The Role of Telehealth in Pacific Islan d Human Resource for Health (HRH) Devel opment: An Environmental Scan of Past Experienc es and Potential Developments Rieko Hayakawa, Christina Higa, Cathy Wasem The 21st Pacific Congress Okinawa Asia Pacific Telecommunity Telemedicine Initiative 15-16 June 2007, Okinawa, Japan
32
Embed
The Role of Telehealth in Pacific Island Human Resource for Health (HRH) Development: An Environmental Scan of Past Experiences and Potential Developments.
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
The Role of Telehealth in Pacific Island Human Resource for Health (HRH) Development:
An Environmental Scan of Past Experiences and Potential Developments
Rieko Hayakawa, Christina Higa, Cathy Wasem
The 21st Pacific Congress OkinawaAsia Pacific Telecommunity Telemedicine Initiative
15-16 June 2007, Okinawa, Japan
I. IntroductionI. Introduction
22 island economies22 island economies >25,000 islands >25,000 islands 8.6 million people8.6 million people Populations from several thousand to over Populations from several thousand to over
6 million6 million Geologically diverse – from coral atolls to Geologically diverse – from coral atolls to
volcanic high islandsvolcanic high islands
1. Map of Pacific with flag of US, France, British, NZ, Au.
2005 Pacific Islands Forum2005 Pacific Islands Forum ““Digital Strategy” in the “Pacific Plan”Digital Strategy” in the “Pacific Plan”
2004 UNDP funded by Japan2004 UNDP funded by Japan
““ePasifika”ePasifika”
2001 Pacific Islands Forum2001 Pacific Islands Forum ““Regional ICT Policy and Strategic Plan”Regional ICT Policy and Strategic Plan”
7. network chart of USPNet
http://www.usp.ac.fj/index.php?id=uspnet0
E-Rate NetworksE-Rate Networks
American Samoa E-Rate NetworkAmerican Samoa E-Rate Network
~$ 24+ Million in 7-Years~$ 24+ Million in 7-Years All Public and Private All Public and Private
Schools ConnectedSchools Connected Fiber Optics (4-strands)Fiber Optics (4-strands) Video TeleconferencingVideo Teleconferencing High Speed Internet High Speed Internet
CNMI Partners in Distance Learning CNMI Partners in Distance Learning NetworkNetwork
~$12+ Million in 4-Years~$12+ Million in 4-Years 20 VTC Sites20 VTC Sites
Public School SystemsPublic School Systems Office of the GovernorOffice of the Governor Electronic Data Processing Electronic Data Processing Commonwealth Health Commonwealth Health
CenterCenter 1Gpbs between schools1Gpbs between schools
Guam Education NetworkGuam Education Network
~$12+ Million in 4.5-~$12+ Million in 4.5-YearsYears
30+ VTC Sites30+ VTC Sites* Public Schools* Public Schools
* University of Guam* University of Guam
High Speed InternetHigh Speed Internet On-island Fiber On-island Fiber
IV. EXPERIENCES AND IV. EXPERIENCES AND ISSUES IN HRH ISSUES IN HRH
DEVELOPMENT USING DEVELOPMENT USING TELEHEALTHTELEHEALTH
1. network maintenance and operations 2. telecommunication cost3. collaboration within and among the POLHN sites4. POLHN resources could be further maximized by working with other governments, health care providers and educational institutions5. mechanisms for articulating higher education coursework and certifying continuing education
State of HawaiiState of Hawaii Telehealth Access Network Telehealth Access Network
A different telehealth network model is that of the Hawaii State Telehealth Access
Network (STAN). This network, of nearly forty health care facilities throughout
Hawaii, is used to deliver continuing medical education and for telehealth
consultations.
Direct Network ConnectionsDirect Network ConnectionsOahuOahuHHSC Corporate OfficesHHSC Corporate OfficesNorth Hawaii Community HospitalNorth Hawaii Community HospitalLeahi HospitalLeahi HospitalMaluhiaMaluhiaShriners Hospital for ChildrenShriners Hospital for ChildrenSt. Francis Health Care SystemSt. Francis Health Care SystemVeterans Administration (and Network)Veterans Administration (and Network)UH College of Tropical AgricultureUH College of Tropical AgricultureJABSOM Telemedicine Network (and JABSOM Telemedicine Network (and Clinics)Clinics)UH Affiliated ProgramsUH Affiliated Programs
KauaiKauaiKauai Veterans Memorial HospitalKauai Veterans Memorial HospitalSamuel Mahelona Memorial HospitalSamuel Mahelona Memorial Hospital
MauiMauiMaui Memorial Medical CenterMaui Memorial Medical CenterKula HospitalKula HospitalMaui Community CollegeMaui Community CollegeLanai Community HospitalLanai Community Hospital
East HawaiiEast HawaiiHilo Medical CenterHilo Medical CenterKau HospitalKau HospitalHale Ho`ola Hamakua HospitalHale Ho`ola Hamakua Hospital
West HawaiiWest HawaiiKona Community HospitalKona Community HospitalKohala HospitalKohala Hospital
Accredited, Professional Accredited, Professional Certificates CISCO, Certificates CISCO, Microsoft, OracleMicrosoft, Oracle
Modality: VTC/ Local Modality: VTC/ Local FacilitatorsFacilitators
1-Year Program 1-Year Program Agreements with Agreements with
EmployersEmployers
1. Problem in the access and cost of telecommunication services: need to increase access and lower costs by
i. universal service mechanismsii. accelerate development of ICT strategiesiii. support networks eg. PEACESAT & USPNet
2. Problem – a lack of a regional coordinating body (or bodies) in this arena: improve the linkages between the health, education, and ICT sectors, and the local, regional, and international funding agencies
3. Problem – there is a small number of ICT technical personnel: need to enhance local higher education institutions to provide training
4. Problem – a lack of policies that support the articulation of coursework and the certification of continuing education : need to develop mechanisms for sharing HRH programs among higher education institutions.
Conclusions
Collaboration between Okinawa and Pacific
E-Health for Okinawa (Chubu Hospital)
For 50 remote islands*2 Hospitals: Miyako Island and Yaeyama Islands*19 Clinics
Needs:
To help doctors and nurses who work in remote Is.
Mahalo, Arigatou, ViNaka, Mifaiyu, health professionals and administrators who contributed valuable information and insights regarding HRH development and ICT in the Pacific for this paper
(ed.) Sumiko Ogawa (2000)「 Public Health Nursein Okinawa」 .Educational video. JICA