Making the eHealth ConnectionWeeks 1-4

Key Findings/Recommendations

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Making the eHealth Connection Conferences

Overview

Conference highlights

Themes – overarching and integration

Call to Action

Moving forward and next steps

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Making the eHealth Connection Conferences

July 13–18 National Health Information Systems– Public Health Informatics – The Path to Interoperability

July 20–25 Knowledge and Capacity for eHealth– Access to Information– eHealth Capacity Building

July 27–Aug 1 Core eHealth Technologies– Electronic Health Records– Mobile Health and Telemedicine

Aug 3–8 Policy and Markets for eHealth– Unlocking the Market for eHealth– National eHealth policies

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Conference Fast Facts

Weeks 1-4 34 South countries representatives 32 donors 10 media (traditional and on-line) 100 participant perspective video shorts posted on conference

website Active conference wiki discussion 30 media stories related to conference filed (print, bogs and

radio)

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Global Conference Participation

RwandaTanzania

Zambia

SierraLeone

Syria

Cambodia

Nigeria

Ghana

Mobile HealthElectronic Health RecordsAccess to InformationCapacity BuildingInteroperabilityPublic Health Informatics (PHI)

PolicyUnlocking the Market

South Africa

India

Chile

Guinea-Bissau

Liberia

Malawi

Pakistan

Tajikistan

Thailand

Uruguay

Zimbabwe

Korea

Philippines

Vietnam

BrazilPeru

Week 1

Week 2

Week 3

Week 4

Kenya

China

UgandaArgentina

Cameroon

Malaysia

Tunisia

Mexico

Ethiopia

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Overarching Themes and Recommendations

From silos to systemsPerson centered, user driven, integrated, collaborative,

sustainable, scalable, reusable, demand-driven by in-country organizations Information is care – need to document impact on access,

affordability and quality of health services Be daring in eHealth and technology visions for the Global South –

much can be done with limited resources and a lot of ingenuity Ultimate goals of eHealth should be to strengthen health systems and

improve people’s health Support Collaboration and Innovation Across Resource Constrained

Countries and South to South Learning - Equator is NOT the dividing line for innovation.

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Overarching Themes and Recommendations

Donors and StakeholdersReduce donor fragmentation Harmonize donor requirementsConsolidated reporting structures across donorsDevelop ICT “business case” for ICT to increase donor

and stakeholder involvementStrengthen stakeholder collaboration (private sector and

university involvement both important and growing)Provide funding for pilot/greenfield projects, reference

implementations and adequate evaluation

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Overarching Themes and Recommendations

Broad Diversity of Recommended eHealth Innovation,Partnership and Support Models

Centers of Excellence Collaborative Action Networks Internet-based portals for knowledge and information-sharing Taskforces Association models eHealth promotion networks Strategic alliances Enhanced university programs and partnerships

*Supported by leveraging existing efforts and institutions

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Week One

“If you want to go fast, go alone; if you want to go far, go together”

African Proverb

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Call To Action - PHI

Capacity for Today and TomorrowBuild Centers of Excellence network based in resource constrained countries (6 to 10) with a 10 year funded program of public health informatics work.

Requires a new partnership and program of work that does not exist today

Architecture is required for a national health information systems

Latest science, engineering and R&D from the public & private sectors has great potential and must be captured, similar to successful programs for vaccines, micro-nutrition, and medical technology partnerships

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Call to Action - Interoperability

Governments should be encouraged to adopt a culture of interoperability and standards in relation to eHealth

To encourage interoperability, open standards and open source software should be made freely available

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Week Two

“If you talk to a man in a language he understands, it goes to his head. If you speak to him in his language, it

will go to his heart.”Nelson Mandela

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Call to Action – A2I

Create an environment (common space)to enable producers, intermediaries and users to develop and share content, methods and technologies

Establish a task force with representatives from key stakeholders and donors to establish a plan of action for the implementation

Priority should be given to settings with weak production of and access to information and knowledge

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National Readiness Assessment Instrument; other tool kits

PhD; Masters Informatics____________________________Clinician / Public Health Champions

________________________________20/20 “Bits &Bytes” Knowledge & Skills

Offerings

Executive Seminars;Leadership ID,

Training & Advocacy

Global ‘South’ Components of Needs &20/20 Vision for Assuring eHealth Capacity

Policy &Leadership

Human Capital

(eHealth Workforce Capacity)

State of ICT Technology Infrastructure

Components Vision for eHealth Workforce

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Call to Action - Informatics & Capacity Building

20/20 eHealth Capacity Building: from Multiple Silos to Integrated Systems

Assure local sustained informatics expertise: skilled eHealth workforce in informatics/ICT for care, education, leadership, advocacy, & research

Develop environments to support ICT: assessment and relevant complex systems development

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Week Three

“WE-CAN!”

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Call to Action - eHR we-can: Support the further growth and development of

collaborative action networks by the creation of the WE-CAN organization

do it: Follow these thoughts with action. - Design systems and architectures to support patient care in challenging environments with focus on reuse, collaboration, interoperability and scalability - Create tools to guide on-the-ground baseline assessment, implementation, scaling and evaluation of information systems- Create eHealth centers of excellence and build a national scale reference implementation of patient level record systems in select LMICs such as Rwanda.- Formative meeting of we-can taskforce September PHI2008- Seattle WAhttp://www.we-can-doit.org

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Call to Action - mHealth

mHealth Alliance Create the mHealth alliance in next six months Work to bring other partners to the conversation Goal launch: Announce mHealth alliance in

February 2009

Through the mHealth Alliance incubate the initial mHealth projects developed at Bellagio

Bellagio ProjectsmDoc: "a hospital in your hands"mHealth for Positive Living: HIV treatment, wellness and supportCommCare: tools for community health workersBreakout: Ending the cycle of outbreaks (information collection system)

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Week Four

“Do or do not. There is no try.”

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Call To Action - Policy

Convene a Convention on global eHealth (intergovernmental endorsement)

Create eHealth policy toolkit

Craft integrated advocacy, communications and marketing plans that make the case for eHealth

Foster the establishment and support of national eHealth Councils, beginning with a landscape of current activities

Identify and appoint eHealth ambassadors (local, regional, national)

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Call to Action - Markets

Develop eHealth promotion and entrepreneur network Training Project vetting Incubate and accelerate fundable business plans

Create Internet-based portals forknowledge/information-sharing and idea clearinghouse

Align stakeholders strategically Philanthropy to innovation Donors to entrepreneurs Entrepreneurs to eHealth information SMEs to solution value chain

Develop open source platform to facilitate business model development

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Putting Thought Into ActionNotable Conference Developments

Framework strategy for integrated eHealth systems (initial focus in Africa)

Established plan for Global eHealth Convention Draft resolution on governments and interoperability HINARI-like platform for free standards initiative September 2008 launch of World eHealth Collaborative Network (we-

can) Formation of mHealth Alliance Seeding eHealth promotion and entrepreneur network Takeaways and action steps reported and discussed at meetings of high

level influencers: G8, HL7, AMIA, Global Partners in Public Health Informatics and Global Ministerial Forum on Research for Health (Bamako, Mali)

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Thank you!