Quote Of The Year

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

or

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

Monday, November 22, 2021

Weekly Australian Health IT Links – 22 November, 2021.

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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Interesting that the feeling on the blog seems to be that the ADHA has reached its use -by date and the time has come to put it out of its misery! Have your say on todays poll!

Otherwise there seems to be a lot of small moves underway – enjoy!

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https://www.afr.com/street-talk/pe-calls-for-pharmacy-software-group-z-software-20211115-p59931

PE calls for pharmacy software group Z Software

Anthony Macdonald, Yolanda Redrup and Kanika Sood

Nov 15, 2021 – 9.33pm

Specialist private equity investor Acclivis Group has recorded its maiden Australian buyout, snapping up pharmacy management software provider Z Software.

Acclivis managing director Geoffrey Sayer, a former Clanwilliam Group and Telstra Health executive, said Z Software was used to run more than 1000 community pharmacies across Australia, giving it about 20 per cent of the market.

Z Software has more than 1000 Australian pharmacies on its books.  Virginia Star

He said Z Software, founded in 2013, was the fastest growing pharmacy software company in the country, used by pharmacists to manage strict their regulatory requirements behind the counter and their wider retail operations.

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https://www.hospitalhealth.com.au/content/technology/news/sa-health-to-roll-out-comms-tech-304071636

SA Health to roll out comms tech

Tuesday, 16 November, 2021


SA Health, in partnership with the Australian Digital Health Agency, has trialled secure messaging technology and is now rolling it out in a staged approach in a bid to streamline communication between hospitals and community health providers.

“Secure messaging allows hospitals and healthcare providers, including general practitioners, private specialists and allied health professionals to communicate with each other in a safe and secure manner,” said SA Health Chief Digital Health Officer Bret Morris.

The secure messaging service is active at all Local Health Networks using either the Sunrise Electronic Medical Record (EMR) or the Open Architecture Clinical Information System (OACIS).

To date, it has also been activated for over 300 practices and more than 2000 individual external health professionals in South Australia and surrounding states.

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https://medicalrepublic.com.au/the-new-racgp-gender-and-sex-standards-explained/57824

15 November 2021

The new RACGP gender and sex standards, explained

Gender RACGP

By Holly Payne

The RACGP has recently updated its standards to recommend that GPs separate the collection of sex and gender information, with hopes that it will not only help practices be more inclusive but also radically improve the available data on sex- and gender-diverse Australians. 

This may go some way to make up for a missed opportunity to collect LGBTI+ data: this year’s census contained nothing on sex- and gender diversity, despite a campaign and high-level support for including such questions.

And don’t worry – many clinical information system vendors are already working toward a solution for recording the additional sex and gender variables. 

What has changed

The RACGP recently released the Standards for General Practice (5th edition) and it introduces new methods of collecting and recording information about patient sex, gender, variations of sex characteristics and sexual orientation.

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https://www.smh.com.au/national/western-australia/fiona-stanley-hospital-it-system-failure-forces-doctors-to-revert-to-paper-records-20211116-p599c6.html

Fiona Stanley Hospital ICT restored after hundreds of appointments cancelled

By Heather McNeill

Updated November 17, 2021 — 10.41amfirst published November 16, 2021 — 12.04pm

Between 300 and 400 patients had appointments at Fiona Stanley Hospital cancelled on Tuesday after the organisation’s information and communications technology system failed.

Most were outpatients who required video conferencing services, but other procedures which required ICT systems were also postponed.

The hospital’s system went down at 10pm Monday, with medical staff unable to access online patient records. Ambulances were diverted to other hospitals on Tuesday.

South Metropolitan Health Service chief executive Paul Forden said the issue was with software products that were used.

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https://www.zdnet.com/article/south-australia-launches-two-digital-tools-for-assessing-travellers-as-part-of-opening-border/

South Australia launches two digital tools for assessing travellers as part of opening border

All incoming travellers must use EntryCheck SA, which will assess their vaccination status, departure location, and COVID-19 risk.

By Campbell Kwan | November 19, 2021 | Topic: Innovation

With South Australia set to reopen its borders from this coming Tuesday, the state's Premier Steven Marshall has announced two new digital tools that incoming travellers may be required to use to enter the state.

The first tool is an online border entry process, called EntryCheck SA, that all incoming travellers must use. It will assess an individual's vaccination status, departure location, and COVID-19 risk, and will be available to people on Friday.

Based on the information provided, vaccinated individuals arriving from interstate areas with community transmission and from overseas may also be required to use another digital tool, the new HealthCheck SA mobile app, as part of their entry conditions.

The HealthCheck SA app is an offshoot of the state's home quarantine app, and is intended to help users monitor daily symptoms and guide them through any testing and quarantine requirements.

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https://www.hospitalhealth.com.au/content/technology/news/digital-health-consumer-app-to-launch-in-2022-hips-mobile-improves-patient-data-access-280961047

Digital health consumer app to launch in 2022

Monday, 15 November, 2021


The Australian Digital Health Agency (ADHA) has teamed up with Adelaide-based Chamonix IT Management Consulting to develop a digital health consumer mobile app starting with My Health Record integration, following a competitive tender process.

The app, to be developed as a part of a $2.1 million contract, will be available in early 2022, with the first iteration to be a read-only interface to My Health Record, followed by upload functionality and future enhancements.

ADHA’s Chief Digital Officer Steve Issa said, “The Agency’s vision is both healthcare providers and consumers having access to the same health information regardless of the type of device or channel they use to access it.”

The Agency’s omni-channel strategy enables the only national electronic health record, allowing access to health information when it is needed. “The first component of this strategic program to drive digital enablement across Australia has been My Health Record, available for both healthcare providers and consumers through desktop environments,” Issa said.

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https://www.healthcareitnews.com/news/anz/adha-build-consumer-mobile-app-my-health-record

ADHA to build consumer mobile app for My Health Record

The app is expected to be available in early 2022.

By Adam Ang

November 16, 2021 12:20 AM

The Australian Digital Health Agency has chosen Adelaide-based consultant Chamonix IT Management Consulting to develop a consumer mobile app that integrates with My Health Record. 

According to a statement, the first release of the app will be a read-only interface of the national digital health record platform and will later include an upload feature and other enhancements. Chamonix, which won the A$2.1 million ($1.5 million) contract via a competitive tender process, is expected to develop the app by early next year.

WHY IT MATTERS

Over the past year, the ADHA saw more than a 500% jump in the number of consumer views of pathology reports on My Health Record, according to ADHA Chief Digital Officer Steve Issa. Consumers have been accessing their My Health Record on desktops and given this increase in demand, the ADHA is coming up with a mobile solution to enable easier access to health information. 

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https://www.ausdoc.com.au/specialist-update/fitbit-can-detect-silent-af-study

Fitbit can detect silent AF: study

A new algorithm for detecting arrhythmia is before the US FDA for approval

18th November 2021

By Medicom

Almost all detections of AF using an algorithm for a Fitbit wearable device are true positives, a large study shows.

US researchers said that 98% of positives for AF were confirmed as correct when an ECG patch was then worn for a week in their study of almost half a million people.

The findings were reported to the American Heart Association Scientific Sessions 2021 virtual meeting by Dr Steven Lubitz of Massachusetts General Hospital, Boston, US.

Dr Lubitz and colleagues developed the algorithm which makes use of the Fitbit’s photoplethysmogram software to detect irregular heart rhythms and report results to a smartphone app.

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https://www.healthcareitnews.com/news/anz/sa-health-taps-digital-tech-faster-sharing-patient-info

SA Health taps digital tech for faster sharing of patient info

For now, the service enables the sharing of discharge summaries with health providers across the state.

By Adam Ang

November 15, 2021 11:33 PM

SA Health has piloted a Secure Messaging service to allow clinicians to share patient information faster.

In partnership with the Australian Digital Health Agency, it has rolled out the service in a staged approach across all its local health networks that are either using the Sunrise EMR or the Open Architecture Clinical Information System. 

For now, the service allows SA Health to send discharge summaries directly to participating health providers. Around 40,000 of these summaries have been sent out across metro and regional hospitals in South Australia. Later, other documents will be included, such as electronic outpatient referrals, specialist letters and other communications from SA Health. 

The messaging technology, said ADHA CEO Amanda Cattermole, has met "rigorous security and privacy requirements, replacing existing manual processes and continuing to improve the interoperability of Australia’s broader digital health system".

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https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/about+us/news+and+media/all+media+releases/study+introduces+new+advice+for+the+use+of+omega-3+supplements+in+pregnancy

Study introduces new advice for the use of omega-3 supplements in pregnancy

18 November 2021

New technology designed to streamline communication between hospitals and community health providers is allowing clinicians to share important patient information faster and improve patient care.

SA Health Chief Digital Health Officer, Bret Morris, said SA Health, in partnership with the Australian Digital Health Agency, has trialled the secure messaging technology and is now rolling it out in a staged approach.

“Secure Messaging allows hospitals and healthcare providers, including general practitioners, private specialists and allied health professionals to communicate with each other in a safe and secure manner,” Mr Morris said.

“It reduces the use of fax machines and post, improving accuracy, privacy and the speed in which clinical documents can continue to be shared between sites.

“This technology makes the clinician’s work easier and more efficient, while contributing to improved patient care for South Australians.”

Note: The headline is quite bizarre for the contents that follow!

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https://www.miragenews.com/streamlining-health-data-to-improve-patient-care-675887/

18 Nov 2021 10:47 am AEDT

Streamlining health data to improve patient care

New technology designed to streamline communication between hospitals and community health providers is allowing clinicians to share important patient information faster and improve patient care.

SA Health Chief Digital Health Officer, Bret Morris, said SA Health, in partnership with the Australian Digital Health Agency, has trialled the secure messaging technology and is now rolling it out in a staged approach.

“Secure Messaging allows hospitals and healthcare providers, including general practitioners, private specialists and allied health professionals to communicate with each other in a safe and secure manner,” Mr Morris said.

“It reduces the use of fax machines and post, improving accuracy, privacy and the speed in which clinical documents can continue to be shared between sites.

“This technology makes the clinician’s work easier and more efficient, while contributing to improved patient care for South Australians.”

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https://www.tasmaniatalks.com.au/newsroom/tasmanian-news/58804-covid-19-vaccine-certificates-coming-to-check-in-tas-app

COVID-19 vaccine certificates coming to Check In Tas app

16 November 2021

New updates are now live on the Check In Tas app. From today, the app will be able to display the user's COVID-19 vaccination Digital Certificate; if they have one. Authorities say the digital vaccination certificate information is not stored by the Department of Health in the Check in TAS app, it is only stored on the user's own phone.

The upgrade has been finalised less than a month out from the border reopening. Health Minister Jeremy Rockliff is encouraging users to update the app. "The Digital Certificate will be able to be used at certain events where vaccination is a requirement and is likely to also be used for border check processes" Rockliff says.

To link your vaccination certificate to your Check In Tas app, there are four steps:

Upgrade your Check in TAS app to the latest version (some devices will do this automatically, others will ask you to upgrade manually);

You will then need to access your COVID-19 Vaccination Digital Certificate through either your Medicare

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https://www.hinz.org.nz/news/587169/My-Vaccine-Pass-live.htm

My Vaccine Pass live

Tuesday, 16 November 2021  

NEWS - eHealthNews.nz editor Rebecca McBeth

My Vaccine Pass has gone live allowing people to prove their Covid-19 vaccination status.

The pass includes a person’s name, date of birth and a QR code, enabling them to access places within New Zealand that require proof of vaccination under the new Covid-19 Protection Framework, such as large-scale events and hospitality venues.

A separate International Covid-19 Vaccination Certificate for travel overseas is also now available on request. New Zealand has chosen to first use the European standard, called the EU Digital COVID Certificate, which is recognised by 49 countries, with more expected to come.

Both passes are stored in a QR code that can be downloaded to a phone and stored in an Apple or Google Wallet, or printed out, and people without access to a phone can request a paper copy.

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https://www.health.gov.au/resources/videos/top-3-covid-19-vaccine-questions-covid-safe-travel-vaccination-proof-booster-questions-for-your-gp

Top 3 COVID-19 vaccine questions – COVID

Professor Alison McMillan, Chief Nursing and Midwifery Officer, answers the top 3 questions across our channels.

7:23

Read transcript

Date published:  18 November 2021

Video type:  Presentation

Description: 

If I’m travelling over the holiday period, what should I consider to stay COVID Safe.

When will I need to prove that I am vaccinated against COVID-19?

What should I ask my GP if I’m unsure if I need a booster?

Part of a collection: 

We answer your top 3 questions

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https://7news.com.au/technology/internet/telstra-targets-scale-in-non-core-segments-c-4574456

Telstra targets scale in non-core segments

Prashant Mehra
Published: 16/11/2021Updated: Tuesday, 16 November 2021 3:23 PM AEDT

Telstra is looking to build scale in its non-core health and energy businesses and hopes to deliver profitable growth across its international network, as part of the plan to bolster its financial position.

The telecoms giant has put a spotlight on the new markets and international businesses, which form key pillars of the T25 growth strategy - first unveiled in September - that is designed to sharpen its competitive edge.

"For our new markets, our ambition is very simple. It is to grow our health and energy businesses profitably to scale," chief executive Andy Penn said at the company's second investor day on Tuesday.

"We're very excited by the opportunities for these businesses and their strategic direction. But we also know we need to increase their economic significance to the value of Telstra."

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https://onlinelibrary.wiley.com/doi/abs/10.1002/jppr.1774

Standards of practice for clinical pharmacy services – Chapter 16: My Health Record

Michelle Bunte BPharm, LLB, GradCertClinEpid

First published: 14 November 2021

https://doi.org/10.1002/jppr.1774

This chapter was developed as part of the My Health Record Training and Education Program, a partnership between the Society of Hospital Pharmacists of Australia (SHPA) and the Australian Digital Health Agency.

The SHPA acknowledges the authors of the original version of the section in this paper entitled ‘Overview: Standards of Practice for Clinical Pharmacy Services’, namely George Taylor, Anne Leversha, Christopher Archer, Camille Boland, Michael Dooley, Peter Fowler, Sharon Gordon-Croal, Jay Fitch, Sally Marotti, Amy McKenzie, Duncan McKenzie, Natalie Collard, Nicki Burridge, Karen O’Leary, Cameron Randall, Amber Roberts and Suzette Seaton.

This article publishes a new chapter in SHPA’s Standards of Practice for Clinical Pharmacy Services: ‘Chapter 16: My Health Record’. This chapter was approved by the SHPA Board of Directors in July 2021; it will be incorporated into the Standard the next time it is fully updated. The chapter is published here along with the Standard’s ‘Overview’ section, to provide context on the purpose and scope of such chapters; further, references in the ‘Overview’ here have been updated to reflect current practice. Information about all of SHPA’s Standards of Practice can be found at the SHPA website.

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NEWS RELEASE

Global Digital Health Leader Lisa Suennen to Chair Australian-First Digital Health Investment Advisory Committee

ANDHealth is proud to announce the appointment of its International Investment Advisory Committee (IIAC) which will provide critical insights and frontline industry experience to the MRFF funded ANDHealth Digital Health Accelerator Fund and associated ANDHealth+ program.

The IIAC comprises internationally recognised investors, clinicians, founders and executives with proven track records in identification and growth within the evidence-based digital health sector, and will be chaired by globally recognized digital health leader, Lisa Suennen. Lisa, named 2018 Rock Health Digital Health Evangelist of the Year, has spent more than 30 years in operating and investing roles at the intersection of technology and health, and has been actively engaged with ANDHealth for many years.  Today she is Leader of Manatt Phelps & Phillips Digital and Technology Practice, as well as Managing Partner of the Manatt Venture Fund. 

Lisa will be supported by:

  • Bronwyn Le Grice, CEO & Managing Director of ANDHealth
  • Anand Iyer, Chief Strategy Officer, WellDoc
  • Andrew Murphy, Executive Chairman & Co-Founder, Robotify Labs & Partner, Erisbeg Fund
  • Aenor Sawyer, Director, University of California Space Health; Director, UCSF Skeletal Health Service
  • Bill Lucia, Executive Partner, Consonance Capital and HEP Fund (former Chairman and CEO of HMS, acquired by Gainwell 2021 US$3.4B)
  • Drew Schiller, CEO, Validic
  • Katherine (Kate) Merton, Principal, Hicks Cohen, former SVP Digital Care Delivery, Anthem Inc
  • Ken Cahill, CEO, Silvercloud (acquired by Amwell 2021 US$320M)

ANDHealth CEO Bronwyn Le Grice said, “The IIAC is an Australian-first expert advisory committee designed specifically to bring proven commercialisation and growth expertise on a global scale to our Australian SMEs. Successfully scaling into international markets is critical for Australian SMEs from both a sustainability and an investability perspective.
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https://www.healthcareitnews.com/news/anz/acurio-health-deploy-raulands-nurse-call-system-soon-launch-george-centre

Acurio Health to deploy Rauland's nurse call system in soon-to-launch The George Centre

It will be able to assist its nursing and clinical teams in providing care.

By Adam Ang

November 18, 2021 05:13 AM

Acurio Health's soon-to-open private paediatric and maternity facility The George Centre in southwest Sydney will be equipped with nurse call solutions by health IT provider Rauland Australia.

Rauland's Responder Nurse Call and Master Clocks, along with associated clinical workflow, design, delivery, and installation services, will be delivered to the A$100 million ($72.5 million) private paediatric facility which is set to open in the middle of 2023. 

WHY IT MATTERS

Acurio Health has not said much about its reason for choosing Rauland but through its technology, they will be able to assist nursing and clinical teams in their provision of care.

According to Rauland, its enterprise end-to-end communication offering Concentric Care brings together organisations, departments, buildings, and units in a single platform that is adaptive to the size and specialisation of a specific care environment. 

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https://www.healthcareitnews.com/news/anz/new-analytics-tool-delivers-insights-hospitals-pharmaceutical-use-and-spending-western

New analytics tool delivers insights on hospitals' pharmaceutical use and spending in Western Australia

The app assists hospitals to make informed decisions around ordering, dispensing, and distribution.

By Adam Ang

November 16, 2021 12:45 AM

Health Support Services, the shared services centre which supports the WA public health system in Australia, has introduced a new pharmaceutical analytics solution that renders an overview of hospitals' pharmaceutical expenditures and supplies. 

WHAT IT DOES

Developed in collaboration with chief pharmacists across WA Health, the Pharmalytics app provides hospitals with up-to-date access to a dashboard showing their pharmaceutical use and spending. 

Key insights it provides include revenue and expenditure, reimbursements, stock on hand, backorders and stock held at all WA Health sites. 

It also identifies substitute products and stocked quantities and monitors contract compliance, supplier performance, and a critical list of COVID-19 medications. It has a built-in calculator for aseptic compounding products. 

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https://www.labonline.com.au/content/computing-hardware-software/news/ai-powered-glaucoma-test-takes-just-10-seconds-524195623

AI-powered glaucoma test takes just 10 seconds


Monday, 15 November, 2021

Researchers from RMIT University have developed an AI-powered rapid screening test that could help advance early detection of glaucoma, a leading cause of irreversible blindness. The test uses infrared sensors to monitor eye movement and is said to produce accurate results within seconds. It has been described in the journal IEEE Access.

About 80 million people worldwide have glaucoma, yet 50% do not know they have it as the loss of sight is usually gradual. The disease is currently diagnosed through a 30-minute eye pressure test delivered by an ophthalmologist; by contrast, RMIT’s AI-powered test takes just 10 seconds, differentiating between glaucoma and healthy eyes by analysing changes in pupil size.

In the researchers’ study, pupils were measured 60 times per second using a low-cost commercial eye tracker. Under ambient light conditions, patients looked at a computer screen while custom software measured and analysed specific changes in their pupil size. The software then compared the results against existing samples of glaucoma and healthy eyes to determine the risk of glaucoma.

“Our software can measure how the pupil adjusts to ambient light and capture minuscule changes in the shape and size of the pupil,” said study co-author Dr Quoc Cuong Ngo.

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https://itwire.com/business-it/50-years-since-intel-s-groundbreaking-4004-processor-arrived-wow.html

Tuesday, 16 November 2021 11:52

50 years since Intel's groundbreaking 4004 processor arrived - wow!

By Alex Zaharov-Reutt

The Intel 4004 was "the first commercially available microprocessor," and while it is extremely primitive by today's standards, it "paved the way" for the modern microprocessor computing revolution and changed the world as we know it.

Launched in November 1971, Intel's 4004 was the world’s first commercially available microprocessor, and as Intel puts it, "enabled the convergence of the technology superpowers – ubiquitous computing, pervasive connectivity, cloud-to-edge infrastructure and artificial intelligence – and created a pace of innovation that is moving faster today than ever."

Intel Corporation Historian Elizabeth Jones has also written a great article titled "The Chip that Changed the World" which you should also read for great context and content.

Intel has published a great video with current CEO Pat Gelsinger talking with Intel's famous co-founder, Chairman Emeritus and creator of "Moore's Law", Gordon Moore.

The video is not on YouTube, so I can't embed it here, but you can watch the short video and a second video that discussed how semiconductor technology will continue to shape the world, here

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https://www.healthcareitnews.com/news/anz/victorias-cabrini-health-and-alfred-adopt-clinicians-proms-platform

Victoria's Cabrini Health and The Alfred adopt The Clinician's PROMs platform

The program will automate the collection and analysis of PROMs data from colorectal cancer patients.

By Adam Ang

November 17, 2021 06:31 AM

Cabrini Health and The Alfred, two of the largest healthcare providers in the state of Victoria, have deployed a patient-reported outcome measures platform by digital health company The Clinician to automate their collection and analysis of health data from colorectal cancer patients.

The rollout of the ZEDOC platform in these two healthcare centres is backed by a grant under the Collie Foundation and the non-profit initiative Let’s Beat Bowel Cancer.

WHAT IT'S FOR

The said program allows colorectal neoplasia patients undergoing surgeries to report their own health-related outcomes via the cloud-based platform on their mobile devices or computers. Their PROMs data are then sent to a centralised portal that is accessible to care teams for their monitoring of patients' progress and understanding of their health profiles. 

According to The Clinician, the ZEDOC installations adhere to the colorectal cancer standards outlined by the International Consortium of Health Outcomes Measurement, which incorporates health domains that matter most to patients.

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https://www.healthcareitnews.com/news/anz/nsw-ambulance-upgrades-radio-network

NSW Ambulance upgrades radio network

It has tapped Vertel to expand the coverage and improve the performance of its network.

By Adam Ang

November 17, 2021 05:53 AM

NSW Ambulance, provider of emergency medical services in New South Wales, has upgraded its radio network to cover more areas and enhance its critical communications operations. 

The government agency delivers emergency healthcare and support, clinical care, and rescue and retrieval services across communities in NSW. It comprises more than 6,000 staff, including paramedics, doctors, nurses, and corporate personnel. 

Vertel, an Australian private telecommunications carrier, has won via competitive tender a contract to redesign its Far West Project 25 (P25) radio network.

WHY IT MATTERS

NSW Ambulance, which covers an area spanning over 800,000 square kilometres, said some locations struggled to receive coverage with its old communications network. Vertel helped resolve this limitation, along with the implementation of remote network monitoring.

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https://www.itnews.com.au/news/tpg-telecom-makes-fresh-play-to-be-a-more-robust-competitor-to-nbn-co-572876

TPG Telecom makes fresh play to be a 'more robust competitor to NBN Co'

By Ry Crozier on Nov 19, 2021 12:42AM

Decision expected by early February 2022.

TPG Telecom has set in motion a plan that would release it from rules that curtailed its fixed-line infrastructure ambitions and "likely" make it a “more robust competitor to NBN Co”.

The significant development would result if a fresh functional separation bid that the telco has filed with the Australian Competition and Consumer Commission (ACCC) is approved.

The ACCC is proposing to make a final call on the proposal in “early February 2022”, creating the potential for a major change in Australia’s broadband infrastructure market.

TPG had at one stage hoped to extend existing fibre assets to create a fibre-to-the-basement (FTTB) network servicing half a million premises in major capital cities.

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https://www.itnews.com.au/news/labor-to-give-30000-families-free-nbn-for-a-year-572847

Labor to give 30,000 families free NBN for a year

By Ry Crozier on Nov 18, 2021 1:21PM

While it comes up with a permanent strategy to bridge the digital divide.

Federal Labor has pledged to fund an NBN service for 30,000 families currently without a home internet connection for a year, while a longer-term strategy is created.

The party’s second NBN-related pre-election announcement sought to address an issue that has been present in NBN and regulatory circles for some time: the issue of broadband affordability and universal access.

Labor leader Anthony Albanese said that the party, if elected in 2022, would offer “some 30,000 families with no internet at home ... support for a 12-month period”.

“Then, during that period, we will undertake further work and consultation about how we can make sure that no child is left behind going forward,” he said.

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https://itwire.com/telecoms-and-nbn/labor-offers-30,000-homes-without-internet-free-service-for-year.html

Thursday, 18 November 2021 09:47

Labor offers 30,000 homes without Internet free service for year

By Sam Varghese

The Australian Labor Party has announced it will provide free broadband for a year to 30,000 homes which have no Internet connections, as part of its broadband policy for the upcoming election.

In a tweet, Opposition Leader Anthony Albanese said: "Labor will provide a year of free broadband access for up to 30,000 families with no internet at home."

He did not offer any further details. The statement comes a day after Albanese said the party would, if elected, provide $2.4 billion to extend fibre to an additional 1.5 million homes over and above those which the Coalition has promised to wire.

Reaction to Albanese's tweet was mixed, with the very first one being from Labor voter Philip Parker who said: "If that’s the sort of nonsense policy agenda we’re likely to see, then as a Labor voter I’m disillusioned about Labor’s prospects at the next election."

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https://www.itwire.com/telecoms-and-nbn/analyst-puts-labor-nbn-plan-in-same-basket-as-govt-efforts.html

Wednesday, 17 November 2021 09:29

Analyst puts Labor NBN plan in same basket as govt efforts

By Sam Varghese

Labor's announcement that it would provide $2.4 billion for an additional 1.5 million homes to be provided with fibre if it were elected to office has been dismissed as "a continuation of the muddling-on process seen over the last decade."

Australia's best-known independent telecommunications consultant Paul Budde told iTWire that there was nothing revolutionary in the proposal.

Portions of the Labor proposal were leaked to select media outlets overnight — iTWire was not included — with Opposition Leader Anthony Albanese to make a formal announcement later on Wednesday.

The Labor leak also said the sale of the NBN would be put off for a while, but did not say the network would not end up in private hands.

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https://www.afr.com/politics/federal/labor-shelves-nbn-sale-plans-pledges-2-4b-to-boost-fibre-rollout-20211116-p59987

Labor shelves NBN sale plans, pledges $2.4b to boost fibre rollout

Phillip CooreyPolitical editor

Nov 16, 2021 – 10.30pm

Federal Labor has shelved plans to privatise the NBN and will turbocharge the government’s network repair job by investing an extra $2.4 billion to ensure 1.5 million more premises receive a full-fibre service by 2025.

The NBN pledge is the latest Labor policy to rely on off-budget spending, taking the total promised so far $47.4 billion.

More than a year after the federal government backflipped and devoted $4.5 billion towards building the NBN as originally envisaged – without copper – Labor leader Anthony Albanese said, if elected, he would accelerate the process of giving people the option of replacing the copper to their premises with fibre.

Of the 1.5 million additional premises which will have faster access to fibre, almost half, or 660,000 homes and businesses, will be in the regions.

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https://www.itnews.com.au/news/labors-early-election-pledge-to-offer-fibre-to-nearly-7-in-8-fttn-users-572760

Labor's early election pledge to offer fibre to "nearly 7 in 8" FTTN users

By Ry Crozier on Nov 16, 2021 10:00PM

Not just the lucky half.

Federal Labor has pledged an extra $2.4 billion of NBN upgrades if it wins the 2022 election, enabling 90 percent of Australians in the fixed line footprint to order gigabit speed services by 2025.

The party also said it would keep NBN Co “in public hands” instead of pursuing the sale of the company and its network, which has been on the cards under an LNP government for some time.

But the major commitment is to provide an additional 1.5 million homes and businesses “access to fibre” and gigabit speeds, effectively within a single term of parliament.

A formal announcement will be made on Wednesday morning; however, iTnews was among media outlets to be given advance details.

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https://www.itnews.com.au/news/vandals-topple-second-vic-nbn-wireless-tower-in-four-years-572757

Vandals topple second Vic NBN wireless tower in four years

By Ry Crozier on Nov 17, 2021 6:52AM

May have taken up to a fortnight to fall over.

Saboteurs have caused an NBN fixed wireless tower in Victoria’s Gippsland region to collapse, the second such incident in the area in the past four years.

The collapsed tower caused an outage for about 320 premises served by the tower, although an NBN Co spokesperson told iTnews around 220 of those were now being served by other towers in the area.

East Gippsland Police said they are “investigating the circumstances surrounding damage to a communications tower in Mount Taylor”, which is located about 13km from Bairnsdale.

It appears the tower may have been damaged up to a fortnight ago but that the structure only gave way at the beginning of last weekend.

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https://www.itnews.com.au/news/telstra-distances-5g-fixed-wireless-from-being-an-nbn-replacement-572721

Telstra distances 5G fixed wireless from being an NBN 'replacement'

By Ry Crozier on Nov 16, 2021 12:07PM

But says it could be useful for people on NBN FTTN or wireless.

Telstra has categorically distanced its 5G fixed wireless service from being an NBN "replacement", but is instead an “alternative” for certain users in the NBN fibre-to-the-node (FTTN) and fixed wireless footprints.

The timing of the commentary coincides with calls by NBN Co aimed at the government to reconsider whether the broadband tax should apply to cellular fixed wireless services, as some are marketed as NBN-equivalent alternatives.

NBN Co has spent much of the year positioning commercial 5G as a competitive offering, something that could draw government and regulatory scrutiny if that position became broadly accepted.

So far, the government and regulators have resisted, arguing that 5G fixed wireless services cannot compete with regular fixed services when it comes to quotas, even if the speeds are similar or better.

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https://www.smh.com.au/world/north-america/russian-anti-satellite-missile-test-creates-debris-field-space-station-astronauts-shelter-for-safety-20211116-p5997h.html

Astronauts shelter after Russian missile test debris threatens space station

By Marcia Dunn

November 16, 2021 — 6.40am

Cape Canaveral: Space junk threatened the seven astronauts aboard the International Space Station on Monday, forcing them to seek shelter in their docked capsules and disrupting their work.

The US Space Command said it was tracking a field of orbiting debris, the result of a satellite breakup.

“Russia’s dangerous and irresponsible behaviour jeopardises the long-term sustainability of ... outer space and clearly demonstrates that Russia’s (claims) to oppose the weaponizations of space are disingenuous and hypocritical,” State Department spokesman Ned Price told reporters, saying the Russian missile generated more than 1,500 pieces of “trackable orbital debris.”

The situation had the debris coming uncomfortably close to the space station on subsequent orbits, and required the astronauts to close and then reopen several compartments, including the European lab, every 1 1/2 hours until bedtime.

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Enjoy!

David.

 

Sunday, November 21, 2021

Victorian Civil Society Is Really Annoyed At The Victorian Department Of Health For Flagrant EHR Overreach!

This appeared a couple of days ago.

‘Deeply concerned’: Victoria’s new no-consent health data sharing scheme

Denham Sadler
National Affairs Editor

There are “serious concerns” over the Victorian government’s “unprecedented plan” to establish a centralised health data sharing system which would store information such as prescribed medications and hospital admissions, with no ability for individuals to opt-out.

The state government is planning to improve information sharing between health services through the creation of a new digital database and the involuntary collection of individual health data, in an effort to combat the currently fragmented patient health information system.

But the scheme has been criticised by the likes of the Australian Privacy Foundation, Liberty Victoria and the Australian Doctors Federation for its lack of consent required, potential for the database to become a “honeypot” for hackers, and that it could jeopardise doctor-patient confidentiality.

The Victorian budget in May included a commitment to reform and consolidate public pathology services in the state, including through improvements to laboratory information systems. This would include the creation of a health information exchange to be hosted and supported by the state health department – a centrally hosted solution in the cloud environment that is “highly available, scalable and reliable”.

The Victorian government has issued a tender notice for this work looking for an off-the-shelf solution from the private sector, closing on 20 December.

Legislation underpinning the new data-sharing scheme has already passed the lower house and is expected to be debated in the Legislative Council before the end of the year. The bill formalises the linkage of patient medical and health information into a single portal, which can be accessed by authorised users such as doctors or other clinicians.

Information collected in the database will span five years in the past of an individual’s health records.

If passed by the state Parliament, the scheme will come into effect in February 2023 in order to give time for the solution to be developed. It will include public hospitals and health services, metropolitan hospitals, ambulance services and forensic mental health units.

Information to be shared in the database and with authorised users includes prescribed medicines, allergies, admissions, discharge summaries and other alerts.

Unlike the highly controversial federal My Health Record scheme, there will be no ability for Victorians to opt out of this medical health sharing scheme.

The legislation also includes two new criminal offences to deal with the potential unauthorised access of data in the scheme, and for accessing it for unauthorised purposes, with two years imprisonment.

“The availability of complete and accurate health information at the right time and at the right place will save lives and is essential to providing the very best care for patients,” Labor MP Shaun Leane said in Parliament.

“We recognise that a consolidated picture of a patient’s medical and health history is essential to the provision of safe and high-quality care in our public hospitals. In Victoria, critical health information is currently spread across different health services, in separate systems and in paper records. This fragmentation of patient health information often means that clinicians manually gather patient health information, through fax or phone calls.”

The state government has argued that the new database will be more secure than the current system using fax and phone calls.

But the Australian Privacy Foundation has serious concerns with the proposal, and has sent a series of questions to the government and health department. The organisation is now in discussions with senior personnel from the Department of Health and Human Services over these issues.

The main concerns are over a lack of consent, independent oversight and a risk that it will get in the way of doctor-patient confidentiality, Australian Privacy Foundation health committee chair Juanita Fernando said.

“Given the proposed exponential expansion of the Victorian data collection, consent should be active, in the form of a clear, freely given, specific, informed and unambiguous indication of the individual’s agreement to the collection, holding, management and retention of personal information by health authorities,” Ms Fernando told InnovationAus.

“The bill erodes protection of the patient-doctor confidentiality, and so the high quality patient care that requires patient openness, trust and confidence in their clinicians. This may prove disastrous in the context of mental health concerns and other conditions linked to the social determinants of health.”

The Australian Doctors Federation (ADF) also shared concerns the scheme could impair trust between clinicians and patients.

“The ADF maintains that quality healthcare requires patient trust and confidence, and appropriate health informatics and high integrity data to aid clinical decision making,” the organisation said.

“Unfortunately, governments have a very poor track record at implementing trustworthy systems, which provide quality health information whilst maintaining the confidence of doctors and patients. The ADF recommends that the proposal not proceed until these and other key questions are publicly debated, carefully examined and resolved.”

Liberty Victoria has also said it is concerned about the privacy implications of the plan, and there needs to be better public consultation on this.

“This Victorian bill has no provisions for opt-in or opt-out, all patients are in and their consent is not required. There are no provisions for the de-identification of at-risk individuals. All data is open to all users of the system,” Liberty Victoria said.

“Liberty Victoria holds serious concerns for the potential of the suggested central database to become a vulnerable ‘honeypot’ for personal data. All patient data including the identifiers at each clinic and hospital are to be stored. The database would be a major target for exploitation by hackers and organised crime and there is insufficient focus on protecting this personal information.”

Lots more here:

https://www.innovationaus.com/deeply-concerned-victorias-new-no-consent-health-data-sharing-scheme/

I have already mentioned this dreadful plan before. See here:

https://www.blogger.com/blog/post/edit/23447705/2168823117248129519

The more you read about what is planned the more it is clear that there are key aspects of this proposal that are deeply flawed.

First it is absurd not to be able to opt-out of the system. With the situation planned that any clinician can access all the data not to be able to avoid all sorts of potential risks by being able to remove detailed personal information is just appalling!

Secondly, as far as I know, there is no patient access to the data to be able to know what is held and to correct the inevitable errors.

Third to go to data that is up to five years old and was collected under a different data quality and protection regime guarantees omissions and inaccuracy. I wonder how clear they plan to be in identifying the other users whose patient records are being raided and what protections will exist for errors made in the past and shared just now – no one is perfect.

Having seen the numbers who have chosen to opt-out of the #myHR one really wonders what the Victorian Government thinks it is doing in introducing a compulsory and privacy invasive State system.

As far as I know there is little to no evidence that systems like what is proposed  - a centralised patient database with various access paths – has much in the way of clinical, economic or patient safety benefit. It would be fascinating to see how the benefits were spun and just what costs were envisaged. Much better privacy preserving and decentralised approaches to the problem exist I reckon!

A leak of even the Exec. Summary of the Cost / Benefit and Option Analyses would be great fun for all!

This is a privacy invasive and clinically unproven monster the Victorian Upper House should reject.

David.

 

AusHealthIT Poll Number 606 – Results – 21st November, 2021.

Here are the results of the poll.

Is The Aged Care Sector Ready To Adopt And Use The #myHealthRecord For Care Transfer Documentation (Rather Than A Paper Document)?

Yes 7% (5)

No 92% (69)

I Have No Idea 1% (1)

Total votes: 75

A very clear outcome – not many think the Aged Care sector really wants the #myHR!

Any insights on the poll are welcome, as a comment, as usual!

A good number of votes with a clear outcome! 

1 of 75 who answered the poll admitted to not being sure about the answer to the question!

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

David.

 

Saturday, November 20, 2021

Weekly Overseas Health IT Links – 20 November, 2021.

Here are a few I came across last week.

Note: Each link is followed by a title and 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.

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https://www.digitalhealth.net/2021/11/nhsx-delivers-remote-blood-pressure-monitoring-devices/

NHSX delivers remote blood pressure monitoring devices to patients

NHSX is to offer devices to thousands of patients which will allow them to monitor their blood pressure at home and send readings to their GP via phone, email or digital platforms.

Cora Lydon 11 November, 2021

NHSX has purchased 220,000 devices which are being sent to people diagnosed with uncontrolled high blood pressure. Regular blood pressure checks will help to note any significant changes before a potentially deadly stroke or heart attack strikes.

The initiative supports the NHS Long Term Plan which aims to prevent up to 150,000 heart attacks, strokes and dementia cases over the next 10 years. By enabling patients to monitor their blood pressure at home, NHSX estimates it will prevent 2,200 heart attacks and almost 3,300 strokes over the course of five years.

The devices are simple to use and operate in a similar way to those found in GP surgeries. Patients can wrap the device around the upper arm to quickly read their blood pressure at home. The reading is then sent to their GP for review, either by telephone, email or courtesy of a digital remote monitoring platform.

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https://www.fiercehealthcare.com/digital-health/predictions-for-healthcare-2022

Healthcare industry will face higher medication errors, declining patient trust in 2022: Forrester

by Anastassia Gliadkovskaya

Nov 10, 2021 9:25am

As the world enters the third year of the COVID-19 pandemic, the healthcare industry faces a variety of ongoing challenges and shifts in delivery of care, according to a new 2022 predictions report. 

The report was put together by analysts at Forrester, a global market research firm.

They identified five key predictions for the coming year: 

1. Health disparities will negatively impact rural Americans twice as much as urban Americans

Patients living in rural communities are more likely to be harmed for a variety of reasons, including social disparities, chronic health conditions, higher suicide rates and widespread hospital closures. In 2020 alone, nearly two dozen rural hospitals closed, Natalie Schibell, a senior analyst in the healthcare vertical at Forrester, told Fierce Healthcare. As a result, patients had to travel farther for care.

Other exacerbating factors include barriers to broadband access and clinician licensing challenges. While these barriers are not new, “the pandemic was really the nail in the coffin,” Schibell said. These factors also impact COVID-19 vaccination rates.

To counter these issues, more federal aid is needed to facilitate virtual care and better reimbursement models, Forrester noted in its report. Schibell came up with this prediction after digging into COVID-19 mortality rates among urban and rural populations, she said, which are twice as high in rural areas.

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https://www.healthcarefinancenews.com/news/nonprofit-health-plans-focus-reducing-premiums-expanding-benefits

2021

Nonprofit health plans focus on reducing premiums, expanding benefits

Every member plan added new health benefits, or expanded existing ones, without increasing costs to consumers, report finds.

Jeff Lagasse, Associate Editor

Nonprofit payers have used a variety of strategies to address plan affordability throughout the next year, including reducing premiums by as much as 10% in some instances, finds a new report from the Alliance of Community Health Plans.

ACHP's inaugural Report on Affordability found that when health plans manage premiums, provide enhanced benefits, smooth the way for access and reduce costs for governments and employers, the system – and outcomes – improve.

This is exemplified by some of the strategies employed by ACHP member plans, which largely reduced insurance premiums or held them flat, with some member companies reducing premiums by as much as 10%.

On top of that, every plan added new health benefits, or expanded existing ones, without increasing costs to consumers, the report found. Some of the additional benefits include free vaccines, transportation, hearing aids, reduced insulin costs, nutrition classes and meal services, smoking cessation programs and $0 co-pays for mental health visits.

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https://www.statnews.com/2021/11/12/broadband-access-newest-challenge-health-care/

Broadband access: Health care’s newest challenge

By Gary Shapiro Nov. 12, 2021

The past two years have underscored the long-standing but always disturbing reality that millions of Americans lack sufficient health care access. While the consequences have been particularly deadly during the pandemic, the challenges to overcoming this problem are nothing new.

Health outcomes are closely tied to race, income level, educational quality, location of residence, and more, as well as individuals’ genetics. Dozens of studies show that the higher a person’s wealth and income, for example, the lower their likelihood of illness and premature death, largely because wealthier people can afford resources that lead to improved health.

With the rise of digital health care, the U.S. faces a new health challenge: unequal access to broadband technology. Some 43% of adults in households making less than $30,000 a year — that’s more than 25 million American adults — lack a high-speed internet connection. Those with limited or no internet access can’t communicate online with their physicians, obtain electronic medical records, or access online health resources, all of which can improve health outcomes.

Many digital health products and applications offered today work most effectively with a broadband connection. Tools like smartphones, health monitoring devices, and cloud-based software applications can support health equity by closing communication gaps between patients and providers, enhancing consumer access to health care services and increasing consumers’ knowledge about their own health.

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https://www.healthcareitnews.com/news/va-watchdog-new-ehr-scheduling-system-needs-work

VA watchdog: New EHR scheduling system needs work

Although some schedulers reported positive experiences, the Office of Inspector General found a host of problems with the system's implementation.

By Kat Jercich

November 12, 2021 03:14 PM

The Department of Veterans Affairs' Office of Inspector General released a report this week examining whether the VA's new scheduling system, implemented as part of its electronic health record modernization contract with Cerner, had been effectively deployed.  

The watchdog acknowledged that the new system has the potential to transform scheduling at the Veterans Health Administration.   

However, the OIG found that the VHA and the VA's Office of EHR Modernization knew "of significant system and process limitations before or after implementing the new scheduling system" at two facilities.  

"These limitations reduced the system’s effectiveness and risked delays in patient care," read the report.  

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https://mhealthintelligence.com/news/telehealth-for-borderline-personality-disorder-treatment-sees-success

Telehealth for Borderline Personality Disorder Treatment Sees Success

Using telehealth for borderline personality disorder treatment led to positive patient outcomes and satisfaction for the Rhode Island Hospital Adult partial hospital program.

By Victoria Bailey

November 11, 2021 - Using telehealth to treat patients with borderline personality disorder (BPD) produced similar, positive outcomes as in-person treatment, according to a study from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project.

Past studies have shown telehealth’s success in treating mental health disorders such as depression, social anxiety disorder, and post-traumatic stress disorder, but there are limited studies that focus on using telehealth to treat borderline personality disorder, the Rhode Island researchers said.

BPD symptoms can include impulsivity, intense fluctuating emotions, unstable relationships, excessive anger, self-harm, and suicidal ideation. The risk of self-injury and suicidality for patients with BPD may speak to why telehealth treatment is so limited, the researchers said.

But clinicians and therapists had to adapt accordingly when the COVID-19 pandemic hit and called for limited in-person contact. The Rhode Island Hospital Adult partial hospital program transitioned to telehealth use for BPD treatment in response to the pandemic.

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https://healthitanalytics.com/news/predictive-model-determines-antidepressant-medication-response

Predictive Model Determines Antidepressant Medication Response

A noninvasive predictive model can determine how a patient will respond to certain antidepressant medications, preventing unnecessary side effects.

By Erin McNemar, MPA

November 11, 2021 - Using data from the National Institute of Mental Health, UT Southwestern Medical Center researchers created a predictive model to determine how a patient will respond to antidepressants.

According to researchers, these findings could provide a strong precision medicine approach in identifying the correct medication for individuals.

“This is a significant advance. It’s noninvasive. It can be and should be used immediately,” Professor of Clinical Psychiatry and Director of the Center for Depression Research and Clinical Care, Madhukar Trivedi, MD, said in a press release.

Trivedi explained that the new biomarkers could prevent patients from taking the wrong medication and dealing with unnecessary side effects. The study tested the common antidepressant drug sertraline with a control group taking a placebo. Those that did not respond to sertraline after eight weeks switched to the antidepressant bupropion.

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https://healthitsecurity.com/news/best-practices-for-responding-to-medical-device-security-incidents

Best Practices for Responding to Medical Device Security Incidents

A new playbook from the Cloud Security Alliance aims to help organizations balance clinical considerations and patient safety risks with medical device security incidents.

By Jill McKeon

November 11, 2021 - As healthcare organizations continue to integrate connected medical devices into everyday clinical care, it is imperative that providers recognize and prepare for medical device security risks that could impact patient safety, the Cloud Security Alliance (CSA) suggested in its new “Medical Device Incident Response Playbook.”

The playbook was inspired by growing medical device security concerns since the 2017 WannaCry ransomware incident, which demonstrated the fragility and vulnerabilities of medical devices. WannaCry successfully encrypted radiology equipment drives at hospitals.

“While serious confidentiality and integrity issues are often associated with leakage of medical device data, the highest risk when dealing with systems being used for clinical care concerns is keeping those systems available for patient care use,” the playbook stated.

“The loss of access to medical devices and other clinical system availability can lead to delays in patient care. This loss of availability can be due to the threat itself, or a result of an incident response (IR) process that doesn’t take clinical considerations into account and brings devices offline without consulting health care professionals.”

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https://www.healthdatamanagement.com/articles/organizations-widen-virtual-offerings-in-response-to-pandemic

Organizations widen virtual offerings in response to pandemic

Patients already wanted an improved experience in healthcare, and the need to meet their needs during the lockdown accelerated changes.

Nov 10 2021


Fred Bazzoli

Patients are consumers, and they increasingly expect healthcare providers to meet their needs. At the same time, providers are learning to quickly adapt to these new expectations, often finding that they line up with improvements in service delivery.

These and other lessons were among the findings in Wednesday’s edition of the HDM KLASroom, which covered changing workflows and meeting patients where they are.

The massive impact and change required by the massive COVID-19 pandemic amplified the need to make quick changes in service delivery, noted Adam Cherrington, an research director for KLAS Research. The move to virtual care delivery, through the use of telemedicine and other telehealth services, is one example of a service that soared during the lockdown phase of the pandemic, he noted.

Recent research by KLAS also shows significant consumer appetite for capabilities such as self-scheduling, remote check-ins and other patient-facing services.

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https://www.healthdatamanagement.com/articles/urgency-rises-to-better-link-patients-to-their-records

Urgency rises to better link patients to their records

Current patient matching efforts are marred by flaws, but unique identifiers aren’t a panacea either.

Nov 10 213 min read


Marla Durben Hirsch

Unique patient identifiers are one of many requirements that were established by the Health Information Portability and Accountability Act of 1996 (HIPAA), which also sought standardized IDs for employer, provider and other unique identification numbers.

However, in 1998 Congress introduced language that banned the use of federal funds for the development of a UPI.

Absent a standardized national patient identifier, healthcare providers typically have created their own records numbers for patients. Matching and linking patient medical records within and across the healthcare ecosystem is done through a variety of technologies, such as enterprise-wide master patient indexes and by using records from non-healthcare sources, such as drivers’ licenses, typically called “referential matching.”

However, these techniques are not consistently effective. For instance, a Pew Report found the match rates can be as low as 80 percent - meaning one out of five patients may not be matched to all of his or her records. Even within a facility, where the patient has been seen before; the error rate can be as high as 50 percent, even when providers use the same electronic health record system. Matching then needs to be conducted manually, adding time and cost.

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https://www.healthdatamanagement.com/articles/a-national-unique-patient-identifier-faces-an-uncertain-bumpy-road

A national unique patient identifier faces an uncertain, bumpy road

Recent legislative action may clear the path for developing a uniform, accurate and effective way to tie data to patients, but challenges are looming.

Nov 10 2021


Marla Durben Hirsch

The Senate’s recent decision to repeal the ban on funding for the development of a unique patient identifier (UPI) marks a potential watershed moment in the development of what previously has been a hot third rail for privacy concerns.

This controversial possibility of developing a UPI provides a new opportunity to link a patient’s health records throughout the health ecosystem, but also highlights the inherent challenges of such a project.

The Senate in October dropped the prohibition from its appropriations bill for the first time in about 20 years, citing the need to remove this barrier to the sharing of patient information and for public health entities to effectively track contacts and immunizations during the COVID-19 pandemic.

The Senate’s move follows in the footsteps of the House of Representatives, which had removed the ban from its appropriations bill earlier this year. If Congress passes the 2021 budget, the Department of Health and Human Services (HHS) then could take a serious look at the feasibility of adopting a UPI as part of a national strategy to better link patient records, thereby setting the stage for improving patient safety, enhancing the coordination of care, and reducing the cost of healthcare.

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https://patientengagementhit.com/news/surgeon-general-releases-guide-to-navigate-health-misinformation

Surgeon General Releases Guide to Navigate Health Misinformation

The new toolkit provides resources aimed at identifying and combating health misinformation while COVID-19 vaccination campaigns commence.

By Sarai Rodriguez

November 10, 2021 - The US Surgeon General, Vivek Murthy, released a new toolkit addressing best practices for individuals to debunk COVID-19 health misinformation and educate their peers about the threats of misinformation.

Throughout the pandemic, misinformation and disinformation have spread rampantly, resulting in people rejecting COVID-19 safety practices and threatening public health. According to a Kaiser Family Foundation study, over two-thirds of unvaccinated adults were exposed to a COVID-19 misconception and believed it or were unsure of its accuracy.

“With the authorization of COVID-19 vaccines for children 5 to11 years old, it is more important than ever that families have access to accurate, science-based information. Health misinformation is spreading fast and far online and throughout our communities,” Murthy said in a public statement.

The toolkit provides detailed guidance for individuals, specifically calling upon healthcare professionals and administrators, teachers, school administrators, librarians, and faith leaders to understand, identify, and evaluate the accuracy of health information within their communities.

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https://healthitsecurity.com/news/most-patients-unaware-of-the-magnitude-healthcare-ransomware-attacks

Most Patients Unaware of the Magnitude Healthcare Ransomware Attacks

Half of potential patients said they would change hospitals if their provider was hit by a healthcare ransomware attack, but most are unaware of recent attacks.

By Jill McKeon

November 10, 2021 - Over half of surveyed IT professionals said that their organization has been hit by a healthcare ransomware attack. But 61 percent of surveyed potential patients said that they had not heard of any cyberattacks in the healthcare industry in the last 24 months, new research conducted by Censuswide on behalf of Armis found.

The survey, which included responses from 2,000 potential patients and 400 healthcare IT professionals, revealed an extreme disconnect between patient perceptions of ransomware risks and the significant threat that ransomware actually poses on the healthcare sector.

Ransomware attacks have increased in volume and severity in the healthcare sector over the past few years, and can result in EHR downtime, ambulance diversions, and appointment cancellations. In some rare cases, patient deaths have been directly attributed to ransomware attacks.

Over 80 percent of surveyed IT professionals agreed that they have seen increased cyber risk over the past 12 months. Ransomware gangs are becoming increasingly sophisticated, and startling gaps in medical device security have exposed additional vulnerabilities and expanded the attack surface and scope.

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https://www.medicaleconomics.com/view/how-to-be-a-telehealth-physician

How to be a telehealth physician

November 9, 2021

Medical Economics Staff

Medical Economics Journal, Medical Economics November 2021, Volume 98, Issue 11

The COVID-19 pandemic has seen a sea change in the way that physicians treat their patients and nowhere is this more evident that in the near-overnight implementation of telehealth across the health care industry.

Introduction:

The COVID-19 pandemic has seen a sea change in the way that physicians treat their patients and nowhere is this more evident that in the near-overnight implementation of telehealth across the health care industry.

As case counts began to rise in early 2020, public health authorities across the country implemented stay-at-home orders and moratoriums on nonemergency medical services in an effort to keep health care professionals from being overwhelmed by patients with COVID-19. With no other option, many health care entities were forced to step into the telehealth space with little experience and even less training.

The use of telehealth was barely a factor among physicians in 2015, with only 5% of physicians having used video visits to see patients. That trend was on the rise by 2019,with 22%, but the pandemic accelerated it, with 80% of physicians saying they had used video visits to see their patients in 2020.

This is expected to continue even after the pandemic ends, with 92% of physicians still expecting to use video visits when it is safe to meet with patients, according to telehealth provider Amwell.

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https://techcrunch.com/2021/11/09/truveta-is-making-progress-towards-building-a-living-medical-portrait-of-america/

Truveta is making progress towards building a living medical portrait of America

Alex Wilhelm@alex / 12:04 AM GMT+11November 10, 2021

Truveta wants to collect privacy-safe medical data from around the United States on a regular basis, making it available for researchers to sift and parse. The company is making real progress toward that goal in product terms, and this morning said it raised another $100 million, giving it a capital base of around $200 million in total.

But the financial aspect, and the fact that Truveta has secured more partners in the medical world to supply it with information, are ancillary to the fact that the startup has started to make its platform available to external parties.

Truveta partners with around 20 medical providers, aggregating regular de-identified data from 42 American states and myriad patients into its collection. From there it has built a software service that allows researchers and other users to ask questions of the collected data. TechCrunch was given a tour of the Truveta product, which, as chart nerds, we liked.

But frankly, your local technology writer is not precisely the Truveta end user. Instead, the product is aimed at individuals with their hands in the public health domain. To that end, the company’s product lets researchers include and exclude elements of the population, before dropping the user into a Jupyter Notebook, from where they can build a dashboard with data that updates daily.

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https://www.mobihealthnews.com/news/ge-spin-healthcare-unit-early-2023

GE to spin off healthcare unit in early 2023

The industrial giant plans to retain a stake of almost 20% in GE Healthcare.

By Emily Olsen

November 09, 2021 03:49 pm

GE will spin off its healthcare division, GE Healthcare, in early 2023 as part of a larger effort to separate the nearly 130 year old industrial giant into three separate public companies. 

GE plans to retain a stake of 19.9% in GE Healthcare once it’s spun off. The conglomerate will also combine its renewable energy, power and digital businesses and spin them off in early 2024, leaving the original company to focus on aviation.

The company expects the separation and transition to cost around $2 billion, with tax costs at less than $0.5 billion. GE intends the healthcare and energy spinoffs to be tax-free.

“Today and tomorrow, delivering on the future of healthcare is about enabling precision health: integrated, efficient and highly personalized care,” GE chairman and CEO Larry Culp said on a call with investors. Culp will serve as nonexecutive chairman of the healthcare company once it’s spun off, while Peter Arduini will take on the president and CEO role of GE Healthcare starting in 2022.

“Making this a reality requires merging clinical medicine and data science by applying advanced analytics and AI across every possible point of the patient journey. GE is one of the few companies with the reach, capabilities and relationships to do this.” 

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https://www.healthcareittoday.com/2021/11/10/big-focus-on-small-data-big-impact-for-hies-like-healthix/

Big Focus on Small Data = Big Impact for HIEs Like Healthix

November 10, 2021

Colin Hung

Health Information Exchanges (HIEs) are improving the quality of their data to further increase their value. Higher quality data means they can help healthcare organizations understand their region more clearly, allowing them to allocate their resources in the areas that need it. Key to achieving this is translating the data from the various standards used by HIE participants.

Quality Data Aligns with HIE Goals

When the State HIE program was created as part of the American Reinvestment and Recovery Act (ARRA), the goal was to enable the timely sharing of health information to improve care quality, efficiency and safety. The data collected by HIEs was meant to enable more effective public health programs, power clinical research, and give providers more comprehensive clinical information for use in treating patients.

“What we do is aggregate clinical data from hospitals, behavioral health organizations, nursing homes, federally qualified health centers, and even community-based organizations,” explained Todd Rogow, President and CEO at Healthix – one of the largest public HIE in the US, serving New York City and Long Island – who sat down with Healthcare IT Today. “It is a diverse set of data sources that we have grown over the years.”

An HIE cannot fulfil its mandate if participating organizations do not trust the data that the HIE provides. Having good quality data, therefore, is paramount to an HIE’s success. It is not surprising therefore, that HIEs like Healthix are investing in tools, talent, and processes that improve the quality of the data in their repositories.

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https://www.healthleadersmedia.com/clinical-care/el-camino-health-celebrates-60th-anniversary-track-record-innovation

El Camino Health Celebrates 60th Anniversary, Track Record of Innovation

Analysis  |  By Christopher Cheney  |   November 10, 2021

The Mountain View, California-based health system helped develop one of the first electronic medical record systems.


KEY TAKEAWAYS

·         El Camino Health has embraced the innovative culture of Silicon Valley.

·         To succeed in innovation, health systems and hospitals cannot be afraid to lead, must heed the perspectives of consumers, and should target incremental change, El Camino Health's CEO says.

·         When it comes to innovation, relatively small health systems and standalone hospitals have the advantage of nimbleness compared to larger organizations.

As El Camino Health marks the health system's 60th year of operating in the Bay Area of California, the health system is celebrating its history of innovation.

Innovation has been a hallmark of the healthcare sector for more than a century. Innovation has driven advancements in a range of medical areas, including medical technology, surgical techniques, and patient experience.

It is critical for health systems and hospitals to be innovative, says Deb Muro, chief information officer at El Camino Health, which features two acute care hospitals.

"You are not going to be able to survive, thrive, and grow if you are not innovating. We all know that healthcare does not provide the best experience for patients—we know that we must innovate to get better. We have opportunities to do things better, and the only way to do that is to do things differently. Innovation is the way that we can make that happen," she says.

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https://www.healthdatamanagement.com/articles/large-tech-companies-making-slow-progress-in-healthcare

Large tech companies making slow progress in healthcare

Google Health disbands, but giants’ other initiatives make progress in data access, artificial intelligence and cloud computing.

Nov 09 2021


Fred Bazzoli

The role of big technology companies in healthcare continues to be in flux, but indications are that they are increasing their footprint in data aggregation, and artificial intelligence and machine learning.

The challenges faced by large technology companies seeking to play a role in healthcare were exemplified by the announcement late this summer that the Google Health division of Alphabet had been dissolved, with its staff reassigned to other parts of Google, working to follow through with the organization’s health-tech initiatives.

Other technology giants – Amazon, Apple and Microsoft, most prominently – continue to pursue advanced computing capabilities to interact with provider or other health organizations, or consumer-facing technologies seeking to improve health data access. Still, the healthcare market generally has continued to be a tough nut to crack for companies that have broadly succeeded with their technologies in other industries.

The changes at Google Health haven’t meant that existing technology efforts have ceased on healthcare solutions. Google’s chief health officer, Karen DeSalvo has indicated in interviews that the company is still continuing efforts in areas where it believes it can use its technology capabilities to improve processes.

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https://www.medpagetoday.com/opinion/patientcenteredmedicalhome/95521

Click Here If You Want Fewer Clicks in the Health Record

— We need to be able to opt out of some of the EHR's required checkboxes if it's appropriate

The other day during a practice session, when I opened the chart of a patient I was about to start seeing, I noticed that the electronic health record (EHR) had suddenly labeled their chart with something new. Under "Gender Identity," it stated, "Patient chose not to disclose."

"That's strange," I thought. "I wonder what was happening here that led to this change." Last time I had seen the patient, it had an actual gender choice listed there (and had it listed that choice for them, to the best of my recollection, since we started using this system over 14 years ago).

When I entered the room, I asked my patient, whom I've been taking care of for over 20 years, whether someone had asked this question and perhaps they'd decided that they just didn't want this information on their chart, or even possibly that something had changed in how they wished to be identified. My patient looked at me like I was kind of crazy, and said they had no idea what I was talking about. Clearly, someone toggled something somewhere during some part of registration to change the patient's actual gender to this noncommittal answer, and it made me realize that there are so many places where we have to make so many choices to get our patients the care that they need, that we are all totally overwhelmed.

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https://www.healthcareitnews.com/news/emea/nhs-receives-248m-boost-modernise-diagnostics

NHS receives £248M boost to modernise diagnostics

The funding is for new technology to help tackle patient waiting lists.

By Tammy Lovell

November 09, 2021 06:30 AM

The UK government has pledged £248 million over the next year to digitise diagnostics care across the NHS.

New technology will be used to improve the way tests, images and results can be shared across computer systems in hospitals, labs and GP surgeries, meaning clinicians can access results more easily, even when working from different settings.

It will also allow imaging specialists to review high-res images remotely without needing to be in an imaging lab.

The funding will also provide a new tool to help GPs and other clinicians choose the most suitable scan for their patient based on the patient’s symptoms and medical history. This aims to cut inappropriate requests made to radiology departments, saving radiologists’ time and ensuring patients get the right scans at the right time.

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https://www.healthcareittoday.com/2021/11/09/highly-sensitive-motion-sensors-from-xandar-kardian-anticipate-critical-health-incidents/

Highly Sensitive Motion Sensors from Xandar Kardian Anticipate Critical Health Incidents

November 9, 2021

Andy Oram

Timely prediction is key to saving both lives and money in the health care system. I recently talked to Sam Yang, managing director and cofounder of Xandar Kardian, about their motion sensor called XK300 that can tip off clinicians to oncoming emergencies in patients suffering from COVID-19, heart failure, COPD, pneumonia, asthma, and more.

The XK300 emits very fast, high-bandwidth signals over a wide area in a technology called ultra wide band (UWB) radar. The XK300 is pretty tolerant of location; it can be on a wall or even a ceiling (which would make it harder to remove) and can scan an entire human body (Figure 2). Thus, it can check the breathing and even the heart beat of a sleeping patient. The device has FDA clearance and Xandar Kardian markets it both to hospitals and to clinicians monitoring patients in their homes.

Take the example of rapid breathing, a common indicator of risk in COVID-19 patients as well as those with asthma, pneumonia, and heart disease. A healthy breathing rate of a person at rest is around 10 to 12 breaths per minute. If those goes up a bit—say, to 15 breaths per minute—there’s an early sign of lung or heart problems that could get worse fast.

The XK300 can detect a change from 12 to 15 breaths per second. In contrast, a pulse oximeter reports a problem only when breaths get up to about 25 per minute. The person is quite close to an emergency by that time.

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https://mhealthintelligence.com/news/sociodemographic-factors-impacted-success-of-telehealth-video-visits

Sociodemographic Factors Impacted Success of Telehealth Video Visits

Patients over 65 and Black patients were more likely to have an unsuccessful telehealth video visit compared to their younger White counterparts due to a slew of sociodemographic factors.

By Victoria Bailey

November 08, 2021 - Patient sociodemographic factors largely influenced whether a telehealth video visit was successful or not, with racial minority status and older age being associated with unsuccessful visits, a JAMA Network Open study found.

The spike in telehealth adoption increased access to healthcare services during the COVID-19 pandemic when in-person interaction was discouraged. But the telehealth boom may have enhanced care disparities for some populations as well.

Individuals must have access to a smartphone or a computer and a stable internet connection to use telehealth. Although these resources may be common among some Americans, not everyone has equal access. Low socioeconomic status or living in rural areas may widen health disparities when it comes to using telehealth.

Researchers from the Medical College of Wisconsin conducted a quality improvement study of telehealth video visits to discover how many visits were completed successfully and if the odds of success were influenced by patient and clinician factors.

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https://mhealthintelligence.com/news/skilled-nursing-facilities-had-mixed-reviews-of-telehealth-use

Skilled Nursing Facilities Had Mixed Reviews of Telehealth Use

While telehealth helped improve access to convenient care for residents in skilled nursing facilities, some staff found it difficult to use without proper training.

By Victoria Bailey

November 05, 2021 - Telehealth helped increase access to care and reduce stress for some skilled nursing facility residents and staff, but others faced unexpected challenges and consequences of telehealth use, a study from the University of Missouri found.

Like other healthcare organizations, skilled nursing facilities were hit hard by the COVID-19 pandemic, prompting many to implement telehealth programs in an attempt to relieve some of the burden.

Kimberly Powell, an assistant professor at the MU Sinclair School of Nursing, led the study and interviewed 21 administrators and clinicians from 16 skilled nursing facilities across the country about their experiences with telehealth.

Telehealth proved to be convenient for some nursing home residents, as they could access timely care without having to travel, the study indicated.

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https://www.healthcareitnews.com/news/fda-hopes-draft-guidance-device-software-will-offer-clarity-simplicity

FDA hopes draft guidance on device software will offer 'clarity, simplicity'

The new document, published this past week, takes stock of a fast-changing technology environment – and would replace the agency's previous medical device guidance, first issued more than 16 years ago.

By Mike Miliard

November 08, 2021 03:12 PM

This past week, the U.S. Food and Drug Administration published draft guidance for its Content of Premarket Submissions for Device Software Functions.

WHY IT MATTERS
The guidance, posted online on November 4, intended to provide information regarding the recommended documentation to include in premarket submissions for the FDA to evaluate the safety and effectiveness of device software functions.

The FDA's draft recommendations pertain to device software functions – software in a medical device (SiMD) and software as a medical device (SaMD), most notably – and describe data that would be generated and documented during software design, development, verification and validation.

The guidance, once finalized after a public content period, would replace the FDA’s more than 16-year-old Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices.

It represents a substantial reworking of that document, which was first issued in May 2005, when the existing technology landscape could hardly have been imagined. Just as the maturity and capabilities of medical devices have evolved significantly since then, so has the agency's regulatory approach.

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https://www.healthcareitnews.com/news/unitedhealth-ciso-ransomware-existential-risk-delivery-care

UnitedHealth CISO: Ransomware 'an existential risk to the delivery of care'

In her session at the upcoming virtual HIMSS Healthcare Cybersecurity Forum, Aimee Cardwell will walk information security and IT leaders through a risk-fraught landscape – and offer tips for best defenses.

By Bill Siwicki

November 08, 2021 12:28 PM

As part of the HIMSS Healthcare Cybersecurity Forum virtual event December 6-7, Aimee Cardwell, the chief information security officer for the UnitedHealth Group at Optum Technology, will dig into the subject of ransomware in an educational session entitled "Ransomware: Today's Threat Landscape." Optum Technology is UnitedHealth Group's IT and services subsidiary.

Ransomware continues to expose the vulnerabilities in the global network from the government to infrastructure to hospitals. In this session, Cardwell will discuss the current threat landscape and the ransomware to watch out for.

In a sneak-peek of the session, Healthcare IT News interviewed Cardwell to get her to explain the cybersecurity landscape and some of the best defenses against ransomware.

Q. What is the current threat landscape for healthcare organizations?

A. We see three major categories of threat. First, ransomware. According to the Wall Street Journal, ransomware has become the most lucrative form of malware globally, generating $350 million in 2020, while causing over $20 billion in damages and downtime over the same period.

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https://www.healthcareitnews.com/news/anz/new-zealand-taps-mattr-local-and-international-vaccination-passes

New Zealand taps MATTR for local and international vaccination passes

Both passes will become available later in November.

By Adam Ang

November 08, 2021 03:14 AM

New Zealand's Ministry of Health has chosen Auckland-based IT services provider MATTR to create vaccination passes for both domestic and international use. 

In a statement, it said MATTR, which won a closed competitive tender process, will be the main technology provider for both passes.

WHAT IT'S ABOUT

The agency last week released the specification for the domestic COVID-19 vaccine pass and verifier to its Github account. 

My Vaccine Pass will serve as an official record of a person's vaccination status for accessing places within the country while a separate pass for international travel will be introduced soon. 

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https://www.healthleadersmedia.com/finance/manage-successful-remote-work-model-your-health-system

Manage a Successful Remote Work Model at Your Health System

Analysis  |  By David Weldon  |   November 04, 2021

The pandemic has shown healthcare organizations that many jobs can be done successfully from home, at least partly. Here are tips to make the program work, says one CFO.


KEY TAKEAWAYS

·         CFOs have an important role to play in developing a hybrid strategy that encourages productivity while also boosting patient care.

·         Many organizations must revisit their management styles and take a more humanistic approach to supervising hybrid workers.

(Editor's note: This is the second article in a series on the healthcare labor market from the CFO perspective.)

Most healthcare organizations are hoping to bring remote workers back into the workplace in some capacity. After all, the pandemic has been disrupting the workforce for almost 20 months now.

But having tasted their first experience with remote work, many workers say they now don't want to go back to the workplace, at least full time. Those workers saved money, gained back time, and better juggled personal commitments during the shutdowns and ensuing surges. Still, there are downsides to remote work, such as the loss of face-to-face communication and camaraderie in a virtual work environment. Remote workers often complain about the loneliness of it.

Meanwhile, healthcare organizations discovered during the pandemic that many employees can be productive working from home. This lesson has come as a surprise to many since organizations have historically discouraged remote work arrangements. Before the pandemic, a small percentage of the U.S. workforce did their jobs remotely.

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https://histalk2.com/2021/11/05/weekender-11-5-21/

Weekly News Recap

  • Allscripts and Change Healthcare report quarterly results that beat earnings expectations but fall short on revenue.
  • EverCommerce announces that it will acquire DrChrono.
  • Worklfow automation vendor Notable raises $100 million in a Series B funding round.
  • CMS will increase the minimum penalty for hospitals that don’t comply with pricing transparency requirements to $10 per bed, per day starting on January 1, 2022.
  • 23andMe says it hasn’t decided how to integrate its recent acquisition of telehealth provider Lemonaid Health, but expects to incorporate genetic risk factors into its primary care prescribing.
  • A VA survey of employees at its initial Cerner implementation site find widespread worsening of morale, burnout, and lack of confidence in performing their jobs using Cerner, leading to the VA’s pledge to add executive oversight to the project.
  • Kareo and PatientPop merge to form Tebra.
  • Cerner and NextGen report quarterly results that beat expectations for revenue and earnings.
  • Cerner CEO David Feinberg addresses EHR usability and a tightening of less-profitable company products and partnerships in its quarterly earnings call.

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Enjoy!

David.