PRESENTATION: Digital Health at ADB

7/25/2019 PRESENTATION: Digital Health at ADB

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ADBs Digital Health Flagship Program

27 June, 2016

Disclaimer: The views expressed in this paper/presentation are the views of the

author and do not necessarily reflect the views or policies of the Asian

Development Bank (ADB), or its Board of Governors, or the governments they

represent. ADB does not guarantee the accuracy of the data included in this paper

and accepts no responsibility for any consequence of their use. Terminology used

may not necessarily be consistent with ADB official terms.


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Outline

ADBs digital health sector flagship program.

ADB supports the regional digital health network.

ADB supports digital health innovation.

ADB advances digital health investments.


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Outline






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Definition of Digital Health=ehealth

E-health is the transfer of health resources and healthcare by electronic means. It encompasses three mainareas:

The delivery of health information, for health professionals and

health consumers, through the internet and telecommunications. Using the power of IT and e-commerce to improve public health

services, e.g. through the education and training of healthworkers.

The use of e-commerce and e-business practices in healthsystems management.

mhealth (mobile health) is part of digital health and means thatmobile devices are used.


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ADB supports leveraging ICT in healthIncrease efficiency, improve management,

speed and transparency

Shared electronic health records Telemedicine Mobile health applications, health promotion Mobile phone-based reminder systems, CDR applications Integrated patient ID registries

Rapid case detection and communications applications Health issues monitoring dashboards

Hospital and insurance digital payments Financial management information systems ICT-based supply chain logistics

Human resources for health information system

Use of GIS for targeting services


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*Peter Fleming, CEO NeHTA | Canberra, 12 April 2010

25%of Physicians time

spent on getting

medical info

18% ofErrors due to wrong

medical Info

17% ofPathology tests are

duplicates ($306m)

$380mCost of preventable

medication errors

$2bn Costof adverse events

$1.5bnCost of non-collaboration

on Chronic Disease

Management *

Why digital health?Health Information reduces waste

Examples from Australia


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1) DesRoches CM et al. N Engl J Med 2008;359:50-60

2) The Socio-economic impact of interoperable EHR and e-prescribing systems in Europe and Beyond, Oct 2009

The value of digital healthPositive socio-economic value after 7-9 years2)

Source1)


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Legacy Systems EHR

Low

High

Health Information Maturity Levels / Adoption Level

Healt

hITSpendingLevels(M

omentum)

Singapore

ERP PAS EMRLIS RIS

USA

Canada

Spain

France

Germany

Hong Kong

Time

Source: Presenters analysisPAS: Patient Administration Systems | L IS: Laboratory Information Systems | RIS: Radiology IS | EMR: Electronic Medical Records (Across Hospital Depts),

EHR: Electronic Health Records (Across Multiple Hospitals)

Leg

alandOrg.Maturity

Sta

ndardsAdoption

Arc

hitecture&Technolog

yComplexity

Australia

India

China

Malaysia

Silos Integrated

Philippines

Countries are at different ICT maturity levels


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Digital health is a Flagship Programs

- ADB responds to DMC needs

Asia Pacific,Greater Mekong Subregion,

Samoa

PeoplesRepublic ofChina

Asia Pacific,Greater Mekong Subregion

South Asia

ICT is mainstreamed in all program


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Outline






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Technical

ITU, UNICEF,UN

ESCAP,WHOuniversities,

other

Private SectorInteroperability

labPrivate Sector

DevelopingMemberCountries

Development

DFAT, GIZ,GF, Norad,

PEPFAR,USAID, WB

Communities

Ehealthexperts,

users, HingX,OpenHIE

ADB supports theAsia ehealth Information Network

TALoans

Peer to peerlearning

Development partner coordination

Private Sector dialogue


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Source: http://www.adb.org/publications/universal-health-coverage-by-designhttps://prezi.com/qcs5bbswhhws/copy-of-icten/

ADB supported the formulation of priority nextsteps for DMCs to use ICT
http://www.adb.org/publications/universal-health-coverage-by-designhttps://prezi.com/qcs5bbswhhws/copy-of-icten/https://prezi.com/qcs5bbswhhws/copy-of-icten/https://prezi.com/qcs5bbswhhws/copy-of-icten/https://prezi.com/qcs5bbswhhws/copy-of-icten/https://prezi.com/qcs5bbswhhws/copy-of-icten/https://prezi.com/qcs5bbswhhws/copy-of-icten/https://prezi.com/qcs5bbswhhws/copy-of-icten/http://www.adb.org/publications/universal-health-coverage-by-designhttp://www.adb.org/publications/universal-health-coverage-by-designhttp://www.adb.org/publications/universal-health-coverage-by-designhttp://www.adb.org/publications/universal-health-coverage-by-designhttp://www.adb.org/publications/universal-health-coverage-by-designhttp://www.adb.org/publications/universal-health-coverage-by-designhttp://www.adb.org/publications/universal-health-coverage-by-designhttp://www.adb.org/publications/universal-health-coverage-by-designhttp://www.adb.org/publications/universal-health-coverage-by-design


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ADB promotes new models for public privatecollaboration

Thought WorksSoftware solution provider

ESRI GIS software companyAsia ehealth InformationNetwork interoperability lab

AIT (Advanced Information Technology)Digital Health software development

Health ICT start-upsADB provides advisory services


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Outline






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16

ADB supports the establishment of theRegional Digital Health Interoperability Lab

MEDIC2007

2010

2016/2017


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Courtesy of

Testing center for interoperability

HWRegistry

GIS

HFRegistry

CRRegistry

HRHIS

HRHIS

HIVTB

MALARIA


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Teaming TrainingToolingTesting

Collaborative Learning for Digital Health inthe Interoperability Lab

Funded with $0.5 M from ADB Located in the Philippines Technically supported by WHO

and UNICEF

Co-financingfrom privatesector


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Geo-enabled AeHIN interoperability lab


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Geo-enabled health information for betterplanning


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Data Silos leading to inefficientand low quality care


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Digital Health for Patient-Centered Care

Care Record Care Guideline


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Digital HealthInfrastructure

Digital healthinfrastructureconnects

and coordinates care

workflows to improve

system efficiency and

patient health outcomes.

ICT t I f ti l


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ICT supports Information loops

ICT InfrastructureSupport Care

Continuity

SOP-basedInterventions

e-HealthTransactional

Data

ModifySOP

StandardOperatingProcedures

(SOP)

Financial, Management &Population Health

Indicators

Operationalize guideline-based care

Provide Management Metrics

Digital health interoperability is key for


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Re-usable digitalassets supportfinancialtransactionprocessing, system

management, andinter-connectionsto othereGovernment

systems.

UHCNational ID

CRVS

http://jln1.pressbooks.com/

Digital health interoperability is key forimproving health insurance

Th Id l ID Sit ti
http://jln1.pressbooks.com/http://jln1.pressbooks.com/http://jln1.pressbooks.com/


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Population identification Systemitizen

ID

Passport

Residential

Records

Nationality

ntegrated

population register

Info Disclosure System

NETWORK

CRVS System

Voting

Public Sector Private SectorHealth ID

The Ideal ID Situation


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Example from Cambodia

M di l t t t 10 H lth t ti 10


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2001

2002

2007

2011

2000

2005

2007

2011

Medical treatments over 10 years Health protection over 10 years

(C) M. Stahl, 2015


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Local IDs cross-referenced to a master ID


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ICT for the Elderly Care Ecosystem

Home based careCommunity care

Residential careGeriatric Hospital

ICT to share informationand optimize care


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ADB published a series on digital health

To be finalized in 2016 The business case of digital health HMIS strengthening for malaria

elimination and CD control

Video on interoperabilityhttps://vimeo.com/140234698
https://vimeo.com/140234698https://vimeo.com/140234698https://vimeo.com/140234698


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Outline

ADBs digital health sector flagship programs.





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Digital health business development

Regional Networks

Project Development

Projects

Asia ehealth Information Network

Health projects with ICT features2017 PRC Elderly Care Dev Project2017 UZB Digital Health project2018 Tonga ehealth project2017-2020 components of ADF HSG

2015 Samoa Submarine Cable project2016 components of GMS Health Security,

ICT id id f d i i ki


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ICT provides evidence for decision makingADB supports UHC M&E through Digital Health

ICT id id f d i i ki


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ICT provides evidence for decision makingADB supports UHC M&E through Digital Health

The Regional Malaria and other


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The Regional Malaria and otherCommunicable Diseases Threats Trust Fund

supports digital health

http://reliefweb.int/sites/reliefweb.int/files/resources/malaria-elimination.pdf37

RMTF duration: end 2013 to 2017

Donors: Australia, UK, Canada

Total amount: USD 28.7M

Regional coverage: Asia Pacific

Total project allocations to date (5TAs & CDC2 additional financing)USD 27.57M

Trust fund supports health systems including


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Trust fund supports health systems includinghealth management information systems

38


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OUTPUT 4

Better use of ICT

Externalities

ADB Action

TARGETS AND RESULTS Improved regional evidence base for eliminating malaria and

controlling other CD threats (data collection)

Improved t evidence base for costing malaria elimination and other

CD control in selected countries and in GMS

Introduce and/or pilot cost-effective technologies for data collection

for all stages of malaria control and elimination programs, including

case investigations, and program assessment, monitoring and

evaluating elimination interventions, and link them to national

eHealth plans and health sector reforms

Durable eHealth architecture investments started.

Country support

for eHealth

initiatives

Support for

strengthened regional

knowledge capacity

sharing platform

(AeHin)

Private sector

engagement

(e.g., ESRI)

Convening

HMIS of

disease

programs

Lack of

investment in

data collection

Lack of

disaggregated

data

Weak ID

management

Fragmented HIS

that are not

interoperable

Lack of governance

for eHealth at sametime as appetite for

eGov is growing

Growing need for

data to support

UHC and social

health insurance

Fragmentation

fuelled by

developmentpartner funding of

single initiatives

Limited recognition

of need for unique

health IDs

RESULT: AeHin funded by

ADB and PRC

Health

infrastructure

used to improve

accountability of

public and private

sectors

AeHinincorporated and

sustainable

Countries vertical disease

program funding to improve

e-infrastructure andstrengthen health systems

Assessment of

malaria

surveillance

tools

Policy dialogue

with MoH on

business case

for ICT

Engaging in policy

dialogue on ID

management

Vibrant private

sector offering

interoperable HIS

solutions

Govts pass laws and

implement policies on

privacy and interoperability

and unique ID


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ADB HealthBlog:http://blogs.adb.org/author/health-

team
http://blogs.adb.org/author/health-teamhttp://blogs.adb.org/author/health-teamhttp://blogs.adb.org/author/health-teamhttp://blogs.adb.org/author/health-teamhttp://blogs.adb.org/author/health-teamhttp://blogs.adb.org/author/health-team

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