1. South African Health Informatics Association
Presented:
Clive Daniell
Vice President

2. Who are we? SAHIA was formed in 1982.
Represents the South African Health Informatics community locally and internationally
We are a not for profit organization
We run on a voluntary basis
We have members from Academia, NGO’s, Private Industry and the Public Sector.

3. Our goals and objectives
To represent South African Health Informatics nationally and internationally, notably through the International Medical Informatics Association (IMIA) of which SAHIA is a member.
To promote and uphold the status of the Health Informatics professionals in South Africa
To stimulate the advancement of Health Informatics in South Africa
To maintain close co-operation with organisations with related aims in health informatics.
To promote the interest of our members

4. International representation
IMIA – INTERNATIONAL MEDICAL INFORMATICS ASSOCIATION
HEALTH INFORMATICS IN AFRICA - THE PAN AFRICAN HEALTH INFORMATICS ASSOCIATION
IHE – INTEGRATING THE HEALTHCARE ENTERPRISE

5. Our Scope
Education
Industry
Government

6. EVENTS HISA 2011 – Johannesburg Medinfo 2010 – Cape Town
HISA 2013 – Port Elizabeth
IHE Workshop Nov Pretoria
eHealthAlive Johannesburg
eHealthAFRO Johannesburg
HISA Journal Club
Sacox Durban

7. Current projects
Building meaningful partnerships with organizations like PHISC, Industry and Academia.
Planning an academic focused HISA 2017 to provide students and researchers the opportunity to present their research.
(eHealthAFRO 2017 – HISA Journal Club)
Promoting the use of healthcare standards to achieve interoperability in the Electronic Health Record (EHR) space.
(Involved in PHISC’s EHR standards development project)
Trying to influence Private and Public Health Organisations to travel a similar path regarding EHR standards, with the adoption and use of IHE proven technical frameworks.

8. HISA Journal CLUB
Development of Electronic Health Records (EHR) standards in South Africa, an update on progress made by the PHISC working group (Clive Daniell) A Contextual Framework for EHR Adoption in South African Healthcare Centers: A Case of NW Province (Thatoyaone Modise) A Model for A Smart Home to Support Safety and Risk Monitoring for the Elderly Living Independently (Tongai Chiridza) Leveraging Existing Resources for the Protection of Health Information Assets (Kevin Kativu)

9. PresenteR: Clive Daniell
Development of Electronic Health Record (EHR) standards in South Africa, an update on progress made by the PHISC working group
PresenteR:
Clive Daniell

10. Background to PHISC (the Private Healthcare Information Standards Committee)
An open national multi-stakeholder forum, embracing the full spectrum of information standards for healthcare data.
PHISC’s approach is for multi-stakeholders, to participate in consensus- driven discussions on aspects of healthcare information standards and their sector-wide implementation in South Africa.
PHISC Sub-Committees address healthcare information standards including:
Clinical Coding
Electronic Health Records (EHR)
Health Information Governance
Messaging Standards
Pharmaceutical Coding
Medical Devices and IVD Sub-committee (New)

11. Background to PHISC (the Private Healthcare Information Standards Committee)
PHISC is an organisation within the private healthcare sector which has as its goal the maximising of co-operation in healthcare information standards.
This assists in streamlined documentation, reporting and analysis of health information to ensure access, improve quality, and promote efficiency in healthcare delivery.
National healthcare regulations and governance pertaining to the documentation of health information and services is a global practice the world over.
Define guidelines for health information to monitor health service and access.
With particular reference to the Ministerial Advisory Committee on Health Care Benefits for National Health Insurance tasked with the “review and revision or full rollout of existing coding/classification systems”, the private healthcare sector stakeholders within PHISC are well positioned to assist with information standards that could be used in structuring National Health Insurance coverage as well as establishing co-operative standards for public-private partnerships.

12. PHISC EHR standards committee STRUCTURE
Establish guidelines for the implementation of EHR standards for the private healthcare sector in South Africa
PHISC Management Committee
Clinical Coding
Electronic Health Records (EHR)
Health Information Governance
Messaging Standards
Pharmaceutical Coding
Medical Devices and IVD Sub-committee (New)
EHR Standards Steering Sub- Committee
PHISC Members
Inc Funders
Inc Hospital groups
SAHIA
EHR Standards Working Group
Inclusive approach
Wide range of stakeholders including
Funders
Hospital groups
Professional associations
Actuaries

13. Standardisation Approach
Ensure inter-operability between public and private health systems Environment consists of many EHR & Health Information Exchange (HIE) systems (public and private) EHR/ HIE implementation in compliance with the National Health Normative Standards Framework for Interoperability in eHealth (HNSF)
Private HIEs
Family Practitioner
EHR
Public Health
EHRs/ HIEs
Specialist
Pharmacy
Labs & Diagnostic
Hospital
Private
Public

14. Methodology Develop guidelines per defined Use Case
Address coordination of care shortcomings in private health system:
Radiology reports
Pathology Reports
Hospital discharge summaries
Medication lists
Summary Patient Record
Use Cases mirror approach used in public e.g. use cases for HIV and AIDS and TB or high maternal and child mortality

15. Alignment with HNSF Methodology
Use Cases ensure distributed, pragmatic and evolutionary approach Interoperability Services defined as per HNSF document Guidelines select protocol components from HNSF document e.g. Integration and Content Profiles or Base Standards Alignment on standards maximises likelihood of interoperability Close collaboration between public and private required to ensure interoperability

16. Progress made
Investigations into EHR standards has been ongoing for a number of years.
PHISC has purchased some base ISO standards in this space.
Establishment of the EHR standards steering committee and working group structures.
Establishment of quarterly meetings.
Defined our approach and methodology
Alignment with (HIE) initiatives in the private sector
Alignment with HNFS in public sector
Drafting our first use case in Radiology.

17. Challenges and NEXT STEPS
Progress has been slow due to time availability within the working group.
Participation is voluntary and unfunded, therefore not always on the priority list.
Establishing of a channel of communication with NDoH and CSIR to make sure alignment between private and public sectors is maintained.
Continue developing Radiology use case guideline document.
Start defining additional use cases.

18. Presented: Clive Daniell
Development of Electronic Health Record (EHR) standards in South Africa, an update on progress made by the PHISC working group
Presented:
Clive Daniell
Thank You