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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. ehealth.doh.gov.ph
  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

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