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Capacity building to support eHealth Strategies

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Presentation on theme: "Capacity building to support eHealth Strategies"— Presentation transcript:

1 Capacity building to support eHealth Strategies
eHealth Capacity Building “Architecture” Webinar 3 in capacity building to support the development and delivery of National eHealth Strategies Peter Drury, PhD. . . Capacity building to support eHealth Strategies

2 Capacity building to support eHealth Strategies
Purpose This webinar is third of an 8-part series commissioned by the Asia eHealth Information Network and designed to increase awareness of participants on how you can support their ministries achieve their country's national eHealth strategy. To help understand how eHealth strategy, planning, an architectural approach, standards and quality, frame the requirements for capacity development  and To identify how appropriate skills and training from different sources can support the projects and programmes needed to deliver different aspects of eHealth strategies and action plans. Part of the AeHIN Academy “eHealth Capacity Building Roadmap”. Capacity building to support eHealth Strategies

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Themes Leadership that delivers an eHealth action plan Institutional readiness Architecting the interoperable enterprise (scalability) Standards and Interoperability Health Information Exchange Delivery Monitoring and Evaluation Review, refine, refresh, retrain Capacity building to support eHealth Strategies

5 Webinar 3: architecting the interoperable enterprise (scalability)
Architecture as a process, and one that enables the continuum of an enterprise to interoperate. Toolkit: Part 1 Capabilities required to deliver the Vision Part 2 Generic & specific architectures and solutions to deliver Action Plan Part 3 M&E improving EAs Different architectural frameworks Capacity building to support eHealth Strategies

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Architecture Enterprise Architecture (EA) is a well-­defined practice for conducting enterprise analysis, design, planning, and implementation, using a holistic approach at all times, for development and execution of strategy. EA applies architecture principles and practices to guide organizations through the business, information, process, and technology changes necessary to execute their strategies. EA can apply its methods at different organizational levels from departments to complex organisations Source: A Common Perspective on Enterprise Architecture Developed and Endorsed by The Federation of Enterprise Architecture Professional Organizations Capacity building to support eHealth Strategies

7 The general process of Enterprise Architecture
Execute on those plans Reflect on where you are at Determine where you need to go Create plans to get there The general process of Enterprise Architecture Source: A Common Perspective on Enterprise Architecture . The Federation of Enterprise Architecture Professional Organizations. Architecture & Governance vol 9 issue 4 p 11-17 Capacity building to support eHealth Strategies

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Domains and Models Four architecture domains are commonly accepted as subsets of an overall enterprise architecture: Business Data Applications Technology The individual models produced in the EA process generally include (but are not limited to): Goals and objectives Capabilities, values streams, and information (enablers) Portfolio of business solutions (services and applications) Technologies and resources (infrastructure) Capacity building to support eHealth Strategies

9 6. Establish the strategic context
WHO/ITU National eHealth Strategy Toolkit Establish the strategic context Provides the foundation for planning and informed decisions on how to harness ICT for the health system. Outputs The strategic health goals, challenges and priorities The potential role for eHealth in addressing them Capacity building to support eHealth Strategies

10 Understanding the strategic context is critical
WHO/ITU National eHealth Strategy Toolkit Understanding the strategic context is critical Research population health and demographics Describe the health system Review health strategy, goals and priorities Identify development goals related to health Review existing strategies for eHealth, ICT or health information systems Select goals and challenges where eHealth will have the most impact Describe how eHealth will support selected goals Capacity building to support eHealth Strategies

11 Regional Workshop: National eHealth Strategy Development
WHO/ITU National eHealth Strategy Toolkit 25-27 September 2013 6.6 Select goals and challenges where eHealth will have the most impact Approach The information collected should be consolidated, to form a manageable number of goals and challenges. Between 5-8 strategic goals and challenges are recommended- more than this increases complexity. A large number of goals/challenges can be grouped into themes, and the vision can be drafted to respond to these themes. The strategic goals/challenges should be reviewed with stakeholders and refined: consensus is important since the eHealth vision will address these goals. Capacity building to support eHealth Strategies

12 Regional Workshop: National eHealth Strategy Development
WHO/ITU National eHealth Strategy Toolkit 25-27 September 2013 eHealth components: Enablers Standards and interoperability Legislation, policy and compliance Workforce Adoption Data structure Clinical coding Data presentation Security Messaging Software accreditation Privacy regulations Consent management policy Compliance services Electronic record licensing Care provider workforce development Health IT workforce development Professional networks Awareness campaigns Professional accreditation Engagement forums Procurement standards

13 eHealth components: Services and Applications
Regional Workshop: National eHealth Strategy Development eHealth components: Services and Applications WHO/ITU National eHealth Strategy Toolkit 25-27 September 2013 Health information Electronic health record Health service delivery Health care management Consumer health knowledge sources Care provider knowledge portal Distance learning and electronic resources Patient demographics Allergies Current health profile Medications Health diary Test results Event summaries Access control Referrals Care plans Appointments Alerts Decision support Prescriptions Lab results Chronic disease Telemedicine and mHealth Adverse events Risk analysis Compliance monitoring Operations management Clinical practice improvement Health care research 13

14 Regional Workshop: National eHealth Strategy Development
eHealth components: Infrastructure WHO/ITU National eHealth Strategy Toolkit 25-27 September 2013 This is the foundation for electronic information exchange, comprising physical infrastructure (e.g. networks), core services and applications that underpin a national eHealth environment. Examples of common infrastructure components Broadband connectivity Computer systems Practice, patient and clinical management systems Universal health identifier National authentication service Provider and service directories National product catalogue Prescription transfer service Health information data sets

15 Regional Workshop: National eHealth Strategy Development
5.1 Define main action lines WHO/ITU National eHealth Strategy Toolkit 25-27 September 2013 Action Line Example characteristics Foundations eHealth components that secure national information exchange and/or are more cost-effective if done once at a national level. Solutions eHealth components that access, interact with and use national foundations and infrastructure to access and share information. Change and adoption Motivate and support the health system, establish incentives, and needed changes in work practices. Governance Coordination, visibility, structures, mechanisms for accountability and effective leadership.

16 5.2 Define a process for national monitoring and evaluation
Regional Technical Consultation on eHealth standardization for data exchange and interoperability: EMRO National eHealth Strategy Toolkit WHO/ITU National eHealth Strategy Toolkit 25-26 June 2013 5.2 Define a process for national monitoring and evaluation Describes the process for monitoring and evaluation during the implementation of the action plan, including the governance.

17 Q&A and sharing session
Capacity building to support eHealth Strategies

18 Different EA Methodologies
ISO RM-ODP ISO/IEC TR (IEEE Std ) NCR Enterprise Architecture Framework SABSA SPIRIT Platform Blueprint Issue 3.0 TEAF  TOGAF Zachman Business Technology Management (BTM) COBIT - Part 1 | Part 2 CORBA C4ISR Architecture Framework DODAF Enterprise Architecture Planning (EAP) Federal Enterprise Architecture: Practical Guide FEAF Gartner Capacity building to support eHealth Strategies

19 Comparing EA methodologies
Criteria Meaning Taxonomy completeness Usefulness in classifying architectural artifacts Process Completeness Guidance on process for creating an EA Reference Model Guidance Usefulness in building relevant reference models Practice Guidance Ease of developing an organisational culture for EA use Maturity model Effectiveness of maturity assessments of organisations Business focus Usefulness in driving down expenses or increase income Governance Guidance Usefulness in creating effective governance models for EA Partitioning Guidance Effectiveness of autonomous partitioning of enterprise Prescriptive Catalogue Setting up catalogue of reusable architectural assets Vendor Neutrality Risk of lock-in to specific consulting organisation Information Availability Quantity and quality of inexpensive information about it Time to Value Time before being able to build high value solutions Source: Comparison of the Top Four Enterprise Architecture Methodologies. Roger Sessions Capacity building to support eHealth Strategies

20 The Zachman EA (Taxonomy)
When all the cells are filled an overview of the complete enterprise architecture is created. But it is really of use only for architects. Infrastructure architects could use the Zachman framework to create documents to describe the infrastructure, and the relevant fields for infrastructure architecture are grayed in the picture below. Capacity building to support eHealth Strategies Source:

21 FEAF – The EA for Federal Government (USA)
The FEA is built using common framework of reference models designed to facilitate cross-agency analysis and the identification of gaps, overlaps etc. There are models for: Performance Business Service component Data Technical. Capacity building to support eHealth Strategies

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Gartner EA Practice Gartner's Enterprise Architecture Framework (Formerly Meta) is more appropriately described as a "Practice" that encompasses the Zachman Taxonomy with the TOGAF process and provides it as a service to large Enterprises. Capacity building to support eHealth Strategies

23 TOGAF 9.1 – The Enterprise Continuum

24 Architecture and Solutions
The Enterprise Continuum provides an overall context for architectures and solutions and classifies assets that apply across the entire scope of the enterprise. TOGAF assists in generating or maintaining any type of architecture within the Continuum while leveraging assets already defined, internal or external to the organization. Capacity building to support eHealth Strategies

25 Ratings of 4 EA Methodologies
Criteria Zachman TOGAF FEA Gartner Taxonomy completeness 4 2 1 Process Completeness 3 Reference Model Guidance Practice Guidance Maturity model Business focus Governance Guidance Partitioning Guidance Prescriptive Catalogue Vendor Neutrality Information Availability Time to Value Suggested focus Taxonomy Process Methodology Practice Source: Comparison of the Top Four Enterprise Architecture Methodologies. Roger Sessions Key: 1= very poor; 2= inadequate; 3=acceptable; 4=very good Capacity building to support eHealth Strategies

26 Q&A and sharing session
Capacity building to support eHealth Strategies

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Archimate The ArchiMate® modelling language is an open and independent EA standard supporting the description, analysis and visualisation of architecture within and across business domains. This helps architects to better communicate and collaborate with stakeholders from diverse functional areas. As a result, the alignment of business and IT can be increased. Free ArchiMate ModellingTools are available ttp://www.archimatetool.com/ Capacity building to support eHealth Strategies

28 Enterprise Architecture Skills (TOGAF)
TOGAF provides definitions of the architecting skills and proficiency levels required of personnel, internal or external, to perform architecting roles. Capacity building to support eHealth Strategies

29 Open Group: Certified training – ArchiMate and Certified Architect
There are two levels of certification: ArchiMate Foundation: Knowledge of the notation, terminology, structure, and concepts of the ArchiMate modeling language. ArchiMate Certified: + the ability to analyze and apply the ArchiMate modeling language. 18 Accredited Training Courses The Open Group supports two different routes to certification: The first route is direct certification by The Open Group. The second is indirect, through third-party Accredited Certification Programs (ACPs). Certification Fee: (per Candidate for a 3-year certification period) $1,250 Capacity building to support eHealth Strategies

30 Other sources of training
USA, Canada, UK C$1600 for Framework Foundations Zachman International and FEAC Institute e-learning portal Zachman/FEAF /DODAF FEAC Commercial Black Belt Certified Enterprise Architect $11, inclusive of classroom training and exams, both written and practicum.  Live online Workshops provide the opportunity to become a Certified Enterprise Architect from the comfort of their desktop. The cost of the Workshop for an individual is $3, Team discounts are available for three or more Workshop attendees. Institute for Enterprise Architecture Developments – provides an overview of certification initiatives Capacity building to support eHealth Strategies

31 Capacity building to support eHealth Strategies
QUIZTIME! Does your national health system use an EA? Is EA a project or a process-oriented activity? In EA frameworks, are “technologies and resources” usually considered as enablers, services and applications, or infrastructure? How many strategic goals for eHealth are recommended? 1-3; 4-7; 5-8; 6-10? Is consumer health knowledge part of an eHealth component? Is governance an input to monitoring and evaluation? Which of the following EAs offers least vendor neutrality: Zachman, TOGAF, FEA or Gartner? What is the prime focus of the Zachman Framework? Taxonomy; Process; Methodology; Practice? Is Archimate concerned with modelling within domains, between domains, or both? In TOGAF, do Members or sponsors need to have “expert” skills in any aspect if it? Capacity building to support eHealth Strategies

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Trailer for Webinar 4 Topic: Standards and Interoperability Date: Monday May 16th Time: 15:00 UTC/GMT+8 Capacity building to support eHealth Strategies

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Final feedback Any further questions? Any suggestions? Capacity building to support eHealth Strategies


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