Showing posts with label Health Services. Show all posts
Showing posts with label Health Services. Show all posts
Sunday 11 August 2019
Alleged data theft by HealthEngine leaves hundreds of thousands of Australians vulnerable
Perhaps now is the time for readers to check who owns the company they might use to make medical appointment online.
ABC News, 8 August 2019:
Australia's biggest medical appointment booking app HealthEngine is facing multi-million-dollar penalties after an ABC investigation exposed its practice of funnelling patient information to law firms.
The Australian Competition and Consumer Commission has launched legal action against the Perth-based company in the Federal Court, accusing it of misleading and deceptive conduct.
In June last year, the ABC revealed HealthEngine was passing on users' personal information to law firms seeking clients for personal injury claims.
The details of the deal were contained in secret internal Slater and Gordon documents that revealed HealthEngine was sending the firm a daily list of prospective clients at part of a pilot program in 2017.
The ACCC has also accused the company of passing the personal information of approximately 135,000 patients to insurance brokers in exchange for payments.
"Patients were misled into thinking their information would stay with HealthEngine but, instead, their information was sold off to insurance brokers," ACCC chairman Rod Sims said in a statement.
The information sold included names, phone numbers, dates of birth and email addresses.
The ACCC has not said how much money the company earned form the arrangement.
The ABC revealed last year that HealthEngine had also boasted to advertisers that it could target users based on their symptoms and medical conditions.
HealthEngine has also been accused of misleading consumers by manipulating users' reviews of medical practices.
"We allege that HealthEngine refused to publish negative reviews and altered feedback to remove negative aspects, or to embellish it, before publishing the reviews," Mr Sims said.
Among a range of examples, the ACCC alleges that one patient review was initially submitted as: "The practice is good just disappointed with health engine. I will call the clinic next time instead of booking online."
But when that review was made public, it was allegedly changed to simply read: "The practice is good."
HealthEngine is facing a fine of $1.1 million for each breach of the law, but the ACCC has yet to determine how many breaches it will allege....
Labels:
ACCC,
data breach,
data theft,
Health Services,
information technology,
Internet,
privacy
Wednesday 31 July 2019
One of the reasons regional living is so good is the size and strength of community spirit
The Clarence Independent, 25 July 2019:
Iluka Bowls Club’s president, Ray Flaherty (4th form right, front), Ann and John McLean (centre with white t-shirts), pictured with bowls club directors and members. Image: Contributed
Iluka Bowls Club has offered to provide land for the proposed ambulance station in Iluka.
Estimated to come with a $10million price tag, the NSW Government is currently working on “detailed service planning” and “site acquisitions studies” for the proposed station, Clarence MP Chris Gulaptis said after the NSW budget was released in June.
The bowls club’s general manager, Nicola Donsworth, said the land is located next to the netball court on the corner of Denne and Spenser streets.
“It would be a perfect central location, with two street accesses, next to the helicopter landing area on the sports oval and next to the skate park and, and as we know, the majority of our town’s population is ageing.
“It may be necessary to rezone the land but it might be an offer that the council and state government might find difficult to refuse.
“We are hoping that if this offer is viable it may speed up the process and get this ambulance station established.” Ms Donsworth said the club’s board is in favour of the idea, subject to the club members’ approval.
Ambulance Action Group spearheads, Ann and John McLean, welcomed the offer.
“The need for an ambulance station in Iluka has become more important than ever,” Ms McLean said. “Response times are getting longer.
“There have been many incidents where paramedics have been sent from Grafton and Evans Head, due to there not being an ambulance available in Yamba or Maclean.
“This is often caused because the paramedics are being utilised to transport patients from Maclean to Lismore or the Gold Coast.....
The budget papers list the ambulance station as commencing “prior to March 2023”.
Sunday 21 July 2019
Coraki still without a local doctor
According to Australian Bureau of Statistics 2016 Census data Coraki and neighbouring Woodburn have a combined population of over 2,000 residents and 499 families.
Half of those residents living in Coraki are over 45 years of age and half of those living in Woodburn are over 42 years of age. While children make up almost 19 per cent of the population of both villages.
Yet the Northern NSW Local Health District cannot even supply a sessional doctor for the health centre at Coraki.
The Northern Star, 20 July 2019, p.7:
Ray Hunt is more frustrated than most about living in a town where the hospital has no doctor.
“If you cut your toe, you can’t go there,” Mr Hunt said.
His late wife Anne used to be the “boss” of the original Coraki Campbell Hospital, before it was closed.
The two-year-old, $4 million Coraki Campbell HealthOne facility looks modern and slick and offers dentistry and dietary appointments but services are limited without a doctor.
Down the road on Thursday, about 10 people gathered to voice their frustration about no sign of a doctor for Coraki.
Eighty-five-year-old Tubby Daley was there. He was born in Coraki. He doesn’t drive so when he needs to see the doctor he has to use limited public transport to get to Casino or Lismore.
Peggy Gooley takes her sick husband regularly to Casino and District Memorial Hospital.
Mrs Gooley failed to understand why they couldn’t have a doctor on rotation, even if the doctor was only in Coraki for two days a week.
A list of 241 names of residents who would use a GP shows the solid customer base in Coraki.
Jennifer Sherwin wore a grim reaper outfit to emphasise how Coraki residents felt about the absence of a doctor.
Ms Sherwin believes the contracts the Northern NSW Local Health District is offering are too restrictive.
Northern NSW Local Health District chief executive Wayne Jones said efforts had been made to recruit a GP for Coraki Campbell HealthOne, however there had been no successful applicants....
Labels:
Coraki,
Health Services,
Northern Rivers
Friday 19 July 2019
Exodus of senior NDIS officials over the last fifteen months
When
well-paid
senior management
– some
in the top percentile of Australia’s income earners –
begins to abandon ship it’s time to consider if the
Abbott-Turnbull-Morrison
Government
has finally sunk the National
Disability Insurance Scheme.
The
Australian,
5 July 2019:
...The
NDIA has confirmed deputy chief executive Michael Francis has
resigned and will leave in September to take a role “closer to
home”.
A
spokeswoman also confirmed chief risk officer Anthony Vella has
recently departed, along with Antonia Albanese, who was head of
markets, provider and market relations.
Ms
Albanese and Mr Vella both directly reported to the chief executive.
The
Australian has also been told the general manager of critical
services issue response, Stephanie Gunn, has quit.
Mr
Shorten told The Australian Mr Robert was “either oblivious or
delusional” for telling parliament the scheme was being run well.
“It
is alarming that this group of senior executives lack such confidence
in the way the NDIA is being run that they are choosing to leave,”
he said. “This scheme is so important for the vulnerable but is
being chaotically
implemented.
“Yet
the minister in parliament has told the nation it’s all going
swimmingly. He must be either oblivious or delusional.”
The
NDIA spokeswoman said: “The NDIA is grateful to our departing
senior executives, who have made significant contributions to the
NDIS.
“The
NDIA has a strong and experienced leadership team, focused
on continuing to guide the agency to deliver improved outcomes for
NDIS participants. Interim arrangements with - experienced personnel
have been put in place.”
The
confirmation of executive departures came after Mr Shorten tweeted he
was “hearing” that four senior staff resigned
in the past seven days.
Former
chief executive Robert De Luca suddenly
resigned
in May and is yet to be replaced. Former communications head Vicki
Rundle is acting chief executive.
Mr
Robert — a key numbers man for the Prime Minister in last August’s
leadership contest — yesterday used question time to declare the
NDIS was available to “all Australians on the continent”….. [my
yellow highlighting]
Thursday 20 June 2019
Tears before bedtime under The National Strategic Action Plan for Pain Management?
Painaustralia says of itself that it is “Australia’s
leading pain advocacy body working to improve the quality of life of people
living with pain, their families and carers, and to minimise the social and
economic burden of pain on individuals and the community”.
On 11 June
2019 it released a copy of The
National Strategic Action Plan for Pain Management having
convinced the Morrison Coalition Government that this plan is the bee knees
when it comes to pain management.
If the
following article is anything to go by it will be tears before bedtime for many
chronic pain suffers as the plan does not contain any mention of actually increasing
the number pain specialists practicing in Australia or of attempting to lower
wait times to see such specialists.
Currently NSW
Health only lists 35
pain management services in the state and most of these are attached to
metropolitan public hospitals.
Instead
people experiencing acute and chronic pain are to be offered 10 Medicare-funded group
services and 10 individual services each calendar year, with access to
telehealth pain management advice for regional areas where pain management services
are not available.
As for pain
management using prescribed medications – that is apparently going to be more
difficult to access as Painaustralia
and the Morrison Government are alarmed that opiate prescriptions in rural
& regional Australia have risen in the last ten years.
Seemingly conveniently
blind to any relationship between increased prescribing and low GP numbers, smaller often poorly
resourced public hospitals, a reliance on what might be termed 'flyin-flyout' medical specialists who prefer not to live in those rural or regional areas their patients
inhabit and the economic tyranny of distance for the patient.
The Daily Examiner, 18 June 2019, p.8:
Doctors will be sent
back to school to be re-educated about treating chronic pain and patients given
a Medicare boost under a new national strategy.
The first national pain
strategy launching today also calls for a national one-stop website to be set
up to educate people about how to manage pain without drugs and where to find
help.
“There is a screaming
need here because pain is a significant burden on the economy, on society and
the health system,” Pain Australia chief executive Carol Bennett said.
More than 3.24 million
Australians are living with chronic pain and many are becoming addicted to
opioid medications while they wait up to four years to see a pain specialist
for help.
Last year Australians
paid $2.7 billion in out-of-pocket expenses to manage their pain and missed 9.9
million days of work because of the condition.
The new strategy funded
by the Federal Government and developed by Pain Australia wants pain to be
treated in the same way as mental health, with Medicare funding up to 20
medical and group sessions to help people get it under control. It also calls
for a new certificate in pain medicine for GPs and other health professionals
that would require six months of study.
The consultation work
that took place around the development of the new plan found doctors’ knowledge
about the latest pain management techniques was out of date.
“For lower back pain
people are popping pills and having surgery but for the last 15 years we’ve
known you’ve got to get moving and rehabilitate yourself with physical
management,” Ms Bennett said.
Anti-inflammatory
medications should not be used for more than a few days and long-term
strengthening of the muscles, good nutrition and sleep were the key to treating
the problem rather than drugs, she said.
Instead of helping
patients manage pain in this way, doctors were prescribing increasing amounts
of dangerous and addictive opioid medicines.
Labels:
government policy,
Health Services,
Morrison Government,
pain
Tuesday 4 June 2019
The National Disability Insurance Scheme continues a bumbling problem-filled roll out during which its clients suffer
Newcastle
Herald Sun,
31 May 2019:
AT least 3000 NDIS
recipients from regional NSW and Victoria will have to find new care providers
after mutual company Australian Unity decided to cut back on disability
services to concentrate on aged care in Sydney.
Australian Unity
confirmed the decision after concerns were raised with the Newcastle
Herald by the Public Service Association.
It did not dispute an
assertion by PSA regional organiser Paul James that the decision was a
consequence of the financial pressures facing NDIS providers.
The decision comes just
three years after Australian Unity bought the NSW Government's Home Care agency
in February 2016, picking up 4000 former government employees and 50,000 aged
care and disability clients.
Australian Unity said it
would "work closely" with the National Disability Insurance Agency
(NDIA) to ensure NDIS participants found "another service provider of
their choice".
It said 57,000 clients
on aged care packages would not be affected.
It did not expect the
NDIS decision to cause job losses but Mr James questioned how this could be.
"Even if they say
the majority of their clients are unaffected, there's still 3000 people in
regional areas who will have to find new providers," Mr James said.
"The NDIS was
originally supposed to be helping people with disabilities into work, but
instead it's become an opportunity for the states to ditch their
responsibilities for disability services."
Australian Unity said
the decision to "scale down" its NDIS services came after a review of
its "Home and Disability Services" business - as it renamed the
former Home Care agency.
According to
the Dept.
of Human Services (recently renamed Services Australia) In NSW as of 31 March
2019:
101,963 people
have a NDIS service;
4,219 initial
plans have been approved; and
34,397 people
will be receiving services for the first time.
While according
to the National
Disability Insurance Scheme (NDIS), 12 April 2019:
There are now 250,000 participants nationwide;
Almost one in three of these participants are receiving
disability supports and services for the first time; and
Costs to NDIS clients for individual service delivery have
risen between 10.9 per cent and 20.4 per cent from 1 July.
This price rise will include a minimum rise of almost $11 per hour for therapists, and up to a 15.4% price increase to the base limit for attendant care and community participation and appears to be driven by the demands of service providers.
The number of NDIS participants is set to rise to 460,000 at full roll-out in 2020.
This price rise will include a minimum rise of almost $11 per hour for therapists, and up to a 15.4% price increase to the base limit for attendant care and community participation and appears to be driven by the demands of service providers.
The number of NDIS participants is set to rise to 460,000 at full roll-out in 2020.
…delays
in the rollout of NDIS plans, the bureaucratic maze that even the most capable
of carers or people with disability struggle to get through, and the
difficulties that people with plans have in accessing services that are not
there have
resulted in long wait times and crisis intervention is virtually non-existent.
Due to the
demand for home care packages, for most people, the expected wait time for
approved packages is:
www.myagedcare.gov.au |
The expected wait time for the level of interim package you agree to receive (while waiting for your approved level to be assigned) is:
www.myagedcare.gov.au |
The conclusions drawn was that the NDIS scheme was administratively under-resourced for the rollout task, however there were a number of areas where NDIA could improve its administration of participant-initiated reviews. Otherwise the review process would remain unwieldy, unapproachable and the driver of substantial complaint volumes.
If you are in New South Wales and have a complaint about a support or service you have received under the NDIS, you can contact the NDIS Quality and Safeguards Commission.
Wednesday 29 May 2019
AMA accuses Morrison Government of deliberately constraining supply of public hospital services
ABC
News, 24 May
2019:
"Have you got
insurance?"
It is one of the first
questions any patient is asked when they walk into an emergency room in the
United States, no matter how sick they are.
And now Australian
doctors are warning our own health system is shifting towards a similar US
managed care model — a patchwork of private and public systems, where health
insurers hold an increasing amount of power.
The president of the
Australian Medical Association (AMA), Dr Tony Bartone, made the comments as he
addressed the group's national conference in Brisbane on Friday.
It was the first time Dr
Bartone has spoken since the Coalition was returned to power, and he gave an
unusually scathing assessment of Australia's health system and the Federal
Government.
He called for further
private health reforms, telling doctors the increasing corporatisation of the
private health system had given insurers unprecedented power within the health
sector.
Dr
Bartone warned that could lead to a system similar to the model in the US,
where patients experience significant variations in care depending on their
insurance cover.
"Insurers should
not determine the provision of treatment in Australia, they should not
interfere with the clinical judgement of qualified and experienced
doctors," he said.
"Australians do not
support a US-style managed care health system, and neither does the AMA."
The AMA has consistently called for more money for public
hospitals, and on Friday Dr Bartone went even further as he accused the
government of "making a choice" to constrain the supply of public
hospital services.
"Let me be clear.
Public hospital capacity is determined by funding," he said.
"The consequences
are significant. They can include increased complications, delayed care,
delayed pain relief, and longer length of stay for admitted patients."
Dr Bartone said the
system was "stretched so tight" elective surgeries were being
cancelled.
"Our public health
system should be better than this. It is unacceptable our public hospitals have
been reduced to this," he said.
"Our public
hospitals are struggling and require new funding to be better tomorrow.....
Friday 24 May 2019
The 2019 federal election is over - so now the Morrison Government cuts are on again
Patient to GP Ratio [RACGP, General Practice: Health of the Nation, 2018] |
Having waited until the 18 May 2019 federal election was over, Prime Minister 'Liar from the Shire' Morrison 7 his cronies are rolling out the funding pennypinching once more - and it's no surprise that it's the very young, very old and the poor who are the targets again.
Bulk billing of children
and pensioners, as well as home visits to elderly and dying patients, could be
scrapped in outer metro areas across Australia because of cuts which doctors
say they will not be able to afford.
An incoming change to
bulk-billing incentives has pushed GPs to breaking point, medical groups have
warned, requiring them to provide crucial primary health services for less than
the cost of a barber's cut.
The Federal Government
has changed a key geographical classification, scrapping some outer suburban
zones of incentives intended for rural areas.
From January 2020, the
bulk-billing incentive in outer metro areas will be reduced from about $10 to
$6 per patient, per visit.
The changes will affect
GP practices in as many as 13 outer metro regions, including in Canberra,
Adelaide's south, the New South Wales Central Coast, Geelong and the Mornington
Peninsula.
The Australian Medical
Association SA president, Dr Chris Moy, said many of the affected regions are
low socio-economic areas.
He said the changes
could put more pressure on already costly hospital systems, because patients
could no longer afford to visit their GPs regularly.
"This is an example
of a just a small change. It's not a huge change, but it's enough to break the
camel's back," he said.
"It's more
difficult for individuals to pay a gap in those situations so it's unfortunate
this has happened."
Royal
Australian College of General Practitioners president Harry Nespolon said
general practitioners in the city and in the country were effectively being
asked to work for free.
"The Medicare
rebates are insufficient to provide the care that patients need," Dr
Nespolon said.
"I don't think
people want their GPs to do work for nothing but that's effectively what we're
being asked to do.
"If the services
become marginal in the sense they don't cover their costs, then they've got a
choice — they can either go out of business or charge a fee.
"GPs in practices
everywhere, rural or otherwise, are considering whether or not the current
amount of rebate if they do bulk bill a patient is able to keep them in
business."…….
Quick explanation of rebates:
· The
Medicare Benefits Schedule (MBS) is a list of medical services for which the
Australian Government provides a Medicare rebate.
· Each
MBS item has its own scheduled fee — this is the amount the Government
considers appropriate for a particular service (e.g. getting a blood test or
seeing a psychologist).
· Rebates
are typically paid as a percentage of the Medicare scheduled fee. In the case
of GP consultations, the rebate is 100 per cent of the schedule fee.
· This
means that bulk-billing GPs agree to charge patients the Medicare schedule fee
($37.60 for a standard appointment) and are directly reimbursed by the
Government, and there is no cost to the patient.
· GPs
who don't bulk bill charge a fee higher than the Medicare schedule fee, meaning
patients must pay the difference between the schedule fee and the doctor's fee
— out of their own pocket.
· For
example, if your doctor charges $75 for a standard consultation, you'll pay $75
and receive a rebate of $37.60 — leaving you $37.40 worse off.
According to the federal Dept. of Health areas which will be losing the higher bulkbilling incentives (for treatment of patients with concession cards and children under 16 years) include:
Mandurah (WA)
Mornington Peninsula
(Vic)
Canberra (ACT)
Newcastle (NSW)
Central Coast (NSW)
Queanbeyan (NSW)
Maitland (NSW)
Sunshine Coast (Qld)
Gawler (SA)
Geelong (Vic)
Melton (Vic)
Pakenham (Vic)
Ellenbrook (WA)
Baldivis (WA).
However the existing patient to GP ratio in an area is not necessarily the primary factor in determining who is on or off this list.
It seems you only have to live in an area where the local town/city has grown to over 20,000 residents since 1991 to find GPs being deprived of the full incentive payment per concession card/child patient seen.
Anyone living in the regions mentioned will know that what can appear to be a comfortable patient to GP ratio is not always evenly spread and in some areas certain GPs have already closed their books and are not taking new patients or are having difficulty attracting new GPs to established practices to fill unmet needs.
Just to make matters clear. some of the named places which will see GP incentive payments reduced on 1 July fall into the categories of regional or peri-urban area and, as at 30 June 2018 Australia-wide there were only 6,994 GPs in Inner Regional areas and 3,285 GPs in Outer Regional areas, according the the federal Dept. of Health statistics.
It seems you only have to live in an area where the local town/city has grown to over 20,000 residents since 1991 to find GPs being deprived of the full incentive payment per concession card/child patient seen.
Anyone living in the regions mentioned will know that what can appear to be a comfortable patient to GP ratio is not always evenly spread and in some areas certain GPs have already closed their books and are not taking new patients or are having difficulty attracting new GPs to established practices to fill unmet needs.
Just to make matters clear. some of the named places which will see GP incentive payments reduced on 1 July fall into the categories of regional or peri-urban area and, as at 30 June 2018 Australia-wide there were only 6,994 GPs in Inner Regional areas and 3,285 GPs in Outer Regional areas, according the the federal Dept. of Health statistics.
Labels:
health,
Health Services,
Medicare,
Morrison Government
Monday 25 February 2019
Yet another Australian health data base compromised
The
Age, 20
February 2019:
A cyber crime syndicate
has hacked and scrambled the medical files of about 15,000 patients from a
specialist cardiology unit at Cabrini Hospital and demanded a ransom.
The attack is now the
subject of a joint investigation by Commonwealth security agencies.
Melbourne Heart Group,
which is based at the private hospital in Malvern, has been unable to access
some patient files for more than three weeks, after the malware attack crippled
its server and corrupted data.
The malware used to
penetrate the unit's security network is believed to be from North Korea or
Russia, while the origin of the criminals behind the attack has not been
revealed.
The online gang
responsible for the data breach demanded a ransom be paid in cryptocurrency
before a password would be provided to break the encryption.
The Age understands
that a payment was made, but some of the scrambled files have not been
recovered, among them patients' personal details and sensitive medical records
that could be used for identity theft.
Some patients were told
that their files had been lost but were not given any explanation. Others have
turned up for appointments for which the hospital had no record.
The Australian Cyber
Security Centre, which is part of the Australian Signals Directorate – the
government agency responsible for Australia's cyber warfare and information
security – said it was assisting the hospital with cyber security advice.
The Australian Federal
Police has also been briefed.
A Melbourne Heart Group
spokeswoman said it was working with government agencies to resolve the issue.
Labels:
cyberspace wars,
data breach,
Health Services
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