Supporting National e-Health Roadmaps

WHO-ITU-WB joint effort

WSIS C7 e-Health Facilitation Meeting13th May 2010

Hani EskandarICT Applications, ITU

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Context and need for RoadmapContext and need for Roadmap

• A landscape of isolated islands of small scale applications unable to effectively communicate and to share information with other health systems or across geographies, technologies or programs.

• Barriers to scale up to support a larger patient and care provider base.

• Lack of ability of decision makers to understand the actual health situation, to drive meaningful planning and to guide policy formulation.

• Pressure due to ageing population and infectious and Chronic diseases

• Duplication of efforts, may lead to impossibility to integrate solutions.

E-Health Roadmaps can serve as an umbrella for planning and coordinating different national e-Health efforts while considering fundamental elements in terms of regulatory, governance, financing and policy contexts.

1. Convene different stakeholders and facilitate coordination2. Ensuring interoperability among national systems and their conformity with international standards;3. Securing funding for these programmes; 4. Establishing eHealth/telemedicine strategies in accordance with national legislation;5. Enhancing the skills of medical personnel.

E-Health Roadmaps can serve as an umbrella for planning and coordinating different national e-Health efforts while considering fundamental elements in terms of regulatory, governance, financing and policy contexts.

1. Convene different stakeholders and facilitate coordination2. Ensuring interoperability among national systems and their conformity with international standards;3. Securing funding for these programmes; 4. Establishing eHealth/telemedicine strategies in accordance with national legislation;5. Enhancing the skills of medical personnel.

Example: Remote Patient monitoring systemExample: Remote Patient monitoring system

eHealth Information Standards

Identification and

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Information Security and

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Computing Infrastructure

Human Capacity & Awareness

Networking Infrastructure

Governance

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ICT Infrastructure• Mobile and Broadband Infrastructure• Computing Infrastructure

ICT Infrastructure• Mobile and Broadband Infrastructure• Computing Infrastructure

Health Information Exchange• Information Protection and Confidentiality Regulations• Identification and authentication Rules and Protocols• Health Informatics and Standards• Information Quality

Health Information Exchange• Information Protection and Confidentiality Regulations• Identification and authentication Rules and Protocols• Health Informatics and Standards• Information Quality

Governance• Setting National Strategies (Multi stakeholders)• Setting eHealth Standards• Systems Compliance• Managing Investments

Governance• Setting National Strategies (Multi stakeholders)• Setting eHealth Standards• Systems Compliance• Managing Investments

Founding elements

eHealth Priority Solutions• Improving Health information sharing HIS, HMIS, EMR, Referrals, etc.• Improving Health care Delivery Telehealth, eLearning, Decision Support Systems, Medication Compliance, etc. • Improving Health awareness and Education Patient health records, Health Education and Awareness campaigns, Health Knowledge Bases, etc.

eHealth Priority Solutions• Improving Health information sharing HIS, HMIS, EMR, Referrals, etc.• Improving Health care Delivery Telehealth, eLearning, Decision Support Systems, Medication Compliance, etc. • Improving Health awareness and Education Patient health records, Health Education and Awareness campaigns, Health Knowledge Bases, etc.

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Components of a National e-Health RoadmapComponents of a National e-Health Roadmap

Human Capacity and Awareness• Capacity Building• eHealth Awareness raising

Human Capacity and Awareness• Capacity Building• eHealth Awareness raising

Activities – Implementation Plan

Activities – Implementation Plan

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Health Information infrastructureHealth Information infrastructure

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Components of a National e-Health RoadmapComponents of a National e-Health Roadmap

Human Capacity and AwarenessHuman Capacity and Awareness

Activities – Implementation Plan

Activities – Implementation Plan

Establish mechanisms to deploy andmaintain acceptable baseline of computing infrastructure

ICT Infrastructure• Mobile and Broadband Infrastructure• Computing Infrastructure

ICT Infrastructure• Mobile and Broadband Infrastructure• Computing Infrastructure

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Components of a National e-Health RoadmapComponents of a National e-Health Roadmap

Human Capacity and AwarenessHuman Capacity and Awareness

Activities – Implementation Plan

Activities – Implementation Plan

Coordinate the rollout of appropriate national mobile and/or broadband services to all care providers

ICT Infrastructure• Mobile and Broadband Infrastructure• Computing Infrastructure

ICT Infrastructure• Mobile and Broadband Infrastructure• Computing Infrastructure

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Health Information infrastructure• Information Protection and Privacy Regulations• Identification and authentication Rules and Protocols• Health Informatics and Standards• Information Quality

Health Information infrastructure• Information Protection and Privacy Regulations• Identification and authentication Rules and Protocols• Health Informatics and Standards• Information Quality

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Components of a National e-Health RoadmapComponents of a National e-Health Roadmap

Human Capacity and AwarenessHuman Capacity and Awareness

Activities – Implementation Plan

Activities – Implementation Plan

Develop national legislative framework for information protection,privacy and consent processes for access and use of health information

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Health Information infrastructure• Information Protection and Confidentiality Regulations• Identification and authentication Rules and Protocols• Health Informatics and Standards• Information Quality

Health Information infrastructure• Information Protection and Confidentiality Regulations• Identification and authentication Rules and Protocols• Health Informatics and Standards• Information Quality

GovernanceGovernance

eHealth Priority SolutionseHealth Priority Solutions

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Components of a National e-Health RoadmapComponents of a National e-Health Roadmap

Human Capacity and AwarenessHuman Capacity and Awareness

Activities – Implementation Plan

Activities – Implementation Plan

Develop a national solution to enable the unique identification and authentication of consumers and care providers

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Health Information infrastructure• Information Protection and Confidentiality Regulations• Identification and authentication Rules and Protocols• Health Informatics and Standards• Information Quality

Health Information infrastructure• Information Protection and Confidentiality Regulations• Identification and authentication Rules and Protocols• Health Informatics and Standards• Information Quality

GovernanceGovernance

eHealth Priority SolutionseHealth Priority Solutions

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Components of a National e-Health RoadmapComponents of a National e-Health Roadmap

Human Capacity and AwarenessHuman Capacity and Awareness

Activities – Implementation Plan

Activities – Implementation Plan

Design and implement national e-Health information standards for data storage and messagestructures, coding and medical terminologies

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Health Information infrastructureHealth Information infrastructure

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Components of a National e-Health RoadmapComponents of a National e-Health Roadmap

Human Capacity and AwarenessHuman Capacity and Awareness

-Establish a national e-Health governance body to set strategies, manage investment, implement work program, oversee standards development and compliance.

- Establish an independent national e-Health regulation function to implement andenforce national e-Health policy and regulatory frameworks.

Governance• Setting National Strategies (Multi stakeholders)• Setting eHealth Standards• Systems Compliance• Managing Investments

Governance• Setting National Strategies (Multi stakeholders)• Setting eHealth Standards• Systems Compliance• Managing Investments

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Health Information infrastructureHealth Information infrastructure

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Components of a National e-Health RoadmapComponents of a National e-Health Roadmap

Human Capacity and AwarenessHuman Capacity and Awareness

- Identify priority solutions with tangible outcomes

- Mobilize investments in high priority solutions

- Approach to develop individual electronic health record IEHR.

GovernanceGovernance

eHealth Priority Solutions• Improving Health information sharing HIS, HMIS, EHR, Referrals, etc.• Improving Health care Delivery Telehealth, eLearning, Decision Support Systems, Medication Compliance, etc. • Improving Health awareness and Education Patient health records, Health Education and Awareness campaigns, Health Knowledge Bases, etc.

eHealth Priority Solutions• Improving Health information sharing HIS, HMIS, EHR, Referrals, etc.• Improving Health care Delivery Telehealth, eLearning, Decision Support Systems, Medication Compliance, etc. • Improving Health awareness and Education Patient health records, Health Education and Awareness campaigns, Health Knowledge Bases, etc.

Components of a National e-Health RoadmapComponents of a National e-Health RoadmapAustralia National e-Health Strategy, 2008

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WHO-ITU-WB effort to support WHO-ITU-WB effort to support National e-Health RoadmapsNational e-Health Roadmaps

• The health care, telecommunication and finance sectors have to work together in developing national e-Health strategies.

• Develop resource materials building on relative competencies of each of the three organisations.

• Deploy approaches to support the development of new national eHealth strategic documents or the update of existing plans to reflect experience or emerging challenges in the domain of eHealth.

• Approaches will ensure country ownership of the process and therefore sustainability

 

Methodology to assess actual Health System Status, Needs and Action Priorities

An integrated Action Framework covering: Infrastructure, Applications, Financing, Governance, Legal and policy, Human Capacity, Information quality

Guidance on how to set eHealth targets, benefits and Key Performance Indicators

Detailed background information on each of the technical areas

The Guidelines for National e-Health Strategies will provide :

Supporting National e-Health Roadmaps

WHO-ITU-WB joint effort

THANK YOU