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Government or Private Sector: The Future of Asia’s Healthcare Infrastructure
HPAIR 2015
Iris Thiele Isip Tan MD, MScProfessor, College of MedicineChief, Medical Informatics Unit University of the Philippines
UP-PGH by Bro. Jeffrey Pioquinto, SJ https://flic.kr/p/wkBNJG
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“We are drowning in information and starving for knowledge.” Rutherford D. Rogers
http://www.infogineering.net/data-information-knowledge.htm
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Building a Health Information Infrastructure
Why electronic health records? by InfowayInfoRoute https://youtu.be/Lo_3qOejQzI
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National eHealth Vision Philippines
Photo by Doun, https://flic.kr/p/b5WFRK
By 2020, eHealth will enable widespread access to health care services, health information and securely share and exchange patient information in support of safer, quality health care, more equitable and responsive health system for all the Filipino people by transforming the way information is used to plan, manage, deliver and monitor health services.
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IT-enabled health services
By 2020
Philippine Health Information Exchange (PHIE) implementation
EMR certification
IT in all public health facilities
National eHealth Vision
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Development FrameworkWHO-ITU National eHealth Strategy Toolkit
Governance
Directs and coordinates eHealth activities at all levels like hospitals and health care providers
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Governance
Legislation, Policy and
Compliance
Formulation of the required legislations, policies and compliance to support the attainment
of the eHealth vision
Development FrameworkWHO-ITU National eHealth Strategy Toolkit
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Governance
Legislation, Policy and
Compliance
eHealth Solutions(Services and Applications)
Required services and applications to enable widespread access to health care services, health information, health reports, health
care activities and securely share and exchange patient’s information in support to health system goals
Development FrameworkWHO-ITU National eHealth Strategy Toolkit
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Governance
Legislation, Policy and
Compliance
eHealth Solutions(Services and Applications)
Strategy and
InvestmentDevelops, operates and sustains the national eHealth vision
Development FrameworkWHO-ITU National eHealth Strategy Toolkit
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Governance
Legislation, Policy and
Compliance
eHealth Solutions(Services and Applications)
Strategy and
InvestmentInfrastructure
Establishes and supports health information exchange and implementation of innovative ways to deliver health services and information.
Development FrameworkWHO-ITU National eHealth Strategy Toolkit
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Governance
Legislation, Policy and
Compliance
eHealth Solutions(Services and Applications)
Strategy and
InvestmentInfrastructure Human
Resources
Workforce or manpower to develop, operate or implement the national eHealth environment
Development FrameworkWHO-ITU National eHealth Strategy Toolkit
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Governance
Legislation, Policy and
Compliance
eHealth Solutions(Services and Applications)
Strategy and
InvestmentInfrastructure Human
Resources
Standards and Interoperability
Promotes and enables exchange of health information across geographical and health sector boundaries through use of common
standards on data structure, terminologies and messaging
Development FrameworkWHO-ITU National eHealth Strategy Toolkit
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GOVERNANCEManagement of the
eHealth AgendaOperations
ManagementMonitoring
& EvaluationPolicy
OversightNetwork &
CollaborationStrategic
Architecture Clinical Safety
LEGISLATION, POLICY &
COMPLIANCE
Laws, Policies & other
Issuances
National Health Identifier
Health Data Standards for Interoperability
Software Certification
STANDARDS & INTEROPERABILITY
Data Structures
Messaging
Terminologies
Software Certification
Research & Development
eHEALTH SOLUTIONS(Services & Applications)
Information Sources
Health Reports
Researches
Health Knowledge
Portals
Electronic Health Record
Delivery of Services
Telehealth Services
Electronic Consultation
Philhealth Electronic Claims Systems
Decision Support for Medications
Test ordering Disease ManagementSTRATEGY &
INVESTMENT
Strategic Planning
Sustained Financing
Fund Management
INFRASTRUCTUREConnectivity
Storage
Security
Standards
Computing Infrastructure
Databases
Directory Services
Information Flows
Health Information Exchange
(Referrals, Prescriptions, Test orders & Results,
Health Profile, Demographics, Care
Plans, others
HUMAN RESOURCES
Education & Training
e-Maturity & Capacity Building
Philippine eHealth Strategic Framework and PlanTuesday, August 25, 15
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Role of government
Convening groups for development of
standards
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eHealth Leadership and Governance Philippines
Health Data Standards Expert Group
Health Data Security & Privacy Expert Group
Advisers Group
Capacity-building Task Force
EMR Committee
Health Sector Leadership
National eHealth Governance Steering
Committee
National eHealth Governance Technical
Working Group
National eHealth Program
Management Office
] Clinical & Business Process Group (DOH-Philhealth)
IT Working Group [
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Output of Health Data Standards Group
Standards catalog bit.ly/ehealthstandardscatalog
Standards Change Management Manual bit.ly/ehealthstandardschange
National Health Facility Registrynhfr.doh.gov.ph
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Philippine Health Atlashealthmaps.doh.gov.ph Health Facilities
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Role of government
Convening groups for development of
standards
Providing funding for research and development
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Medium-term Information and Communications Technology
Harmonization Initiative MITHImithi.gov.ph
an e-Government & ICT support initiative to harmonize and ensure interoperability among ICT-related resources, programs and projects
across the government
Department of Budget & Management (DBM)Department of Science & Technology (DOST)
National Economic Development Authority (NEDA)
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2014 Projects
Philippine Health Information Exchange (PHIE)
Philippine Health Enterprise Data Warehouse
National Disease Registry Enhancement
Integrated Health Goods Licensing Information System
(HG-LIS) Phase 3
Standards (SNOMED, HL7, LOINC etc) Training,
Change Management
Provision for interconnecting RHUs/Regional Hospitals
CHITS & HOMIS partial expansion
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Role of government
Convening groups for development of
standards
Providing funding for research and development
Ensuring equitable distribution of resources
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Launched July 24 at National Science & Technology Week High speed wifi up to 50 MB/day
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Juan, Konek! Public-private partnership
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Aiming for 99% connectivity by 3rd quarter 2015
Quezon Memorial CircleRizal Park
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Juan, Konek! National Telehealth CenterUniversity of the Philippines
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RxBox 2
SphygmomanometerPulse
oximeter
Tocometer
ECG
Doppler fetal heart monitor
National Telehealth CenterUniversity of the Philippines
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Role of government
Convening groups for development of
standards
Providing funding for research and development
Ensuring equitable distribution of resources
Protecting rights of privacy, intellectual
property and security
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Cybercrime Prevention Act of 2012RA 10175
IRR signed 12 Aug 2015
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Data Privacy Act of 2012RA 10173
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Role of government
Convening groups for development of
standards
Providing funding for research and development
Ensuring equitable distribution of resources
Protecting rights of privacy, intellectual
property and security
Overcoming
jurisdictional barriers to cooperation
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House Bill 4199
Telehealth Act of 2014 Previous bills 2009 & 2012
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Government or Private Sector: The Future of Asia’s Healthcare Infrastructure
HPAIR 2015
Iris Thiele Isip Tan MD, MSc@[email protected]
UP-PGH by Bro. Jeffrey Pioquinto, SJ https://flic.kr/p/wkBNJG
Tuesday, August 25, 15