Pulse+IT Blog

From neglect to care, dignity and respect

It did not go unnoticed that the final report of the Royal Commission into Aged Care Quality and Safety released this week was titled Care, Dignity and Respect, a far more aspirational name than that which starkly laid out the findings of the commission’s interim report in October 2019: Neglect. That being said, if there was one sentence that summed up the findings of the final report and the national shame the royal commission has uncovered, it was this one: “Substandard care and abuse pervades the Australian aged care system.”

The 148 recommendations in the final report cover the gamut of issues facing the sector, from how to regulate it to how to fund it and how to ensure its vast workforce is equipped to adequately provide the care that appears to be so lacking. The final report also placed a good deal of emphasis on information, data and technology, which also appear to be sorely lacking.

Getting with the mass vax program

As the Phase 1a vaccination roll-out began this week in Australia, we had a quick chat to some of the head honchos at Cerner Asia Pacific about how the EMR vendor was helping its users in Australia get with the program. Cerner started working on a mass vaccination solution for its global clients in the middle of last year having foreseen that this would prove somewhat useful, and it has since swung into action and rolled it out in the US and the UK, which is acting as a reference site for Australian users.

Cerner sites such as Royal Prince Alfred, Liverpool and Westmead hospitals in Sydney and The Alfred in Melbourne began using the COVID-19 vaccination update that Cerner has tailored for the local market this week, with vaccination data able to be extracted and uploaded to the Australian Immunisation Register (AIR). We hear that a couple of Queensland hospitals are also using the new capability.

Getting on the front foot with vaccination passport

New Zealand kicked off its Covid-19 vaccination program today, with vaccinators themselves receiving the first of the Pfizer-BioNTech shots and border and quarantine staff to follow from tomorrow. Australia is set to start on Monday, with frontline health workers, quarantine and border workers and aged care and disability residents all being prepared for the first phase.

The ball has started rolling on the largest vaccination programs our countries have ever seen, and the hope is the majority of our populations will be covered by October. We’ll wait and see on that as systems fall into place to support the wider roll-out to the community, and fingers crossed everything goes smoothly. Our technology companies are coming to the party, deploying IT solutions at pace, and we hope to hear more news on how general practice will be supported as it prepares.

Vendors move quickly to fill tech void

The decision by the Victorian government to order a snap five-day lockdown from midnight on Friday shows just how crucial the COVID-19 vaccination program will be. As Nobel laureate Peter Doherty said, if we want to avoid this sort of constant economic and social disruption, we are going to need a vaccination rate of over 80 per cent.

That will mean retaining confidence in the vaccines themselves, and getting them out as quickly and efficiently as possible. And that will need good, efficient management of the first phases of distribution and administration in hospitals, residential aged care, general practice and pharmacies.

Vax campaign not going by the book

The big news this week was the Australian Department of Health’s call for expressions of interest from general practices to take part in phase 1b of the Covid vaccination program, which is due to begin in March. As the EOI has been digested over the week, some serious questions are being asked about the plan, which doesn’t appear to be fully fleshed out.

Putting aside whether it will be financially viable for any but the largest general practices that can guarantee a production line process to take part, questions remain about how to schedule patients for the different phases of the roll-out, the ability to adequately staff the clinics, and the site requirements that the department is specifying. We are now seeing pushback from GPs about the MBS funding model and concerns over patients that won’t be able to get their vaccine from their regular practice.

DoH booking a whole lot of trouble

By far the biggest story of the week has been the confusion that has surrounded the roll-out of the Department of Health’s alleged National Booking Solution to support the Covid-19 vaccination program in primary care. Such has been the confusion that some software vendors who sat in on a departmental call with their trade association on Tuesday came away completely shocked that the department did not mean to do what they all feared it would.

Rumour has swirled in the industry over the design of the solution, with many hearing that Accenture had been awarded a contract to build it. Accenture certainly is developing a data solution to trace the vaccines from receipt from the manufacturers to post-administration surveillance, but it appears it is not involved in the last mile of managing bookings and recalls for vaccination clinics.

Is ADHA a lame duck?

The big news in Australian digital health this week was the appointment of former Mater Health CIO and Queensland Health chief health information officer Mal Thatcher as the Australian Digital Health Agency’s new chief technology officer. The job calls for both strategic and operational leadership of the agency’s infrastructure operations division at a critical time as it looks to modernise the national infrastructure and replatform the My Health Record, starting with its API gateway.

Dr Thatcher is an excellent choice, having had a career in both strategy and operational IT, and he is very well respected and liked in the industry. He knows his stuff so we wish him well as a new executive team is built to replace the initial one put together by Richard Royle and Tim Kelsey. All of that team has now departed, with new CEO Amanda Cattermole given space to select her own.

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