Podcasts about my health record

The proposed overhaul of the My Health Record system aims to eliminate the current seven-day delay for pathology and diagnostic imaging reports, allowing patients immediate access to their medical results. Dave Clarke, CEO of the Australian Patients Association spoke to Luke Grant.See omnystudio.com/listener for privacy information.

Nursing Australia: Summer Series is 2022 in nursing & healthcare wrapped! Delve inside the trending topics of the year and meet subject matter experts in: Sexual health; Healthcare Law and Aged Care.  Nursing Australia Summer Series Part 1 of 3: Sex Ed  Confidentiality, mandatory disclosure, age of sex consent, unpacking what consent is, and My Health Record. Next time on Nursing Australia (28:31) APNA Nursing jobs board  Subscribe to The Connect (our weekly newsletter) Credits: Sexual Health Victoria The Australian Primary Health Care Nurses Association (APNA)   Hosted by: Matthew St Ledger & Mitch Wall Produced by: Leith Alexander & Matthew St Ledger

In the previous episode we explored healthcare and the position of doctors in Malaysia. Today and in the next few episodes, we will stay in the Asia Pacific region, by peeking into Australia, Pakistan Singapore, and more. My guest today is Peter Birch, creator, and host of Talking HealthTech; an Australian podcast and membership community about technology in healthcare. In the past, Pete has been running clinics, and software companies, he is still company Director at MetaOptima, creating intelligent technology to help doctors detect and treat skin cancer. He is also the company Director of the Medical Software Industry Association (MSIA), representing the software vendors of the healthcare industry in Australia. Clearly, Pete has a good understanding of tech challenges in healthcare which he shared in this discussion. We talked about the current state of My Health Record, why is Australia not a leader in exemplary telehealth solutions, what it means that the government plans to dedicate 107 million Australian dollars to invest in digital healthcare infrastructure, and more. Other episodes about Australia: Australia, AI and co-design of digital health solutions (Marie Johnson): https://www.facesofdigitalhealth.com/blog/australia-ai-and-co-creation-of-digital-health-solutions-marie-johnson?rq=australia F105 The state of healthcare digitalization in Australia (Louise Schaper, AIDH): https://www.facesofdigitalhealth.com/blog/f105-the-state-of-healthcare-digitalization-in-australia-louise-schaper-aidh?rq=australia F115 Primary healthcare digitalisation in New Zealand, Australia, UK and US (Dimitri Varsamis): https://www.facesofdigitalhealth.com/blog/us-new-zealand-australia-uk-primary-care-digitisation?rq=australia REFLECTIONS: A transocean podcast session (Joy Rios, Bianca Rose Phillips, Tjasa Zajc): https://www.facesofdigitalhealth.com/blog/reflections-a-transocean-podcast-session-joy-rios-bianca-rose-phillips-tjasa-zajc?rq=australia

Will the My Health Record ever become a valuable infrastructure?  Peter Birch is the founder and host of the Talking HealthTech podcast and is one of the board members of the Medical Software Industry Association and a company director for MetaOptima. Tjaša Zajc is the founder and host of the Faces of Digital Health podcast and is also the Community Developer at the healthcare IT company Better.  Talking HealthTech features content and community for those wanting to learn and connect about technology in healthcare. Faces of Digital Health is a podcast about digital health and how healthcare systems adopt technologies. In this episode, Pete and Tjasa discuss the My Health Record (MyHR), the opt-in and out controversy surrounding MyHR, clinicians' ability to connect to the record and how that affects the record's completion status, including the populations being covered and much more.  For tips on scaling into the Australian market as an international vendor or vice versa, tune into this episode. Also, how has the MyHR progressed since it was first introduced, what are the challenges with it? These and many other questions are addressed in this episode.  Check out the episode and full show notes here. Loving the show?  Leave us a review, and share it with some friends. Keen to take your healthtech to the next level? Become a THT+ Member for access to our online community forum, quarterly summits and more exclusive content.  For more information visit here.

Amanda Cattermole is the Chief Executive Officer of the Australian Digital Health Agency since September 2020. Prior to that, she was the Chief Operating Officer at Services Australia (formerly the Department of Human Services).   The Australian Digital Health Agency (the Agency) is the System Operator of the My Health Record system. The Agency provides the leadership, coordination, and delivery of a collaborative and innovative approach to utilising technology to support and enhance a clinically safe and connected national health system.   In this episode, Pete and Amanda cover topics such as COVID-19 and the role of digital health, the relevance of My Health Record to all Australians. Pete and Amanda also look at that infamous “I” word - interoperability and what the road ahead looks like for the national digital health strategy.   There have been massive strides within the digital health space over the last few months and this episode looks at some of those changes, like the increased use of e-prescriptions and the MyHR. You will learn about interoperability and how you can reach out to the ADHA and much more.    Check out the episode and full show notes here.   To see the latest information, news, events and jobs on offer at ADHA, visit their Talking HealthTech Directory here.    Loving the show?  Leave us a review, and share it with some friends, become a THT+ Member for early release, ad-free and bonus episodes of the podcast, access to our online community forum, and free tickets to our quarterly summits.  For more information visit here.

Missed the Show on 3rd September 2021? Catch Up on what you missed right here. In this Podcast Lockie catch up with Consumer Advocate for the Australian Digital Health Agency, Steve Renouf to discuss My Health Record and the Nationwide Online Survey. Listen here to find out. ----- Weekday Mornings between 7am and 9am you will catch Lockie Skinner LIVE on OneMob Breakfast proudly brought to you by Ready Mob. Lockie is a Proud Gumbaynggirr Man from Coffs Harbour NSW. With a wealth of knowledge in Radio (Former Radio Announcer on 93.7FM Koori Radio), King of Community Engagement and Founder of OneMob Radio, Lockie is a young man that has a long list of achievements at only 25 years old. On this show, Lockie will be broadcasting from locations around Coffs Harbour where you can catch up with him and simply have a yarn. The Show will also include all the info you need to start your day! Community Events, Programs, General Info, Weather, Birthday Book, Surf and More!

Bianca Rose Phillips is a Global Digital Health Law theorist from Australia, and the founder of a Digital Health Think Tank. In her legal work, she is focused mostly on Australia and the USA. Many people know her by her framework of the so-called 8 pillars of digital health law-making. Bianca also contributed to the recently published book, Voice Technology in Healthcare, she is a lecturer and she also runs two podcasts - Too nice for law and Digital Health Law series. In this discussion, she talks about the current state of digital health law in general, why she opted out of My Health Record, why patients need to be responsible about their data, the legal standpoints in data privacy and ownership, and more. Episode Summary More about Bianca:  Website: www.biancarosephillips.com LinkedIn: https://www.linkedin.com/in/biancaphillips/ Join the Voice for equality event on 28 April Browse through other episodes as well at www.facesofdigitalhealth.com

In this episode of Nursing Australia, hosted by Matthew St Ledger, we hear: -        The latest Nursing Australia News (01:12)The wheels fall off Australia's COVID vaccine rollout; a second AstraZeneca clotting case reported in Australia; Johnson & Johnson vaccine clotting concerns in the US and COVID vaccines for kids and pet in the pipeline.-        COVID Vax rollout expert panel Q&A (04:18)APNA has been hosting a series of COVID webinars to keep nurses up-to-date on the vaccine rollout and have been receiving literally thousands of questions via APNA nurse support line. In past webinars we've had Q&A at the end of each session, but members have been calling for more. So in the most recent webinar we assembled an expert panel to answer any of your unanswered questions. We were joined by Prof. Robert Booy (U. Syd) Dr. Ketaki Sharma, Karen Booth, Suzanne Blackeby & Bec Cox. Webinar slides: https://apna.asn.au/files/DAM/1%20Education/Nursing%20Australia/COVID%20Webinar%206%20-%20QandA.pdf Subscribe to The Connect: https://www.apna.asn.au/workflows/subscribe We want to hear your COVID vaccine rollout stories: Are you working on the COVID vaccine rollout and want to give your perspective? We aresearching for APNA members that are interested in being interviewed on APNA's NursingAustralia podcast and in other media. Click here to get in contact:  https://forms.office.com/r/uiGEm61ksw-        Digital Health: The Nurse Transformers Project (01:01:04)APNA has partnered with the Australian Digital Health Agency (ADHA) to transform how we use digital health in practice. This exciting initiative is about embracing technology head-on and bringing our nursing colleagues along for the ride. Together we can ensure digital platforms like My Health Record are utilized to their full extent. Meet two of APNA's Nurse Transformers Tammy & Mary-Ann and find out how they are creating Nurse digital champions.Listen to the full interview here: https://apna.asn.au/hub/digital-health--the-nurse-transformers-project Australian Digital Health Agency: https://www.digitalhealth.gov.au/ -        Nurse wellness with Steve Fearns: Tips for being an effective communicator and acing presentations (01:08:37)As healthcare professionals great communication really is paramount. On the daily we present to colleagues, patients and those around us. Leadership Consultant Steve Fearns dropped by the APNA office armed with a few tips on become an effective communicator and acing presentations.Steve Fearns Leadership Consultant: www.linkedin.com/in/stevefearns

Celebrity TV doctor Andrew Rochford joined Blandy in the Big Breakfast to discuss the importance of your "My Health Record" and the ever changing world of Covid 19 vaccines. See omnystudio.com/listener for privacy information.

Australian Digital Health Agency upgrades My Health Record for accessing details regarding COVID-19 vaccination.

Facebook ban follow up Following up on the big story last week, and unsurprisingly news consumption dropped after Facebook banned news from its platform. Data compiled by measurement company Nielsen found that the ban had an immediate impact on publishers. Nielsen used its Digital Content Ratings methodology – which provides data each month on traffic volumes for tagged websites and apps regardless of the source being on or off-platform – to track total sessions and total time spent for the Current Events & Global News category yesterday. Total Sessions fell by 16% last Thursday, when compared with an average Thursday.According to Nielsen about 22% of news audiences consumed their content exclusively via the Facebook app. But, media execs are saying people are coming directly to their sites. And the ABC news app was the most downloaded free App in the App Store on Friday. Above Insta, Messenger, FB and Whatsapp They may have had strong traffic on Thursday because it was a strong news day. It will be hard to sustain that without huge breaking news. If publishers can hang on and adapt it could be a net positive. Facebook news ban: Thuggery shows why we must move fast to fix ithttps://www.smh.com.au/business/companies/facebook-s-devastating-display-of-defiance-is-vintage-zuckerberg-20210219-p5741b.htmlFacebook loses friends as protest over new media code backfiresCOVID vaccinations in Victoria to be tracked by new tech platformAustralia's vaccination program starts today! Victoria will be using a system from Microsoft to keep track of the vaccinations. the Vaccination Registration and Administration Solution (VRAS) is a management platform to co-ordinate the logistics and scheduled delivery of the vaccines at clinics.According to Microsoft, the VRAS technology would also let the Department of Health monitor “cold chain” requirements to ensure vaccines are safe and effective. Hopefully this isn't a covid safe app situation… When it comes to record keeping, the Australian government will use its existing systems, in particular the Australian Immunisation Register. All Covid vaccination info will be required to be uploaded to the register to help track and trace who is and isn't protected from the virus.Previously it wasn't mandatory to report vaccines, but a law change earlier this month means that the gov will have a complete picture of vaccinations.Vaccination records are viewable through Medicare Online, myGov, the Express Plus Medicare mobile app or My Health Record.Ahead of the vaccine rollout, federal government services minister Stuart Robert on Friday... See acast.com/privacy for privacy and opt-out information.

Facebook ban follow up Following up on the big story last week, and unsurprisingly news consumption dropped after Facebook banned news from its platform. Data compiled by measurement company Nielsen found that the ban had an immediate impact on publishers. Nielsen used its Digital Content Ratings methodology – which provides data each month on traffic volumes for tagged websites and apps regardless of the source being on or off-platform – to track total sessions and total time spent for the Current Events & Global News category yesterday. Total Sessions fell by 16% last Thursday, when compared with an average Thursday.According to Nielsen about 22% of news audiences consumed their content exclusively via the Facebook app. But, media execs are saying people are coming directly to their sites. And the ABC news app was the most downloaded free App in the App Store on Friday. Above Insta, Messenger, FB and Whatsapp They may have had strong traffic on Thursday because it was a strong news day. It will be hard to sustain that without huge breaking news. If publishers can hang on and adapt it could be a net positive. Facebook news ban: Thuggery shows why we must move fast to fix ithttps://www.smh.com.au/business/companies/facebook-s-devastating-display-of-defiance-is-vintage-zuckerberg-20210219-p5741b.htmlFacebook loses friends as protest over new media code backfiresCOVID vaccinations in Victoria to be tracked by new tech platformAustralia's vaccination program starts today! Victoria will be using a system from Microsoft to keep track of the vaccinations. the Vaccination Registration and Administration Solution (VRAS) is a management platform to co-ordinate the logistics and scheduled delivery of the vaccines at clinics.According to Microsoft, the VRAS technology would also let the Department of Health monitor “cold chain” requirements to ensure vaccines are safe and effective. Hopefully this isn't a covid safe app situation… When it comes to record keeping, the Australian government will use its existing systems, in particular the Australian Immunisation Register. All Covid vaccination info will be required to be uploaded to the register to help track and trace who is and isn't protected from the virus.Previously it wasn't mandatory to report vaccines, but a law change earlier this month means that the gov will have a complete picture of vaccinations.Vaccination records are viewable through Medicare Online, myGov, the Express Plus Medicare mobile app or My Health Record.Ahead of the vaccine rollout, federal government services minister Stuart Robert on Friday called on Australians to link their... See acast.com/privacy for privacy and opt-out information.

** Thanks for downloading this episode. If you'd like to stay in touch with our continuing story, Season 2 continues at This Medical Life, in which Dr Travis Brown continues his exploration of diseases and our approaches to treatment from history to the modern day. Have a look in your podcast app now for This Medical Life, and hit subscribe so you never miss an episode ** Health records are arguably the single most important and personal collection of data anyone can have. With records containing doctor visits, consultation notes, pathology results, radiology reports, medications, allergies, etc., it is hard to overstate its significance. In fact, these records can save lives. The Australian Government has implemented an opt-out arrangement for MyHealthRecord and as such, there has been a rise in the number of records available. However, this venture has not been without its stumbles, detractors, and challenges. We discuss medical records with Dr Chris Moy, who has been a national leader in developing and promoting My Health Record, the electronic ‘filing system' of Australians' individual health histories.  GUEST INTERVIEW AMA(SA) President Dr Chris MoyMBBS, FRACGP, FAMA sa.ama.com.au/council digitalhealth.gov.au/dr-chris-moy See omnystudio.com/listener for privacy information.

Health records are arguably the single most important and personal collection of data anyone can have. With records containing doctor visits, consultation notes, pathology results, radiology reports, medications, allergies, etc., it is hard to overstate its significance. In fact, these records can save lives. The Australian Government has implemented an opt-out arrangement for MyHealthRecord and as such, there has been a rise in the number of records available. However, this venture has not been without its stumbles, detractors, and challenges. We discuss medical records with Dr Chris Moy, who has been a national leader in developing and promoting My Health Record, the electronic ‘filing system' of Australians' individual health histories.  GUEST INTERVIEW AMA(SA) President Dr Chris Moy MBBS, FRACGP, FAMA sa.ama.com.au/council digitalhealth.gov.au/dr-chris-moy See omnystudio.com/listener for privacy information.

What are the tools we need today for a future that delivers more value in healthcare for patients and the system? Tim Kelsey is the former CEO of the Australian Digital Health Agency, and HIMSS Executive.  He is now CEO of Pacific Knowledge Systems (PKS) and caught up with Pete to talk about digital health in Australia and across the world.  They covered issues of interoperability and the My Health Record, as well as Tim's new role at PKS and what the future might hold. Check out the episode and full show notes here. To see the latest information, news, events and jobs on offer at PKS, visit their Talking HealthTech Directory here. 

As Community Pharmacy moves towards 2025, digital health remains a key priority for the industry. One of the more significant developments in this area is My Health Record.  My Health Record lets patients control their health information, securely and safely. This means important health information is available when and where it’s needed, including in an emergency. The platform is helping healthcare professionals to reduce administrative burden and avoid duplication of services. Most importantly, it’s enabling community pharmacies to deliver improved patient outcomes through better medication management and safety.  Our guests today, Jenny Snegovaya and April Burnett, have a wealth of experience in community pharmacy, public health, and digital health technology, and take us through some of the updates, training, and resources available on My Health Record. See omnystudio.com/listener for privacy information.

Australia was in the global digital health-related news in 2018 of the national EHR project called My Health Record. The idea behind the project was to digitize the medical records of all the people from Australia. Today, 9 out of 10 Australians have My Health Record.   In the discussion you are about to listen to, dr. Louise Shaper, the CEO of Australasian Institute of Digital Health (AIDH), renowned speaker and a dedicated digital health evangelist, shared her deep insight into the state of digitalization of healthcare in Australia, the organizations driving technological progress in healthcare, and also her PhD about technology acceptance amongst healthcare professionals. Australasian Institute of Digital Health: https://digitalhealth.org.au/  Leave a rating or a review: http://www.lovethepodcast.com/facesofdigitalhealth 

Penny Taylor joins Anne again, looking at OMO, RO & RA. Lots of useful phone numbers and links in the resources! Resources: HPOS – Managing delegations - https://www.servicesaustralia.gov.au/organisations/health-professionals/services/medicare/hpos/resources/managing-delegations) Provider Digital Access (PRODA) Help Desk: 1800 700 199 Health Professional Online Services (HPOS) Help Desk: 1800 723 471 Healthcare Identifier Service (HI) Help Desk: 1300 361 457 for help registering an organisation in the My Health Record and the HI Service. eBusiness Service Centre 1800 700 199 for help relating to progress of a NASH PKI Certificate request My Health Record Practice Manager Handbook - https://www.myhealthrecord.gov.au/sites/default/files/csr295_-_mhr_practice_manager_handbook_0.pdf?v=1569557904 My Health Record Practice Manager Registration Guide - https://www.myhealthrecord.gov.au/sites/default/files/csr295_-_mhr_practice_manager_registration_guide_0.pdf?v=1569558058

Anne is joined by Penny Taylor, Digital Health team member at Capital Health Network to discuss the basics of PRODA and HPOS. Resources Identity Documents you need before you start: https://www.servicesaustralia.gov.au/organisations/business/services/provider-digital-access-proda/how-register-individual-account/identity-documents-you-need-before-you-start Provider Digital Access (PRODA) Help Desk: 1800 700 199 Health Professional Online Services (HPOS) Help Desk: 1800 723 471 Healthcare Identifier Service (HI) Help Desk: 1300 361 457 for help registering an organisation in the My Health Record and the HI Service. eBusiness Service Centre 1800 700 199 for help relating to progress of a NASH PKI Certificate request My Health Record Practice Manager Handbook: https://www.myhealthrecord.gov.au/sites/default/files/csr295_-_mhr_practice_manager_handbook_0.pdf?v=1569557904 My Health Record Practice Manager Registration Guide: https://www.myhealthrecord.gov.au/sites/default/files/csr295_-_mhr_practice_manager_registration_guide_0.pdf?v=1569558058

COVID-19 has forced many of us into embracing digital technologies. Electronic prescriptions, telehealth and My Health Record (https://www.myhealthrecord.gov.au/) have been particularly useful during lockdown. Dr Andrew Rochford, Managing Director of digital health company, Docta, joins Jennie Lenman in this podcast to discuss.

Rachel de Sain is an internationally regarded digital strategist and thought leader on the future of health and social care delivery in a connected world, with over twenty years of global experience having worked with governments, Fortune 500 companies, and leading academic institutions.   Rachel is a member of the Australia New Zealand leadership forum and was appointed to the newly established World Health Organization's Digital Health panel of experts and has provided keynote presentations on this subject at events around the world. Up until recently, Rachel was the Executive General Manager at the Australian Digital Health Agency (ADHA), where she led the creation of Australia's national digital health strategy, the ‘Health Innovation Exchange' concept, the My Health Record and many others.  In this episode you will learn more about Codesain and what they do for organisations associated with digital health.  You will learn why Rachel left the ADHA and what kind of transformation occurred to innovation and digital health in Australia during that time, and what healthcare looks like post COVID-19. Click here for full show notes and more information.

Now that millions of Australians have been forced to work from home, will the way we work ever quite be the same? Also, what data was taken in attacks on My Health Record and Service NSW? And, can Quibi be salvaged? Tegan Jones, Editor, Gizmodo @Tegan_Writes + Cameron Wilson, internet reporter, BuzzFeed News Australia @cameronwilson.

Now that millions of Australians have been forced to work from home, will the way we work ever quite be the same? Also, what data was taken in attacks on My Health Record and Service NSW? And, can Quibi be salvaged? Tegan Jones, Editor, Gizmodo @Tegan_Writes + Cameron Wilson, internet reporter, BuzzFeed News Australia @cameronwilson.

The allocation of public health services is no guessing game. The government relies on vast datasets – and the analysts who can identify patterns within them – to understand the health of our population and where services are most needed. In this episode, David is joined by Professor Suzanne Robinson, from Curtin University's School of Public Health, and Professor Andrew Rohl, from the Curtin Institute for Computation, to discuss health economics in the digital age. How do the worlds of economics, health and supercomputing combine to make us healthier? [00:30]How do health authorities get their data and how do they keep it private? [01:33]What sort of information are we learning from big data that we didn't know before? [04:03]How do computers find patterns? [08:06]How is machine learning applied in a health context? [10:07]What are we learning about our health from the data that's been gathered? [13:43]Are we any closer to learning why Indigenous Australians and those in regional areas have poorer health outcomes? [14:41]What's next with health data analytics? [16:15]What impact will the changes to My Health Record have? [20:08]Learn more Curtin News: Data mining to combat chronic kidney diseaseThe Conversation: Youngest in class twice as likely to take ADHD medicationCurtin University Health Research and Data Analytics HubGot any questions, or suggestions for future topics?Email thefutureof@curtin.edu.au. Curtin University supports academic freedom of speech. The views expressed in The Future Of podcast may not reflect those of the university. Music: OKAY by 13ounce Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 Music promoted by Audio Library You can read the full transcript for the episode here.

If you're in coronavirus quarantine and going a bit stir-crazy, you might be wondering if exercise can help. It can – but which type of exercise is best, and how do you get it done if you can’t get outside? On the show today: * Can COVID-19 be transmitted by mosquitos? * How virulent is it instead of the flu? * What can the bushfires teach us about the importance of My Health Record? Plus, we answer a couple of questions from kids – but we’re looking for more, for a special kids-only edition. Record your question with an iPhone or Android and email the file to coronacast@abc.net.au and we might include it!

UXAUS2019 Day 2 Nearly every day we hear of new privacy concerns related to technology. The implementation of the General Data Protection Regulation in Europe has brought the idea of Privacy By Design to the forefront of many designer's minds. Traditionally privacy has been defined as control, with greater control seen as a good thing. However, the traditional view of privacy as control may prove limiting in a society driven by data. This talk will go on a journey through the many dimensions of privacy, from the legal view of privacy to the norms and values that drive decision-making around privacy. Using examples from health care, and using My Health Record as a case study, we will explore how we can go beyond privacy as control.

Hi everyone! Thanks again for tuning in to Season 2 Episode 3 of the podcast! The Boys are back! As promised I am joined by Ethan Nash of TOTTnews.com and our good mate Andy Somes. In this one we cover a huge array of topics: From the bush fires during our eastern seaboard and the possible reason they were intentionally lit to the fall California with their fires and the rise in housing costs resulting in tent cities, drugs, violence and filth. We discuss geo-engineering and Bill Gates' plan to block out the sun which could potentially result in a catastrophic decline in human health due to lack of sunlight and we also delve right in to China's current plans including the Belt & Road Initiative and what that means for the world and us here in Australia.   Ethan also gives us the low-down on the Cash Ban Bill with regards to 95% of the submissions from the public being ignored and I cover the latest bungle with the My Health Record and what it all means.  Huge episode folks. Huge! As always make sure you subscribe and give us a 5 star rating on iTunes with a nice little review to help us out! Please consider sharing on social media to ensure we reach a bigger audience!  We're relying on YOU!

Frank & Lorraine Pyefinch of Best Practice Software are two iconic and down to earth players in the Australian Practice Management System game.   Dr Frank Pyefinch is not only founder of Best Practice, but also originally the founder of Medical Director - the number 1 and 2 practice management systems for Australian GPs today, and have been for many years.   As CEO of Best Practice, Frank brings with him a long and proud history working as a busy GP, and Lorraine as a registered nurse - so together they understand first hand the challenges and needs of the medical community when it comes to software and technology. Overview [02:07] Genie was first created because Frank doesn't like Mac [02:45] The first PMS in Australia (Medical Director) was created by Frank because the poisons act changed in Australia allowing typed scripts, which included computer generated ones.  [06:38] The break-even point for MD back in the early 90s was 200 sites.  This seemed an ambitious goal at the time. Today Best Practice Software has over 4500 sites.   [06:49] The name “Medical Director” came from Lorraine looking through Job Classifieds in Aus Doc magazine, and liking the attributes of a ‘Medical Director'. [07:58] The original Medical Director logo was created by Lorraine with the kids etch-a-sketch in the back of the family car [08:30] The first copy of Medical Director was sold on it's launch at the AMA's annual computer day conference in 1992.   [09:00] In 1994/95 advertisements started to be inserted into the Medical Director software, which subsidised the program heavily. [09:30] In 1999 Medical Director was sold to Health Communication Network (HCN).  Frank and Lorraine went to HCN with the business. [10:30] Frank and Lorraine left HCN in 2003 as they were dissatisfied with the increasingly intrusive advertising being placed in MD to raise revenue.  They sat out their exclusion period in their contract, and during that time Frank went back to being a GP in Bundaberg while writing Best Practice. [12:00] There were no standards for medical software at that time.  If there were, it's likely the product would never have been built.   [14:00] Frank and Lorraine have seen Medical Software evolve from a text mode dos interface, to a graphical user interface, to the introduction of tables and touch screens.  Now seeing a bigger emphasis on communication, and also now a shift to the cloud, which is driving the development of their Titanium product to be released next year.  [15:07] Frank still does some programming in Best Practice even today, because he enjoys it. [17:34] Some of the government brain waves aren't clearly thought out, such as the PHN's collecting data for the QI Pip. [18:55] The biggest cause of support issues for Best Practice are Medicare claims not reconciling due to the archaic nature of the Medicare adapter.  BP is hoping Medicare shift to web services before BP release Titanium so they don't need to integrate with legacy technology in the cloud. [21:15] During the roll out of the then PCHR, now My Health Record, during the Royal Review, Frank and Lorraine provided the suggestion that Doctors should be remunerated for uploading summaries to My Health Record as it was additional admin work they were not being paid for. [26:51] The BP Partner Program has been launched in order to give partners more controlled access to the BP database so they don't need to hack their way in, and only get access to what they need - protecting the partner, the patient, the practice and BP.  [31:10] Pathology requests in PMS systems is standardised as SNP and QML, two competitors came together in the early 90's came to the PMS providers and standardised the format of the forms, which set a format for future pathology vendors.  This didn't happen with radiology which is all over the place [33:30] The ADHA is making strides towards their goal of interoperability, for example with secure messaging, although is Secure Messaging the best way to go about it, perhaps web services for a central repository would be a more modern way to go about it.   [35:30] Titanium has not been released yet due to the sheer amount of work to build 30 years of product development from scratch into the cloud.  The business was also distracted by recent acquisitions which expanded their reach into Allied and NZ markets. Ultimately all products will be rolled into Titanium their cloud product.   [40:15] BP are soon releasing their patient app, they see it as a future direction for practices wanting to engage more with patients  [44:50] A big consideration for BP in rolling out the patient app was the potential risk of needing to support millions of patients using the app - shifting from a B2B approach to B2C.   Links Talking HealthTech Podcast Talking HealthTech Community Best Practice Software Best Health Patient App Best Practice Partner Program Best Practice Titanium Medical Director  Genie QI Pip PHNs Medicare My Health Record Sullivan Nicolaides Pathology QML Pathology ADHA – Australian Digital Health Agency   Transcript [00:00:00] Pete: [00:00:00] Welcome to Talking HealthTech. My name is Peter Birch, and this is a podcast of conversations with doctors, developers, and decision makers that are playing in the Australian HealthTech scene today. [00:00:12] With me today are two very iconic and extremely down to earth players in the Australian Practice Management System game.  I'm talking about none other than Frank and Lorraine Pyefinch of Best Practice Software. [00:00:23] Dr. Frank Pyefinch is not only founder of Best Practice. But he's also originally the founder of Medical Director, the number one and two Practice Management Systems for Australian GP's today, and they both have been for many years. Dr. Frank Pyefinch is CEO of Best Practice and he brings with him a long and proud history of working as a busy GP and Lorraine as a registered nurse, so together they understand firsthand the challenges and needs of the medical community when it comes to software and technology. Best Practice has dominated the market for a long time as the first choice for GPs around Australia when it comes to selecting a PMS, and I look forward to [00:01:00] finding out why in my conversation with both of you, Frank and Lorraine how you doing?  [00:01:03] Frank:  Hi. Well, good.  [00:01:06]Pete: This is a first for me. I'm actually recording from your office. So had taken it out on the road, which is great. But I, I originally thought I was going to go to Bundaberg, but you've got a few offices I see.  [00:01:16] Frank: We moved from Bundaberg about five years ago , and came to Brisbane because our two children had to come down for university and getting them to go back to Bundaberg was quite difficult. So every birthday and Christmas, it was down to Brisbane. After a couple of years, we decided we might as well just move here.   [00:01:35] Lorraine: The main office is still in Bundaberg, so we've got about 65 staff working there.  We've got four offices all up, so we've got one here in Brisbane with just over 40 staff and another 9 down in Sydney,  and then, over in New Zealand, we've got more than 40 in Hamilton, in the North Island. [00:01:55] Pete: So I always used to say that Bundaberg was the HealthTech capital of Australia, or the Silicon Valley of  [00:02:00] Australian HealthTech.  [00:02:00] Frank: It was certainly in the 90s, , when Paul was still living there and wrote Genie   [00:02:07] Lorraine: We have a funny story about Paul because you see, I clearly remember the night Paul came round to our house. After Frank had first started to show off the original Medical Director, and I remember them sitting in the study and I could hear Paul going "Oh wow, that's really good, Frank". And then he asked Frank the fatal question "does it run on a Mac?" And Frank said, " no, I hate Macs". And so Paul went, "Ya ha!, I'm going to write Medical Director for a Mac!",  [00:02:34] Pete: [00:02:34] As I sit here, I look sponsored by Mac sitting in front of you.  Hey, look, so, there's a lot that we can cover off. Obvious question. You guys have a lot of history in this space. So where do you start? How did this all start?  [00:02:44] Frank: [00:02:44] It really started in the late 8 0's , when Lorraine was doing a bachelor of health science at central Queensland uni, and so we had to buy a computer for her to do her course, and I got interested in it. And [00:03:00] started using it for a little database projects at home, like watching the rainfall every day and coding what bottles of wine we had in cupboard and things. [00:03:11] And around about the same time, in about 1989 the Queensland Government changed the poisons act to allow prescriptions to be typewritten , as opposed to handwritten. And of course, type written also included computer generated. And so I thought this was really neat because I had something like 25 patients in a local nursing home. [00:03:33] And almost every week I'd get a list of prescription requests for them, and I could sometimes sit for an hour after I'd finished at six o'clock at night writing out prescriptions for the nursing home, and I thought if I could put all these patient's names into a computer, into a database. And then put the drugs in against the names. [00:03:55] I'd be able to just go through and tag which ones I wanted to print and print them out. [00:04:00] And so I did that and started using it at work.  [00:04:04] Pete: [00:04:04] When was that? There was back in the 80s?  [00:04:06] Frank: [00:04:06] it was about 89 / 90 when I really started.. And then I started using it day to day with my regular patients as well, because once I've written that in, it could write scripts, it didn't have to be restricted to the nursing home patients. So I bought a computer and put it on my desk with a dot matrix printer. And in those days we had to supply our own prescription paper, which I had to get printed and so I started using it for all my patients. Then one of my partners started using it too, and we actually networked it by putting a cable up through the ceiling and down the other side and into his room. [00:04:43] And so we had a little network of two computers and progressively it just grew from there. And I started putting other things in. I got a list of PBS medications from the pharmacy next door.  The pharmacist had written his own computer program for [00:05:00] point of sale, and so he gave me a big list of all the medications with their PBS listings. [00:05:05] I was able to use that to create pick-lists of drugs and so on. And once I had that, it was possible to use that data in other ways, so I put things like listing allergies, and then I could cross check between the scripts and the allergies and it just grew. And yeah. Progressively, we added more and more things, and over the early 90's, through 90 to about 92 it became what was ultimately Medical Director the first release.  And how Medical Director really came about, was that a GP in Narrangbar, which is just North of Brisbane, heard about the fact that I was writing computer generated scripts and he was really keen to do the same. So he contacted me and said. Can I have a look at your program? [00:05:50] So packaged it up onto a three and a half inch floppy disc and posted it down to him and he put it on and played around with it and said, you got back in touch and said, this is amazing. [00:06:00] This is just what I've been looking for. There's nothing else like it anywhere in Australia. And he said, you should be selling it. [00:06:06] And I thought, hmm, I'm a GP. I'm not a sales person or a computer expert. It was just a hobby really for my own use. But we had a chat about it and decided..  [00:06:21] Lorraine: [00:06:21] I went to TAFE and did a short course on how to write a business plan because I thought we'd better have a business plan. They were  very popular back in the 90s so I wrote that business plan. I remember coming home to Frank one night from TAFE and saying very proudly: "so I've worked out our break even point, we have to have 200 sites to break even. Okay. And Frank said, Oh, that's a bit ambitious, isn't it? [00:06:43] [00:06:43] Pete: [00:06:43] How many sites do you have now?  [00:06:45] Frank: [00:06:45] Four and a half thousand  [00:06:49] Lorraine: [00:06:49] Medical Director was interesting because even the name. We came up with the name, I like to say I named the babies in the family, but we came up with the [00:07:00] name because at the time there were a lot of really gimmicky names, you know,  [00:07:04] Frank: [00:07:04] Medi-mouse. [00:07:06] Lorraine: [00:07:06] I was actually flicking through Aus Doc magazine and got to the classifieds back. And they had all these ads looking for a Medical Director, and I was reading the attributes of what a Medical Director was, and I thought, yeah, that's actually something, responsible, in charge, reliable, all those sorts of things. [00:07:32] So I thought, well, that's the kind of this kind of image we thought, something that helps the practice and to make it more efficient, just even handwriting, because there were a lot of concerns about the medication errors and just being able to have a type written prescription, just removed any ambiguity over what of handwritten script might've might have seemed to whoever was dispensing. So that's sort of where it started. The logo, the MD logo, [00:08:00] I was sitting in the back of the car with the kids etch-a-sketch when we were coming back from holidays. Came up with the MD, the original, they don't use that one anymore.  [00:08:10] Pete: [00:08:10] They've still got the name though. [00:08:12] Frank: [00:08:12] So we started selling it in 1992. And in fact, we had a table at the AMA's annual computer day that they used to have back in those days. And, we were in a corner with a table and we had a printer and we were actually printing scripts on fake sample script paper, and we sold the first one on the day. [00:08:34] At the at the trade display, and that was September 92 and basically it just took off from there and I think 94 we had passed out 200 site limit to, to break even, and I had to take increasingly longer periods of time away from the practice. And so I ended up in about 94 or 95, we teamed up [00:09:00] with some advertising people down in Sydney, and that's when we started putting the ads into Medical Director, which subsidized the program quite heavily. [00:09:10] It was never free. People keep telling me that. We used to give it away free, but we never actually did, but it was heavily subsidized by the advertising. And over the period through 95 to 99 we build up to about 1500 sites. I think it was at that time, we sold the business to health communication network and we worked there for four years, but during that time I didn't do any general practice, and by the end of that time I thought we were starting to lose touch with the coal face, and at the same time we thought the product was being pushed in directions that we didn't want to see it going. In that it was being used as a cash cow with increasing amounts of advertising and more intrusive advertising  [00:09:54] Lorraine: [00:09:54] When it was our business, Frank used to have pretty tight editorial control over [00:10:00] where and how many ads appeared, and so it was more of an exclusive spot at the pharmaceuticals paid for and we disagreed with, I think, the way that, that seemed to be a lucrative revenue. stream for for the business  and we didn't agree with what  [00:10:17] Pete: [00:10:17] Yeah I mean, you obviously can't do that at all now.  [00:10:20] Frank: [00:10:20] No, no.  It went from being the customers, being the doctors, to the customers, being the drug companys, which was not what we wanted to see. So in 2003 we both left and then had a year to sit out in the exclusion period from my contract. And during that time, I went back to general practice 12 hours a week in Bundaberg. And we decided during that period that there was still room for someone to come in and produce a product targeting doctors that had no advertising in it. And so that was why we started working on BP.   [00:10:56] Lorraine: [00:10:56] And by then, our old product Medical Director  was the market [00:11:00] dominate...  [00:11:00] Frank: [00:11:00] It had 85% market share at that time. [00:11:03] Lorraine: [00:11:03] So it was, it had gone in that space of less than 10 years from probably less than 5% of doctors using computers in their surgery to being the norm for the vast majority. So, I mean, ultimately patient safety, by the fact that, prescriptions will legible had improved remarkably in that time. [00:11:24] Frank: [00:11:24] And I mean, we've added so much allergy checking, interaction, checking disease interaction checking. So there was a lot of patients safety sort of features built into the product. And it actually reached a point where at one point the medical defense people were saying that if you weren't using a computer for prescribing, then you probably weren't practicing to the standard that is expected at the time. So if you had a misadventure due to with the handwritten script, you would probably lose the case.   [00:12:00] [00:12:00] Lorraine: [00:12:00] I suppose we look back on it now, there were no standards for software in Australia at that time. They really aren't now, Frank created the standard, I suppose, he set the bar. If there had been standards in place, it might have actually been more difficult to do what we do. Because the way you look at some of the government mandated work and think, well, we probably wouldn't have designed it like that. [00:12:27] Frank: [00:12:27] Well, it was very much designed by a clinician, and that's why it, I think took off because the workflows were very intuitive and very natural to the clinicians.  Once they started using it, it really improved their efficiency, improve the note-taking, improved patient safety. There was all positives.  [00:12:48] Pete: [00:12:48] It sounds very much designed to solve a problem rather than designed to show off some fancy tech.  [00:12:54] Frank: [00:12:54] Yeah. It was very much from a user and that's when I wasn't working in general [00:13:00] practice during the HCN period. I started to feel that it was losing some of its relevance because it wasn't keeping pace with what clinicians were using. [00:13:11] And so while we lived in Bundaberg, I always working 10 hours a week. I did that for 10 years until we left in 2014.  [00:13:24] Pete: [00:13:24] So, you know, you, you've built it up to, to what it is today, and your,  , there's a lot of people walking around in this, in this office, and you've got other offices as well. [00:13:31] No doubt. You've.  paved the way and kind of set the pace for a lot of people, but you've also had  to keep up with we the industry and everything that's happening around it and use a needs and just general advancements in technology. It's a very big question for  people with such a vast experience, but what would you say some of the biggest things that have changed in that in that time period, from when you first created the thing to now?  [00:13:54] Frank: [00:13:54] When I first created it, we were using a text mode dos [00:14:00] interface where everything basically was done by typing. There was no mouse. There wa s, none of the sort of touch screens or any of the voice activated stuff that you see today [00:14:13] Pete: [00:14:13] You didn't say, Hey Siri... [00:14:15] Frank: [00:14:15] Couldn't do that. Back in 1990. So we've seen it move from that to windows to becoming a graphical user interface. We've seen the introduction of tablets and touch screens and all the rest of it. We've seen much bigger emphasis on communication, which is something that's still evolving with secure messaging and that sort of stuff. Now we're seeing the move to the cloud, which is why we have so many people in the offices that we have.  Redeveloping. obviously, for the cloud, it has a whole raft of issues that you didn't have when you had an office based solution. And the security is obviously a major issue. [00:15:00] We've got quite highly paid people working on the design and the architecture to make sure that we get it right. In the old days, I did a lot of the programming. I still do some, but only on the legacy product because I don't understand the new technologies well enough to know that we'd be doing the best job possible.  [00:15:18] Pete: [00:15:18] I didnt think you'd do any programming at all nowadays?  [00:15:21] Frank: [00:15:21] I enjoy it, I love it. That's why I started doing it in the first place was because I really enjoyed it. So yeah, so I still do a bit of work on it. I do have a few special projects. I do a bit of decision support work along with some of the pathology labs. I like to keep working on the actual program, but I'm not doing any work on the cloud version, it's all young guys who have much sharper brains than I do  [00:15:51] Pete: [00:15:51] We will get into cloud in a bit too, because I want to cover off a little bit on that , but just back to the needs of the customers being the  doctors, the clinician, general [00:16:00] practice, like today, what do you think of the big things that GPs need a hand wave or, are some of the biggest challenges that they face? Or just generally the environment in which we're in, which is creating challenges for them. [00:16:14] Lorraine: [00:16:14] think there's certainly been a shift towards more corporatized medicines. So there's a lot of doctors that are working as employees of contractors to do the surgery. We certainly started in an environment when most practitioners owned their own surgery or were in a group practice.  So there's changes along there. A lot of them aren't decision makers anymore. [00:16:35] So, you know, there's a different set of needs for non-practitioner owners. Certainly there's been, there's financial issues in medicine these days. For a long time, there was no increase in Medicare rebates, which meant that , for a good number of years, the income that  doctors could generate was limited. those challenges, I think, are always there. This aging, [00:17:00] of doctors  [00:17:01] Frank: [00:17:01] Increasing  chronic disease  [00:17:03]Lorraine: [00:17:03] Managing chronic diseases and other thing s, there's more emphasis on, it'd be interesting to see how PHNs go with that. There's still a lot of question marks around data security  [00:17:15] Pete: [00:17:15] That's all linked to the QIP isn't it?  [00:17:18] QI Pip Yeah [00:17:20] Lorraine: [00:17:20] QI Pip Yeah. I mean, a lot of it hasn't been clearly articulated, so, you know, it's a bit of a work in progress.  [00:17:28] Frank: [00:17:28] I mean, government often come up with brain waves that aren't clearly thought out, and we've seen it with the QI PIP where they using the PHNs to collect the data. [00:17:45] So there's a lot of, not distrust of the PHNs, but not all GPs are willing to give the PHNs data, whereas they'd be more inclined to upload it to a central repository that was directly managed [00:18:00] say by the department of health or, or someone like  [00:18:02] Pete: [00:18:02] that [00:18:03] I mean the funding model in Medicare and everything around that space. [00:18:07] Is there any thoughts you've got around, any progressions that have been made, particularly around technology?  There's a lot of people that have thoughts on how Medicare is supporting the changing needs of patients or clinicians or the way that healthcare is delivered.  Is that impacting you in any way? [00:18:21] Frank: [00:18:21] Medicare itself is really just an insurance organization. So the claiming  we have automated within Best Practice as best we can, it is all done through a little, what they call an add that to. Which is quite old and it's not even, I don't think it's been upgraded for four or five years now. So they're not terribly forward moving. They have been talking for some time, the adapter has a lot of issues and we've had to do some pretty tricky programming to get the Medicare claims to reconcile at times. And it's one of our biggest [00:19:00] support issues and that we have from practices is. W wanting to know how they can get the Medicare to add up between what they've claimed that they've actually received.  They have been talking for years about replacing the adapter with web services, which is a much more modern way of transmitting data to and from Medicare, but it hasn't happened yet. We're hoping that it will happen in time for our cloud program because we don't really want to implement the adapt to in our modern program because talking to those sort of legacy products is actually quite difficult sometimes and trouble prone, which is then going to cause us more support issues. So we'd rather they'd move forward, but they've been very slow. Medicare and not pushing anything really. They're very reactive.  [00:19:59] Pete: [00:19:59] What about, [00:20:00] dare I say My Health Record? I think I've,  got to a point in this podcast where I haven't asked one question about My Health Record.  But I'm gonna ask you guys about My Health Record and, whether it's your take on it or what's needed to increase uptake of it or how that's kind of working , what kind of thoughts have you got around that space? [00:20:18] Frank: [00:20:18] I personally, as a clinician, was quite keen on the concept of My Health Record was, the original cases involve issues where people were away from home on holiday or whatever and got sick and they full record would be available to a clinician at that location. People were admitted to a hospital and unable to give a history if they were unconscious after a car accident, that sort of thing. The hospitals would be able to look it up, so there's lots of good that clinician could see in it, but the implementation has probably let it down. When they did the, was it the Royce review? [00:20:58] Lorraine: [00:20:58] Royal.  [00:21:00] Richard Royal.  [00:21:01] Frank: [00:21:01] Royal Review about four years ago now, after it had been released for about a year and the uptake was very slow. He, was commissioned to basically write a report saying why was this the case and what could be done to turn it around? And that's when they renamed it from PCHR to my My Health Record. Like that was gonna make a big difference. That as part of his report, he interviewed a lot of people who were involved with it, including us. And. We gave him some suggestions for increasing uptake. And our biggest suggestion was that the GPs get paid an extra item number for curating the online health record, because it does take a couple of minutes at the end of a consultation to check that the health summary, shared health summaries up to date and accurate, and then to upload it. [00:21:55] And if you see 40 patients a day and you put an extra two minutes onto every [00:22:00] consultation, that's 80 minutes a day of unpaid work. And at the time, the health minister. Well, I think it was Nicola Roxon said that while it might push the level B consultation to a level C, and that was fine if that happened, but in most consultations it doesn't. If you've got a 10 minute consultation and you add two minutes, you don't go from a B to a C, you stay a B. So essentially GPS were being asked to do work that they weren't going to be paid for. And in the current climate and the climate at that time, no one had time to do extra work. And the GP is the person who actually has least to benefit from the My Health Record because they have all the data in the desktop system already. [00:22:40] So curating it and uploading it is of no real value to them personally. So it's good for hospitals, it's good for paramedics, it's good for occasional visiting GPs,  if you're visiting somewhere else, but for your own regular GP, that data is already on his system. So being on the, My Health Record is of no [00:23:00] great value. [00:23:01] So I think, they're not going to get uptake until they can sort that out. Basically. But I mean, it was also flawed in the sense that it was a very document based architecture that they used. So everything that gets uploaded is a like a PDF basically, and that gives it no flexibility. You can't do anything really clever with the data. All you can do is just look at the documents. You can't graph the data pathology results go up and they can't, you can't use that atomize data that you can do with ones that come into your local system. So it's not as flexible or as useful as it probably could have been. And they recognize that and they're in the process of redesigning it, but we'll wait and see what they come up with.  [00:23:49] Lorraine: [00:23:49] I mean, it's always an ongoing challenge with government dealing with new programs and things like that. Often the people that are making these announcements, you know, there's been no design behind it. It makes [00:24:00] it really difficult  from a developer's point of view to actually understand what they're trying to achieve and how they're going to get there. And often, there's very little input into, into those specs. So from an industry point of view, I know MSAA spends a lot of time trying to, trying to encourage more discussion with, um, with developers. [00:24:20] But I mean, we all We also see from a patient's point of view with regard to My Health Record, we think that, for example, our app that we're releasing in the next couple of months, Best Health, you know, that gives the patient a copy of the health summary, all of the key things that they would need to know. [00:24:35] So if they are on holiday and need to see a doctor, they've got it there anyway. So it's probably more convenient. In that format.  [00:24:42] Frank: [00:24:42] Doesn't help if you're unconscious after a car accident to get into your phone. Yeah. Phone is probably lost in the crash. And, um, even if it wasn't, no one knows you pin  [00:24:57] Pete: [00:24:57] Well, [00:25:00] that's interesting.  what about partners? There's all these other vendors that focus on a very niche kind of area and you guys are the central hub for information. Everyone wants to play with you, I guess, because that's how they engage with their target market and also, hopefully leverage some of the information  there to ultimately improve patient outcomes. You've had a bit of a ramp up or at least I've seen work on your partner network and focus on that recently, so it seems like it's a big interest for you right now? [00:25:28] Frank: [00:25:28] It's complicated. We've got something like 300 or 400 people who want to interface to was one way or another, or have or want to, and that was becoming unmanageable for a start. But then also some of the people who already were interfacing, were doing things in a slightly less than perfect way, I'll say. And so as part of the partner network, we've given them more controlled access. [00:26:00] So that they don't need to be, in a sense, hacking the database for their own purposes. We'll give them controlled access to what they need and keep them away from what they don't need. Because if you've got an online appointment booking system, you don't really need to be reading any clinical data at all. And then so the partner program tightened up and standardized things so that it was all much more secure because obviously patient privacy and the privacy act has changed and there's mandatory data breach notification and stuff all became real in the last five years or so. And so we had to make the program keep up with that. [00:26:41] And as part of that, the tightening up of the security layer has that we've under done in the last couple of releases was necessary.  [00:26:50] Lorraine: [00:26:50] Yeah.  I mean, we've always been open to Engaging with,  people who have niche products that we don't do. I mean, we stick to our knitting, [00:27:00] we don't think we can be all things to all practices. [00:27:02] I mean, that's the interesting thing about general practice. They're so diverse and the needs are all very different. the way they run their businesses is all very different. So you can't be all things to all people all the time. Is the old saying, so we don't object to that at all, but, we have to be very confident that we know exactly what those third parties are doing and why, how... Because we are allowing them to access that info. Well, not us, but the practice does, and we've got to do whatever we can as vendor to make sure that our customers don't get themselves into any tricky situations. So the more you can protect the customer from making a mistake, the better. [00:27:43] Frank: [00:27:43] Yeah. I mean, it's a hard balance. In some ways. We have always looked at the, the data belong to the practice. So we've always given them the ability to access it and allow third parties to access it. But some of the third parties have sort of taken [00:28:00] advantage of that to do things that would never really intended. [00:28:04] And the practice has not always known what was being done with the data. So as part of our practice partner program, we now have a contract where they have to agree not to use any data for purposes other than  [00:28:18] Lorraine: [00:28:18] other than what has  [00:28:19] Frank: [00:28:19] been signed up for.  [00:28:21] I mean, that's a small protection that it's just a signing a document, but at least we've got something in place. Whereas before we had nothing. And so. t's a difficult balance between giving people access to data and not giving them too much access  [00:28:39] Pete: [00:28:39] Need to find that right balance.  so I surprisingly get asked, a fair bit, from, vendors that might have been developing something on how they can integrate with more practice management systems or can integrate better with the Is there,  I can put some contact details of the, the partnership program, for best practice in the show notes, if that's would be good to you way. [00:28:57] Yeah. Easy.  [00:28:58] Lorraine: [00:28:58] I'm surprised they [00:29:00] haven't already spoken to it.  [00:29:01] Pete: [00:29:01] So I think sometimes it's, you know, you get lost in the way and how to do things [00:29:06] Lorraine: [00:29:06] It's funny. You know, you hear all these. Buzzwords,  connectivity and, secure messaging and all that sort of stuff. [00:29:12]I mean, we look back and over the last, you know, 25 plus years, we've been involved in every single,  trial for discharge summaries from hospitals, for example. And a lot of those trials were great. They were so successful, but they never proceeded. the ecosystem for health is quite complex. [00:29:28] And unless. If you're talking about connectivity and unless you get, a lot of them are big overseas vendors, that have hospital systems and and system administrators within the health department themselves. Unless there's a will there to proceed with that kind of thing. It makes it very difficult. [00:29:44] And yet there's so much money spent in the public health system, tertiary care, when in actual fact most of the interaction on a day to day basis is in general practice  [00:29:55] Frank: [00:29:55] State based public hospitals seem to forget that general practice [00:30:00] exists basically.  [00:30:02] Yeah ok,  [00:30:02] Pete: [00:30:02] Well  [00:30:03] Lorraine: [00:30:03] it's not the remit, but  [00:30:05] Frank: [00:30:05] it's not, I mean, it's this sort of crazy idea we have of having a federal health system that runs primary care and then a state based system that runs tertiary care. [00:30:15] And it's different in every state. They use different software, different systems. sometimes in the past, even between the hospitals in one state, they've used different systems and although that is gradually becoming less of an issue. Yeah.  [00:30:30] Lorraine: [00:30:30] I mean, we like to, we like it when there's a national approach and they do it once and everyone uses the same format. [00:30:37] Frank: [00:30:37] Unfortunately, we're facing the safe script thing for the real time prescription monitoring where every state seems to be going to go at sign way and use a different method for tracking real time prescriptions. Let's  [00:30:51] Pete: [00:30:51] That makes things easy for you...  [00:30:52] Frank: [00:30:52] It doesn't make things easy at all! And it's just typical of the way governments seem to run in this [00:31:00] country. [00:31:01] Lorraine: [00:31:01] It's really inefficient from that point of view. I look back in the mid nineties two of the largest pathology companies in Queensland, so we had Sullivan Nicolaides and QML, which is Queensland Medical Laboratory.  They were really strong competitors, and there was a big divide between them, but they both got together and stumped up some cash and contacted the PMS software vendors, around at the time, including us at Medical Director and, said, we're going to do pathology results. And also we're going to standardize the way that  requests are made. And so they came up, to their credit ,with the same format of the form. And then whenever any other lab from any other of the state would contact us, we'd say, this is the format for the form, you've got to use that. And so suddenly pathology, we're all using the same format, and it was so simple. Whereas radiology is all over the shop cause they all still have their own,  [00:31:56] Frank: [00:31:56] particularly in early nineties, most [00:32:00] radiology practices were just sub double digit numbers of radiologists and they didn't have the big conglomerates. [00:32:08] Whereas the path labs have always been quite large and therefore, and there's not so many of them yet, and so it's easier to get them to come to some agreement.  [00:32:18] Lorraine: [00:32:18] So I suppose after all this experience in the industry, our advice is do at once. Do it well. [00:32:25] Right. [00:32:26] Frank: [00:32:26] Sadly it's not happening though. Real time prescription monitoring is looking like being a bit of a nightmare. [00:32:32] Lorraine: [00:32:32] And, and also PHNs, you know, they're all wanting data, but they're all ultimately collecting the same sort of data for the federal government. It'd be terrible if all they all decided they wanted it. It in a different format. It's kind of make it. The life of all software vendors, really  difficult, you know, where it's the same information really. [00:32:52] Frank: [00:32:52] We've seen a bit of that in New Zealand with the PHO's collecting data, right? Even  [00:32:58] Lorraine: [00:32:58] though they're all collecting  [00:32:59] Frank: [00:32:59] the same [00:33:00] stuff, but they all have different formats and different ways of transmitting it.  [00:33:05] Lorraine: [00:33:05] And the overhead, from our point of view is quite costly. So you don't want to do that. [00:33:10] There's no need to do that.  [00:33:11]Pete: [00:33:11] You're talking earlier about Government  institutions and associations looking at the ADHA, the Australian Digital Health Agency,  and putting it around the other way. what are the things that practice management systems can be doing to be helping the ADHA in their big quest for the big buzzword interoperability. [00:33:28] Frank: [00:33:28] They have made some, some strides towards that, especially in the last couple of years. And I know Tim Kelsey made secure messaging one of his priorities and we have been involved in the trials that they did one or two years ago which have resulted now in  a further round of funding. [00:33:47] For  all of the vendors to implement the new work. And so there is progress being made. I guess my thought though is secure messaging really the best [00:34:00] way to be doing it. And should we be looking to something like the. Prescription exchanges where they use web services to put documents into a central repository, which then can be accessed by different people. [00:34:13] So say a referral to a specialist rather than going point to point with secure messaging could be sent centrally and then downloaded by the specialist or by one of a group of specialists that the patient decides is the one that they want to go to. Yeah. I mean, secure messaging is coming. But whether it's what we really want, I'm not entirely certain. [00:34:37] Lorraine: [00:34:37] The directory is always been the sticking point because they were, there was no national directory to make sure you  [00:34:44] Frank: [00:34:44] Every secure messaging  company has it's owndirectory, and they didn't communicate. It makes  [00:34:49] Pete: [00:34:49] it hard to, to connect with the whole point. So  [00:34:53] Lorraine: [00:34:53] that's work being You know, I'd done now district that a federated one. [00:34:58] That's good. That's  [00:34:58] Pete: [00:34:58] Good. Look, lastly, [00:35:00] to wrap things up, I'm looking at what you guys are working on because there's a lot of  people out there working at the best practice office here on your new thing coming up and, I'm glad, that you mentioned cloud before because Titanium has been on your website for a long time. [00:35:14] Frank: [00:35:14] It's  [00:35:14] Pete: [00:35:14] been, there's been a lot  [00:35:15] Frank: [00:35:15] of construction for a long time.  [00:35:18] Pete: [00:35:18] So it's an interesting looking at cloud in practice management land. It's, is that a deliberate strategy from you guys of kind of seeing how things play out or understanding what the market needs, or is it just about building like the right thing for  [00:35:33] Frank: [00:35:33] the market [00:35:34] I think there are a couple of things. One is that when we started the titanium project, we weren't really designing it for the cloud. We were designing it as a web application, but not specifically as a cloud application. And so about two years into the project, we kind of changed direction of it. [00:35:53] And as I said, the security and  the, sort of concerns in the cloud are quite different to what we [00:36:00] were originally doing. So it changed direction halfway through, but the other issue that's holding it back a bit is the sheeramount of work that needs to be done to be able to fully replace Best Practice.  It's a really rich, functional piece of software, which has taken ultimately nearly 30 years to get to where it is if you count the Medical Director time as being a sort of  [00:36:25] Lorraine: [00:36:25] precursor first run. [00:36:30] Frank: [00:36:30] So just getting that functionality takes time. Unfortunately practices in different ways use every bit of functionality that we've given them because we put it in there for a purpose. And we've seen that the practice needs this or that, and so we've put it in and we can't take it away from them. [00:36:50] So getting to that level of richness where we can actually move people from BP premiere to Titanium is just taking a long time. We [00:37:00] also, in a way, got distracted a bit when we took over the Houston business and took over vip.net and Ultimately bought BP allied, which used to be called My Practice because there was a lot of catch up work that needed to be done on those products to get them to our level of quality. [00:37:20] And. We've done that, we've achieved that, but that did divert resources for a couple of years into work that we hadn't originally anticipated doing. And I mean, sure, we gained some resources when we took over Houston, but,  it was a bit of a diversion for a time. Ultimately, those products are all going to be replaced by Titanium, so we have to include New Zealand, we have to include Allied all into the Titanium, work load, which again, adds time. So it's, it's just slow.  [00:37:53] Pete: [00:37:53] So that, that'll, that'll cover tran Tas...  [00:37:57] Frank: [00:37:57] yeah.  [00:37:57] Pete: [00:37:57] Yeah.  [00:37:59] Across the [00:38:00] dutch.  [00:38:00] Lorraine: [00:38:00] Yeah,  [00:38:01] Frank: [00:38:01] that's right. I mean, yeah, we pretty,  [00:38:03] Pete: [00:38:03] that's a  valeant effort in itself. Just covering to  [00:38:06] Frank: [00:38:06] aim is ultimately to only have one product, but through  configuration and preferences and whatnot, we can, make it appeal to GPs,Allied Health and Specialists. [00:38:18] And we do see that some of the allied health may need a lot less functionality than the GP practices use. So it may be that we actually release a sort of Ttitanium for allied health before we release titanium for GPs. [00:38:35] Get  [00:38:36] Pete: [00:38:36] That's  [00:38:37] Frank: [00:38:37] a  [00:38:41] Pete: [00:38:41] valeant effort in itself just to be able to do, to cover all of those needs. [00:38:47] It's, it can stretch, you know, many kilometers wide and you only get it a couple of centimeters date in covering all the needs of not just GPS, which like you say, 30 years of, of, of expertise. That's, that's. That's why [00:39:00] you are where you are. Um, but to build it again from scratch and then include specialists in  [00:39:05] Frank: [00:39:05] an allied The other issue is that during the time that we're working on it, we still have to maintain the existing products because they, people are using them. [00:39:18] Things are changing at have asking for work to be done on the secure messaging and so on. And we can't stop doing that. And so BP premiere is getting richer and titanium is, the workload is getting bigger with every passing day. So. That is also a bit of an issue. Amazing.  [00:39:38] Pete: [00:39:38] Well, look, I, I'm not going to keep you too much longer from all of that work that does need to be done. before we bail, are there any parting thoughts or any kind of final on or things that we didn't cover off?  [00:39:47] Frank: [00:39:47] Um, we didn't talk much about the app. I don't know if  [00:39:51] Pete: [00:39:51] you tell me more about the, Cause you've got a patient app that's is being worked on. [00:39:56] Frank: [00:39:56] It's actually  been out  [00:39:57] Lorraine: [00:39:57] trials for you  [00:39:59] Frank: [00:39:59] for months [00:40:00] in a small number of sites for user testing. And it's proven to be quite popular in those sites. So we're actually looking at a full launch in October, the first release of the app includes It's all about communication between the practice and the patient. [00:40:22] We see that as being a bit of a future direction and the practices and patients will, um, be more easily able to communicate. So the way we've designed it. For example, um, when a GP checks a result, they can directly from the checking results screen from the inbox, they can send a message to the app, which goes securely, and the patient will get a notification on their phone, but they will have to have the pin numbers and whatnot not to get in and read the message. [00:40:55] So it's much more secure than SMS. And so we'd be using it for [00:41:00] appointment reminders, we can use it for actual reminders for things like that. cervical screening and what not. We can use it to inform people of their results. We can use it to send documents and in particular health fact sheets, patient education material, appointment reminders. [00:41:21] Ultimately though, we're aiming to do things like, prescription ordering. So repeat prescriptions. Requests for specialist referrals. If the people don't really need to be seen, if it's a routine annual ophthalmology review or something, and it'll be optional for practices as to how far they take those things, but it gives them the, the option. [00:41:49] So it's another option in communicating. I mean, people don't want to send letters anymore because it's way more expensive than sending an SMS and the patient app, the [00:42:00] communications costs from it will be much less than even SMS. So it's giving  practices a better way of of doing things and a more secure way [00:42:11] Pete: [00:42:11] Are practices asking for an app because there's a few apps out there that do, I guess a similar thing on the, surface of what you've described. [00:42:21] If  [00:42:21] Frank: [00:42:21] They do, we think this kind of rolls it all into one easy app. I mean, ultimately it will. Well, it will allow you to make your online appointment through the practices online appointment system. It'll be a kind of, you get a message from the GP to say, I want to talk to you about your results. You can immediately on the same app. [00:42:46] Make your appointment. And then you get the reminder come into your app a day later. Whenever the picks appointments do, you can check in at the front desk. Again, if the practice don't want everyone to be physically seen by the receptionist. And [00:43:00] some practices insist on that. There are others that use checkin kiosks. [00:43:04] So this will essentially replace a checking kiosk, cause you can use it, the app to check if you have  [00:43:11] Lorraine: [00:43:11] it doesn't restrict patients from. Seeing more than one practice. And the reality is, is that, you know, a lot of people don't always have, you know, they might have a family GP, but they might also use a, you know, bulk-billing clinic when they go and get a sick certificate or something like that. [00:43:27] So  [00:43:27] Frank: [00:43:27] some people have one in town, me at work, of course, and then one out the  [00:43:32] Lorraine: [00:43:32] home. So, so if they're using, if those surgeries are using best practice in theoretically, um, the, the patient will be able to register it both, but nominate one as their main one, but then they'll consolidate anything that's been, you know, if, if they've been diagnosed with something at one, it'll actually update their app. [00:43:52] Frank: [00:43:52] Ultimately, when Titanium finally makes it out into the real world, you could have your physio and your [00:44:00] podiatrist everyone on the way. Can all be in the one app, so you don't need an app for the physio and an app for the ophthalmologist and two apps for the General Practices, which was originally when we were discussing the, the app that was an option was for us to sort of white label it so that the practice could put a sign in logo on the front and every practice could have an app that interfaced. [00:44:23] But when we thought about it and how people might use it, it made more sense to have just one app with our branding on it. And allow that to have multiple surgeries to connect.  [00:44:35] Pete: [00:44:35] And that'll be a bit of a shift for you too, because if it's going to be something that's, that's patient facing with your branding on it, that's new for you guys to  [00:44:44] Frank: [00:44:44] It's new for us [00:44:46] I mean, we've discussed at length the issues of supporting patients because in the past we've only ever provided support to. And practices and users. So the implications of having [00:45:00] potentially 12 million people, um, using the app, that won't happen, but even 1 million, it's. If they have a minor problem, it's a lot of support. [00:45:11] So that's why we did a sort of restricted release before doing the full release and to try and make certain that there's no issues that are going to come back and become an unmanageable problem. And at the moment it's looking good. So we're happy to release it in October  [00:45:31] Pete: [00:45:31] So much happening. A lot of new innovations a lot of, history there too, so much to, to digest. I'll put some links and some information in the show notes of the podcast. Frank and Lorraine, thank you so much for your  [00:45:44] Frank: [00:45:44] Thank you [00:45:44] Pete: [00:45:44]  [00:45:46] Thanks for listening to talking HealthTech. My name Peter Birch.  Go do some stuff on our socials, visit the website, share it with some people and give us a nice review and a five star rating because it all helps to spread the word and get people talking.   Until next time I'm outta here. 

If you work in the healthcare industry you have a huge responsibility when it comes to managing sensitive patient information, whether you're a big software vendor or a single physiotherapist, everyone needs to follow the same rules, and there are some pretty serious consequences for not doing it properly.  Do you know what your obligations are and if you're doing a good job? Check this episode out to find out!   Who is Anna Johnston Anna Johnston is one of Australia's most respected experts in privacy law and practice. She has qualifications in law, public policy and management, and 26 years' experience in legal, policy and research roles.  Anna has a breadth of perspectives and a wealth of experience to dealing with privacy and data governance issues. She is the former Deputy Privacy Commissioner for NSW, so she knows the regulator's perspective and since 2004 is the Director for consulting firm “Salinger Privacy”. Anna has been called upon to provide expert testimony before various Parliamentary inquiries and the Productivity Commission, spoken at numerous conferences, and is regularly asked to comment on privacy issues in the media.   Anna holds a first class honours degree in Law, a Masters of Public Policy with honours, a Graduate Certificate in Management, a Graduate Diploma of Legal Practice, and a Bachelor of Arts, plus a number of other relevant and well regarded certificates and industry associations.  In this Episode you'll learn 2:08 - About Salinger Privacy 4:55 - Privacy Concerns in Data (with a focus on health tech) 8:15 - All about, privacy reviews, data flows, data governance, and privacy design 14:28 -AI - How does it fit ethically, legally and is policy keeping up with innovation  16:40 - AI - GDPR, challenges for AI with diagnostic decisions   20:10 - AI - Transparency, Accountability and Consent 26:00 - Legal Obligations with Data Privacy Key TakeAways When it comes to privacy law in Australia, the same laws and consequences apply to everyone dealing with healthcare information - whether they are a big institution of a single doctor. While Data Privacy breaches do happen they are often the result of lack of education and or the best intentions in mind, not so much because of malicious intent Often AI is trained on data that was collected not for the intention of training the machine, so the concept of informed consent is a tricky one  The simple “tick this box to agree” actually isn't enough and more emphasis needs to be put on clearly communicating clearly with the person who's data is being collected The expectations of patients data privacy holds the health and medical industries to the highest levels of scrutiny meaning that breaches are to be reported to the Price  Commissioners office and the patients whose privacy has been breached   Links Anna Johnston Twitter - @SalingerPrivacy  Anna Johnston LinkedIn - https://www.linkedin.com/in/anna-johnston-ba188410a/ Notifiable Data Breaches Scheme - https://www.oaic.gov.au/ndb  GDPR - https://www.oaic.gov.au/privacy/guidance-and-advice/australian-entities-and-the-eu-general-data-protection-regulation/  MSIA - https://msia.com.au/  Salinger Privacy - https://www.salingerprivacy.com.au/  My Health Record (Formerly PCEHR) - https://www.myhealthrecord.gov.au/  NDIS - https://www.ndis.gov.au/  National Health and Medical Research Council - https://www.nhmrc.gov.au/    Transcript [00:00:00] Pete: With me today is Anna Johnson. Anna is one of Australia's most respected experts in Privacy Law and practice. She has qualifications in law, public policy and management and 26 years experience in legal policy and research roles. Anna has a breadth of perspectives and a wealth of experience in dealing with privacy and data governance issues. She's the former deputy privacy commissioner for New South Wales.So she really knows regulatory perspective well, and since 2004 is the director for consulting firm Salinger Privacy Anna holds a first-class honours degree in law, a masters of public policy and honors a graduate certificate in management a graduate diploma of legal practice Anna Bachelor of Arts plus a number of other relevant and well-regarded certificates and Industry associations, Anna no longer practices as a solicitor so I am allowed to tell the occasional lawyer joke apparently which is great because that's what I'll probably do Anna thanks so much for joining. [00:01:06] Anna: Thanks Peter great to be here. [00:01:07] Pete: I think we came across each other because you were doing some stuff with MSIA a before the Medical Software Industry Association. [00:01:15] Anna: Yes, I presented at their annual conference recently and then also ran a workshop about privacy by Design so for anyone in that space of Designing health-related technology how to understand the kind of the skills and strategies that will help you build privacy compliance into the design upfront rather than trying to retrofit later.  [00:01:39] Pete: Love to get into more of that detail a bit later on in the conversation too. So, you know you're well well primed for the health Tech space and it's kind of cool to have someone on the show that you know is involved in many different Industries. You're not a vendor you're another player in this kind of big space in an area that's super important these days in our area of Health Tech being data privacy and security and whatnot.So I'm super excited about this conversation. So tell me a little bit more about Salinger Privacy what you guys do and where your clients operate? [00:02:13] Anna: Sure. So well basically we do all things privacy, so we do consulting, training, and we offer resources and one of the things I love about working in the Privacy space is It's just a fascinating intersection between law ethics and Technology. There's you know, there's always something new. There's always a new technology you coming around the corner that we have to get our heads around and help our clients manage that intersection between their Legal obligations ethics customer expectations and then you know what the technology can and what the technology should be allowed to do so, we work across as I said Consulting, training, and resources and we are an Australian business, we've got clients across Australia occasionally we dip our toe into the waters of New Zealand as well. But our clients come from their quite the mix. So, quite a lot of government clients but also businesses from the big end of town, to the nonprofits and also the small and very much Tech startup space.So we have clients everywhere from the kind of you know top ASX companies down to you know, one person's got a great new tech idea with working out of their spare bedroom at the moment kind of space. [00:03:28] Pete: Nice as to how much of it do you reckon is in that Health space? [00:03:34] Anna: Yeah health is really common as probably the second biggest sector after government. Although of course, you know often government is also in the health sector. So sometimes our clients will be the health service provider. So someone directly in that Health Service provision space and they just want to make sure they're dotting their I's crossing their T's in the way that they're collecting and using their patients data, but more typically where, not so much that direct service provision, but all the organizations that use and collect and hold and store health information. So sometimes that's insurance companies for example, sometimes it's governments working in public policy organizations getting into the data analytics space so focusing particularly on you know health and disability data for example, and then there's been some really big-ticket kind of projects we've worked on. So we worked on the Privacy impact assessment on the original design for My Health Record, back when it was originally called the Personally Controlled Electronic Health Record the original setup of the National Disability Insurance Scheme. So we've been involved in privacy impact assessments very early on in those very very big-ticket government projects which touch on health and disability data in particular. [00:04:55] Pete: So in health in particular then what are some of the biggest privacy concerns you see today that the pop-up. [00:05:02] Anna: So what I think is quite interesting about the health sector and it makes it different to other sectors is the health sector is a standout but in a bad way, unfortunately, so the health sector consistently tops the list of sectors reporting notifiable data breaches in Australia.So and when we talk about a notifiable data breach we're talking about when personal information has either been lost. Subject to unauthorized access or subject to an unauthorized disclosure [00:05:33] Pete: because it was those relatively recently wasn't it that want kind of recently that was something change that meant that companies needed to be more transparent with that kind of thing. [00:05:43] Anna: Yeah absolutely so the law was changed in February 2018. To make notification of it. So if you have this kind of data breach and if it's likely to result in serious harm to one or more individuals. It's now the law in Australia that you need to notify both price commissioner's office and those affected individuals, so your patient. [00:06:03] Pete: It's not just big companies or small companies. [00:06:05] Anna: So in the health sector at covers any health service provider regardless of their size. So you might be a one-person physiotherapy business, you know or an independent Locum you uncovered by the federal privacy act. So regardless of your size all Health Service Providers are covered. Outside the health sector, there is an exemption for small businesses. But that exemption does not apply to health service providers. So the health sector is already called out for I guess expectations of a high level of privacy protection for businesses no matter their size in the health sector just because of you know, patient's expectations. And so I think one of the things that makes the health sector different is patient expectations, so it's not that the type of privacy risks or privacy issues are different for health technology, for example, technology design as for any other type of Technology design, but the difference is that patients expectations about the protection of their Health Data are much higher. There's just this sort of intuitive if it's my health information. It must be kept absolutely private, but also the consequences of privacy breaches tend to be higher when you're talking about health information compared with say, you know, The Accidental disclosure of someone's credit card details. Yeah, there are some financial risks. But those risks can be resolved, you know relatively straightforward way. I don't want to minimize those risks, but it's quite a different story in terms of the repercussions individuals can face if their health information is disclosed without Authority. So that might be it could be discrimination embarrassment implications for their employment implications for insurance and all the rest. That's what makes the challenges for people working in technology into the health sector and technology so much higher not that as I said, not that. The nature of the Privacy risks themselves are terribly different. It's just that the expectations are higher and the consequences are worse if you have a data breach. [00:08:17] Pete: So you mentioned that you guys do privacy reviews. What is a privacy review exactly? [00:08:24] Anna: So we did two different kinds so one is called a privacy impact assessment and the other is generally called a privacy audit or a privacy compliance review and the difference really is where you're at in the design process for what we're reviewing. So if you are at the design stage of a new project new technology project, for example, we get in at the design stage and do what's called a privacy impact assessment. If you want us to review something that's already up and running. So your business as usual. We basically call that a privacy audit but regardless of which one of those we doing. We ask the same kind of questions and regardless of whether its the design of the software. It might be the design of a business process. It might be the design of a paper form. It doesn't have to be, you know, a high-tech project to need this kind of review. So regardless of the nature of the project we tend to ask the same questions so you know can and should we collect this data can and should we use it for this particular purpose who can we disclose it to? How do we keep it safe? So when we look at a new project, for example, we look at two broad things one is data flows and the other is data governance. So when what I describe as data flows what we're looking at is. What personal information is being collected? How is it going to be used? Who will it be disclosed to so those three points collection use and disclosure and for each of those we then ask is this going to be appropriate meaning is it going to be lawful? So is it going to comply with the Privacy principles that govern collection use and disclosure but not just is it going to be lawful? Is it going to meet your customers? You know your patients expectations. Is it going to be proportionate to a legitimate business need and is there critically, is there a more privacy-protective way you can achieve that business objective? Yeah, so always trying to come up with you know, helping our clients come up with the most privacy-protective design of a technology of a form of whatever it is but in a way that still achieves the businesses objectives. So once we've settled those questions about authorizing the data flows and making sure that there are lawful and appropriate then we look at data governance. So we usually start with looking at transparency. So have you communicated clearly to your customers about those data flows? You know how their personal information is going to be collected used and disclosed so that they actually understand what's going to happen. You know, I talk about the no-surprises rule no one likes to be surprised what's going to happen with their data and if they have if they're going to have choices is there a really easy way for them to manage those choices? You know, is it as straightforward as a swipe left or right on the app to say yes or no to something and one thing that's really important is in terms of transparency is for organizations to separate out what we see is three different things but often bundled together. So those three things are your privacy policy a collection notice explaining. At the point of collection what it is you're doing with the person's information and a consent mechanism if you're going to rely on consent, so those three things serve three quite different purposes, but especially online. The design practices often companies will jumble the three all together into one long legalistic confusing document and then they make users just tick agree [00:11:55] Pete: Tick a box and you can and you can click the link. Click the link to go read it that you it's not down the bottom. [00:12:02] Anna: Yeah, and we know no one ever reads it, I don't even read them. So we so in terms of data governance. We look importantly transparency. And then finally we look at other data governance questions, like have your staff being trained. Do you have a clear pathway for managing any requests you get for patients to access their data or correct it do you have a clear pathway for managing privacy complaints. Do you have a data breach response plan in place to your staff know what to do in the event of a data breach, so. All of those things that of data flows and data governance form part of whether we're doing a privacy impact assessment of a new project or a privacy audit of an existing business process and again, whether its software or something else, we look at both data flows and data governance as part of our privacy review. [00:12:53] Pete: And if I think about it from my experience. Often, you know, if I'm thinking as a health Tech vendor not many of them go out with any kind of massive intention on I don't know to steal patients information or doing something cynical with the data, but I've seen in the past two, it's not about the intention of what they're going to do with it, but it's almost the perception of what's going to happen or so having that kind of review or someone outside of the business to do that sounds like a pretty sensible thing to do. [00:13:23] Anna: Yeah, absolutely and certainly my experience having worked in you know, in a regulatory role in the primes Commissioner's Office the vast majority of privacy complaints and the vast majority of privacy breaches and data breaches are not coming from a point of malicious conduct or deliberately people doing the wrong thing. It's accidents and it's oversights and its people simply not understanding what their obligations are. Understanding that there are alternative ways to design things. So absolutely. Yeah. I very very rarely see privacy breaches arising from deliberate misconduct. Yeah. It's much more coming from a place of ignorance and sometimes people trying to do the right thing, you know trying to be helpful in trying to help the clients but accidentally doing the wrong thing. [00:14:20] Pete: Yeah, that can happen in health care too. Can you just send this across to me? I really need it because of this particular situation or something. Yeah. [00:14:27] Anna: Yeah. Absolutely. [00:14:28] Pete: It seems to be the right thing to do. It's a balance. So I'm thinking about that In our world AI artificial intelligence that's a big point of discussion regarding privacy for me anyway at the moment. How well do you think policies keeping up with the rate of pace of innovation in Australia more broadly as AI is really Innovative space and there are other things going on too, how's policy keeping up. [00:14:50] Anna: I think there's a constant challenge whether it's AI or any other kind of new technology. There's always this challenge of Law and policy keeping up. The first point I'd make is that privacy laws are designed deliberately. They're drafted deliberately to be technology-neutral and format neutral. So the idea is that they shouldn't actually be always playing catch-up. We've tried to anticipate in the drafting of our privacy laws technologies that haven't even been thought of yet and our starting point with those laws is Broad framed general kind of principles and it's all about respecting humans autonomy and dignity. So sort of one answer is the law is keeping up because it's it was already anticipating new technologies and that those new technologies should be being managed Under the Umbrella of existing laws and policies. But at the same time obviously the law is constantly being challenged in terms of how workable it is in practice and certainly with artificial intelligence the ethical and legal implications are something that not just in Australia but governments around the world are grappling with right at the moment. So there are projects trying to come up with legal and ethical frameworks to cover AI here in Australia the federal department of innovation and industries been working on something there are projects in the EU there are projects in the US There's a lot of activity going on at the moment and lots of those projects around the world are focusing on things like the fairness of AI as well as transparency. So in particular in Europe some of your listeners. May have heard of the GDPR are already. So that's a privacy law in Europe that was recently reformed the general data protection regulation and one of the reforms that was introduced is what you might call a right to algorithmic transparency. So that means that's kind of the laws way of trying to ensure that algorithms developed from AI from machine learning and from AI will be fair and accountable in terms of the impact of decision making that is made or decisions made based on those algorithms. So there's kind of a right to human review of computers decisions and there are rights to ask companies to pause or stop the processing and we would call that using or disclosing someone's personal information in order to ask for an explanation of well you know, how is this algorithm? Working so why you know, why was I denied health insurance or why is it why my premiums going up and my next-door neighbors are going down for example. [00:17:49] Pete: and its even more like as we're moving to space where artificial intelligence is assisting the process of Diagnostics and looks at an image and says this patient has cancer or not. You know that having that in a black box is not you know, and then just you know, let's ask the computer and wait to see what. Is it so much ambiguity there? [00:18:12] Anna: Yeah, absolutely. And in a legal sense, I think courts will increasingly struggle with this as well. If someone is challenging a decision, so it might not be the you know, the diagnosis but maybe it's the health insurers decision based on the diagnosis. You know, we're going to pay your claim or we're not going to pay your claim or whatever it is. You know based on some kind of calculation of risk of that disease developing for example, or you know, if the algorithm can't be explained to a court if it can't be explained to a judge. How is anyone going to be able to determine whether that algorithm was working in a fair and accurate way so one of the really critical privacy principles is it's called the data quality principle or the accuracy principle and it says that each of us has the right to ensure that only accurate relevant up-to-date complete not misleading information is used in decision-making about us and that obviously. Becomes more critical, you know the rubber hits the road where the decision is going to impact us negatively. So the decision is going to be you don't get the insurance or we don't pay your claim. You don't get the job. You don't get access to housing you don't get access to credit for example, and so if you've got decisions made in a black box and no one can explain how they're made because. Yeah, there was some machine learning going on in the AI system came up with its own algorithm. How can anyone test how can a court test whether or not that decision making and the data on which it was based was, you know accurate Fair relevant up-to-date Etc. So that's certainly one big challenge for AI that the sort of the transparency and the accountability for it and I think the other Big Challenge or the other area where AI poses a challenge in terms of compliance with Privacy Law is the lawfulness of the data flows in the first place. So, you know, it's when I was talking about when we do a privacy review we're looking at the data flows meaning what personal information is collected, how it's used who it's disclosed to and in the world of AI your ability to lawfully collect use or disclose data. It's extremely hard to rely on consent as your lawful mechanism consent isn't is by no means not this by no means the only lawful mechanism. There are lots of ways under the Privacy principles that allow companies and governments to collect use and disclose personal information. But quite often consent is what organizations try to rely on but in AI it's really challenging. So if you think about do you do example AI is being used to diagnose some health conditions? Yeah, much of the data. Used in the first place to train the machine learning that will create the AI will create the algorithm that training data what we call a training data will have been collected for some other purpose. So it will have been years worth of data collecting about real hospitals being treated in real patients being treated in real hospitals. That and that becomes the training data set for the machine learning. So it's fairly likely that the patients in the past were not asked to consent but that time to sometime in the future use of their data for this quite different purpose. [00:21:56] Pete: That's something that wasn't even thought of at the time. [00:21:59] Anna: So it's not just about treating you at some point in the future a machine will use your data to train another machine to recognize patterns in data, so but even now if we started to ask patients for their consent, you know as well as us treating you in hospital today. Do you consent to your information being used for AI development in the future? How could a patient today possibly give informed consent? Because the whole point of machine learning and AI is to kind of throw all the data in the mix and just see what pops out it's not a kind of if you like old-fashioned kind of you know, he's a research by hypothesis. This is the question we're asking here's exactly how we're going to conduct the experiment. Yes. So it's not like a clinical trial whereas a patient. I know what my disease is. I'm being offered a new kind of medicine. I've been warned about the possible side effects, and I've had the chance to say yes or no AI and machine learning at based on quite different kinds of research practices, which don't usually involve. That kind of one-on-one sit-down discussion with an individual. It's based on very very large data sets to create those training data sets. It's based on historical data. And typically you don't go back and you don't have the ability to go back and ask for everyone's consent. It's very difficult to rely on patient consent as the lawful basis for health information to be collected used or disclosed for AI purposes. As I said, it's not the only possibility but quite often companies work on the assumption that consent is going to be their legal mechanism and it turns out not to be.Kind of the pragmatic solution for them, but I don't think that that's something that's particularly. Well understood yet. [00:23:52] Pete: What is the solution then like if consent isn't it? Like how does a company doing AI in health or any area I guess operate? [00:24:01] Anna: so there are other legal mechanisms and one of them is and it depends, you know, which Privacy Law you're talking about which jurisdiction you're in but there's usually some kind of research exemption and that usually, again it differs kind of from state to state and federal and Country to country but the research exemptions usually have some role for human research Ethics Committee which gets to weigh up the ethical considerations. Think about where the public interest lies and that committee usually has the power to waive the requirement for consent. There is this kind of structured way to work through thinking about those issues and the National Health and Medical Research Council has guidelines on you know how to set up a human research Ethics Committee and what a properly constituted committee looks like and all of the factors that they need to, you know, there are guidelines about how they need to reach their kind of decision making, so it's not as simple as simply you know, those the tick a box mandatory terms and conditions. That's not going to constitute a valid consent in Privacy Law. So that's just not the right legal mechanism in the most in the majority of cases for artificial intelligence kind of development.  [00:25:25] Pete: Wow so much complexity to factor in and you can going through even just the tip of the iceberg of all of that you can see a lot of work underneath it and questions and kind of vagueness that kind of speak to the reasons why the rate of innovation moves so much faster than other areas that are important like Policy. That's really interesting. Hey look so moving on what should Australian health tech software vendors be most concerned about when developing a solution today then. [00:26:01] Anna: I think first of all make sure you're thinking about both your legal obligations and your customers expectations, you know, the law is by the law. I'm talking about the Privacy principles built into Privacy Law the law tries to codify your basic ethical obligations, but it really sets the minimum kind of standard and often your customers expectations will set a higher standard than just legal compliance. So legal compliance is obviously necessary, but it really should just be considered the minimum Baseline not the entire set of things that you need to think about. I mentioned before the role of consent is in reality quite fraught so if you are relying on your patients consent to do something with their health information you absolutely need to make sure that that consent is actually going to be valid under privacy law you know, it will hold up to scrutiny. So you can't under Privacy Law. You can't say that you're relying on a patient's consent if they actually had no choice to say. No, it has to be voluntary. It has to be informed it has to be specific So it can't be included in mandatory terms and conditions, for example, an opt-out model is not consent. For example, so as I said consent is not the only legal mechanism. There are plenty of other mechanisms. But if that's the one you're relying on you need to be really careful to get that right and another thing is to make sure that your technology has been designed with privacy in mind. So we talked about this concept of privacy by design which is all about baking your privacy controls into the design of systems from. The beginning rather than trying to you know retrofit them in later and I think well what I find usually is a lot of effort goes into the cybersecurity side of things, you know, keeping out the external Bad actors and that's obviously incredibly important but our particular kind of expertise and our skill set is focused more on the internal actors so when you are whether you're designing tech your configuring it implementing it you need to think about your customers but also about your staff or your trusted users your trusted insiders. So making sure that Tech is designed so that its staff or other authorized users only see the absolute minimum amount of personal information about your customers or your patients that they really need to do their job, you know, the legislation says that you have to do this a lot of people come back and say oh, we've got a code of conduct for our employees. We make the more sign it so that's okay. The law says that that is not enough and you know case law comes basically the law that comes from Court decisions and tribunal decisions backs that up that just having you know, letting all staff see all patient records but saying oh, but they signed a code of conduct that's not going to be enough You won't be complying with your privacy legal obligations if that's all you're doing. So you need the same things like role-based access controls, but there's a whole bunch of other privacy controls that can be built into Tech design and it will depend on the kind of product you're or service that you're designing But depending on what it is you're doing, you know, if you're if you've got a data analytics project and using a data warehouse, for example, we would look at filtering out certain data fields. And then we'd look at masking other data fields from the view of particular user groups. If you think about something like an E-health record system, you would limit the search functionality to prevent misuse, you know, the kind of scenario we're usually looking at is, you know, could a staff member look up health information about their partner or their ex-partner or their next-door neighbour so you might put in a test that users need to pass before they can even access customer records. For example, rather than just enabling any user to do a global search against any customer or patient name, so there's plenty of different things you can do. So we use 8 privacy design strategies to help guide Our advice to our clients when we're reviewing technology design software design and sometimes the solution lies in the design of their technology itself, but quite often it's outside the technology so the solution might be or a mix of you know, staff training policies and procedures back to that transparency issue. So how you communicate with your customers. There are lots of different angles we can come from when we're trying to mitigate privacy risks. [00:30:50] Pete: Wow there's a lot to cover I'm sure there are many people listening and thinking this probably a few things that could be applied in their business in the healthcare space, whether it's they're providing the service or the software that sits behind it. I think it's evident that it that it's something that's important to everyone from that single physio, you mentioned right through to the big organizations have got a lot more structure and process to handle this stuff and even they get it wrong a lot too. So having a dedicated focus in that like you guys is particularly interesting so Thank you for sharing your thoughts and insights on that particular topic. [00:31:30] Anna: Great. Thanks for having me on the show.  

Dr Karin Verspoor works at the intersection of Science and Technology, applying computation to analysis and interpretation of biological and clinical data, particularly unstructured text data. Karin is a Professor in the School of Computing and Information Systems at the University of Melbourne, as well as the Deputy Director of the University's Health and Biomedical Informatics Centre. She was previously a Principal Researcher at NICTA's Victoria Research Lab and served as the Scientific Director for Health and Life Sciences. Karin headed a research team at NICTA in Biomedical Informatics. Karin moved to Melbourne in December 2011 from the University of Colorado School of Medicine, where she was a Research Assistant Professor in the Center for Computational Pharmacology and Faculty on the Computational Bioscience Program. She also spent five years at Los Alamos National Laboratory, nearly five years in start-ups during the US Tech Bubble, and a year as a Research Fellow at Macquarie University. She received her undergraduate degree in Computer Science from Rice University (Houston, TX) and her MSc and PhD degrees in Cognitive Science and Natural Language from the University of Edinburgh (UK). Topics covered include: Karin’s take on the future of healthcare and the role will AI play, given her unique vantage point on the topic. We also cover the key building blocks that make this future possible Whether there are new risks associated with a more technologically advanced healthcare future We’ve seen public outcry over the My Health Record program with people opting out and question marks over doctors willingness to upload data to the system. We discuss what this means for the future of healthcare Whether tech companies like Apple and Fitbit will become significant players in the health space Karin’s take on what AI will do to the job market in healthcare if AI continues to advance at its current rate Is more regulation around data - eg GDPR or similar - a must-have for Australia if we want to embrace a more data-driven approach to healthcare? Where Australia ranks in terms of governments and companies leading the charge on transforming healthcare What Karin’s colleagues in medicine think about the rapid pace of technology innovation

In order to enhance service delivery, empower patients, break down health siloes, and enable partnership-based approaches that span primary care, allied health, community care, and aged care, community pharmacies are being encouraged to integrate digital health into their practices and businesses. Integrating digital health into pharmacy practice enhances patient safety, enables more personalised care, creates clinical efficiencies, and drives collaboration. One way community pharmacies can start to see the benefits of the My Health Record System is to understand its clinical applications to patient care and when to utilise this additional source of patient health information. My Health Record has the potential to provide a platform to support healthcare coordination in the goal of providing optimum health outcomes for patients especially those with chronic and complex conditions. In this episode we take a deep dive into the My Health Record system in the community pharmacy context with Andrew Robinson, a community pharmacy owner and Pharmacist Digital Health Leader at the Australian Digital Health Agency and Vandana Chandnani, who is a pharmacist by trade and educator at the Agency.

A practice management software can be a total game-changer in your allied health business if optimised and maximised correctly. In this episode, we chat with Darren Rieck, co-founder of Nookal, to share with us the benefits and common worries regarding technology and the use of practice management softwares in your business. Nookal is a practice management software that helps you keep everything in your business running on time, automate bookings and reminders, take clinical notes, writing letters and storing client files, invoice and submit claims easily, keep data safe inside and out and report and track your goals. Episode highlights: The reason behind the development of Nookal and its present shape and scope. Their virtual team’s workflow and how technology helps make it easier for them. The worries of allied business health owners today. How Nookal supports people with productivity and collecting data. Hurdles business owners face that lead to the under-optimisation of their practice management software. How they encourage people to use their software to its full potential. Cathy’s experience with selling her business and how her practice management software has helped in this process. Struggles of allied business health owners who use practice management softwares. The importance of planning out trainings for allied health professionals. Darren’s learnings from his Nookal adventure. The story behind how Darren learned to make the business work and lead his team. Plans for Nookal in the next few years. Darren’s thoughts on what’s going to happen with the NDIS and My Health Record. Darren’s advice for allied business owners Nacre Links:  Website LinkedIn Twitter Facebook Instagram Pinterest

In this episode, we talk about the power of practice management software, specifically Cliniko, and how it is changing the way Allied Health services are being delivered today. We pick the brains of none other than the Founder and CEO of Cliniko, Joel Friedlaender, to help us see the benefits we can take advantage of by using this innovative practice management software such as increased online bookings and decreased no-shows, useful data management and report production, and many more. Cliniko is a safe, secure and reliable allied health practice management software that takes care of your practice’s data management. It allows you to access your data anytime and anywhere in the world and, most importantly, it is trusted in over 95 countries worldwide. Episode Highlights: The benefits of meeting up with your remote team face to face which Cliniko did in November 2018. Most recent updates on Cliniko. Business reports that Cliniko users can take advantage of using their software. Experimenting on advertising to broaden your reach. Cliniko’s compliance on data management in privacy laws in many countries, including GDPR in Europe. Joel’s advice for businesses who continue to work with pen and paper files. The latest on My Health Record and how Cliniko fits into that. The latest on integrating the use of payment gateways for Medicare. Trends, behaviours, and questions of Australian Cliniko users on optimizing Cliniko. Joel’s thoughts on competition between businesses, especially in Allied Health. Positive and negative trends that Joel is seeing in the Allied Health Industry regarding software and technology. How to improve your security and the passwords you use. Cliniko’s biggest projects for 2019. Latest on NDIS on Cliniko’s perspective. Cliniko’s goal in supporting clients and developing their software. Useful Links Cliniko Website Cliniko Facebook Cliniko Twitter

In this episode, I take a look at the fascinating topic of technology in the allied health sector and its many benefits for both clinicians, practice owners and patients. No one understands the importance of technology better than Katrina Otto, owner of Train IT Medical. The company provides medical practice management consultancy services. The company also provides medical software training, including Medical Director, PracSoft and Best Practice Specialist, as well as My Health Record and Digital Health training and change management expertise. Katrina started the company in 2006 after seeing a gap in the market. Over her 30 year career, she has managed several medical practices and accredited day surgery facilities. She is a qualified teacher, and is now one of Australia’s most experienced digital health and medical software trainers. Episode highlights: What Train IT Medical does and why Katrina started the company Katrina’s female mentors Changing her psychology degree to adult education and teaching at TAFE part-time Being contacted by TAFE and asked to teach doctors and realising teaching IT medical was her calling Katrina still teaches mostly doctors but it’s shifted from ‘how-to use technology’ to ‘how do we improve our practice?’ Introducing ideas to practices based on what she’s seen that works well at other practices Working with high-performing practices - those that are progressive and are leading the way Medical practices and allied health practices - are they one in the same? 23 different disciplines in allied health Katrina’s soft spot for occupational therapy The technological challenges facing the allied health industry - marketing and billing and a lack of options Katrina’s frustration at the lack of options - she wants technology to be more adaptable and faster because a lot of allied health businesses want that and are ready for it Ensuring patients don’t slip through the cracks - using technology to support your protocols Building your allied health business using data analytics The practice of the future - implementing TeleHealth, SMS contact and integrated technology How technology can help create happier medical practices Katrina’s hope to help prevent clinician burnout and keep joy in the profession and practices How Katrina thinks patients will be using technology to participate in their health experience going forward Katrina’s thoughts on what the future of allied health looks like - apps for patients will take off Electronic notes during a session - getting used to the change and embracing it Collaborating with the client on the next step in their health experience - encouraging record-keeping Finding what motivates each member of your allied health team - there isn’t a ‘one size fits all’ The technology will come but allied health professionals need to shift their thinking to think as a team Useful Links Katrina Otto on LinkedIn Train IT Medical Website Train IT Medical Twitter Train IT Medical Facebook Train IT Medical YouTube Katrina Otto Pinterest Nacre Links:  Website LinkedIn Twitter Facebook Instagram Pinterest

Navigating the Australian health system, understanding what the doctors say and remembering all the information they give you can be confusing, even if you grew up in Australia. And if you're new to the country it's even harder. But there’s an online tool called My Health Record that can make your life much easier. - ཨོ་སི་ཏྲེ་ལི་ཡར་སྐྱེས་ནས་འདིར་འཚར་ལོངས་བྱུང་མེད་ལ་མ་ལྟོས་པར། ལུང་པ་འདིའི་འཕྲོད་བསྟེན་གྱི་ལམ་ལུགས་དང་། སྨན་པར་བསྟེན་གཏུགས་ཀྱི་གནས་ཚུལ་ཆ་ཚང་ཇི་མ་ཇི་བཞིན་སེམས་ལ་ངེས་ཐུབ་པ་ཁག་པོ་ཡོད། ལྷག་པར་དུ་ཨོ་སི་ཏྲེ་ལི་ཡར་གསར་དུ་འབྱོར་བ་རྣམས་ལ་དེ་བས་མགོ་རྙོག་ཆེ་བ་ཡོད་པ་ཡིན། དེར་བརྟེན་དྲ་རྒྱའི་ཐོག་ My Health Record སྟེ། རང་ཉིད་སོ་སོའི་འཕྲོད་བསྟེན་གྱི་ལོ་རྒྱུས་ཟིན་ཐོ་བཀོད་ཡོད་པ་དེས་ཁྱེད་ལ་ཐུགས་ཕན་གསོ་ངེས་རེད།

Navigating the Australian health system, understanding what the doctors say and remembering all the information they give you can be confusing, even if you grew up in Australia. And if you're new to the country it's even harder. But there is an online tool called My Health Record that can make your life much easier. - My Health Record ni serivisi nshasha igufasha kubika ibijanye n'amagara yawe ku buryo abaganga babona kahise kawe bakoresheje ingurukanabumenyi.

Shutterstock/AAP/The ConversartionWhen Prime Minister Scott Morrison announced this week that a “sophisticated state actor” had targeted the big Australian political parties in a major cyber attack, the revelation threw up more questions than answers. Who did it and how? What data did they get their hands on? How vulnerable is our data – and our democracy? Read more: We've been hacked – so will the data be weaponised to influence election 2019? Here’s what to look for To make sense of it all, we’re hearing today from Nigel Phair, the director of UNSW Canberra Cyber and an expert on the intersection of crime, technology and society. He said that while hacks like these should be seen as “the new normal” there was good reason to be concerned. “Just merely having a breach is quite a big deal. Secondly, you look at the information that they hold. Political parties have information on donors – who they are and how much they give and what they want for it. They have information on the electorate, they have information on their own party politics and tactics for Senate Estimates for Question Time, those sorts of things,” he said. “So that’s a lot of rich data that you could then use as a nation state to infiltrate other areas to perhaps change voter outcomes.” The hackers may have used social engineering techniques such as phishing to gain access to the data, he said. “They are quite unsophisticated attacks. It’s often spoofing an organisation or a person and getting someone, an end user, to reveal login credentials. And because we share passwords across multiple logins, that’s how you gain access to a trophy asset,” he said, adding that the hack served as a reminder to use a password manager and ensure all passwords are long and strong. “I think we should be very concerned. We’ve got a great case study from the US. We’re very allied to the US and when you look at how nation states have disrupted that election I think it’s a given that there are many out there that’ll disrupt ours.” You can read an edited transcript of the interview below. Read more: A state actor has targeted Australian political parties – but that shouldn't surprise us New to podcasts? Podcasts are often best enjoyed using a podcast app. All iPhones come with the Apple Podcasts app already installed, or you may want to listen and subscribe on another app such as Pocket Casts (click here to listen to Trust Me, I’m An Expert on Pocket Casts). You can also hear us on Stitcher, Spotify or any of the apps below. Just pick a service from one of those listed below and click on the icon to find Trust Me, I’m An Expert. Additional audio editing by Wes Mountain, production assistance from Bageshri Savyasachi. Additional audio Kindergarten by Unkle Ho, from Elefant Traks ABC news report Image: AAP (Various)/Shutterstock/The Conversation Transcript SUNANDA CREAGH: And so what’s the main concern? Why was everybody so worried about this, particularly earlier this week? NIGEL PHAIR: I think when you look at the history with the attack in the US on the DNC (Democratic National Committee), and a lot that’s been reported in the US about nation states trying to infiltrate the election process over there and change people’s voting habits and we’re some weeks/months from an election here – it strikes at the heart of what could be our dear beloved democracy, when you have nation state actors trying to influence voting outcomes. SUNANDA CREAGH: And what do you think this week’s events tell us about the cyber security weaknesses here in Australia? NIGEL PHAIR: It tells us that no organisation is immune. It tells us that cyber is another vector for people trying to win the hearts and minds of people. SUNANDA CREAGH: If I was a sophisticated nation state using this as a strategy to achieve that goal, how might this sort of hack help me achieve that goal? What do you think they were actually trying to do here? NIGEL PHAIR: There’s a number of things that they’ve achieved. Firstly, is the goal of doing the hack. When we look at parliament house, we look at the political parties, when we think about it, they’re revered from a democratic perspective. Just merely having a breach is quite a big deal. Secondly, you look at the information that they hold. Political parties have information on donors – who they are and how much they give and what they want for it. They have information on the electorate, they have information on their own party politics and tactics for Senate Estimates for Question Time, those sorts of things. So a lot of rich data that you could then use as a nation state to infiltrate other areas to perhaps change voter outcomes. SUNANDA CREAGH: China has strongly denied that it was involved but a lot of speculation has focused on that country, as opposed to Russia or another state actor that’s been linked to this kind of behaviour in other contexts. In Australia, why do you think speculation has focused on China as a potential perpetrator? NIGEL PHAIR: Basically because they’re a near neighbour to ours, they’re in our arc of instability. They’re well known for their theft of intellectual property online. They’re well known for not adhering to the international norms of cyberspace. Add that all up and that’s why people keep pointing the finger at them. SUNANDA CREAGH: And I believe there’s news reports that China was linked to other previous hacks of universities and parliament and other key pieces of computer infrastructure around Australia. Is that right? NIGEL PHAIR: That’s right. They’ve been well known to do a range of cyber attacks on a range of different organisations – government, non-government, commercial etc. SUNANDA CREAGH: So in the context of concerns that Australians have about the government’s capacity to keep our personal information safe – and I’m thinking here about the talk around My Health Record, the census – what does this hack tell us, if anything, about how capable the government and people in power are at guarding our private details? NIGEL PHAIR: I think we need to go back a couple of steps before we start to think about this. Government, what they haven’t done is take the citizenry of Australia on a journey. They haven’t explained to them what it means to participate in a digital economy. What it means to be a good online citizen and transact with government and social media, commercially, e-commerce. If we had that narrative from the outset then people could understand that the internet is just another public place where they act ethically and lawfully and responsibly to what they do in the real world, then I think we wouldn’t be having this discussion. Because people would be able to have an informed decision about what it means to participate with My Health Record, or participate in an online census or other government instruments. But at the moment we just never had that background and people don’t have the certainty and because of that they make knee-jerk reactions. SUNANDA CREAGH: Where do you land on this issue, do you think the government is capable of keeping that data safe? NIGEL PHAIR: I think the government is capable of keeping it safe. The systems around My Health Record for example are really quite secure and there’s a lot of technologies, a lot of process and a lot of policy to ensure. But the reality is if there is going to be a breach of my health record, it’ll probably happen at a doctor’s surgery where there’s an unpatched or unprotected computer, or a user not using a good password, or accidentally emailing the wrong patient records to someone. It will be the end user compromise which we’ll see will be the failure. And that’s what the government isn’t investing in. It’s great to say they have a great secure system themselves but again we need to wind the clock back several years and start telling people this is what it means. SUNANDA CREAGH: Just on this hack, how might it have been actually perpetrated? Can you just explain that to me in really basic terms? NIGEL PHAIR: We don’t know yet until the forensic examination is done about how it occurred. Invariably, it was most probably some sort of social engineering attack against someone on the network. Most probably a phishing attack or something similar, where a person is targeted rather than the network itself is targeted. But again, until we know the forensics, we’re just speculating. SUNANDA CREAGH: And those phishing and social engineering attacks, am I right in thinking they mainly focus on trying to get somebody to reveal their password or their login details to another person who is perhaps impersonating somebody else or impersonating an official password reset type email. Is that the sort of thing you mean there about the social engineering? NIGEL PHAIR: Invariably, they are quite unsophisticated attacks. It’s spoofing an organisation or a person. Getting someone, an end user, to reveal login credentials and because we share passwords across multiple logins, that’s how you gain access to a trophy asset. SUNANDA CREAGH: So the lesson there for all of us really is never reuse your password details and get a password manager. Am I right? NIGEL PHAIR: You are right. SUNANDA CREAGH: We’ve heard some commentators saying that this is the new normal, that this type of attack really should be expected in this day and age. What do you think about that? NIGEL PHAIR: It’s been the new normal for quite some time. The reality is, most organisations get hacked just don’t know they’ve been hacked. This is all of a sudden a trophy matter, it’s come at the time where parliament is sitting, so it’s really got some attention in society, which is a great thing. And added to that the government that’s come out and actually said this is what’s happened and that is a completely different policy shift, whereas before it was swept under the carpet. SUNANDA CREAGH: Do you think that’s a positive policy shift? NIGEL PHAIR: There’s a great positive. We need to start having a conversation about what it means to be online and what it means to participate. And the fact is there’s countries out there, there’s actors out there trying to do us harm and Australians need to be brought into that confidence. SUNANDA CREAGH: There was a lot of talk about this at the start of this week, but it really has sort of shifted off the news headlines toward the end of the week and some people are now saying that was a lot of noise over what? And I’ve seen some media commentators saying that this was an announcement that fed into a narrative of fear as election day draws closer. And that is a criticism that’s been directed at the government in the past in their rhetoric around border control and security in more general terms. To what extent do you see this announcement as about safety and awareness and how much of it is politics? NIGEL PHAIR: I couldn’t put a percentage on either way but I focus purely on the safety and awareness side of it. I just think that’s the value of the message – is the safety and awareness. SUNANDA CREAGH: It’s an important message to get out to make people aware of those risks. And, as you say, bring them into that conversation around online security and online participation in an active globally networked world, is that right? NIGEL PHAIR: That’s right. SUNANDA CREAGH: So what needs to be done? What should governments do to reduce risks and educate people? NIGEL PHAIR: So the first thing for their internal networks, they need to do a proper risk management exercise. They need to identify the key target assets they hold and work out how sensitive that information is and put appropriate controls around where that data sits. Whether it’s a technology stack, whether it’s internal, cloud-based, those sort of decisions. And secondly, who has access to it, why they have access to it and how they access it. And once you start doing some simple things like that, you’ll find the cyber security posture of parliament house or a political party or anyone else in corporate Australia can really change the way that they’re viewed from a cyber security perspective. SUNANDA CREAGH: And if, and I know this is speculation, but if the source of the problem was somebody sharing their login credentials or being victim to a phishing scam or victim to some social engineering then it sounds like it’s possible that some education is needed around that issue and what to be aware of and how not to get tricked online. NIGEL PHAIR: Well, that’s a tough one. There aren’t sufficient technical controls to protect our data and ourselves online. In fact, we should’ve looked for any technical silver bullet. Likewise, we know education doesn’t work either. But education is all we have. So all we can keep doing is reinforce the message, particularly amongst young people as they grow up and participate in the online economy, and hopefully as time goes on we’ll be better protected for it. SUNANDA CREAGH: In other words, not forgetting to address the capacity for human error in our effort to cover off and protect ourselves from technical error. NIGEL PHAIR: Human error, but also the use of third parties and outlying people that you might not have specific command and control over. SUNANDA CREAGH: And going back to this week’s hack, if I am an individual who has given my details as a donor or as a supporter to a political party, what does this hack tell us about what we as individuals might do in future to protect our data? NIGEL PHAIR: Well, if you think you’ve (experienced) a loss of your data through this process, the first thing to do – contact the party that you’ve made say the donation or whatever it might be to. Secondly would be to start thinking about how that data or information that’s been stolen might be used against you - whether it’s identity theft or takeover, for example. So you need to start monitoring your bank accounts, you need to start thinking about consumer credit that might be done in your name. So you should be probably doing a credit reference check. SUNANDA CREAGH: What advice do you give to people who want to use best practice in keeping their details safe online? NIGEL PHAIR: Best thing you can do is use strong and long passwords. More stealthy it is, the harder it will be to guess by anyone else. Second, don’t replay the same password across multiple logins. Thirdly, be really wary when online and navigating around social media and e-commerce and other places. Really think about where you put your personal information in and why you’re placing it into a particular website or a portal. SUNANDA CREAGH: Now, in the US we’ve heard about state actors really appearing to have an influence on election outcomes. How concerned do you think Australians should be about that happening here? NIGEL PHAIR: I think we should be very concerned, we’ve got a great case study from the US. We’re very allied to the US and when you look at nation states that have disrupted that election I think it’s a given that there’s many out there that’ll disrupt ours. SUNANDA CREAGH: So what can we do about that? NIGEL PHAIR: It’s a tough one. We need to start working with all the players involved. And this is where the social media companies come into it. Your Googles, your Facebooks, your Twitters, your Instagrams etc. Because that’s the place of choice that nation states will use to send out any bespoke messaging. SUNANDA CREAGH: Should we be changing any progression we’re making in Australia towards electronic voting? NIGEL PHAIR: We have zero progression towards electronic voting, unfortunately, and I think it’s a great thing. But because we had the census failure, because we had the robo-debt issues, because we had the My Health Record issues, as a population there’s no way in my generation that we will see electronic voting. We just won’t countenance it because of the perceived risks. I’m a pro-online guy. We doom and gloom everything online too much and I’m guilty for doing that. But we want people to participate online. We are great and early adopters of mobile smart devices and we love being online itself, so it makes sense for service delivery to be online, it makes sense to order your food online, to do social media, participate in everything, there’s a lot of good benefit. But because we hear this messaging all the time about the government can’t deal with online issues, there’s already this level of distrust and dissatisfaction out there that voting will just be another one of those things. And the facts just don’t support that. SUNANDA CREAGH: Would there be anything that you’d change about the way political parties collect or are allowed to collect data on people given that they seem to be a perfect target or a growing target? NIGEL PHAIR: Oh, there’s lots I’d change. Primary to that is the Privacy Act and adherence to the privacy principles of which political parties don’t need to. SUNANDA CREAGH: In what way? What change would you make? NIGEL PHAIR: Well, I’d ensure that political parties have to adhere to the privacy principles when it comes to the collection, the storage, retention and dissemination of personally identifying information. SUNANDA CREAGH: And what are the privacy principles? NIGEL PHAIR: Well the privacy principles, there’s 13 of them, inform organisations in Australia where they have a turnover of more than A$3 million about how they should collect data, how they should store that data, how they should disseminate it and how they should destroy it. There’s some simple advice that’s provided by the Australian Office of the Information Commissioner. And they’re quite easy to adhere to, but unfortunately political parties are exempt from that and I see that as being a bad thing. SUNANDA CREAGH: So we’re at a point where I guess you’d have to assume that basically anybody could be a target for a hack and any organisation could be. So what options are there for organisations like political parties that don’t have My Health Record level of security set ups or government scale security set ups? NIGEL PHAIR: Well, the first thing they have to do is acknowledge that they’re are a target. Then they have to go through a risked-based process to understand what their information assets are, what their technology stack is, and who has access to it and make sound investment decisions around that. We can no longer, as a society, just say “it’s not us that gets hacked, it’s always someone else”. I mean, there is a cost of participating online. SUNANDA CREAGH: Nigel Phair, thank you so much for talking to us. NIGEL PHAIR: Pleasure.

New ACL Logo 0:30 | Aged Care Royal Commission 14:10 | My Health Record 23:24 | Franklin Graham Tour 31:42Support the show (https://www.acl.org.au/donate)

From 12th November 2018: My Health Record privacy director quits, 99 data breaches reported by Ian Woolf, Bernard Robertson-Dunn talks about why you should opt out of My Health Record. Fact and sound checking by Charles Willock, Produced and hosted by Ian Woolf. Support Diffusion by making a contribution bitcoin: 1AEnJC8r9apyXb2N31P1ScYJZUhqkYWdU2 ether: 0x45d2cd591ff7865af248a09dc908aec261168395

Summer Series - Revisiting critical conversations from 2018Acknowledgement of CountryGabby Alamin, Saharawi member of Australian Western Sahara Association, talks about Morocco's colonisation of the Saharawi people and the film Rifles or GraffitiRacerage, an emerging politi-cute queer post-internet rapper based on Wurundjeri country.Jules Kim, CEO of Scarlett Alliance talking about the problems with the My Health Record system (centralised online summary of your key health information), including how the current opt-out system will affect sex workers. NOTE since the interview the OPT OUTperiod has been extended to Jan 31st  2019Andre Dao, writer, lawyer, editor and co- founder of Behind the Wire, about the Manus Recording Project Collective and the work 'How are you today?' which was on  the Ian Potter Museum of Art In 2018Raquel Willis. African American writer, editor, and transgender rights activist, Raquel Willis was in Melbourne town for FLCC’s Transforming Democracy 2018  and joined 3CR Breakfast  over a number of weeks for a broad discussion of rights including colonisation, race, gender and abolition.  At the time of interview she was a national organizer for the Transgender Law Center. Raquel is now the executive editor of Out Magazine(The original broadcast on 855am and 3CR digital contained the following music tracks - removed owing to no music license for podcasting)SONG: Cheikh Lo Degg Gui feat. Flavia Coelho & Fixi, Cheiko LoSONG: Racerage: BurnSONG: Racerage: Violence and SapphiresSONG : The Merindas  - We Sing Until SunriseSONG: Sophiegrophy Purple Swag

We discuss 2018 in tech news — from social media behaving badly to 'deep fake' videos and concerns about My Health Record.

We discuss 2018 in tech news — from social media behaving badly to 'deep fake' videos and concerns about My Health Record.

In Episode 004, we look at the My Health Record, sharing stories that have been in the media but also positive aspects from a patient's perspective, with thanks to Healthily and their GoShare platform, www.healthily.com.au  Also, if you are liking this podcast, be sure to Subscribe and share it with your friends.  To support this podcast, please find Lejeunecast on Patreon https://www.patreon.com/lejeunecast

Navigating the Australian health system, understanding what the doctors say and remembering all the information they give you can be confusing, even if you grew up in Australia. And if you're new to the country it's even harder. But there's an online tool called My Health Record that can make your life much easier. - Onlaín tuañar aramiyot ór recod taki le ki faida ókkol faiba de, yan zani to saíle funi so...

Navigating the Australian health system, understanding what the doctors say and remembering all the information they give you can be confusing, even if you grew up in Australia. And if you're new to the country it's even harder. But there's an online tool called My Health Record that can make your life much easier. - Onlaín tuañar aramiyot ór recod taki le ki faida ókkol faiba de, yan zani to saíle funi so...

What were the highs (and lows) of the year in technology in 2018? We're talking everything from NBN, Amazon, My Health Record and Facebook/Google privacy scandals to Optus Sports/ Kayo/ Foxtel/ 10 All Access/ Disney streaming services, the best phones, crazy Elon Musk and more.  Special guest acting Gizmodo Australia editor Tegan Jones @tegan_writes Vertical Hold is brought to you by Belkin. Vertical Hold: Behind The Tech News - podcast hosts @adam_turner and @alexkidman speak to Australia's leading technology journalists every Friday to get the stories behind the tech news of the week. verticalholdauaudio.libsyn.com facebook.com/VerticalHoldAU @verticalholdau

Call to action!   Tell us what you really think of 'Law for Community Workers on the go' - help this resource grow and improve.   NEW resource   This podcast is essential listening—especially before 31 January 2019 when all Australians will receive a My Health Record unless they opt out by that date.   In this podcast we talk with lawyers from law firm Dentons and the Inner City Legal Centre (ICLC)—who together operate the Trans and Gender Diverse Legal Service and help clients navigate the My Health Record system.   We talk about: ·         what is My Health Record ·         what are its advantages and disadvantages ·         privacy and cyber security risks ·         risks for people in domestic violence situations ·         tips to protect your health records ·         recent positive changes to My Health Record, and ·         how you can help people understand and make decisions about My Health Record   We speak specifically about issues for transgender and gender diverse people. But this podcast is also helpful for community workers who support clients who may have concerns about My Health Record, and, well, all Australians really.   Referrals and more information To find more information about where your clients can get help contact:   ·         Inner City Legal Centre ·         The Trans and Gender Diverse Legal Service: (02) 9332 1966 ·         Fact sheet on My Health Record for transgender and gender diverse individuals ·         My Health Record website ·         The Gender Centre ·         Twenty10 ·         Legal Aid NSW webinar―My Health Record—Risks and tips recorded on 13 December 2018

Today we’re speaking with Tim Miller, associate professor in the School of Computing and Information Systems at The University of Melbourne. Tim’s primary area of expertise is in artificial intelligence, with a particular emphasis on the concept of explainable Artificial Intelligence (XAI). Tim describes his background as being at the intersection of artificial intelligence, interaction design, and cognitive science/psychology, so we knew this was going to be a fascinating conversation! Tim does not disappoint, and we cover a wide range of topics including:   What explainable AI is, and why it is such a hot topic today How to define intelligence, and the role philosophy has to play in AI What can go wrong with a lack of visibility into AI, and why explainability is so important The current issue of trust when it comes to AI, and why the worst-case scenarios tend to get most of the media attention The problem of bias in AI and how we can remove it. In particular, we discuss the topic of “predictive policing” and some of the issues it presents Tim’s thoughts (as a leading expert on transparency in AI) on the My Health Record program GDPR and what it means for explainability and the AI community in general The concept of using AI to inspect, detect, and solve problems with other forms of AI Where Tim believes we are as a community in terms of AI advancement, and what needs to happen in order to take further leaps in the development of AI Tim’s movements and appearances at upcoming AI events  

Alone with a screen people tell Google things they don't reveal to social media; they even reveal things they don't tell anybody else. On DTS meet Seth Stephens-Davidowitz, a data scientist who's spent years looking at how our online searches may be reflections of our true selves. And if you've ever wanted to recall an email, message, or something that's come out of your mouth - keep listening! Plus, the latest on My Health Record.

Donald Trumps' 'five days of fury'; Three men convicted of terror charges; Opt in or opt out - we talk the My Health Record database; And Squiz'splains - Jobs is out today.

My Health Record privacy director quits, 99 data breaches reported by Ian Woolf, Bernard Robertson-Dunn talks about why you should opt out of My Health Record. Fact and sound checking by Charles Willock, Produced and hosted by Ian Woolf. Support Diffusion by making a contribution bitcoin: 1AEnJC8r9apyXb2N31P1ScYJZUhqkYWdU2 ether: 0x45d2cd591ff7865af248a09dc908aec261168395

Nerida Croker, My Health Record by AgedCareInsite

Hi everyone. In today's episode i'm joined by Ethan of TOTTnews.com and Andy for a bit to talk about the TPP11 being ratified by Australia, The My Health Record and why people should Opt-Out plus we direct the recent attack in Melbourne and the language of fear used by the media. Make sure you subscribe and give us a 5 star rating on iTunes with a nice little review to help us out!

While I was in Washington DC recently, I recorded an interview with attorney and author Mike Godwin, he of Godwin's Law fame.We spoke about Godwin's Law, of course, as well as nationalism, concentration camps, human rights, privacy, the fragility of democracy, Ronald Reagan, Donald Trump, libertarianism, Australia's My Health Record, and more.Full podcast details at:https://stilgherrian.com/edict/00080/Episode noteds at:https://pinboard.in/u:stilgherrian/t:edict00080?sort=title

Welcome to the September edition of the Client e-News. In this edition we bring you some important industry news about the refusal of interstate taxi vouchers from Blind Citizens Australia, as well some information about the issue of accessing My Health Record for people who are blind or vision impaired. This month we feature some useful information regarding the NDIS including who is eligible and how, as a registered service provider under this scheme, Guide Dogs can help you achieve your individual goals. Finally, there is an exciting opportunity to participate in a free tactile tour, with experienced guides, of some of the exhibits from the Sculptures by the Sea exhibition in Bondi this October. For more information please go to the ‘events’ section of this newsletter. I hope you enjoy this month’s issue. Best wishes Annette Clarke Executive General Manager, Client Services Guide Dogs NSW/ACT

A few years ago, the Australian government introduced “My Health Record”, a nation-wide health database which Australians could choose to be a part of. Australians will now be automatically opted into this system unless they choose to opt out before November 15th, 2018. Some feel there are data security risks with having a centralised system Listen In The post AQJ 125: My Health Record – What’s It All About? appeared first on The Wellness Couch.

Navigating the Australian health system, understanding what the doctors say and remembering all the information they give you can be confusing, even if you grew up in Australia. And if you're new to the country it's even harder. But there's an online tool called My Health Record that can make your life much easier.

Navigating the Australian health system, understanding what the doctors say and remembering all the information they give you can be confusing, even if you grew up in Australia. And if you're new to the country it's even harder. But there's an online tool called My Health Record that can make your life much easier.

This week on the show, we talked to Australian barrister and political commentator Greg Barns on the My Health Record controvercy. My Health Record is a new digital data system that compiles all health records into one location, accessible by a range of practitioners, organisations and officials within Australia. Greg talked to us about his concerns around security and the potential for discrimination by not opting out of the program.To find out more information about My Health Record and to opt out, head to myhealthrecord.gov.au or search up some of the issues online. Greg can be found online at his Twitter @BarnsGreg.

The latest moves in the US/China trade war; A Russian plane shot down over Syria; The number of people opting out of the My Health Record database; And the Emmys. Hope your Wednesday is tops. See acast.com/privacy for privacy and opt-out information.

Putting your health information on a database on the internet what could go wrong? We know a lot these days about how much data is worth to companies - insurance marketing etc. My Health Record and how to opt out of it is something you need to be fully informed about. This interview is with Chair of Electronic Frontiers Australia Lyndsey Jackson. Lyndsey has been active in web and digital media for ten years. A committed advocate of the protection of individual rights, she works to facilitate accessibility for people with disabilities and to ensure that the use of digital does not create procedural or administrative issues that contribute to unfairness or disadvantage in civil society. When speaking nationally and internationally on digital rights, Lyndsey focuses on the need for equitable citizen access to technology, and on the engagement of non-technologists in technology and accessibility matters

You're listening to the Tech-Sphere, a weekly (ish) podcast where you hosts Harry and Andrew talk about the latest technology news and other tech-related topics. Occasionally they'll review a product they like or even interview a special guest.     What happened in this episode: (Now with Timecodes) 00:00:00 - An intro to show/hosts 00:01:02 - That time a Russian Blog told us everything about the Google Pixel 3 before Google did... 00:05:11 - Apple, Nvidia, Qualcomm Delays Possible After TSMC Virus Outbreak 00:09:38 - Samsung Galaxy Note 9 Announcement  00:14:26 - NVidia RTX 2080 00:18:35 - Paying bills with PIA #AD 00:19:38 - Fun Fact! 00:19:56 - Vodafone and TPG merger 00:25:02 - New drones from DJI 00:34:33 - Rode releases Video Mic Me-L exclusively for iPhones and iPads 00:37:42 - HTC announces wireless adaptor for HTC Vive 00:42:05 - My Health Record discussion 00:51:39 - Wrap up Got a Question? Email us at techspherepodcast@hobohutmedia.com Hosts Socials: Andrew: @avdpixels Harry: @hazgrid   Thanks to our show sponsor Private Internet Access, go to https://www.privateinternetaccess.com/pages/buy-vpn/techsphere to sign up and get secure internet browsing. Where can you find the podcast? https://radiopublic.com/the-techsphere-8jBjz5 (NEW) https://www.stitcher.com/s?fid=210550&refid=stpr (NEW) https://spotify:show:0IdyBAu9risA7uF52hdORA  https://itunes.apple.com/au/podcast/the-tech-sphere/id1339095066? https://www.iheart.com/podcast/the-tech-sphere-28954215/  https://tunein.com/podcasts/Technology-Podcasts/The-Tech-Sphere-p1092924/  https://techsphere.podmean.com

Governments can use nudges to influence our choices ShutterstockWhat can governments do to stop increasing obesity rates, help people save or get them to file their tax returns on time? The default answer used to be some kind of tax or penalty. Just make people pay more and they’ll do the right thing, right? But what if you could encourage certain behaviour without forcing the issue? That’s where nudges come in. These are small changes in design or presentation, like putting healthy food near the cash register, or sending reminders out around tax time. For this episode of Speaking with, The Conversation’s Josh Nicholas chats with Cass Sunstein, a Harvard professor who worked as a “regulatory czar” for years in the Obama administration. Sunstein literally wrote the book on nudges along with Richard Thaler, who won the 2017 economics Nobel Prize. The book is called Nudge: Improving decisions about health, wealth and happiness. Read more: The promise and perils of giving the public a policy 'nudge' As the controversial My Health Record has shown, behavioural science is now considered a standard part of the public policy toolkit. My Health Record was created to be “opt out”, in order to “nudge” people into remaining in the system. This takes advantage of a bias we have towards the default setting: many of us won’t expend the effort to opt out. Many governments – including Australia’s – now have professional “nudge units” stocked with behavioural scientists, working on problems such as tax avoidance and organ donation. Today on Speaking with, Professor Sunstein talks about nudges and public policy, when and where they work and how policymakers should use them. Subscribe to The Conversation’s Speaking With podcasts on Apple Podcasts, or follow on Tunein Radio. Music Free Music Archive: Blue Dot Sessions - Wisteria

On this week on Women on the Line we take a closer look at the recent changes to the Australian Government's My Health Record system. Earlier this year the Government announced that the system would be changed from an opt-in to opt-out system. What are the implications of these changes? We chat with Katina Michael ,who is a Professor in the School of Computing and Information Technology at the University of Wollongong, about data and privacy issues with the My Health Record system. Later in the show we hear from Jules Kim, CEO of Scarlett Alliance, chat to us about how the system will impact sex workers. 

Australians have until the 15th of November to opt out of having a My Health Record. On this episode, we explore why that's a problematic way to draw users into a system. Featuring:LisaJane Hall - Distinguished Professor of Health Economics in the University of Technology Sydney Business SchoolJoshua Badge - Research Assistant from Deakin UniversityProducer: Joe Koning.

Australians have until the 15th of November to opt out of having a My Health Record.This episode, producer Joe Koning explores why "opting out" is a problematic way of drawing users into a system.We meet Lisa, a 31 year old woman living in Sydney who discovered she had a My Health Record created for her, without even knowing about it.We also chat to Jane Hall (University of Technology Sydney) and Joshua Badge (Deakin University) about the economic and ethical "Nudge" theory behind the My Health Record.

Dr Sean Stevens speaks with Dr Nathan Pinskier, Chair of the RACGP Expert Committee — e-health and Practice Services about My Health Record

Stella speaks with Vision Australia's Heritage Collection Librarian on the importance and value of having a collection and some of the wonderful pieces in contains.  We also hear from Lead Policy Advisor Bruce Maguire on the concerns over accessibility on the My Health Record and Frances Keyland presents a Reader Recommended.

Writs and Cures delves into what it means to grieve in a digital world plus the team take a look at the My Health Record Debate

Writs and Cures delves into what it means to grieve in a digital world plus the team take a look at the My Health Record Debate

The federal Government has committed to boosting the number of Indigenous Health professionals on Country, while establishing a new COAG Ministerial focus on First Nation's health.

Episode 41 - Managing career transitions with Kerina Alter Kerina Alter is the founder and Director of Altered Career, a coaching practice dedicated to providing professionals of all ages with the tools, resources, and clarity they need to transition their careers successfully. As an expert career and leadership coach and change consultant, Kerina has helped over 2,000 clients realise their career potential, develop their leadership skills, and create a succession plan for retirement. Kerina joins me today to share her experience with pivoting her career and how it led to her helping others through career transitions. She explains the definition of career success, why it is often more than power or the amount of money you make, and how your version of success should be unique to your personal goals and values. She also explains the importance of up upskilling throughout your career to ensure you stay relevant in today’s ever-changing work environment. Don’t miss this week’s segment of Reuben’s Rant where I share my thoughts on the newly introduced My Health Record and why I believe it’s a helpful resource for our society. And stay tuned to the end of the episode for my Propellerhead of the Week segment to learn how the Voxer app helps me communicate with my staff. “Success and impact are not just about your career or the job that you are paid to do.” - Kerina Alter This week on The Finance Hour Podcast: What career coaching is and how it can help you achieve your career The mental and emotional impact of feeling stuck and unmotivated in your career. The importance of up improving your skills as you advance your career. The four models of career success and why the definition of career success is unique to each individual. Factors to consider when making a career transition. Overcoming challenges and obstacles regarding career gaps, re-entering the workforce, and identifying the new soft skills you’ve developed. How leadership and people management training can help executive leaders better understand their employees needs following a career gap. Why technology and today’s remote-work environment has blurred the lines between work and leisure. How the gig economy and remote work has impacted the global workforce regarding job security. How Kerina helps older individuals transition from a full-time career to retirement. Kerina Alter’s Top 3 Tips for Managing a Career Transition: Have career resilience - the ability to be open and ready for a change. Stay skilled. Up level your skills. Stay networked. Resources Mentioned: When book by Daniel Pink The Five Hour Workweek book by Tim Ferriss Connect with Kerina Alter: Altered Career Subscribe to The Finance Hour Podcast with Reuben Zelwer! Thanks for tuning into this week’s episode of The Finance Hour Podcast with your host, Reuben Zelwer! If you enjoyed this episode, please head over to iTunes to leave us a rate and review. Subscribe to the show so you never miss an episode and don’t forget to share your favorite episodes See omnystudio.com/listener for privacy information.

Policy, Guns and Money is the fortnightly ASPI podcast. In this episode our strategists discuss the recent AUSMIN meeting and the state of the alliance. 'Free Speech Panic', judicial changes in Poland and the latest cyber news including the Government's MyHealth record. Links: ‘Free speech panic’: The free speech panic: how the right concocted a crisis: https://www.theguardian.com/news/2018/jul/26/the-free-speech-panic-censorship-how-the-right-concocted-a-crisis How To Disagree Better with Arthur Brooks | The Ezra Klein Show: https://www.youtube.com/watch?v=pRJuZlTtXVU (section on the ‘art of disagreement’ starts at 30 minutes) Brisbane writers' festival under fire after Germaine Greer and Bob Carr 'disinvited': https://www.theguardian.com/books/2018/jul/25/brisbane-writers-festival-under-fire-after-germaine-greer-and-bob-carr-disinvited Chatting with Alternative for Germany: https://alicegreschkow.com/2018/07/18/auf-einen-drink-mit-der-jungen-alternativen/ (in German) NZ Domestic Violence bill: 'A huge win': New Zealand brings in paid domestic violence leave: https://www.theguardian.com/world/2018/jul/26/new-zealand-paid-domestic-violence-leave-jan-logie New Zealand Grants Domestic Violence Victims Paid Leave: https://www.nytimes.com/2018/07/26/world/asia/new-zealand-domestic-violence-leave.html Judicial changes in Poland: Is Poland Retreating from democracy?: https://www.newyorker.com/magazine/2018/07/30/is-poland-retreating-from-democracy British ex-spies warn of risks dealing with Chinese telecom Huawei http://www.abc.net.au/news/2018-07-27/huawei-uk-ex-spies-warn-of-risks/10040944 A Roadmap for reigning in big tech https://www.aspistrategist.org.au/a-roadmap-for-reining-in-big-tech/ And the paper: https://graphics.axios.com/pdf/PlatformPolicyPaper.pdf Health Minister backs down on my health record https://www.smh.com.au/politics/federal/health-minister-backs-down-on-my-health-record-20180731-p4zuqo.html Audit finds new evidence of cyber security failings within government https://www.computerworld.com.au/article/643126/audit-finds-new-evidence-cyber-security-failings-within-government/ My Health Record agency adds 'reputation', 'public interest' cancellation options to app contracts http://www.abc.net.au/news/2018-07-24/digital-health-agency-changes-my-health-record-app-contracts/10026644 Facebook Identifies an Active Political Influence Campaign Using Fake Accounts https://www.nytimes.com/2018/07/31/us/politics/facebook-political-campaign-midterms.html Music: "Wicked Things" by Quincas Moreira. YouTube Audio Library.

3CR Breakfast Thursday 2 August 2018with Em, Katia and Apeec7:00am  Acknowledgement of Country7:05am Song - Searching for Gold, Honeymoon Bridge.  Honeymoon Bridge launches their debut album this Friday 3 August at Northcote Uniting Church. Find them at honeymoonbridge.com7:09am Headlines and Alternative News7:26am Song - Indigenous Land, DRMNGNOW . They played an amazing gig to launch this new track at the Gaso last Wednesday7:30am Jules Kim, CEO of Scarlett Alliance talking about the problems with the My Health Record system (centralised online summary of your key health information), including how the current opt-out system will affect sex workers7:45am Nikki Madgwick, a proud Worimi-Biripi woman from mid-north coast NSW who has lived and worked on Wurundjeri land most her life. Nikki writes and performs amazing poetry and works at HICSA, a not-for-profit Indigenous organisation based in Healesville as the Community Engagement Worker.This Saturday 4th August is Aboriginal and Torres Strait Islander Children's Day - and this year marks 30 years since this important day was first established.7:56am Song - Sing Until Sunrise, The Merindas8:00am Omid Tofighian, lecturer, researcher and community advocate, combining philosophy with interests in rhetoric, religion, popular culture, transnationalism, displacement and discrimination. Since 2013, writer, journalist and refugee Behrouz Boochani has been held in the Manus Island Regional Processing Centre. Boochani's book No Friend But the Mountains: Writing from Manus Prison is being launched tonight in Sydney. We were joined by Omid who translated Boochani's text from Farsi to English.8:25am LIVE CROSS to Katia (Abolitionist and Transformative Justice Centre) speaking from outside the Prisons 2018 Conference where the ATJC has called a snap action to demand an end to Youth Incarceration.

This episode is essential listening for any single mother in Australia. In this episode, Julia chats with Kerry who has been investigating the My Health Record system, and the potentially devastating impacts on single-parent families. Links mentioned in the episode: Sign up for the Don't Just Survive, THRIVE e-course kicking right here - doors close Friday 3rd August 9pm (AEST). Contact the PM HERE. OPT OUT of My Heath Record HERE.  Articles: SMH Article by Dana McCauley - My Health Record a new battleground in family disputes. My Health Record undermines teens' right to medical privacy, critics fear. My Health Record privacy framework 'identical' to failed UK scheme, expert says. As a doctor, here’s why My Health Record worries me. Why I support My Health Record after my husband's terminal illness. 'Serious' risks of domestic violence in new online health system. There is no social licence for My Health Record. Australians should reject it. My Health Record: confusion as some Australians shocked they already have one. My Health Record could be our worst government data breach yet. Stay or go? My Health Record opt-out met with fierce debate. Why I'm opting out of the government's digital health record and you should too. My Health Record: Former digital transformation head raises concerns about security of online system. My Health Record: the case for opting out. To contact Julia, email: julia@singlemothersurvivalguide.com. For information about the single parent mentoring programs available with Julia, visit Single Mother Survival Guide Mentoring and E-Courses. Book in for your complimentary 30 minute Clarity Call with Julia here.  Visit us at Single Mother Survival Guide.  Or connect with Single Mother Survival Guide on Facebook, Instagram, Twitter, or Pinterest.

We take you through some key stats out of the HILDA report; The My Health Record privacy debate rolls on; A trilateral agreement between US and Japan; And Stormy the stray dog. See acast.com/privacy for privacy and opt-out information.

In this episode, Senator Bernardi looks at: The Super Saturday wash-up | A respected, principled position | Introducing our Senate candidates | Milton Friedman | The political elite have lost touch | Voter ID at elections | My Health Record privacy concerns | Ditch the United Nations | The land of opportunity

Tonight we hear an update from Matt on concerning developments this past week in Victoria’s criminal justice system, in particular the controversial Justice Legislation Amendment (Unlawful Association and Criminal Appeals) Bill 2018 which removes the right to de novo appeals of criminal cases to the County Court.We then chat with Mental Health Legal Centre Chair Stan Winford about privacy concerns surrounding the Federal Government’s My Health Record, and the impact these will have on the Centre’s clients living with mental illness.More information:https://www.lawlibrary.vic.gov.au/legal-research/legislation/victorian-bills/justice-legislation-amendment-unlawful-association-andhttps://www.myhealthrecord.gov.au/for-you-your-family/opt-out-my-health-record

This week Kulja and Dylan speak with Dr. Suelette Dreyfus about the governments decision to make their My Health Record online system opt out.Then, journalist Stephen Mayne comes on the show to talk about the consolidation of big media companies in Australia.Finally, immigration expert, Peter Mares comes on the show to talk about the restrictions that are being discussed for immigration.

We hear from Danika Hardiman of the Community Restorative Centre on her knowledge of the over-incarceration of lesbian and bisexual women in Australian prisons. We also talk about supporting Bundjalung sistergirl Elytta Manton, who gave a lot to the recent LGBTIQ women's health conference, with her gofundme.Iris then speaks to the concerns of the My Health Record system, giving many reasons to opt out of the system. See Vixen's information.Upcoming (mentioned)CHANNEL 7 PROTEST: ENOUGH IS ENOUGHProtest ASASECocoa Butter ClubThe late Lisa Bellear's second poetry launch

Recorded live at @GiantDwarfHQ in Sydney. Host @DanIlic takes us through his month's top fears Trump vs Iran, My Health Record, and water on Mars. Fearmongers: @jan__fran: On having PTSD from ethnic gang reporting. @LewisHobba: Gives Fairfax the send-off that Greg Hywood couldn't do. @RosieWaterland: Disects #PlaneBae, the biggest Milkshake Duck of the year so far. @Struthless69: Nails the hypocrisy of online commentary. A Rational Fear on Patreon: https://www.patreon.com/ARationalFear See omnystudio.com/listener for privacy information.

Not sure where you stand with the Australian government's My Health Record? We'll help you out in five minutes on a special edition of The Wrap. See omnystudio.com/listener for privacy information.

Trump latest twitter tirade; Heatwave in Japan; Notable MP opts-out of the government's My Health Record database; And 851 burpees in one hour. Yep. Have a great Tuesday. See acast.com/privacy for privacy and opt-out information.

Australians are assured that their online My Health Record data will be safe, as the opt-out period begins. - در این برنامه: سه ماه فرصت به استرالیایی هایی که نمی خواهند پرونده پزشکی دیجیتالی داشته باشند; ایموجی کانگورو; فوک روباتیک برای کمک به سالمندان; شارژ باتری موبایل در کمتر از یک ثانیه

Officially you have until October 15 to opt out of having a My Health Record, although some people trying to opt out have discovered they've already got one. So who can access your My Health Record? What's in it? And just how easy is opting out?  Plus can Spinner really micro-target the feed of your partner to influence the way they think? And can Facebook both fight fake news and defend free speech?

This week on Agenda we heard all about TAFFEE at the Imperial Hotel thanks to Dr Vivienne Linsley, one of the Co-Artistic Directors of TAFFEE, and Dr Grace Sharkey, a Postgraduate Teaching Fellow in the Department of Gender and Cultural Studies at the University of Sydney. Thoughts That Count: Are you opting out of My Health Record? We spoke about what the new scheme means for sex workers and the trans community.  Plus we spoke to James Christie-Murray, director of Queer Space Wollongong, to chat about queer communities and the Heaps Gay Queer AF Party happening on July 21st at The Imperial Hotel.

Seamus Byrne of Science Alert and Amy Taylor-Kabbaz, founder of Happy Mama jump behind the mic to lay out the week that was for parents across the country. In this episode they join host Shevonne Hunt in discussing; My Health Record - should parents be opting out, should you discipline other people's children on play dates, how do you deal with the sheer amount of kids' toys overtaking your home, and when has your well-intentioned cooking turned into a complete disaster.See omnystudio.com/listener for privacy information.

Entries into the "My Health Record" database were always voluntary - now, this is set to change. Privacy experts, health professionals and citizens are voicing their concerns as a result. - Ein Eintrag in der "My Health Records" Datenbank war bisher immer freiwillig - aber jetzt soll sich das ändern. Kritik kommt daher von Datenschützern, Medizinern und Bürgern. Julian Lehnert spricht mit einem deutschen GP in Queensland.

The blokes discuss the relatively controversially reported My Health Record system the government is introducing. Is it a security risk? Should you opt out? What are the benefits. Plus the iPhone leaks begin are we getting three notch phones? Netflix upgrades it's app big time to enhance discovery, Apple updates the Macbook and it's a big deal, World Emoji day - we look at our favourites, and Telstra's LTE-B launch - what and why? Plus two very different smartphones in the minute reviews.

The blokes discuss the relatively controversially reported My Health Record system the government is introducing. Is it a security risk? Should you opt out? What are the benefits. Plus the iPhone leaks begin are we getting three notch phones? Netflix upgrades it's app big time to enhance discovery, Apple updates the Macbook and it's a big deal, World Emoji day - we look at our favourites, and Telstra's LTE-B launch - what and why? Plus two very different smartphones in the minute reviews.

You have until Jan 31st 2019 to opt out of the nationwide My Health Record database, so how do you decide whether you should opt out? ABC online technology reporter Ariel Bogle breaks down the pros and cons for families, particularly when it comes to the privacy and safety of your personal data.

Should you opt out of the My Health Records database, Telstra deploys new LTE-B technology for hi-def video streaming, Apple updates its line-up of MacBook Pros, we look at the LG G7 ThinQ smartphone, Microsoft’s new Surface Go tablet, the products that can help you organise your keys and accessories and we'll finish off with the Tech Guide Help Desk.

Today on the podcast we talk with Steven Whittington, Chief Product Owner from coreplus. coreplus is an Australian online e-health practice management software that’s accessible anywhere, anytime saving time and money for their users. What is covered in this episode: How coreplus got started and the impact the cloud has had on the uptake of the software Developments in the last 6 months of the coreplus software including user interface upgrade, automated workflows and secure messaging A breakdown of how automated workflows would work practically into a practice A background to secure messaging and how it will impact the flow of patient records and communication between practices in the future A patient-centered focus for automated workflows and secure messaging The top 3 feaures and benefits of the coreplus software The ability to work with coreplus online anytime, anywhere Integrated workflows and costs saving with coreplus connecting directly with Medicare online Lessons learnt from communicating and working with allied health private practice business owners The need for greater investment in business management and mindset of clinical business owners What the digital health world will look like in the next 5 years The issue of Practice Managers changing where referrals go for cost savings The need to make the process receiving referrals as easy as possible for allied health providers The impact of the rollout of My Health Record for allied health providers The lack of a NDIS tech backend to enable practice software integration The future features rolling out on coreplus. Resources: coreplus website Steven on LinkedInSee omnystudio.com/listener for privacy information.

Navigating the Australian health system, understanding what the doctors say and remembering all the information they give you can be confusing, even if you grew up in Australia. And if you're new to the country it's even harder. But there’s an online tool called My Health Record that can make your life much easier.

Navigating the Australian health system, understanding what the doctors say and remembering all the information they give you can be confusing, even if you grew up in Australia. And if you're new to the country it's even harder. But there's an online tool called My Health Record that can make your life much easier.

Many Australians are worried about the proliferation of data businesses and the government knowing too much about them. Data Governance Australia chairman Graeme Samuel hopes that a self-regulatory code of conduct will raise the standards among data-driven organisations. Despite the pervasiveness of data in our daily lives, he argues most people don't understand the extent to which organisations use it. As a former regulator, Samuel regards government regulation of data as “second-best” and is “there to step in when there is market failure”. In drafting the code, he has consulted closely with businesses and the public to try to “anticipate community concerns into the foreseeable future”. On the government's My Health Record – which has been rolled out very slowly – he argues the benefits of a centralised system outweigh privacy concerns, although every effort needs to be made to protect the privacy of health records. While data offers an opportunity for improved safety, trust in processes is paramount. “We need to be careful, of course, that the issue of security in terms of international terrorism and the like is not used as a superficial excuse for the collection of data to be used for other purposes.”

Dr Daniel Man-Yuen Sze received his first PhD in immunology in UK. After nearly 2 decades dealing with Western medicine, Dr Sze decided to take up studies in Traditional Chinese Medicine. In this episode, Dr Sze talks about the Federal Governments eHealth initiative - what is eHealth and how can My Health Record system improve diagnosis?  - 施文遠博士 這次和大家講解澳洲聯邦衛生部於幾年前推出的一個電子健康平台。其實當年推出的時候，市民大衆搞不清楚它是什麽一回事，而自實施以來，我們也感覺不到有任何重大的轉變。可是，據施文遠博士說，這個平台對診治病人有很多益處。請留意溫楚良和施文遠博士有關呢方面的談訪。打家如果在網上搜尋器輸入 "My Health Record" 也可了解詳情。