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Amin, H. et al.:  Planning the Development of the Singapore             National Health Portal• This slideshow, presented ...
PLANNING THE DEVELOPMENT OF THESINGAPORE NATIONAL HEALTH PORTAL                                   04 September 2008       ...
All About Singapore
Geographic Location An island city-state in Southeast Asia >15,000 km from Toronto Land area of 700 km  2              ...
The People of Singapore     Vibrant global city; thriving centre of commerce     Multi-ethnic resident population of >3....
Things to do in Singapore       Images courtesy of the Singapore Tourism Board
Reasons for aNational Health Portal
The Health Promotion Board Health Promotion Board (HPB)      Established on April 1, 2001 Vision    A nation of health...
The HPB Strategic Framework                                           People of Singapore Schools                         ...
The Chronic Disease Challenge
Active Health Management Promote the concept of Active (&  Individualised) Health Management (AHM) Empower Singaporeans ...
Objectives of AHM Reduce medical costs Change medical encounters from episodic  to continuous Enable prevention and ear...
Exploiting IT, Enabling AHM
Exploiting IT, Enabling AHM National Health Portal (NHP)   Personal Health Record (PHR)   Health education resources  ...
The National Health Portal         Project
Conceptualising the NHP The NHP Taskforce    Drive development and implementation of NHP    Comprising of representativ...
The NHP Vision “A unified web portal for empowering individuals and their care-givers with health/medical information and...
NHP Project – Phase 1
Phase 1- 2008 to 2009                                        Clinicians                                            Hospita...
Phase 1- 2008 to 2009Functionalities / Features:   PHR        Self-entered records; no integration with Electronic Healt...
Phase 1 PHR Features Conditions Family history Allergies      Food      Environmental Drug (Critical Medical Informa...
Phase 1 Health Management Tools Concept of tailoring   More tailored, more engaging, more effective HRA BHIPs   Weigh...
Phase 1 Health Management ToolsLow TailoredStoryTailoring VariableUsed In This Case:+ Gender
Phase 1 Health Management ToolsHigh TailoredStoryTailoring VariablesUsed In This Case:+ Age+ Gender+ Ethnicity+ Marital st...
Phase 1 Health Management Tools Health Trackers   Weight / BMI   Blood Pressure   Blood Sugar (fasting and non-fasting...
Phase 1 Other Portal Features Appointment Booking   Interface with clusters’ appointment systems Calendar of events   ...
Outreach StrategyYear   Phases   Cumulative                Number of                             Outreach For Recruitment...
NHP Project - Beyond Phase 1
Phase 2 - 2009 to 2010Additional Functionalities / Features: Evaluation of Phase 1 PHR      Integration with GPs’ Clini...
Phase 3 - 2010 to 2012Additional Functionalities / Features: Evaluation of Phase 2 PHR   Full integration with EHR Hea...
In the PipelineAdditional Functionalities / Features: Additional languages Remote monitoring devices Extend mobile / no...
Critical Success Factors   Standardization of data entry, sharing, and interoperability        No common national standa...
Thank youHANDY_AMIN@HPB.GOV.SG
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Planning the Development of the Singapore National Health Portal

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  • Food & shopping First Formula One night race 26 Sep – 28 Sep Inaugural Youth Olympic Games in 2010
  • Prevalence of chronic diseases Rapidly aging population
  • One Singaporean, One Family Doctor Promotion of healthy lifestyles and appropriate screening Health promotion programmes
  • Why IT? Internet usage is common, most households are connected via broadband
  • One of the key AHM strategies Cost-effectiveness of Internet-based platform Resources and tools are currently available HPB Online, but HPB Online lacks personalisation features and is not designed for PHR
  • Means of continuous communication between patient / care-giver and care providers In the long run, to enable social networking for patients / care givers / care providers
  • Latest design concepts
  • Latest design concepts
  • Transcript of "Planning the Development of the Singapore National Health Portal"

    1. 1. Amin, H. et al.: Planning the Development of the Singapore National Health Portal• This slideshow, presented at Medicine 2.0’08, Sept 4/5th, 2008, in Toronto, was uploaded on behalf of the presenter by the Medicine 2.0 team• Do not miss the next Medicine 2.0 congress on 17/18th Sept 2009 (www.medicine20congress.com)• Order Audio Recordings (mp3) of Medicine 2.0’08 presentations at http://www.medicine20congress.com/mp3.php
    2. 2. PLANNING THE DEVELOPMENT OF THESINGAPORE NATIONAL HEALTH PORTAL 04 September 2008 MEDICINE 2.0 CONGRESS Handy Amin, Active Health Management Dr Shyamala Thilagaratnam, Active Health Management Dr Andy Tan, Active Health Management Low Sau Chan, Chief Information Officers Office Tan Ping Ping, Chief Information Officers Office
    3. 3. All About Singapore
    4. 4. Geographic Location An island city-state in Southeast Asia >15,000 km from Toronto Land area of 700 km 2 Maps courtesy of The World Factbook
    5. 5. The People of Singapore  Vibrant global city; thriving centre of commerce  Multi-ethnic resident population of >3.6 million  Chinese 76.8%  Malay 13.9%  Indian 7.9%  Others 1.4%  Total population of <4.6 millionImages courtesy of the Singapore Tourism Board
    6. 6. Things to do in Singapore Images courtesy of the Singapore Tourism Board
    7. 7. Reasons for aNational Health Portal
    8. 8. The Health Promotion Board Health Promotion Board (HPB)  Established on April 1, 2001 Vision  A nation of healthy and fit Singaporeans Mission Statement  We will be a centre of excellence for health promotion. With our partners, we create a supportive environment, and provide health education and preventive health services to empower every Singaporean to attain the best possible health throughout life.
    9. 9. The HPB Strategic Framework People of Singapore Schools Healthy At-risk groups UnhealthyHealthcare ADOLESCENTSWorkplaces Nutrition Unhealthy & not aware of Smoking Control Physical Activity health conditions CHILDRENCommunity Positive Mental Health ADULTS Targeted Interventions Early detection Chronic Disease Management Unhealthy & aware of Industry Patient Education/Empowerment Building Bridges to our Partners health conditions Exploit IT Maximally (patients) Research & Strategic Planning Web ELDERLY
    10. 10. The Chronic Disease Challenge
    11. 11. Active Health Management Promote the concept of Active (& Individualised) Health Management (AHM) Empower Singaporeans to actively manage their own health Provide relevant resources and tools to support AHM
    12. 12. Objectives of AHM Reduce medical costs Change medical encounters from episodic to continuous Enable prevention and early detection of illnesses Enable provision of quality healthcare services based on individual needs and requirements
    13. 13. Exploiting IT, Enabling AHM
    14. 14. Exploiting IT, Enabling AHM National Health Portal (NHP)  Personal Health Record (PHR)  Health education resources  Personalised health management tools  Health Risk Assessment (HRA)  Behavioural Health Intervention Programmes (BHIP)  Health Trackers  Collaborative disease management between patient and care providers
    15. 15. The National Health Portal Project
    16. 16. Conceptualising the NHP The NHP Taskforce  Drive development and implementation of NHP  Comprising of representatives from various stakeholders:  HPB  Health Clusters (SingHealth, NHG)  Ministry of Health (MOH)  Healthcare professional organisations (e.g.. College of Family Physicians of Singapore)  Infocomm Development Authority (IDA) Healthcare Cluster Feasibility study  Global review of health portals  Dialogues / focus groups with stakeholder representatives
    17. 17. The NHP Vision “A unified web portal for empowering individuals and their care-givers with health/medical information and preventive/monitoring tools for personalised health management so as to achieve better health outcomes.”
    18. 18. NHP Project – Phase 1
    19. 19. Phase 1- 2008 to 2009 Clinicians Hospital Systems Personal Health Info Health Screening Results Public Laboratory Systems MSB Self-entered PersonalLaboratories Health Info Internet HPB User National Health Portal
    20. 20. Phase 1- 2008 to 2009Functionalities / Features: PHR  Self-entered records; no integration with Electronic Health Records (EHR)  Lab results from Integrated Screening Programme (ISP)  Drug allergies from Critical Medical Information Store (CMIS) Health management tools  HRA  Weight Management BHIP  Smoking Cessation BHIP  Diabetes Management BHIP  Health Trackers Clinician Access to PHR  Public healthcare sector Interfaces  Interface with clusters’ events calendar & eventshub.sg  Interface with CPF for Medisave / Medishield / Eldershield information
    21. 21. Phase 1 PHR Features Conditions Family history Allergies  Food  Environmental Drug (Critical Medical Information Store, CMIS) Lab tests  Results from Integrated Screening Programme (ISP) Contact information Print PHR Summary Print In Case of Emergency (ICE) Card
    22. 22. Phase 1 Health Management Tools Concept of tailoring  More tailored, more engaging, more effective HRA BHIPs  Weight Management  Smoking Cessation  Diabetes Management Health Trackers
    23. 23. Phase 1 Health Management ToolsLow TailoredStoryTailoring VariableUsed In This Case:+ Gender
    24. 24. Phase 1 Health Management ToolsHigh TailoredStoryTailoring VariablesUsed In This Case:+ Age+ Gender+ Ethnicity+ Marital status+ Smoking status ofspouse+ Child in home+ Physically active+ Number ofcigarettes smoked+ Job status+ Barrier+ Social support
    25. 25. Phase 1 Health Management Tools Health Trackers  Weight / BMI  Blood Pressure  Blood Sugar (fasting and non-fasting)  Smoking  Nutrition  Physical Activity  Hemoglobin A1c
    26. 26. Phase 1 Other Portal Features Appointment Booking  Interface with clusters’ appointment systems Calendar of events  Interface with clusters’ events calendar & eventshub.sg Health education resources  Content from HPB Online (e.g. articles, RSS feeds, podcasts)  Search function Health expenditures  Interface with CPF for Medisave / Medishield / Eldershield information Health insurance & coverage
    27. 27. Outreach StrategyYear Phases Cumulative Number of Outreach For Recruitment Of Users Users2009 1 10,000 Polyclinic and government specialist clinics patients2010 2 50,000 Civil service workplace2011 3a 100,000 Private clinics and hospitals patients Selected private workplaces2012 3b 200,000 More workplaces Insurance policyholders Beyond Phase 3, the NHP shall be operated via a Public Private Partnership (PPP) model
    28. 28. NHP Project - Beyond Phase 1
    29. 29. Phase 2 - 2009 to 2010Additional Functionalities / Features: Evaluation of Phase 1 PHR  Integration with GPs’ Clinical Management Systems (CMS) Health management tools  Mental Wellness BHIP Clinician Access to PHR  Private GPs Interfaces  National Immunisation Registry (NIR)  Student Health Assessment Programme (SHAPE)  Integrated Dental Electronic Assessment for Students (IDEAS)
    30. 30. Phase 3 - 2010 to 2012Additional Functionalities / Features: Evaluation of Phase 2 PHR  Full integration with EHR Health management tools  Other BHIPs (e.g. Nutrition BHIP) Clinician Access to PHR  Private hospitals  Community hospitals & nursing homes
    31. 31. In the PipelineAdditional Functionalities / Features: Additional languages Remote monitoring devices Extend mobile / non-web access Social networking tools
    32. 32. Critical Success Factors Standardization of data entry, sharing, and interoperability  No common national standard across all healthcare providers currently  MOH holdings (MOHH) has been set up to co-ordinate efforts Legal & ethical concerns - data privacy & security  Policy on EHR data yet to be determined  Managing users’ expectation  Concerns about healthcare providers’ responsibility and legal liability Engaging relevant stakeholders  Co-ordination of stakeholders’ involvement; garnering their full support  Minimising disruption to existing systems & workflows Increasing user adoption  Marketing the NHP to the different target audiences  Incentivising participation, while maintaining sustainability
    33. 33. Thank youHANDY_AMIN@HPB.GOV.SG
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