Shine aim 30_april2012


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This is a presentation on the state of ICT in Healthcare in the Philippines at the Asian Institute of Management last April 30, 2012

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Shine aim 30_april2012

  1. 1. Secured Health Information Network and Exchange (SHINE) mHealth Innovation 30 April 2012FOR INTERNAL USE ONLY. NOT FOR EXTERNAL DISTRIBUTION. Page 1
  2. 2. ICT4HEalth TWG Enterprise Standards and Architecture Interoperability Capacity Building Compliance Page 2
  3. 3. Outline• Overview• Implementing Partners• Brief History of the Project• Healthcare System Context• Scope and Initial Focus• Accomplishments to Date• A Project Poised for Scaling Up Page 3
  4. 4. Overview - SHINE • SHINE is a hosted, internet- accessible Electronic Health Information and Referral System. • SHINE is accessible using Java enabled mobile phones and computers connected to the internet. • Readily deployable in any area with wireless broadband, 3G and GPRS connectivity. Page 4
  5. 5. Overview - SHINE• Integrated mHealth solution for recording, reminding, referring and reporting for doctors, nurses, and midwives.• Caters to a wide range of health conditions and work roles in the health ecosystem.• Combines mobile and internet technologies in one platform.• Software as a Service bundled with wireless broadband and mobile connectivity, utilizing widely available and affordable hardware.• Users find it easy to use in their day to day work and in helping them comply with government mandated reports.• Mainly serves public primary, secondary, and tertiary public health facilities that cater to the underserved rural and urban poor communities. Page 5
  6. 6. Smart’s eHealth/mHealth Vision • We envision more ubiquitous and better healthcare services for all, specially the underserved members of the population. • We will enable this by creating an ecosystem of healthcare stakeholders connected and coordinated through technology. Page 6
  7. 7. Partners SHINE is built on a public-private partnership with: • Department of Health • Local Government Units • NGOs – PBSP/TBLINC – Zuellig FamilyFoundation – PBSP/Global Fund – Molave Development Foundation Inc. • Nursing Schools Page 7
  8. 8. The SHINE Service PhilHealth DOH, LGU Hospital Health • Collect Data for Worker • Collect Health DataPatients Claims Processing • Input to Policies • Input to Policies • Receive Accurate Health Data • Send Diagnosis • Send Referrals and and Treatment Plan Pertinent Health Data • Perform more specialized • Receive Timely /complex procedures Feedback • Receive and Transmit Accurate Health Data Medical SpecialistPatients Health Centers; School Clinics Pharmacies and Diagnostic Laboratories Page 8
  9. 9. Wireless Technology Utilized Wireless Broadband Connectivity 3G and GPRS Technology SMART Bro Canopy & SMART Bro Java enabled phones for health Plug – it for health facilities. workers in the field. SMS for reminders and notifications to patients and health workers. Page 9
  10. 10. Value Proposition • Reduced burden of creating, retrieving, and updating paper records. • Minimized errors encountered due to incomprehensible or incomplete health records. • Improved compliance of patients through SMS reminders • Effective referrals among facilities. • Automated generation of reports from day to day recording. • More time freed up for actual patient care. Page 10
  11. 11. Innovative Features of SHINE – The 4 Rs One integrated system for doctor, nurses and midwives to handle: • RECORDING • REMINDING • REFERRING • REPORTING Supporting a wide range of conditions and health services Page 11
  12. 12. Record Perceived Problems Value Proposition • Overwhelming number of • Register patients and would- health records be patients electronically • Misplaced records • Easily retrieve patient records • Unrecognizable records online. • Loss of records in times of • Record patient consultations disaster and services at the point of care • Familiar forms and processes were referenced to minimize the learning curve • Capture discrete data that can be utilized for a wide range of conditions. Page 12
  13. 13. Creating a New Health Record Page 13
  14. 14. Recording Using The Mobile App Page 14
  15. 15. Remind Perceived Problems Value Proposition • Patients do not come back for • Easily set appointments follow up. • Send notifications and • Non-compliance to reminders to patients via medications – SMS – E-mail • Improve patient compliance to follow ups and medication • Disseminate health information to targeted individuals for disease prevention and wellness to change health behavior Page 15
  16. 16. Setting a SMS Reminder Page 16
  17. 17. Refer Perceived Problems Value Proposition • Delayed and error-prone • Ensure that the patient is referral information accommodated by the receiving facility • Lack of feedback to referring doctor • Send patient’s complete medical history ensuring • Inconvenience and costly for continuity of care patients when referrals are not • Receive feedback from well coordinated receiving facility for the referral to learn how was the patient was treated, thereby, enhancing the primary care physician skills to tend to similar cases Page 17
  18. 18. Creating a Referral in The Web Page 18
  19. 19. Creating a Referral Using The Mobile App Page 19
  20. 20. Report Perceived Problems Value Proposition • Several DOH programs • Auto – generate reports based requiring reports on data inputted at point-of- care • Time consuming and delayed paper reports • Reports – FHSIS • Error prone paper reports – NTP – PIDSR – Philhealth OPB Forms • Potential to customize reports for the needs of other agencies Page 20
  21. 21. Generated Reports Page 21
  22. 22. Generated Reports Page 22
  23. 23. Testimonials on Usability“It’s easier now to retrieve patientrecords, refer patients to otherhealth facilities and schedulefollow ups...“ - Dr. Mimi Bondoc, M.D.“SHINE is user friendly”. - Rafael Camus, R.N.“It was easy to learn how to useSHINE for our work in the field.” - Mary Grace Soloma and Salvacion Naldoza, R.M. Page 23
  24. 24. Usability Drivers • Minimal ICT literacy required to learn how to use the web and mobile application. • Use of mobile devices with java application that is easy to use and able to capture essential health data. • Iterative process with end-users deliver a system that matches their needs, considering their current work and information management context. Page 24
  25. 25. User BaseCURRENT AREAS INDICATED INTEREST BY• Iloilo Multiple cities/provinces in: • 13 Rural Health Units • Luzon e.g. • 11 Health Centers – Metro Manila • 4 District Hospitals – Mimaropa • 2 Tertiary Hospitals – Ilocos Region• Quezon City – Southern Tagalog • Visayas • 10 Health Centers – Neg. Occ. • 13 Hospitals – Cebu• Davao • Mindanao • 2 Hospitals – Davao Region • 8 Clinic – Caraga – Socsargen Page 25
  26. 26. SHINE Patient Records September 2011 - March 2012 14000 12000 20,300 health records 10000 as of 30 April2012Patient Records 8000 6000 4000 2000 0 2/1/2012 12/3/2011 1/12/2012 9/14/2011 10/4/2011 2/21/2012 3/12/2012 10/24/2011 11/13/2011 12/23/2011 Dates Page 26
  27. 27. Digress to mUTZ here. Page 27
  28. 28. SHINE will continue to scale and evolve.To better serve patients and ensure continuity ofcare, SHINE will interoperate with other healthinformation systems or enable interoperabilityamong health information systems. => Ecosystem, behavioral viewIs there scope for us to work together? Page 28
  29. 29. Thank You! Page 29