one pathway to thailand's ehealth: a personal quick thought (february 14, 2016)
TRANSCRIPT
One Pathway to Thailand’s eHealth:
A Personal Quick Thought
Nawanan Theera-Ampornpunt
February 15, 2016
Key Problems
•No clear & common goal/vision of eHealth
•No linkage between eHealth vision & health system’s vision
•No roadmap/strategy toward eHealth vision
•Building blocks not in place toward eHealth vision
A Proposed Vision: Health Information Exchange (HIE) & Personal Health Records (PHRs)
Personal Health Records (PHRs)
Markle Foundation (2003), cited in Kaelber et al. (2008)
Markle Foundation (2003), cited in Tang et al. (2006)
Hersh (2009)
Health Information Exchange (HIE)
Hersh (2009)
A Proposed Vision: Health Information Exchange (HIE) & Personal Health Records (PHRs)
Hospital A Hospital B
Clinic C
Government
Lab Patient at Home
1. eHealth Governance
2. IT-Driven Hospitals3. Data & Exchange Standards
5. Patient-Accessible Platforms
4. Data Use by Policymakers
Building Blocks & Vision
Better Health Care
HIE (Data Exchange among Providers, Policymakers & Administrators)
Governance, Policy, Law
Infrastructure Standards
PHRs (Patient Access to Data)
Applications Workforce
One Possible Pathway
Strengthening eHealth Building Blocks
• eHealth Governance & Strategy
• Infrastructure
• Standards
• Integrated Applications
• Workforce
Quick Wins
• Governance Body
• Hospital IT Quality
• eReferral
• Data Warehouse through Health Data Centers
• Pilot for Patient-Accessible PHRs
HIE & PHRs (Expanding Scope & Scale)
• Exchanging Patient Records among Providers
• Patient’s Access
High Quality Health Care
• Safe, timely, effective & efficient care through information exchange
• Patient engagement & centeredness through PHRs
• Better policymaking & research
Proposed Projects & Tasks
• eHealth governance reform (18 mo.)• Create interim eHealth structure (2 mo.)• Determine long-term governance structure (3 mo.)• Draft necessary laws (6-12 mo.)• Go through lawmaking process (18 mo.)• Ensure sustainable & collaborative eHealth decision-
making mechanism
Proposed Projects & Tasks
•Hospital IT Quality Improvement (18 mo.)• Policy to encourage/endorse hospital IT quality
improvement (3 mo.)• Training (6-12 mo.)• Hospitals implement IT quality initiatives (6-12 mo.)• Survey & assess initial batches (12-18 mo.)
Proposed Projects & Tasks
• Integrated (Standard-based) eReferral Platform (18 mo.)• Develop eReferral standards (Data Models, Exchange
Formats, Connectivity Platforms, Privacy) (6 mo.)• Integrate various eReferral apps (12 mo.)• Policy for standard adoption (12-18 mo.)• Expand scope of exchange (outside eReferral) e.g.
emergency, etc.
Proposed Projects & Tasks
•Health data centers (data warehouse) (12 mo.)• Review proper infrastructure & data model per unmet
needs (3 mo.)• Design & implement new data models & infrastructure for
new use cases (12 mo.)
Proposed Projects & Tasks
•Patient-accessible PHRs (18 mo.)• Review data models, existing standards, needs for change
(3 mo.)• Design platform & standards (6 mo.)• Pilot among selected ready hospitals (12 mo.)• Expand scope & scale (18 mo.)• Create/revise standards (18 mo.)
A Proposed Vision: Health Information Exchange (HIE) & Personal Health Records (PHRs)
Hospital A Hospital B
Clinic C
Government
Lab Patient at Home
1. eHealth Governance
2. IT-Driven Hospitals3. Data & Exchange Standards
5. Patient-Accessible Platforms
4. Data Use by Policymakers
Key Problems Solved
•No clear & common goal/vision of eHealth
•No linkage between eHealth vision & health system’s vision
•No roadmap/strategy toward eHealth vision
•Building blocks not in place toward eHealth vision