capacity building in e-health & health informatics in developing countries “from silos to...

8/9/2019 Capacity Building in e-Health & Health Informatics in Developing Countries From Silos to Systems

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Capacity Building in e-Health & HealthInformatics in Developing Countries

From Silos to Systems

Don E. Detmer, MDSenior Advisor, AMIA; Prof. Med. Ed., U Virginia

Edward Shortliffe, MD, PhD

President & CEO, AMIA

Barbara BrownDirector, Global Partnership Program

21 April, 2010


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e-Health & Health InformaticsCapacity-Building Conference 2008

Organized by the American Medical Informatics Association (AMIA) in activecollaboration with International Medical Informatics Association (IMIA)

(with support from Rockefeller Foundation & Bill & Melinda Gates Foundation)

Global South Country Perspectives Represented

Argentina

Brazil

South Africa

Thailand

Turkey

Uruguay including perspectives from Developing Countries:

Peru Vietnam


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The Rockefeller FoundationBellagio Center

20-25 July, 2008


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Bellagio - Summer 2008:

Three Themes plus Recommendations & a Call to Action

1) Identify & support local health workers & relevantexperts (worldwide),

2) Formalize partnerships with others, &

3) Build a collaborative AMIA Global Partnership Programfor Health Informatics * ^.

* Planning supported a grant from the Bill & Melinda Gates Foundation^ Spring 2010 - GPP being created as a non-profit entity related to AMIA


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Emerging Assumptions regardinge-Health Capacity-Building & Health

Informatics (1)

Access to sustained evidence-basedpublic health & health care services in

needed in many parts of the world.

To move from Silos to Systems for sustained improvement in publichealth & high quality care implies key inputs:

1) Electronic health records (EHRs) for planning, care, & evaluation,

2) Information & Communications Technology (ICT) for access &education, &

3) Multiple levels of workers having relevant informatics knowledge& skills.


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Emerging Assumptions regardinge-Health Capacity-Building &

Health Informatics (2)

The local health workers need to be networked over time with others(including professionals in other centers of excellence near & far).

Appropriate knowledge & skills can be enhanced through learning healthcare systems.

Some of these workers will become fully professional informaticiansintegrated into the global informatics community.

Viable sustained networks for personal development & professionalrecognition may mitigate brain drain.


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Terms: HICT

Human Factors

Cognition, change resistance, behavior, learning

Information

Knowledge, meaning, semantics

Communication

Speaking & listening for understanding

Technology Hardware, software

= Easier to More Difficult Adapted from Niland 10


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Working with others,

the AMIA Global Partnership Programseeks to address these needs.


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Planning the AMIA Global Partnership Program

Groups

Steering

Structure & Governance

Participants & Sites

Training Approaches &Content

Research & Evaluation


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AMIA Global Partnership Program Leadership

Program Leaders:

- Andrew Kanter & Ted Shortliffe, Pres/CEO, AMIA; (Bill Tierney)

- Don Detmer, Senior Advisor, AMIA & Chair Steering Committee;

- Barbara Brown, AMIA Director, GPP

AMIA GPP Committee Leaders-

Structure & Governance:

Antoine Geissbuhler (Chair) & Alvin Marcelo (Co-chair)

Participants & Sites:

Andy Kanter (Chair) & Fernn Quirs (Co-chair)

Training Approaches & Contents:Bill Hersh (Chair) & Paula Otero (Co-chair)

Research & Evaluation:

Chris Seebregts (Chair) & Chris Bailey (Co-chair)


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A warm Thank You to

AMIA GPP Committee membersSteering:

Walter Curioso, Antoine Geissbuhler, Lyn Hanmer, Bill Hersh, Andy Kanter,Alvaro Margolis, Paula Otero, Chris Seebregts, Chris Bailey, Luu Ngoc Hoat,Alvin Marcelo, (Bill Tierney)

Structure & Governance:

Maurice Mars, Alvaro Margolis, Najeeb Al-Shorbaji, Cindy Gadd, StephenSettimi

Participants & Sites:

NT Cheung, Marion Ball, Solomon Shiferaw, Hamish Fraser, Helen Ayles; BillTierney (Chair until 12/31/09),

Training Approaches & Contents:

Luu Ngoc Hoat, Alvaro Margolis, Peter Murray, Janise Richards, Lyn Hanmer

Research & Evaluation:

Rosemary Foster, Ghislain Khouematchoua, Heimar Marin,

Walter Curioso, Jorn Braa, Sundeep Sahay, Siaw-Teng Liaw


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And, Thank you toAMIA & AMIA GPP Staff

Barbara BrownMeryl Bloomrosen

Tia Abner

Ebele Okwumabua

Nancy Roslyn Rappaport

Elaine Steen


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Current Priorities

Formalize relevant Partnerships

Educate via AMIA 10x10 Program

Identify & collaborate with others on HIBBs

Mature a Global Informatics Network forInformatics Education & Training

Seek funding for Global Informatics Fellowships


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1) Now: US AMIA -10x10 or AMIA i10x10(http://www.amia.org/10x10/) Clinical, Public

Health, Translational Bioinformatics, Nursing

Informatics

2) Coming: Medical Sub-certification in AppliedClinical Informatics

Know what you are doing. Support formal

education/training in Applied Clinical Informatics.


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Health Informatics BuildingBlocks (HIBBs)

Goals Mechanism to coordinate & provide distance learning for informatics training

& education.

Collect, create, test & deploy appropriate informatics training content

Modular, adaptable, updatable

Catalyze & develop a sustainable pipeline of health care workers withinformatics skills applicable to their work at the grassroots levels

Concept A focused informatics training module designed to advance knowledge & skills

for individuals who use health information & communications (HICT) to providehealth care &/or public health services, make HICT-related policy decisions ormanage the HICT infrastructure for an organization.

Initial Funding Rockefeller Foundation project planning grant

eHealth Capacity Building Conference

Planning Meeting London, Wellcome Trust


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Health Informatics Building Blocks(HIBBs)

Short courses, webinars, learning packages (CDs)

Web-based E-Learning center

Learning modues for teaching in villages for local leaders or

citizens/patients & informal caregivers, &/or for health workers,&/or professionals, &/or policy leaders

Content

Basic IT, CT, & Informatics

Attitudes, Knowledge & Skills

Ex: DPRC certification & examination


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Digital Patient Record CertificationExamination and Study Guide*

Who should use DPRCcertification?

Any academic institutiontraining qualifiedhealthcare professionals

that will use a digitalinput device to managepatient records in a HIS& thereby can effect theoutcome of a patientstreatment or legal rights.

www.DPRCertification.com

* A collaboration between AMIA & CS Placement


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AMIA Global Partnership Program:HIBBs Development

Collaboration Example : Carl Leitner Intrahealth.orgTanzania 3 day training workshop with Univ. of Dar es Salaam April 2010

General topics appropriate for consideration as HIBBs:

The importance of using data standards System & database administration & backup

Using source control software to maintain large projects.

Public Health Informatics" topics:

Interoperability among HIS components (e.g. DHIS and iHRIS) Data ownership and access rights

Design and Development of public health data-portals


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AMIA GPP: Health InformationBuilding Blocks (HIBBs) Program

Currently Creating 3 Prototypes HIBBs

PLAN:1) Launch Prototypes at Medinfo (Cape Town, So. Africa 12-15 Sept 2010)

2) Field test after Medinfo as proof of concept.

We are building our HIBBs team & developing HIBBs specs with help frompartners like OpenMRS, Intrahealth, HMN, & others.

Funding - Rockefeller Foundation


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e-Health Capacity-Building & Health Informatics -

Conclusions

A useful vision & charge to action was developed at Bellagio in 2008

Essential elements for long term success in low resource environments willlikely entail:

1) A sufficient ICT infrastructure

2) Evolving health care processes based on evidence appropriate for the localculture

3) A fresh view toward educational preparation among health workers toinclude basics of ICT & informatics

4) Focused & sustained policy support at national / regional level

5) Ongoing applied (practical) research & development

6) A thriving global network among informaticians, includingtelemedicine/telehealth

7) AMIA working with IMIA seeks to be a key global partner for years to come.


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Thank you & best wishes.

Comments & Questions

[email protected]@amia.org

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