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ICT tools and methodologies to improve Public Health in the Americas Region

PAHO HEALTH PROGRAMICT tools and methodologies to improve Public Health in the Americas Region

Knowledge Management and Communication Area (KMC)g g ( )Deputy Directors Office (DD)


PAHO Di ’ i iPAHO Di ’ i iPAHO Director’s visionPAHO Director’s vision

The contextThe contextThe contextThe context

Challenges and opportunitiesChallenges and opportunities

PAHO HEALTHPROGRAM

Contribution to PHCContribution to PHC

PROGRAMConceptual modelConceptual model

PAHO ProjectPAHO Project


PAHO HEALTH Program

PAHO DIRECTOR’S VISIONg

PAHO Director’s visionICT tools and methodologies to improve Public Health in the Americas Region

PAHO Director s vision“This will be the century of networks, connectivity and interdependency, which will allow us to overcome barriers of space and time and will open possibilities that were unimaginable to humankind. If we encourage those networks to exponentially multiply the available share capital in order to link people and institutions within a large supportive and inclusive mesh of all the inhabitants of the continent, we will have taken a fundamental step t d li iti k l d d i i ftowards eliciting knowledge and experience in new ways of exchanging technical cooperation for sustainable human development”.

Dr. Mirta Roses Periago’s Inauguration Speech as Pan American Health Organization Director, Regional Director for the Americas, January 31st, 2003

PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region


Health for all

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Information and knowledge

Human rights

PAHO HEALTH Program

g

THE CONTEXTg



The context• Primary Health Care is a commitment to

equitable and affordable care for all people, ensuring citizen‐centered services needed to liveensuring citizen‐centered services needed to live a healthy and productive life.

WHO id i h lth "• WHO considers primary health care as "an essential approach to organizing health systems."

• Information and communication technologies are transforming health services and systems, providing solutions that were unthinkable 30 years ago.



PAHO HEALTH Program

CHALLENGES AND OPPORTUNITIESg


Challenges and OpportunitiesICT tools and methodologies to improve Public Health in the Americas Region

g pp

• Universal Access to Health Services with improved quality of care;

• Extension of Social Protection in Health through PHC‐Based Health Systems;

• Available, competent and motivated Health Workforce;

• Real Time Qualified Information Sources for Decision Making;

• Knowledge and Information Sharing within and among disperse populations;

• Monitoring and Surveillance Systems using mobile and wireless communication devices (i.e., Expanded Program on Immunization);

• Real Time Learning Objectives for eLearning and Training to developReal Time Learning Objectives for eLearning and Training to develop competencies and motivation of PHC teams;

• Social networking tools and methodologies for disasters and Emergency Situations;

• Access to open access and certified public health content; and

• Access to Specialized Clinical Services for increased capacity at first level of care.


Challenges and OpportunitiesICT tools and methodologies to improve Public Health in the Americas Region

g pp

•Convergence of eHealth initiatives worldwide;

•Web mobile‐based applications for healthcare management;

•Fast Technology Changes;

•New role of Digital Government;

•New models of technical cooperation in the context of “National i i l d ” d “ G i i i i ”Digital Agendas” and “eGoverment initiatives;”

•Active participation in the world summit on the information society with emphasis in Health;

•Investments in connectivity by National Governments with support from Development Banks;

• Increased interest in Public/Private Partnerships.



PAHO HEALTH Program

CONCEPTUAL MODELg



PartnersResearch

N d ICT Ad ti T i i U Lessons Needs Solutions Adoption Training Use learned

people Institutions Data

Access to information

2.0p p Data baseAccess to training

Interactions (2.0)



PartnersResearch





Interactions (2.0)

People‐centered Health & Patient Empowerment


Patient Empowerment


PartnersResearch

INNOVATION





Interactions (2.0)



Patient Empowerment



Access to information•PAHO/WHO content;

Access to training

content;

•Public Health (Certified and open access) content;

•Trainings;

•Learning objects;•Tele‐consulting;

Interactions (2.0) •Other (certified) content – GHL – VHL HINARI – AGORA –OARE;

•Web Conferences;

•Lectures;

•Open content for

•Telemedicine;

•Web Conferences & lectures;

•Other (relevant) content.

educational resources.

•Content aggregators (Blogs, Wikis, etc);

•Social networks

Telemedicine

PCMobile

(mHealth)WWW




Access to training

content;


•Trainings;

•Learning objects;•Teleconsulting;

Interactions (2.0) •Other (certified) content – GHL –VHL HINARI – AGORA –OARE;

•Web Conferences;

•Lectures;

•Open content for

•Telemedicine;





•Social networks

INNOVATION


PartnersResearch



Access to training

content;


•Trainings;



•Web Conferences;

•Lectures;

•Open content for

•Telemedicine;





•Social networks

‐ Differences in legislationInteroperability


g‐ Language barriers‐Multitude of technical systems

Interoperability (Political/Legal, Organisational,

Semantic and Technical)

N d ICT Ad ti T i i U Lessons

Main purposes:> Freedom of circulation ofNeeds Solutions Adoption Training Use learnedcirculation of personal data> Protection of personal data


Access to training

content;


•Trainings;



•Web Conferences;

•Lectures;

•Open content for

•Telemedicine;





•Social networks


people PAHO/WHOInstitutions

N d ICT Ad ti T i i U Lessons

INNOVATION

Needs Solutions Adoption Training Use learned


Access to training

content;


•Trainings;


Interactions (2.0) •Other (certified) content – GHL –VHL ‐ HINARI – AGORA –OARE;

•Web Conferences;

•Lectures;

•Open content for

•Telemedicine;





•Social networks



eHealth

VisionVision

llGoalGoal

E d lE d l

PAHO PROJECTPAHO HEALTH Program

Expected resultsExpected results

I diI diPAHO PROJECTPAHO PROJECT IndicatorsIndicators

C i i i iC i i i i

PAHO PROJECT

Corporate initiativesCorporate initiatives

PAHO PROJECT

eHealtheHealthProjects, ICT Developments, Health

Professionals, Patients and Population

PROGRAM HEALTH PAHO – ICT for improving public health in the region of the AmericasPAHO HEALTH PROGRAM – ICTs for improving public health in the region of the Americas

For Population and

ICT tools and methodologies for improving public health in the Region of the Americas

Project ICT Development For Healthcare WorkersFor Population and

Patients

Common database for h l h d

> Access to clinical i f i f

> Unequivocal id ifi i i h

P l

health card information from any site where it has been stored> M i

identification in the entire health system

Personal Health Card (PHC)

> Measuring incidence/prevalence of certain diseases as well as risk factors whichas risk factors which enable evaluating the effect of specific interventionsinterventions

PAHO HEALTH PROGRAM – ICTs for improving public health in the region of the Americas

For Population and



Patients

Set of clinical data hi h h h

> To access a set of l d d

> To access personal li i l dwhich gather the

relevant healthcare information, ensuring

it fid ti lit

personal data and images from a patient (assistive use)> T t d i i

clinical reports and observe who is having access> I d

Digital Clinical History

security, confidentiality and control

> To support decision making in clinical practice> Improved coordination

> Improved healthcare delivery outside their usual geographical setting> Improved coordination

among different healthcare levels> To improve the access

geographical setting> To select a set of data inaccessible for other regions> To improve the access

to retrievalother regions

PAHO HEALTH PROGRAM– ICTs for improving public health in the region of the Americas


P i


j pPatients

Data repository available from any

> Drug prescription using ICTs

> Medication delivery using ICTs

Electronic

national pharmacy > Less bureaucratic areas> More time for

> Reduced visits to healthcare facilities

Electronic prescription

healthcare delivery> Rational use of medicationF ilit t> Facilitates

epidemiological data analysis

i

Service to schedule an appointment using the Internet

> More agile service for making an appointmentC f hAppointment

via Internet> Confer other programmed appointments> R ti f> Reception of messages via SMS

PAHO HEALTH PROGRAM – ICTs for improving public health in the region of the Americas



Patients

> Blogs health > New role as author of > To facilitate

Health portals and

> Blogs, health portals and collaboration in forums

> New role as author of information> New opportunity to guarantee the access to

> To facilitate informed decision making> Population and

social webforums guarantee the access to

reliable health information

> Population and patient empowerment

Risk management and patient

> Databases which gather adverse effects

> Reduction of medication mistakes> More accurate

> Improved health care delivery> Reduction of

security

(1/2)

effects > More accurate measurement of interventions at sanitary and economic level

> Reduction of adverse effects

and economic level

PAHO HEALTH PROGRAM – ICTs for improving public health in the region of the AmericasPAHO HEALTH PROGRAM – ICTs for improving public health in the region of the Americas



Patients

Risk management > Improved prioritizationRisk management and patient security

(2/2)

> Improved prioritization of available resources> More time for complex decision making(2/2) decision making

Development of personal portable

t d th

> To guarantee that patient benefits will

i l t

> Improved access to specialists> L it ti

Telemedicine

systems and other ICT tools

remain equal to conventional healthcare> More time for healthcare delivery

> Less wait time

healthcare delivery> To deliver a more personalized healthcare> Best use of> Best use of geographical limitations


Tools and methodologies for improving public health in the Region of the Americas


Patients

> Call Centre > Improved time > To improve

Regional Call Centre

> Call Centre > Improved time effectiveness

> To improve information access of individuals to healthcare serviceshealthcare services

Digitalization of li i l d

> Clinical d t ti

> To improve efficacy d ff ti f

> To ease the access d t i l fclinical and

administrative documentation

documentation database

and effectiveness of processes

and retrieval of clinical documentation


PAHO PROJECT

VisionVisionUniversal Access to Health Services in the

Information Age


PAHO PROJECT

GoalGoalTo improve Public Health in the Americas o p o e ub c ea t t e e casthrough the use of innovative ICT tools and

methodologiesg


PAHO PROJECT

Expected Results•Web‐based data base of “ICT solutions for Public Health” and “Healthcare Management” implemented in the context of PAHO Web 2.0 Strategy;

•eHealth, Web and Mobile Strategies implemented in “Health Care Organizations” and in “Public Health Institutions” of the Americas Region;

l d d f h h d d d/•Knowledge and Information Sharing within and among disperse and/or disadvantaged populations, people and public health institutions; and

P ti t d l d th h th f ICT t l•Patients and people empowered through the use of ICT tools.


PAHO PROJECT

Expected results

•Public and Private Partnerships established as part of PAHO/WHO t h i l ti j ttechnical cooperation projects;

•People, public health workers and public health institutions from disperse and/or disadvantage populations more connected;disperse and/or disadvantage populations more connected;

•“eHealth Technical cooperation projects” established within member states;


PAHO PROJECT

Indicators•PAHO/WHO eHealth portal with access to a Web‐based data base of “ICT solutions for Public Health” and for “Healthcare Management;”

•Model of eHealth, Web and Mobile Strategies for “Health Care Organizations” and for “Public Health Institutions” developed;

•Communities of practices to improve Knowledge and Information Sharing within and among disperse and/or disadvantaged populations,

l d bl h l h dpeople and public health institutions; and

•Metrics on the use of ICT tools in Patients.


PAHO PROJECT

Indicators

•Terms of collaboration in eHealth with Public and Private institutions;

•Metrics on the use of Web‐based Collaboration tools by People, public health workers and public health institutions from disperse and/or disadvantaged populations; anddisadvantaged populations; and

•eHealth Technical cooperation projects.


PAHO PROJECT

Corporate Initiatives

PAHO Corporate Initiatives

Virtual Campus

Web conferenceRegional

Observatory of Health

Web 2 0

Intra‐extranet

S i l di

Virtual Health Library

PAHO Institutional

Pan American Journal of Public

Health

Desktops Virtual CampusWeb 2.0 Social mediaRepository

Desktops

Gl b l Ob t Global Health

WHO Corporate Initiatives

Gl b l I tit ti lGlobal Observatory of Health Web 2.0

Global Health Library

MultilinguismGlobal Institutional

Repository


Web conferenceRegional Observatory

of Health Intra‐extranetVirtual Health

Library

PAHO Institutional

Pan American Journal of Public Health

PAHO Corporate Initiatives

Global Observatory of Health

Web 2.0

Global Health Library

Multilinguism

WHO Corporate Initiatives

Global Institutional

Reposito

Virtual CampusWeb 2.0 Social media PAHO Institutional Repository

DesktopsHealth y

ry

N d ICT Ad ti T i i U Lessons INNOVATION

Needs Solutions Adoption Training Use learned


Access to training

content;


•Trainings;


Interactions (2.0) •Other (certified) content – GHL –VHL ‐ HINARI – AGORA –OARE;

•Web Conferences;

•Lectures;

•Open content for

•Telemedicine;





•Social networks

People‐centered Health &Patient Empowerment

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