1. Brussels July,15, 2011 r.Essam Anwar HIO, Ministry of Health and Population Dr.Essam Anwar HIO, Ministry of Health and Population Eng.Tarek Saad Ministry of Administrative development Eng.Tarek Saad Ministry of Administrative development Arab Republic of Egypt TAIEX Multi-country seminar on eHealth “Virus C Treatment follow up System”

2. Brussels July 2011 -2/20 NEW Egypt 2

3. Brussels July 2011 -3/20 Egypt in Numbers Population 85 M Governorates 27 Fixed Phone lines penetration 13 % Mobile phone lines Subscribers 92 % Percentage of Internet users 31 % Number of Gov. employees 6 M Credit Card holders 2 M

4. Brussels July 2011 -4/20 ICT is just a tool…. Improve government efficiency Improve service delivery Enable sharing information Fight and reduce corruption Build trust between government and citizens

5. Brussels July 2011 -5/20 Business / IT alignment The gap between business and IT strategies/people is one of the biggest e-Projects challenges Filling the gap between business and IT is our main task BIT alignment is a long time process on different levels : strategic, tactical and operational Using IT helps in : applying rules,monitoring performance and building databases

6. Brussels July 2011 -6/20 6 Virus C Treatment follow up System

7. Brussels July 2011 -7/20 Hepatitis C Disease Infectious disease affecting the liver caused by the hepatitis C virus (HCV) In some cases, will go on to develop liver failure or other complications including liver cancer 3% of the World population are Hepatitis C patients 9.2% of Egypt Population are Hepatitis C patients One of the top five leading causes of death in Egypt.

8. Brussels July 2011 -8/20 Business goals Cost optimization Patient satisfaction Medical goals Medical High Committee

9. Brussels July 2011 -9/20 Medical Treatment Protocols Provide patients all over Egypt with Interferon Injections Weekly injection for 48 weeks Specialized Committee accept eligible cases based on : Lab results – Age and others Follow up Decisions based on : Continuity - Side effects – lab tests and others

10. Brussels July 2011 -10/20 IT System Basic Components Central database (patients e-files) in the HQ Hardware ( Servers and personal computers) in 22 branches Secured communication Network between HQ and branches Software applications and forms Technical help desk

11. Brussels July 2011 -11/20 The Medical Treatment Protocol Follow up A centralized database has been created, controlled, monitored and analyzed at the HIO Head Quarter in Cairo Egypt.

13. Brussels July 2011 -13/20 Follow up e-form 13 Personal Data Injection Dosage Data Side effects Data Investigation Data

14. Brussels July 2011 -14/20 IT System Features & controls Ensure security and respect privacy issues. Use the unique national ID as a patient identifier. Apply validations to ensure data accuracy. Generate alarms and error messages to correct data. Apply treatment protocol rules and conditions. Build beneficiaries database and monitor drug usage.

15. Brussels July 2011 -15/20 IT System Output

16. Brussels July 2011 -16/20 Resulted analysis and statistical 1.Number of Patients enrolled into the protocol and their segmentation

17. Brussels July 2011 -17/20 Resulted analysis and statistical 2.Treatment results throughout Protocol time periods Total unrecognized by system Without last PCR analysis Stopped for not attended Stopped as a result of complication Negative result Positive result Started treatment week 16890010001688 1 6002313972260 12 139712800011541150 24 1154136153007571080 48

18. Brussels July 2011 -18/20 Resulted analysis and statistical 3.Treatment side effects reported throughout the Protocol

19. Brussels July 2011 -19/20 What is Next ……?