1. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India Developing eHealth Strategy for India Need of the hour Prof. S. K. Mishra, MS, FACS Dept. of Endocrine Surgery & School of Telemedicine & Biomedical Informatics SGPGIMS, Lucknow

2. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India Agenda Introduction Need and Justification of developing ehealth policy Global Scenario Indian Scenario – Standardization of IT infrastructure of health – National Task Force WHO/ITU National Strategy Toolkit

3. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India Introduction eHealth an important tool having potiental in achieving the goal of “health for all”. eHealth reduces healthcare cost ehealth expanded services to un-served region eHealth needs to be integrated in healthcare system both in practical and policy sense Source: Telehealth policy: Looking for global commentary;Richart E Scott et. al.; J. Telemedicine and Telecare 2002; 8 (suppl. 3): s3.55-57

4. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India eHealth policy is concerned with solutions that support capacity building and provide services that improve health outcomes. It is a set of statements, directives, regulations, laws, and judicial interpretations that direct and manage the life cycle of eHealth Socio-economic, financial & cultural, Institutional conditions, Human and material resources, Organizational and managerial models defines policy boundaries eHealth Policy Source: Telehealth policy: Looking for global commentary;Richart E Scott et. al.; J. Telemedicine and Telecare 2002; 8 (suppl. 3): s3.55-57

5. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India Need and Justification of developing ehealth policy Advances in ICT continue to outpace the development of supportive policies, infrastructure & user acceptance of eHealth Successful pilot projects have not translated into adoption in health system Government expenditure and business rules are dictated through policies Industry growth is heavily dependent on government policy Barriers like Interoperability, legal, security & ethical issues can only be addressed by a set of rules and standards at national level Need of development of National eHealth Policy in Global Context

6. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India Status of eHealth around the world Source: http://www.who.int/goe/publications/goe_telemedicine_2010.pdf

7. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India Policy Document Malaysia; 1997 Telemedicine Act 1 Malaysia; 2000 Telehealth policy statement Well defined e-health policy or clear policy activity : Australia, Canada, China, Croatia, Denmark, Finland, Iran, Malaysia, Malta, New Zealand, Russia, Singapore, South Korea, Sweden, Taiwan, Tanzania, Thailand, UK, USA and Vietnam etc. 2 1. http://unpan1.un.org/intradoc/groups/public/documents/APCITY/UNPAN025631.pdf 2. Source: Telehealth policy: Looking for global commentary;Richart E Scott et. al.; J. Telemedicine and Telecare 2002; 8 (suppl. 3): s3.55-57

8. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India Adoption of eHealth policy Source: http://www.who.int/goe/publications/goe_telemedicine_2010.pdf

9. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India The Rockefeller Foundation The initiative would improve the quality, equity, and cost-effectiveness of health care in the "Global South"—a term for developing countries. It would do this by using information and communication technologies (ICT) to improve and expand diagnostic, treatment, preventive, and monitoring capabilities, as well as user awareness and access. Source: www.ehealth-connection.org/

10. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India PAHO – Pan African Health Organisation Argentina takes steps in establishing a national eHealth Strategy Experts from the Ministry of Health of Argentina, Hospital Italiano and universities, among others, stressed the need to establish an eHealth plan for the country, during a meeting organized by the Pan American Health Organization in Buenos Aires. The discussion highlighted the need of eHealth experts in the nation and public policies that support the sustainability and viability of projects, such as the creation of a unique electronic medical records and telemedicine. Source: http://new.paho.org/index.php

11. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India UGANDA eHealth Policy Widely consultative and participatory with involvement of all stakeholders to ensure ownership, shared responsibility successful implementation. Provides a framework for eHealth implementation by all stakeholders in collaboration with other Sectors eHealth is in line with existing policies eg Poverty Eradication Action Plan (PEAP), National health Policy, Health Sector strategic Plan I & II and National ICT policy http://www.who.int/workforcealliance/forum/SBW_eHEALTH%20POLICY%20AND%20eLEARNING.pdf

12. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India COCIR eHealth Toolkit for an accelerated deployment and better use of eHealth European Coordination Committee of the Radiological, Electromedical and Healthcare IT Industry In 2007, COCIR developed 10 recommendations to accelerate the deployment of eHealth Three priorities for deployment – Develop an innovative sustainable business model – Foster standards and interoperability – Enable market development Source: http://www.cocir.org

13. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India National E-Health Strategy Australia's Policy Source: www.ahmac.gov.au

14. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India CUBA National health telematics network - INFOMED (www.sld.cu)www.sld.cu Building a National eHealth Capacity Additional eHealth applications already functioning include specialized networks in nephrology, intensive care, cardiology, and pharmacies, and there is a growing electronic publishing capacity. Future applications include a national health economy management system and a hospital-level management system (digital diagnostic results, inventories, accounting, etc.) Source: www.medicc.org/mediccreview/articles/mr_42.pdf

15. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India WHO/ITU eHealth Strategy Toolkit Source: www.who.int/entity/ehealth/brochure.pdf

16. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India WHO-ITU 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 two organisations. Deploy approaches to support the development of new national eHealth strategies 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 Source: http://www.itu.int/ITU-D/cyb/events/2011/Telecom11/e-health/Presentations /tuesday1-%20WHO&ITU%20eHealth%20National%20Strategy%20Toolkit.pdf

17. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India National eHealth Strategy ToolKit Methodology to assess actual Health System Status, Needs and Action Priorities An integrated Action Framework covering: Infrastructure, Applications, Funding, Governance, Legal and policy, Workforce, Standards and interoperability, etc. Guidance on how to set eHealth targets, benefits and Performance Indicators Source: http://www.itu.int/ITU-D/cyb/events/2011/Telecom11/e-health/Presentations /tuesday1-%20WHO&ITU%20eHealth%20National%20Strategy%20Toolkit.pdf

18. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India eHealth Policy Issues Policy Objectives – Coordination and Collaboration, – Connectivity and Infra-structure, – Human Resource Development, – Content – Provision of Health Information and Services – Financing Mechanism and Sustainability – Research Organizational Structures Institutional Framework Expected Cost and Benefits of the Policy Monitoring and evaluation Source: http://www.itu.int/ITU-D/cyb/events/2011/Telecom11/e-health/Presentations /tuesday1-%20WHO&ITU%20eHealth%20National%20Strategy%20Toolkit.pdf

19. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India Global Elements Network Inter-Jurisdictional Practice Diffusion of ehealth addressing the digital divide Integration into existing system Handling innovation at different levels Policy Goal Setting Evaluation & Research Investment Ethical Issues Scope of Policy Issues for eHealth: Results from a Structured Review; Shariq Khoja et. al. Bellagio, Italy, July 13-Aug, 8, 2008 source: www.ehealth-connect.org

20. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India Planning for eHealth Policy Success Global eHealth Convention eHealth Policy Toolkit eHealth Education National eHealth Councils Stake Holders Source: ww.who.int/ehealth

21. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India eHealth Challenges -I Coordination is not easy due to fragmented donor driven projects leading to duplication, equipment incompatibility Integration of ICT into budgets of the service delivery programs in the health system affecting sustainability Connectivity available even in remote areas but very expensive. Hardware like computers limited. Source: http://www.who.int/workforcealliance/forum/SBW_eHEALTH%20POLICY%20AND%20eLEARNING.pdf

22. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India eHealth Challenges - II Very few ICT professionals/Technicians to maintain equipment and support/ train the users. Inadequate band width and irregular power supply or lack of it. Regulatory framework to ensure confidentiality and win the trust of patients Embracing ICT is a process of cultural transformation which takes place very slowly Source: http://www.who.int/workforcealliance/forum/SBW_eHEALTH%20POLICY%20AND%20eLEARNING.pdf

23. 3 rd International Conference on Transforming Healthcare with IT 31 st Aug.-1 st Sep. 2012 Hyderabad, India School of Telemedicine & Biomedical Informatics, Lucknow, India National Resource Center www.sgpgi-telemedicine.org | www.nrct.in | www.stbmi.ac.in 23 Thank You Contact: skmishra_1956@yahoo.com