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Title : Has The ADHA Not Kept The Right And Left Hand In Synch – It Rather Looks Like It.
link : Has The ADHA Not Kept The Right And Left Hand In Synch – It Rather Looks Like It.
Title : Has The ADHA Not Kept The Right And Left Hand In Synch – It Rather Looks Like It.
link : Has The ADHA Not Kept The Right And Left Hand In Synch – It Rather Looks Like It.
Has The ADHA Not Kept The Right And Left Hand In Synch – It Rather Looks Like It.
We had this appear yesterday from the ADHA.
Fact Check: Security of My Health Record
Created on Friday, 14 July 2017
What is My Health Record?
My Health Record is a secure online summary of your health information. An individual can control what goes into it, and who is allowed access. Individuals can choose to share their health information with their doctors, hospitals and other healthcare providers.
Why is there a need for a digital record system?
One in three General Practitioners (GPs) will see a patient for whom they have little or no health information. Many patient records are created as paper files. They are regularly transmitted between healthcare providers using unsecure email, fax machines and by post. The My Health Record offers health professionals secure digital access to a patient’s record at the point of care, wherever that may be.
There are significant benefits of My Health Record for all Australians. These include avoided hospital admissions, fewer adverse drug events, reduced duplication in diagnostic tests, better coordination of care for people seeing multiple healthcare providers, and better informed treatment decisions.
Following unanimous support by all State and Territory governments, the Government will expand My Health Record and create a record for every Australian, unless they prefer not to have one.
The Health Sector Supports My Health Record
- The Australian Medical Association's policy position for maximising My Health Record, states:
‘We all want the My Health Record to work. It has the potential to support much better patient care, particularly when your patients see another doctor or health care provider.’
- The Royal Australian College of General Practitioners (RACGP) includes helpful case studies on their website on the benefits of My Health Record for GPs:
‘The RACGP has been an advocate for a national shared electronic health record system and understands the clinical benefits of healthcare providers accessing healthcare information not available via normal communications channels.’
- The Pharmacy Guild of Australia supports the My Health Record in community Pharmacy:
‘Community pharmacy, as the most accessible community health care destination, has always been at the forefront of digital innovation and an opt-out model for the operation of My Health Record will enable community pharmacies to enhance their patient care.’
How does My Health Record system protect people’s health information?
My Health Record legislation provides protections for privacy of medical information in the system. The Agency, as the system operator, is responsible for the security of the My Health Record system.
The Agency have in place a comprehensive set of people, process, and technology controls to protect health records from a cyber-attack. The system has bank strength security which ensures information is stored and accessed by only trusted connected health systems.
The system complies with the Australian Government requirements for storing and processing protected information, and is regularly tested and audited to confirm that these requirements are met.
The Agency’s Cyber Security Centre continually monitors the system for evidence of unauthorised access. This includes utilising specialist security real-time monitoring tools that are configured and tuned to automatically detect events of interest or notable events. Examples of this include:
- Overseas access by Consumers and Healthcare Providers
- Multiple failed logins from the same computer
- Multiple logins within a short period of time
- Logins to the same record from multiple computers at the same time
- High transaction rate for a given Healthcare Provider
- Certain instances of after business hours access and all instances of emergency access.
The Cyber Security Centre regularly reviews the events of interest based on its knowledge of the likely threats to the My Health Record and updates them accordingly.
How do healthcare providers protect your health information?
Every time a healthcare provider accesses a My Health Record, a log is automatically created. This allows an individual to monitor every access to their My Health Record in real time, with complete transparency.
An individual’s Medicare card number does not allow My Health Record information to be accessed, additional information is required to authenticate consumers and health care providers.
Healthcare organisations can only access an individual’s My Health Record if they:
- are directly involved in the individual’s care;
- have a healthcare provider certificate installed (either with NASH HPI-I or HPI-O certificate) on the device that they are using to access the record;
- a valid username and password, and;
- have the Record Access Code (RAC), if an individual has enable restrictions.
Any software that connects to the system undergoes automated checks to ensure that it conforms to the system requirements and has authority to access the information. Write access to My Health Record is only available to healthcare provider organisations via approved clinical software.
If a person were to deliberately access an individual’s My Health Record without authorisation, criminal penalties may apply. These may include up to two years in jail and up to $126,000 in fines.
What controls do individuals have?
A person can arrange to be notified by email or SMS when a healthcare provider organisation accesses their record for the first time. The individual can also view a real time log of every access to their My Health Record by a provider organisation.
Individuals can control what information is in their My Health Record, and which healthcare provider organisations can access their record. A range of privacy controls are available including:
- Setting a Record Access Code (RAC) which the individual can give to their healthcare provider organisation to allow access to their record, and prevent other healthcare providers from access unless in an emergency
- Flagging specific documents in their record as ‘limited access’, and controlling who can view
- Removing documents from view within their record
- Asking healthcare providers not to upload information and, under the My Health Records Act 2012, healthcare providers must comply with this request.
For more information on managing access, privacy and security of your My Health Record visit www.myhealthrecord.gov.au or call 1800 723 471.
Download 'Factsheet: Security of My Health Record'
Here is the link:
Clearly the message that is intended is that we have it all utterly in hand an – to quote a now dead politician – ‘Don’t you worry about that!’
But then we have this that appeared also last week:
Australian Digital Health Agency MOU Biannual Report 2016-2017 for the period ending 31 December 2016
Mr Tim Kelsey
Chief Executive Officer
Australian Digital Health Agency
Level 25, 56 Pitt Street
Sydney NSW 2000
Chief Executive Officer
Australian Digital Health Agency
Level 25, 56 Pitt Street
Sydney NSW 2000
Dear Mr Kelsey
I am pleased to provide you with the biannual report for the period ending 31 December 2016, in accordance with section 3.3 of Schedule 1, section 3.3 of Schedule 2 and section 10.1 of the Memorandum of Understanding between the Office of the Australian Information Commissioner and the Australian Digital Health Agency, in relation to the provision of dedicated privacy-related services under the Privacy Act 1988, the My Health Records Act 2012 and the Healthcare Identifiers Act 2010.
If you have any queries relating to the report, please contact Melanie Drayton on [contact details removed].
Yours sincerely
Angelene Falk
Deputy Commissioner
Deputy Commissioner
21 March 2017
Here is the link to the total report:
Here we discover (about ½ way down the full report) the following:
Details of mandatory data breach notifications relating to the My Health Record system
Mandatory data breach notifications received during the reporting period
The OAIC received two mandatory data breach notifications from the System Operator during the reporting period, in September 2016 and December 2016. It involved the unauthorised access of a healthcare recipient’s My Health Record by a third party. The review of these notifications was ongoing as at 31 December 2016.
The OAIC also received eighteen mandatory data breach notifications from DHS during the reporting period.
- Eleven notifications resulted from findings under the Medicare compliance program that certain Medicare claims in the name of a healthcare recipient but not made by that healthcare recipient were uploaded to their My Health Record. These notifications totalled 92 breaches, each of which affected a separate healthcare recipient. Seven of these data breach notifications have been closed, totalling 67 breaches, and the review of the other four notifications, totalling 25 breaches, was ongoing as at 31 December 2016.
- A further seven notifications, affecting fourteen healthcare recipients, eight with a My Health Record and six without, relate to healthcare recipients with similar demographic information having their Medicare records intertwined. As a result, Medicare claims belonging to another healthcare recipient were made available in the My Health Record of the record owner. Review of these notifications was ongoing as at 31 December 2016.
Mandatory data breach notifications closed during the reporting period
The OAIC completed its enquiries into ten data breach notifications received from DHS between April 2016 and October 2016. These data breach notifications relate to the findings under the Medicare compliance program discussed above.
The OAIC requested further information from DHS regarding the data breaches. Following consideration of the additional material and response provided by DHS, the OAIC considers that DHS has acted appropriately in assessing those incidents, sought to cancel the relevant My Health Records and sought to contact affected individuals.
Mandatory Data breach notifications received in previous reporting periods and still open
Two of the data breach notifications received by the OAIC prior to 1 July 2016 were still open at 31 December 2016. These data breach notifications relate to intertwined Medicare records and affected four healthcare recipients and two My Health Records.
----- End extract.
So not only do we have breaches of the myHR but they don’t seem to be rapidly investigated and resolved.
Go figure – but it is hardly bolstering the confidence of those who have also been a little disquieted by the Medicare Number leaks of last week.
Not very professional as far as I can see, and just what was the point of discussing how many entities love the myHR in the same document?
David.
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