Quote Of The Year

Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"

or

H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Friday, June 28, 2013

Here Is Another Wrinkle In The Search For Information Security. Securing USB Sticks.

This popped up a few days ago.

Poor USB security puts info for 6 million Medicare beneficiaries at risk

June 19, 2013 | By Dan Bowman
A Medicare contractor's failure to adequately implement security controls over USB devices put sensitive information for more than six million Medicare beneficiaries at risk, according to a report published this month by the U.S. Department of Health & Human Services Office of Inspector General.
The contractor--Columbia, Md.-based Quality Software Services, Inc.--is responsible for independent testing services for changes to Medicare Part A and B "Fee-for-Service" standard systems. OIG found that QSSI did not list "essential system services or ports" in its security plan, nor did it disable, prohibit or restrict use of unauthorized USB device access. According to the report, QSSI failed to implement USB security controls "because its management had not updated its USB control policies and procedures."
"As a result … the PII of over six million Medicare beneficiaries was at greater risk from malware, inappropriate access, or theft," the report added.
More here:
One of those little warnings that are always worth re-iterating. Those USB sticks need to be used with great care when moving sensitive information.
If you have not considered the issue here is a great deal of extra information
Worth being aware of.
David.

Thursday, June 27, 2013

I Am Not Really Sure There Is A Business Case For This! Looks Very Expensive.

This appeared a little while ago.
  • NEXT IN TECH
  • May 20, 2013, 8:07 p.m. ET

Forget to Take Medicine? These Pills Will Tell Your Doctor

Startups Devise Ways to Help Patients Stick to Their Pill-Taking Schedule

By TIMOTHY HAY

Startups are coming up with new technologies, such as "digital pills," aimed at getting people to take medicine only as directed. Timothy Hay joins The News Hub. Photo: AdhereTech.
Startup companies are coming up with new technologies aimed at getting people to take medicine only as directed.
Taking medication haphazardly—skipping doses, lapsing between refills or taking pills beyond their expiration date—has been linked to health complications and hundreds of millions of wasted dollars for insurers and hospitals.
AdhereTech pill bottle. It glows blue during the optimal dosage time and it flashes red when the dosage is missed.
An IDEO concept for a medicine bottle that would show spots like a rotting banana when past expiration date.
"After six months' time, only half of people taking prescription medicines are taking them as directed," said Troyen Brennan, chief medical officer of drug retailer CVS Caremark Corp.
Health insurers and pharmacy-benefits managers like CVS have long relied on robo-calls, mailers and face-to-face meetings with pharmacists to keep patients on their dosing schedule.
Now they are evaluating a range of more cost-effective technologies, from pills and bottles with digital sensors, to data analytics software and social games that offer patients rewards.
Insurers and pharmacies are motivated in part by Medicare, which offers financial rewards for proving their members have improved their overall adherence to medication schedules.
Lots more here with photos:
I just love the ideas here - as long as the cost does not wind up being silly this may indeed help!
David.

Wednesday, June 26, 2013

I Wonder What This Actually Means For NEHTA And Its Future. It’s Not Clear To Me.

This appeared a few days ago.

NEHTA wins a $47.2m injection

THE National e-Health Transition Authority has received a $47.2 million injection that will keep it operating for another year.
A Department of Health grants report shows NEHTA had an extension to Council of Australian Governments funding from June 5 to June 30 next year.
…..
NEHTA also received $82,100 to undertake personally controlled e-health records case studies.
Standards Australia will get $9.3m in e-health related funding while CSIRO has gained more than $4m for National Broadband Network telehealth pilot programs.
…..
A memorandum of understanding with the Office of the Australian Information Commissioner in relation to the e-health legislation and Privacy Act is valued at $4.6m.
The government will assist Medicare Locals push its e-health agenda and increase the take-up rate to the tune of more than $11m.
As at June 5, 250,000 had registered for an e-health record.
About $4.8m will be set aside to fund programs to support Medicare Locals in their cluster to achieve e-health change, adoption and goals.
More here:
You can find the detailed information here:
See here:

Grants Listing 2012-13 - Year to Date:

The Department of Health and Ageing has made every effort to ensure that the Microsoft Excel version of DoHA Grants Report 2012-13 meets accessibility requirements. If you are experiencing difficulty accessing the information contained within this document, please email contract reporting to arrange for an alternative format to be provided to you.
-----
It is interesting to note that in 2011-12 receipts were $272M and the year before $113M. NEHTA also had $147M in reserves June 30, 2012.
A look through the State Budgets so far shows no specific NEHTA funding for next year I can spot.
See here:
And here:
What I suspect is going on here is that the Commonwealth is providing some NEHTA funding for the next 12 months but that with the retained cash the States are not putting in as much. It might also be because the new Memorandum between the States and Commonwealth on NEHTA has yet to be signed.

Of course it might also be that some of the Jurisdictions simply don't want to be involved with NEHTA any more.
 
See here:
I would be interested to hear from anyone who knows just what is really actually happening with NEHTA funding, staff levels and activities for the forward year.
David.

Tuesday, June 25, 2013

There Was A Lot Of News On The Privacy Front Last Week. Much Of It Affecting E-Health.

This appeared a few days ago.

OAICnet — 21 June 2013

Category: OAICnet
Friday, 21 June 2013
In this edition of OAICnet we introduce you to our new website, cover some important new amendments in the freedom of information and privacy areas, and provide news on our most current resources.

OAIC new website is now live

On 5 June 2013, the Office of the Australian Information Commission (OAIC) launched a new website providing a ‘one stop shop’ for information about privacy, freedom of information (FOI) and information policy. The OAIC website includes a range of new features.
We welcome your feedback.

Community Attitudes to Privacy research

The OAIC’s study on community attitudes to privacy started last Thursday 13 June 2013. The survey explores changes in attitudes to privacy across a range of areas and considers privacy issues associated with new and emerging technologies.
The research is being sponsored by the Commonwealth Bank (Primary sponsor), Henry Davis York (Key sponsor) and McAfee (Sponsor).

Privacy Amendment (Privacy Alerts) Bill 2013

The Australian Privacy Commissioner, Timothy Pilgrim, has welcomed the mandatory data breach notification laws announced by the Attorney-General the Hon Mark Dreyfus QC MP on 28 May 2013. The proposed laws, to commence on 12 March 2014, require notification of data breaches that will result in a real risk of serious harm.
The Privacy Amendment (Privacy Alerts) Bill 2013 was referred to the Legal and Constitutional Affairs Legislation Committee for inquiry and report by 24 June 2013. The OAIC’s submission is available online.

Parliamentary Service Amendment (Freedom of Information) Act 2013

On 29 May 2013, the Parliamentary Service Amendment (Freedom of Information) Bill 2013 was introduced into Australian Parliament, and was passed by the Senate on 18 June 2013.

PCEHR (Information Commissioner Enforcement Powers) Guidelines 2013

Today, the PCEHR (Information Commissioner Enforcement Powers) Guidelines 2013 were registered on the Federal Register of Legislative Instruments.

New OAIC eHealth fact sheets

The OAIC has published six new eHealth fact sheets to provide information and advice on privacy and eHealth records.

Prof McMillan interviewed on gov2.0 radio

On 13 June 2013, the Australian Information Commissioner, Professor John McMillan was interviewed about Australia joining the Open Government Partnership (OGP) on gov 2.0 radio.

Privacy law reform resources

Don’t forget to keep an eye on our privacy law reform resources page for new guidance material. The page already includes a number of useful resources, including IPP/APP and NPP/APP comparison guides, compliance checklists for organisations and agencies, staff training presentations and a summary of the APPs. The OAIC has released a schedule for when it expects to publish law reform guidance.

Information Commissioner Reviews

The latest IC reviews are available on the OAIC website.
Note: HTML versions of IC reviews appear on AustLII.
-----
Here is the direct link.
I have to say I was amazed to discover from this that the enforcement provisions for doing wrong things with regard to the privacy aspects of a PCEHR have only come into force a few days ago. I think with all the publicity and recruiting of patients this would have been done by July 1, last year.
Not all that organised I must say.
On the positive side the e-Health fact sheets are nice and clear. Sadly they seem to assume there will never be a breach of the system and so don’t warn citizens regarding those risks as I might have liked.
Certainly an e-mail list worth subscribing to!
David.


Monday, June 24, 2013

Weekly Australian Health IT Links – 24th June, 2013.


Here are a few I have come across the last week or so.
Note: Each link is followed by a title and a few paragraphs. 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 subscription payment.

General Comment

A quite interesting week with the NSW Budget released, Labor leadership turmoil continuing and the frantic push to enrol people in the PCEHR e-Health program rolling on with the truck trundling around Northern NSW and Queensland.
Additionally we have more on Privacy with data breach laws apparently being legislated in the next week or two.
Last we see the Auditor General has had a look and the Superclinics and found a lot that was not done as it should have been as they were being rolled out. I wonder when we will see e-Health reported upon.
-----

Most Data Breaches Caused by Human and System Errors

June 17, 2013
Symantec Corp. (Nasdaq: SYMC) and the Ponemon Institute today released the 2013 Cost of Data Breach Study: Global Analysis which reveals human errors and system problems caused the vast majority of data breaches globally in 2012, while malicious attacks were the major cause of data breaches in Australia.
In addition, the global cost of data breaches has increased over the previous year, and within Australia, the average total organisational cost per data breach increased from $2.16 million in 2011 to $2.72 million in 2012 – a 23 percent increase.
“While external attackers and their evolving methods pose a great threat to companies, the dangers associated with the insider threat can be equally destructive and insidious,” said Larry Ponemon, chairman, Ponemon Institute. “Eight years of research on data breach costs has shown employee behaviour to be one of the most pressing issues facing organisations today, up 22 percent since the first survey”.
-----

NEHTA wins a $47.2m injection

THE National e-Health Transition Authority has received a $47.2 million injection that will keep it operating for another year.
A Department of Health grants report shows NEHTA had an extension to Council of Australian Governments funding from June 5 to June 30 next year.
US software firm MMRGlobal has alleged the government agency infringed its patents. MMR has hired legal firm Rockwell Olivier.
US-based MMRGlobal chief executive Robert Lorsch is expected to visit Australia in July for meetings.
-----

Long road to successful e-health system


Andrew Birmingham
Over-hyped and over-promised. That’s how Stephen Duckett, Grattan Institute’s health program director, summarised Australia’s two-decade long trek towards a digital healthcare system.
“There has been the promise that the transformation in healthcare caused by digitisation is just around the corner,” he said.
It’s a promise that includes the full integration of different healthcare systems across the private, public and allied health sectors.
-----

Uniform e-software urgent as practices ‘bamboozled’

18th Jun 2013
THE AMA has repeated its call for a single personally controlled electronic health record (PCEHR) software product, amid concerns practices are being “bamboozled” with information from vendors ahead of the last deadline to qualify for incentive payments.
Since 1 February, practices have been required to clear a detailed series of software compliance hurdles by certain dates to qualify for Medicare e-health incentive payments of up to $12,500 per quarter. The last update stipulates practices must have accredited secure messaging delivery (SMD) software installed by 1 August.
As the date approaches, several sources have told MO that practices were being inundated with marketing materials from up to nine registered SMD vendors. While the material was not necessarily incorrect, they said it may lead practices to buy additional products that were not required.
-----

Lost message another e-health hurdle for doctors

17/06/2013
Earlier this month the practice of Sydney GP Dr Robert Lewin became one of the first in the country to be commissioned for secure message delivery – meeting one of the key requirements to be eligible for e-health practice incentive payments (ePIP).
But it could easily not have happened.
When Dr Lewin’s practice was last month given departmental approval to receive the $25,000 ePIP incentive payment, he naturally assumed that he had satisfied all five of the eligibility criteria set by the Government.
It wasn’t until three weeks ago, when his software supplier HealthLink got in touch about commissioning secure message delivery (SMD) that he realised there was more he had to do make sure he was ePIP eligible.
-----

New ehealth system could help save lives

A WARWICK GP has touted the introduction of the new ehealth system as a potential life-saver and is encouraging everyone to get behind it.
The Federal Government initiative involves establishing a national database that will allow patients to register their medical information, which will then be accessible by medical professionals across the country.
Condamine Medical Centre's Dr Ross Hetherington said the system would be beneficial to all Australians, particularly those with ongoing health issues.
"Ehealth is a fantastic idea that will save people's lives, save lots of money and just make life easier," he said.
-----

Signing up for an eHealth record

Florence 18 June 2013 - 12:50pm
From
My husband and I decided it was time for us to sign up for the Personally Controlled eHealth Record so I googled PCEHR and found my way to the eHealth registration website.
It was easy for me to sign up, but the problem came when we tried to sign my husband up.
We stepped through the form but hit a block when we were required to provide an email address.
-----

The year ahead in eHealth – NSW budget analysis

Barry O’Farrell’s NSW government has handed down an infrastructure-heavy 2013/14 budget, with lots of money to hospitals but little targeted to eHealth.
-----

Learning from the Qld Health payroll fiasco

Krishan Sharma 20 June, 2013
The torturous implementation of Queensland’s Health Payroll system will almost certainly be remembered as one of the most disastrous IT projects in our country’s history.
What began as a $6.19 million contract between the State of Queensland and IBM Australia to replace QLD Health’s aging payroll system eventually led to over 35,000 payroll anomalies and will ultimately cost taxpayers $1.25 billion.
While the final autopsy of the project is yet to be concluded, the project has been subjected to numerous reviews and a state level inquiry that saw a number of key IBM and QLD State Government personnel take the stand.
While we will have to wait until the end of July to see the report from the Commission of Inquiry, the public hearings have so far provided sufficient glimpses of how and why this project went so far off the rails.
----

Another Government IT Debacle: Ultranet facing scrap heap

Date June 19, 2013

Jewel Topsfield

The disastrous $180 million Victorian school intranet could be scrapped at the end of the month prompting fears that months of student work and reports would be lost.
The four-year contract with NEC to run the troubled network has not been renewed days before it expires on June 30, with a decision yet to be reached on its future.
Victorian Education Minister Martin Dixon said the government was committed to protecting the Victorian education system from the "Ultranet debacle", which he said the Auditor-General had confirmed was "botched from conception to implementation by the former Labor government".
-----

eRx launches app

21 June, 2013 Pharmacy News staff
eRx Script Exchange announced today that it will launch its first smart phone app to connect consumers with eRx’s national eScripts network in October.
eRx Express is a smart phone application that allows customers to scan and pre-order their medicines from their regular pharmacy or other pharmacy of choice. 
The app works by scanning the QR code that will begin to appear on prescriptions, replicating the eRx barcode information on each script. Customers can then collect their medicine at a convenient date and time, safe in the knowledge that all privacy and safety issues are being addressed. Customers hand over their paper script at the same time that they collect, ensuring that all PBS requirements are met.
-----

Hi-tech tracking to improve health

17th Jun 2013
For weeks, he diligently recorded everything he ate until the data revealed a nutritional gap: not enough protein. Next, he strapped on a device to monitor his activity level. The numbers revealed the software engineer was a slug, averaging fewer than 1000 steps a day, well below the recommended 10,000-step mark.
Sieling, 27, who lives in Minneapolis, is part of the rapidly growing ‘quantified self’ movement — comprising people who collect data on everything from diet to blood sugar to sleep patterns and mood levels. Also called self-tracking, bio-hacking or ‘qs’, it involves measuring and analysing the body’s inner workings for optimum health.
Once used only by elite athletes, self-tracking is becoming more accessible to everyday people as tracking devices go high-tech. Instead of single-use pedometers, devices such as Fitbit, Jawbone UP, Nike+ FuelBand and others can monitor heart rate, calculate calories and count the number of stairs you climb or the quality of your sleep.
-----

New website details frontline health services delivered by Medicare Locals

18 June 2013
Health Minister Tanya Plibersek today launched a new government website which gives Australians information about important health services being provided by Medicare Locals in their local communities.
Ms Plibersek said the Medicare Locals website shows a map of Australia split up in to the 61 Medicare Local regions. By clicking on a region, patients are taken to a page which displays health services provided by the Medicare Local and a list of frontline health workers employed by the service, including total staffing numbers.
-----

Medicare thrown into chaos by outage

THE Department of Human Services has described an outage that left its Medicare staff struggling to deal with customers today as a “teething problem”.
Staff at a Sydney Medicare office today advised customers that their refunds would have to be processed using a manual, paper-based method citing a national system caused by a system upgrade.
Department of Human Services General Manager Hank Jogen late today confirmed that there had been a problem with Medicare’s queue management system but assured customers their payments would not be affected.
-----

US FDA calls on medical device makers to focus on cybersecurity

The agency's new recommendations follow reports of vulnerabilities in some medical devices, the FDA says
Medical device makers should take new steps to protect their products from malware and cyberattacks or face the possibility that U.S. Food and Drug Administration won't approve their devices for use, the FDA said.
The FDA issued new cybersecurity recommendations for medical devices on Thursday, following reports that some devices have been compromise.
Recent vulnerabilities involving Philips fetal monitors and in Oracle software used in body fluid analysis machines are among the incidents that prompted the FDA to issue the recommendations, a spokeswoman for the agency said.
-----

Privacy breach laws may prompt companies to 'dumb down' monitoring

Date June 19, 2013 - 1:13PM

Mahesh Sharma

Australia's new privacy breach notification laws could create an uneven security playing field, where companies "dumb down" their monitoring capabilities to protect their reputations, a security expert has claimed.
The new mandatory data breach notification bill, introduced by federal Attorney-General Mark Dreyfus, was debated in the Senate last week. It requires organisations to notify the Privacy Commissioner and affected consumers when a data breach occurs. Fines could be imposed on organisations and individuals.
If approved, the law could be enforced by March 2014.
-----

Online privacy breaches a concern for us all

Date June 19, 2013 - 1:16PM

Mark Dreyfus

Nobody wants to find out in a news story that their personal information has been exposed, says the Attorney-General.
OPINION
As Australia's digital economy grows, government agencies and private-sector organisations are collecting and storing more and more personal information online. But for the digital economy to continue to thrive, it is essential that the personal information of Australians is held securely and that their privacy is respected.
At the moment there is an important debate taking place around the world about how much information we are prepared to allow law enforcement agencies to access in exchange for our protection. At a recent inquiry by the Parliamentary Joint Committee on Intelligence and Security, Australian law enforcement and intelligence agencies made it clear how important data was to their investigations of serious crimes such as terrorism, murder and paedophilia.
-----

Snore app monitors sleep patterns to find cure

  • by: Nicholas Hellen
  • From: The Times
  • June 16, 2013 3:28PM
EARLY in their marriage, Jules and Vanessa Goldberg learnt to give and take. She, however, drew the line at his snoring.
It left them both lethargic through lack of sleep and, when he sought help, doctors were not interested.
So he created a smartphone app to solve the problem. And 18 months later, SnoreLab - an app that runs on the iPhone, iPad and iPod Touch - has been downloaded by 100,000 fellow sufferers, some paying 2.49 pounds ($4.07).
It generates charts of the night's snoring, records samples of snoring, measures their intensity, tests the effectiveness of remedies and assesses which lifestyle factors - such as drinking alcohol - affect snoring levels.
------

DoHA did not follow guidelines for super clinics

Joanna Heath
The Department of Health and Ageing did not follow proper guidelines on government scrutiny of expenditure ahead of the troubled roll out of the government’s GP super clinics program, an investigation by the Auditor-General has found.
The super clinics, intended to address underservicing in GP after-hours care and improve the integration of different health services, were a 2007 election promise. $418.7 million in funding was announced to establish 65 clinics, though some have been plagued by delays, including the Redcliffe clinic in Queensland which has not yet been opened despite a promised start date of September 2011.
The Auditor-General’s report found the Department did not follow the government’s requirement that all guidelines for new discretionary grant programs be submitted for consideration by the Expenditure Review Committee of Cabinet, and did not advise the minister in 2008, Nicola Roxon, of that requirement. It also found commonplace ‘value for money’ tests were not applied during the assessment process of the first round of funding for the super clinics.
-----

Audit shows super clinic woes

21st Jun 2013
THE federal government’s controversial GP Super Clinics Program was heavily skewed towards marginal electorates, with high-profile collapses and delays resulting from risk assessment that “lacked rigour”, the auditor-general has found.
In a long-awaited report, sparked by a request from AMA president Dr Steve Hambleton, Auditor-General Ian McPhee also said super clinics were struggling to attract and keep staff, were beset by planning delays, and were established without prior “value for money” testing.
He also said they reported to the health department on “qualitative and descriptive” rather than measurable terms.
 The Opposition immediately seized on the document, which was tabled in parliament late last week.
-----

Connecting to a rising tide of data

Ian Grayson
Information technology has radically altered the business world during the past two decades, yet this impact pales in comparison with what lies ahead.
Massive advances in data storage, processing and artificial intelligence will create a plethora of new services and capabilities that will usher in fundamental changes to every sector.
Experts agree the business world of 2100 will be a radically different place, but the pace of technological change makes predicting those differences a difficult task.
Australian futurist Ross Dawson says studying the technological trends happening now allows reasonable insights into what conditions will be like for about the next decade. Beyond that, however, uncertainty levels quickly increase.
-----

Kept in the dark

Date June 17, 2013 - 9:00AM

Peter Spinks

Fairfax Science Columnist

At face value, it seems to be present virtually everywhere, yet scientists still have precious little idea of what dark matter is. Widely believed to occupy large swathes of the cosmos, the controversial material – which has gravity but emits no light – has left scientists in the dark.
But now research aboard the International Space Station has uncovered what could be the telltale signature of dark matter, perhaps lurking somewhere near the outskirts of our galaxy, the Milky Way.
The signature comes in the form of a shower of antimatter, something formerly the stuff of science fiction.
-----
Enjoy!
David.

Sunday, June 23, 2013

Here Is A Valuable Analysis Of The Qld Health Payroll Debacle. Why Are The Same Mistakes Made Time After Time?

This useful article appeared a few days ago.

Learning from the Qld Health payroll fiasco

Krishan Sharma 20 June, 2013
The torturous implementation of Queensland’s Health Payroll system will almost certainly be remembered as one of the most disastrous IT projects in our country’s history.
What began as a $6.19 million contract between the State of Queensland and IBM Australia to replace QLD Health’s aging payroll system eventually led to over 35,000 payroll anomalies and will ultimately cost taxpayers $1.25 billion.
While the final autopsy of the project is yet to be concluded, the project has been subjected to numerous reviews and a state level inquiry that saw a number of key IBM and QLD State Government personnel take the stand.
While we will have to wait until the end of July to see the report from the Commission of Inquiry, the public hearings have so far provided sufficient glimpses of how and why this project went so far off the rails.
Troubled beginnings 
There were early signs of inadequate internal governance and mismanagement well before the QLD Health payroll project was awarded to IBM in December of 2007. The Queensland Treasury had spent the preceding two years "burning through the budget" by attempting to implement a standardised SAP-based HR and finance system across the whole of government operations - the very same platforms that were picked for the Queensland Health payroll project.
To aid in the software development and implementation, Queensland Treasury hired a large number of contractors from a mix of external consulting companies including Accenture, IBM, Logica and SAP.
Former managing director of Accenture, Marcus Salouk, described the state government progress between 2005 and 2007 as “burning through their budget without getting commensurate outcomes”.
“The Queensland Treasury were not experienced system implementers and in my observation, not professional project managers. I was concerned that going through that process, they would end up with insufficient budget to actually get where they needed to get to with implementing the new system”, Mr Salouk told the inquiry.
After gaining little headway, the state government decided to relinquish its role as a systems implementation lead to a single prime contractor.
The role was awarded to IBM in December 2007 with CorpTech, the specialised business unit of the Treasury, entrusted with the responsibility of managing the prime contractor, IBM.
The delays suffered during the wider state rollout of the SAP-based system had already highlighted that the departments within the state ,including Queensland Health, were not ready for a standardised system headed up by an external prime contractor, as it would require the government to detail its specifications with a great amount of accuracy. 
Former program director of CorpTech, Darrin Bond, said in a witness statement that just prior to IBM being awarded the prime contractor role, the departments within the state “were still debating and arguing about what they would or would not get and what they would and would not accept”.
In the absence of the internal requirements being agreed upon for this government-wide system, the scene was set for a prime contractor to come in under a continually varying scope environment and ultimately leading to a project blowout of both time and cost.
The writing was already on the wall.
….. (Lots more of the saga here)
Lessons learnt?
Questionable procurement practices aside, delivering an ICT project of this complexity and scale is not a joke. And the task was made harder by basing implementation on loosely defined business requirements within an impossible timeframe. A project blowout was always on the cards.
The system failed critical user acceptance testing (UAT) processes but instead of addressing the issues, the bar for testing was simply lowered and less stringent guidelines adopted in an effort to get the system out the door to meet a time imperative.
There is little doubt that the state government should have acted to address the underlying issues instead of ignoring the risks and letting a flawed system go into production. A system that left thousands of Queensland Health employees underpaid, overpaid or not paid at all. 
The Queensland government obviously isn’t alone when it comes to government run ICT project blowouts. New South Wales had the failed Tcard project, while the Victorian government botched up the deployment of the Myki smartcard systems.
These were all flawed systems that were rolled out prematurely and resulted in significant blowouts at the expense of taxpayers. They also highlight the systemic deficiencies in internal governance, contract management, strong controls over budgets and thorough testing and implementation regimes.
While the recriminations over the $1.25 billion bungle in Queensland will continue long after the Commission of Inquiry hands its final report to the state premier, the real question is if any lessons have been learnt from the big-ticket failure. The taxpayers would certainly hope so lest they end up holding another costly clean-up bill in the near future.
Read much more here:
As a reminder of just how hard even apparently simple large scale IT can be we also had appear this week this one:

Another Government IT Debacle: Ultranet facing scrap heap

Date June 19, 2013

Jewel Topsfield

The disastrous $180 million Victorian school intranet could be scrapped at the end of the month prompting fears that months of student work and reports would be lost.
The four-year contract with NEC to run the troubled network has not been renewed days before it expires on June 30, with a decision yet to be reached on its future.
Victorian Education Minister Martin Dixon said the government was committed to protecting the Victorian education system from the "Ultranet debacle", which he said the Auditor-General had confirmed was "botched from conception to implementation by the former Labor government".
Mr Dixon said the Ultranet had already cost Victorian taxpayers at least $180 million – three times its original budget – despite being used by only 4 per cent of the intended 1.5 million teachers, parents and students.
Lots more here:
What seems to come from all this is that just no-one seems to be able to learn the lessons from failed projects despite the fact that what you need to do for a successful project has been well known for years and are well understood by most competent project managers.
I have to say the difference between what is understood as needed to be done and what seems actually to be done in many projects is a conundrum for me. The difference between conception and execution is a major problem and - as in the Qld Health example - what seems to happen is that things start with a clear sensible plan and are then disrupted by externalities that are not under the control of either the project team or project leader.
One really wonders why we seem to have to learn the same lessons time after time!
David.