1. November 21, 2012

2. Outline The Impact of Technology 1 Health Information Technologies 3 Opportunity for Nigerian Innovation 42 Nigeria’s Health Profile Conclusion 5 2

3. 3 The Impact of Technology 1

4. 4 The Impact of IT on Modern Life EducationBanking & eCommerce

5. 5 The Growth in Nigeria’s Teledensity

6. 6 2 Nigeria’s Health Profile

7.  Nigeria has one of the worst records in the world  Second to India, Nigeria is the most hazardous place in the world for expectant mothers and children  Incidences of morbidity are equally high 7

8. The Challenges of Healthcare  Lack of Information  Lack of Access to Quality Care  Systemic Failures  Resource constraints  Gaps in care 8

9. 9 Health Information Technologies 3

10.  The application of Information and Communication Technologies to Health: Planning Management Financing Delivery Improvement 10 Electronic Health Records Electronic Prescription Health Information Exchange Analytics Clinical Decision Support

11. Health Information Technology cont’d  The potential to make a difference in Nigeria depends on certain key considerations: The value of health information Patient Present illness Available therapies Appreciation of the impact on the quality and appropriateness of care that is dispensed Commitment to improve the quality of healthcare services 11

12.  Engaging patients and their families Education and awareness Community mobilization Reminders for Appointments and medication Treatment compliance  Data collection and dissemination Biographical and health information Providing relevant information at the point-of-care Quality reporting 12 Use Cases of Health IT

13.  Clinical collaboration Remote delivery of care – frontline workers and urban- based specialists Care coordination and management  Surveillance Syndromic (preventive epidemiological applications) Disease (to aid evidence-based disease-focused interventions) 13 Use Cases of Health IT cont’d

14. 14 Use Cases of Health IT cont’d  Analytics & Clinical/Business Intelligence

15. 15 Use Cases of Health IT cont’d

16. 16 Opportunity for Nigerian Innovation 4

17. Health Information Systems 17 The Patient-Centered Paradigm

18. Nigerian Innovation  Multidisciplinary Collaboration Comprehensive Pathways of care Clinical workflows that foster the care team approach Sound business case and clinical value Information-oriented architectures  Regulatory & Policy Enablement The National Health Bill Issue an Innovation Challenge Incentivize the creation, adoption and meaningful use of Nigerian Health Information Systems 18

19. Potential Impacts  Transformation of Healthcare Coordinate care across the continuum Improve quality, safety, and effectiveness Leverage existing infrastructure to engage patients Promote Public and Population Health  Growth of Nigeria’s Knowledge-based Economy Disrupt consumption and import-oriented trade Provide training and employment opportunities Position Nigeria to become a reliable outsourcing destination 19

20. 20 Conclusion 5

21.  Recognize the value of health information  Punctuate the equilibrium of suboptimal and declining health outcomes  Leverage the inherent efficiencies of health information technology to innovate  Make Nigeria an outsourcing destination  Foster sound clinical and economic health 21

22. “The secret to getting ahead is getting started…” - Mark Twain 22

23. Charles Nwasor 23 Charles is the Principal & Chief Health Information Technologist at Xcellent Technologies. A consummate health information technologist, Charles is currently involved in executing the Michigan Center for Effective IT Adoption project, a federal initiative for providing technical assistance in the adoption and Meaningful use of health IT to Primary Care Providers in the State of Michigan. He can be reached at: charles.nwasor@xcellenttechnologies.comcharles.nwasor@xcellenttechnologies.com