Supporting
National e-Health
Roadmaps
WHO-ITU-WB joint effort
WSIS C7 e-Health
Facilitation Meeting
13th May 2010
Hani Eskandar
ICT Applications, ITU
Context and need for Roadmap
•
A landscape of isolated islands of small scale applications unable to
effectively communicate and to share information with other health
systems or across geographies, technologies or programs.
•
Barriers to scale up to support a larger patient and care provider base.
•
Lack of ability of decision makers to understand the actual health situation,
to drive meaningful planning and to guide policy formulation.
•
Pressure due to ageing population and infectious and Chronic diseases
•
Duplication of efforts, may lead to impossibility to integrate solutions.
E-Health Roadmaps can serve as an umbrella for planning and coordinating
different national e-Health efforts while considering fundamental elements
in terms of regulatory, governance, financing and policy contexts.
1. Convene different stakeholders and facilitate coordination
2. Ensuring interoperability among national systems and their conformity
with international standards;
3. Securing funding for these programmes;
4. Establishing eHealth/telemedicine strategies in accordance
with national legislation;
5. Enhancing the skills of medical personnel.
2
Example: Remote Patient monitoring system
Governance
Identification
and
Authentication
Information
Security and
Privacy
eHealth
Information
Standards
$$$
Human
Capacity &
Awareness
Computing
Infrastructure
Networking
Infrastructure
Components of a National e-Health Roadmap
eHealth Priority Solutions
Governance
Human Capacity and Awareness
• Capacity Building
• eHealth Awareness raising
Health Information Exchange
•
•
•
•
Information Protection and Confidentiality Regulations
Identification and authentication Rules and Protocols
Health Informatics and Standards
Information Quality
ICT Infrastructure
• Mobile and Broadband Infrastructure
• Computing Infrastructure
Activities –
Implementation Plan
Long term - 10 years
Setting National Strategies (Multi stakeholders)
Setting eHealth Standards
Systems Compliance
Managing Investments
Mid term - 5 years
•
•
•
•
Performance Indicators
(consumers, Health Providers, Health System)
Founding elements
Expected Health Outcomes and Implementation targets
HIS, HMIS, EMR, Referrals, etc.
• Improving Health care Delivery
Telehealth, eLearning, Decision Support Systems,
Medication Compliance, etc.
• Improving Health awareness and Education
Patient health records, Health Education and Awareness campaigns,
Health Knowledge Bases, etc.
Short term - 3 years
Needs and Readiness Assessment and Action Priorities
National Vision (consumers, Health Providers, Health System)
• Improving Health information sharing
Components of a National e-Health Roadmap
Governance
Activities –
Implementation Plan
Human Capacity and Awareness
Health Information infrastructure
ICT Infrastructure
• Mobile and Broadband Infrastructure
• Computing Infrastructure
Establish mechanisms to
deploy and
maintain acceptable
baseline of computing
infrastructure
Expected Health Outcomes
Needs and Readiness Assessment and Action Priorities
National Vision
eHealth Priority Solutions
Components of a National e-Health Roadmap
Governance
Activities –
Implementation Plan
Human Capacity and Awareness
Health Information infrastructure
ICT Infrastructure
• Mobile and Broadband Infrastructure
• Computing Infrastructure
Coordinate the rollout of
appropriate national
mobile and/or broadband
services to all care
providers
Expected Health Outcomes
Needs and Readiness Assessment and Action Priorities
National Vision
eHealth Priority Solutions
Components of a National e-Health Roadmap
Governance
Activities –
Implementation Plan
Human Capacity and Awareness
Health Information infrastructure
•
•
•
•
Information Protection and Privacy Regulations
Identification and authentication Rules and Protocols
Health Informatics and Standards
Information Quality
ICT Infrastructure
Develop national
legislative framework for
information protection,
privacy and consent
processes for access and
use of health information
Expected Health Outcomes
Needs and Readiness Assessment and Action Priorities
National Vision
eHealth Priority Solutions
Components of a National e-Health Roadmap
Governance
Activities –
Implementation Plan
Human Capacity and Awareness
Health Information infrastructure
•
•
•
•
Information Protection and Confidentiality Regulations
Identification and authentication Rules and Protocols
Health Informatics and Standards
Information Quality
ICT Infrastructure
Develop a national
solution to enable the
unique identification and
authentication of
consumers and care
providers
Expected Health Outcomes
Needs and Readiness Assessment and Action Priorities
National Vision
eHealth Priority Solutions
Components of a National e-Health Roadmap
Governance
Activities –
Implementation Plan
Human Capacity and Awareness
Health Information infrastructure
•
•
•
•
Information Protection and Confidentiality Regulations
Identification and authentication Rules and Protocols
Health Informatics and Standards
Information Quality
ICT Infrastructure
Design and implement
national e-Health
information standards for
data storage and message
structures, coding and
medical terminologies
Expected Health Outcomes
Needs and Readiness Assessment and Action Priorities
National Vision
eHealth Priority Solutions
Components of a National e-Health Roadmap
Governance
•
•
•
•
Setting National Strategies (Multi stakeholders)
Setting eHealth Standards
Systems Compliance
Managing Investments
Human Capacity and Awareness
Health Information infrastructure
ICT Infrastructure
-Establish a national eHealth governance body to
set strategies, manage
investment, implement
work program, oversee
standards development
and compliance.
- Establish an independent
national e-Health
regulation function to
implement and
enforce national e-Health
policy and regulatory
frameworks.
Expected Health Outcomes
Needs and Readiness Assessment and Action Priorities
National Vision
eHealth Priority Solutions
Components of a National e-Health Roadmap
eHealth Priority Solutions
HIS, HMIS, EHR, Referrals, etc.
• Improving Health care Delivery
Telehealth, eLearning, Decision Support Systems,
Medication Compliance, etc.
• Improving Health awareness and Education
Patient health records, Health Education and Awareness campaigns,
Health Knowledge Bases, etc.
- Identify priority solutions
with tangible outcomes
- Mobilize investments in
high priority solutions
Governance
- Approach to develop
individual electronic health
record IEHR.
Human Capacity and Awareness
Health Information infrastructure
ICT Infrastructure
Expected Health Outcomes
Needs and Readiness Assessment and Action Priorities
National Vision
• Improving Health information sharing
Components of aAustralia
National
e-Health
Roadmap
National
e-Health
Strategy, 2008
WHO-ITU-WB effort to support
National e-Health Roadmaps
•
The health care, telecommunication and finance sectors have to work
together in developing national e-Health strategies.
•
Develop resource materials building on relative competencies of each of the
three organisations.
•
Deploy approaches to support the development of new national eHealth
strategic documents or the update of existing plans to reflect experience or
emerging challenges in the domain of eHealth.
•
Approaches will ensure country ownership of the process and therefore
sustainability
The
Guidelines for National e-Health Strategies
will provide
:
 Methodology to assess actual Health System Status, Needs and Action Priorities
 An integrated Action Framework covering: Infrastructure, Applications, Financing,
Governance, Legal and policy, Human Capacity, Information quality
 Guidance on how to set eHealth targets, benefits and Key Performance Indicators
 Detailed background information on each of the technical areas
13
Supporting
National e-Health
Roadmaps
WHO-ITU-WB joint effort
THANK YOU