1 Presented by: Dr. Najeeb Al-Shorbaji Health Information Technology and Telecommunication Support in the Eastern Mediterranean Region

2

3 Information has a role An essential prerequisite for the attainment of the goal of health for all is the continued free flow of information on health and biomedical topics within WHO, between the Organization and Member States, and among Member States.

4 Where and how information and communication technology can contribute to the improvement of health care Introduction: purpose

5 Function of information management Obtain, Manage and Use information to improve the health care and medical services performance, governance, and management and support process

6 Health and medical informatics in the Eastern Mediterranean Region: a situation analysis

7 Situation analysis A questionnaire was sent to 20 countries in the Region; 18 countries replied (90%); Three sets of questions were provided to assess informatics and telematics facilities and services; Two groups of countries emerged:

8 Ministry of Health has a Department for Informatics and telematics; There is a Local Area Network; A special annual budget for health informatics and telematics is allocated; Group 1: IT infrastructure is available

9 A planning/evaluation study of Ministry IT needs was conducted; The Ministry has a functional internet web site;

10 There is functional national health information system; There is national science and technology information policy; There is national master plan for health informatics and telematics; There is specially designed computer centre at the Ministry There is intranet site at the Ministry. Group 2: IT infrastructure and policies are available

11 Ranking of applications most available in countries the Region 1.Health statistics, epidemiological surveillance and trend analysis databases; 2.Management information systems; 3.Information technology training; 4.Hospital management systems;

12 Ranking of applications least available in countries of the Region 1.Full-text database(s) for laws, legislation, regulations, etc. 2.Computer-based directory of health and medical education (Colleges of Medicine, Dentistry, Pharmacy, Nursing, etc.) 3.E-Health, telemedicine, tele-radiology, tele-pathology services

Impediments to the development of health and medical informatics in the Region

14 Impediments Lack of awareness; Lack of vision; Lack of affordability; Limited medical informatics expertise; Weakness of the information infrastructure; Absence of legal, legislative, ethical and constitutional framework.

15

16 1.Division of Administration and Finance (DAF) 2.Division of Integrated Control of Diseases (DCD) 3.Division of Health Protection and Promotion (DHP) 4.Division of Health Services Development (DHS) a)Department of Management Support; b)Department of Health For All Policy & Strategy Support: a)Health Information Management and Telecommunications Divisions and Departments

17

18 Health Information Support HIT unit which is entrusted in all ICT issues at the Regional Office, comprises of four integrated sub-units:

19 HIT Subunits: 1.Health Literature Services; 2.Distribution and Sales; 3.AIDS Information Exchange Centre; 4.Informatics Management and Telecommunication.

20 Informatics Management and Telecommunication Provision of services related to the Regional Office and WHO Representatives offices with:  Information technology infrastructure;  Telecommunications infrastructure; Provision of ICT support to member states in development of national health information systems.

21

22 Human Resources –Librarians (5) –Programmers (9) –Web designers (2) –Systems Engineers (6) –Technical Support Staff (8) –Clerks (9) –Consultants and temporary advisors. 40 staff work for the Unit:

23 Information Technology Hardware: – –22 network servers – –380 workstations – –70 portable computers – –150+ printers – –3 CD-Servers – –Routers, Switches and Firewalls

24 Information Technology Software: – –ISIS family (DOS, WINDOWS, WEB); – –Microsoft SQL; – –IIS, ASP, and FrontPage; – –FolioViews; – –Other small databases on ACCESS.

25

26 Development and Maintenance of EMRO Intranet

27 Development and Maintenance of EMRO Web Site

28 Internet support to EMR countries Support to establish Internet connections for health institutions; Support to establish Internet presence (web sites for Ministries of Health); Training on Internet technology.

29 Education and Training National training courses; Conferences, professional meetings and Seminars; Fellowships; Internships.

30 Development, maintenance and distribution of UMD

31 e-Health and telemedicine –Consultation and assessment of needs; –Provision of training; –Logistics support for equipment and software; –Professional meetings and conferences; –Policy setting national planning.

32

33 Union Catalogue of Medical Journals ; Directories of health sciences libraries, depository libraries, focal points in the Region; EMR Health Sciences Library Listserv; Hosting of medical library sites on the EMRO web; Digital Institutional Memory project; Databank of Technical Papers and PowerPoint Presentations. Health Sciences Virtual Library

34 Development and deployment of computer applications for health care management

35 Management information systems Provision of software for planning, programming, budgeting, implementation and monitoring, evaluation and re-planning of WHO collaborative programme; Expert systems Decision support systems.

36 Epidemiological surveillance Provision of software to computerise disease surveillance and registration of cases over the Internet. Publishing of health statistics and trends on the Internet;

37 Geographic Information Systems (GIS) Provision of software for: management of spatial database to record record digital coordinates features of geographic areas (digital maps of countries); Management of attribute database to record characteristics or qualities of the spatial features (health statistics, resources, etc). +

38 Development of model computer-based medical record; Assistance to member states to computerize medical records; Raise awareness on issues of Confidentiality and privacy. Computer-based medical records

39 Provision of access to databases and networked CD-ROM; Enabling access to electronic journals; Establishment of discussion groups, newsgroups and Listservs; Online access to literature and information services

40 Provision of off-line health literature services 176 sets of CD-ROM; Of which 91 are MEDLINE and 27 sets of IPCS INTOX & INCHEM; Provided to 91 libraries in the Region; Costing over $ 140,00; 1147 journals subscriptions; Provided to 211 sites in the Region; Costing over US$ 961,000.

41 Q & A