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National electronic patient database soon to be mandatory for healthcare providers

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SINGAPORE: All healthcare institutions in Singapore could soon be required to contribute data to the National Electronic Health Record (NEHR), in a move aimed at providing better care for patients.

Legislation is set to be introduced next year through a Healthcare Services Bill, Health Minister Gan Kim Yong said at the first FutureHealth conference held at Nanyang Technological University’s Lee Kong Chian School of Medicine on Wednesday (Nov 8).

“Patients can only realise the full potential of the NEHR if the data is comprehensive. And for NEHR data to be comprehensive, every provider and healthcare professional needs to contribute relevant data to it,” Mr Gan said.

“MOH (Ministry of Health) therefore intends to take the next major step for the NEHR to require mandatory data contribution by all licensees, such as healthcare providers and laboratories, so as to improve data comprehensiveness for better patient care.”

Health Minister Gan Kim Yong speaking at the FutureHealth conference on Nov 8, 2017. (Photo: Chan Luo Er)

Set up in 2011, NEHR is a platform that brings together patient records such as their medication and laboratory reports from different care providers. The information is shared across providers.

Currently, contribution is voluntary with close to all public institutions contributing patient data but just 3 per cent of private healthcare providers do so. This represents a significant gap in the data available on the platform, says the Integrated Health Information Systems (IHiS), the nation’s health tech agency which manages the NEHR.

FEW PRIVATE CLINICS ON BOARD

In the primary care sector for example – where about 80 per cent of Singaporeans visit private general practitioners instead of polyclinics – less than 70 out of 1,600 GP clinics contribute data to the NEHR.

One reason is that not all GPs have gone digital.

For Dr Ajith Damodaran, the most extensive form of digital recordkeeping he has is a spreadsheet of his patients’ names, address and the file number of their physical patient file.

He said it is not so much a matter of cost, but his level of comfort with technology.

“I can’t type fast enough. Whereas I can write in short form, draw diagrams whenever I need to and things like that. I still feel very comfortable doing that,” said the 63-year-old general practitioner.

Without an IT system that tracks his patients’ health records, he is not able to contribute their data to the NEHR. However, he has used the database, which is accessible through an online portal, to get information on his patients who have been recently discharged from the hospital, such as the tests that were done.

While he acknowledged that sharing of information is important, he has no plans to digitise his records yet.

“I’ll wait and see until the law is passed,” said Dr Damodaran.

Dr Ajith Damodaran is one of the many GPs in Singapore who does not keep digital records of his patients. (Photo: Chan Luo Er)

An estimated 20 per cent of private healthcare providers still rely on a pen-and-paper system. Even for those who are digitally ready, they will have to ensure their IT systems are compatible with the NEHR.

There will be a new S$20 million fund to defray the cost of upgrade, as well as technical and clinical support.

“To effectively upgrade and connect all these systems to NEHR, in a way we want it to be, in a safe and secure manner, with the right standards – it is a tall challenge by itself,” said Mr Bruce Liang, CEO of IHiS.

“Firstly, there is the human factor about a certain amount of resistance, and the technical challenge is another aspect. So overall, it is going to be a challenging project to get everyone on board.”

CONCERNS OVER PRIVACY

Since the NEHR was set up, concerns have been raised over issues like privacy. For example, job applicants who need to go for a medical check-up might not want their full medical history to be shared with their prospective employers – especially if they have a mental illness or sexually transmitted diseases.

But authorities have said that there are safeguards in place to ensure that only those providing care to patients access their records.

For example, healthcare providers use a personal account to log in to the system. Sensitive information will be tucked away, and doctors who require that information will have to use their medical licence number to access it.

“We also perform a significant amount of audits and checks, employing analytics, employing visual checks, manual checks, a combination of all, to look at what may appear to be irregular or illegitimate access to patient information,” said Mr Liang.

Authorities will hold consultations with stakeholders in the coming months. They will also look into how patients can find out who has accessed their information – which could be done through government portal HealthHub.

Healthcare institutions are likely to be given about two to three years to ensure they meet the requirements, if the law is passed.

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Someone tries to sell pop star Sia's naked photo, so she publishes it first

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LOS ANGELES – Australian pop star Sia took paparazzi attempting to sell naked photos of her to task Tuesday, posting the image herself on Twitter.

“Someone is apparently trying to sell naked photos of me to my fans,” wrote the 41-year-old singer, who is known for protecting her private life and often hides her face behind colossal wigs.

“Save your money, here it is for free. Everyday is Christmas!,” she added, grabbing a promotional opportunity with a reference to the title of her new album “Everyday is Christmas” set for release on November 17.

Photo: Facebook/Sia Music

The grainy photo – taken from behind – has been retweeted over 145,000 times, with fans praising the “Chandelier” and “Cheap Thrills” singer for her handling of the privacy invasion.

Wednesday, November 8, 2017 – 10:53

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Woman hits girl for trying to befriend child at Jurong library

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A video of a woman hitting a girl in a library started circulating on social media last week.

According to a Stomp contributor who shared the video with Stomp, the incident took place on Nov 2 at Jurong West Public Library.

The video, which has since been removed by the original uploader, shows two young girls playing by a bookshelf.

The woman then approached the two kids and can be seen smacking the taller girl. The sound of her blow is also heard.

According to both the Stomp contributor and video uploader, the woman was a domestic helper, though Stomp cannot confirm this.

She had apparently smacked the taller girl for trying to befriend the other child, whom she was accompanying.

The Stomp contributor, who wished to remain anonymous, wrote: “The girl had run up to a smaller child, maybe to be friends with her. But her maid came rushing up quickly and slapped the girl telling her, ‘Don’t touch her!'”

What do you think of the woman’s actions? Do you think she should be hitting the child just because the child was trying to be friendly with another kid?

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Wednesday, November 8, 2017 – 10:45

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Korean beef, ballad song and chopstick gift set for Trump in S Korea state dinner

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US President Donald Trump was served traditional Korean dishes at a state dinner Tuesday, attended by some 120 other guests representing the two countries’ close relationship in the areas of diplomacy, business, culture and security.

The main dish was Korean beef ribs marinated in a special soy sauce with the Korean traditional dish Japchae, or stir-fried glass noodles, with prawns from the country’s easternmost islets of Dokdo.

“We have taken into consideration the preferences of the leaders while trying to provide a traditional Korean taste,” South Korea’s presidential official said.

Grilled sole, said to be one of President Trump’s favorites, was also on the dinner table, which was decorated with the concept of an imperial court in Korea with fabric flowers made of silk and ramie cloths.

Special sauce made in 1657 and tricky prawn on Trump’s South Korea menu

The US leader had served President Moon Jae-in the dish at a dinner banquet when he visited the United States in June.

For dessert, a rich chocolate cake garnished with raspberry vanilla sauce and Sujeonggwa, or cinnamon punch, a traditional Korean drink, were served.

The dinner was followed by special performances at the reception hall of the Cheong Wa Dae, celebrating the US leader’s visit.

The show was a mixture of western and traditional Korean music and classical and contemporary tunes, involving the Korean Broadcasting System Symphony Orchestra, Korean classic pansori singer Yoo Taepyeongyang and Korean pop singer Park Hyo-shin. Park performed his hit song “Wild Flower,” which Cheong Wa Dae said was chosen because of its lyrics.

On the guest list were fashion model Han Hye-jin, film director and novelist Lee Chang-dong, the 2007 Cannes Film Festival’s best actress Jeon Do-yeon and former “comfort woman” Lee Yong-su.

Lee, who as a teen was forced to work at a military brothel for Japanese soldiers during World War II, had testified at the US Congress in 2007 along with another victim who has since died.

Also on the guest list was Lee Seong-ju, a North Korean defector who was selected as one of this year’s Fulbright scholarship recipients.

Moon and his wife Kim Jung-sook presented traditional Korean stone bowls, brass spoons and chopsticks as gifts to Trump and his wife Melania Trump after the state dinner, the presidential office said.

On the back of the spoons and chopsticks, called “notsujeo” in Korean, the phrase “we go together” was engraved, along with the visit’s date — “2017.11.7.” The inscriptions were to represent the close relations between the leaders and the strong alliance between their countries, the office said.

The stone bowls, or “dolsot” in Korean, are a symbolic gift given to those who have accomplished remarkable achievements, according to the office.

 

Wednesday, November 8, 2017 – 10:30

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Psy to throw 'overnight' concerts in Seoul, Busan

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K-pop sensation Psy will throw overnight concerts in Busan and Seoul, in turn, which are bound to make for the wildest year-end parties around.

Each show of the two-weekend concert series, tiled “All Night Stand,” will begin at around midnight and continue into early the next day.

Through his signature “All Night Stand” concert series, which has been held every year since 2003, Psy has established a reputation for his ability to get the crowd dancing all night.

The first weekend of the shows will take place from Dec. 22-24 at Sajik Stadium in Busan, followed by the second weekend from Dec. 28-31 at Jamsil Indoor Gymnasium in Seoul.

Tickets go on sale at Interpark on Wednesday at noon.

Wednesday, November 8, 2017 – 10:28

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Man in Thailand impersonates police officer, rapes women at knifepoint

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Four more women have filed police complaints against a 35-year-old suspected rapist in Buri Ram province, police said on Monday night.

The complaints followed Chisanupong Sa-onklang’s arrest at his home in Lam Plai Mat district on Saturday under a recently issued arrest warrant.

The warrant was issued over allegations that he had claimed to be a policeman to lure a Mathayom 4 schoolgirl to help a “drug sting operation” last Wednesday, bringing her to a sugarcane plantation in Muang district and allegedly attempting to rape her.

The girl said she had escaped from the scene.

The four unnamed women lodged complaints at the Muang Buri Ram and Thamenchai police stations, claiming that Chisanupong had attacked them in a similar manner by disguising himself as a police officer, luring them to an isolated place and then raping them at knifepoint.

The man was brought to re-enact the alleged assault on the schoolgirl, to which police said he had confessed. However, Chisanupong reportedly denied the other allegations, while police said they suspected there were other victims who were urged to come forward.

Chisanupong is being detained on an order from the Buri Ram Provincial Court after police filed three charges against him, including home intrusion at night, illegal detention and attempt rape.

An initial police investigation found that Chisanupong had been jailed for two years and eight months for the rape of a 20-year-old student at an apartment in Bangkok’s Soi Phetchkasem on Nov 27, 2014.

Wednesday, November 8, 2017 – 10:21

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Melania Trump meets Minho of pop group Shinee, but it's a stunned schoolgirl who steals the show

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US first lady Melania Trump met with Choi Min-ho of K-pop group Shinee at an event for the 2018 PyeongChang Olympics on Tuesday.

The first lady, who arrived in Seoul that afternoon, presented herself at the “Girls Play 2!” campaign at the US Embassy in Korea.

The campaign, aimed at encouraging girls’ active participation in sports, was prepared by the embassy to promote the Winter Olympics.

Photo: AFP

Choi, who was also at the event, appeared alongside Trump, exciting the audience when he made the first lady smile.

However, it was the reaction of an excited schoolgirl at the event that stole the show.

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The girl, who seemed unaware of who was standing behind her, was visibly shocked after turning around, amusing Choi as well as the US First Lady with her reaction.

Photo: Internet

Special sauce made in 1657 and tricky prawn on Trump’s South Korea menu

Wednesday, November 8, 2017 – 09:54

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Phuket's Patong Beach starts enforcing no-smoking rules

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Patong City Administration Organisation on Tuesday opened the smoking areas in order to encourage the people not to smoke and drop cigarette butts on the beach, and instead support the department’s new policy.

Patong Beach is among the first 24 beaches where the smoking ban will be introduced around the country through next February, as the MCRD applies the Marine and Coastal Resources Management Act to enforce the ban. Violators of the ban will be punished with a maximum of one year in jail and/or a fine of up to Bt100,000 (S$4,100).

Patong City mayor Chalermluck Kebsab said his authority had designated the smoking areas along Patong Beach in order to reduce the amount of littered cigarette butts on the beach, prevent disruption to those who do not smoke, and encourage the public to follow the smoking ban on the beach.

All 20 smoking areas are installed with clear signage informing people that they are designated areas where they allowed to light up.

From a first-day inspection, Chalermluck said that most locals and tourists had co-operated well and smoked only in a designated area.

However, it was noticeable that there was still a sizable distance between each smoking area and there were still no signs to explain the rule about not smoking on the beach.

“In order to support the MCRD’s policy of a smoking ban on the beach, the local authorities are also working with MCRD officers to inform local businesses and tourists about this policy,” the mayor said.

“There will also be the distribution of leaflets in multiple languages informing about the smoking ban and smoking areas, at the hotels as well,” he added.

Wednesday, November 8, 2017 – 10:15

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Fog forces Trump to abandon DMZ trip in South Korea

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SEOUL – US President Donald Trump’s attempt to make an unannounced visit to the heavily fortified border separating North and South Korea was aborted on Wednesday after dense fog prevented his helicopter from landing, officials said.

Trump tried to travel to the Demilitarized Zone (DMZ) – the doorstep of the North Korean nuclear standoff – as he prepared to wrap up a 24-hour visit to ally Seoul with a major speech to lawmakers on the North Korean threat. He was then due to fly to China for the next leg of his 12-day tour of Asia.

However, Trump and his entourage had to turn back when the weather made it impossible for his helicopter to land in the border area, the White House said.

Trump was disappointed he was unable to visit the DMZ, which was planned secretly to show the strength of the US-South Korean alliance, said White House spokeswoman Sarah Sanders.

South Korean President Moon Jae-in was also forced to abandon his effort to accompany Trump to the site, where visits by American leaders are often seen by North Korea as provocations.

“The fact that they were still planning for it showed the strength of the alliance,” Sanders said. She later said of Trump: “He’s actually pretty frustrated.”

A visit to the DMZ, despite his aides’ earlier insistence he had no plans to go there, would have had the potential to further inflame tensions with North Korea.

Trump had dialled back some of his bellicose rhetoric towards North Korea on Tuesday and instead took more of a carrot-and-stick approach, warning Pyongyang of the US military buildup he has ordered in the area but also offering it a diplomatic opening to “make a deal”.

Special sauce made in 1657 and tricky prawn on Trump’s South Korea menu

While Trump presented no specific solution to his toughest global security challenge, he spoke in a more conciliatory tone on Tuesday at a time of growing fears across east Asia of the prospects for military conflict.

It contrasted markedly with his earlier threats to “totally destroy” North Korea if it threatened the United States, and the personal insults he exchanged with North Korean leader Kim Jong Un after the North’s most recent missile and nuclear tests.

It remains to be seen, however, whether the unpredictable Trump will build on this approach or return to the more confrontational language that has characterised his handling of the North Korean issue.

Trump’s official “talking points” for his Asia tour showed that he intends to use Wednesday’s speech to South Korean lawmakers in part to contrast South Korea’s “amazing rise” with North Korea’s “sad, backward state” and to urge resolve in the South against Pyongyang, according to a confidential document reviewed by Reuters.

He was also expected to condemn Pyongyang for its poor human rights record.

SEEKING CHINA’S HELP

Trump will then fly to Beijing where, according to senior administration officials, he will try to convince a reluctant President Xi Jinping to squeeze North Korea further with steps such as limits on oil exports, coal imports and financial transactions.

Previewing his Beijing visit, Trump told Tuesday’s news conference in Seoul that China and North Korea’s other giant neighbour, Russia, were among countries whose co-operation will be crucial in getting North Korea to rein in its nuclear and missile programmes.

“President Xi … has been very helpful. We’ll find out how helpful soon,” Trump said.

However, it is far from clear if Xi, who has just consolidated his power at a Communist Party congress, will agree to do more. China says its leverage over Pyongyang is exaggerated by the West, and points to its support in the UN Security Council for recent sanctions on North Korea as evidence that it is doing all it can to curtail the isolated North’s nuclear and missile tests.

“On this issue, China’s position and stance is already very clear and staunch,” Chinese Foreign Ministry spokeswoman Hua Chunying said on Monday. “Everyone can see clearly that we don’t need anybody to tell us what we should be doing.”

With Trump appearing to crack open the door to diplomacy with North Korea – something that China has long urged – he may have a better chance of securing further promises to intensify economic pressure on North Korea, which relies on Beijing for more than 90 per cent of its trade.

North Korea’s Kim, however, has seemed willing to risk snubbing China when he deems it useful as he pursues development of a nuclear-tipped missile capable of hitting the US mainland.

At the same time, Xi may be mindful that Trump has held off on trade actions against China that he loudly threatened during the 2016 presidential campaign to give Beijing more time to make progress on North Korea.

For his part, Xi will also be looking to maintain the good personal chemistry the two leaders developed when Trump hosted him at his Mar-a-Lago estate in Florida in April

. The “bromance” is set to continue when Xi returns the favour by laying on a lavish welcome for Trump’s visit. Trump is expected to go to the Forbidden City, possibly guided by Xi, and participate in an inspection of Chinese troops, although China has released few other details.

Wednesday, November 8, 2017 – 09:51

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Fear of failure holding Singapore back: Study

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Singapore

Wednesday, November 8, 2017 – 09:28

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