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, August 27, 2020

This Is Really An Invaluable Effort In Understanding The Global Digital Health Response To COVID19

This appeared a little while ago.

The COVID-19-crisis and the information polity: An overview of responses and discussions in twenty-one countries from six continents

Published: 14 August 2020

Get PDF

Abstract

Governments around the world are utilizing data and information systems to manage the COVID-19-crisis. To obtain an overview of all these efforts, this global report presents the expert reports of 21 countries regarding the relation between the COVID-19-crisis and the information polity. A comparative analysis of these reports highlights that governments focus on strengthening six functions: management of information for crisis management, publishing public information for citizens, providing digital services to citizens, monitoring citizens in public space, facilitating information exchange between citizens and developing innovative responses to COVID-19. The comparative overview of information responses to the COVID-19-crisis shows that these responses cannot only be studied from a rational perspective on government information strategies but need to be studied as political and symbolic interventions.

Here is the link:

https://content.iospress.com/articles/information-polity/ip200006

They cover 21 countries and here is what they said about Australia.

2.Country reports

2.1Australia

Paul Henman, University of Queensland, p.henman@uq.edu.au

Australia is a federated state of six states and two territories. States have primary responsibility for public health emergency and infection disease management, while the national government has responsibility to infection control across national borders. Australia has managed COVID-19 infections remarkably well, with borders blocked for Chinese arrivals from 12 February 2020, and all arrivals from 20 March, with several internal state borders closed shortly thereafter. As of 1 July, Australia recorded 7834 infections and 104 deaths (that is, 307 and 4 per million people respectively), with over 60 percent of cases imported from overseas.

Information technologies for mapping infections and modelling of infection spread has been central to the public governance of COVID-19 in Australia. However, such technologies have been utilised in a context of criticism over government secrecy and unaccountability. From March 2020, a new National Cabinet, constituted by the leaders of all state, territory and federal governments, relied on micro-simulation modelling to develop lockdown policies and procedures, but the governments were reluctant and slow in releasing their modelling for comparison with those of independent researchers.

The Australian government also developed two smart phones apps for managing the COVID-19 pandemic. Coronavirus Australia was released on 29 March by the federal Department of Health to provide access to official information, health information and updates, but it had little visibility and was simply an app version of the government’s informational website. These national level data were replicated at a state level on state government websites. Providing updated statistics, infographics and trend data, they had some rudimentary dashboard like characteristics, although they were not described as dashboards.

In contrast, the COVIDSafe developed by the Australian government’s Digital Transformation Agency to support contact tracing of infected persons received considerable attention. Using the BlueTrace open-source application developed by the Singaporean government for its TraceTogether app, COVIDSafe was released on 26 April 2020. Data is stored on a single centralised database hosted by Amazon cloud services, and accessed by state public health authorities. While there was initial strong take-up, its publication generated considerable public debate about privacy and the tracking of users. Several ‘mistakes’ by the national government reinforced privacy concerns:, at its launch the source code was promised and then delayed until 8 May; there were no clear legal privacy protections in place; the government initially failed to rule out making the app mandatory; the government failed to acknowledge significant technical limitations of COVIDSafe’s operation on Apple’s IOS systems; and, the levels of testing were not disclosed. The Australian government also oversold COVIDSafe, with the Prime Minister likening it to wearing sunscreen to protect against sun burn and subsequent skin cancer. This resulted in some people viewing the app as a protective panacea to COVID-19, and some organisations declaring that people without the app would be denied entry. The Prime Minister also sought to compel people to use the app by stating that it was necessary before lifting restrictions could be considered.

Several factors diminished the app-related controversies. Specific legislation to clarify and strengthen privacy protections relating to the COVIDSafe app were instituted on 16 May. Downloads of the app stabilised at just over six million by the end of May. Most significantly, due to the significant success in controlling infections (typically less than 10 new infections a day during June, and only one death from 23 May to end June), restrictions began lifting mid-May. Yet, as of late June, COVIDSafe had yet to be used to successfully identify contacts to an infected person, eliciting the question of whether the app created as a ‘shiny’ technical fix to a social problem?

(Note since this was submitted COVIDSafe has helped on at least one occasion)

I will leave the reader to review the amazing diversity of responses found in the other 20 countries. The article is freely available.

Well worth a browse…

David.

 

Wednesday, August 26, 2020

Do You Think The Punishment That HealthEngine Received From The ACCC Was Fair And Reasonable?

This appeared last week:

HealthEngine cops $2.9m penalty over data misuse

By Justin Hendry on Aug 20, 2020 12:30PM

Admits to sharing patient information without their knowledge.

HealthEngine has been slapped with $2.9 million in penalties for sharing the personal information of over 135,000 patients with private health insurance brokers without their knowledge.

The company, which acts as an online booking engine and review platform for medical practices, has also admitted to holding back or manipulating patient reviews and ratings to inflate its positive image.

The Australian Competition and Consumer Commission took HealthEngine to the Federal Court late last year, alleging that it had engaged in misleading and deceptive conduct when it provided the non-clinical personal information to private health insurance brokers for a fee.

It said the information included the names, phone numbers, email addresses, and dates of birth of over 135,000 patients, which had been shared “without adequately disclosing to customers it would do so” between 30 April 2014 and 30 June 2018.

The court proceedings - which followed a 2018 data breach, in which the company said 59,600 pieces of patient feedback “may have been improperly accessed” - were also used to follow up on claims the company manipulated patient reviews published on the platform. 

But the ACCC on Thursday said HealthEngine had now admitted to providing the non-clinical personal information” of patients to third-party private health insurance brokers over the four-year period, which had earned the company more than $1.8 million.

The company also admitted to “not publish[ing] around 17,000 reviews and edit[ing] around 3000 reviews to remove negative aspects, or to embellish them” between 31 March 2015 and 1 March 2018.

It similarly admitted that it “misrepresented to consumers the reasons why it did not publish a rating for some health or medical practices”.

The Federal Court ordered the company pay $2.9 million in penalties for engaging in misleading conduct and “contact affected consumers and provide details of how they can regain control of their personal information”. 

HealthEngine will also contribute to the ACCC’s legal costs.

More here:

https://www.itnews.com.au/news/healthengine-cops-29m-penalty-over-data-misuse-552059

There is also coverage here:

HealthEngine fined $2.9 million for doctoring its doctor reviews

The booking site also has to write a letter of apology to 135,000 patients whose personal information it passed on to insurance brokers

20th August 2020

By Antony Scholefield

HealthEngine will pay a $2.9 million penalty for doctoring patient reviews of GP clinics and passing on patient information to health insurance brokers.

The Federal Court of Australia approved the penalty on Thursday, bringing an apparent end to the two-year saga.

The accusations against HealthEngine began in 2018 with claims the booking business shared 135,000 patients’ personal details with nine different insurance companies which then used the information to contact them as part of their telemarketing campaigns.

The court found HealthEngine asked patients whether they wanted to receive a call about private health insurance, but in a way that implied Health Engine was doing the calling, not that it was sharing the patients’ details with third parties.

The company was also accused of editing patients’ feedback on GP practices to make 3000 reviews look more positive. 

Its other tactic was to not publish an estimated 17,000 patient reviews that may have reflected badly on practices.

And if fewer than 80% of patients gave feedback saying they would recommend a practice, the site listed the practice as having no star rating because of insufficient data.

On Thursday, Justice David Yates approved a penalty agreed between HealthEngine and the the ACCC — $1.2 million for the review manipulation, $300,000 for not publishing the low star ratings for practices and $1.4 million for sharing patients’ personal data.

HealthEngine will also have to write an apology letter signed by its CEO, Perth GP Dr Marcus Tan, to the patients whose data was shared with health insurance brokers between 2014 and 2018 (see below).

The fine will be paid in four instalments over two years and the company has also agreed to pay for compliance checks on its business for three years.

It will also pay $50,000 to cover the ACCC’s legal costs.

More here:

https://www.ausdoc.com.au/news/healthengine-fined-29-million-doctoring-its-doctor-reviews

Now I am no lawyer but it seems to me that HealthEngine has got off pretty lightly. I would see the way the company dealt with the reviews and both deceptive and fraudulent. As well it was systematic and carefully executed. I find it hard to understand how such sustained fraudulent and deceptive behaviour did not see someone in jail.

As for the apparent 135,000 privacy breaches it seems to me a much larger fine than $10 per breach might be reasonable – say $50 or $100 per breach – thinking of the scale of the penalties the OAIC has for such deliberate transgressions (often $10,000+)

All in all I reckon they got off pretty lightly. I really find the lack of ethics and moral compass really troubling. I know none of us are perfect but this behaviour seems beyond the pale in a clinically orientated company. What do you think?

David.

 

This Looks Like A Pretty Useful Project In These COVIDTimes.

This appeared last week:

Real time GP data to be used for Australian COVID-19 management

Led by the Digital Health Cooperative Research Centre, the project will compile data from 500 practices to map the impact of the pandemic on the country's health system.

By Asha Barbaschow | August 17, 2020 -- 01:12 GMT (11:12 AEST) | Topic: Innovation

Data from general practices across New South Wales and Victoria is being compiled to build a real-time reporting system that shows where and how COVID-19 is impacting Australia's health system.

The project is led by the Digital Health Cooperative Research Centre (CRC), which is comprised of three Primary Health Networks in Eastern Melbourne, Gippsland, and South Eastern Melbourne, along with Macquarie University, Outcome Health, and the Royal College of Pathologists of Australasia.

South Eastern Melbourne Primary Health Network CEO Dr Elizabeth Deveny said the project will use the data to guide the group's decision-making. It will comprise de-identified data from 500 practices.

"COVID-19 has shown us how fast things can change in a health environment," she said. "General practice is at the forefront of the pandemic impacts, including consults with positive and negative patients. They see the indirect health consequences to social isolation and social distancing, including a rise in substance abuse, family violence, mental health issues.

"General practice is seeing a whole separate pandemic that is running in parallel to COVID-19."

Deveny said the data collected during the project will go back to general practice participants in regular reports and via data dashboards. It is expected data will comprise medications prescribed, the number of tests ordered or carried out, and referrals made, in addition to identifying COVID-19 hot-spots.

More here:

https://www.zdnet.com/article/real-time-gp-data-to-be-used-for-australian-covid-19-management/

It will be very interesting to see any follow-up publications on what has been found and what difference the technology has made.

Anyone with more insight reading the blog?

David.

 

 

Tuesday, August 25, 2020

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - August 25, 2020.

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This weekly blog is to explore the news around the larger issues around Digital Health, data security, data privacy, AI / ML. technology, social media 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 were dated 6 December, 2018 and we have seen none since!

It is worth pointing out that it was only in last little while ( beginning end July 2020 ) the ADHA took down the notification regarding the most recent minutes notification. Embarrassed I guess – as they should be!

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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https://www.smh.com.au/business/companies/gloves-off-google-turns-to-its-users-in-fight-against-australian-regulations-20200821-p55nxr.html

Gloves off: Google turns to its users in fight against Australian regulations

By Zoe Samios and Fergus Hunter

August 22, 2020 — 12.00am

Be warned, we are about to escalate this.

That was the message when Google's Australian arm put in a courtesy call to Treasurer Josh Frydenberg's office on Monday morning.

Two weeks after the Morrison government and Australian Competition and Consumer Commission unveiled the much-anticipated News Media Bargaining Code, the trillion-dollar digital advertising giant was about to kick off an aggressive public campaign against the sweeping new regulation. It placed a warning message on its search page, visited by millions each month, with a link to an open letter to users. "The way Aussies search every day is at risk from new government regulation," it read. It has also asked YouTube influencers to complain to the government.

The new code will, among other things, force Google and Facebook to strike commercial deals to pay media companies for their news content, snippets of which run on Google’s news page and at the top of search results.

It will also force the digital giants to give media companies advance warnings about any changes to the algorithms that power search results and news feeds and provide information about the collection of user data.

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https://content.iospress.com/articles/information-polity/ip200006

The COVID-19-crisis and the information polity: An overview of responses and discussions in twenty-one countries from six continents

Published: 14 August 2020

Get PDF

Comment: Very useful review – freely accessible.

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https://www.health.gov.au/resources/publications/coronavirus-covid-19-in-australia-pandemic-health-intelligence-plan

Coronavirus (COVID-19) in Australia – Pandemic Health Intelligence Plan

The Pandemic Health Intelligence Plan provides a framework for collecting the information required to support decision making about COVID-19. It is accompanied by documents that provide the status of the plan's measures.

Downloads

Coronavirus (COVID-19) in Australia – Pandemic Health Intelligence Plan

Download Coronavirus (COVID-19) in Australia – Pandemic Health Intelligence Plan: Pandemic Health Intelligence Plan – Inputs and Status 25 May 2020 as PDF - 451 KB , 11 pages

Download Coronavirus (COVID-19) in Australia – Pandemic Health Intelligence Plan: Pandemic Health Intelligence Plan – Inputs and Status 25 May 2020 as Word - 294 KB , 11 pages

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https://digitalhealth.org.au/blog/economic-recovery-post-covid-19-the-digital-and-data-future/

Economic recovery post COVID-19 – the digital and data future

NORTH Link is holding a free online half-day event on Thursday 27 August (8-12am) titled “Economic recovery post COVID-19, the digital and data future”.

Look out for Institute board members Phil Robinson and Peter Williams who bring their digital health expertise and insights to the event. Peter Williams, who is a Healthcare Advisor at Oracle, is speaking at 10:25am and digital health consultant and advisor Phil Robinson joins the panel discussion at the end of the session.

Event overview

COVID19 has been the “wrecking-ball” that has crashed through the world economy. This crash has crystallised the value of digital and data in our new world. Charting a course in new markets, business models, operations, technology (automation, robotics and IoT) are essential for business’ survival, growth and diversification. We will explore the challenges, opportunities and pathways in the new economy.

This half day event will feature key messages and speakers from industry leaders, a series of practical case studies of work completed through the North and West Melbourne Data Analytics Hub and a panel discussion featuring key executives from tech companies Empirics and Directed.

More information

Register

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https://www.zdnet.com/article/accc-and-google-come-to-blows-over-new-media-bargaining-laws/

ACCC and Google come to blows over new media bargaining laws

Watchdog calls out Google as touting misinformation while the search giant says the new Media Bargaining Code as drafted is unworkable.

By Asha Barbaschow | August 18, 2020 -- 02:35 GMT (12:35 AEST) | Topic: Tech Industry

After Google on Monday published an open letter declaring that Australia's proposed media bargaining laws were unfair and put the "way Aussies' search at risk", the consumer watchdog rebutted, labelling the post as misinformation.

In the letter, Google said the proposed law, the News Media Bargaining Code, would force it to provide users with a "dramatically worse Google Search and YouTube", which could lead to data being handed over to "big news businesses, and would put the free services you use at risk in Australia".

The draft code of practice, published last month by the Australian Competition and Consumer Commission (ACCC), adopts a model based on negotiation, mediation, and arbitration to "best facilitate genuine commercial bargaining between parties, allowing commercially negotiated outcomes suited to different business models used by Australian news media businesses".

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https://www.afr.com/companies/media-and-marketing/google-doubles-down-on-youtube-push-against-code-20200821-p55o8l

Google doubles down on YouTube push against code

Max Mason Media and marketing editor

Aug 21, 2020 – 10.41pm

Google has ramped on its efforts to get its YouTube community to pressure the Australian government to water down a new regulatory code and made its most overt threat yet that it would withdraw some of the user-generated video website's functions in Australia.

It comes as part of an increasingly fiery public campaign by Google against the draft code on conduct legislation, which aims to put a mechanism in place to to deal with the imbalance in bargaining power between Facebook, Google and Australian media companies, forcing the technology giants to pay for journalism on some of their platforms.

In an update by YouTube's creator liason Matt Koval said the proposed code of conduct legislation would have a "negative impact on the creator ecosystem."

Mr Koval said the code would allow Australian news organisations to "demand large payments.

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http://medicalrepublic.com.au/my-health-record-vs-telehealth-a-government-innovation-and-investment-dilemma/33439

21 August 2020

My Health Record vs telehealth: a government innovation and investment dilemma

Posted by Jeremy Knibbs

The $2 billion My Health Record has largely been MIA during COVID-19 while the idea to allow doctors use their phone to do a consult may end up as the catalyst for health system transformation.

What is wrong with this picture?

One of our top five all-time trafficked articles is a blog penned just over two years ago by then Kangaroo Island-based rural GP Dr Tim Leeuwenburg titled Why I am opting out of the My Health Record – for now . A lot of what Tim said in that blog still resonates, and that is probably why the story he tells still gets quite a few hits, despite its age and the fact that Tim has moved on from being a rural GP for now. He never did opt in to the MHR as things turned out, and he says he has never used it in his work. But many GPs will tell you Tim is one of the most dedicated, passionate and competent GPs and rural proceduralists they know.

While COVID continues to rage around us, we’ve been reluctant at The Medical Republic to raise the obvious absence of the MHR among the many war stories of COVID-19 emergency management. Even when the Australian Digital Health Agency (ADHA) put out one of its confusing press releases implying there had been a huge surge in MHR use as a result of COVID and quoting statistics that had no referencing baselines for progress and actual meaningful engagement by healthcare professionals, on June 23, we decided to leave it alone. It just seemed a distraction to the main issues at hand, like an argument that just isn’t worth having any more. In July I did a one-hour podcast with ADHA interim CEO Bettina McMahon on all the good stuff the agency was getting done. There turns out to be quite a bit outside of the MHR. I had meant to ask the MHR question, but the topic never came up. That seemed to me to say a lot.

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http://medicalrepublic.com.au/free-webinar-on-the-downsides-of-hospital-digitisation/33283

20 August 2020

Free webinar on the downsides of hospital digitisation

Technology Webinars

Posted by TMR Webinars

One of the promises of a modern digital hospital set up is the simultaneous management of multiple patients with multiple data points, on many integrated and co-ordinated devices.

The reality has more regularly been a build-up of poorly integrated systems. With multiple digital devices arriving at a patient’s bedside, the potential for fatigue and confusion among the care team is expanding rapidly.

In this interactive webinar hosted by The Medical Republic’s sister publication Wild Health, the expert panel will talk about what progress their hospitals and hospital networks have made in this important emerging area of digital development, the issues they currently face, and how they are planning to solve the increasing complexity their hospitals will face moving forward.

You will have the opportunity to ask questions and participate in the conversation.

REGISTER HERE

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https://www.rmit.edu.au/research/centres-collaborations/multi-partner-collaborations/rmit-european-connected-health-alliance

The European Connected Health Alliance (ECHAlliance) is a Global Connector of international networks of Digital Health Ecosystems. 

As a partner, RMIT is proud to announce it is hosting the Melbourne Digital Health Ecosystem of the ECHAlliance.

The Melbourne Digital Health Ecosystem is the first Australian ecosystem in the Alliance. Our goal is to support exchange and initiatives, both locally and internationally between policy makers, healthcare providers, researchers, technology disruptors and the community sector.  

Through sharing knowledge, best practices on health policy, health models, health innovations, health trends across the globe, the Alliance and Melbourne Digital Health Ecosystem will serve as a gateway to international networks. As a centre of collaboration, the Melbourne Digital Health ecosystem will provide a unique access point for international partnerships, network building and research funding.

Most importantly the Melbourne Digital Health Ecosystem will help break down silos, transform healthcare delivery and spur economic growth in the sector.

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https://www.news.com.au/technology/google-versus-australia-the-truth-behind-the-tech-giants-campaign-to-avoid-paying-for-news/news-story/793bd4e8c0ccc51a47210288e505b0ee

’It’s time to respect us’: Google accused of bullying in new open letter about news code

Yellow warning signs have suddenly appeared almost everywhere online, and Google has been accused of using them as a form of bullying.

Jennifer Dudley-Nicholson, David Aidone

News Corp Australia Network

August 20, 20208:58am

Google has been slammed in a new open letter for its threats over a plan that would require it to pay for news.

The Australian Institute’s Centre for Responsible Technology has taken aim at Google today, labelling yellow warning signs on its website and its recent open letter against the plan as a form of bullying.

Google has activated the alerts in response to a draft code that would require Google and Facebook to pay media companies for their journalism.

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https://www.smh.com.au/world/north-america/facebook-says-it-will-crack-down-on-qanon-conspiracy-theory-stops-at-ban-20200820-p55nfv.html

Facebook says it will crack down on QAnon conspiracy theory, stops at ban

By Elizabeth Dwoskin and Isaac Stanley-Becker

August 20, 2020 — 7.03am

Washington: Facebook on Wednesday said it would crack down on the QAnon conspiracy theory but stopped short of an outright ban on activity related to the online movement, whose adherents contend President Donald Trump is battling a cabal of "deep state" saboteurs who worship Satan and traffic children for sex.

The technology giant said in a blog post it would restrict the spread of content related to QAnon, while eliminating online forums altogether if the discussion in them involves potential violence. The enforcement action targeted 3280 pages and groups, as well as 10,000 accounts on Facebook-owned Instagram. A total of 790 groups and 100 pages were fully deleted.

The company declined to say how many Facebook users would be affected by the changes.

The baseless and often mutating QAnon philosophy, which has been identified by the FBI as a potential domestic terrorism threat, has gained prominent backers, including a slew of congressional candidates.

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https://apo.org.au/node/307652

Data trust and data privacy in the COVID19 period

30 Jul 2020

Nicholas Biddle, Ben Edwards, Matthew Gray, Michael Hiscox, Steven McEachern, Kate Sollis

Publisher

Centre for Social Research and Methods (ANU)

COVID-19 Data protection Disease management Infectious diseases Public trust Mobile technology Internet applications Online privacy Australia

Resources

Data trust and data privacy in the COVID19 period

Description

Abstract:

In this paper, we focus on data trust and data privacy, and how attitudes may be changing during the COVID-19 period. We also look at the implications of these changes for the take-up and effectiveness of the COVIDSafe App, a mobile phone-based application that was designed to assist in the identification of people who may have unknowingly come into contact with someone who has been infected by COVID-19. On balance, it would appear that Australians are more trusting of organisations with regards to data privacy and less concerned about their own personal information and data than they were prior to the spread of COVID-19. The major determinant of this change in trust with regards to data was changes in general confidence in government institutions. Despite this improvement in trust with regards to data privacy, trust levels are still low.

Trust in data privacy is strongly predictive of the probability of downloading the app. We also find that the age group with the greatest reported level of downloading was 55 to 74 year olds and those in the most advantaged areas are the most likely to have downloaded. Politically, there were no differences between Labor and Coalition voters though we do find a lower probability for those who would not have voted for one of the two major parties. Finally, we also showed a number of other behavioural and attitudinal determinants of COVIDSafe usage. Those who were generally confident in the government, thought it was likely they would be infected, were less populist, more altruistic, and more patient were all more likely to have used the app.

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https://www.nejm.org/doi/full/10.1056/NEJMp2000272?query=TOC

When the EMR Stole My Pen

  • Ranjana Srivastava, F.R.A.C.P.

“Lost something, Doctor?”

“I think my nice pen slipped under your sheets,” I explain.

Groaning at the thought of moving his diabetic legs, the patient says, “Maybe you should keep your nice pens at home.”

People have been telling me that for years.

My first nice pen was a Sheaffer, a medical school graduation present from a friend. Silver trimmed in gold, it was the first item engraved with my new title of doctor. After everything it took me to get there, I couldn’t leave the pen at home. From my first day of internship, it became my companion and cheerleader. On dull night duty, as I filled out warfarin orders or wrote blood slips, a glance at the gold lettering would remind me that my role mattered. If a patient needed a pen, I’d exhaust all options before reluctantly handing over mine. Australian doctors don’t wear white coats, and my clothes seldom had functional pockets, but protected in my palm, my dutiful Sheaffer lasted 2 years before I lost it during a code. I felt simultaneously annoyed, guilty, and bereft. A voice in my head said it was only a matter of time before a nice pen went missing, but I loved to write, and in those days — with paper records, paper scripts, paper everything — there was a lot to write. So after some searching, I bought myself an elegant Waterman.

If an engraved pen could be lost, an unengraved one stood no chance, but I managed to hold on to my Waterman for a few years, until a friend upgraded it to a sleek Cross. By then, I was a fellow whose credibility rested on writing meaningful notes on the 30 or 40 patients I saw each day. With a nice pen, work never felt like a chore. I loved the swish of pen on paper, the gel technology that felt like ink without the mess. The act of writing parsed my thinking and made me more deliberate. Why would anyone leave a nice pen at home with all this writing to be done at work?

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https://www.croakey.org/telehealth-is-an-opportunity-australia-cannot-miss/

Telehealth is an opportunity Australia cannot miss

Editor: Nicole MacKee Author: Tim Smyth on: August 18, 2020In: aged care, Coronavirus outbreak 2019-2020, health reform, quality and safety of health care, telehealth

Introduction by Croakey: With just six weeks until telehealth Medicare Benefits Scheme item numbers are set to expire, health groups are calling for the Federal Government to commit to a continuation of telehealth and to a broader digital health model for Australia.

The telehealth item numbers, which were swiftly introduced in March in response to the COVID-19 pandemic, have been widely welcomed by health professionals and patients alike. As reported in Croakey this week, telehealth has also been crucial in ensuring greater access to mental health services during the pandemic. 

Last month, the Federal Health Minister introduced restrictions requiring GP providers to have an existing and continuous relationship with a patient in order to provide telehealth services. These restrictions were welcomed by the Royal Australian College of General Practice and the AMA, which said the changes addressed the “disturbing emergence” of pop-up models of care.

However, others condemned the move, saying that it restricted access to groups that already faced barriers to care, including people in rural and remote areas, young people who may not have a regular GP, and those needing access to sexual and reproductive health services.

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https://www.smh.com.au/national/queensland/ai-that-can-detect-hoax-calls-put-through-its-paces-in-new-trial-20200818-p55mxn.html

AI that can detect hoax calls put through its paces in new trial

By Stuart Layt

August 19, 2020 — 10.59am

Artificial intelligence technology developed by a Queensland researcher to identify hoax calls is set to be tested at some emergency centres, potentially freeing up operators to deal with real emergencies.

University of Southern Queensland computer scientist Dr Rajib Rana has spent the past three years developing the artificial intelligence algorithms required to detect whether someone is genuinely in trouble or whether they are playing a time-wasting prank.

Dr Rana said the "distress inference system" was designed to detect the level of distress in a person’s voice, and assess whether it is in line with the sort of incident they are describing.

"When people are in real distress there are physiological changes which happen in speech production, like your mouth dries out, your breathing rate increases, that sort of thing," he said.

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http://medicalrepublic.com.au/gp-study-looks-at-impact-of-education-and-my-health-record/33160

17 August 2020

GP study looks at impact of education and My Health Record

General Practice RACGP

The CHIME GP study is a project to help GPs use the latest evidence around prescribing, pathology and radiology ordering to improve patient outcomes using My Health Record.

CHIME (Clinical and Healthcare Improvement through My Health Record Usage and Education in General Practice) looks at potential change in GP behaviour both before and after education around de-prescribing and rational use of pathology and diagnostic imaging ordering.

ENROL HERE

The education also incorporates use of My Health Record (MHR) in an everyday clinical setting to assist GPs in avoiding duplicate or unnecessary tests, preventing the pitfalls of polypharmacy, and improving delivery of patient-centred care.

CHIME-GP is a CPD Accredited Activity* (formerly 40 category 1 points) and recognises your time with a $200 (ex GST) payment.

This interactive education series will be conducted by Medcast and evaluated by the University of Wollongong (UOW) on behalf of the funding body, the Australian Digital Health Agency (ADHA). Your contact details will not be supplied to UOW or ADHA.

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http://medicalrepublic.com.au/digital-healths-covid-pivot-what-stays-what-drifts-back-to-the-bad-old-days/33264

18 August 2020

Digital Health’s COVID pivot: What stays, what drifts back to the bad old days?

Technology Webinars

Posted by Jeremy Knibbs

As the emergency of COVID fades and the collaborative dynamic that has advanced digital health eventually returns to normal, which changes will we be able to keep?

And why has our health system been transformed by a hastily turned around innovation requiring no more than a phone line, while a big-ticket multi-billion-dollar digital health infrastructure project has barely made a ripple?

We’ll ask these questions at a COVID DIGITAL PIVOT WEBINAR on Tuesday 25 August, 11am – REGISTRATION HERE.

“There’s opportunity for health systems to leverage from this crisis both abroad and in Australia – to pick up some significant learnings, such as the ethos of agility and working together across traditional boundaries, both professional and governmental and engaging industry in a novel way.”

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https://www.ausdocjobs.com.au/article-details/20/6-tips-for-effective-telehealth-consults/

6 tips for effective telehealth consults

Written by Clifford Fram

Published 13 Aug 2020

Telehealth has come a long way since March when the MBS introduced new item numbers for GP consultations in a funding program worth more than $650 million.

Over the months, doctors have participated in millions of telehealth consultations and Ausdoc.JOBS has experienced a surge in interest in telehealth positions, both from advertisers and applicants.

We asked practising Queensland GP and telehealth entrepreneur Dr Jared Dart to share his thoughts on what makes a good telehealth consult.

It's a learning curve, he says. The first priority is to ensure you have the right technology. Not only the correct computers, webcams, speakers and apps. It could also be as simple as having enough telephone lines and internet bandwidth.

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https://www.theaustralian.com.au/business/technology/google-scare-campaign-ramps-up/news-story/46f04757ba266ce11e593b9fa4a7a72a

Google scare campaign ramps up

David Swan

Tech giant Google has escalated its attack on Australia’s competition watchdog, denying it has spread misinformation and reiterating that its Search and YouTube products are “at risk in Australia”.

As The Australian reported the consumer watchdog dismissed as “mis­information’’ warnings from Google that proposed laws, that would force it to negotiate a payment to news organisations to include their journalists’ work on its services, would lead to a “dramatically worse Google Search and YouTube’’.

Google has hit back however, with the company declaring in a statement on Tuesday it “strongly disagrees” that it was spreading misinformation.
We are concerned that our view of the Code has been represented this way during a phase of public consultation,” the company said.

“[The ACCC] incorrectly implied that Google indicated in its Open Letter that it would start charging users for Search and YouTube. Google does not intend to charge users for these free services.”

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https://www.theaustralian.com.au/nation/google-knows-your-every-move-even-with-location-history-off/news-story/99ef181fb3865746a9e187b573baeabf

Google knows your every move even with ‘location history’ off

Chris Griffith

Kieran Gair

7:19AM August 18, 2020

Android handsets are tracking where users are, and sending that information to Google, even if ­location history settings are turned off and the incognito privacy feature is turned on.

Tests conducted by The Australian in Sydney — in which information being sent to Google was duplicated and analysed — show the technology giant tracks the phone’s movement even when those settings, ostensibly meant to protect the privacy of users, are ­activated.

Australian Privacy Foundation chairman David Vaile said the findings were disturbing, and Android users were being misled to think that the incognito privacy feature, where the device does not record any activity, meant that Google was not tracking the phone’s location either.

“They’ve proven time and time again that they’re unwilling to ­accept restraints on their data-collection practices,” Mr Vaile said. “They have essentially kept harvesting the data while giving a misleading impression that they have obeyed your wishes.”

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https://www.news.com.au/technology/google-versus-australia-the-truth-behind-the-tech-giants-campaign-to-avoid-paying-for-news/news-story/793bd4e8c0ccc51a47210288e505b0ee

Google attacked for threat made to Australians over free services being put ‘at risk’

Tech giant Google has been attacked after warning millions of Australians that new laws will put its free services ‘at risk’.

Jennifer Dudley-Nicholson

News Corp Australia Network

August 18, 202010:43am

Google is sending “warnings” to millions of Australians this week in what looks like the start of a fierce campaign against new rules that could force the firm to pay for the news it uses on its platform.

And the trillion-dollar company is making bold claims to users: alleging proposed laws from the Australian Competition and Consumer Commission will put everything from users’ privacy to the viability of Google’s free services at risk.

But ACCC chairman Rod Sims branded some of these warnings as “misinformation”.

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https://www.smh.com.au/technology/google-spreading-misinformation-about-new-rules-says-accc-chief-20200817-p55mjb.html

Google spreading 'misinformation' about new rules, says ACCC chief

By Cara Waters

August 17, 2020 — 6.46pm

Australian Competition and Consumer Commission chief Rod Sims has accused Google of spreading misinformation after the search giant claimed a new regulatory code could jeopardise its free services in Australia and increase privacy risks.

Google on Monday intensified its opposition to a new bargaining code, proposed by the ACCC, that would force internet giants to negotiate with media companies to pay for their news content.

The search advertising giant, which generated revenue of $4 billion in Australia last year, placed a warning message on its main search page about the new code, and used an open letter to argue the changes would "dramatically worsen" the experience for users.

But Mr Sims said Google was spreading "misinformation" and its assertions were incorrect. "Google will not be required to charge Australians for the use of its free services such as Google Search and YouTube, unless it chooses to do so," Mr Sims said. "Google will not be required to share any additional user data with Australian news businesses unless it chooses to do so."

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https://www.itnews.com.au/news/accc-accuses-google-of-seeding-media-code-misinformation-551843

ACCC accuses Google of seeding media code 'misinformation'

By Justin Hendry on Aug 17, 2020 6:04PM

Rejects web giant's claims.

Australia’s competition watchdog has accused Google of spreading ‘misinformation’ after the web giant weaponised its search engine to warn users of so-called risks with the country’s proposed media code.

Google on Monday intensified its campaign against proposed regulations by using pop-up ads to direct its Australian users to an open letter claiming "the way Aussies use Google is at risk".

The letter, which was penned by Google Australia’s chief Mel Silva and contains a large yellow warning sign, makes a number of claims including that the news media bargaining code could put an end to free Google services.

It also suggested the regulation would force Google to provide Australian users with a “dramatically worse Google Search and YouTube”, and could see consumer data provided to media organisations.

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https://www.afr.com/technology/sims-accuses-google-of-misinformation-20200817-p55me7

Sims accuses Google of misinformation

Natasha Gillezeau Reporter

Aug 17, 2020 – 4.20pm

Competition regulator Rod Sims has accused Google of spreading misinformation in its pushback on proposed law changes designed to correct the power imbalance between technology giants and media companies.

The search and advertising behemoth has warned its users and content creators, who earn money from videos hosted on YouTube, that it could pass on the costs of a new bargaining code proposed by the Australian Competition and Consumer Commission.

Under the draft code Google and Facebook will be forced to fairly pay Australian media companies for the use of news content on digital platforms or face hefty fines for non-compliance.

In two letters published via the Google Australia blog on Monday, the company argued that the code "would force us to provide you with a dramatically worse Google Search and YouTube" and that Google would consider cutting payments to local YouTubers.

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https://www.news.com.au/technology/google/google-sends-open-letter-to-aussies-threatening-to-change-free-services-due-to-news-code/news-story/fa0783aaa202510bb8a368b8a6146861

Google sends open letter to Aussies, threatening to change ‘free services’ due to news code

Google says everything from its ‘free services’ to its search results could change because of a ruling that it should pay for news it uses.

Jennifer Dudley-Nicholson News Corp Australia Network August 17, 202011:29am

Tech giant Google is sending an “open letter” to millions of its Australian users today, warning their search results, personal data, and free services will be put at risk by a ruling from Australia’s competition watchdog that the company should pay for the news it uses.

The multibillion-dollar tech firm’s missive claims internet and video search results would be “dramatically worse” by the Australian Competition and Consumer Commission’s news bargaining code, revealed two weeks ago, and claimed “the way Aussies search every day on Google is at risk”.

The company appeared to stop short of threatening to pull out of Australia, however, or stop showing Australian news in its search results as some experts predicted.

Both Google and Facebook face changes as part of the ACCC’s news bargaining code, which followed an 18-month investigation into digital platforms in Australia and their impact on journalism and advertising.

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https://www.lexology.com/library/detail.aspx?g=809431a4-23a5-47e1-a0f0-2f661cdf04ca&

Is the clock ticking down for Tik Tok?

EAGLEGATE

Australia, China August 13 2020

Australia is unlikely to match controversial moves in America over the compulsory acquisition of Chinese-owned social media app Tik Tok.

Brisbane cyber lawyer Sandy Zhang says amid claims the video sharing app may be a data gathering tool of the Chinese Communist Party (CCP), Australia is unlikely to follow an American move to compulsorily force Tik Tok to sell its business to an American company, or face a ban if it refuses.

But a demand by US President Donald Trump that the US government would expect a substantial slice of the price for such a sale has evoked alarm in many quarters over so-called Mafia tactics.

Mr Zhang, a Senior Associate with Brisbane Intellectual Property and Privacy law firm EAGLEGATE Lawyers, which handles matters of Commercial, Patent law, Copyright law, Trade Marks, Domain names and general Cyber law says there is no precedent for this sort of action.

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https://apo.org.au/node/307517

Mobile health apps that help with COVID-19 management: scoping review

23 May 2020

John Leon Singh, Danielle Couch, Kevin Yap

Journal JMIR Nursing

Resources Mobile health apps that help with COVID-19 management: scoping review

Description

Abstract:

Background: Mobile health (mHealth) apps have played an important role in mitigating the coronavirus disease (COVID-19) response. However, there is no resource that provides a holistic picture of the available mHealth apps that have been developed to combat this pandemic.

Objective: Our aim is to scope the evidence base on apps that were developed in response to COVID-19.

Methods: Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for scoping reviews, literature searches were conducted on Google Search, Google Scholar, and PubMed using the country’s name as keywords and “coronavirus,” “COVID-19,” “nCOV19,” “contact tracing,” “information providing apps,” “symptom tracking,” “mobile apps,” “mobile applications,” “smartphone,” “mobile phone,” and “mHealth.” Countries most affected by COVID-19 and those that first rolled out COVID-19–related apps were included.

Results: A total of 46 articles were reviewed from 19 countries, resulting in a total of 29 apps. Among them, 15 (52%) apps were on contact tracing, 7 (24%) apps on quarantine, 7 (24%) on symptom monitoring, and 1 (3%) on information provision. More than half (n=20, 69%) were from governmental sources, only 3 (10%) were from private organisations, and 3 (10%) from universities. There were 6 (21%) apps available on either Android or iOS, and 10 (34%) were available on both platforms. Bluetooth was used in 10 (34%) apps for collecting data, 12 (41%) apps used GPS, and 12 (41%) used other forms of data collection.

Conclusions: This review identifies that the majority of COVID-19 apps were for contact tracing and symptom monitoring. However, these apps are effective only if taken up by the community. The sharing of good practices across different countries can enable governments to learn from each other and develop effective strategies to combat and manage this pandemic.

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https://insightplus.mja.com.au/2020/32/video-communication-for-gps-and-patients/

Video communication for GPs and patients

Andrew Baird

Issue 32 / 17 August 2020

GPs have a major role in managing most people with coronavirus disease 2019 (COVID-19). They also have a major role in managing people who have the epiphenomena of COVID-19: psychosocial distress, adjustment difficulties, and mental illness. Video consultations are appropriate for managing these people.

Although the media focus is on people who are hospitalised with COVID-19 and on people who have died of COVID-19, most people who have the virus are in the community for the duration of their illness; they self-manage their illness at home.

Through the COVID-19 pandemic, and in the aftermath, GPs have an ongoing role in providing comprehensive, continuing care to their patients, their patients’ families and their patients’ communities. This includes providing acute care, chronic disease management, and preventive activities. Telehealth will have an ongoing role in many facets of patient care in general practice.

And yet Medicare data for the months of May and June 2020 tell us that video consultations are not being taken up in the numbers we might expect. The data show that for non-face-to-face attendances by GPs at levels B, C and D, 97% were by phone and just 3% were by video.

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https://insightplus.mja.com.au/2020/32/covid-19-unlocking-benefits-of-cloud-based-diabetes-monitoring/

COVID-19: unlocking benefits of cloud-based diabetes monitoring

Neale Cohen

Issue 32 / 17 August 2020

THE COVID-19 pandemic has disrupted almost every aspect of conventional health care delivery. As an endocrinologist, I was initially concerned that the lockdown would be the perfect environment for previously well managed patients with diabetes to lose their trajectory. However, it has provided a unique opportunity to see what technology has to offer in the real world for the management of diabetes.

More than 1.7 million Australians are living with diabetes and were included among those most at risk of severe COVID-19 complications. As people around Australia were encouraged to stay at home between March and May 2020, this new way of life presented a bigger challenge to those living with diabetes, a chronic and lifelong condition.

The pandemic inspired the rise of telehealth, which became an attractive option for health care professionals when a face-to-face appointment was not possible. Telehealth is a powerful alternative and there is growing interest in technologies that support remote appointments.

Living with diabetes involves regular monitoring of blood glucose levels and recording these data. These records help health care professionals make informed decisions about their patients’ treatment and care. Without these data and without seeing the patient in person, it can be tricky to update their treatment plan or offer personalised advice.

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Comments more than welcome!

David.