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Country eHealth Updates 2016 (Philippines)


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eHealth updates from the Philippines

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Country eHealth Updates 2016 (Philippines)

  1. 1. Country eHealth Updates Philippines Dr Alvin B. Marcelo February 26, 2016
  2. 2. Disclosures • Associate Professor of Surgery and Health Informatics, University of the Philippines Manila • Director, Technology Transfer and Business Development Office, UP Manila • Executive director, Asia eHealth Information Network • Member, National eHealth Technical Working Group • Chair, eHealth Risk Management Expert Group
  3. 3. Disclaimers • This is my perspective on how the story of Philippine eHealth unfolded. • Based on policy documents and proceedings of meetings. • Where basis is subjective, I will highlight.
  4. 4. February 2012 • WHO and ITU invite country representatives to Geneva • Launched the National eHealth Strategy Toolkit • Message: to get eHealth done right, health and ICT sector need to work together
  5. 5. WHO-ITU eHealth Strategy Toolkit
  6. 6. August 2012 • Asia eHealth Information Network holds first general meeting in Bangkok • Regional launch of the WHO-ITU National eHealth Strategy Toolkit
  7. 7. July 2013 • DOH and DOST issues joint department memorandum on the National eHealth Governance Structure and Technical Working Group • Joint presentation of the Philippines eHealth Strategic Framework and Plan Organizational structure is patterned after the Toolkit
  8. 8. WHO-ITU Toolkit PeHSFP
  9. 9. October 2013 • National eHealth Steering Committee meets for the first time. • Key decisions: • add UP Manila and Commission on Higher Education to Steering Committee • set initial priorities: decrease maternal deaths, increase PhilHealth coverage, complete health facility enhancements, use IT in all public health facilities • approve the Philippine eHealth Strategic Framework and Plan (PeHSFP)
  10. 10. WHO-ITU and PeHSFP
  11. 11. November 7, 2013 • Typhoon Haiyan makes landfall in the Visayas region of the Philippines
  12. 12. January 29, 2014 • Second Steering Committee Meeting • Adopt IT Governance framework (COBIT5) to guide the multi- sector-led eHealth initiatives
  13. 13. April 2014 • 12 participants from the Philippines undergo certification on COBIT5 Foundation (with AeHIN, WHO and NORAD support)
  14. 14. May 27, 2014 • eHealth Steering Committee approves the Philippine Health Information Exchange as the key project for eHealth interoperability • Directs TWG to start crafting the Data Sharing Agreement for the PHIE
  15. 15. July 2014 • Steering Committee directs TWG to comply with the Data Privacy Act of 2012
  16. 16. OpenHIE TS – terminology service CR – client registry SHR – shared health record HMIS – health management information system FR – facility registry HWR – health worker registry
  17. 17. Current Updates • Public issuance of Administrative Order on the Implementation of the Philippine Health Information Exchange
  18. 18. Current Updates • Public issuance of the Administrative Order for the Health Data Privacy Guidelines
  19. 19. Standards Catalog v1
  20. 20. Standards Change Management Manual v1.35
  21. 21.
  22. 22. Lessons Learned • eHealth is complex. No single sector can do it alone. It needs stakeholders to collaborate under the leadership of the Ministry of Health. • IT governance frameworks like COBIT5 help in managing this complexity. Without a framework, it is easy to get lost. With IT governance, stakeholders can refer to a guide as they move along. • Good governance is key to progress. Good governance can be as simple as keeping meetings regular as scheduled and deciding together as a group. • Consensus-building may take longer but is more sustainable. Stakeholder ownership of eHealth will ensure its adoption.
  23. 23. • Structured (limited) data for sharing – eases implied consent (can be withdrawn) - Canada • Does not work in other places • HI Custodian (manager of databases) vs HI network provider (convey the information to another facility) • Prof Michio Kimura – SSMix-HD (also limited in data types and collection) (We had Dr Kimura in a previous AeHIN Hour)
  24. 24. Next Country eHealth Update: Thailand