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."

Wednesday, September 30, 2020

eScripts Are Certainly Seeing A Good Deal of Attention At Present.

 This appeared last week:

MedAdvisor Launches ePrescribing Across Australia

Staff Writers September 21, 2020

Medtech company MedAdvisor has been approved by the Federal Government via the Australian Digital Health Agency and will be launching its ePrescribing functionality to help connect GPs, pharmacists and patients as they navigate the rollout of eScripts across Australia.

The Federal Government accelerated the rollout of ePrescribing after the COVID-19 pandemic restricted patients’ ability to access their prescribers or pharmacies. The utility this will provide to facilitate remote medicines management and accurate dispensing is important in the Australian healthcare market.

“MedAdvisor is delighted to be the first in the Australian market with a digital app solution that helps patients keep track of and organise all their eScripts. The national rollout of ePrescribing provides patients with convenience, access and choice — something we’ve been long-time advocates for,” MedAdvisor CEO and Managing Director Robert Read said.

“Recent studies in nations that already use ePrescribing show that more than 80 per cent of patients prefer eScripts to paper. By providing continued excellence in customer service, combined with hyper-convenient patient experiences, local pharmacists can strengthen their loyal customer base and better compete with online pharmacies.”

The MedAdvisor platform utilises tokens as a streamlined, private and secure way to handle eScripts. The rollout will commence imminently in Victoria before rolling out nationally later this month.

“With the rise of telehealth and digital consults during this COVID-19 pandemic and the changes to prescribing temporarily allowed by the Government, prescribers have needed to send digital images of scripts directly to pharmacies via fax or email, which adds significant administrative burden for both prescribers and pharmacies, and poses the risk of prescribers channelling patients to specific pharmacies,” Read said.

“The introduction of ePrescriptions will solve these issues and put the control back in the patient’s hands.”

Tokens via the MedAdvisor app represent a simple and secure way for patients to receive and manage their ePrescriptions. This has involved extensive work from both the software and healthcare industries and the Government to ensure they meet the appropriate privacy and security standards.

From a patient perspective, tokens are similar to paper scripts but accessed digitally via SMS, email or mobile application, thereby minimising the risk of confusion and medication misadventure. It also allows patients to remain in control of who is accessing their medication information.

More here:

https://which-50.com/medadvisor-launches-eprescribing-across-australia/

I am not sure I understand just where this solution / app fits and how it relates to the present script exchanges and the various plans the ADHA has for Advanced Script Lists and so on? Comments welcome to inform me and others.

We also had this release which is a bit future looking but signals some progress.

Media release - Electronic prescriptions available throughout Victoria following success in Greater Melbourne

24 September, 2020: All Victorians will soon have access to electronic prescriptions as they are made available to the entire state beyond the initial rollout in Greater Melbourne.

There has been significant uptake of electronic prescriptions since they were made available across Greater Melbourne in August. Since then more than 34,000 electronic prescriptions have been received by patients in Melbourne from around 1000 prescribers and 600 community pharmacies.

Nationally, more than 100,000 electronic prescriptions have been written since May when the Australian Digital Health Agency started implementing the new technology as a way to support Australians during COVID-19.

If a patient prefers to receive an electronic prescription rather than paper from their doctor, they will receive an SMS or email. The patient then sends or takes this to their pharmacy of choice.

The SMS or email contains a token that unlocks the electronic prescription from a secure, encrypted electronic prescription delivery service. Once scanned, the token allows the pharmacist to see and then dispense the prescription.

“The introduction of electronic prescriptions in COVID-19 lockdown Melbourne has been especially timely,” said Dr Steven Kaye, a busy Melbourne general practitioner. “Electronic prescriptions provide a new, secure convenience for both patients and GPs. Electronic scripts support my work, especially for telehealth consultations, and patients are responding positively. The immediacy of obtaining their prescription token on their mobile phone or email has been really well received by my patients.”

Australian Digital Health Agency Interim CEO Bettina McMahon said “When it became clear in March that COVID-19 was going to significantly impact the way Australians receive health services, we held a number of urgent meetings with technology providers and medical groups. Everyone was enthusiastic to speed up innovation to make prescriptions available electronically and many people worked tirelessly for months to make this happen.”

“From the first electronic prescription in May, we tested the system in over 20 locations across Australia which gave us confidence that we were ready to do this in August across the whole of Melbourne. We’re thrilled that all Victorians will soon have access to electronic prescriptions, with the rest of Australia to follow.”

“Technology in health has never been more prevalent, from having access to your health records in one secure place, to telehealth consultations via phone or computer and now electronic prescriptions.”

“Electronic prescriptions have always made sense – they are stored securely, are available online and via mobile phone and they reduce paperwork while still giving the consumer choice about which pharmacy they go to. They also support the current and future use of telehealth and ensure continuity of healthcare during public health emergencies such as COVID-19,” said Ms McMahon.

People should check with their pharmacy to make sure they are ready to dispense electronic prescriptions.

More here:

https://www.digitalhealth.gov.au/news-and-events/news/media-release-electronic-prescriptions-available-throughout-victoria-following-success-in-greater-melbourne

I note that this is still based on the single token system – as I suspect the ASL is undergoing a reathink!

On all prescriptions we also have these changes coming.

Active ingredient script changes

Sheshtyn Paola23/09/2020

New legislative changes, requiring active ingredients to be included on most PBS and RPBS prescriptions, will be mandatory from 1 February 2021

The 2018-19 Budget announced the Federal Government’s commitment to active ingredient prescribing, with the aim of empowering patients to better understand their medicines.

Under new legislative requirements, which are mandatory from 1 February 2021, prescribers must include active ingredient names when preparing prescriptions for Pharmaceutical Benefits Scheme (PBS) and Repatriation PBS (RPBS) medicines.

From this date, all eligible PBS and RPBS prescriptions will need to include the active ingredient, followed by brand if the prescriber believes it is clinically necessary, says the Department of Health.

There are some exceptions—the new regulations do not apply to:

  • Handwritten prescriptions;
  • Paper-based medication charts in the residential aged care sector;
  • Medicines with four or more active ingredients; and
  • Medicines that have been excluded to protect patient safety or where it is impractical to prescribe the medicine by active ingredient.

Consumers will start to notice active ingredient information on their PBS and RPBS prescriptions over the coming months, says the department. The changes mean most medicines will be prescribed by their active ingredient, not the brand name.

Active ingredient information will not only appear on prescriptions, but on medicines packaging, pharmacy dispensing labels and in My Health Record Shared Summaries.

“This latest initiative supports other government activities that help encourage general awareness around active ingredients, such as the TGA initiative to make active ingredient names on medicine packaging easier to locate and read,” explains NPS MedicineWise.

“The changes will also support greater consistency around how people see medicines information.”

NPS MedicineWise says this can lead to safer and more appropriate use of medicines by making it easier for patients to:

  • check if they are taking the same active ingredient in more than one prescription medicine – to prevent accidental double dosing;
  • check that they are not taking an active ingredient they’re allergic to;
  • check that the active ingredient can be taken with medicines that have other active ingredients;
  • identify suitable alternatives to their usual medicines when travelling overseas.

Research indicates that a substantial number of consumers only know their medicines by their brand name, and can easily double dose if they are inadvertently prescribed two different brands of medicine containing the same active ingredient.

This risk is exacerbated for elderly or chronically ill patients who are often required to take a number of medicines.

More here:

https://ajp.com.au/news/active-ingredient-script-changes/

So there seems to be a lot going on! Note an apparent impact in the myHealthRecord Shared Summary. Are all the current ones obsolete?

David.

Tuesday, September 29, 2020

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - September 29, 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! I wonder will the new CEO make a difference?

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.ahes.org.au/event/variations-in-healthcare-workshop/

Variations in Healthcare workshop

October 19 @ 9:00 am - 5:00 pm

The Centre for Health Economics (CHE) at Monash University is hosting a one-day online workshop bringing together academics, practitioners, government and private sector experts in the following themed sessions:

Time: 9.00am to 11.15am

  • Session 1: Variations in clinical practice and treatment style
    Efficiency and low-value care in the Australian health sector
  • Session 2: Decomposition of geographical healthcare variations in Australia
    Health disparities between urban and rural communities, and regional imbalances in the supply of healthcare workers

Time: 3.00pm to 5.00pm

  • Session 3: Socioeconomic variations and equity in healthcare
    Access, affordability (including the mix of private and public), equity and efficiency of the healthcare system, focusing on supply
  • Session 4: Health technology and its implications for healthcare variations
    How digital health technology has influenced clinical practice and helped to alleviate differences in geographic and socioeconomic access and delivery of healthcare

CALL FOR PAPERS:
PhD students and Early Career Researchers working in these areas are invited to submit an extended abstract (no more than 500 words). One paper for each session
will be selected for presentation. Priority will be give to papers focusing on the Australian context, but we also welcome international contributions.Due date for extended abstracts submission: Sunday 4 October 2020
Notification of acceptance will be made by: Wednesday 7 October 2020

Submit abstract here
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https://www.zdnet.com/article/australians-are-caring-more-about-data-privacy-but-dont-know-how-to-protect-themselves/

Australians are caring more about data privacy but don't know how to protect themselves

In a survey conducted by the OAIC, 70% of respondents consider the protection of their personal information to be a major concern in their lives.

By Asha Barbaschow | September 24, 2020 -- 02:43 GMT (12:43 AEST) | Topic: Security

The Office of the Australian Information Commissioner (OAIC) has said data privacy is now the number one consideration for Australians when choosing a digital service, with 97% of those it surveyed saying this factor trumps cost and reliability.

In its 2020 Australian Community Attitudes to Privacy Survey, which was shaped after questioning 2,866 adults, the OAIC said 59% of respondents had experienced problems with how their data was handled in the previous 12 months. The survey was conducted from  February to March this year, with additional research performed in early April.

The report [PDF] said 70% of respondents considered the protection of their personal information to be a major concern in their lives. Identify theft and fraud was the biggest privacy risk identified, with 76% of respondents pointing to this as a major concern. The category of data security and data breaches was second, with 61%; digital services, including social media sites sat at 58%; smartphone apps at 49%; and surveillance by foreign entities was flagged as a major concern by 35% of respondents, while that figure was 26% when they were asked about Australian entities.

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https://consultations.health.gov.au/provider-benefits-integrity/legislative-review-of-my-health-record-act-2012/

Review of the My Health Records legislation

Closes 21 Oct 2020

Opened 25 Sep 2020

Contact

MHRlegislationreview@health.gov.au

Overview

We're seeking feedback on how we can improve the legislation that underpins the My Health Record system.

This is part of a review to improve the legislation, including to:

  • better support patients accessing multiple health care providers
  • reduce duplication of treatment
  • avoid adverse health events
  • actively involve patients in their own health care.

Professor John McMillan AO who leads the review welcomes input from all interested parties to understand to what extent the Act (including its rules and regulations) is supporting the operation of the My Health Record system.

This review is required under the My Health Records Act 2012.

Your feedback will help Professor McMillan develop a final report to the Minister for Health, due to be delivered by December 2020.  

Read more about My Health Record.

A link to the consultation paper can be found below. Feedback through this consultation process can be provided to one, some or all of the questions.

Why We Are Consulting

The purpose of this consultation is to seek stakeholder and community feedback on the consultation paper. The contribution of diverse perspectives, experiences and knowledge of all stakeholders and interested members of the community are valued and respected.

Related

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https://www.smh.com.au/business/companies/nbn-v-5g-the-broadband-battle-is-about-to-heat-up-20200924-p55yz5.html

NBN v 5G: The broadband battle is about to heat up

By Supratim Adhikari and Zoe Samios

September 26, 2020 — 12.00am

The idea of the National Broadband Network being made redundant by mobile technology is about to be put to the test as Australian telcos get their skates on to offer customers 5G-powered alternatives to the NBN.

NBN Co's $3.5 billion fibre upgrade plan, announced to much fanfare this week, adds more fuel to the fire. Far from being a pipe dream, the likes of Telstra, TPG and Optus are confident they can use 5G technology to lure a significant chunk of homes away from the NBN.

Just how big a slice the telcos end up stealing from NBN Co will come down to price. Not just the price charged for 5G services by the telcos but also the bitterly contested wholesale price the telcos have to pay to NBN Co to resell fixed-line NBN plans.

Critics of the NBN have long touted fixed wireless broadband, delivered via signals beamed from mobile towers to equipment attached to homes, as a viable alternative to the NBN. And the local telcos have already shown what's possible, at least in lab conditions.

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https://www.afr.com/politics/federal/consumers-want-compensation-when-their-privacy-is-breached-20200923-p55yb0

Consumers want compensation when their privacy is breached

Tom Burton Government editor

Sep 24, 2020 – 12.00am

Four out of five people want compensation for breaches of privacy, according to a government survey which found widespread consumer concern about data misuse and the lack of protections.

The survey found 83 per cent wanted more data protection from the government, raising expectations for a consumer privacy right as part of a major review of the Privacy Act.

The survey, commissioned by the Office of the Australian Information Commissioner (OAIC), found widespread anxiety about identity theft, misuse of location data, and privacy risks with social media.

The survey found data breaches of security is now the top order concern for Australians with 84 per cent considering privacy extremely or very important when choosing a digital service.

The online survey of 1500 respondents was carried out this year and is the latest in a 20-year longitudinal series on consumer privacy sentiment. The survey comes as the government is soon to announce the terms of reference for a much-awaited review of the Privacy Act.

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https://www.theaustralian.com.au/business/technology/australians-flexible-on-pandemic-data-use/news-story/8ed814ec2c6e8053e546dd446305e499

Australians flexible on pandemic data

Chris Griffith

Some 60 per cent of Australians believe privacy concessions should be made to help fight COVID-19.

A new study also has found that Australians are more worried about the protection of their location information ahead of medical information in the pandemic. That’s one of hundreds of findings in a 120-page report on Australian’s attitude to privacy in 2020.

However a majority believes the increased use of people’s personal information during the pandemic shouldn’t be permanent.

The survey of community attitudes was commissioned by the Information Commissioner’s office before the pandemic in February and March, but data was added in April to measure changing attitudes with COVID-19. Some 2866 people took part.

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https://www.smh.com.au/politics/federal/dramatic-change-ex-nbn-co-executive-says-5g-is-behind-government-nbn-upgrade-20200923-p55yc4.html

'Dramatic change': Ex-NBN Co executive says 5G is behind government NBN upgrade

By Zoe Samios and Lisa Visentin

September 23, 2020 — 9.13pm

Former NBN Co chief technology officer Gary McLaren has said a multimillion-dollar upgrade to the national broadband network is a dramatic change to the Morrison government's plans, driven by the commercial threat caused by 5G wireless services.

The plan, announced on Wednesday, will see $3.5 billion in funding used to provide around 6 million households with the option of accessing ultra fast internet speeds, including providing fibre-to-the-home connections at no charge to those customers who purchased high speed plans.

Communications Minister Paul Fletcher billed the $4.5 billion upgrade of the network, which includes a major rollout of new fibre cables along residential streets passing two million homes, not as a drastic change but the "logical next step in the evolution of the network".

But Mr McLaren said "it was only two years ago that [then-communications minister] Mitch Fifield said, based on some research, that 98 per cent of Australians would be happy with 50 megabits per second until 2026".

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https://www.smh.com.au/national/nsw/arrests-over-extremely-sophisticated-bulk-sms-scam-that-targeted-thousands-20200923-p55yjn.html

Arrests over 'extremely sophisticated' bulk SMS scam that targeted thousands

By Fergus Hunter

September 24, 2020 — 12.00am

Police have arrested two men over an alleged large-scale SMS fraud operation targeting the identities and bank accounts of tens of thousands of Australians.

The two men are accused of using advanced technology to send out bulk text messages purporting to be from banks and telcos, attempting to trick the recipients into handing over sensitive financial and personal information.

In a joint operation, Australian Federal Police and NSW Police cybercrime teams raided locations in Macquarie Park and Burwood on Tuesday, seizing hundreds of SIM cards, phones, computer hardware and nine "SIM boxes" – valuable devices that can send out messages to tens of thousands of people in one go.

Investigators also seized fake identification documents, $50,000 found in a safe and some methamphetamine.

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https://itwire.com/telecoms-and-nbn/nbn-build-to-bring-major-jobs-boost-to-economy.html

Wednesday, 23 September 2020 15:22

NBN build to bring major jobs boost to economy

By Peter Dinham

The building of the National Broadband Network will create a total of 25,000 jobs across the economy in two years, including almost 10,000 in regional Australia, according to newly released economic impact analysis.

And in addition up to 12,000 new businesses are expected to be created due to the availability of faster Internet across the country, with regional businesses benefitting particularly from cost-effective, business-grade fibre services in new Business Fibre Zones.

NBN Co CEO Stephen Rue referred to the jobs boost estimates by consulting firm AlphaBeta outlining the benefits of the network to national productivity, when delivering the company’s corporate plan and the latest report on network progress at a briefing on Wednesday.

"Economics firm AlphaBeta has calculated that this network investment plan will deliver an estimated incremental 25,000 new jobs over the next two years and an estimated $6.4 billion in additional GDP, annually, from 2024," Rue said.

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https://www.afr.com/world/north-america/facebook-failed-to-limit-qanon-20200922-p55xy8

Facebook failed to limit QAnon

Sheera Frenkel and Tiffany Hsu

Sep 22, 2020 – 9.30am

Oakland, California | Last month, Facebook said it was cracking down on activity tied to QAnon, a vast conspiracy theory that falsely claims that a satanic cabal runs the world, as well as other potentially violent extremist movements.

Since then, a militia movement on Facebook that called for armed conflict on the streets of US cities has gained thousands of new followers. A QAnon Facebook group has also added hundreds of new followers while questioning common-sense pandemic medical practices, like wearing a mask in public and staying at home while sick. And a campaign that claimed to raise awareness of human trafficking has steered hundreds of thousands of people to conspiracy theory groups and pages on the social network.

Perhaps the most jarring part? At times, Facebook's own recommendation engine — the algorithm that surfaces content for people on the site — has pushed users toward the very groups that were discussing QAnon conspiracies, according to research conducted by The New York Times, despite assurances from the company that that would not happen.

None of this was supposed to take place under new Facebook rules targeting QAnon and other extremist movements.

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https://www.itnews.com.au/news/details-of-nbn-cos-3bn-fttn-upgrade-are-still-undecided-553755

Details of NBN Co's $3bn FTTN upgrade are still undecided

By Ry Crozier on Sep 23, 2020 12:31PM

Industry yet to be consulted.

A $3 billion plan to upgrade half of the NBN fibre-to-the-node (FTTN) network to full fibre still needs to be put to industry consultation, where finer details of the offer will be determined.

The government unveiled the upgrade plan on Wednesday morning, saying that FTTN users would need to order an unspecified “higher speed plan” to then apply for a last-mile fibre upgrade.

The terms and conditions of the government’s offer were immediately unclear - but that is because they are yet to be decided.

iTnews has learned that the upgrade program is yet to be consulted on with retail service providers (RSPs), having been kept confidential until today.

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https://hospitalhealth.com.au/content/facility-admin/article/how-printers-are-increasing-the-risk-of-data-breaches-in-hospitals-1564561293

How printers are increasing the risk of data breaches in hospitals

By Adam O’Neill, Managing Director, Australia and New Zealand, Y Soft
Wednesday, 16 September, 2020

Thousands of people enter Australian hospitals each day to seek medical help, attend appointments or visit family and friends.1 During 2018 to 2019, 11.5 million people were hospitalised, with patients admitted increasing an average of 3.3% each year.2

Hospitals and healthcare organisations heavily rely on hardcopy files, prescriptions and records. Although digitalisation is occurring, printing remains an important tool for healthcare professionals to review test results, produce prescriptions, provide patients with further information and much more.

A recent report by Quocirca found that 60% of organisations surveyed had experienced at least one data breach due to unsecured printing.3 In Australia, health service providers are the most common victims of data breaches, accounting for 115 of a total of 518 data breaches reported in the period January to June 2020.4 These statistics confirm that hospitals have a high risk of data breaches, which means confidential information can end up in the hands of unauthorised people.

In many cases, hospital printers and multifunction devices are located in areas where members of the public can easily access them. Particularly when healthcare professionals are preoccupied with helping patients, printed documents can be forgotten about and left unattended on printers for potentially hours, putting that information at risk of being read or stolen.

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https://www.afr.com/technology/we-re-finally-getting-the-nbn-we-wanted-all-along-20200922-p55y5i

We’re finally getting the NBN we wanted all along

After all the political infighting, the Coalition has belatedly decided a gold-plated NBN is better than copper after all.

Paul Smith Technology editor

Sep 23, 2020 – 12.00am

The announcement of a fresh $4.5 billion investment in the nation’s broadband infrastructure is a moment that countless Australians have been howling in frustration for since the Coalition tore up Labor’s original plans for a majority fibre to the premise network, back in 2013.

Under the stewardship of Malcolm Turnbull as communications minister and Tony Abbott as prime minister, the government decided that a copper and HFC (cable TV infrastructure) laden multi-technology-mix would be both cheaper and more quickly deployed than the fibre network it frequently described as “gold-plated”.

Plenty of political water has flowed under the bridge since then however, and Communications Minister Paul Fletcher now feels confident enough to suggest that gold-plated is better than copper-plated, and that a full fibre network was part of the plan all along.

Under the new plans, 75 per cent of households will have access to one Gigabit per second (Gbps) speeds by 2023, which is light years ahead of what customers on fibre-to-the-node plans can currently achieve.

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https://www.theaustralian.com.au/business/technology/review-apple-watch-series-6/news-story/847c5dbdc51b9da0c7e2ef6ce281fa70

Apple Watch Series 6 gets your blood pumping

Chris Griffith

Apple has added blood oxygen monitoring to its new series 6 smart watch. The saturation level is generally 95 to 100 per cent in healthy people. However you might suffer from a respiratory or lung condition, or a heart condition, or even COVID-19 if your oxygen level drop significantly.

That’s potentially an extremely serious situation, but should I take the readings seriously? The feature isn’t medically approved, rather it’s a fitness/health measurement typical of many metrics generated by smart watches.

The science behind Apple’s method of measuring blood oxygen level isn’t hard to understand. Arterial blood that’s full of oxygen is bright red, venous blood is dark. Sensors on the back of the watch shine read and infra-red light onto your wrist. It’s then a matter of measuring the blood colour and calibrating it to calculate the percentage of oxygenated haemoglobin.

That, no doubt, is a complex task, similar to what a pulse oximeter achieves.

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https://www.theaustralian.com.au/business/legal-affairs/right-to-privacy-a-victim-of-the-covid-pandemic/news-story/077dd33d0715035b161dd3105228a34f

Right to privacy a victim of the COVID pandemic

Michael Michalandos

In February this year, Kieran Knight received an email from his employer that he did not like.

It asked him to fill out a survey telling the company if he had recently travelled to any countries listed as “high risk” for COVID-19 by the Australian government, and whether he planned to travel in the near future.

Mr Knight felt that the information his company wanted was private and he refused to provide it.

After a back-and-forth of emails and meetings over a few days, Knight continued to insist that he was not legally obliged to tell his company about his past travel or future travel plans.

His bosses disagreed. They called Knight into a meeting, where they fired him for failing to comply with a “reasonable and lawful direction” — a key test under Australian employment law.

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https://www.lexology.com/library/detail.aspx?g=069aeacb-77a3-476f-b117-2536e77e30b0

$2.9m fine for misleading conduct relating to disclosure of personal information

MinterEllison

21 September, 2020

Where misuse of personal information amounts to misleading deceptive conduct under the Australian Consumer Law, the ACCC has shown that it will take action.

Key takeouts

The regulation of dealings with personal information is expanding beyond the Office of the Australian Information Commissioner and the Privacy Act 1988 (Cth) in circumstances where the dealings amount to misleading or deceptive conduct.

Where the misuse of personal information amounts to a breach of the Australian Consumer Law (ACL), the applicable pecuniary penalties may far exceed those available under the Privacy Act 1988 (Cth).

Consent will only provide a valid authorisation for use and disclosure of personal information where it is consent for the actual activity engaged in.

In August, the Federal Court hit HealthEngine, Australia's largest online medical booking service, with a $2.9 million fine. In this article, we review what happened and draw lessons for organisations that collect personal information from customers and seek their consent for later uses and disclosures of this information.

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https://insightplus.mja.com.au/2020/37/early-medical-abortion-telehealth-restrictions-discriminatory/

Early medical abortion: telehealth restrictions discriminatory

Authored by Cate Swannell

Issue 37 / 21 September 2020

TELEHEALTH restrictions introduced by the federal Department of Health on 20 July 2020 discriminate against women seeking early medical abortion (EMA), making an already hard to access procedure even more out of reach.

Professor Danielle Mazza, Head of the Department of General Practice at Monash University, told InSight+ that telehealth offers an opportunity to address limited access to EMA during the COVID-19 pandemic and beyond.

“Telehealth is an amazing tool to increase equity of access because if you can’t get that service provided to you locally, you can get the service provided to you by another provider in a different geographical location,” Professor Mazza said.

“At the moment, 2317 GPs in Australia are currently registered prescribers of MS2Step (mifepristone and misoprostol), but we think far fewer actually go on to actively prescribe.

“Actually, setting up this service in your practice involves a number of other steps and having the confidence to do it, plus having the support of your colleagues in your practice, the front desk manager and the reception staff.

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https://www.afr.com/technology/why-the-pro-medicus-pathway-is-just-beginning-20200916-p55w59

Why the Pro Medicus pathway is just beginning

Yolanda Redrup Reporter

Sep 21, 2020 – 12.00am

When medical imaging software company Pro Medicus fell more than 45 per cent in March, dropping below $16 amid the COVID-19 market sell-off, Aberdeen Standard Investments' Michelle Lopez knew it was time to buy.

The stock, she says, is one of those that has the potential to be a "compounder" over time, and when a buying opportunity comes up, you take it.

"It got above $35 at one point last year, so it does get expensive when there's a lot of momentum behind it, but you just have to pause and ask what's being priced in," she tells The Australian Financial Review.

"For us, because we have a high conviction view, when it got sub-$20 we were aggressively buying and then paused that when it got back to $20 to $25, and we haven't bought much above that.

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Comments more than welcome!

David.

Monday, September 28, 2020

Weekly Australian Health IT Links – 28 September, 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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There is no doubt the biggest news this week is the Government admission that maybe it might have been better to go with a good deal more FttP than the copper nobbled and mixed technology FttN and HFC approach. Given the unreliability of my NBN HFC connection compared with my previous Optus cable connection (which pretty much never failed) am convinced I for one have been messed about big time!

Other fun articles are found before getting to the NBN material.

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https://www.abc.net.au/news/2020-09-23/queensland-health-auditor-general-report/12692982

Queensland Health IT bungle leaves hospital low on supplies, costs taxpayers $33m to fix, says Auditor-General

By Allyson Horn

23 September, 2020

The bungled rollout of an online ordering system for Queensland hospitals that left doctors without supplies, and vendors not being paid, has cost taxpayers an extra $33 million to fix, according to an investigation by the Auditor-General.

Key points:

  • Staff did not know how to use the new online ordering system
  • Hospitals were left without critical supplies, the report found
  • $540 million of vendor invoices were paid late

The review found the financial software, used to order and pay for vital medical supplies across the state, had "significant issues" after it was switched in August 2019 and staff didn't know how to use it.

The program was referred for investigation by the State Opposition last year, which claimed staff were running out of critical supplies and vendors were refusing to deliver stock because they weren't getting paid.

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https://www.ausdoc.com.au/news/telehealth-triage-not-safe-chest-pain-study

Telehealth triage 'not safe' for chest pain: study

Findings from a Dutch out-of-hours service shows phone triage underestimates the condition in more than one quarter of patients

22nd September 2020

By Carmel Sparke

GP out-of-hours phone triage systems for chest pain are neither safe nor efficient, a Dutch study suggests. 

The researchers found the system underestimated the urgency of chest pain in more than one quarter of patients whose pain later proved to be either acute coronary syndrome (ACS) or another life-threatening event.

The team from the Julius Centre for Health Sciences and Primary Care in Utrecht listened back to telephone conversations with more than 2000 patients who called the GP out-of-hours service between 2014 and 2016. 

They compared these with final diagnoses recorded in medical notes. 

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https://which-50.com/medadvisor-launches-eprescribing-across-australia/

MedAdvisor Launches ePrescribing Across Australia

Staff Writers September 21, 2020

Medtech company MedAdvisor has been approved by the Federal Government via the Australian Digital Health Agency and will be launching its ePrescribing functionality to help connect GPs, pharmacists and patients as they navigate the rollout of eScripts across Australia.

The Federal Government accelerated the rollout of ePrescribing after the COVID-19 pandemic restricted patients’ ability to access their prescribers or pharmacies. The utility this will provide to facilitate remote medicines management and accurate dispensing is important in the Australian healthcare market.

“MedAdvisor is delighted to be the first in the Australian market with a digital app solution that helps patients keep track of and organise all their eScripts. The national rollout of ePrescribing provides patients with convenience, access and choice — something we’ve been long-time advocates for,” MedAdvisor CEO and Managing Director Robert Read said.

“Recent studies in nations that already use ePrescribing show that more than 80 per cent of patients prefer eScripts to paper. By providing continued excellence in customer service, combined with hyper-convenient patient experiences, local pharmacists can strengthen their loyal customer base and better compete with online pharmacies.”

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https://www.digitalhealth.gov.au/news-and-events/news/media-release-electronic-prescriptions-available-throughout-victoria-following-success-in-greater-melbourne

Media release - Electronic prescriptions available throughout Victoria following success in Greater Melbourne

24 September, 2020: All Victorians will soon have access to electronic prescriptions as they are made available to the entire state beyond the initial rollout in Greater Melbourne.

There has been significant uptake of electronic prescriptions since they were made available across Greater Melbourne in August. Since then more than 34,000 electronic prescriptions have been received by patients in Melbourne from around 1000 prescribers and 600 community pharmacies.

Nationally, more than 100,000 electronic prescriptions have been written since May when the Australian Digital Health Agency started implementing the new technology as a way to support Australians during COVID-19.

If a patient prefers to receive an electronic prescription rather than paper from their doctor, they will receive an SMS or email. The patient then sends or takes this to their pharmacy of choice.

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https://www.miragenews.com/electronic-prescriptions-available-throughout-victoria-following-success-in-greater-melbourne/

September 24, 2020 9:34 am AEST

Electronic prescriptions available throughout Victoria following success in Greater Melbourne

All Victorians will soon have access to electronic prescriptions as they are made available to the entire state beyond the initial rollout in Greater Melbourne.

There has been significant uptake of electronic prescriptions since they were made available across Greater Melbourne in August. Since then more than 34,000 electronic prescriptions have been received by patients in Melbourne from around 1000 prescribers and 600 community pharmacies.

Nationally, more than 100,000 electronic prescriptions have been written since May when the Australian Digital Health Agency started implementing the new technology as a way to support Australians during COVID-19.

If a patient prefers to receive an electronic prescription rather than paper from their doctor, they will receive an SMS or email. The patient then sends or takes this to their pharmacy of choice.

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https://www.abc.net.au/news/2020-09-24/chemists-say-digital-prescriptions-way-of-the-future/12697404

Digital prescriptions rolled out in Victoria, eliminating need for paper contact

ABC Gippsland

By Rio Davis

24 September, 2020

From today, Victorian doctors can send a script to a patient's phone or email, eliminating the need for paper contact.

Key points:

  • Patients can now receive their scripts by SMS or email
  • A QR code is scanned and prescriptions are filled
  • Some patients are concerned about the potential for medications to get into the wrong hands

Digital medical prescriptions have been trialled across the state since the start of the coronavirus pandemic to reduce the amount of contact between health workers and patients.

Patients receive an encrypted script, which can be taken or sent to a pharmacy to fill the order.

Maffra pharmacist Vin Naidu has been trialling the technology at his regional pharmacy for the past two months, and he said he had found the process surprisingly easy.

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https://www.warwickdailynews.com.au/news/dans-controversial-detention-plan-set-for-defeat/4105696/

PANDEMIC COULD CHANGE VICTORIANS' PRESCRIPTIONS

All Victorians will soon have access to electronic prescriptions under a fast-tracking of new technology to combat the coronavirus pandemic.

After the successful introduction of electronic prescriptions across Melbourne since August, the Australian Digital Health Agency will roll out the program across the rest of the state in coming weeks. To boost the effectiveness of telehealth consultations, patients can choose to receive an electronic prescription via email or text message rather than paper from their doctor.

The text or email contains a token pharmacists can use to unlock the prescription from a secure, encrypted electronic delivery service.

Although the technology had been on the drawing board in recent years, Australian Digital Health Agency interim CEO Bettina McMahon said it was fast tracked in March after technology and health groups witnessed the impact of COVID-19.

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https://themarketherald.com.au/respiri-asxrsh-partners-with-entech-electronics-for-global-wheezo-supply-2020-09-22/

Respiri (ASX:RSH) partners with Entech Electronics for global wheezo supply

ASX:RSH    MCAP $143.6M

Jessica De Freitas Markets Reporter

jessica.defreitas@themarketherald.com.au

22 September 2020 10:45

  • eHealth company Respiri (RSH) has partnered with Entech Electronics for the global supply of its wheezo device
  • Respiri's trademark wheezo device is an innovative technology which monitors wheezing to manage and improve asthma symptoms
  • This partnership will enable the company to significantly scale-up production to meet the forecasted global demand
  • Respiri has placed its first orders and Entech is preparing to begin production at its facility in Shenzhen, China
  • All up, 12,000 additional wheezo devices have been commissioned for delivery from February 2021
  • Company shares are trading 4.55 per cent higher, worth 23 cents each

eHealth company Respiri (RSH) has appointed Entech Electronics as its global manufacturing partner to supply its wheezo device.

Entech Electronics is an Australian-based contract electronics manufacturer and has over 34 years' experience in the industry.

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www.alcidion.com

Watch Alcidion Managing Director Kate Quirke's video Q&A with StockPal

 

 

 

Alcidion is pleased to share a video Q&A with Managing Director Kate Quirke, who recently sat down with Asia-Pacific investor news outlet StockPal.

In this Q&A, Kate explains how Alcidion's Miya Precision platform supports better clinician decision-making, how our revenue model operates and our competitive advantage. Kate also outlines the opportunities that have arisen as a result of COVID-19, including deploying Miya Precision to remotely monitor patients at home.

Watch the full interview by clicking the image above or
here

 

If you have any questions or comments, please get in touch.
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https://www.itnews.com.au/news/researchers-say-not-to-use-mygovid-until-login-flaw-is-fixed-553601

Researchers say not to use myGovID until login flaw is fixed

By Juha Saarinen on Sep 21, 2020 11:52AM

ATO declines to change protocol.

Two security researchers are warning Australians not to use myGovID as they say the login system contains an implementation flaw that could lead to attackers gaining full access to their accounts.

Masters student Ben Frengley and adjunct professor Vanessa Teague created a threat scenario in which an attacker sets up sites that they control and asks users to log into them with myGovID.

In the scenario, the attacker captures the email address of the user and then immediately uses it to try to log into an official government portal.

The official portal displays a 4-digit PIN that the attacker then relays back to the user via the controlled site. 

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https://www.ausdoc.com.au/news/it-meltdown-derails-acrrm-fellowship-exam

IT meltdown derails ACRRM fellowship exam

College president Dr Ewen McPhee says testing software failed to register some candidates' answers

24th September 2020

By Siobhan Calafiore

Some 53 registrars will have to resit one of ACRRM’s fellowship exams after an IT glitch meant they couldn’t complete the online test.

The college's three-hour Multiple Choice Questionnaire (MCQ) is one of three exams that must be passed for fellowship and costs $1545 to sit.

But the plug was pulled halfway through the test, held earlier this month at testing centres across the country, after the exam software stopped registering answers given by a number of candidates.

ACRRM president Dr Ewen McPhee says all the doctors have been contacted and offered an apology as well as the option of resitting a pen-and-paper version on two dates later this year.

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https://www.zdnet.com/article/anao-finds-services-australia-lacking-in-cyber-and-cost-aspects-of-wpit/

ANAO finds Services Australia lacking in cyber and cost aspects of WPIT

Audit Office finds at the end of WPIT, there is a chance that the whole reason for the program, to decommission ISIS, may not occur.

By Chris Duckett | September 25, 2020 -- 06:09 GMT (16:09 AEST) | Topic: Security

Australian National Audit Office (ANAO) on Thursday handed down its examination of the Services Australia Welfare Payment Infrastructure Transformation (WPIT) program, finding the agency had "largely appropriate arrangements" in many areas, but was lacking on the cyber and cost monitoring fronts.

Kicked off in 2015, WPIT was originally slated to cost around AU$1.5 billion and run from 2015 to 2022, with one of the core reasons for the program being to replace the then-30-year-old Income Security Integrated System (ISIS).

"In June 2020, the decommissioning of this key element of the system was confirmed to be the main goal of the welfare payment system redeployment," ANAO wrote.

"However, almost half of the decommissioning was not expected to be completed by the end of the program."

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https://www.hospitalhealth.com.au/content/technology/article/passing-the-digital-health-baton-with-confidence-and-certainty-46098194

Passing the digital health baton with confidence and certainty

By Jane Allman
Friday, 25 September, 2020

Accurate details of healthcare providers and services are key to ensuring efficient and high-quality care pathways for patients. Out-of-date information means that patients’ medical documents and information cannot be sent from one healthcare provider to another, blocking the flow of the patient’s care journey. Disruption to the flow of patient information from one service provider to another results in a time-consuming search for correct details — a frustrating and costly undertaking for busy healthcare practices.

Across Australia’s healthcare services, changes to staff and location occur on a regular basis. Practitioners move to other practices; new practitioners come on board; practices offer additional services or open up in new suburbs. But what is the process for ensuring the healthcare market hears about these changes?

Until now, the process has involved forms — 15 to 20 — all requiring the same information to be completed and sent to separate organisations — Medicare, GP practices, public health services, health service directories and so on. Unsurprisingly, not everyone gets the memo.

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https://ajp.com.au/news/active-ingredient-script-changes/

Active ingredient script changes

Sheshtyn Paola23/09/2020

New legislative changes, requiring active ingredients to be included on most PBS and RPBS prescriptions, will be mandatory from 1 February 2021

The 2018-19 Budget announced the Federal Government’s commitment to active ingredient prescribing, with the aim of empowering patients to better understand their medicines.

Under new legislative requirements, which are mandatory from 1 February 2021, prescribers must include active ingredient names when preparing prescriptions for Pharmaceutical Benefits Scheme (PBS) and Repatriation PBS (RPBS) medicines.

From this date, all eligible PBS and RPBS prescriptions will need to include the active ingredient, followed by brand if the prescriber believes it is clinically necessary, says the Department of Health.

There are some exceptions—the new regulations do not apply to:

  • Handwritten prescriptions;
  • Paper-based medication charts in the residential aged care sector;
  • Medicines with four or more active ingredients; and
  • Medicines that have been excluded to protect patient safety or where it is impractical to prescribe the medicine by active ingredient.

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https://www.ausdoc.com.au/practice/app-review-mylife-tailored-patients-hiv

App Review: MyLife+ is tailored for patients with HIV

This app is high on privacy

24th September 2020

By Antony Scholefield

The MyLife+ app doesn’t do anything truly original.

It’s got a medicines reminder function, a diary function, an appointments calendar and semi-regular health news updates. 

However, it does all these things very well, in a one location, tailored for patients with HIV — for example it includes features such as the ability to track CD4 count and viral load over time. 

The free app is curated by patient group the National Association of People with HIV Australia, although the health news is produced by medical professionals. 

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https://www.itnews.com.au/news/two-arrested-over-large-scale-sms-phishing-scam-553829

Two arrested over large-scale SMS phishing scam

By Justin Hendry on Sep 24, 2020 11:35AM

Thousands of Aussies allegedly targeted.

Two Sydney men have been arrested over their alleged involvement in a large-scale SMS phishing scam that targeted the personal and financial information of tens of thousands of Australians.

The Australian Federal Police arrested the men on Tuesday following a year-long investigation, codenamed Operation Genmaicha, by its cybercrime operations teams and NSW Police.

The investigation began after reports that an Australian-based fraud syndicate was allegedly sharing information about conducting fraud and phishing attacks on Australian banks and their customers.

Police allege the pair controlled several SIM boxes, which were used to send messages that imitated banks and telcos to dupe victims into providing personal or financial information.

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https://www.itnews.com.au/news/anglicare-sydney-says-17gb-data-transmitted-to-remote-location-after-attack-553654

Anglicare Sydney says 17GB data transmitted to 'remote location' after attack

By Ry Crozier on Sep 21, 2020 4:35PM

Hit by ransomware infection.

Anglicare Sydney has revealed 17GB of its data was transmitted “to a remote location” after a ransomware attack but claims “there is no current evidence that data has been stolen”.

The retirement and aged care provider said that it was subject to a “malicious cyber attack” on August 31, which took out its systems.

On Tuesday last week, it confirmed the cause was a ransomware infection, and it has now provided an update over the weekend pointing to some of the other impacts of the attack aside from system availability.

While it said that “at this stage, there is no current evidence that data has been stolen”, it went on to say that it had “identified 17GB of data transmission to a remote location and this forms part of the forensic investigation in progress.”

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Monday, 21 September 2020 05:53

Anglicare Sydney says 17GB of data exfiltrated during ransomware attack

By Sam Varghese

About 17GB of data has been exfiltrated from Anglicare Sydney, a Christian not-for-profit that supports people across the greater Sydney and Illawarra regions, to a remote location during a ransomware attack, according to a statement put out by the organisation.

But in the same statement, Anglicare claimed there was no evidence that data had been stolen.

The attack, which took place on 31 August, was made public by Anglicare Sydney on 2 September.

None of the ransomware sites that regularly carry out attacks of this nature have as yet listed Anglicare Sydney on their websites.

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https://itwire.com/security/tasmanian-uni-leaks-info-of-20,000-students-due-to-sharepoint-stuff-up.html

Tuesday, 22 September 2020 05:16

Tasmanian uni leaks info of 20,000 students due to SharePoint stuff-up

By Sam Varghese

The personal information of nearly 20,000 students at the University of Tasmania has been exposed due to misconfiguration of a Microsoft SharePoint site, the university says.

In a statement on Monday, vice-chancellor Professor Rufus Black said the organisation became aware on 11 August that files on one of its SharePoint sites on Office365 could be accessed by anyone with a utas.edu.au email address.

"Files stored on this site were made visible to individuals when they logged in to the University's Office365 system," he said.

"Some files were made visible as a result of the 'Delve' application within the Office365 platform. Delve displays content to users based on access privileges, and automatically displays certain files to users."

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https://www.itnews.com.au/news/misconfigured-utas-sharepoint-site-exposed-20000-students-details-553644

Misconfigured UTAS SharePoint site exposed 20,000 students' details

By Ry Crozier on Sep 21, 2020 2:01PM

Security settings allowed broad access to files.

A misconfigured SharePoint site led to the exposure of files containing the personal information of almost 20,000 University of Tasmania students to anyone with a university email address.

The University of Tasmania said in a statement that the incident came to light on August 11 but that it had only today contacted students.

It said the misconfiguration was active - and the files broadly accessible to anyone with a utas.gov.au email address - "from February 27 to August 11" of this year.

“The data, which is used to inform the ways the University supports students in their studies, contained personally identifiable information of 19,900 students,” it said.

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https://www.afr.com/companies/telecommunications/nbn-may-yet-prove-to-be-a-60b-lame-duck-20200925-p55z5d

NBN may yet prove to be a $60b lame duck

NBN Co's plan to spend $4.5 billion upgrading the network will bring it closer to Kevin Rudd's original vision, but two big uncertainties remain: 5G, and cost.

James Fernyhough Reporter

Sep 25, 2020 – 3.17pm

This week NBN Co's critics enjoyed a bittersweet "I told you so" moment when the government-owned telco announced it would spend $4.5 billion on upgrading the network to fibre.

The critics claimed this was an admission that former prime minister Kevin Rudd had been right all along: fibre to the premises was the only way to go.

But two major uncertainties – cost, and the 5G threat – mean the NBN could yet turn out to be the lame duck its critics have loved to claim it is.

In its latest corporate plan, released on Wednesday, NBN Co was adamant the announcement was not a backflip, arguing the copper-heavy fibre-to-the-node part of the network had already paid for itself and would continue to operate for many years.

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https://itwire.com/telecoms-and-nbn/fibre-flip-will-not-fix-all-the-problems-caused-by-switch-to-fttn.html

Friday, 25 September 2020 10:26

Fibre flip 'will not fix all the problems caused by switch to FttN'

By Sam Varghese

The changes to the NBN rollout outlined by the Federal Government on Wednesday will not solve all of the problems created by the switch to fibre-to-the-node as the main technology for the rollout, an academic from Flinders University claims.

Dr Paul Gardner-Stephens, a senior lecturer at the College of Science and Engineering, said in a post sent to iTWire that one issue was that FttN required that the nodes had power, whereas FttP only required power at the exchange and in the NBN box fixed at premises by the installers.

The government announced on Wednesday that fibre to the premises would be available to about 75% of homes on the NBN, making a total of eight million in all, by the end of 2023, with the NBN Co to spend about $3.5 billion to upgrade connections. In addition, the NBN Co said a day earlier that $700 million would be spent on business fibre zones in metropolitan areas and the regions, and $300 million to improve regional Internet services.

Dr Gardner-Stephens said: "The NBN box also has a back-up battery in it, that enabled it to be used to make an emergency call, even if the power was out at your house.

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https://www.itnews.com.au/news/nbn-co-shows-first-indicative-maps-for-130-business-fibre-zones-553894

NBN Co shows first 'indicative' maps for 130 business fibre zones

By Ry Crozier on Sep 25, 2020 12:19PM

Places high-level boundaries.

NBN Co has now provided high-level boundary maps for the first 130 of a planned 240 business fibre zones across the country.

The maps, which are individual PDFs, have been attached over the list of place names on an earlier media statement announcing the zones.

NBN Co describes the maps as “indicative” - it’s not possible to see the boundaries with street-level accuracy, though residents or businesses familiar with their geographic areas will be able to draw some sort of inferences on whether or not they fall within one of the zones.

The network builder unveiled an up to $700 million plan Tuesday to create 240 “business fibre zones” across Australia where every business in the area can get a free fibre connection at “CBD zone wholesale pricing”.

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https://www.itnews.com.au/news/nbn-fttn-network-will-have-paid-for-itself-by-2023-553862

NBN FTTN network 'will have paid for itself' by 2023

By Ry Crozier on Sep 25, 2020 6:55AM

Tracing the link between upgrades and NBN Co's saleable value.

NBN Co’s fibre-to-the-node footprint “will have paid for itself” by 2023, according to the government and NBN Co, and will continue to be profitable even as some FTTN users switch to full fibre.

The claim was made both by Communications Minister Paul Fletcher and by NBN Co in its new corporate plan, though it was Fletcher who was specific on the timing.

“The first FTTN areas have been in operation for five years and the entire FTTN network will soon have generated more revenue than it cost to build and run,” NBN Co said in its corporate plan.

“That is, the FTTN network will have paid for itself as well as being able to provide very good speeds to millions of Australians over the last five years and well into the future.”

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https://itwire.com/telecoms-and-nbn/govt-s-fibre-flip-welcomed,-but-experts-differ-on-what-it-will-achieve.html

Thursday, 24 September 2020 10:19

Govt's fibre flip welcomed, but experts differ on what it will achieve

By Sam Varghese

The Coalition Government's decision to provide fibre connections to about 75% of homes on the NBN, making a total of eight million in all by the end of 2023, has been welcomed by tech experts, but there have been some reservations about what the policy would actually achieve.

Mark Gregory, an Associate Professor in the School of Engineering at RMIT University, said the move was a positive step, but it appeared to entrench a digital divide by requiring consumers to commit to an expensive high speed plan before the upgrade occurred.

"For many Australians the NBN is already too expensive, it is about 20% more expensive than it should be due to the cost blowouts related to the Coalition Government's decision to roll out obsolete copper-based technologies," Gregory told iTWire when asked for his reaction..

"The government should commit to providing FttP to 93% of Australian premises and not have hurdles that disadvantage low income families. The low interest rates mean that it is sensible to upgrade infrastructure now. The COVID-19 pandemic has highlighted that telecommunications is an essential service for all Australians, irrespective of where they live and work, and it is vital that the government understand this and take appropriate action to provide fibre to the 93% of premises in the fixed NBN footprint."

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https://itwire.com/telecoms-and-nbn/coalition-s-mtm-was-a-colossal-mistake,-says-nbn-co-s-first-ceo-quigley.html

Thursday, 24 September 2020 10:42

Coalition's MTM was a colossal mistake, says NBN Co's first CEO Quigley

By Sam Varghese

The man chosen by the Rudd Labor Government to head the NBN Co when it was formed has not held back in criticising the Coalition for what he called "a colossal mistake" when it decided to change the mix of technology for the NBN from one that would be mostly fibre to one in which copper would dominate.

Mike Quigley told iTWire, in response to a query for his reaction to the announcement on Wednesday by Communications Minister Paul Fletcher, that the move "confirmed that when the Coalition Government placed a bet on using the old copper and Pay TV technologies to build the NBN it made a very big mistake".

"They lost that bet," he said. "No amount of rationalising or saying that the world has changed with COVID-19 explains why you would spend a decade saying that FttP is a gold-plated solution which Australians don't need and then, before the multi-technology mix build is actually finished, now say FttP really was the right answer."

He was reacting to the government's announcement on Wednesday that fibre to the premises would be available to about 75% of homes on the NBN, making a total of eight million in all, by the end of 2023, with the NBN Co to spend about $3.5 billion to upgrade connections. In addition, the NBN Co said a day earlier that $700 million would be spent on business fibre zones in metropolitan areas and the regions, and $300 million to improve regional Internet services.

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https://www.afr.com/chanticleer/nbn-co-s-worth-up-to-100b-20200921-p55xp8

NBN Co's worth up to $100b

The firm suddenly looks the best asset a federal government could have when budget deficits are blowing out. Its latest corporate plan points to the business possibly repaying more than the money invested in it.

Sep 24, 2020 – 12.00am

In the space of 24 hours, Communications Minister Paul Fletcher and NBN Co chief executive Stephen Rue have blown up three of the most commonly held beliefs about the government-owned wholesale broadband network.

First, there was a pervasive view that NBN Co would never make an adequate return on invested capital. It would be a white elephant that would remain in government ownership for decades.

Second, there was a widespread perception that, at some stage over the next five years, the federal government would have to write down the value of NBN Co by billions of dollars.

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https://www.afr.com/technology/who-wants-to-spend-150-a-month-on-high-speed-nbn-20200923-p55yd9

Who wants to spend $150 a month on high-speed NBN?

The numbers all point to one thing: getting Australians to spend $150 a month on a broadband internet connection is going to be a tough sell.

John Davidson Columnist

Sep 23, 2020 – 7.31pm

Few Australians are going to be prepared to pay to upgrade their broadband to the gigabit speeds offered by the upgrade to the National Broadband Network, an analysis of spending patterns suggests.

And of those who are willing to pay, most will be "wasting money", at least at first, NBN experts warn.

Fibre-optic cables might be the future of the NBN, but getting customers to pay for them won't be easy. Glenn Hunt

The $3.5 billion upgrade promises to make gigabit (1000 megabits per second) download speeds available to 75 per cent of premises with fixed-line NBN connections, at a minimum cost said to be $149 per month.

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https://www.itnews.com.au/news/nbn-co-to-provide-instant-online-quotes-for-technology-choice-upgrades-553768

NBN Co to provide "instant online quotes" for Technology Choice upgrades

By Ry Crozier on Sep 23, 2020 2:06PM

Unveils revamp of user-pays scheme.

NBN Co is set to make major changes to its user-pays upgrade scheme, removing application fees and providing “instant online quotes”.

The network builder’s new corporate plan reveals that the Technology Choice program is set to be revamped, now that the government will pay for many fibre-to-the-node (FTTN) to full fibre upgrades - one of the key upgrades requested through the scheme.

NBN Co currently charges a $330 per premises fee just to apply to have your access technology switched.

From there, the company then produces a quote, which only about six percent of applicants find acceptable and pay.

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https://www.itnews.com.au/news/nbn-co-only-expects-400000-fttn-users-to-have-active-fibre-services-by-2024-553772

NBN Co only expects 400,000 FTTN users to have active fibre services by 2024

By Ry Crozier on Sep 23, 2020 3:46PM

Two million can 'order' a service, 80 percent won’t be active.

The government’s $3 billion upgrade of half of the fibre-to-the-node (FTTN) footprint to full fibre will be significantly less impactful than announced, with only 400,000 premises expected to have active last-mile fibre connections by FY24.

NBN Co’s new corporate plan, released Wednesday afternoon, shows the number of activated brownfields fibre premises is only expected to grow by 400,000 between now and FY24.

The company said it expects to add about 200,000 brownfields premises a year from FY23.

CEO Stephen Rue confirmed the company’s forecasts.

“We see the additional lead-ins being built into 200,000 premises approximately in each of the years of 2023 and 2024,” he said.

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https://itwire.com/open-sauce/coalition-s-fibre-backflip-no-damascene-conversion.html

Author's Opinion

The views in this column are those of the author and do not necessarily reflect the views of iTWire.

 

Wednesday, 23 September 2020 10:39

Coalition's fibre backflip no Damascene conversion

By Sam Varghese

While many people are rejoicing over the Coalition Government's backflip on its NBN policy and its announcement that it will spend to get fibre delivered to up to eight million subscribers in all, nobody should for a moment think that this is some Damascene conversion.

No, it is just that NBN Co fears it will soon become irrelevant in the overall scheme of things as private companies come up with their own offerings to gain customers, ignoring the NBN altogether.

It was laughable to see this statement from Communications Minister Paul Fletcher: ""From the outset, the plan set out in our 2013 Strategic Review was to get the network rolled out as quickly as possible – and then deliver upgrades when there was demand for them."

Really? So the Coalition had this cunning plan? This is a mob that specialises in announcements, and announcements about announcements. It then tries to drive home the mantra that it is focused on outcomes. Sure. And I am focused on becoming the king of Jordan.

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https://itwire.com/telecoms-and-nbn/fibre-is-most-welcome,-but-affordability-is-important-too-budde.html

Wednesday, 23 September 2020 09:48

Fibre is most welcome, but affordability is important too: Budde

By Sam Varghese

Paul Budde: "After arguing that there was no demand for it, that it was not needed, and that it was too expensive, the government has now finally conceded that the future of communications must be based on fibre optic networks." Supplied

Well-known Australian telecommunications consultant Paul Budde says while it is great to see the government doing a backflip on its fibre policy, the big question now is how access to fibre optic services will be made affordable for residential users.

"So far the wholesale price charged by NBN CO to its retail service providers is such that truly high-speed services are not affordable to the majority of residential users. So this is still an area under contention," he told iTWire on Wednesday.

Communications Minister Paul Fletcher announced in a statement this morning that fibre to the premises would be made available to about 75% of homes on the NBN, making a total of eight million in all, by the end of 2023, with the NBN Co to spend about $3.5 billion to upgrade connections.

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https://www.itnews.com.au/news/govt-ties-business-fibre-upgrades-to-nbn-cos-financial-achievements-553706

Govt ties business fibre upgrades to NBN Co's financial achievements

By Ry Crozier on Sep 22, 2020 3:32PM

Analysis: What revenue level is needed to tick off similar residential upgrades?

NBN Co’s ability to offer free fibre to more businesses is enabled by the company’s financial achievements, the government says, raising questions about what kind of financial performance is required before residential upgrades are offered.

Earlier on Tuesday, the government and NBN Co unveiled a $700 million project under which 1.4 million businesses qualify for free fibre, should they order an NBN enterprise service.

Communications Minister Paul Fletcher said in a tweet that NBN Co’s “investment in business fibre zones is possible because after seven years of methodically rolling out the NBN, we’ve proved up the business model and cash flows with revenue of $3.8 billion in 2019-20”.

The $3.8 billion figure is NBN Co’s total revenue, not just that from its business segment which was $666 million. [pdf]

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https://itwire.com/telecoms-and-nbn/nbn-co-to-spend-$3-5b-to-provide-fibre-to-some-homes-by-2023.html

Wednesday, 23 September 2020 05:33

NBN Co to spend $3.5b to provide fibre to most homes by 2023

By Sam Varghese

Fibre to the premises will be available to about 75% of homes on the NBN, making a total of eight million in all, by the end of 2023, with the NBN Co to spend about $3.5 billion to upgrade connections, according to an announcement made on Wednesday.

This is in addition to the $700 million to be spent on business fibre zones in metropolitan areas and the regions, and $300 million to improve regional Internet services announced on Tuesday.

In a statement released early on Wednesday, Communications Minister Paul Fletcher said fibre would be laid in streets to make this possible.

Residents will be able to ask for their homes to be connected without paying anything, but will have to fork out much higher prices for their Internet connections, with this cost to be determined by their Internet service providers.

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https://www.itnews.com.au/news/nbn-co-to-spend-3bn-upgrading-half-of-fttn-network-to-full-fibre-553731

NBN Co to spend $3bn upgrading half of FTTN network to full fibre

By Ry Crozier on Sep 23, 2020 6:25AM

Faster connections to be available 'on demand'.

The federal government will offer last-mile fibre upgrades to reportedly around half of NBN Co’s fibre-to-the-node (FTTN) footprint under a $3 billion plan announced today.

The upgrade plan, which was heavily rumoured through yesterday, will also see a further $400 million put into hybrid-fibre coaxial (HFC) upgrades and $100 million into fibre-to-the-curb (FTTC) upgrades, both aimed at supporting up to gigabit speeds.

The total of $3.5 billion for all of these upgrades will be funded from private debt markets, according to the government.

The offer to bring last-mile fibre connections only to part of the FTTN footprint is based on need, according to the government.

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https://www.afr.com/politics/federal/nbn-push-for-fibre-to-the-home-20200922-p55xxv

NBN push for fibre to the home

Phillip Coorey Political editor

Sep 23, 2020 – 12.01am

The NBN Co will spend $4.5 billion over the next two years to provide almost 10 million households and businesses with the option of high-speed fibre connections, in a change of political direction by the Coalition government.

Years after building a controversial system which mostly used copper to connect homes to fibre nodes in the street, the government will announce on Wednesday an upgrade which will devote $3.5 billion to laying high-speed fibre cables down streets past homes.

Householders looking for vastly higher web speed will be able to have their homes connected by fibre to the network free of charge. They will, however, pay higher prices for their broadband plan, in line with the $149 a month paid by consumers already connected directly by fibre.

These prices will continue to be set by retailers.

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https://itwire.com/telecoms-and-nbn/nbn-co-announcement-labor-says-libs-now-recognise-that-fibre-is-better.html

Tuesday, 22 September 2020 10:52

NBN Co announcement: Labor says Libs now recognise that fibre is better

By Sam Varghese

Labor shadow communications minister Michelle Rowland says the announcement made by NBN Co on Tuesday, about spending up to $700 million on creating 240 Business Fibre Zones, including a presence in 85 regional centres, shows that the Liberal party does not have a clue about either technology or economics.

NBN Co also said it had set aside $50 million over three years to work with local councils and state and territory administrations to locate areas that needed business-grade services outside the fibre zones.

"After spending $51 billion on a second-rate network, and a decade criticising Labor, it turns out fibre was better all along," Rowland said in a brief statement.

"Today confirms the Liberals don't have a clue when it comes to technology or economics. Their only motivation is the politics of the moment and Australians have lost out."

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https://www.afr.com/companies/telecommunications/nbn-splashes-700m-in-bid-for-market-domination-20200922-p55xyt

NBN splashes $700m in bid for market domination

James Fernyhough Reporter

Sep 22, 2020 – 11.38am

NBN Co will slash wholesale enterprise broadband prices and invest $700 million over the next three years, as it ramps up its bid to challenge Telstra as Australia's dominant wholesale business broadband provider.

The announcement, a taster of the government-owned telco's latest corporate plan to be released on Wednesday, will make NBN's CBD prices available to 700,000 suburban and regional businesses.

The decision follows a move by Telstra earlier this year to slash the cost of its own on-net enterprise plans. It further ramps up competition in the enterprise market, which until recent years Telstra has dominated.

The $700 million investment appeared to confirm expectations that NBN Co would use some of the $6 billion it raised in private debt earlier this year to build out its fibre network. More details on this move – including a potential upgrade of the residential network – will be released in Wednesday's corporate plan.

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https://www.theaustralian.com.au/business/technology/nbn-co-pushes-business-fibre-initiative/news-story/0533a9f8f163862f6d5c6c488d96cb90

NBN Co pushes business fibre initiative

Chris Griffith

More than 700,000 businesses will be eligible for free upgrades to the government’s high-speed gigabit fibre broadband, to be rolled out in 240 business fibre zones across Australia. That includes 85 zones in regional Australia.

The measure will be announced today at Port Macquarie and is part of NBN Co’s business fibre initiative, a $700m package for small to medium business to access superfast connection speeds.

The government’s plan involves defining areas to be serviced around Australia as zones where fibre optic connections can be built into business premises. Communications Minister Paul Fletcher said the government would announce 130 zones on Tuesday with the remaining 110 announced in coming weeks. Rockhampton, Bunbury, Port Macquarie, Coffs Harbour, Mt Gambier and Devonport are among locations.

He said the zones were designated areas where there was a density of businesses within a “reasonable distance” of existing NBN infrastructure. He said at Port Macquarie, a premises may be 1km to 5 km from existing fibre optic cable. “It (the fibre) might have to run for 500 metres, it might have to run for several kilometres,” Mr Fletcher told The Australian.

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https://www.itnews.com.au/news/nbn-co-to-spend-700m-on-240-business-fibre-zones-across-australia-553670

NBN Co to spend $700m on 240 'business fibre zones' across Australia

By Ry Crozier on Sep 22, 2020 7:03AM

Unveils three-year construction, rezoning package.

NBN Co is set to spend as much as $700 million creating 240 “business fibre zones” across Australia where every business in the area can get a fibre connection at “CBD zone wholesale pricing”.

The announcement, made a day before the release of the next NBN corporate plan, means “nine in 10 businesses will be able to order high-speed fibre broadband” from NBN Co, according to the government.

Having businesses located within ‘fibre zones’ removes one of the last pieces of complexity in NBN Co’s business offering.

As it currently stands, NBN Co zones business premises as either A, B or C, and this impacts their ability - as well as their cost - to have fibre deployed.

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https://www.itnews.com.au/news/china-to-lose-access-to-australian-space-tracking-station-553684

China to lose access to Australian space tracking station

By Jonathan Barrett on Sep 22, 2020 10:45AM

Cuts into expanding navigational capabilities in the Pacific.

China will lose access to a strategic space tracking station in Western Australia when its contract expires, the facility's owners said, a decision that cuts into Beijing's expanding space exploration and navigational capabilities in the Pacific region.

The Swedish Space Corporation (SSC) has had a contract allowing Beijing access to the satellite antenna at the ground station since at least 2011.

It is located next to an SSC satellite station primarily used by the United States and its agencies, including NASA.

The Swedish state-owned company told Reuters it would not enter into any new contracts at the Australian site to support Chinese customers after its current contract expires.

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Enjoy!

David.