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

Tuesday, August 25, 15

“We are drowning in information and starving for knowledge.” Rutherford D. Rogers

http://www.infogineering.net/data-information-knowledge.htm

Tuesday, August 25, 15

Building a Health Information Infrastructure

Why electronic health records? by InfowayInfoRoute https://youtu.be/Lo_3qOejQzI

Tuesday, August 25, 15

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.

Tuesday, August 25, 15

IT-enabled health services

By 2020

Philippine Health Information Exchange (PHIE) implementation

EMR certification

IT in all public health facilities

National eHealth Vision

Tuesday, August 25, 15

Development FrameworkWHO-ITU National eHealth Strategy Toolkit

Governance

Directs and coordinates eHealth activities at all levels like hospitals and health care providers

Tuesday, August 25, 15

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

Tuesday, August 25, 15

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

Tuesday, August 25, 15

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

Tuesday, August 25, 15

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

Tuesday, August 25, 15

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

Tuesday, August 25, 15

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

Tuesday, August 25, 15

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

Role of government

Convening groups for development of

standards

Tuesday, August 25, 15

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 [

Tuesday, August 25, 15

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

Tuesday, August 25, 15

Philippine Health Atlashealthmaps.doh.gov.ph Health Facilities

Tuesday, August 25, 15

Role of government

Convening groups for development of

standards

Providing funding for research and development

Tuesday, August 25, 15

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)

Tuesday, August 25, 15

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

Tuesday, August 25, 15

Role of government

Convening groups for development of

standards

Providing funding for research and development

Ensuring equitable distribution of resources

Tuesday, August 25, 15

Launched July 24 at National Science & Technology Week High speed wifi up to 50 MB/day

Tuesday, August 25, 15

Juan, Konek! Public-private partnership

Tuesday, August 25, 15

Aiming for 99% connectivity by 3rd quarter 2015

Quezon Memorial CircleRizal Park

Tuesday, August 25, 15

Juan, Konek! National Telehealth CenterUniversity of the Philippines

Tuesday, August 25, 15

RxBox 2

SphygmomanometerPulse

oximeter

Tocometer

ECG

Doppler fetal heart monitor

National Telehealth CenterUniversity of the Philippines

Tuesday, August 25, 15

Tuesday, August 25, 15

Tuesday, August 25, 15

Tuesday, August 25, 15

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

Tuesday, August 25, 15

Cybercrime Prevention Act of 2012RA 10175

IRR signed 12 Aug 2015

Tuesday, August 25, 15

Data Privacy Act of 2012RA 10173

Tuesday, August 25, 15

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

Tuesday, August 25, 15

House Bill 4199

Telehealth Act of 2014 Previous bills 2009 & 2012

Tuesday, August 25, 15

Government or Private Sector: The Future of Asia’s Healthcare Infrastructure

HPAIR 2015

Iris Thiele Isip Tan MD, MSc@endocrine_witchicisiptan@up.edu.ph

UP-PGH by Bro. Jeffrey Pioquinto, SJ https://flic.kr/p/wkBNJG

Tuesday, August 25, 15