E health for health it conference

The Philippine eHealth Strategic Framework and Plan

Updates

May 22, 2014

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Last Update: February 4, 2014

» Sofitel Philippine Plaza

» Available at bit.ly/PeHSFPvideo

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Quick Review

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Leadership and governanceNational eHealth

Steering Committee

National eHealth TWG

National eHealth Program

Management Office

Health data standards expert

group

Health data privacy expert group

Sec OnaSec MontejoUSec HerbosaUSec CasambrePCEO PadillaCIO CabreraDir MontoyaComm LicuananChancellor Agulto

eHealth Philippines: Goals

By 2015• Patients' PhilHealth eligibility can be determined upon

presentation in an accredited health facility

• Availability of smart healthcare systems that recognizes risks and prevents progression into adverse events

- Providers are alerted of high-risk patients

- Data sets are mined for new risk parameters

• Academe and professional organizations are able to equip professionals with eHealth knowledge and skills

• All health facilities will have access to relevant information for decision-making

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WHO-ITU National eHealth Strategy Toolkit

» Prescribes 7 key components for successful national eHealth development

» Framework is also used for monitoring progress

Status: Philippine eHealth Strategic Framework and Plan (May 15, 2014)

LEGEND:

DOH/PhilHealth

DOST

TWG / PMO

TWG / PMO TWG / PMO

SC / TWG

TWG / PMO

MITHI,Standards,

Privacy ExpertsPHIE

MITHI

iGovPhil

WarehouseNCD registry

HCI Portal

Green – task is in control

Yellow – task is experiencing delay but in control by TWG

Red – task is delayed and requires Steering Committee intervention

Capacity-building,

competency standards

Traffic Light System for Tracking Progress

Green – task is in control

Yellow – task is delayed but in control by TWG; targets can still be met

Red – task is delayed; targets will be missed; requires Steering Committee intervention

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Leadership and governance

» As of May 15, 2014:

» Added UP Manila to Steering Comm

» Added an advisory board from private sector (4)

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Leadership and governance

» Oct 9, 2013: approved adoption of an IT Governance Framework (COBIT)

» May 7-9, 2014: 12 participants completed COBIT training

» DOH will proceed with rapid COBIT self-assessment

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COBIT Goals Cascade

Benefits Realisation (set Oct 2013)

• Maternal death < 52/100,000

• Universal Health Coverage

> 95%

• Health Facilities Enhancement Program completion

• IT enabled in all government facilities

• Non-Communicable Disease registry (added Jan 2014)

Leadership and Governance

• Goals:

– Ensure transparency of governance through broader stakeholder engagement

– Ramp up activities through a PMO Team Leader supported by staff

– Update the index policy document: Philippine eHealth Strategic Framework and Plan (2013-2017) care of Dr Alvin Marcelo/WHO

Leadership and Governance

Latest actions1. Creation of advisory board from stakeholders2.Activation of MITHI Program Management Office and appointment of PMO Team Leader3.Creation of Health Data Expert Group4.Creation of Health Privacy Expert Group5.Updating of the Philippine eHealth Strategic Framework and Plan

What has been done

•Identification of interoperability standards (HL7)

•Identification and extraction of “Use Cases” (WOMB, Maternal and Neonatal Death Reporting System, NCD Registry, PHIC Members Verification, eClaims, PCB – TSEKAP, Maternal Risk Profiling, & Breast Cancer Profiling)

•PHIE Updates (c/o DOH, PHIC, and ASTI)

•Draft MITHI Proposal for 2014– System Enhancement and Implementation of the Philippine Health

Information Exchange Phase 1 (PhP 41.4M)

Standards and Interoperability

Goal: Operationalize PHIE by Dec 2014

Standards and Interoperability

• Latest actions:– Appointment of a PMO Team Leader

– Commissioning of • Health Data Standards Expert Group

• Health Data Privacy Expert Group

– Creation of eHealth Knowledge Management System/portal (www.ehealth.ph as portal, managed by DOST-PCHRD through Ateneo de Manila University - IPC)

– Approval for the creation of R&D Experts Group, Policy Experts Group, mHealth experts group

– Accept offers of international consultants (at no cost to GoP) and in compliance with existing guidelines for international support

Standards and Interoperability

• Agreement

– Prioritize the implementation of the Philippine Health Information Exchange because this enables all the other subsequent projects (PHIE Product Team led by PMO)

The PHIE will create a better (and cheaper) operational environment for all the other eHealth projects (data warehouse, mHealth, NCD registry, iClinicSys, iHOMIS, etc)

What has been done

•Identified experts members (w/ names) from stakeholders for health data standards and privacy expert groups.

•AO on Health Data Standards (Part I) has been released by DOH

Legislation, policy, and compliance

Goal: AO on Health Data Standards & Privacy

What has been done

•Draft MITHI Proposal for 2014

– Standards Training & Change Management (PhP 24.7M)

Goal: Create Committee on Capacity Building

Workforce

Workforce

• Latest actions:

– Appointment of a PMO Team Leader

– Commission a situationer and a development plan on knowledge and skills needed for eHealth to be fully operational (with CHED; DOST-PCHRD can fund)

Infrastructure

What has been done

•Draft MITHI Proposal for 2014

– Setting up of ICT Infrastructure for the Food and Drug Administration (PhP 7 M)

Goals: 1.Connectivity in place (TV White Space, fiber optic connection)2.Data Center (use of government cloud)

Services and ApplicationsGoals (2014)1.70 DOH Hospitals with eClaims (51 HOMIS)2.450 RHUs with iClinicSys / EMR3.140 RHUs / CHOs with RxBox

Services and Applications

• Latest action:

• Prioritize the Philippine Health Information Exchange to enable all private and public sector applications to submit standards-based data to DOH

Summary of Recommended Actions

• Activate and commission the MITHI eHealth Program Management Office with an Experienced Team Leader and staff members

• Prioritize the Philippine Health Information Exchange

• Ensure transparency of eHealth governance through broader stakeholder engagement/knowledge management

• Accept support from international/local partners