supporting national e-health roadmaps who-itu-wb joint effort wsis c7 e-health facilitation meeting...
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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
Authentication
Information Security and
Privacy
Computing Infrastructure
Human Capacity & Awareness
Networking Infrastructure
Governance
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Pri
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Nati
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consu
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rovid
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yst
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Need
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Pri
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Nati
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n (
consu
mers
, H
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rovid
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, H
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yst
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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.
Exp
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Im
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tati
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sum
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)
Exp
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Im
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(c
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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
Sh
ort
ter
m -
3 y
ears
Mid
ter
m -
5 y
ears
Lo
ng
ter
m -
10
year
s
Performance Indicators
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Health Information infrastructureHealth Information infrastructure
GovernanceGovernance
eHealth Priority SolutionseHealth Priority Solutions
Exp
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d H
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h O
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Exp
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d H
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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
Need
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Pri
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Health Information infrastructureHealth Information infrastructure
GovernanceGovernance
eHealth Priority SolutionseHealth Priority Solutions
Exp
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d H
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utc
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Exp
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d H
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h O
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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
Need
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Read
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ssessm
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Need
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Read
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ssessm
en
t an
d A
cti
on
Pri
ori
ties
Nati
on
al V
isio
n
ICT InfrastructureICT Infrastructure
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
GovernanceGovernance
eHealth Priority SolutionseHealth Priority Solutions
Exp
ecte
d H
ealt
h O
utc
om
es
Exp
ecte
d H
ealt
h O
utc
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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
Need
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Need
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Read
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ssessm
en
t an
d A
cti
on
Pri
ori
ties
Nati
on
al V
isio
n
ICT InfrastructureICT Infrastructure
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
Exp
ecte
d H
ealt
h O
utc
om
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Exp
ecte
d H
ealt
h O
utc
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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
Need
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Need
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Read
iness A
ssessm
en
t an
d A
cti
on
Pri
ori
ties
Nati
on
al V
isio
n
ICT InfrastructureICT Infrastructure
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
Exp
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d H
ealt
h O
utc
om
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Exp
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d H
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h O
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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
Need
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Need
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Read
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ssessm
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d A
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Pri
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Nati
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ICT InfrastructureICT Infrastructure
Health Information infrastructureHealth Information infrastructure
eHealth Priority SolutionseHealth Priority Solutions
Exp
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d H
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h O
utc
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Exp
ecte
d H
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h O
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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
Need
s a
nd
Read
iness A
ssessm
en
t an
d A
cti
on
Pri
ori
ties
Nati
on
al V
isio
n
Need
s a
nd
Read
iness A
ssessm
en
t an
d A
cti
on
Pri
ori
ties
Nati
on
al V
isio
n
ICT InfrastructureICT Infrastructure
Health Information infrastructureHealth Information infrastructure
Exp
ecte
d H
ealt
h O
utc
om
es
Exp
ecte
d H
ealt
h O
utc
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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