Quote Of The Year

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

or

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

Thursday, January 23, 2020

Clinicians Seem To Be Spending An Amazing Amount Of Time Working With Their Electronic Health Records.

This appeared last week:
Original Research |14 January 2020

Physician Time Spent Using the Electronic Health Record During Outpatient Encounters: A Descriptive Study

J. Marc Overhage, MD, PhD; David McCallie Jr., MD

Abstract


Background:
The amount of time that providers spend using electronic health records (EHRs) to support the care delivery process is a concern for the U.S. health care system. Given the potential effect on patient care and the high costs related to this time, particularly for medical specialists whose work is largely cognitive, these findings warrant more precise documentation of the time physicians invest in these clinically focused EHR functions.
Objective:
To describe how much time ambulatory medical subspecialists and primary care physicians across several U.S. care delivery systems spend on various EHR functions.
Design:
Descriptive study.
Setting:
U.S.-based, adult, nonsurgical, ambulatory practices using the Cerner Millennium EHR.
Participants:
155 000 U.S. physicians.
Measurements:
Data were extracted from software log files in the Lights On Network (Cerner) during 2018 that totaled the time spent on each of the 13 clinically focused EHR functions. Averages per encounter by specialty were computed.
Results:
This study included data from approximately 100 million patient encounters with about 155 000 physicians from 417 health systems. Physicians spent an average of 16 minutes and 14 seconds per encounter using EHRs, with chart review (33%), documentation (24%), and ordering (17%) functions accounting for most of the time. The distribution of time spent by providers using EHRs varies greatly within specialty. The proportion of time spent on various clinically focused functions was similar across specialties.
Limitations:
Variation by health system could not be examined, and all providers used the same software.
Conclusion:
The time spent using EHRs to support care delivery constitutes a large portion of the physicians' day, and wide variation suggests opportunities to optimize systems and processes.
Primary Funding Source:
None.
Here is the link:
This is a US study so presumably the non-clinical time is coding / billing related – about 25% of the total time.
Even if we in Australia spend ½ the time it is a huge amount of effort and time – with it being say 30% of a 20 minute consultation. If not compensated it will lead to a more than significant loss / foregoing of income!
That much screen time must also add to physician burnout to some degree. No one in either country can be pleased with that much unpaid overtime!
A useful abstract to be aware of..
David.

Wednesday, January 22, 2020

Mental Health Apps May Need A Better Evidence Base Than Is Currently Available.

This appeared last week:

Don’t judge a mental health app by RCT alone

Authored by  Samineh Sanatkar Samuel Harvey
THE randomised controlled trial (RCT) model is a vital tool in clinical practice and helps establish, with reasonable precision, the usefulness of novel drugs and therapeutic techniques. As is implied in the name, RCT models are characterised by employing randomisation techniques and the presence of a control group. Successful randomisation to experimental and control groups ensures that all participant characteristics are equally distributed across the experimental conditions. With that, any confounding factors, both known and unknown, should not unduly influence the outcomes in one group more than in the other. The experimenter can be reasonably certain that any changes in the outcome variable can be linked back to the variable of interest (ie, the treatment method or drug administered). The control group is equally important – only with a control is it possible to establish how big a treatment effect is compared with other options such as treatment as usual or some other treatment option.
While RCTs need to remain the gold standard when deciding if a new treatment or intervention works, a positive RCT result alone does not guarantee that a new program will have a meaningful impact. The limitations of traditional RCTs are particularly stark when evaluating new technologies.
Over the past decade, there has been an exponential increase in the number of digital mental health programs (ie, mental health websites and mobile applications) that have been developed and tested. Many of these new online or app-based interventions have been shown in RCTs to be effective (here, here, and here), leading to the suggestion that digital interventions may be an important part of the solution for persistently high rates of mental health symptoms in most countries. However, very little of this evidence has flowed through into the applications and programs being used in the real world. A recent investigation published in Nature estimated that only 2% of the popular depression smartphone apps had a reasonable evidence base.

Given these concerns, a key question that needs to be addressed is what additional insights are needed, beyond the traditional RCT analysis, in understanding the potential role for evidence-based digital mental health solutions. In answering this, a first step is to examine more closely what occurs within RCTs.
Engagement with a digital mental health tool is frequently defined as adherence to a predefined protocol. Thus, likely real-world uptake and usage often remains unknown and untested before rolling out the digital mental health tool as a public health resource. Differences between these contexts may arise because, for example, individuals who sign up to a digital mental health research project are more motivated to engage with such a program and often receive regular prompts from the research team to take up and continue program usage. These factors in turn can lead to an overestimation of program use – and thus effectiveness – in naturalistic settings.
Lots more discussion here:
This is interesting and useful in deepening our understanding on just where we are with our deployment and use of mental health apps.
It seems clear well designed apps have a place – especially as the rising incidence of all sorts of mental illness and distress is rising remorselessly and the availability of clinicians to deliver care is pretty constrained leading to the need for ‘self help’ (via usage of an app) in many cases.
The traditional RCT compares a treatment – the usage of an app in this case – against either no treatment or the best non app intervention that is available for matched patients. Clearly, as the authors point out, this sort of trial is a good first step, but for overall confidence that success is achieved post trial follow up is clearly needed as is collection of all the relevant aspects of the care delivered in terms of app usage, frequency and so on.
As time goes on we would also hope to see comparisons of different apps to identify what features are best within an app and so on!
For sure, this is the start of a journey which will lead to better outcomes over time! It should be an interesting and important ride.
David.

Breaking News - The Secretary Of The Department Of Health To Retire.

Ms Gladys Beauchamp PSM leaves on 28 February.

More senior changes in and around the #myHealthRecord!

Additionally Crikey is reporting she was on the Board of the Sports Commission of Sport Rorts fame.

Good time to go?

The following has just appeared on Twitter (9:20am)

"The Prime Minister will be recommending to the Governor-General, that he appoint Chief Medical Officer Professor Brendan Murphy as Secretary of the Department of Health, with effect from 29 February 2020"

David.

Tuesday, January 21, 2020

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - January 21, 2020.

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This weekly blog is to explore the larger issues around Digital Health, data security, data privacy, AI / ML. technology and related matters.
I will also try to highlight ADHA Propaganda when I come upon it.
Just so we keep count, the latest Notes from the ADHA Board are dated 6 December, 2018! Secrecy unconstrained! This is really the behaviour of a federal public agency gone rogue – and it just goes on! When you read this it will be well over 13 months of radio silence, and better still the CEO, COO and the Chief of Staff have also gone.  I wonder will things improve now – so far seems not?
Note: Appearance here is not to suggest I see any credibility or value in what follows. I will leave it to the reader to decide what is worthwhile and what is not! The point is to let people know what is being said / published that I have come upon.
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Spies being left exposed in the digital age

By Ben Macintyre
The Times
2:34AM January 19, 2020
Concealment is the essence of espionage. Spies have long relied on being able to hide their identities and slip from one jurisdiction to another. The spy has no name and many names.
Not any more. In the digital world of interconnected surveillance, facial recognition and ubiquitous CCTV, where every computer keystroke leaves a digital fingerprint, it is becoming ever harder to hide. This is a problem for terrorists and criminals as well as spies.
The two principal branches of gathering information are signals intelligence (Sigint) – intercepting exchanges through technology – and human intelligence (Humint) – information gathered from, and by, individuals. The flood of Sigint in the modern age is a threat to Humint and is changing the very nature of espionage.
Intelligence officers have traditionally been sent abroad to operate under diplomatic cover. In 2014 hackers believed to be working for China broke into the computers of the US Office of Personnel Management. The data of 22 million former and serving civil servants, including intelligence officers, was stolen.
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‘Tech is tearing us apart’

The balance between humankind and technology has reached a tipping point, says this Silicon Valley insider – and we all stand to lose.
By Ben Hoyle
Reporting can be a scary job. I have had nervous moments with warlords, gangsters and neo-Nazis. I have been shot at and threatened. Once I had to endure, without displaying any outward sign of panic, the whole of Tonight’s the Night, the Rod Stewart musical. But if Tristan Harris is right, the presentation playing now on his phone is the most frightening thing I’ve seen in my life. It’s a road map for the erosion of civilisation as we know it.
Harris, 35, is a former Google insider who has been called “the closest thing Silicon Valley has to a conscience” and a “Silicon Valley apostate”. He believes we’re in the midst of a great social upheaval caused by technology companies that view the world’s 2.7 billion smartphone users as a resource whose attention they can mine for profit. The resulting competition has a very unfortunate side-effect: “attention capitalism” is making us nastier, stupider and much less likely to find common ground with our fellow humans.
We can try to resist, but it is not a fair fight. Whenever you open Facebook, Instagram or YouTube, you switch on what Harris calls “a voodoo doll-like version of you in a supercomputer”. It consists of nearly everything you’ve ever clicked on, liked or watched. That’s how these companies keep you ensnared: they know you better than you know yourself.
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What are your privacy rights at work?

By James Adonis
January 17, 2020 — 12.00am
It’s unlikely people have ever been more switched on about their privacy rights than at this present moment.
I still recall how frenzied it was when the Privacy Act was launched in Australia decades ago, with many of us in customer service fearful we’d contravene it accidentally.
Fast forward to today and that experience pales in comparison to how sensitive we’ve become. It’s a level of sensitivity boosted with every new data breach and every fresh media exposé.
The workplace is one location where privacy dilemmas are both delicate and complex in what is often a tug-of-war between bosses and employees.
On the side of bosses is a need for more insights on their workers. This could be relatively mild, such as whether they’re using company computers for personal use, or significantly more serious such as whether they’ve been found guilty of a crime.
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A guide to My Health Record

This guide has been developed to support healthcare providers in their discussions about the My Health Record with patients who may experience stigma and possible adverse consequences due to their living with a blood borne virus (such as HIV, HBV, HCV or co-infections) or sexual health concerns, because they use drugs or have sex work experience.
Such individuals may have concerns about using My Health Record due to the serious personal consequences which may result from unwanted disclosure of health information, including criminal prosecutions and refusal of services.
This guide should help healthcare workers to discuss the nuances of how the record may benefit patients, including how the record’s access controls can help protect sensitive information and other issues that should they should be aware of.
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Screen scraper ban touted to weed out data predators

By Julian Bajkowski on Jan 15, 2020 1:13PM

Demands for crackdown on FinTech underbelly.

Two of Australia’s most prominent consumer protection advocates have warned policymakers that a failure to ban the endemic practice of commercial screen scraping under new consumer data laws will allow predators to flourish and infest Australia’s fintech sector.
As Australia’s banks and utilities sectors brace for new account portability laws to hit this year, the Financial Rights Legal Centre and the Consumer Action Law Centre have cautioned a major clean-up of data regulations is urgently needed to stop a new generation of shonks coming along for the ride.
The call to ban screen scraping is a major headache for some banks and financial services providers hoping to continue using the technology as a fudge to get around stubborn legacy systems that are costly to modify for open banking.
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New tool aims to minimise medication errors

By Sandy Cheu on January 15, 2020 in Government, Industry, Technology  ADHA Propaganda
The Australian Digital Health Agency and aged care medication management specialists Webstercare have launched an e-health record initiative to improve the management of medications. 
The Pharmacist Shared Medicines List consolidates the prescription and non-prescription medicines, such as over-the-counter pain killers, vitamins and herbal remedies, prepared by a pharmacist.
The PSML is uploaded to a person’s My Health Record to help aged care and healthcare providers make informed prescribing and treatment decisions and assist in reducing medication errors.
Webstercare, which has worked with the ADHA for two years planning and developing the protocols and security requirements for the software, became the first to use the PSML in December.
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Why cyber security will be key issue in 2020s

Geopolitics and technological advances mean cyber deterrence is as important as the business cycle for financial, investment and economic decisions.
Stirling Larkin Columnist
Jan 15, 2020 — 12.00am
It was peculiar that so speedily after the drone assassination of Iranian Qassem Soleimani there were immediate warnings in the US, Europe, NATO members and allies, such as Australia and Canada, to expect Iranian cyber warfare counter-subterfuge.
Beyond cyber security being merely a commercial-industrial consideration, this was the first time on the international stage that it was recognised as an imminent likelihood.
Only weeks into this new era, already dubbed the “roaring 2020s”, geopolitics has conflated with technological advances and economic necessities to mean cyber deterrence is as important as the business cycle when considering financial, investment and economic decisions.
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Wilson Gavin: Online pile-on mob is medieval in its malice

This tweet is no longer available.
Go now to Twitter — yes, I know, why would anyone? — and you will find messages like that popping up pretty much everywhere after prominent Aust­ralians hurried to delete their mean tweets about Wilson Gavin, who killed himself on Monday.
Gavin, who was gay and ­conservative and just 21, threw himself in front of a train.
He is lost now — to his family, and his wide group of friends.
The train driver will never recover­. Also the passengers. And those who watched in horror.
“Don’t care. He started it.”
That’s just one of the tweets that appeared online after his death was announced.
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4 January 2020

New peak digital health body might hold key to future

Posted byJeremy Knibbs
Just prior to Christmas, Australia’s core community of digital health practitioners, in the form of the Health Information Society of Australia (HISA), voted to merge with the major emerging digital health education and training group, the Australian College of Health Informatics (ACHI), to form a new and much larger peak digital health body, to be called the Australasian Institute of Digital Health.
The merger is significant for a number of reasons. It is likely to push the influence and skillsets of the HISA group, whose origins and traditional focus was in hospital informatics, much further into the primary and allied care sector, as the realities of true healthcare system interoperability start to bite.
A key reason for the merger according to HISA CEO Dr Louise Schaper was the recognition by both groups of the need to ramp up the provision of much better pathways for the education and training of a digital health workforce in Australia.
“What’s going on in healthcare, and what our members are telling us, is there is growing momentum around the need for a digitally enabled health workforce,” Dr Schaper told The Medical Republic.
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Creator of Webster-pak becomes first organisation to start using the Pharmacist Shared Medicines List in My Health Record

13 January 2020  ADHA Propaganda
On 20 December 2019, the Australian Digital Health Agency together with Webstercare launched a new clinical document within My Health Record - the Pharmacist Shared Medicines List (PSML) in order to reduce medication-related problems in Australia.
PSML is a consolidated list of prescription and non-prescription medicines including over-the-counter and complementary medicines that is curated by a pharmacist and uploaded to a patient's My Health Record.
Click here for more information.
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What is the ‘Pharmacist Shared Medicines List’?

Sheshtyn Paola13/01/2020 ADHA Propaganda

A new clinical document has been launched within My Health Record to reduce medication-related problems in Australia

The Australian Digital Health Agency has launched a new clinical document, the Pharmacist Shared Medicines List (PSML), within My Health Record.
The PSML is a consolidated list of medicines prepared by a pharmacist and uploaded to a patient’s My Health Record.
It compiles both prescription and non-prescription medicines, including over-the-counter and complementary medicines, such as vitamins and herbal remedies.
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Myopia epidemic occurring long before handheld device 'screen time'

Professor Mackey is a professor of ophthalmology at the University of Western Australia.
13th January 2020
The number of people with myopia has increased dramatically in recent years in various regions of the world.
For example, in many cities in China more than 90% of university students are living with myopia. In pure numbers, this is one of the largest epidemics humanity has even seen, far greater than the obesity epidemic.
The myopia boom was first noted in the 1980s in the cities of East Asian countries such as Korea, Taiwan and Singapore. The cities of China followed soon afterwards, and a similar trend is being noted in Europe.

From blur to blindness

For most people, myopia is merely an inconvenience requiring correction with glasses, contact lenses or refractive surgery.
Notably, myopia is associated with an increased risk of blindness from retinal detachment, glaucoma and myopic macular degeneration. Risk of blindness increased with worsening severity of myopia and this is a major public health concern.
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Social media and online privacy

There are many online platforms or applications that involve the sharing of large amounts of personal information. You can protect your privacy by being aware of, and actively using, the privacy settings of these platforms and your devices, as well as understanding your legal rights. Our top ten general privacy tips can also help you protect your personal information.

In this section

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Don't hide hacks: cyber security boss

John Kehoe Senior Writer
Jan 13, 2020 — 12.00am
Federal government cyber security officials are trying to help business fend off an unprecedented level of digital attacks against banks, energy grids and other critical infrastructure, and imploring private firms not to cover up hacks.
Amid warnings that wars of the 21st century will be fought in cyberspace against foreign countries and criminals, the government is developing new proposed powers so security agencies can better defend critical private-sector infrastructure from cyber attacks by Chinese and other hackers.
The departing head of the Australian Cyber Security Centre, Rachel Noble, told The Australian Financial Review that the government wanted to work closely with business to protect assets crucial to the economy and community.
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Comments more than welcome!
David.

Monday, January 20, 2020

Weekly Australian Health IT Links – 20th January, 2020.

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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Another quiet week, but signs of live emerging with the response to the poll from last week.
Enjoy the odd item you may have missed!
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Windows 7 users warned to upgrade

PC users running Windows 7 have been warned to upgrade to avoid possible cyber attacks as support for the software ends.
The 10-year-old operating system will no longer receive critical updates from Tuesday onwards, meaning Microsoft will stop patching any weaknesses that appear, making machines vulnerable to hacker attacks.
According to NetMarketShare estimations for the end of 2019, Windows 7 is still one of the most popular Windows operating systems with a 32.74 per cent global share, second only to Microsoft's most recent version, Windows 10, at 47.65 per cent.
GCHQ's National Cyber Security Centre (NCSC) has told the public not to access banking, emails or other services containing sensitive information from devices on Windows 7 due to the high risk.
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Amazon Australia signals pharmacy foray with new trademark application

By Dominic Powell
January 14, 2020 — 11.45pm
The local arm of retail giant Amazon has filed a trademark for the term "Amazon Pharmacy", suggesting it could be looking to enter Australia's highly regulated pharmaceuticals market.
Submitted to trademark authority IP Australia last Thursday, the submission covers a number of goods and services classes in the pharmacy space, including various medical apparatuses, medication dispensers, online pharmacy retailing and the distribution of prescription medication.
Most notably, the trademark covers a "pharmacy packaging service that aligns, sorts and packages a patient's medications by date and time into individual packets".
This is similar to Amazon's existing pharmacy retail service in the US, which it kicked off last year through a $1.35 billion acquisition of online pharmacy startup PillPack.
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Don’t judge a mental health app by RCT alone

Authored by  Samineh Sanatkar Samuel Harvey
THE randomised controlled trial (RCT) model is a vital tool in clinical practice and helps establish, with reasonable precision, the usefulness of novel drugs and therapeutic techniques. As is implied in the name, RCT models are characterised by employing randomisation techniques and the presence of a control group. Successful randomisation to experimental and control groups ensures that all participant characteristics are equally distributed across the experimental conditions. With that, any confounding factors, both known and unknown, should not unduly influence the outcomes in one group more than in the other. The experimenter can be reasonably certain that any changes in the outcome variable can be linked back to the variable of interest (ie, the treatment method or drug administered). The control group is equally important – only with a control is it possible to establish how big a treatment effect is compared with other options such as treatment as usual or some other treatment option.
While RCTs need to remain the gold standard when deciding if a new treatment or intervention works, a positive RCT result alone does not guarantee that a new program will have a meaningful impact. The limitations of traditional RCTs are particularly stark when evaluating new technologies.
Over the past decade, there has been an exponential increase in the number of digital mental health programs (ie, mental health websites and mobile applications) that have been developed and tested. Many of these new online or app-based interventions have been shown in RCTs to be effective (here, here, and here), leading to the suggestion that digital interventions may be an important part of the solution for persistently high rates of mental health symptoms in most countries. However, very little of this evidence has flowed through into the applications and programs being used in the real world. A recent investigation published in Nature estimated that only 2% of the popular depression smartphone apps had a reasonable evidence base.
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Motion-sensing Wi-Fi routers get new powers thanks to 'wellness pods'

By Alice Clarke
January 13, 2020 — 3.19pm
As always, one of the big themes at CES in Las Vegas this year was tracking literally everything. There’s a connected kitty litter box and water fountain that alert your vet if your cat pees too much, and a belt that tells you you’re getting fat after you have a big meal (as though mothers hadn’t already been invented).
Most of these innovations are weird, or privacy violations waiting to happen. But at the booths of Belkin companies Linksys and Phyn, I spotted some connected devices that manage to walk the fine line of being informative and helpful without being creepy.
The Linkys Wellness Pods can monitor movement, from small actions like breathing to large ones like falling, nearby.
For people using certain models of Linksys' mesh Wi-Fi routers, the company already offers a subscription service called Linksys Aware which can detect motion in your home. It does this without creepy cameras, by sensing distrubances in your wireless networking. It’s kind of a low-budget, agnostic version of The Force.
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US Army to expand Asian cyber efforts to 'punch a hole' in China's air, sea defences

By Tony Capaccio
January 14, 2020 — 6.24am
Washington: The US Army will expand efforts to counter China by deploying a specialised task force to the Pacific capable of conducting information, electronic, cyber and missile operations against Beijing.
The unit, which Army Secretary Ryan McCarthy is expected to detail at an event in Washington on Friday, would also be equipped to hit land- and sea-based targets with long-range precision weapons such as hypersonic missiles, possibly clearing the way for Navy vessels in the event of conflict.
The Army task force would help neutralise some capabilities China and Russia already possess and are intended to keep US carrier groups away from the Asian mainland, McCarthy said in an interview. It's not clear how quickly the unit, which would likely be based on islands east of Taiwan and the Philippines, can be deployed.
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Home Affairs rejects claims anti-encryption laws conflict with US CLOUD Act

By Justin Hendry on Jan 14, 2020 12:40PM

 “No issues” that would prevent bilateral agreement.

The Department of Home Affairs has dismissed claims that Australia’s controversial anti-encryption laws are standing in the way of a landmark cross-border data access agreement with the United States.
The compatibility of the Assistance and Access Act 2018 with a future bilateral agreement under the US Clarifying Lawful Overseas Use of Data (CLOUD) Act to streamline law enforcement access to data first came under the spotlight in mid-2019.
A coalition of American tech giants, including the likes of Amazon, Google and Apple, and civil liberties organisations warned that the US Congress was unlikely to enter into such an agreement with Australia due to a clear conflict between the laws.
The group said Australia’s laws, which give law enforcement agencies the power to ask technology companies to provide assistance or introduce technical changes to their platforms, "undermine[d] substantive and procedural protections for privacy and civil rights".
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Travelex restoring electronic services after ransomware attack

By Staff Writer on Jan 14, 2020 9:42AM

Some internal and order processing systems back online.

Travelex is restoring operations to process foreign exchange orders electronically, it said on Monday, almost two weeks after cyber hackers took hold of its systems, leading to a global blackout of its online services.
Staff at Travelex were forced to use pen and paper to serve thousands of customers after ransomware forced the company to take all its systems offline, causing chaos for New Year holidaymakers and business travellers seeking online currency services.
"We continue to make good progress with our recovery and have already completed a considerable amount in the background," Travelex, owned by Finablr Plc, said in an email.
"We are now at the point where we are able to start restoring functionality in our partner and customer service."
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Tinder images being shared to cyber-crime website

Tens of thousands of images are being shared by a cyber-crime website, and women appear to have been primarily targeted.
news.com.au January 18, 20201:38pm

Dating apps can be confusing, demoralising or just downright offensive. Here are four tried-and-tested tips to help you find love in the algorithm.
More than 70,000 photos of Tinder users are reportedly being shared by a cyber-crime website known for dealing in malicious software.
Only women appear to have been targeted, according to Gizmodo.
The images were discovered by cybersecurity firm White Ops and were accompanied by a text file containing about 16,000 unique Tinder user IDs.
It’s unclear what the images were being used for but there are concerns they could be used for illegal acts, to target users, generate fake profiles or possibly to train a facial recognition product.
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Faxes on the way out

16 Jan, 2020 7:46am
Northland Age
By: Northland Age
The Ministry of Health has given pharmacies around the country until the end of the year to get rid of their fax machines, and to replace them with a secure digital alternative.
The ministry said faxes were becoming increasingly incompatible with modern technology, but at least one Kaitaia pharmacist does not agree.
Eric Shackleton, who sold his pharmacy to Atif Malkonyan in 2017, and is due to embark upon fulltime retirement in March, said faxes were in fact more secure, and less problematic, than the encrypted email alternative.
"A fax is much more difficult to interfere with than an email, because the message goes directly from one phone number to another number," he said.
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Icon Group Improves Patient Experience and Provider Service Levels with InterSystems HealthShare Health Connect

Australia’s largest dedicated cancer care provider gains rapid integration with healthcare providers

Icon Group is Australia’s largest dedicated cancer care provider with more than 2,800 employees. Icon’s businesses have extensive capability and experience in radiation oncology, medical oncology, haematology, chemotherapy compounding and pharmacy. Icon Group has grown rapidly in Australia, New Zealand and Asia over the last four years with expansion continuing.
Icon has 12 major clinical applications supporting 36 oncology centres and 60 pharmacies. As they grew, Icon used point-to-point interfaces to integrate these software applications and connect to external healthcare providers.
However, the effort to develop and support also grew rapidly. To remove a barrier to further growth, Icon decided to implement a centralised integration platform.
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Thursday, 09 January 2020 23:18

Withings launches smartwatch for detection of cardiovascular, sleep apnea issues

Consumer electronics company Withings has launched what it says is the first hybrid smartwatch combine medical grade electrocardiogram and sleep apnea detection as part of treatment for cardiovascular and sleep issues.
Developed by cardiologists and sleep experts, Withings - formerly Nokia Health says the smartwatch - dubbed ScanWatch - is its most medically advanced wearable to date, helping users and their physicians monitor overall health and to identify highly prevalent, yet largely underdiagnosed cardiovascular and sleep issues early.
Pending medical clearance, the France headquartered Withings says its ScanWatch will be available in Australia and New Zealand in Q2 2020 starting at A$479, and in addition to the two watch size options (38mm and 42mm), users will be able to select from a variety of colour options and select from swappable soft silicone and leather wristbands.
According to Withings, with nearly 1 billion adults worldwide estimated to have obstructive sleep apnea and research showing that atrial fibrillation will reach epidemic proportions worldwide in the coming decade, the need for these high tech, medical devices are now more prevalent than ever.
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Vection Technologies (ASX:VR1) taking more healthcare ground with CompuGroup contract

  • Software specialist Vection Technologies (VR1) has signed an app-development contract with CompuGroup Medical
  • Through the contract, Vection will build an eHealth mobile app for pharmacists
  • Through the app, pharmacists can easily scan and identify products for efficient inventory and supply management
  • The app represents an initial $50,000 in development revenue for Vection
  • The two companies are busy negotiating a commercial agreement to distribute the new app
  • Vection shares have remained flat today, continuing to trade for 2.5 cents each
Virtual and augmented reality specialist Vection Technologies (VR1) is taking more ground in the healthcare sector through a contract with eHealth giant CompuGroup Medical.
Vection has been signed on to create an eHealth mobile application for Studiofarma, a subsidiary of CompuGroup. eHealth refers to the healthcare sector's use of electronics and technology — such as internet-based healthcare services or data analytics for practitioners.
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Channel won $500m in Canberra during Q4 '19

By Brendon Foye on Jan 15, 2020 9:28AM
We trust everyone has settled back into work now after some much-needed R&R over the Christmas holiday break. For some in the channel though, business never slowed down in the fourth quarter of 2019. That’s why CRN’s federal government procurement analysis is back to see who sold the most kit to the government.
This time round, we’ll cover federal contracts awarded from 1 October to 31 December 2019. With 2019 behind us, that means we can start pulling together an analysis of the entirety of the past 12 months. But for now, we’ll stick to Q4 to give those partners and vendors a chance to shine.
As always: the results aren't necessarily definitive as AusTender doesn't publish every contract in a timely manner or use the same business name for each contract.
Nevertheless, we are confident that these figures will provide a useful depiction of the biggest winners in Canberra for Q4 2019. Check out our 2018 analysis if you want to know how we do it.
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Google to disable third-party cookies

Google is to limit the ability of advertisers to track people across the web as it responds to critic­ism that it does too little to protect privacy.
The giant internet group said on Wednesday it intended to withdraw support for third-party “cookies” within two years.
Cookies are bits of computer code that sit in web browsers such as Google Chrome, allowing advertisers to collect data on the websites people visit. The informatio­n is used to target ads at people and help advertisers monitor campaigns.
The success of cookies has played a large part in helping ­Alphabet, Google’s owner, to come within touching distance of a $US1 trillion ($1.4 trillion) market capitalisation.
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Fitbit is rolling out blood oxygen monitoring to supported Versa, Charge, and Ionic devices

The company's most recent fitness trackers have all had an SpO2 sensor built-in, but its data hasn't been visible until now.
By Jason Cipriani | January 15, 2020 -- 20:44 GMT (07:44 AEDT) | Topic: Mobility
If you own a Fitbit Charge 3, Ionic, Versa, Versa Lite, or Versa 2, it's time to check the app for a new Estimated Oxygen Variation Graph. The graph will display your blood's oxygen level, using the SpO2 sensor that's been sitting idle inside compatible Fitbit devices. The update was first reported by Tizen Help. Fitbit confirmed to ZDNet the feature is indeed rolling out right now. 
It's the first time that Fitbit has activated the sensor and made the data widely available to users. Previously, Fitbit used data from the sensor in its Sleep Score Beta in early 2019. 
With access to the new graph, users can see when there are big and small variations in their blood oxygen saturation. The bigger the change, the more likely it is a sign that the person could have sleep apnea. Fitbit stops short of making that specific claim, but instead, it says it can help the user be more aware of variations in breathing during sleep.
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Bushfires: Power biggest issue for Telstra as it works to keep services online

Telco’s ability to refuel generators and replace batteries keeping telecommunications sites online depends on it getting the all-clear from fire authorities

Editor, Computerworld | 13 January 2020 9:12 AEDT
Telstra says it is making every resource it can available to address the impact of bushfires on telecommunications in regional parts of New South Wales, Victoria and South Australia.
As of 5pm on Friday, 15 of the telco’s sites in New South Wales were affected, including five mobile towers suffering fire damage. There is also damage to the telco’s radio and transmission site at Mount Mittamatite in Victoria. In South Australia, Telstra’s Mount Torrens site has been “severely damaged,” but mobile sites on Kangaroo Island have been restored.
The telco says that it is facing a dynamic situation, which means service availability can change rapidly and that its ability to remediate damaged infrastructure can be affected by changes in fire conditions.
The biggest impact on services has been interruptions to mains power. Most of Telstra’s 40,000 network sites have some form of battery backup or generator to deal with power outages, but the telco has warned that event its largest capacity batteries could run-down during extended mains outages. The company is only able to refuel generators and replace batteries when given the all-clear by fire authorities.
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NBN Co reveals active Sky Muster users within 25km of city centres

By Ry Crozier on Jan 16, 2020 1:15PM

Sheds light on 'urban' satellite usage.

NBN Co has revealed for the first time the number of active satellite users within a 25 kilometre radius of most major Australian capital cities.
The network builder disclosed the numbers under freedom of information (FoI) on December 18 last year. [pdf]
This in itself is remarkable - it’s only the third time since December 2017 that a FoI lodged with NBN Co has been successful.
But it also provides the most accurate picture to date of how many premises in otherwise urban zones prove too hard to connect to the NBN using anything other than Sky Muster.
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NBN Co may need to prove it isn't cross-subsidising enterprise play

By Ry Crozier on Jan 14, 2020 11:07AM

Faces renewed attention on its transparency.

NBN Co is facing calls to prove it is not using income from its regulated activities - supplying residential broadband - to subsidise its entry into the enterprise and government market.
The Australian Competition and Consumer Commission (ACCC) said late last month that additional “reporting and transparency requirements” may be imposed on NBN Co to address cross-subsidisation concerns.
The ACCC noted NBN Co “has been increasingly expanding into the contestable enterprise market” and that this “expansion is likely to continue over the coming years.”
“The ACCC considers that NBN Co’s continued expansion into the enterprise services market may result in concerns about cross-subsidisation between products,” it said.
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The biggest issue for the NBN in 2020 isn't writedowns, it's upgrades

Jennifer Duke
Media and telecommunications journalist
January 12, 2020 — 11.29am
The quality of Australia's telecommunications infrastructure has been in focus in recent weeks, with concerns bushfires have exposed the vulnerability of phone and internet connections to natural disasters.
It's a topic that is likely to remain in the spotlight this year as a pivotal moment for internet quality in Australia - the end of the National Broadband Network rollout - fast approaches.
The NBN build is due to finally finish in June.  It will be the culmination of a drawn out process to update the nation's broadband that began in 2007 and has featured design overhauls, missed constrution deadlines and a lot of political bickering.
Those involved might be tempted to celebrate the end of the NBN rollout when it arrives, but they'd be better served putting the champagne on ice.  If anything, scrutiny of the vast project will only ramp up from here as Australians take a closer look at what $50 billion of taxpayer funds has delivered for them.
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Earth’s oldest stardust calls Australia home

Hundreds of millions of years before the sun was born, another star died, its last act being to fling off particles of dust that formed in its winds.
At least six billion years later, some of those particles landed in rural Australia … and now they have been identified as the oldest known solid objects on Earth.
Scientists hope that these “presolar grains” made of silicon carbide could give insights into our galaxy before it contained the sun and help better understand the formation of stars.
 “These are real star samples,” said Philipp Heck, from the Field Museum in Chicago. “The carbon in the grains was produced directly in their parent star. It is still fascinating to me that nature made us this rock from which we can learn something of the history of the galaxy,” he said.
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DVT expert treats NASA astronaut from Earth

Friday, 10 January, 2020
In an astounding example of technology advancing health care, a blood clot in the jugular vein of an astronaut aboard the International Space Station (ISS) has been treated via telemedicine.
UNC School of Medicine blood clot expert and member of the UNC Blood Research Center Stephan Moll was contacted by NASA for his vast knowledge and treatment experience of deep-vein thrombosis (DVT) on Earth. This was the first time a blood clot had been found in an astronaut in space, so there was no established method of treatment for DVT in zero gravity.
The astronaut’s blood clot was asymptomatic, but was discovered when the astronaut was taking ultrasounds of the neck for a research study on how body fluid is redistributed in zero gravity.
“My first reaction when NASA reached out to me was to ask if I could visit the International Space Station (ISS) to examine the patient myself,” Moll said.
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Asteroid impact caused dinosaur extinction

An asteroid striking the earth 66 million years ago caused the mass extinction of dinosaurs and other animals, a new study has confirmed.
The study rejects a competing hypothesis that attributed the phenomenon to volcanic eruptions in southern India.
According to the study published in the journal Science this week, at least half of the massive volcanic activity along with the ensuing release of gases in the Deccan region in India occurred well before the mass extinction.
An international team investigated deep sea drill cores taken from the North and South Atlantic and the Pacific oceans, focusing on the period at the boundary between the Cretaceous and the Palaeogene periods 66 million years ago.
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Enjoy!
David.