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."

Tuesday, April 26, 2022

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety, Social Media And Security Matters. Lots Of Interesting Perspectives - April 26, 2022.

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This weekly blog is to explore the news around the larger issues around Digital Health, data security, data privacy, AI / ML. technology, social media and related matters.

I will also try to highlight ADHA Propaganda when I come upon it.

Just so we keep count, the latest Notes from the ADHA Board were dated 6 December, 2018 and we have seen none since! It’s pretty sad!

Note: Appearance here is not to suggest I see any credibility or value in what follows. I will leave it to the reader to decide what is worthwhile and what is not! The point is to let people know what is being said / published that I have come upon.

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https://www.afr.com/world/europe/eu-targets-big-tech-with-groundbreaking-rules-20220423-p5afmi

EU targets big tech with groundbreaking rules

Kevlin Chan Raf Casert

Apr 23, 2022 – 6.41pm

Brussels | The European Union reached a landmark deal to take aim at hate speech, disinformation and other harmful online content.

The law will force big tech companies to police themselves harder, make it easier for users to flag problems and empower regulators to punish noncompliance with billions in fines.

EU officials finally clinched the agreement in principle in the early hours of Saturday. The Digital Services Act will overhaul the digital rulebook for 27 countries and cement Europe’s reputation as the global leader in reining in the power of social media companies and other digital platforms, such as Facebook, Google and Amazon.

“With the DSA, the time of big online platforms behaving like they are ‘too big to care’ is coming to an end,” said EU Internal Market Commissioner Thierry Breton.

EU Commission Vice President Margrethe Vestager added that “with today’s agreement we ensure that platforms are held accountable for the risks their services can pose to society and citizens.”

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https://digitalhealth.org.au/blog/transforming-care-delivery-with-digital-care-pathways-sponsor-update-by-the-clinician/

Transforming care delivery with digital care pathways | Sponsor update by The Clinician

Apr 21, 2022 | Member news

This is a sponsored post by The Clinician

Digital care pathways (DCPs) make use of digital technologies to inform, monitor and support patients through their healthcare journeys. In doing so, they present healthcare providers with ways to more deeply understand each patient’s health and deliver more streamlined, proactive, and patient-centric care. They also save time and money.

The Clinician has been supporting healthcare institutions across Australasia to realise these benefits by digitalising their care pathways. Providing a flexible, interoperable and secure digital health platform, The Clinician coordinates each patient’s entire care journey while outside the hospital walls, including the collection and analysis of critical health data (PROMs, PREMs, objective device or wearable data) as well as the delivery of patient communication and multimedia educational content.

If you are interested to learn more about digital care pathways or see The Clinician’s platform in action, find them on the Conference app or visit their booth at the AIDH Summit Series event in Brisbane.

You can also download The Clinician’s eBook about digital care pathways via the link below.

LEARN MORE

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https://digitalhealth.org.au/blog/csiro-aehrc-is-australias-largest-digital-health-research-program/

CSIRO: AEHRC is Australia’s largest digital health research program

Apr 20, 2022 | Member news

This is a sponsored post by AEHRC

engage mean digital information is set to play an increasingly important role in transforming the quality and sustainability of health and care.

Used effectively, digital health can help save lives, improve health and wellbeing and support a sustainable and equitable health system.

With our rich history of research translation for benefit of Australians, we offer a full health and biomedical informatics research program, with capabilities in data analysis and interoperability, precision medicine and virtual care.

Operating within CSIRO, Australia’s national science agency, we are trusted advisors and key collaborative partners to both industry and state and federal departments of health. In our efforts to tackle Australia’s biggest health problems, including accessibility, quality and efficiency, we are home to products and services such as:

  • Ontoserver
  • MoTHER
  • Smarter Safer Homes

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https://digitalhealth.org.au/blog/report-reveals-gender-disparity-in-australias-digital-health-sector/

Report reveals gender disparity in Australia’s digital health sector

Apr 19, 2022 | Advocacy, Australian Health News, Community Chats, Member news, Publications

More than 90 per cent of women respondents believe there is still progress to be made to reach gender equity in the digital health sector, according to a new report released by Telstra Health, the Australasian Institute of Digital Health (AIDH), the Digital Health CRC (DHCRC) and CSIRO’s Australian e-Health Research Centre.

The Understanding Gender Diversity in Australia’s Digital Health Sector special report provides qualitative and quantitative research findings on the current state of gender diversity, career progression and equity in the sector based on the findings from a first of its kind survey.

The survey which informed the report was completed anonymously by close to 300 people who work in the digital health sector. While more than 90 per cent of women respondents said they believe there is still progress to be made in reaching gender equity, one in five men respondents disagreed.

The report also shows that fewer women respondents than men respondents intend to continue to work in digital health (77 per cent and 90.8 per cent respectively) yet over nine in 10 respondents advised they would still recommend a career in digital health to others (93.4 per cent).

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https://medicalrepublic.com.au/how-to-choose-the-right-healthcare-technology/67164

22 April 2022

How to choose the right healthcare technology

Practice Management SPONSORED Technology Webinars

Sponsored

Identify your practice issues that technology can help resolve.


Healthcare technology innovations have accelerated in recent years, and so has the rate at which medical practices are adopting digital solutions to improve efficiencies and patient care.

The pandemic, of course, has forced more practices to move from in-person healthcare delivery to digital patient management and telehealth services. In fact, 68% of medical practices report they expect their technology budgets to increase in the next 12 months, according to a recent CommBank GP Insights Report.

Healthcare technology benefits patients, plus clinical and non-clinical staff

A poll we conducted found practice owners and managers thought that using more technology in their business has these main benefits:

  • saving time on administrative tasks 87%
  • saving time on patient management 67%
  • reducing risk to the practice 60%
  • meeting patient expectations 67%

Patients increasingly want more convenient access to health information and care, so they can be more actively involved in maintaining their own health. So it’s up to medical practices to embrace the technology that delivers these services, whether that’s features such as online appointment booking, SMS alerts, electronic prescriptions, or phone and video consults.

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https://wildhealth.net.au/how-the-general-practice-of-the-future-will-look/

21 April 2022

How the general practice of the future will look

Big Data Patient Management Systems Technology

By Holly Payne

Auditing clinic records, analysing data and sending out targeted messages to patients are all daily activities for Dr Kean-Seng Lim and his colleagues at the Mt Druitt Medical Centre in western Sydney.

The practice uses patient-centred medical home principles, a model of care which involves working in multidisciplinary primary care teams using patient data – the kind of data that is already routinely collected – to support preventative care work.

Monthly data meetings are held to determine areas of undertreatment. The focus of one meeting might be collating the practice data on every patient who has had a heart attack, and then looking at the proportion of those patients currently on statins.

“We would expect that 90% of all of our patients who had a heart attack would be on a statin, and if we discover that our metrics are dropping and only 85% are on a statin then that triggers a practice audit, where we talk about data driven improvement,” Dr Lim told Wild Health.

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https://wildhealth.net.au/my-health-records-dumb-numbers-and-meaningful-use/

22 April 2022

My Health Record’s ‘dumb numbers’ versus ‘meaningful use’

ADHA Government MHR

By Jeremy Knibbs

The Department of Health finally wants to see some evidence of the usefulness of the MHR.

If you trawl the health portfolio budget statement from March, on page 183 you will see a table that suggests the government is starting to lose patience, and perhaps even faith, in the whole idea of My Health Record (MHR).  

The table says that as a part of measuring the performance of the Australian Digital Health Agency (ADHA) into 2023, it is going to require that the agency “Establish an approach and trial baseline for measuring meaningful use via a ‘meaningful use index’ for My Health Record”. 

What the government wants is for the ADHA to start properly measuring just how useful this $2.6 billion project is today, and moving forward.  

Finally, someone wants some proof that the MHR is doing, or even starting to do, what we’ve all been promised it would do. 

It should be shocking to us all that we’ve spent this much money and time and we haven’t actually been measuring usefulness for the entire life of the MHR project.   

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https://www.canberrahealthservices.act.gov.au/before,-during-and-after-your-care/staying-at-canberra-hospital/after-your-stay/your-health-record

Your health record

Your information

Health records of all patients treated in our health system are retained for their benefit. You can access your own health records at any time.

All health records we create at any of our facilities are confidential documents and remain the property of Canberra Health Services. We will not release copies of your health records to a third party without your written request and consent.

We take all steps necessary to ensure the privacy of your health information is secured. However, it’s important to note that if your GP or dentist’s clinic creates and has possession or control of your medical record, they are considered the record keeper. To access medical records held by a medical practitioner you will need to contact them directly.

You can also transfer a health record when your health service provider closes, merges with another or relocates.

Accessing your health record

You can make a request for record access at any time. Health records are governed by the Health Records (Privacy & Access) Act 1997 and fees apply.

Please use our Patient request to access health records (PDF, 237.87 KB) to apply to access your health records.

We also have an Health Records Access Information sheet (PDF, 613.81 KB) about accessing your health records and the current Health record access fees (PDF, 161.39 KB).

My Health Record provides you with more access and control of your health information.

My Health Record can be accessed when you are out and about, providing summary health information from wherever you are. Over time, the amount of information available will increase as more healthcare professionals contribute to My Health Records.

The ACT Health Directorate’s Freedom of Information Unit also coordinates the Freedom of Information services for Canberra Health Services.

Freedom of Information

The ACT Freedom of Information Act 2016 (the FOI Act) gives individuals the legal right to:

  • access government information unless access to the information would, on balance, be contrary to the public interest;
  • ask for personal information to be changed if it is incomplete, out-of-date, incorrect or misleading; and
  • appeal a decision about access to a document, or a decision in relation to a request to amend or annotate a personal record.

We have more information about Freedom of Information, including how to make an application.

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https://www.theaustralian.com.au/business/technology/how-akamai-keeps-the-internet-flowing/news-story/811c303be72d2aaaf8283f106102df3b

How Akamai keeps the internet flowing for Telstra, Optus, SBS

Chris Griffith

Technology Reporter

7:00AM April 21, 2022

When your footy team’s match streams smoothly and your bank website is responsive to your needs, you can probably thank Akamai. The American content delivery giant may not be a household name, but it’s crucial to everyday online interactions without bottlenecks.

“When you get put in a queue to be able to schedule a vaccine, or to buy a ticket, that’s done on our servers in thousands of places,” Akamai CEO and co-founder Tom Leighton told The Australian.

“What Akamai has been doing for 20 years is what’s called edge computing, and that’s highly distributed computing. But for a user, what’s important is it’s being done right next to them in their city and their network.”

Akamai is used by governments, media, video streaming services, commerce, hospitality and travel companies to relay and amplify their websites and video services so that they operate smoothly, no matter the demand, and no matter where users are.

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https://www.hospitalhealth.com.au/content/aged-allied-health/news/online-program-for-stroke-survivors-improves-wellbeing-study-379231396

Online program for stroke survivors improves wellbeing: study

Thursday, 21 April, 2022

Access to an online program that provides easily accessible, interactive, tailored healthy lifestyle and behaviour change techniques improves the wellbeing of adult stroke survivors, according to a new study.

Led by Dr Ashleigh Guillaumier from the University of Newcastle and senior author Professor Billie Bonevski from Flinders University, the study undertook a randomised control trial to evaluate the online program Prevent 2nd Stroke (P2S), which encourages users to set goals and monitor progress across various health risk areas.

399 adult stroke survivors with an average age of 66 were asked to complete a telephone survey, following which they were randomly assigned to receive either a list of generic health information websites or 12 weeks of access to the P2S online program. The group with P2S access also received additional text messages encouraging use of the program.

Nearly all participants then completed a six-month follow-up survey, with the researchers finding those who received P2S access had a higher health-related quality of life (HRQOL) score than those who received the generic health information.

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https://www.digitalhealth.gov.au/careers/project-officer-strategic-agency-programs

Project Officer, Strategic Agency Programs

APS6 ($101,757 - $114,800)
Digital Programs and Engagement Division > Programme Management
Brisbane, Canberra, Sydney

Closing - 4 May 2022

Division overview

Digital programs and engagement – responsible for external relationships, implementation and change and adoption, as well as being the place of excellence for driving program delivery, reporting and outcomes.

Primary purpose of position

The APS6 Project Officer will undertake work that is complex in nature, assisting with the successful delivery of key projects in line with Agency priorities. The APS6 Project Officer is required to work under limited direction, in a dynamic and collaborative environment, to set high standards, meet challenges with determination and resolve and liaise with a range of key stakeholders including business units across the Agency.

The APS6 Project Officer will provide expert advice that may assist in strategic planning, program and project management and policy development. The APS6 Project Officer will be responsible for assisting with the management of the risks and resources to deliver specific programs/projects including setting of priorities and managing workflows. From 2022, amongst other projects you will be expected to work on the delivery of the Pregnancy and Children’s Digital Health Record (PCDHR) program. This program aims to successfully integrate information from the NSW pilot of the PCDHR with My Health Record, as well as expand the pilot for the PCDHR to make it available nationally.

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‘Never say never’: As subscriptions hit a wall, streaming giants are eyeing ads

By John Koblin and Tiffany Hsu

April 20, 2022 — 8.36am

The two titans of the video streaming wars — Netflix and Disney+ — have long resisted commercials, showing a reluctance to have premium series like “Stranger Things” or “The Mandalorian” run alongside ads hawking dish soap, soft drinks and medications.

“No advertising coming onto Netflix — period,” Reed Hastings, one of Netflix’s co-chief executives, said several years ago, a point of view he repeated for some time.

“We don’t believe that the consumer experience would be a particularly good one if we had advertising on Disney+,” Christine McCarthy, Disney’s chief financial officer, said in late 2020.

But now, the streamers are starting to come around on Madison Avenue.

With the pandemic-induced surge of subscriptions showing signs of waning, major media and tech streaming companies are beginning to get bullish on advertising. To reach more people — including those made cost-sensitive by high inflation and subscription overload — streamers are offering a deal: exposure to ads in exchange for lower prices.

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https://itwire.com/science-news/health/bethesda-health-care-first-provider-in-australia-to-implement-microsoft-cloud-for-healthcare-technology-in-new-mental-health-clinic.html

Wednesday, 20 April 2022 08:12

Bethesda Health Care first provider in Australia to implement Microsoft Cloud for Healthcare technology in new mental health clinic

By Staff Writer

Mental health service Bethesda Health Care has announced its new mental health clinic in the Perth suburb of Cockburn, Western Australia, will be the first medical facility in Australia to install Microsoft Cloud for Healthcare as its Patient Administration System (PAS), with Velrada – Microsoft’s growth partner of the year – as its implementation partner.

Microsoft Cloud for Healthcare harnesses the power of the Microsoft cloud by bringing together capabilities from Microsoft Azure, Dynamics 365, Microsoft Power Platform and Microsoft 365 to transform the healthcare journey through a more secure and connected patient experience.

Microsoft says Bethesda can leverage the features and functionality of these platforms to explore new care models through innovation and digitisation, where the consumer is in control of their care and, with consent, provide clinical staff a full history of the care and support given and proposed.

According to Bethesda Chief Executive Officer Dr Neale Fong, adopting Microsoft Cloud for Healthcare comes at a critical time for West Australians, with demand for mental health support rising across the state.

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https://www.theaustralian.com.au/business/technology/hospitals-exposed-to-robot-glitch/news-story/582101418ed345a856da54c934f48210

Hospitals exposed to robot glitch

David Swan

10:46PM April 19, 2022

At least two Australian hospitals were using robots with security flaws that could have allowed hackers to spy on patients, tamper with medication or shut down hospital systems.

Cyber security researchers say the vulnerabilities, discovered overseas last week, affected Aethon TUG smart autonomous robots understood to be deployed in some Australian hospitals including the Royal Melbourne Hospital and Epworth in Richmond. The US’s Cybersecurity and Infrastructure Security Agency (CISA) warned last week that the bugs could allow hackers to take full control of robot functions or expose sensitive information.

The robots handle tasks including distributing medication, cleaning and transporting hospital supplies and use sensors, cameras and radio waves to avoid bumping into people and objects.

The technology that powers the robots and allows them to move throughout the hospital is also what made the vulnerabilities so dangerous, according to Asher Brass, an executive at cyber security start-up Cynerio and lead researcher on what has been dubbed JekyllBot: 5 vulnerabilities.

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David.

Monday, April 25, 2022

Weekly Australian Health IT Links – 25 April, 2022.

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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A shortened week with ANZAC day looming seems o have made things very quiet indeed. Other than the usual ADHA and PHN propaganda only a few news bit!

Hopefully more fun next week!

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https://www.itnews.com.au/news/nt-health-signs-5m-alcidion-software-upgrade-578897

NT Health signs $5m Alcidion software upgrade

By Jeremy Nadel on Apr 19, 2022 12:05PM

Patient flow and bed management get a boost.

Northern Territory Health is embarking on an upgrade of its clinical and operational software platform Alcidion, in a deal worth $5 million over five years.

Under the program, the department will upgrade its Alcidion Miya Precision implementation to the latest version.

In a financial filing [pdf], the vendor said the contract also comes with a two-year extension option. NT Health has used the Miya platform since 2009.

The contract covers the upgraded platform’s flow, access and command modules, and will support patient flow and bed management between major hospitals and "satellites" - remote clinics - across the Northern Territory. 

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https://www.healthcareitnews.com/news/anz/nt-health-extends-clinical-decision-support-contract-alcidion

NT Health extends clinical decision support contract with Alcidion

It will now upgrade to the latest Miya Precision platform.

By Adam Ang

April 19, 2022 05:08 AM

NT Health has signed a contract with listed health tech firm Alcidion to upgrade to the latest Miya Precision clinical decision support platform.

The department, which runs five public hospitals and community and remote health centres serving over 200,000 people, has been one of the early adopters of Alcidion's original Miya platform. 

Its extended use contract will see the deployment of Miya Precision with core modules Miya Flow and Access and the ability to add more modules over time across its entire network.

Miya Precision is an FHIR-event-based clinical support solution that facilitates multiple clinical and operational applications. It provides clinicians with actionable insights by consolidating information from disparate systems.

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https://onlinecareer360.com/job/pinpoint-talent-hiring-for-digital-health-educator-indigenous-affirmative-job-at-canberra/

Education Training / Education Training

Pinpoint Talent Hiring for Digital Health Educator – Indigenous Affirmative Job at Canberra Full Time NEW

  • Federal Government Opportunity
  • All Australian state applications considered
  • Long Term Contract

Pinpoint Talents’ partnering Federal Government client has an amazing 36 month contract opportunity for Indigenous Affirmative professionals looking for their next career opportunity.

Experienced Professionals with backgrounds from the below professions will be strongly suited to this opportunity;

  • Education
  • Health Care
  • Human Resources/People & Culture
  • Change Management

However anyone with an interest in this opportunity is encouraged to apply.

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https://atsijobs.com.au/jobs/digital-health-officer/

Digital Health Officer

We are currently partnering with a Federal Government agency to recruit a Digital Health Officer for a 3 year contract. They are seeking someone from either a technical background, or someone from a HR/Liaison background with strong knowledge regarding both Indigenous culture and health initiatives!

The Role

You’ll be working within the Training, Learning and Development division and will be responsible for leading the education and change management activities for the adoption of My Health Record within the Australian Digital Health Agency.

  • Lead education and change management activities for the adoption of My Health Record
  • Provide regular digital health feedback and  ‘train the trainer’ education, training and updates for primary healthcare sectors, Indigenous Health delivery partners
  • Provide assistance and support to stakeholders to resolve technical and useability issue
  • Coordinate internal resources with external providers to develop online resources
  • Responsible for the implementation, testing, evaluation and on-going maintenance of allocated online resources
  • Project support – Manage all stages of online resource development projects including the development of timelines, engaging relevant staff, key stakeholders and third-party providers as required
  • Create, manage and maintain relationships with key stakeholders to drive the use of key digital health technologies

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https://www.reddit.com/r/HealthAnxiety/comments/th5b15/i_can_now_view_my_health_record_and_i_wish_i/

Posted by

u/silver_Mountain9

1 month ago

I can now view my health record and I wish I couldn't

The fact that I can now view my health record online has made me so much more anxious. I've been looking at past blood test results, agonising over borderline results, and even spotting where results have been labelled 'abnormal' but I'd never heard anything about it until now. I've been feeling so rough for the past few months and it's been jammed down my throat that it's definitely anxiety. But it's so hard when you feel sick every day to believe that you have to just learn to deal with it, and that there isn't an underlying medical reason. And now, being able to see all my test results, my monitoring of symptoms has just sky rocketed.

The past few weeks I'd been really good with not googling symptoms or worrying that I've got a serious illness. But for some reason today I went down that health anxiety rabbit hole again and I'm back to being terrified. When this happens I tend to do a few things to frantically alleviate my worries, like book a doctors appointment and buy some vitamins that I havent had before. I guess I'm just venting because I'm angry and upset at how crippling health anxiety can be, and how much I still believe that I have severe medical problem. :(

4 comments

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https://nationalallergystrategy.org.au/projects/australian-digital-health-agency/health-professionals/news/listid-24/mailid-112-webinar-reminder-uploading-allergy-information-to-my-health-record

Webinar reminder: Uploading allergy information to My Health Record

This Webinar, which is specifically for ASCIA members, will explain the process for uploading patient allergy information to My Health Record directly from your clinical software.

Please join us as we hear from Dr William Smith (Clinical immunology/allergy specialist, South Australia) about why this is important for your patients, and Dr Kathy Rainbird (Australian Digital Health Agency) who will provide a step-through demonstration using Genie software.

Date and time: 8pm – 8:30pm AEDT (5pm – 5.30pm WST) Thursday 31 March 2022

Register here

Suitable for: Specialists using a range of conformant clinical software.

A recording of this Webinar will be made available on the National Allergy Strategy website.

Kind regards,

Dr William Smith and Ms Karen Wong
Project Co-leads, National Allergy Strategy Australian Digital Health Agency (My Health Record) Project

The National Allergy Strategy is a partnership between the Australasian Society of Clinical Immunology and Allergy (ASCIA) and Allergy & Anaphylaxis Australia (A&AA) in collaboration with other stakeholders.

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https://hnc.org.au/events/for-specialists-my-health-record-demonstration-in-genie-xhp-x4/

For Specialists – My Health Record demonstration in Genie

Clinical Information System (CIS) My Health Record Q+A sessions.

These 30-minute sessions are aimed at GPs, Specialists, Practice Managers, Practice Nurses and Aboriginal Health Workers interested in learning more about My Health Record and how to use it most effectively in routine practice.

Using a software simulation platform, the instructor will answer questions or demonstrate available features of My Health Record using the stated Clinical Information System (CIS): Best Practice

Venue: Online

Date/Time: Tue 03 May 2022, 11:00 am - 11:30 am AEST

Event Organiser: Australian Digital Health Agency

Contact: Australian Digital Health Agency

Phone: 0417 722 677

Email: Click here

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https://thephn.com.au/news/new-digital-health-grants-available

New Digital Health Grants Available

The PHN’s Digital Health Strategy aims to “deliver improved health outcomes through strong digital health foundations that lead to accessible, equitable, safe, effective and sustainable digitally-enabled models of care". The $5,000 grants are designed to supplement the provision and delivery of items such as Telehealth, website upgrades or other digital health improvements such as staff training or remote patient monitoring. They will assist with building digital health foundations and standardising digital platforms in primary healthcare services across the region.

There are a limited number of grants available and applications will close on the 20th May unless fully subscribed to earlier.

Applying for these grants is simple, visit our website for full details.

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https://www.nethealth.com/australian-study-highlights-value-of-tissue-analytics-wound-care-platform/

Australian Study Highlights Value of Tissue Analytics Wound Care Platform

Wound Care, Press Release

Findings also confirm platform’s capabilities for wound and skin clinical trials

PITTSBURGH, PA – April 18, 2022 – Net Health, a leading provider of software and analytics for medical specialties, announced the recent publication of a study reviewing the use of artificial intelligence (AI)-enabled mobile wound care applications developed by Net Health. The study showed that these applications provide better documentation, are easy to use, engage patients, and drive improvements in wound measurement and management.

Conducted by Australian New South Wales (NSW) Health Service, the study looked at the performance of Net Health’s Tissue Analytics wound imaging and analysis platform in multiple sites, including a senior care ward, colorectal ward, an outpatient dermatology clinic, and primary care physicians’ offices. 

In addition to highlighting the platform’s value in clinical settings, the findings provide helpful insights for researchers looking to conduct decentralized and hybrid clinical trials involving wounds, skin lesions, and visible skin conditions in a post-pandemic world. 

Statistically Significant Findings

The study was published in the International Wound Journal.  The e-clinical platform was tested on 124 patients with 184 wounds compared with the standard care group, consisting of 166 patients with 243 wounds.  Results showed several statistically significant outcomes related to use of the platform, including the completeness of documentation based on the number of dressing changes compared to standard care, pain, size, exudate, and odor (p < 0.001).  These findings demonstrate the positive impact of the platform in terms of usability, patient adherence, and the photographic evidence of clinical endpoints.

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https://developer.digitalhealth.gov.au/resources/news/electronic-prescribing-conformance-profile-v21-released

Electronic Prescribing Conformance Profile v2.1 Released

The Australian Digital Health Agency has released an update to the technical framework information to support the implementation of electronic prescribing. This updates the technical framework documents released on 31 October 2019.

The Australian Digital Health Agency has released an update to the technical framework information to support the implementation of electronic prescribing. This updates the technical framework documents released on 31 October 2019.

Key improvements

  • This update includes changes to the Electronic Prescribing - Participating Software Conformance Profile document and is intended to support software vendors to implement electronic prescribing.

Who does this affect?

  • All affected clinical systems should be updated in accordance with the revised conformance requirements.

More Information

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Software Developer Community Announcement

ADHA - HIPS v8.3  Released

The Australian Digital Health Agency (the Agency) has released a new minor release of its HIPS middleware product:

·         HIPS v8.3

Key improvements

HIPS v8.3 is a minor release that provides the following enhancements and defects fixes:

  • Significant improvements to document upload performance. This version of HIPS is capable of uploading 200,000 documents per 24 hours on the recommended high usage profile documented on the HIPS 8.3 - Server Roles, Specifications and Software Requirements page in Collaborate.
  • Emergency Department views have been added to HIPS UI, providing quick access to information critical for emergency care. The Patient Summary view now includes the following information:
    • Immunisations (introduced in HIPS 8.2) with option to highlight COVID-19 vaccines
    • Medicines
    • Discharge Summaries
    • Allergies and Adverse Reactions
    • Emergency Contact Details
  • Support for uploading Discharge Summary, Event Summary and Specialist Letter Document sub-types with HIPS providing the latest list of available sub-types published by the Agency.
  • Support for uploading multiple Discharge Summaries against a single episode.
  • Further resilience to temporary infrastructure errors. When HIPS detects the Certificate Revocation List is unavailable, processing is retried. In addition, when unexpected error types are detected from My Health Record, the hips.PcehrErrorCode table can be updated to detect future occurrences of these errors and control whether HIPS retries the error.
  • Management of certificates has been simplified by storing details in the HIPS database using the configuration subsystem.
  • A mix of SHA-1 and SHA-2 certificates is now supported.
  • New configuration settings to give control to Site admins for customising error messages produced in HIPS Core, My Health Record and HI Service tailored for their users, including optional text to contact the Site’s Help Desk.

Who will this affect?

  • Public and private hospital organisations
  • Diagnostic service provider organisations
  • System integrators
  • Software vendors

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https://wildhealth.net.au/telehealth-physical-exams-boosted-by-new-research/

21 April 2022

Telehealth physical exams boosted by new research

Clinical COVID-19 Technology Telehealth Virtual/Remote Care

By Wendy John

Physical examinations are hampered by telehealth but latest research has curated the best work-arounds to maximise diagnosis.  

In this podcast we introduce Telepresence 5 – a suggested guideline for doctors to coach patients through self-examinations. We are joined by Professor Stephen W. Russell, from the University of Alabama at Birmingham, who explains Telepresence 5 and highlights some new home medical devices that are helping.  

Professor Russell touches on current research in virtual care technology in the United States. He says that there is still a long way to go in making telehealth more effective and that it is an area that is “ripe for research”.  

You can listen and subscribe to the show by searching for “Wild Health Podcast The Medical Republic” in your favourite podcast player.

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https://wildhealth.net.au/online-chat-group-teen-talk-is-kicking-goals/

21 April 2022

Online chat group Teen Talk is kicking goals!

Apps Clinical

By Buffy Squires

Have you got teens in your care?

This time last year Musculoskeletal Australia started their MSK Kids program, Teen Talk. One year on, Teen Talk is connecting even more young people living with musculoskeletal or chronic pain conditions right around the country.

Open to those aged 13-20, Teen Talk now has over 30 users covering most states and territories. MSK Kid’s program coordinator, Buffy Squires, who oversees the Teen Talk platform says:

“I love seeing what the young people are talking about on Teen Talk. They are so kind and supportive of one another. It’s great to know that these kids have others who understand what they’re going through too. They share their feelings and talk about their health issues but more importantly they have fun, posting pictures of their pets or their latest artwork. It’s a really nice space”.

As you know, many teens living with a musculoskeletal condition?have?never met another teen going through the same thing.?This is particularly true of those living in remote communities or for kids living with?even?rarer?conditions?such as scleroderma or juvenile lupus. An online portal such as Teen Talk?enables these kids to “meet up” and connect with others who understand.? 

Teen Talk utilises a private server through the online portal ‘Discord’. Discord is an instant messaging and digital distribution platform designed for creating communities. Users communicate as part of communities called ‘servers’. The program is free to use. 

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https://itwire.com/your-it-news/5g/nbn-be-warned-as-t%e2%80%91mobile-smokes-the-competition-in-the-us.html

Friday, 22 April 2022 10:43

NBN be warned as T‑Mobile smokes the competition in the US

By Chris Coughlan

T-Mobile announced that the company welcomed its 1 millionth Home Internet customer, remarkable growth just one year after launching the service commercially. This indicates that an aggressive deployment of fixed wireless infrastructure in our Australian suburbs might be more viable.

In addition, T-Mobile says that thanks to it's unrivaled 5G network expansion, 10 million additional homes nationwide are now eligible for 5G Home Internet, bringing the total number of eligible households to more than 40 million, all covered with 5G.

“T-Mobile’s remarkable growth in broadband – a market that’s full of big behemoth corporations – just underscores how hungry customers are for a real alternative to the Carriers and the Landline ISPs,” said T-Mobile CEO Mike Sievert.

“We launched into broadband last year with a radically new value prop that’s completely disrupted this category, and now, with a household footprint that’s millions larger than the nearest fixed wireless competitor. And we are just getting started. There’s more Un-carrier disruption on the way.”

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https://itwire.com/it-industry-news/telecoms-and-nbn/new-activ8me-nbn-sky-muster-plans-offer-daily-data.html

Wednesday, 20 April 2022 10:22

New Activ8me NBN Sky Muster plans offer daily data

By Stephen Withers

Melbourne based RSP Activ8me has introduced new NBN satellite plans with daily rather than monthly caps. The idea is to stop customers running out of data before the end of the month.

Activ8me's NBN Sky Muster Pro plans provide up to 10GB of data a day.

This arrangement means customers "will always have more data tomorrow," the company explained, even after large downloads such as games.

Managing data use has been a pain-point for Sky Muster users, according to Activ8me, because the limited methods available to customers means they often run out of data days or even weeks before the end of the month.

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https://www.itnews.com.au/news/the-greens-pledge-free-nbn-for-low-income-households-578933

The Greens pledge free NBN for low-income households

By Staff Writers on Apr 20, 2022 6:28AM

Address broadband affordability.

The Australian Greens party has unveiled a plan to offer about 1 million low-income households free NBN internet services, paid out of taxes on “billionaires and big corporations”.

The plan, announced on Sunday, would benefit about 1.5 million healthcare card holders, according to a report by SBS, and has been costed at $800 million a year.

Party leader Adam Bandt said the proposal would benefit “carers, students, low-income families and the unemployed.”

“No one should be left offline,” he said.

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https://itwire.com/government-tech-news/technology-regulation/nbn-co-proposed-variation-to-special-access-undertaking-delayed,-as-predicted.html

Tuesday, 19 April 2022 09:56

NBN Co proposed variation to Special Access Undertaking delayed, as predicted

By Chris Coughlan

As predicted the ACCC's consultation and the outcome of the NBN Co SAU variation has been dragged out until after the election.

The ACCC’s formal consultation on NBN Co’s proposed variation to its Special Access Undertaking has been delayed to provide NBN Co time to address practical issues with the release of information it claims is commercially sensitive.

The proposed variation to the undertaking follows a series of industry working group meetings run by the ACCC in the second half of 2021 that identified a range of issues with the regulation under the current undertaking, and discussed alternative proposals, the ACCC advised.

NBN Co provided the ACCC with its proposed variation to the undertaking on 29 March 2022. The proposed variation to the undertaking is a key part of the future regulation of the NBN. It sets the terms and conditions for internet providers to access the NBN until 2040, including arrangements for setting maximum prices.

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Enjoy!

David.

Sunday, April 24, 2022

It Is Good To See Others Now Saying What I Have Said For Years – The #myHR Is An Evidence-Free And Wasteful Farce!

This appeared a few days ago.

22 April 2022

My Health Record’s ‘dumb numbers’ versus ‘meaningful use’

By Jeremy Knibbs

The Department of Health finally wants to see some evidence of the usefulness of the MHR.

If you trawl the health portfolio budget statement from March, on page 183 you will see a table that suggests the government is starting to lose patience, and perhaps even faith, in the whole idea of My Health Record (MHR).  

The table says that as a part of measuring the performance of the Australian Digital Health Agency (ADHA) into 2023, it is going to require that the agency “Establish an approach and trial baseline for measuring meaningful use via a ‘meaningful use index’ for My Health Record”. 

What the government wants is for the ADHA to start properly measuring just how useful this $2.6 billion project is today, and moving forward.  

Finally, someone wants some proof that the MHR is doing, or even starting to do, what we’ve all been promised it would do. 

It should be shocking to us all that we’ve spent this much money and time and we haven’t actually been measuring usefulness for the entire life of the MHR project.   

But MHR has never been in the public eye enough for anyone to seriously question how the project has been managed over time and whether, in relative terms, it was returning on its investment over the years. It’s always been political, used as a show project when needed for a bit of sparkle in health policy by the pollies and then sent to the reserves bench – more or less out of sight – when things got embarrassing, as they did after Opt-Out. 

No one has really cared enough about it politically or publicly to stand up and say: “Enough willing that this thing will work one day, let’s put in place some proper audit and measurement of this project.”

Note: The Australian Office of National Audit has audited the ADHA and how it has implemented the MHR, but its remit was not how much the MHR is used or how much value it brought to the system. That might be about to change.

We should have cared more than we have because the idea of sharing healthcare data seamlessly and securely across our healthcare system, and giving patients access to their data in a meaningful way, is possibly the most important idea for the future of our healthcare system since the thought bubble that resulted in Medicare. 

What may have got in the way of altering our attitude to MHR in the past couple of years was covid, and a changing of the guard at the ADHA at the end of 2019 – the entire senior management team left in the space of a few months, something that should have prompted a little more inquiry.  

Not withstanding, some in government have quietly been trying for a reckoning of the ADHA and the performance of MHR for some time now. 

Check out these dazzling numbers (which have no baseline or reference points), everyone! 

We’ve written a few stories in the past about the array of big numbers the ADHA publishes regularly, but these are meaningless because they never have a baseline or reference point and there is no attempt at all to frame them in some sort of return on investment to the public context. 

It’s a long list of usually big, but meaningless, non-referenced “dumb numbers”. Without the context of a baseline, any of these numbers could mean anything.

There are pages and pages more here:

https://wildhealth.net.au/my-health-records-dumb-numbers-and-meaningful-use/

You can read similar sentiments from a few years ago from me here:

https://aushealthit.blogspot.com/2019/12/let-us-not-get-misty-eyed-about-tim.html

The astonishing thing is that the 2.5Billion dollars has flowed from the Government into the program and there is still no evidence is available to date identifying any real value being delivered either clinically or financially.

This, to me, is a much larger scandal than all the ‘sports rorts’ and ‘car park pork-barreling’ we have seen from the Federal Government in the last 9 years! It is really amazing that such  huge money sink was not watched more closely. The ADHA has a lot of culpability for this debacle I would suggest. I can remember making most of these points personally to Tim Kelsey in around 2016!

One has to wonder what an integrity commission might find if the program was investigated.

It seems that the #myHealthRecord was yet another one of the ideas that was answers to the data sharing issue what was ‘Simple, Clear and Wrong’ as per my blog header!!!!

David.