Supporting National e-Health Roadmaps WHO-ITU-WB joint effort WSIS C7 e-Health Facilitation Meeting 13 th May 2010 Hani Eskandar ICT Applications, ITU.

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Presentation transcript:

Supporting National e-Health Roadmaps WHO-ITU-WB joint effort WSIS C7 e-Health Facilitation Meeting 13 th May 2010 Hani Eskandar ICT Applications, ITU

2 Context 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 coordination 2.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 coordination 2.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 system eHealth Information Standards Identification and Authentication Information Security and Privacy Computing Infrastructure Human Capacity & Awareness Networking Infrastructure Governance $$$

Needs and Readiness Assessment and Action Priorities National Vision (consumers, Health Providers, Health System) Needs and Readiness Assessment and Action Priorities National Vision (consumers, Health Providers, Health System) 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. Expected Health Outcomes and Implementation targets (consumers, Health Providers, Health System) Expected Health Outcomes and Implementation targets (consumers, Health Providers, Health System) Components 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 Short term - 3 years Mid term - 5 years Long term - 10 years Performance Indicators

Needs and Readiness Assessment and Action Priorities National Vision Needs and Readiness Assessment and Action Priorities National Vision Health Information infrastructure Governance eHealth Priority Solutions Expected Health Outcomes Components of a National e-Health Roadmap Human Capacity and Awareness Activities – Implementation Plan Activities – Implementation Plan Establish mechanisms to deploy and maintain acceptable baseline of computing infrastructure ICT Infrastructure Mobile and Broadband Infrastructure Computing Infrastructure ICT Infrastructure Mobile and Broadband Infrastructure Computing Infrastructure

Needs and Readiness Assessment and Action Priorities National Vision Needs and Readiness Assessment and Action Priorities National Vision Health Information infrastructure Governance eHealth Priority Solutions Expected Health Outcomes Components of a National e-Health Roadmap Human 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

Needs and Readiness Assessment and Action Priorities National Vision Needs and Readiness Assessment and Action Priorities National Vision ICT 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 Governance eHealth Priority Solutions Expected Health Outcomes Components of a National e-Health Roadmap Human 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

Needs and Readiness Assessment and Action Priorities National Vision Needs and Readiness Assessment and Action Priorities National Vision ICT 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 Governance eHealth Priority Solutions Expected Health Outcomes Components of a National e-Health Roadmap Human 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

Needs and Readiness Assessment and Action Priorities National Vision Needs and Readiness Assessment and Action Priorities National Vision ICT 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 Governance eHealth Priority Solutions Expected Health Outcomes Components of a National e-Health Roadmap Human Capacity and Awareness Activities – Implementation Plan Activities – Implementation Plan Design and implement national e-Health information standards for data storage and message structures, coding and medical terminologies

Needs and Readiness Assessment and Action Priorities National Vision Needs and Readiness Assessment and Action Priorities National Vision ICT Infrastructure Health Information infrastructure eHealth Priority Solutions Expected Health Outcomes Components of a National e-Health Roadmap Human 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 and enforce 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

Needs and Readiness Assessment and Action Priorities National Vision Needs and Readiness Assessment and Action Priorities National Vision ICT Infrastructure Health Information infrastructure Expected Health Outcomes Components of a National e-Health Roadmap Human Capacity and Awareness - Identify priority solutions with tangible outcomes - Mobilize investments in high priority solutions - Approach to develop individual electronic health record IEHR. Governance 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 Roadmap Australia National e-Health Strategy, 2008

13 WHO-ITU-WB effort to support National 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