s Weekly Australian Health IT Links – 27 June, 2010. | I2P: Information to Pharmacists - Archive
Publication Date 01/07/2010         Volume. 2 No. 6   
Information to Pharmacists

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Regular updates from the global world of pharmacy.
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Feature Contribution

The New Competitors- Wholesalers, Manufacturers, Pharmacists and Nurses

Peter Jackson

As manufacturers get pressure from funders of their products such as the Pharmaceutical Benefits Scheme (PBS) in Australia, they will look at reducing costs in the supply chain.
Quite commonly this will take the form of direct distribution to pharmacies (and other business formats) rather than through wholesalers.
Wholesalers in turn face a series of challenges that includes developing a range of efficiencies, the battle for pharmacy numbers, manufacturer strategy, generic strategy and vertical integration. However, this may not be enough and wholesalers may need to develop a strategy involving industry dynamics.
While there will be modest industry growth over the next decade, new products will not be the major generator and research indicates that growth of branded products will be driven by primary care.

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English Pharmacists See Opportunity - Australian Pharmacists Hesitate

Staff Writer

The health systems of England and Australia have many similarities.
However, one NHS rule that we have escaped here in Australia is the 48-hour waiting time guarantee for a GP appointment.
Introduced by the former Labor government, it is now being scrapped as an initiative of the new government to eliminate bureaucracy and targets that had no clinical justification.
Patients in England will no longer be guaranteed a GP appointment within 48 hours under a scaling back of all NHS targets.
Instead, doctors will be allowed to prioritise patients, affecting up to 189 million consultations a year.

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Remote Dispensing Expands Globally

Peter Sayers

Systems for dispensing prescriptions remotely have been available in Australia for some time, but have yet to gain traction.
These systems are characterised by having a TV link to a “live” pharmacist who is located remotely from the machine.
One of the first remote dispensing machines built using Australian technology and manufacture was ExpressRx.

Comments: 3

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How to measure competence?

Dr Linda Bryant (PGDipPharm, MPharm, DPharm(Auck), FACPP, FNZCP, FPSNZ, MCAPA)

The concept of ensuring that our workforce is competent is an excellent idea. At a time of rapidly changing clinical information, our undergraduate degree of 30 years ago (now doesn’t that make you feel old!!) is simply inadequate. For those of us that went to University we learned Knowledge, Understanding, Thinking and problem solving. The rest of us were taught on the job. Our work experience, built on this foundation, helped make us competent. The problem is – measuring that competence over time.

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Community pharmacy’s crystal ball is fogging up

Neil Retallick

At the Generics Conference held in Sydney a couple of years ago, when PBS Reforms I was the Government’s latest and greatest initiative to contain the cost of the PBS, a number of speakers addressed the impending impact of WADP or Weighted Average Disclosed Pricing.
Two of these speakers had developed mathematical models to chart the revenue and gross profit dollars that would be generated in the dispensaries of community pharmacies over the following years through to 2012 and 2013. In both instances, the speakers presented data that showed the dispensary revenue and gross profit lines decreasing quite dramatically as the effects of WADP took hold of PBS medicine prices.
These soothsayers saw gloom and doom in their crystal balls, or their spreadsheets if that’s what they preferred to use.

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Quackery, Skeptics and Acupuncture….

Chris Wright

The reaction to the little piece about Naturopathy and my doctor (published in a June i2P update) has caused some not entirely surprising flame bursting by those who believe a remedy must be science based.
Hmmm, a good point.

Comments: 2

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Show me the Money!

Peter Sayers

Well, we are past July 1 and there has been no official statement on how, when and where the 15 cent payment for electronic prescriptions materialises.
Government does not appear to have specified how it wants a pharmacy claim presented, and system vendors may not have included a module to create an acceptable audit trail as yet.

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In the midst of change – everything remains the same

Neil Johnston

Pharmacist survival strategies have essentially remained the same for well over a century.
In simple terms when pressure is applied to dispensary margins more OTC opportunities are developed.
A conscious decision is made to expand the range of inventory items in niche markets and then key items are discounted to expand market share within that new market.

Comments: 2

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Sublime treachery, delivered par excellence

Chris Wright

It’s probably all been said but that astonishing ascent of the Member for Lalor Julia Gillard has nailed yet another nail in the coffin of our long cherished democracy.
Again, the power-crazed toe-cutters of the Labor Party were unable to muster the restraint required to allow an elected comrade see out the full game.
The bitter hatred (which is often factional but not necessarily in this case) that lurks behind closed doors was just too much. In the end those who read from the Graham Richardson manual on dealing with personnel superfluous to current requirements acted with rare brutality and “Kevin 07” became “Kevin gone to political Heaven” in a blink.

Comments: 7

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Cutting Carbon with Hydrogen Batteries

Staff Writer

TELSTRA'S mobile base stations and some exchanges could soon be backed up by energy efficient hydrogen fuel cells that promise to deliver a 20 per cent carbon emissions reduction compared with the diesel generators currently in use.

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The RACGP announces its new President

Staff Writer

The Royal Australian College of General Practitioners (RACGP) is pleased to announce the appointment of Professor Claire Jackson as President-elect.
Professor Jackson is a GP and GP Supervisor in Inala, Brisbane and is Professor in General Practice and Primary Health Care and Head of Discipline at the University of Queensland. She has been chair of the RACGP Council and the RACGP Queensland Faculty. She has had significant involvement in health reform in many areas, serving on the National Primary Care Strategy Expert Advisory Group and providing a commissioned paper for the National Health and Hospital Reform Commission.

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Outliving most of the world, but not healthy in every way, says nation’s health report card

Staff Writer

The national health report card released by the AIHW gives a pointer as to where primary health care funds are going to be directed to, and a guide as to what "specialties" will need to be invested in by pharmacists.
And following similar lines, the education that will need to be provided to back those specialties.
A systematic approach to developing and marketing pharmacy clinical services is long overdue, and leadership is stagnant.
What can be done?
In practical terms - probably nothing until after the next federal elections, but that gives a small window of opportunity for our lead pharmacy organisations to work out a plan of action and support each other in the process.
Political game playing, whether at the local, state or federal levels, is crippling initiative in all sectors of the economy - but in particular, health.
And pharmacy needs to attract some urgent funding to initiate some primary health care projects that can soak up some of the surplus graduates before it is too late, and we lose these valuable human resources.
It would also be interesting to know what impact existing pharmacy activities contribute to the report card statistics.

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Reviewing the Pharmacist Code of Ethics

Staff Writer

Renewing the code of ethics for pharmacists in the wake of the recent changes to healthcare legislation will be among the topics considered at a wide-ranging ethics conference at the University of Sydney (17-18 June 2010)
World-renowned ethics expert and Laureate Professor Peter Singer will deliver a keynote address on World Poverty: What are our obligations?
The Australian Association for Professional and Applied Ethics conference is being hosted by the Faculty of Pharmacy, under the theme Ethics in the Professional Life: Past, Present and Future.

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Study finds antidepressants not working in older men

Staff Writer

A recently published study in the journal PLoS-One has found that more than half of older men who use antidepressant medication or psychotherapy are not responding to treatment.
Lead author, Professor Osvaldo Almeida, Research Director of the Western Australian Centre for Health and Ageing at The University of Western Australia, said the finding was surprising and alarming.

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Tests help predict falls by Parkinson’s sufferers

Staff Writer

A group of tests may help predict which people with Parkinson's disease are more likely to fall, according to a study by Queensland University of Technology (QUT).
The study results were published recently in the American Academy of Neurology's online medical journal Neurology®.

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Cling Wrap Catches Carbon Dioxide

Staff Writer

High tech cling wraps that ‘sieve out’ carbon dioxide from waste gases can help save the world, says Melbourne University chemical engineer, Colin Scholes who developed the technology.

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Tea tree oil offers hope to skin cancer patients

Staff Writer

Tea tree oil may be used in future as a fast, cheap, safe and effective treatment for non-melanoma skin cancers and precancerous lesions, according to researchers at The University of Western Australia.
A three-year study by the University of Western Australia Tea Tree Oil Research Group has found solid tumours grown under the skin in mice and treated with a tea tree oil formulation causes inhibition of tumour growth and tumour regression within a day of treatment. Within three days, the tumours cannot be detected.

Comments: 1

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NPS Replaces TAIS Service

Staff Writer

NPS will discontinue funding the Therapeutic Advice and Information Service (TAIS) for health professionals as of 1 July 2010.

A guide to medicines information resources has been compiled on the NPS website which can be accessed via the health professional web page. Please note that some of the listed resources are freely available and others for a subscription fee.
Follow this link http://nps.org.au/medicines_information_guide.

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Consultant Pharmacists Freed Up

Staff Writer

The following press release issued by the AACP confirms changes to the HMR model that will at last see an opportunity to professionally collaborate with GP’s and to build a relationship with hospitals.That it has taken so long to deliver the obvious is sad.
But not to dwell on any negatives, it now frees up consultant pharmacists to develop independent business models to deliver services in a more economical, timely and streamlined fashion.
It may also open a secondary market for e-document exchanges capable of quickly sharing information for intended recipients.

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Vitamin C plays vital role in battle against cancer

Staff Writer

New research from the University of Otago, Christchurch, shows that vitamin C can help curb the growth of cancer cells.
The study, led by Associate Professor Margreet Vissers of the University’s Free Radical Research Group, is the first real evidence of a connection between vitamin C and tumour growth.
Associate Professor Vissers says “Our results offer a promising and simple intervention to help in our fight against cancer, at the level of both prevention and cure”.
The article is in the latest edition of the prestigious Cancer Research journal.

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Gut flora study gives insight into obesity

Staff Writer

A UQ academic's research into whether nature or nurture influences the development of gut flora has been published in Nature and may hold the key to understanding obesity.
Dr Florent Angly said the fundamental research was significant since some forms of obesity could be caused by the action of microbiota.

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At last - a peak national pharmacy group in formation

Staff Writer

A forum initiative developed by the Pharmaceutical Society of Australia (PSA) has seen discussion on the early stages of the first truly representative peak national pharmacy body.
It is presumed, when eventually formalised, that this body will be capable of generating national policies that will bind its membership and provide a cohesive single face for the "whole of pharmacy".
It is also presumed that this group will have provision to absorb emerging and new pharmacy organisations.
PSA is to be congratulated on taking the lead role in the establishment of the initial forum that is certain to win support by all pharmacists in whatever sector they work in.
In the current climate of severe political and commercial pressures on pharmacy, one wonders why it has not happened a lot earlier than this, because the disparate ambitions of various pharmacy organisations up to now has definitely worked against the best interests of the pharmacy profession as a whole.
i2P has often commented on this issue and the need for a peak body that is truly representative of pharmacy.

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Youth lead the adoption of e-health

Staff Writer

The ‘net’ generation, spanning 13 to 33 year olds, has embraced technology as the norm and is expected to adopt e-health as just par for the course in their highly connected lives according to several leading youth health experts.
Jonathan Nicholas, Chief Executive Officer of the Inspire Foundation, the organisation behind the web-based mental health support service for young people, ReachOut.com said, “As an organisation that uses the internet to connect with young people, we see a number of benefits for young people flowing from the proposed e-health record.

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US ‘Renaissance’ in pharmacy’s role as a vital health resource

Staff Writer

Pharmacists in Australia may be forgiven for feeling invisible as they search for roles and activities that gainfully utilise their experience and skills.
New projects and programs often mention "allied health" and nurses, but not pharmacists.
There are probably two major reasons for this problem:
* The Pharmacy Guild of Australia (PGA) has allocated resources exclusively to PBS-centric activities.
This has led to a reduction in jobs for new pharmacists and a surplus human resource. This is in stark contrast to all other health professions that seek to increase their practitioner numbers.
* GP lobby groups have promoted the use of practice nurses in key areas normally in the pharmacy domain. This has had the effect of increasing the number of "short" consultations, with the GP providing evaluation and the practice nurse to complete the work.
GP lobby groups have also been active in suppressing pharmacy initiatives particularly in the concept area of medication continuance.

In the US the opposite is occurring, mainly because of the fractured health service that exists in that country. However, while it can be said that Australia's health system may be better, it seems to be dysfunctional for the moment.
This may represent an opportunity for pharmacy if it can be properly articulated to politicians.
It appears that governments only turn to pharmacy when they need bailing out.
The end result always sees pharmacy disadvantaged as policies and promises are inevitably changed.
The following story recently appeared in Drug Store News

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Complementary and alternate medicines

Neil Johnston

There are many views held in pharmacy as to the efficacy and value of complementary and alternate medicines.
At i2P we endeavour to cater for all perspectives by publishing the views of skeptics such as Loretta Marron, who takes a “no holds barred” approach, and insist that the only perspective for medical professionals to prescribe/sell drugs be evidence-based.
On the other side, we recently published an article by Chris Wright (a regular i2P author), who is not a pharmacist but has a good working knowledge of pharmacy.
He opted to take acupuncture treatment from his GP instead of consuming anti-inflammatory drugs.
His GP gave him the choice.
Chris’s article drew strong comments from the “evidence-based perspective”.
(Follow this link to view comments at the end of the article)
Chris chose acupuncture because he felt it would work for him.

i2P asked Mark Coleman to make a comment which appears below the news item that originally appeared in Pharmacy News on June 24 2010.
Acupuncture is mentioned in the last line of that news item.

Comments: 1

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Weekly Australian Health IT Links – 27 June, 2010.

Dr David More

articles by this author...

From a Medical IT Perspective: I am vitally interested in making a difference to the quality and safety of Health Care in Australia through the use of information technology. There is no choice.. it has to be made to work! That is why I keep typing. Disclaimer - Please note all the commentary are personal views based on the best evidence available to me - If I have it wrong let me know!

Visit my blog http://aushealthit.blogspot.com/

This blog has only three major objectives.
The first is to inform readers of news and happenings in the e-Health domain, both here in Australia and world-wide.
The second is to provide commentary on how things are progressing in e-Health in Australia and to foster improvement where I can.
The third is to encourage discussion of the matters raised in the blog so hopefully readers can get a balanced view of what is really happening and what successes are being achieved.

Weekly Australian Health IT Links – 27 June, 2010.

Here are a few I have come across this week.Note: Each link is followed by a title and a paragraph or two. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or payment.

General Comment:

The big news this week is the final passage of the Health Identifier Service Bills – other than, of course, finding ourselves with a brand new Prime Minister. I have said enough about that event for a while I think so we can all sit back and wait to see what actually happens next. I do have to say, however, that I think there is a rather excessive sense of optimism about the likely level of impact of this small step.The following article makes it clear the health system has a significant safety and quality problem and provides the strongest possible rationale for doing broader e-Health in my view. After all that is what the health system is expected to provide as it delivers care!

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Errors plague hospital system

REPORTS of violence, infections, falls, and medication mistakes affecting public hospital patients increased last year. Health Minister John Hill tabled the SA Patient Safety Report 2008-09 in Parliament yesterday, which shows the number of reported incidents rose from 22,522 in 2006-07, to 26,094 in 2007-08, and 29,056 last year.It shows the "sentinel" or most serious events included:SIX hospital inpatient suicides.SEVEN instruments left in patients after surgery.TWO maternal deaths.More than 7000 patients fell over; nine of them died after falling and 23 of them suffered serious injuries.About 5900 medication mistakes included 660 overdoses, and about 1750 medication omissions. The number of healthcare-associated infection incidents more than doubled to 167.The report's introduction says errors are a "normal human condition", that most "did not cause significant harm", and highlights that the increase is in reported numbers, which shows the robustness of the department's safety culture.Mr Hill said reporting such incidents was important because staff can learn from mistakes and refine procedures. SA Health chief public health officer Dr Stephen Christley said the department had an "excellent safety culture".Full article here:http://www.adelaidenow.com.au/news/south-australia/errors-plague-hospital-system/story-e6frea83-1225883451052It is important to remember just what we are doing e-Health for!Now to the articles for the week.-----http://www.theaustralian.com.au/australian-it/gillard-gets-e-health/story-e6frgakx-1225883843398

Gillard 'gets' e-health

  • UPDATED: Fran Foo
  • From: Australian IT
  • June 24, 2010 2:50PM

ELECTRONIC health experts have cautiously welcomed Julia Gillard's elevation to prime minister, with some saying she has a good understanding of e-health. Health IT blogger David More said as an ex-opposition health spokeswoman, Ms Gillard is aware e-health was a crucial issue."She does know that e-health is important and having been opposition health spokesman (she) knows how hard Tony Abbott found it to make any progress."I think she will be interested to see what can be done to move the agenda along," Dr More said.Dr More said an example why he believes Ms Gillard "gets e-health" was a speech she made in June 2006. She was one of the first senior politicians to link the benefits of high-speed internet access to an e-health framework.Ms Gillard lamented wasted opportunities under the Howard government to introduce e-health systems while addressing the ACT chapter of the Australian College of Health Service Executives."I think we have to face the fact that a national e-health system is at least a decade off."To fix the problem we will need a national, collaborative approach and strong national leadership. We will also need all your skills, insights and abilities. Only then can we begin to reap the benefits of the e-health revolution.
-----http://www.computerworld.com.au/article/351177/healthcare_identifiers_bill_passed/?eid=-6787

Healthcare Identifiers Bill passed

Medicare Australia expected to assign unique healthcare identifiers in October

The Federal Government passed through the Healthcare Identifiers Bill 2010 and the Healthcare Identifiers (Consequential Amendments) Bill 2010 this week, following four months of debate and a last minute push by the Department of Health and Ageing and the National eHealth Transition Authority (NeHTA).The Senate is believed to have passed the bills at approximately 8.45pm on 25 June, as Australian Parliament House wrapped the final day of sitting before the winter break. The bills allow e-health authority NeHTA and service lead Medicare Australia to begin assigning unique, 16-digit individual healthcare identifiers to the Australian public within the 1 July timeframe originally stipulated under the Government proposal.Concerns the bill wouldn't be passed before July arose after the health minister, Nicola Roxon, agreed to amendments tabled by the Opposition. The amendments - some of which were added to the main bill - would effectively see Medicare Australia a permanent operator of the identifier service, pending a review of the legislation in two years or other directives from Parliament. A final contract between Medicare Australia and NeHTA is believed to have been signed, but a spokesperson for NeHTA failed to confirm this.-----http://www.medicalobserver.com.au/news/senate-gives-healthcare-identifiers-bill-green-light

Senate gives healthcare identifiers Bill green light

25th Jun 2010Caroline Brettingham-Moore   all articles by this authorAFTER months of uncertainty the Healthcare Identifiers Bill has finally been passed by the Senate.The legislation, passed in the dying hours of Parliament before the winter recess, will enable all Australians and healthcare providers to be indentified by a unique 16-digit number.Medicare will have allocated 98% of Australian’s an individual healthcare identifier by Monday.National E-Health Transition Authority clinical lead Dr Mukesh Haikerwal said the Government and the Coalition should be congratulated for making e-health a priority.-----http://www.medicalnewstoday.com/articles/192957.php

Healthcare Identifiers To Kickstart e-Health Implementation, Australia

25 Jun 2010   AMA President, Dr Andrew Pesce, said today that the AMA is pleased that the Healthcare Identifiers legislation has been passed by the Parliament and now looks forward to an acceleration of the implementation of e-Health programs in Australia. Dr Pesce said healthcare identifiers are an important building block for electronic health records. "Healthcare identifiers will facilitate the timely and accurate sharing of electronic patient information to improve medical care in Australia," Dr Pesce said. "The legislation very clearly provides for the healthcare identifiers to be used solely to identify individuals for the purposes of accessing and sharing individual electronic health information. -----http://www.medicalnewstoday.com/articles/192944.php

Health Identifiers A Good Start On E-health, Australia

25 Jun 2010   ANF Federal Secretary elect Lee Thomas welcomes the introduction of the Healthcare Identifiers Act saying it will improve patient safety and care by giving nurses and midwives access to electronic health records. Ms Thomas said the ANF hoped the government's e-health reform agenda could now be advanced to deliver a more streamlined health system for the nation. "On a daily basis nurses and midwives are forced to make important decisions on how to initiate care for seriously ill people who may present to a hospital and often the nursing and medical staff will not know that person's medical history," she said. Ms Thomas said e-Health would also make life easier for those on a complex regime of medication. -----http://www.misaustralia.com/viewer.aspx?EDP://1277427235640&section=news&xmlSource=/news/feed.xml&title=Parliament+passes+e-health+legislation

Parliament passes e-health legislation

AAPEvery Australian will be given an individual healthcare identification number from next week after the federal parliament passed legislation giving the scheme the green light-----http://www.zdnet.com.au/mac-uni-to-open-paperless-e-hospital-339304034.htm

Mac Uni to open paperless e-hospital

By Luke Hopewell, ZDNet.com.au on June 24th, 2010Australia's first paperless hospital is set to open this weekend, using e-health records to manage patient care.Macquarie University Hospital, located on the Macquarie University campus, is designed to be a "digital hospital", according to chief information officer, Geoff Harders. Existing paper records will be migrated into a digital format for use on workstations, and patient care is tracked by Siemens "cockpit" systems, eliminating clipboard charts in a patient's room. "There's a lot of things being done that haven't been done in the past ... we're about trying to become an exemplar," Harders said. The paperless system sees patient records, tests, dietary requirements and other relevant information entered into the hospital's system and added to the patient's digital record.-----http://www.theage.com.au/victoria/hospital-shunned-over-computer-revelations-20100623-yw22.html

Hospital shunned over computer revelations

DAVID ROOD

June 23, 2010 PREMIER John Brumby's office moved a media conference away from The Alfred yesterday to avoid embarrassment over revelations senior doctors believed the hospital's computer system was putting patients' lives at risk.The announcement by Mr Brumby and Health Minister Daniel Andrews of measures to cope with winter illnesses was moved to the Monash Medical Centre in Clayton.The Age reported yesterday that medical staff regard The Alfred's electronic medical record system as a disaster, with surgeons forced to compete with nursing staff and anaesthetists for access to computer terminals.-----http://www.misaustralia.com/viewer.aspx?EDP://1277248755115&section=news&xmlSource=/news/feed.xml&title=SA+Health+nears+%24100m+software+decision

SA Health nears $100m software decision

Brian CorriganSouth Australia Health is in the final stages of picking the technology that will power a state-wide electronic health information system following a rigorous assessment process involving hundreds of clinicians.-----http://www.misaustralia.com/viewer.aspx?EDP://1277250019161&section=news&xmlSource=/news/feed.xml&title=Qld+Health+payroll+staff+consider+action

Qld Health payroll staff consider action

AAPAngry Queensland Health (QH) payroll staff will consider stop-work action if something isn't done soon to ease their 60-hour-week work loads, their union says.-----
http://www.6minutes.com.au/articles/z1/view.asp?id=519176

Online GPs to take over after hours careby Jared Reed

‘Online GPs’ are be at the centre of a new three-tier after-hours primary care telephone system, the government has revealed on its yourHealth website.

A ‘medical advice and a diagnostic service’ provided by online doctors will be added on to the phone triage service currently provided by nurses through the National Health Call Centre Network, healthdirect Australia.

Under the new scheme, patients will first contact their local practice, and have their call diverted to the nurse-run phone line. The nurse may then refer the patient upwards to an ‘online GP’, who will “provide further medical advice and treatment options”. From 2013, the online GP may then refer the patient for a face-to-face consultation with the nearest Medicare Local after hours GP.
-----http://www.theaustralian.com.au/australian-it/no-end-to-queensland-payroll-debacle/story-e6frgakx-1225883123593

No end to Queensland payroll debacle

  • From: AAP
  • June 23, 2010 10:28AM

ANGRY Queensland Health payroll staff will consider stop-work action if something isn't done soon to ease their 60-hour-week work loads. Thousands of health workers have either not been paid, have been underpaid or overpaid since a problematic new software system was introduced three months ago.Extra payroll staff have been put on to fix the pay problem, but workers are now at breaking point with no end to the mess in sight, the Australian Services Union's Julie Bignell says.Around 50 workers at QH's Meadowbrook payroll hub stopped work on Tuesday to meet and vent their anger over a decision to move three experienced staffers to the Princess Alexandra Hospital to work in an information kiosk for pay queries.-----http://www.zdnet.com.au/vic-govt-launches-greenit-cluster-339304026.htm?omnRef=NULL

Vic govt launches GreenIT cluster

By Josh Taylor, ZDNet.com.au on June 23rd, 2010 (21 hours ago)The Victorian Government yesterday launched what it calls "Australia's first environmental IT industry cluster", shelling out $100,000 for the initiative.The Victorian Minister for Information and Communications Technology John Lender announced the cluster at an Australian Information Industry Group event yesterday. He revealed the new Victorian-based cluster is comprised of the Australian Information Industry Association, Box Hill Institute, CSC, KPMG, Prima Consulting and Tradeslot."This new cluster brings together six industry and government organisations with industry knowledge, giving companies an excellent opportunity to share knowledge and promote industry capability nationally and internationally," Lenders said in a press release.-----http://rustreport.com.au/

Aussie tech drives GPs' reports

E-health solutions provider Global Health has been selected to provide its ReferralNet system to Australian Medical Locum Services as a platform for secure message delivery. ALMS provides after-hours care for the patients of almost 2000 GPs in Melbourne and Perth.-----http://www.itwire.com/it-industry-news/market/39891-isoft-oakton-partner-on-microsoft-systems-integration

iSOFT, Oakton partner on Microsoft systems integration

By Gordon Peters
Tuesday, 22 June 2010 00:33 Listed-Australian technology and business consultancy, Oakton, has been chosen by iSOFT as the preferred partner of systems integration services in a project to roll out Microsoft Dynamics AX to 28 customers nationwide in the health care industry.Under the agreement, iSOFT will subcontract to Oakton to deliver Dynamics AX to clients in the healthcare industry to replace their existing financial system, with iSOFT touting the project as a “major transformation initiative to modernise financial operations and provide more integrated back office services.”iSOFT operations director, Rein de Vries said Oakton was selected as preferred partner due to its “deep Microsoft capability and its alignment to our successful deployment methodologies.”-----http://www.smh.com.au/business/margin-calls-force-isofts-cohen-to-sell-down-shares-20100625-z9ss.html

Margin calls force iSoft's Cohen to sell down shares

CHRISTOPHER WEBB

June 26, 2010 THERE was large-scale movement yesterday in the share price of iSoft, an outfit that bills itself as the biggest health information technology company listed on the exchange.The shares, which closed at 19¢ the day before, fell to 13.5¢ in morning trading.By midday, the scrip recovered somewhat to 16¢ and at 1.12pm chief executive Gary Cohen issued a statement to say he had sold shares as a result of margin calls.''As advised to the audit committee in 2008, I borrowed funds on security of my shares in iSoft in order to allow my entities to participate in the rights issue conducted by the company in 2007,'' he said.The original borrowing related to less than 1 per cent of the then market value of iSoft shares and less than 15 per cent of the total shares in which he had a relevant interest, Mr Cohen said.-----http://www.zdnet.com.au/isoft-s-anz-md-to-leave-339304029.htm

iSoft's ANZ MD to leave

By Josh Taylor, ZDNet.com.au on June 24th, 2010iSoft's Australia and New Zealand managing director, Denis Tebbutt, will be leaving the company, with its NZ country manager James Rice to move into the leadership role."Denis will be leaving the organisation," the company said in a statement. "James Rice has been put into the leadership position for the Australian and New Zealand business unit." The company did not reveal the reasons for Tebbutt's departure.-----http://www.healthinvestor.co.uk/%28X%281%29A%28nKal5bZHywEkAAAAZTg0MTJiMGUtN2I5YS00OTQ0LWI3ZmQtMzU5NzFlOWQ4MzE2Wpq50MNisHXbpEc2UZVH2BAAGNI1%29S%28oqgfr0uvc5ag0o455dicu155%29%29/ShowArticle.aspx?ID=1179

iSoft forced to slash costs

Troubled NHS software supplier iSoft has been forced to go to its banks to ask for more favourable borrowing terms, and to draw up plans for a "significant reduction in costs", which could include job losses.The move follows a string of negative trading updates by the company over the last few weeks.iSoft’s software package Lorenzo, which the company is due to roll out across two thirds of England’s hospitals, was installed this month at a large NHS trust six years after the first of many deadlines was missed.-----http://www.medicalobserver.com.au/blog/168

Gillard’s test: effective health reform

Shannon McKenzie 25th Jun 2010AFTER the swift toppling of Kevin Rudd, Australia now has its first female Prime Minister, Julia Gillard, and the country is eagerly waiting to see what kind of leader she will be. Doctors in particular will be scrutinising her words for clues as to how she plans to move forward with the National Health and Hospitals Network plan, and what degree of involvement they may be afforded. Given one of her first acts as Prime Minister was to call a truce with the mining industry and invite its chiefs to renegotiate the Resources Super Profits Tax, the signs are good that she will adopt a more consultative approach to government. Kate Carnell was AGPN CEO in 2004 when Ms Gillard held the position of shadow health minister.She describes her as “accessible, incredibly bright, with a good grasp of policy”.Importantly for GPs, she recalls Ms Gillard’s approach to policy was one of “always trying to bring people with her”.-----http://www.zdnet.com.au/govt-goes-into-tech-overdrive-339304103.htm

Govt goes into tech overdrive

By Suzanne Tindal, ZDNet.com.au on June 25th, 2010I don't know whether the government managed to catch my blog last week about never getting anything done, but this week it went out of its way to prove me wrong.It pulled me out of bed on Sunday to write about a deal with Telstra that will see the telco move its customers onto the National Broadband Network. Considering I'd never thought the government and Telstra would ever see eye to eye I was really taken aback. In an embarrassing blunder from October 2009, Senator Stephen Conroy released an ACCC report that valued Telstra's copper access network at between $8 billion and $40 billion.Considering that the amount Telstra is going to get from the government to transfer its customers to the National Broadband Network and decommission its copper network is much closer to $8 billion than $40 billion, I'm calling that a victory for the government. -----http://www.computerworld.com.au/article/350882/money_down_drain_tech_bills_blocked/

Money down the drain as tech bills blocked

Opposition's "filibustering" could mean as much as $16.5 million in taxpayer money down the drain

Up to $16.5 million of taxpayer's money could be wasted by the end of 2010 due to alleged "filibustering" by the Federal Opposition, Australian Greens senator, Scott Ludlam, has claimed."It costs more than a million dollars a day to run this building and [the Opposition is] filibustering the bills," he told Computerworld Australia.A spokesperson for Australian Parliament House clarified that yearly operating costs for Australian Parliament House are between $150 million and $175 million, extrapolated across the whole year to an average of $500,000 per day excluding MP salaries. -----http://www.theage.com.au/national/opposition-not-bound-to-telstra-network-deal-20100621-ysa3.html

Opposition not bound to Telstra network deal

ARI SHARP

June 22, 2010 THE government's $11 billion agreement with Telstra would not tie the opposition's hands if it tries to scrap the network after the next election.The opposition has pledged to suspend work on the project after the election and wind back commitments made by the government's NBN Co, meaning the ditching of the $43 billion project could be pricey if major contracts have been locked in.But the heads of agreement struck between Telstra and NBN Co on the weekend does not bind either party, meaning the opposition would be able to extract the government from the deal without facing a financial penalty or legal challenge if it is elected to office.-----http://www.computerworld.com.au/article/350609/telstra-nbn_co_deal_analysts_weigh/?eid=-255

Telstra-NBN Co deal: Analysts weigh in

Analysts debate which party has emerged victorious

While many in the industry will welcome the reaching of a Financial Heads of Agreement deal between Telstra and the NBN Co for the separation of Telstra, analysts are debating which party has emerged from the protracted negotiations as victor.IDC Australia telecommunications analyst, David Cannon, said the outcome of the negotiations could be read as a “win-win” for the Government and Telstra.“Telstra… still gets to keep the pits and ducts and hence we should see a big gain in Telstra share price,” he said. “This is also a great win for the government as it validates its broadband vision whilst securing the interests of Australian tax payers (with a cheaper rollout) and Telstra shareholders which the opposition was not able to achieve.“Most importantly, Telstra shareholders have been looked after, and hence David Thodey has done his job.”-----http://www.theaustralian.com.au/business/telstra-in-11bn-nbn-deal-with-rudd-government/story-e6frg8zx-1225882022392

Telstra in $11bn NBN deal with Rudd government

  • Mitchell Bingemann and Jennifer Hewett
  • From: The Australian
  • June 21, 2010 12:00AM

TELSTRA has struck an $11 billion deal with NBN Co and the Rudd government to transfer its internet and voice customers to the NBN. The non-binding financial heads of agreement -- which comes after 10 tortuous months of negotiations -- will see Telstra paid $9bn to become the NBN's largest customer as it transfers its cable and copper network customers to the new fibre network during its eight-year construction.Telstra expects to reap a total $11bn in post-tax net present value from the deal after new public policy reforms that relieve the company's obligation to provide and maintain basic phone services to rural and remote areas-----Enjoy!David. Posted by Dr David More MB, PhD, FACHI at Sunday, June 27, 2010 0 comments

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