Outline

I. Asia eHealth Information Network

II. HIS/eHealth Capacity Building Roadmap

III. Activities

IV. The GAPS Framework

V. GAPS references

I. Asia eHealth Information Network (AeHlN)

• Created by WHO in 2012 to assist countries with their national eHealth development.

• Members - Senior officers from Ministries of Health, Ministries of ICT, government

health insurance agencies, academe, and non-government sectors.

• Started out as seven individuals from six countries struggling to solve the country

health information systems and interoperability problem.

When we help friends. Friends will help us.

AeHIN 4 Strategic AreasEnhance leadership and sustainable governance, and monitoring and evaluation

Build capacity for eHealth, Health Information Systems, and Civil Registration and Vital Statistics (CRVS)

Increase peer assistance

and knowledge exchange and

sharing through effective networking

Promote standards and

interoperability within and across

countries

Asia eHealth Information Network (AeHlN) Membership

1000+ members in AeHIN representing 58 countries (Feb, 2017)

II. HIS/eHealth Capacity Building Roadmap

WHO and AeHIN provide technical support to make eHealth scalable and sustainable using certified governance, enterprise architecture, ICT program management, and optimization procedures.

eHealth strategy as the base of the national eHealth roadmap

WHO-ITU National eHealth Strategy Toolkit (2012)

WHA 58.28 resolution 2005: urged member countries to draw a long-term eHealth strategic plan develop eHealth infrastructure and build closer collaborate between public and private

sector on eHealth.

WHA 66.24 resolution 2013: urged member states to draw up a road map for implementation of eHealth and

health data standards develop policies and legislative mechanisms linked to an

overall national eHealth strategy

WHO-ITU National eHealth Strategy ToolkitSeven eHealth Components

III. Activities

“Convergence workshop” in 4 countries (Myanmar, Bhutan, Indonesia, and Vietnam)

80+ AeHIN hours ( Knowledge Sharing Webinars)

Capacity Building 5 conferences and general meetings Reports and artifacts

Convergence Workshop Convergence meeting bring national health information systems

(NHIS)/eHealth stakeholders in the country

Myanmar (Aug 2015), Bhutan (June 2016), Indonesia (Nov 2016), Vietnam (Feb 2017)

Ministries: Health, Insurance, Science, IT, Finance Academe: universities Developing partners : WHO, ADB, UNICEF, WB, NORAD etc. Health and Health IT experts, NGOs

To discuss country NHIS/eHealth challenges and ways to work together to develop functioning (interoperable) NHIS/eHealth

People Interoperability

Leadership &Governance

Strategy & Investment

Legislation, Policy & Compliance

Workforce

Infrastructure

Standards & Interoperability

Services & Applications

Maintain high-level commitmentRevitalize HIS Development Committee (ToRs, membership, role)

Oversee HIS strategy and action plan implementation

Develop high-level strategy linked to

health plan

Develop detailed & costed action planPrioritize activities and mobilize donor

resources

Engage stakeholders

Address security, confidentiality, privacy issues

Review and implement data

access & use policy

Develop SOPs for management and use

of health data and applications

Coordinate with MoIT for continuous improvement of Internet connectivity, cellular data access

Use computers, laptops for multiple applications

Scale-up, operate, maintain, enhance systemsLink systems together Improve data quality & use

Implement effective HIS program mngt

Implement health information exchange (HIE)

Develop minimum/core data sets and standards

Develop interoperability profilesCreate Standards working group Utilize national

health IDs

Assess HIS literacyInvolve users during

HIS development

Implement training programs

Develop incentive schemes for health

workersDevelop culture of

monitoring and evaluation / use of

data

Output: Convergence Workshop (Myanmar August 2015)

Output: Convergence Workshop (Myanmar August 2015)

Reference: Ms. Aye Aye Sein, Dy DG, MOHS, Myanmar

HL7 Fundamentals Online CourseTotal Certified : 24

DHIS 2 Academy Asia

Total Certified : 13

TOGAF Certification Training

Total Certified : 19

Training Certification Course on IT Governance using COBIT

Total Certified : 30

DHIS 2 Academy Asia Level 2

Total Certified : 5

ArchiMate 2.0 Online Training

Total Certified : 18

COBIT 5 Implementation Certification Training - Bangkok,

ThailandTotal Certified : 20

ArchiMate: Notation for Enterprise Architecture

Total Certified : 6

Capacity Building

AeHIN Major Timeline

InteroperabilityConferencesHoi An and

Manila

Digital Health5th AeHIN GM

1st AeHINGM

IT4UHC2nd AeHIN GM

UHCwithICT3rd AeHIN GM MA4Health

4th AeHIN GM

IV. The GAPS Framework

To develop national healthcare ICT systems, countries need to work on 4 important fundamental topics.

Governance: ICT applications in healthcare needs to be governed by the highest accountable officials. This means they define the expected benefits, the risks to watch out for, and allocate resources.

Architecture: ICTs in healthcare needs a clear blueprint so all stakeholders in a country will know how they can contribute to the structure as a whole rather than silos.

People and program management: ICTs in healthcare requires capacity-building of key sectors (clinical, IT, and administration) working together to make it work seamlessly.

Standards and interoperability: ICTs in healthcare works are best if standards are adopted and reused by all stakeholders.

The GAPS Framework

Response to GAPS survey

ProcessGovernance Architecture

Program Standards

GAPS – Nepal

Timeline Governance Architecture ProgramManagement

Standards and Interoperability

1st Year Finalize and approve e-health strategy

Develop guidelines

Facility registry Fine tuning DHIS2

Capacity development at all levels

Establishfunctionalized e health unit

Harmonize at-least 2 existing info systems

Define e-health standards for interoperability security, privacy

Needs in country

EDPSI/NGO’S in the sectorother ministries(MOHA,MOF MOFALD )

Needs outside country

AeHINWHO SEAROHEALTH DATA COLLABORATIVEGFATM

Draft data from Digital Health Conference Asia Pacific and 5th AeHIN General Meeting

V. Reference: Governance - Philippines

Steering Committee:Chair: DOH ministerCo-chair: DICT ministerMembers: -PhilHealth, -DOST minister, -DSWD minister-UP chancellor

Meets quarterly

TWG:Chair: Dir ValdezCo-chair: DOSTMembers: -PhilHealth, -UP (Drs Marcelo), -FDA, -Vital statistics, -Social welfare

Meets monthly

Reference: Dr. Alvin Marcelo, Philippines

Reference: Architecture - Myanmar

MPI

HIV TB

Reference: Ms. Aye Aye Sein, Dy DG, MOHS, Myanmar

Reference: Program Management - Malaysia

Reference: Dr. Fazilah Allaudin, MOH, Malaysia

NO ACTIVITY DATE OUTCOME1 AWRENESSPROGRAMMEEA&ISPMOH2014 17– 19DECEMBER

201450PARTICIPANTS

2 ENTERPRISEARCHITECTURE(EA)DEVELOPMENT&IMPLEMENTATIONPLANWORKSHOPMOH

4‐5FEBRUARY2015

50PARTICIPANTS

3 TOGAF CERTIFICATIONTRAINING(ByInternationalBody– TheOpenGroup)

JANUARY2015, 3MOHOFFICERSTOGAF9CERTIFIED

4 COBIT CERTIFICATIONTRAINING(ByInternationalBody‐ ISACA)

DECEMBER2015 2MOHOFFICERSCOBIT5CERTIFIED

5 BITAF (BUSINESSITARCHITECTUREFOUNDATION)CERTIFICATIONTRAINING(ByInternationalBody‐ IASA)

DECEMBER2015 9MOHOFFICERSBITAFCERTIFIED

Reference: Program Management - Malaysia

Reference: Dr. Fazilah Allaudin, MOH, Malaysia

CGD = Comptroller General Department, TMT = Thai Medicines Terminology, DRG = Diagnosis Related Group, IHE = Integrating the Healthcare Enterprise

Interoperability Layer

Provider Registry

Facility Registry

Client Registry

Shared Health Record

EMRsHospital Systems

mHealth Applications

Inventory

Supply Chain Applications HMISs

Indicators

Insurance Claim

Citizen IDsHealth

Facility IDsCoding & 

Terminology

ICD -10CGD code

DRGTMT

12 Files18 Files

LOINCSNOMED

National Provider

IDs

Referral Docs.

National Product

Catalogue

? Open HIM, IHE, HL7, CDA, Authentication, Mapping services

Reference: Standards - Thailand

Reference: Dr. Boonchai Kijsanayotin, Thailand