Tell me again why the Turnbull Government is insisting My Health Record will become mandatory by the end of October 2018?

It is not just ordinary health care consumers who have concerns about the My Health Record database, system design, privacy issues and ethical considerations.

It is not just the Turnbull Government which has not sufficiently prepared public and private health care organisations for the nationwide rollout of mass personal and health information collection - the organisations themselves are not ready.

Lewis Ryan (Academic GP Registrar)

* 91 % of GP Registrars have never used My Health Record in a clinical context

* 65% of GP Registrars have never discussed My Health Record with a patient

* 78%  of GP Registrars have never received training in how to use My Health Record

* 73% of GP Registrars say lack of training is a barrier to using My Health Record

* 71% of  GP Registrars who have used the My Health Record system say that the user interface is a barrier

* Only 21% of  GP Registrars believe privacy is well protected in the My Health Record system

In fact Australia-wide only 6,510 general practice organisations to date have registered to use My Health Record and these would only represent a fraction of the 35,982 GPs practicing across the country in 2016-17.

UPDATE

Healthcare IT News, 3 August 2018:

The Federal Government’s Health Care Homes is forcing patients to have a My Health Record to receive chronic care management through the program, raising ethical questions and concerns about discrimination.

The government’s Health Care Homes trial provides coordinated care for those with chronic and complex diseases through more than 200 GP practices and Aboriginal Community Controlled Health Services nationally, and enrolment in the program requires patients to have a My Health Record or be willing to get one.

But GP and former AMA president Dr Kerryn Phelps claimed the demand for patients to sign up to the national health database to access Health Care Homes support is unethical.

“I have massive ethical concerns about that, particularly given the concerns around privacy and security of My Health Record. It is discriminatory and it should be removed,” Phelps told Healthcare IT News Australia.

Under a two-year trial beginning in late 2017, up to 65,000 people are eligible to become Health Care Homes patients as part of a government-funded initiative to improve care for those with long-term conditions including diabetes, arthritis, and heart and lung diseases.

Patients in the program receive coordinated care from a team including their GP, specialists and allied health professionals and according to the Department of Health: “All Health Care Homes’ patients need to have a My Health Record. If you don’t have a My Health Record, your care team will sign you up.”

Phelps said as such patients who don’t want a My Health Record have been unable to access a health service they would otherwise be entitled to.

“When you speak to doctors who are in involved in the Heath Care Homes trial, their experience is that some patients are refusing to sign up because they don’t want a My Health Record. So it is a discriminatory requirement.”

It has also raised concerns about possible future government efforts to compel Australians to have My Health Records.

“The general feedback I’m getting is that the Health Care Homes trial is very disappointing to say the least but, nonetheless, what this shows is that signing up to My Health Record could just be made a prerequisite to sign up for other things like Centrelink payments or workers compensation.”

Human rights lawyer and Digital Rights Watch board member Lizzie O’Shea claims patients should have a right to choose whether they are signed up to the government’s online medical record without it affecting their healthcare.

“It is deeply concerning to see health services force their patients to use what has clearly been shown to be a flawed and invasive system. My Health Record has had sustained criticism from privacy advocates, academics and health professionals, and questions still remain to be answered on the privacy and security of how individual's data will be stored, accessed and protected,” O’Shea said. [my yellow highlighting]

An ethics question for corporations large and small

Monash University, The Death of Corporate Greed? – Episode 9: A Different Lens

https://youtu.be/Jm12vdkPR4c

Political Cartoons of the Week

David Rowe cartoon

Pat Campbell cartoons

Quote of the Week

“Behind every great fortune is a great crime.”  [Anon, 2016]

Supermarket giant Coles’ “bagflip’’ did not go down well and the company was stopped in its tracks

This was typical of the response to the Coles Supermarkets Australia Pty Ltd end of July 2018 announcement that is was indefinitely suspending a full ban on the use of free plastic shopping bags in its stores.

The Daily Examiner, 2 August 2018, p.13:

Supermarket giant Coles’ “bagflip’’ in continuing to hand out free reusable plastic bags is a perplexing move.

After spending the past month getting its customers used to the idea there would be no more single-use bags, Coles management has caved in to the tantrums of some customers unable to get their head around the notion of doing something to help the environment or pay up.

Not surprisingly the environmentalists are outraged.

For a start the so-called reusable plastic bags are just a step up from the tissue-thin, single-use bags clogging landfill and choking marine wildlife.

The smart thing about the proposed bag ban was that the supermarket was using a price signal to reinforce the change, a language its bargain-hunting customers were sure to understand.

No longer.

The customer has come first, ahead of the environment, good planning and common sense.

Without a price tag, customers are going to treat the reusable bags just like the old ones, which will add a splash of colour to the litter.

It has the same logic as trying to improve a child’s behaviour by giving in to its demand.

The “child” in this case does spend millions of dollars in your store, but with Woolworths continuing to charge the 15 cents for resuable bags, shoppers didn‘t have many options.

Twitter 1-2 August 2018:

By midday on 2 August 2018 Coles reversed its backflip and set a new deadline for stores - 29 August 2018 is now the deadline for handouts of free reusable plastic shopping bags.

Hopefully by the beginning of 2019 even reuseable plastic bags will no longer be available for purchase.

NSW Roads & Maritime Services bungling and corrupt in 2018?

NSW Minister for Roads Maritime and Freight has a policy of sending IT jobs offshore?

With the national unemployment rate running at 5.4 per cent nationally in June 2018 and the New South Wales rate sitting at 4.8 per cent or 192,000 people, is the Minister for Roads Maritime and Freight & Nationals MP for Oxley Melinda Pavey secretly closing off employment opportunities for Australian information technology workers as a departmental cost-cutting measure?

These are not exactly the highest paying jobs in this country, averaging $46,000-$100,000 pa and, with the IT worker pool standing at est. 600,000+ nationally it is not as though there is an obvious scarcity of skilled workers available for hire.

So at first it was not easy to explain this...... 

The Daily Telegraph, 20 July 2018. P.2:

Leaked details of a meeting between Roads and Maritime­ Services and seven companies bidding for a $100 million IT contract contradict­ state government denials that it mandated a 30 per cent quota of cut-price overseas workers.

The February 13 meeting, convened by chief information officer Rob Putter, came six days after the RMS called for tenders to provide IT services, on the condition that a “minimum” of 20 per cent of jobs would be sent overseas in the first year and 30 per cent in the second year.

Three Indian firms, Tata Consultancy Services, Wipro, and Tech Mahindra, attended the meeting along with Fujitsu, Datacom, Accenture and Wollongong company itree, with 25 people in the room and 18 dialling in.

A source who attended the meeting said Mr Putter showed a PowerPoint slide titled RMS Pricing Principles which stated the RMS was “seeking to achieve the lowest­ possible cost” to provide­ the IT service.

The slide stated RMS’s “target offshore resource utilisation­” required 20 per cent of jobs offshore in year one, 30 per cent in year two and a “measured ongoing ­app­roach to increase offshore efforts” over the rest of the seven-year contract.

Photocopies of the slide were provided to attendees, who “discussed at length ... the need to offshore resources (jobs)”, the source said.

“The RMS personnel stated that it was mandated by the (Roads) Minister that to achieve the lowest price they need to seek offshore resources,” the source said. 

“This clearly makes a joke of the Minister’s denial that this tender mandated offshoring.” As The Daily Telegraph revealed last week, the RMS had called for companies to provide “development, testing, maintenance and service management for transport-related software applications and in-the-field hardware”.…..

The RMS announced Mr Putter’s resignation last week.

Despite NSW Government denials, the fact remains that it is highly likely that jobs were to be sourced overseas as the RMS IT operational budget blowout had reached $80 million in the 12 months to June 2018, following a $40 million blowout in the operational budget in the previous financial year.

It appears that Roads and Maritime Services has bungled its $1 billion IT systems upgrade with more bad news expected.

Dollars for mates?

Crikey.com.au, 2 August 2018:

New South Wales transport consultancy firm MU Group [MURPHY UDAYAN GROUP*] 

is under fire after six government contracts, none of which went to public tender, were awarded to the company after it hired former state roads minister 

Duncan Gay.

The Daily Telegraph ($) reports that the firm has been awarded contracts from the Roads and Maritime Services agency worth over $4.46 million after hiring the former department head as an “executive adviser” just weeks after Gay left parliament in late 2017. The firm has reportedly hired at least 11 former Roads and Maritime Services staff members, including two as directors, however Gay says he has “not been involved in any RMS contracts that MU have won”.

* Director and Founder of the MU Group Matthew Murphy is a former Roads and Maritime Service civil engineer in Project/Contract Management with extensive experience on infrastructure projects for urban roads, highways including Pacific Highway Upgrades.

NSW Roads & Maritime Services finally come clean: We don't give a damn about any of the concerns Woombah & Iluka residents have about our asphalt plant, it's only Pacific Complete's bottom line that matters

The Daily Examiner via Press Reader, 1 August 2018:

ROADS and Martime Services has revealed it will build at least two asphalt batching plants near the Pacific Highway, most likely between Tyndale and the Iluka turnoff, next year.

Pacific Highway general manager Bob Higgins said the RMS has pressed the pause button on construction of one plant at Woombah, but the need to supply the Glenugie to Iluka Rd turnoff section with 170,000 tonnes of asphalt would require two plants.

He said the RMS would review the supply strategy for the manufacture and delivery of asphalt on the stretch of highway upgrade after protests from the Woombah community.

But Mr Higgins said if push came to shove when the RMS review decided on locations, residents’ objections would take second place to the technical needs of the project. [my yellow highlighting]

What a travesty Pacific Highway Upgrade community consultations are cannot get much clearer than this.

I'm sure local residents will not be pleased to have their fears confirmed.

Whether he meant to or not, Bob Higgins has probably just cemented the proposed Woombah asphalt batching site as a March 2019 NSW state election issue in the Clarence electorate for both the NSW National Party and the Berejiklian Coalition Government.

No-one likes to be told their valid concerns - about environmental impact, road safety, air quality and potential reduction in tourism numbers which underpin the local economy - don't matter to the state government down in Sydney.

BACKGROUND

Pacific Highway Upgrade 2018: the saga of the unwanted Woombah asphalt batching plant continues

Pacific Highway Upgrade has hit a noticeable bump in the road and the fault lies firmly with NSW Roads and Maritime Services, Pacific Complete, the Minister for Roads and the National Party

Not everyone was impressed by NSW Roads and Maritime Services temporary asphalt batching plant "drop-in information session"

NSW Berejiklian Government 2018: How not to conduct a community consultation in the Clarence Valley, NSW

A CERTAIN RMS ASPHALT BATCHING PLANT: Open Letter to NSW Premier & Liberal MP for Willoughby, Gladys Berejiklian, as well as Minister for Roads Maritime and Freight & Nationals MP for Oxley, Melinda Pavey