AM

Behind schedule and risking legacy system outages.

Western Australia’s public pathology service PathWest has been blasted by the state’s auditor for the late-running and over budget overhaul of its legacy Ultra laboratory information system (LIS).
The delay is also risking “potential system failure” with PathWest’s existing legacy LIS, which reached end of life a year before the replacement system project began in 2014.
The state’s auditor-general said [pdf] on Wednesday that the project would be two years late and almost $24 million over budget when the system is finally deployed in April next year.
But “poor budgeting and tracking” during the first four years of the project meant that figure could be somewhat higher.
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Women in Perth to benefit as Women's and Breast Imaging joins My Health Record

19 June, 2019 - 9:00
Women in Perth are set to benefit from more convenient and comprehensive access to their scan results as local radiology provider Women's and Breast Imaging this week connected to My Health Record.
The results of scans and tests conducted at Women's and Breast Imaging will be uploaded directly to the patient’s My Health Record. This will give patients peace of mind that they won’t lose their results and will streamline the process between diagnostic clinic and clinician leading to an improved patient experience. It will also ensure that no matter which healthcare professional a patient visits, as long as they are connected to the system, the information is available to them which will cut down on unneeded diagnostic tests.
Perth-based Women's and Breast Imaging is a leading provider of diagnostic imaging for women and specialises in breast disease imaging.
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Chest pain pilot launched

The Australian Digital Health Agency, in partnership with the University of Sydney, has launched a study into the use of My Health Record in Rapid Access Cardiology care

The Agency and the University of Sydney have launched the pilot to investigate how My Health Record can support the management of low to intermediate risk chest pain patients through the Rapid Access Cardiology Clinic (RACC) model, initially based at Westmead Hospital.
The pilot aims to enhance the quality, safety and efficiency of cardiology services, and if successful, may be scaled up to roll out across the country.
It is expected that this study will yield lower rates of hospital readmissions and avoid a rise in major adverse cardiac events, such as heart attacks.
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My Health Record launches Rapid Access Cardiology Clinic testing

19 June, 2019 - 9:00
The Australian Digital Health Agency, in partnership with the University of Sydney, is pleased to launch a study into the use of My Health Record in Rapid Access Cardiology care.
The Agency and the University of Sydney have launched the pilot to investigate how My Health Record can support the management of low to intermediate risk chest pain patients through the Rapid Access Cardiology Clinic (RACC) model, initially based at Westmead Hospital.
The pilot aims to enhance the quality, safety and efficiency of cardiology services, and if successful, may be scaled up to roll out across the country. It is expected that this study will yield lower rates of hospital readmissions and avoid a rise in major adverse cardiac events, such as heart attacks. Furthermore, the pilot, may also help to develop targeted cardiovascular disease prevention programs including lifestyle modifications to address common risk factors such as high blood pressure.
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ADHA, University of Sydney partner on cardio health pilot program

Nathan Eddy | 20 Jun 2019
The Australian Digital Health Agency and the University of Sydney have partnered on a pilot program to assess how the My Health Record platform can improve the cardiology service.
During the study, clinicians at Westmead Hospital will have access to participating patient's My Health Record, drawing on the information within the record to make a quicker diagnosis or decisions for treatment.
Other goals of the pilot program aim to reduce duplicate testing and bolster support for communication among healthcare providers through the My Health Record shared healthy summary feature.
A My Health record provides GPs, pharmacies and health systems with the ability to view a patient's health information securely online.
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NSW government launches $100m ‘digital restart’ fund

Prepares for 1 July launch of Department of Customer Service
Rohan Pearce (Computerworld) 18 June, 2019 14:40
New South Wales will establish a ‘Digital Restart Fund’ in 2019-20 with seed funding of $100 million over the next two years to fund whole-of-government digital transformation.
The measure was outlined in the state’s budget, handed down today by NSW Treasurer Dominic Perrottet.
“We’ll continue to make people’s lives easier with a focus on digital government,” the treasurer said in his budget speech.
Victoria has “copied” the state’s Service NSW approach, Perrottet said. Victoria in 2015 began work on its ‘Service Victoria’ initiative. The NSW Treasurer also noted the decision of the federal government to create Services Australia: A successor to the Department of Human Services that will absorb the Digital Transformation Agency and take responsibility for whole-of-government IT and ICT procurement.
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Australian nurses to benefit from e-learning modules on My Health Record

The new training will ensure nurses are able to use My Health Record in their everyday practice.

The Australian Digital Health Agency, in partnership with the Australian College of Nursing (ACN), has recently announced the roll out of new e-learning modules on My Health Record that will benefit the nurses.
 According to a recent press release, the new training will ensure nurses are able to use My Health Record in their everyday practice.
This training will ensure that that the information is consistent across the healthcare sector to improve patient outcomes.
The Agency partnered with the ACN to develop the training, guaranteeing that all materials are tailored to the nursing role.
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Brain device gets medical research funding

Researchers are striving to crack medical breakthroughs after receiving up to $1 million in funding from the federal government.
Australian Associated Press June 19, 20197:22am
A brain device that can help restore people's eyesight will be further researched to discover other ways it could change lives, with the federal government stumping up more than $900,000 for the project.
The Monash University-led investigation will work with doctors and patients to identify two other ways the technology could be most useful.
The device sits on the surface of the brain and may be able to help grapple with conditions such as epilepsy and depression and restore other neural functions.
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OAIC releases its 12-month notifiable data breaches report

The OAIC have released their first annual notifiable data breaches report, following the introduction of mandatory data breach reporting in February 2018.
Partner, Andrea Beatty and lawyer, Chelsea Payne, discuss the main findings of the report.
The Office of the Australian Information Commissioner (OAIC) has released its 12-month notifiable data breaches report for the period 1 April 2018 to 31 March 2019.
During the period, of the 1,132 notifications made to the OIAC, a total of 964 eligible data breaches were reported.[1] This was a 712% increase in notifications since the scheme was made mandatory in February 2018.[2] Of the breaches reported, 86% involved the disclosure of contact information.[3]
60% of reported data breaches were as a result of malicious or criminal attacks, with phishing and spear phishing the most common and effective measure of attack.[4]
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WA Health begins year-long Office 365 shift

By Justin Hendry on Jun 20, 2019 12:20PM

As part of wider hybrid cloud migration.

Western Australia’s health department is planning to shift almost 45,000 staff to Microsoft Office 365 over the next year as part of its mammoth hybrid cloud migration.
Microsoft said in a blog post on Thursday that the email and collaboration platform was currently being trialled at the department ahead of a wider rollout.
It follows a series of workshops between the company and WA Health’s recently established security and risk management (SRM) team to “ensure maximum advantage” from the platform.
The department aims to have transitioned all 44,000 metropolitan, regional and remote staff from Microsoft Exchange by mid-2020.
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Healthily, MedicalDirector partner on patient education

Nathan Eddy | 19 Jun 2019
Healthily, a firm specialising in patient education and behaviour change, has announced a deal to integrate its GoShare platform into technology from medical software and information provider MedicalDirector.
GoShare is meant to help health professionals deliver tailored and engaging patient education information and resources, officials say, with the goal of improving health literacy and supporting behaviour change.
The platform enables GPs and practice nurses to access and send health information and resources electronically to patients so they can understand how to better self-manage their health and wellbeing.
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Missing backpacker's family pleads for WhatsApp access

By Toby Crockford
June 17, 2019 — 11.58am
The family of a missing Belgian backpacker has made an emotional plea to messaging platform WhatsApp to give police access to his final communications as the search continues in the Byron Bay area.
Theo Hayez, 18, went missing on May 31 and was last seen on CCTV about 15 minutes' walk from his Byron Bay hostel. On Monday, the search concentrated on the area surrounding the Cape Byron Lighthouse.
Tweed Heads Superintendent David Roptell said investigators have asked WhatsApp for access to the backpacker's messages but have been unsuccessful so far. He described Theo's disappearance as "baffling".
Theo's father, Laurent Hayez, broke down as he made a heartfelt plea to WhatsApp and anyone who had information regarding his son's whereabouts to contact police.
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Data#3 wins $32 million Azure deal with NSW Health

Data#3 has won a $32 million contract from NSW Health to provision Microsoft Azure products and services.
A NSW Health spokesperson said the contract was part of an initiative from its internal information and communication technology agency eHealth NSW.
eHealth NSW is partnering with industry to support electronic management of health information, the spokesperson told CRN.
The department did not specify the Azure products used, but tender documents reveal the contract runs from 1 June 2019 to 31 May 2020.
Data#3 declined to comment further on the contract win.
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June 19, 2019 2:35 pm AEST

How Australia’s top-five digital health innovation sectors attract global investment

Austrade has launched a digital health website showcasing Australia as an ideal location for developing, testing and launching the next generation of digital medical technologies.
The site includes listings, case studies and data on sub-sectors where Australia is a significant contributor to global medical solutions. These include telemedicine, precision medicine and genomics, big data and artificial intelligence, digital records and virtual reality.
According to Denise Eaton, Senior Adviser, Austrade, institutions and agencies are rapidly extending the scope of in-country medical research. Australian companies are globally recognised high performers in manufacturing and prototyping, as well as traditional research and development.
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MidCentral publishes digital health strategy

Tuesday, 18 June 2019  
eHealthNews.nz editor Rebecca McBeth
MidCentral DHB has published one of the country’s first district-wide digital health strategies.
Called Te Awa, the five-year strategy is collectively endorsed by the DHB, Central PHO, Manawhenua Hauora, the Clinical Council and the Consumer Council in the region and was developed after extensive district engagement and consultation.
An introductory message says that developing and using digital technology “will help us to improve access to services, to address and minimise health inequality, to improve the quality and safety of our services, and to increase the control people in our district have over their own health”.
The strategy has four guiding principles, which are; people-powered; one district; information sharing; and being a good digital health steward.
The objectives of the strategy are to digitise the consumer, families and whānau experience with improved access to information and to digitise end-to-end processes, allowing the smooth flow of information between services and across organisational boundaries.
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Goggles could help diagnose causes of vertigo, study says

Nathan Eddy | 21 Jun 2019
A study by researchers at the University of Sydney indicates glasses specially designed to measure eye movements during vertigo could help physicians diagnose the type of vertigo a person suffers.
The study, conducted in partnership with Royal Prince Alfred Hospital and published in the journal Neurology, included 117 patients already diagnosed with three types of vertigo, who then used the goggles to video record their own episode of vertigo.
The goggles were able to provide very high accuracy of diagnosis similar to in-clinic hearing tests. Patients studied included those with Ménière disease, vestibular migraine or benign paroxysmal positional vertigo.
Vertigo is a form of severe dizziness that can result in a loss of balance, a feeling of falling, trouble walking or standing, or nausea, and because there is more than one type of vertigo, each with a different cause, different treatment may be required in each specific case.
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BaptistCare cuts manual data handling, paper processes

Venerable aged-care organisation embraces digital opportunities
Rohan Pearce (Computerworld) 20 June, 2019 15:13
BaptistCare is increasingly shifting away from paper-based processes and manual handling of data, with MuleSoft’s integration platform helping provide the scaffolding for its embrace of customer-facing web apps that can feed directly into line of business systems.
BaptistCare has existed for almost three-quarters of a century as a not-for-profit care-based organisation. It operates in two key areas. The first is aged care, which includes residential aged care (nursing homes), ‘BaptistCare At Home’ (in-home care), and retirement living. The other is community service, which includes food support, support for people affected by domestic and family violence, counselling, and community centres.
It operates some 160 different facilities and programs, with around 3500 staff and a thousand volunteers.
Its technology function is mostly in-house, with about three dozen full time employees and typically a handful of contractors. Staff are split between applications and BI, operations , and a business-facing team that includes account management and major project delivery.
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Thursday, 20 June 2019 23:50

Technology underpins new disability accommodation

A new home that is giving people with an intellectual disability a new level of accommodation and support through the use of assistive technology has opened in the Melbourne suburb of Brighton East.
The house, built by Catholic disability care provider St John of God Accord — a division of St John of God Health Care — features assistive technology developed by Internet of Things company, Quantify Technology, and other partners, and designed to give those with an intellectual disability an improved quality of life.
The ASX-listed Quantify (ASX:QFY) designed a solution based on its existing intelligent building technology to match the needs and goals of residents moving into the house.
The company’s devices allow carers to focus on delivering better care outcomes, and residents to live safer, more independent lives by enabling residents to trigger customised living experiences such as morning and night-time scenes, using easily understood sun and moon symbolled buttons.
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Banks blame staff for data breaches

James Frost  Financial Services Writer
Jun 21, 2019 — 3.58pm
Financial services companies, including banks, have reported fewer data breaches than in any quarter over the previous 12 months, but they are unlikely to be ever stamped out entirely, experts say.
The total number of data breaches reported by the sector fell from 40 over the December quarter to just 27 in the March quarter, according to the Office of the Australian Information Commissioner (OAIC).
The financial services sector is second only to the health sector in terms of breach reports.
Banks blamed oblivious staff members for a large proportion of the breaches, saying 41 per cent were the result of human error while the remaining 59 per cent were the result of malicious or criminal intent.
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Australian Catholic University breach nets staff details

By Juha Saarinen on Jun 18, 2019 6:24AM

Unknown number of accounts accessed.

The Australian Catholic University has become the latest tertiary institution to disclose a recent data breach, with sensitive staff information being accessed by unknown attackers.
A brief document from acting vice-chancellor Dr Stephen Weller said the May 22 attack succeeded in compromising a small number of staff logins through a phishing email, purporting to be from the university itself.
ACU has seven campuses across Australia, with over 35,000 students enrolled.
The phishing email contained a link to a fake login page that allowed attackers to intercept staff access credentials.
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Phishers hit ACU, compromised systems

ACU attack follows mammoth ANU breach
Rohan Pearce (Computerworld) 17 June, 2019 17:33
The Australian Catholic University says that a number of staff email accounts and some of its systems have been compromised after a successful phishing campaign.
“The data breach originated from a phishing attack: an email pretending to be from ACU tricking users into clicking on a link or opening an attachment and then entering credentials into a fake ACU login page,” a message issued by acting vice-chancellor Dr Stephen Weller said.
The data breach was discovered on 22 May; around the time that the recent Australian National University breach was unearthed.
“In a very small number of cases, staff login credentials were obtained successfully via the phishing email and were used to access the email accounts, calendars and bank account details of affected staff members,” the message from Weller said.
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LandMark White chairman tight-lipped on takeover talk

By Carolyn Cummins
June 18, 2019 — 12.00am
Embattled valuer LandMark White insists it is still talking to its customers amidst strong market speculation that it has received approaches from interested parties for some or all of the business.
The prospect of a sale was raised in a leaked email from the acting chief executive Tim Rabbitt, reported in the Australian Financial Review, which said in part, that the company was still working on reinstatement to the ASX, "but the directors (as is their responsibility to do now) have to consider alternative options for the business including the potential sale of the whole or parts of the business".
The company made no statement to the ASX on Monday and chairman Keith Perrett declined to comment on what he said was "was market speculation".
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Monday, 17 June 2019 10:18

Monthly average losses to NBN scams soar to new levels in 2019: report

Australians are losing more money to NBN scams, with consumers losing an average of more than $110,000 each month between January and May this year, compared with around $38,500 in monthly average losses throughout 2018 – an increase of nearly 300%.
The latest Scamwatch report from the Australian Competition and Consumer Commission (ACCC) shows that reported losses in 2019 are already higher than the total of last year’s losses.
“People aged over 65 are particularly vulnerable, making the most reports and losing more than $330,000 this year. That’s more than 60% of the current losses,” ACCC Acting Chair Delia Rickard said.
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Monday, 17 June 2019 19:07

NBN Co's CVC pricing may force Launtel to stop 250/100 Canberra plans


Damian Ivereigh: " We recognise that the 250/100 service is one of our unique points of difference and we are loathe to turn this off. However we have been running for almost a year and it is clear this problem is not going to fix itself." Supplied
Small Tasmanian-based Internet services provider Launtel is likely to stop offering its 250/100Mbps NBN service in Canberra due to the "extremely expensive" CVC charges imposed by NBN Co, the company that is building Australia's national broadband network.
In a blog post, Launtel chief executive Damian Ivereigh said NBN Co's CVC pricing construct was the factor that had led to the company reconsidering its offering of this service. "It is extremely expensive to offer these services for a relatively small number of people and we are very disappointed to say that it looks like we will just have to stop offering it," he added.
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NBN Co wants to create a cut-price 100Mbps product

By Ry Crozier on Jun 20, 2019 12:01AM

While providing performance boost to existing 100Mbps users.

NBN Co is set to give existing 100Mbps users a performance boost from September while exploring ways to introduce a cut-price 100Mbps product.
The plans build on a rebate that NBN Co has offered to retail service providers since the start of the year that aimed to encourage more 100Mbps sign-ups.
The company’s ongoing desire to sell 100Mbps services runs counter to a key reason the Coalition used to shift the NBN to a multi-technology mix; that is, that 100Mbps services were of limited utility to most Australians.
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NBN Co backs down on 12Mbps price crunch

By Ry Crozier on Jun 20, 2019 12:01AM

Will now keep current discounts until mid-2020.

NBN Co is calling a temporary halt to a two-year campaign it has waged against over one million users on cheaper plans.
The company will now delay until June 2020 the removal of a key discount offer that allowed retail service providers (RSPs) to sell relatively uncongested 12Mbps services at affordable prices.
iTnews revealed in March that NBN Co would dump the dimension-based discount on connectivity virtual circuit (CVC) purchases made by retail service providers in May.
NBN Co sells products that are priced using both a legacy and newer bundled arrangement.
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NBN Co prepares to roll out more changes to wholesale pricing

Company looking at how to get more households on faster speeds
Rohan Pearce (Computerworld) 20 June, 2019 00:00
NBN Co has launched an industry consultation on wholesale pricing, with the network operator indicating it wants to encourage the uptake of higher speed plans as well as make NBN services more attractive to lower-income households.
The company said that its Pricing Review Consultation Paper was seeking input from telcos in five main areas, including boosting take-up in segments including low-income earners and elderly Australians.
The number of households with entry-level services that use NBN Co’s 12Mbps speed tier has been declining, according to NBN Co data released by the Australian Competition and Consumer Commission (ACCC).
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'Healthy tension': NBN Co gears up for telco price talks

Max Mason Media & Marketing Editor
Jun 20, 2019 — 12.17am
Australia's telecommunications providers hoping for a substantial cut to the price they pay for access to the National Broadband Network are likely to be disappointed as the government-owned business prepares for a new round of industry consultation.
On Thursday, NBN Co will release its wholesale pricing review consultation paper to telecommunications providers such as Telstra, Optus, Vodafone Hutchison Australia, Vocus Group and TPG Telecom as well as a raft of smaller retail providers. The consultation aims to help ease discontent in the industry.
The NBN Co has been heavily criticised over its high wholesale pricing, with  Telstra chief executive Andy Penn saying Australia's largest telco can't make money re-selling the NBN.
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NBN pricing up for review ahead of crucial last rollout year

By Jennifer Duke
June 20, 2019 — 12.00am
The National Broadband Network will review the prices it charges retail providers following intense criticism from Telstra and consumer advocacy groups, as construction of the mammoth infrastructure project edges towards the finish line.
The review, which has a particular focus on low income earners and older Australians who are less likely to connect to NBN services, follows fierce criticism of the taxpayer funded infrastructure provider for the high costs it charges its retail facing customers.
The NBN rollout is now about 80 per complete and expected to finish in 2020. NBN is scrambling to meet its goal of signing up about three-quarters of households covered by the network footprint before telcos launch alternative services, such as 5G fixed wireless.
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Thursday, 20 June 2019 10:58

NBN mess: Labor's sin compounded by Coalition's MTM

The Australian Labor Party's obsession with neo-liberal economics has doomed the national broadband network right from the time it set up a separate company, NBN Co, in 2009 to build a country-wide network that would be unfit for purpose. Thursday's patchwork approach by NBN Co to filling up the cracks is just the latest indication of this.
Any time there is a groundswell of complaints about the cost of NBN connections — either from telcos, both the entitled and unentitled ones, and the masses — the NBN Co, no doubt under pressure from the government, reacts and offers a figleaf to cover its nakedness that has long been exposed.
For the government, those complaints equate to votes and even though one election has been won, it is better not to squander any perceived goodwill. So, there will be some soothing talk and one should not be surprised if the new Communications Minister Paul Fletcher, himself, comes out and makes some soothing noises.
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NBN Co launches new wholesale price review

By Ry Crozier on Jun 20, 2019 6:45AM

Asks over 50 retail service providers to participate.

NBN Co is kicking off its first wholesale pricing review in two years that takes a conciliatory tone with retail service providers and end users.
The company today released a consultation paper to “more than 50 retail service providers (RSPs) selling NBN plans to residential and business customers, and special interest groups such as ACCAN”, it said in a statement.
Chief customer officer for residential, Brad Whitcomb, said the aim was to collaboratively “develop new NBN wholesale price and discount options and bundle discount inclusions” to offer to users.
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NBN mulling introducing 100/20Mbps plans

Most residential customers do not need 40Mbps of upload, NBN has said.
By Chris Duckett | June 20, 2019 -- 00:08 GMT (10:08 AEST) | Topic: Networking
As part of a consultation process over its wholesale pricing, the National Broadband Network (NBN) is mulling the introduction of 100/20Mbps plans.
At the 100Mbps speed tier, NBN currently offers 100/40Mbps plans.
"The new speed tier recognises that most residential customers download far more than they upload and a new product that prioritises download with an associated new wholesale bundle discount may help them to avoid paying a price premium for relatively high upload speeds that most customers do not use or require," the company said in a statement.
NBN is set to boost the amount of included Connectivity Virtual Circuit (CVC), a bandwidth constraint that the wholesaler uses to drive revenue, on its 100Mbps plans from 2.5Mbps to 3Mbps from September 2019. The company also said it would keep its existing dimension-based discounts in place until 30 June next year, to provide certainty as it consults.
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Enjoy!
David.