Quote Of The Year

Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"

or

H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Monday, December 23, 2019

Weekly Australian Health IT Links – 23rd December, 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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There seems to be something odd going on at the ADHA with the resigned COO coming back in a month or two as the CEO for an indeterminate period while a new CEO is dragooned into service.
Seems really odd indeed. You really have to wonder who would want the job – as the previous COO (Bettina) clearly does not – an she knows where all the bodies are buried as they say!
The ADHA’s troubles will also be added to by the first article below I reckon!
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Australians shun My Health Record with only 9 per cent ever logging in

December 21, 2019 — 9.00pm
Patients, medical specialists and pathologists are shunning the federal government's $1.7 billion My Health Record system with only a small minority accessing the digital health records almost a year into its rollout.
Less than one in 10 Australians with a My Health Record have ever logged in to access their digital health record, federal health bureaucrats revealed in data supplied last week in response to questions taken on notice at a Senate estimates hearing.
Most Australians are not using their My Health Records.
Only 4 per cent of Australians with a My Health Record, most of them enrolled automatically when the opt-out system began on January 31, have accessed their digital health record more than once, while just 8 per cent of specialist practices are connected to the system.
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Resigned ADHA COO Bettina McMahon to step in as interim CEO

Despite her recent resignation from the agency after 10 years.
By Aimee Chanthadavong | December 19, 2019 -- 01:18 GMT (12:18 AEDT) | Topic: Security
The Australian Digital Health Agency (ADHA) Board has announced that Bettina McMahon will step in as interim CEO from 17 February 2020.
The appointment comes after Kelsey resigned from the CEO role earlier this month. He will finish on 17 January 2020.
McMahon will stay on with ADHA despite having recently announced her resignation from the agency after 10 years of service, where she most recently was the COO.
In her role as COO, McMahon was responsible for leading industry, government, and jurisdictional engagement for the agency, driving adoption and delivering digital health programs.
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Australian Digital Health Agency names interim chief

By Justin Hendry on Dec 19, 2019 12:13PM

Outgoing COO delays departure.

Outgoing Australian Digital Health Agency chief operating officer Bettina McMahon has delayed her departure from the agency to become interim chief executive.
The ADHA board on Thursday announced that McMahon would steer the agency in charge of the country’s digital health systems and services following current chief Tim Kelsey departure.
Kelsey abruptly resigned as the agency’s inaugural chief earlier this month after more than three years in the top job.
He officially exits the post on January 17 and, according to PulseIT, will take up a new role with the Healthcare Information and Management Systems Society.
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Media release - Bettina McMahon announced as Interim Chief Executive Officer

19 December 2019: The Australian Digital Health Agency Board is pleased to announce Bettina McMahon will be the Interim Chief Executive Officer of the Australian Digital Health Agency from 17 February 2020.
Ms McMahon previously held the role of Chief Operating Officer at the Agency where she was responsible for leading industry, government and jurisdictional engagement for the Agency, driving adoption and delivering digital health programs.
Ms McMahon has worked with the Agency and its predecessor the National E-Health Transition Authority (NEHTA) for the past 10 years. She recently announced her resignation from the Agency after 10 years of service.
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New My Health Record medication list to reduce dosage errors

8:14pm Dec 20, 2019
New way to combat medication errors
The government agency in charge of managing the country's digital health records has launched a new way to combat medication errors.
About a quarter of a million Australians are admitted to hospital each year due to medication-related problems.
Adverse events can stem from inappropriate prescribing, incorrect dosing and interactions with complementary medicines.
The shared medicines list should reduce errors created with mixing drugs and dosages.
To counter the preventable harms, a new comprehensive document has been developed for pharmacists to upload onto My Health Record.
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Media release : Another milestone reached - Webstercare becomes the first organisation to start using the Pharmacist Shared Medicines List

20 December 2019: The Australian Digital Health Agency, together with Webstercare – the creator of the Webster-pak® – has today launched a new clinical document within My Health Record to reduce medication-related problems in Australia, and specifically those experienced by Australia’s older population.
The Pharmacist Shared Medicines List (PSML) is a consolidated list of medicines prepared by a pharmacist and uploaded to a patient’s My Health Record. The PSML will compile both prescription and non-prescription medicines, including over-the-counter and complementary medicines, such as vitamins and herbal remedies.
The overview the PSML will provide for healthcare providers will enable them to make more informed prescribing and treatment decisions and assist in reducing medication mishaps.
Particularly relevant at times of transitions of care, the PSML is a comprehensive list of medicines at a specific point in time, such as on discharge from a hospital when a patient’s care is being transferred to another health care provider – a common occurrence in Australia’s elderly population.
Associate Professor Chris Freeman, National President of the Pharmaceutical Society of Australia says the Pharmacist Shared Medicines List represents a significant professional contribution of pharmacists to My Health Record.
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Digital rehab proves promising for stroke recovery

By Matt Johnston on Dec 16, 2019 6:59AM

Prince of Wales Hospital trials touchscreen therapy.

Sydney’s Prince of Wales Hospital has begun trialling touchscreen rehabilitation devices to deliver therapeutic games for patients with acquired brain injuries like strokes.
The solution, dubbed EDNA, was developed by researchers at RMIT University and the Australian Catholic University to improve early access to rehabilitation following a stroke and ongoing at-home care.
EDNA was initially designed for use with tabletop-sized touchscreen device, coupled with graspable tools of different shapes for therapeutic games that promote brain plasticity to help patients regain motor, cognitive and functional ability.
Game data is then collected in the cloud, meaning patients can use the device when they return home and therapists can remotely monitor their recovery.
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Could Twitter prevent deaths from thunderstorm asthma?

Antony is a medical reporter with a special interest in technology and pharmacy.
16th December 2019
The 2016 thunderstorm asthma event in Melbourne was linked with 10 deaths — the most linked to a single thunderstorm asthma event anywhere in the world.
So, it’s no surprise researchers are trying to prevent a repeat.
Given mankind’s powerlessness in the face of such natural phenomena, the focus has been on predicting perilous conditions rather than preventing them, with the aim to warn people with asthma to stay indoors on high-risk days.
To do this, CSIRO researchers turned to Twitter.
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Govt resuscitates Medicare legacy payments system with another $37m

By Justin Hendry on Dec 16, 2019 1:15PM

MYEFO: And prepares to restart apprenticeship IT system overhaul.

The federal government will spend almost $37 million continuing to shore up the country’s legacy Medicare payments system after dumping plans for a new bespoke platform last year.
Services Australia will use the new funding for “essential” maintenance of the 30-year-old system, the government said in its 2019-20 mid-year economic and fiscal outlook (MYEFO) today.
The funding, which includes $12.8 million in capital over the next two years, will also be used to ensure that the IT platform continues to be owned and operated by the government.
The ageing mainframe platform, officially known as the health and aged care payments system, is used to deliver $50 billion in Medicare, Pharmaceutical Benefits Scheme, veterans and aged care payments every year.
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$7.5 million for artificial intelligence research has potential to transform health care

A media release from Senator the Hon. Anne Ruston MP, Acting Minister for Health, about $7.5 million for research into the use of artificial intelligence in health care.
Date published:  16 December 2019
The Morrison Government is investing $7.5 million for research into the use of artificial intelligence in health care.
Artificial intelligence (AI) will be critical in transforming the future of health care through improved preventive, diagnostic and treatment approaches.
Research into the use of AI is likely to provide significant benefits, including improved clinical decision making, new approaches in healthcare delivery and helping patients to better manage their own health.
We are providing these grants to researchers through the Medical Research Future Fund so they can help us fully understand the potential benefits of AI in health care.
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AU$7.5m stumped up by Australian government for research into healthcare AI

The funding will dispersed via grants through the federal government's Medical Research Future Fund.
By Asha Barbaschow | December 16, 2019 -- 05:04 GMT (16:04 AEDT) | Topic: Innovation
The federal government on Monday announced it will invest AU$7.5 million for research into the use of artificial intelligence (AI) in healthcare.
"Artificial intelligence will be critical in transforming the future of healthcare through improved preventive, diagnostic, and treatment approaches," a statement from acting Minister for Health Anne Ruston said.
The new funding will be dispensed via grants to researchers through the Medical Research Future Fund. The government hopes the cash will be used to fully understand the potential benefits of AI in healthcare.
"AI for better health, aged care, and disability services was recently identified as one of the top three areas where Australia is well positioned to transform existing industries and build new ones, including opportunities to export solutions worldwide," Ruston's statement continued.
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$7.5 million for artificial intelligence research has potential to transform health care

A media release from Senator the Hon. Anne Ruston MP, Acting Minister for Health, about $7.5 million for research into the use of artificial intelligence in health care.
16 December 2019
The Morrison Government is investing $7.5 million for research into the use of artificial intelligence in health care.
Artificial intelligence (AI) will be critical in transforming the future of health care through improved preventive, diagnostic and treatment approaches.
Research into the use of AI is likely to provide significant benefits, including improved clinical decision making, new approaches in healthcare delivery and helping patients to better manage their own health.
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Medicare card details of former Australian Federal Police commissioners available on dark web

16 December, 2019
The Medicare card details of three former Australian Federal Police (AFP) commissioners were advertised for sale on a dark web marketplace, a revelation likely to raise significant concerns about the integrity of Medicare card information.

Key points:

  • Medicare details of three former AFP commissioners were advertised for sale on the dark web
  • Medicare credentials can be used in identification fraud
  • The introduction of the My Health Record has increased concerns about the privacy of health details
7.30 can reveal that former commissioners Andrew Colvin, Mick Keelty and Tony Negus potentially had their personal details sold on a dark web site.
The availability of Mr Colvin's data appears to have occurred while he was still commissioner.
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Sydney hospital celebrates 200+ robotic surgeries

Friday, 13 December, 2019
Prince of Wales Private Hospital is celebrating more than 200 robotic procedures that have been performed since the launch of its multidisciplinary robotics program in October 2018.
Prince of Wales Private Hospital General Manager Robert Cusack said the program has been more successful than anticipated.
“We were told that 100 robotic cases in our first year would be a good outcome,” he said. “So, to have surpassed the 200 mark is really above and beyond our best-case expectations.”
The Randwick-based hospital has performed robot-assisted cases across general, urology, cardiothoracic, colorectal and gynaecology surgical specialties since the arrival of the da Vinci Xi Surgical System by Device Technologies.
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GPs to get new MBS items for patient enrolment

The government's reform will fund GPs directly, not through practices
18th December 2019
GPs will be offered new MBS items to enrol older patients with chronic conditions with their practice.
The $450 million Federal Government reform is being sold as a way of funding the extensive work already being done by GPs outside face-to-face consultations.
It is also being suggested the new item will fund GPs to provide telehealth and co-ordinated care for frequent-flyer patients.
Beyond the fact that it will be restricted to patients aged 70 and over, or Indigenous patients aged 50 and over, finer details have, until this week, been scarce.
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Services Australia's 988 privacy incidents mostly from 'human error'

Of the 988 'substantiated' privacy incidents experienced in 2017-18, Services Australia said there were some instances of documents containing personal information being released incorrectly.
By Asha Barbaschow | December 19, 2019 -- 01:26 GMT (12:26 AEDT) | Topic: Security
Newly formed Services Australia has offered further information on the 988 privacy incidents that then-Department of Human Services (DHS) suffered in 2017-18.
Initially revealed in the department's 2018-19 Annual Report, further information was made available in response to questions on notice from Senate Estimates in October.
Of the 988 "substantiated" privacy incidents experienced in 2017-18, Services Australia said there were some instances of documents containing personal information being released incorrectly.
"Where possible, Services Australia undertook steps to recover such documents upon identification of the incident," it wrote.
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Thursday, 19 December 2019 11:17

Encryption law: 40% of firms say they have lost sales after passage

Two-fifths of the respondents to a survey about the encryption law passed by the Coalition Government last year say they have lost sales or other commercial opportunities as a result of the law being in place.
The survey, carried out by the public policy and business innovation website InnovationAus in collaboration with the telecommunications lobby group Communications Alliance, the IT industry lobby group ITPA and StartupAUS, also found that 61% of the respondents had been advised of concerns around the bill by either domestic or international customers.
Conducted from 5 December to 12 December, the survey received input from a total of 70 respondents. Among these 42% were either founders, chief executives or managing directors, 10% developers and 5% legal staff. Nearly 70% of the companies covered were technology firms headquartered in Australia, while 10% were multinational technology firms.
Among the industries covered were software and software-as-a-service (33%), communications (14%) and cyber security (14%).
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Australia's digital identity bill tops $200m

By Justin Hendry on Dec 19, 2019 6:59AM

DTA reveals Govpass cost since 2015 Turnbull directive.

Australia’s Govpass digital identity project has cost the federal government more than $200 million since the Digital Transformation Agency was tasked with the work almost five years ago.
The agency revealed the price tag in answers to questions on notice from recent budget estimates, with total approved investment now sitting at $204.3 million since 2015.
This includes the recent $5.9 million funding injection in the mid-year economic and fiscal outlook, released on Monday, for the DTA to continue the project until at least July 2020.
“The total approved investment in digital identity from its commencement in financial year 2015-16 to the end of financial year 2019-20 is $204.3 million,” the agency said.
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Monday, 16 December 2019 03:02

Quarterly rise in zero day malware detections

There has been a major rise in zero day malware detections, increasing use of Microsoft Office exploits and legitimate penetration testing tools in the third quarter of 2019, according to a new Internet security report.
And significant increases in both malware and network attacks, multiple Apache Struts vulnerabilities – including one used in the devastating Equifax data breach – appeared for the first time on list of the most popular network attacks in Q3 2019, according to the report from security vendor WatchGuard Technologies.
“Our latest threat intelligence showcases the variability and sophistication of cyber criminals’ growing playbook. Not only are they leveraging notorious attacks, but they’re launching evasive malware campaigns and hijacking products, tools and domains we use every day,” said Corey Nachreiner, chief technology officer at WatchGuard Technologies.
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No clarity on how many owed back robo-debt

Australia's welfare department can't confirm how many people may be owed back money from incorrect robo-debt notices.
The department, now known as Services Australia, also doesn't know how much money it may need to repay.
More than 734,000 people have been overpaid welfare, according to income compliance reviews.
Ros Baxter from Services Australia said "a proportion" of these people would have been ensnared by the flawed income averaging technique of the robo-debt scheme.
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MYEFO: Government funds work on Medicare payments, ATO resilience

Funds also allocated to hosting strategy

The government’s Mid-Year Economic and Fiscal Outlook (MYEFO) reveals that an additional $36.3 million (including $12.8 million in capital funding) is being put towards maintaining the Medicare payments system.
The funds, allocated to Services Australia, will “ensure that the Government continues to own and operate the ICT systems that deliver Medicare, the Pharmaceutical Benefits Scheme, Aged Care and related payments into the future,” the MYEFO states.
The 2018-19 federal budget included $106.8 million over four years to modernise the health and aged care payment systems.
“This measure includes funding for replacing and decommissioning ageing ICT systems, upgrading cyber security, and introducing user experience improvements for consumers and providers of health and aged care services,” budget documents stated.
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ACCC delays banking data access reforms

The competition regulator has delayed the start of key open banking reforms, which allow customers to have control of their data, by five months to July 2020.
The Australian Competition and Consumer Commission said it has postponed the start date from February, citing in a statement “new additional implementation work and testing” of systems related to the Consumer Data Right (CDR).
Consumers will be able to direct major banks to share their credit and debit card, deposit account and transaction account data with approved providers from July rather than February. Consumers’ mortgage and personal loan data will be able to be shared after November.
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Monday, 16 December 2019 23:26

Australia well placed to carve out ‘important niche’ in global machine learning field

Australia has an opportunity to carve an important niche in the global machine learning field, according to a report into the sector’s patent filings launched by the Minister for Science, Karen Andrews on the Gold Coast on Monday.
The report, prepared by the Australian Computer Society, the professional association for Australia's technology sector, and IP Australia, examined global trends in the patenting of machine learning and AI-related technologies.
The report found Chinese organisations dominate the world’s machine learning IP filings with 25,319 patents, with the US second - while Australia ranks 17th with 59 applications.
Of the top five Australian applicants, the top patent filer is the CSIRO, with five patent families. In second place is HRO Holdings with three patent families - and in shared third place are four entities: Atlassian, CRC Care, NewSouth Innovations and the University of Technology Sydney, with each having two patent families.
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2019 CEO Survey: Stephen Rue, NBN Co

Every year The Australian’s John Durie asks some of the biggest names in Australian business five key questions about what’s coming in the year ahead.
How is your company affected by low-interest rates and what is needed to boost the economy?
We know that discretionary spending remains constrained due to a multitude of factors. Telecommunications and broadband are considered essential services, and we see a clear correlation between the delivery of secure, reliable, high-speed broadband and the proliferation and acceleration of the digital economy. Our purpose is to lift the digital capability of Australia and, in addition to completing construction of the volume rollout by June 2020, we’re introducing significant discounts and additional data capacity inclusions across most of our wholesale discount bundles to make it more affordable for residential and business customers to upgrade to higher-speed services.
What is the impact of government regulations on your company, including those applying to the financial sector?
The telecommunications sector is regulated by the ACCC and the ACMA. NBN maintains a constructive dialogue with both regulators across a wide range of issues. As a general principle, we believe that commercially negotiated outcomes between NBN Co and retail service providers are the most effective way to improve standards and customer experience.
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Thursday, 19 December 2019 10:50

Australians set for a 'digital summer' with home data consumption to spike says NBN Co

The number of internet-connected devices is expected to grow in Australia from 186 million to 212 million in 2020, with growth in the number of devices predicted to increase by 14% in 2020 and home data consumption set to spike by 70% on Boxing Day, according to a report from NBN Co, the operators of the National Broadband Network.
The report also reveals that home entertainment is set make its mark during the holiday season, with one in five Aussies anticipating smart speakers to “take the pride of place in their homes”.
Other sought-after connected items this Christmas are wearables and smart appliances with smart appliances expected to make up 41% of all appliance sale revenue by 2023.
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NBN scams on the rise

Australians are being warned to remain vigilant when it comes to NBN impersonators, named by far the most reported scam for 2019.
The Australian Media and Communications Authority (ACMA) on Thursday revealed the top five phone scams most reported to the agency, with NBN impersonators followed by scammers pretending to offer technical support for your computer, which they often claim has a virus.
Other scams include a text message which appears to come from Australia Post, claiming there is problem with delivery of a package.
The SMS includes a link to a fake Australia Post website that will ask for your personal and financial details.
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Thursday, 19 December 2019 13:25

NBN impersonations top the list of most reported scams in 2019: ACMA

NBN impersonations have been revealed as by far the most reported scam for 2019, according to the Australian Communications and Media Authority (ACMA).
And after the NBN impersonations, the next most reported scams were by scammers pretending to offer technical support for your computer, which they often claim has a virus.
Together, the top five scams accounted for 87% of scam reported to the ACMA.
ACMA Authority member Fiona Cameron also warned people to be vigilant against SMS phishing scams targeting Australia Post customers.
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NBN launches satellite service for enterprise applications

ABS service can deliver committed information rates of up to 50Mbps

NBN Co has officially launched its Access Bandwidth Service (ABS). The service, designed for enterprise customers, offers wholesale committed information rates (CIR) of up to 50/13Mbps and unlimited data.
Bandwidth can be ordered in 1Mbps increments. An ‘ABS Burst’ feature allows a service to support bursting up to 10, 20 or 50Mbps when needed.
A ‘Time of Day’ feature supports two speed profiles per 24 hours, allowing a business to switch to higher download or upload speeds at regular periods of peak demand.
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Tuesday, 17 December 2019 16:59

More to be done to recognise impact of ‘unreliable telco services” on consumers, says ACCAN

ACCAN, the consumer group representing telecommunications consumers, says more needs to be done to recognise the impact of unreliable telco services on consumers.
Commenting on the Federal Government’s announcement on Tuesday of the second stage of a review of telecoms consumer safeguards, the Australian Consumer Communications Action Network (ACCAN) said more needs to be done to recognise the impact of ‘unreliable telco services” on consumers,
ACCAN said the telco reliability framework remains a work in progress.
ACCAN Director of Policy, Una Lawrence said “having a clear framework that makes it easy to understand when consumers can expect issues with their phone or internet service to be fixed is an important first step”.
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Tuesday, 17 December 2019 13:32

Government review to ‘overhaul’ protections for telecoms consumers

The Federal Government is overhauling consumer protections to "better reflect the way that modern telecommunication services" are delivered in Australia.
The Government's announcement follows the release on Tuesday of The Consumer Safeguards Review Part B report which contains 14 recommendations to implement a framework to support "the reliability of modern communication services".
The Part B report is the second stage of the Government’s three-part Consumer Safeguards Review which is designed to prepare the telecommunications industry for a post-2020 operating environment when the National Broadband Network (NBN) is fully rolled out.
Minister for Communications, Cyber Safety and the Arts Paul Fletcher said the existing consumer safeguards were designed for voice services delivered over the copper telephone network.
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NBN Co to trial 750/50Mbps as 'near gigabit' HFC tier

By Ry Crozier on Dec 19, 2019 1:00PM

First outcome from closed-door gigabit consultation.

NBN Co is set to trial what is effectively a 750/50Mbps tier as a near gigabit plan for the hybrid-fibre coaxial (HFC) portion of its network.
The network builder released technical documentation [pdf] on Wednesday night pointing to progression in its thinking around the issue of providing gigabit speeds over HFC.
The company wants to launch more affordable gigabit services, but acknowledged in a recent closed-door consultation that HFC users might struggle to actually maintain gigabit speeds.
“To help protect the shared end user experience and manage capacity, what is an acceptable ‘typical’ or ‘prevalent’ maximum information rate on the layer 2 wholesale service for [up to 1Gbps] on HFC to drop to (accepting it will always burst to 1000Mbps at some point during a day), and why?” NBN Co asked its retail service providers (RSPs).
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NBN Co faces "aggregate" reliability standards

By Ry Crozier on Dec 17, 2019 12:43PM

Unclear what they should be.

NBN Co’s connection and repair timeframes and keeping of appointments “need to improve beyond what is being currently offered”, a report released by the government says.
That will mean subjecting NBN Co to “wholesale connection, repair, and appointment keeping timeframes and establishing overall penalties where aggregate benchmarks are not achieved,” the Department of Communications-prepared report states.
However, the nature of those proposed timeframes is unclear. 
While the department floated some proposals a year ago - including connections and repairs to be performed in a handful of days, and customers notified in advance if appointments are to be missed - these are not repeated in the final report released today.
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Monday, 16 December 2019 10:14

Govt announces $9m to quell health fears over telco networks  

The Federal Government has announced a sum of $9 million to build public confidence in the safety of telecommunications networks, presumably in reaction to the large number of submissions to a 5G inquiry that expressed fears about the alleged health hazards of 5G networks.
A total of 354 submissions was received by the House of Representatives standing committee before submissions closed on 1 November and only a handful went beyond listing what the writers claimed to be the harmful health effects of 5G.
The inquiry held its first hearing in Southport, Queensland, on 19 November. A second was held in Canberra on 6 December.
In a statement issued on Monday, the government said the money was meant "to address misinformation about electromagnetic energy emissions which has caused concern in some parts of the community".
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Feds prescribe $9m cash injection to counter 5G phobias

By Julian Bajkowski on Dec 16, 2019 11:43AM

Bid to counter spread of "misinformation".

The federal government has gone on the offensive against a growing anti-5G movement in some communities, freeing-up a cash splash of $9 million over four years to get back on the community relations front foot with “additional scientific research and further public education”.
The move, announced on Monday, comes amid broader government and industry concern that US-style conspiracy theories – which cover topics ranging from public health immunisation, water fluoridation and the electromagnetic radiation – are quickly taking root in some communities.
The proliferation of community based opposition to the rollout of 5G, which is just starting to occur across Australia, is potentially a major headache for the government and telecommunications industry because of its potential disrupt infrastructure renewal and substantially increase costs.
While most anti-5G groups initially muster and organise their actions online, the political trench warfare typically starts at the local government level in the form concerned resident opposition to the construction and placement of new infrastructure.
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$9 million safety campaign for 5G rollout

Misinformation about the 5G network will be the target a $9 million safety awareness campaign.
Finbar O'Mallon
Australian Associated Press December 16, 2019 9:02am
Health scares and lies about the incoming 5G mobile network will be targeted by a new awareness campaign.
Public money will also go towards researching the electromagnetic energy emitted by the technology.
Telcos have been calling on the federal government to counter misinformation about the 5G rollout.
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NBN Co offers holdouts half-price internet for a year

By Ry Crozier on Dec 18, 2019 1:45PM

New 'first timers discount' revealed.

NBN Co is hoping to drive take-up in the fixed line footprint with a “first timers discount” that gives half-price internet for a year to new users that have so far rebuffed offers to join.
The discount will be available for the first six months of 2020, and could be important to NBN Co presenting a strong set of take-up numbers when it nominally completes the build (save 100,000-odd hard to reach premises).
It could also help NBN Co reach a segment of the market that received NBN infrastructure and - for whatever reason - did nothing more with it.
NBN Co said that it would provide a discount for the first service provided to a customer “for the first 12 billing periods” once a connection is live.
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Enjoy!
David.

The Consumer Health Forum (CHF) Finds The #myHealthRecord Way Below What Might Be Hoped For.


A kind commenter pointed this out.

What Australia’s Health Panel said about My Health Record- July 2019

For the July 2019 Australia’s Health Panel survey, we asked the Panel what their experiences and perceptions were of My Health Record as we reflected on the first 6 months of operation following the opt-out period.
143 panellists participated to share their experiences with My Health Record. Women made up the majority of participating panellists (64%, n=85), while participants also skewed older than the general population (see Table 1).

Table 1- Age breakdown of participants in AHP July 2019 survey
Table 1- Age breakdown of participants in AHP July 2019 survey
Only 38% of participants (n=52) reported using My Health Record while even fewer (23%, n=30) reported that a health professional has used My Health Record while treating them. This suggests that while the ‘opt out’ rate for My Health Record was low and gave a seemingly high ‘participation rate’ of 90.1%; actual engagement with and use of the My Health Record platform was extremely low.
Of those who had used My Health Record, a minority reported that it was a positive experience (20%) or neither positive nor negative (22%). A majority of 57% reported that it was an outright negative experience using My Health Record, strongly indicating that more needs to be done to improve My Health Record experience for consumers.

Table 2- Responses to question "How would you describe your experience with My Health Record?"
Table 2- Responses to question "How would you describe your experience with My Health Record?"
Respondents were split about how valuable My Health Record is or could be to their healthcare. While the largest individual group saw no value at all (36%, n=46), overall almost half of respondents (49%, n=63) reported that they thought My Health Record had or could have some level of value. The remaining 14% were unsure as to if My Health Record is or could be valuable to their healthcare.

Table 3- Responses to question "How valuable do you think My Health Record is or could be to your healthcare?"
Table 3-- Responses to question "How valuable do you think My Health Record is or could be to your healthcare?"

Overall, while currently experiences using My Health Record are not good for consumers, this suggests that consumers could accept that it can be valuable to them and provides some social license for Government to invest resources in improving the current My Health Record service to overcome the problems that consumers have encountered.When asked where they wanted to receive information about My Health Record or get help with My Health Record, participants were evenly split with 43% (n=52) wanting to receive it from within My Health Record itself while another 43% (n=52) wanted to receive it from other Government websites. Only a minority (14%, n=17) wanted to receive it from other places such as printed materials, suggesting that online assistance and information is what should be developed going forward.
Finally, participants were able to provide details as to their personal experiences using My Health Record via a free text box at the end of the survey. From these free text answers, four common themes emerged as areas that needed to be improved:
  1. Consumers find it difficult to navigate the My Health Record platform, find out information to use My Health Record or access support resources. Additionally, they do not know who or where to ask for help.
  2. Consumers find it hard to get information added, removed or correct in My Health Record. Many consumers found that they needed to make changes to information in My Health Record multiple times, often to insert information that was unexpectedly missing, and these corrections were often very slow to occur.
  3. Consumers found that their GPS and other health professionals were simply not using My Health Record. Health professionals were telling consumers that they (the health professional) believed that My Health Record was useless and they did not want to use it. In addition, consumers were told that the only way to add information to My Health Record was if the consumer manually scanned and uploaded the information themselves. 
  4. The My Health Record website was poorly designed and not very accessible. For example it did not cater well to people who were blind or had poor vision.
In conclusion, while current My Health Record experiences are not positive for consumers, many consumers do accept that the platform can be valuable to them and their healthcare. This provides some social license for Government to invest resources into improving the current My Health Record service to overcome the problems that consumers have encountered in the first six months post-opt out.
The Consumers Health Forum of Australia would like to thank all panellists for kindly giving their time to participate in this survey. Any questions about this survey and its findings can be directed to info@chf.org.au.
Note- as each question in the survey was optional the number of responses for each question varied across the survey. This is why the ‘n’ for each set of answers may not add up to the same total number of responses for each question.

Here is the link:

https://chf.org.au/node/1635

Even a Consumers Health Forum panel is grossly underwhelmed! Another nail in the coffin I reckon.

What do others think?

David.



 

Tom Bowden Offers A Way Forward For Digital Health Now We Know Just How Badly The #myHealthRecord Has Failed.

Here is his paper - comments are mandatory!

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Changing the Direction of Electronic Health Record Sharing

By Tom Bowden

I have spent much of the past five years studying shared electronic health records in pursuit of  a PhD at Macquarie University, while under the supervision of Professor Enrico Coiera.  Since retiring as Managing Director of HealthLink a year ago I have been working on this full-time. Why? Because I have realised for many years that sharing of patient records is a complex issue that will one day need to be solved properly.  The views below are my own, not those of Macquarie University nor any of its staff.

My view of  My Health Record (MHR) is summed up by a quotation attributed to Henry Mencken  “For every complex problem there is an answer that is clear, simple, and wrong”

I believe that the problem really started with Tony Blair’s infamous statement  “If I live in Bradford and fall ill in Birmingham, I want the NHS to be able to treat me," Blair’s statement marked the introduction of The NPfIT (the National Programme for Health Information Technology), an ambitious programme launched in 2002 with an initial budget of some £6.2 billion. The core aim of the NPfIT was the introduction of a Pan-UK integrated electronic patient record system. It ended up costing at least twice the budgeted amount and was quietly mothballed in 2011.  It was a disaster. It misjudged society’s interest in sharing personal data and it grvely underestimated the level of complexity required to do so.

Before NPfIT’s closure, Australia and a number of other countries announced “Where Britain goes we go” and electronic health records mayhem unfolded.  To Australia’s credit (I suppose) she has tried really hard and exhausted every possible means to develop a ‘nation-scale’ EHR.  Alas or fortunately, depending upon your point of view, the options are now exhausted and continued dogged pursuit without careful re-evaluation at this point would constitute a major strategic error.

And so the question remains; what do we do now?, withdraw the system?, let market forces prevail?, call an end to the Cathedral model and replace it with a bazaar? Or is there a third way to tackle this?  I contend there is a middle-out/third way available to us.

The first step toward correcting this muddle, is I believe, already being taken, with the voluntary enrolment of older sicker patients in a federally funded patient enrolment programme. In my view, each enrolled patients should be strongly encouraged to opt to have their GP records opened up for full access by approved parties, (approved by the patient of course) allowing all of those parties treating the patient to have a complete and up-to-date understanding of the patient’s exact situation.  The shared (GP-held) record  should be linked to e-prescribing and care plans, with the GP record the hub of all of the patient’s key health data, with external systems drawing on this data data hub to populate their more specialised systems and then feeding summary data back into the hub. 

Following is a quote from the foreword of ‘Models of Patient Enrolment’
produced by the Australian Primary Health Care Research & Information Service in May 2009


For people and communities, formal links with an identifiable source of care enhance the likelihood that long-term relationships will develop; that services are encouraged to pay more attention to the defining features of primary care; and that lines of communication are more intelligible. At the same time, coordination linkages can be formalized with other levels of care – specialists, hospitals or other technical services – and with social services.

With respect to coordination and continuity of care, a system in which patients are registered with a GP appears favourable in that it offers a greater likelihood that medical information will be stored in one place, than do systems without patient lists. A patient list system is not sufficient [for coordination and continuity], however. Individual GPs need to keep comprehensive medical records and maintain good working relations with other health professionals in primary and secondary care.

In Australia, the relationships between service providers and between providers and patients are affected by the absence of registration of patients with general practices. Although most patients get their chronic disease care from a single practice, the lack of a formal relationship leaves GPs uncertain about the extent of their responsibility for ongoing care and care coordination, particularly in the area of psychosocial care.”

While the initial plan to enrol patients is only for those over 70, this could readily be expanded to include other groups of high needs patients, including those pregnant, those on invalids benefits and in a range of other high-needs categories.

The vast majority of patients however, in my view, have no need for such a system (although it should be readily available to them when they do need it).  What those patients need is to begin managing their own healthcare journey using a patient portal or patient app. 

Patient Portal/Patient App technology is flying along in other countries where large numbers of people are using a patient portal or patient app to manage their own healthcare. Uses include; viewing their pathology results once their GP has seen them, viewing those results in context (historically and in relation to other tests), requesting repeat prescriptions, making appointments, asking questions, receiving recalls and reminders, telehealth and it can be used to manage a patient’s own health as well as the health of children or elderly parents.

Patient portal technology is also well suited to forming an innovative and competitve market of new and existing suppliers, able to grow very quickly.  In New Zealand approximately 50% of general practices already offer their patients  access to their patient record data via a patient portal and the remainder of practices are under pressure to do so. Some practices have more than 50% of their patients connected to them via their patient portal.  Further afield, Veterans Affairs (USA) introduced patient portal access in 2003 and has just announced that five million patients are now connected. 

Isn’t this the sort of technology we want?  Applications that people will want to adopt, because they are useful and very easy to use.

In order to support full shared records both for enrolled patients and patient portals/patient apps for the rest, rigorous standardisation and independent validation of all standards will be key to success.     At the top of the list also would a robust privacy framework – I would advocate using the Caldicott privacy protocols and framework which has been highly successful in the UK- (post NpfIT).


This is an outline of what I would propose we do.  I am happy to discuss and debate it further in any forum.


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Thanks Tom.

David.

Sunday, December 22, 2019

It Seems The Mainstream Media Has Noticed The #myHealthRecord Is A Flop!

This appeared this morning – from the SMH and The Age among others.

Australians shun My Health Record with only 9 per cent ever logging in

By Dana McCauley
December 21, 2019 — 9.00pm
Patients, medical specialists and pathologists are shunning the federal government's $1.7 billion My Health Record system with only a small minority accessing the digital health records almost a year into its rollout.
Less than one in 10 Australians with a My Health Record have ever logged in to access their digital health record, federal health bureaucrats revealed in data supplied last week in response to questions taken on notice at a Senate estimates hearing.
Most Australians are not using their My Health Records.
Only 4 per cent of Australians with a My Health Record, most of them enrolled automatically when the opt-out system began on January 31, have accessed their digital health record more than once, while just 8 per cent of specialist practices are connected to the system.
Of the 23 million people with a My Health Record, the data shows 91 per cent – 21.13 million people – have never accessed their record.
Melbourne hand surgeon Jillian Tomlinson said even those connected were not reaping benefits due to incompatibilities between the practice software used by medical specialists and the My Health Record system.
"Most public hospitals still don't have connectivity," Dr Tomlinson said.
"I can connect to it, but it's not something I'm usually able to rely on to find useful information ... Not many radiology or pathology results are uploaded."
The official data showed only 41 per cent of pathology and diagnostic imaging services were connected to My Health Record on October 27. Nearly 90 per cent of GPs were connected, as were 90 per cent of pharmacies, 94 per cent of public hospitals and 33 per cent of private hospitals.
Lots more here:
The killer paragraph to me is this:
“Only 4 per cent of Australians with a My Health Record, most of them enrolled automatically when the opt-out system began on January 31, have accessed their digital health record more than once, while just 8 per cent of specialist practices are connected to the system.”
Just when is the ADHA and the Government going to accept the #myHealthRecord is an expensive, unwanted and failed programme and stop it?
There is no doubt the funds would be better spent improving connectivity and interoperability and supporting the private sector to provide what clinicians and patients actually need and want!
Do you reckon with all the recent leadership changes there is any chance of common sense prevailing?
David.

AusHealthIT Poll Number 506 – Results – 22nd December, 2019.

Here are the results of the poll.

Do You Believe The Commonwealth Government Will Continue To Invest Large Amounts Of Funds ($100M+p.a.) In The #myHealthRecord Going Forward?

Yes 69% (59)

No 21% (18)

I Have No Idea 9% (8)

Total votes: 85

Well that was pretty clear. Most believe the Government is just going to press on with spending. See follow-up question on whether they should!

Any insights on the poll welcome as a comment, as usual, especially when result is split.

A very reasonable turn out of votes.

It must have been a relatively hard question as 8/85 readers were not sure how to respond.

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

David.