1. The Journey to the Philippine Health Information Exchange
Alvin Marcelo
Team leader, National eHealth PMO

2. WHO-ITU National eHealth Strategy Toolkit
Development Framework
This is the WHO-ITU Toolkit and it provides a framework for the development of national eHealth strategies.

3. Leadership and Governance
WHO-ITU Toolkit Recommendation
Under leadership and governance, it proposes a high level steering committee, a small but dedicated strategy team advised by expert groups (left) and engaging a broad stakeholder environment.

4. Leadership and Governance - DOH-DOST
National eHealth Steering Committee
Sec Ona (DOH)
Sec Montejo (DOST)
PCEO Padilla (PhilHealth)
USec Herbosa (DOH)
USec Casambre (DOST)
SVP Celerino Cabrera (PhilHealth)
Exec. Director Montoya (DOST)
Chairperson Licuanan (CHED)
Chancellor Agulto (UPM)
Health Data Standards
Experts Group
eHealth Stakeholders
Advisory Board
Health Data Security and Privacy Experts Group
TWG
Dir Valdez DOH
Dir Villorente DOST-ASTI
Dir Opena DOST-PCHRD
Ms Aragona DOH
Ms Tan DOH
Mr Crisostomo PHIC
Mr Bernolia PHIC
Dr Alcantara PHIC
Ms Esther Go, private sector
Dr Fernandez-Marcelo, UPM
In the Philippines, We more or less organized around this same structure. The Steering Committee is at the top level with a TWG serving as the strategy team. There are two advisory groups: one for health data standards and another for health data security and privacy.

5. Leadership and Governance – DOH
Office of the Secretary
(Dr Ona)
Office of the DOH CIO
(Dr Herbosa)
Knowledge Management and Information Technology Services
(Dir Valdez)
Consultants:
Dr Marcelo
Mr Abando
In the Philippines, We more or less organized around this same structure. The Steering Committee is at the top level with a TWG serving as the strategy team. There are two advisory groups: one for health data standards and another for health data security and privacy.

6. Strategy/Investment and Legislation, Policy and Compliance
MITHI and GAA
MITHI and NGAs
Under Strategy and Investment and along with Legislation, policy, and compliance, the Joint DOH-DOST eHealth Steering Committee adopted an IT Governance Framework to guide its activities.

7. Strategy/Investment and Legislation, Policy and Compliance - DOH-DOST
DOH will adopt an internationally-accepted IT Governance Framework.
That IT Governance Framework is COBIT or Control Objectives for Information and related Technologies (or COBIT). COBIT is an internationally-accepted best practice approach to leveraging IT to meet the goals of the organization. With COBIT, we will be able to prioritize our eHealth projects and invest on them strategically so that subsequent eHealth projects are enabled and become easier and cheaper to implement.

8. Capacity-building for the Workforce
The IT Governance Framework clarifies the capacity-building roadmap for eHealth governance and management.
On the component for the Workforce, (click to next slide)

9. DOH will adopt internationally accepted certification programs for capacity-building in eHealth.
DOH will be participating in an international effort to build capacity for eHealth Governance and enterprise architecture through a partnership with the Asia eHealth Information Network or AeHIN. AeHIN was created by the World Health Organization to assist countries with the achievement of their national eHealth strategies. Starting from the WHO-ITU Toolkit (first row at the bottom), countries will be assisted on IT Governance (COBIT 2nd row), then Enterprise Architecture (3rd row) up until they reach the top row such which has trainings on project management and IT operations management (ITIL or IT Infrastructure Library). The goal of the workforce capacity-building is to generate the people needed to successfully implement a comprehensive national eHealth strategy.

10. Infrastructure on DOST’s iGovPhil
For the Infrastructure component, DOST is offering their iGovPhil platform which will eventually be the home for a national information exchange. iGovPhil will be the place for core eGovernment applications which will be designed to make services more accessible and integrated for our citizens.

11. Standards and Interoperability
The Standard and interoperability component is the glue that brings all of the components together. It ensures that the quality healthcare is delivered and documented consistently but also that the technology components are in sycn with the needs of the health programs. The manifestation of the Standards and interoperability component in the early stages of the Phil eHealth Strategic Framework and Plan is the Philippine Health Information Exchange.
PHIE

12. Standards and Interoperability - DOH-DOST
DOH and DOST (with support from MITHI) will build the Philippine Health Information Exchange.
The Philippine Health Information Exchange is a collection of reference registries and an interoperability layer. The reference registries are a client registry (or a masterlist of citizens), a provider registry (a masterlist of health workers) and a facility registry (a masterlist of healthcare organizations). Keeping the reference registries together is the interoperability layer. Below are all the different eHealth software systems which can now interoperate because they comply with the standards of the exchange.

13. Services and Applications
Focused on applications that avail of the PHIE services
The Services and applications component will be a catalog of many software solutions that are able to comply with the requirements of the Philippine Health Information Exchange. Once the Exchange is up, these different software can now interact and collaborate with each other consistently and offer better services to the citizens.

14. Services and Applications DOH-DOST
Philippine Health Information Exchange
Client registry
Providerregistry
Facility
registry
Standards
Interoperability Layer
Platform/mediator
Metadata Standards and Terminology Services
Electronic Medical Records for RHUs
Hospital Information
Systems
NCD Registries
National Health Data Warehouse
Point-of-service
These are just a few of the services and applications that are forthcoming in The highest priority right now is the Philippine Health Information Exchange as this serves as the glue that connects all of the other systems to each other.
* these are only the MITHI funded projects. There are other projects that are ongoing at DOH.
RxBOX

15. Next Steps Activation of the PMO
Formalization of the governance of the PHIE and its components
Prioritization of the PHIE prototype and initial services
Connection of existing points-of-service to the PHIE
Delivery of data to the eHealth dashboard
Next steps will be the engagement of a broader stakeholder environment. In fact this eHealth Summit is exactly to address this specific need. Also in recognition of the important role private sector plays in adoption and of academe in capacity-building, we are adding their representatives to the eHealth governance structure. I invite you all to monitor the developments of the Philippine eHealth Strategic Framework and Plan as this will prove to be