This document provides an update on the Philippine eHealth Strategic Framework and Plan from May 2014. It summarizes the status of leadership and governance, standards and interoperability, workforce, infrastructure, and services and applications. Key actions include activating a Program Management Office for eHealth, prioritizing the Philippine Health Information Exchange, and ensuring transparency of eHealth governance.
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The slides demonstrate a systematic approach to building a national eHealth system that starts with strategy and flows into governance, enterprise architecture to health information exchanges.
WHO global strategy on digital health 2020 2025Stefanus Nofa
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The slides demonstrate a systematic approach to building a national eHealth system that starts with strategy and flows into governance, enterprise architecture to health information exchanges.
Jennifer Mason, Senior Advisor for FP/HIV Integration for USAID's Office of Population and Reproductive Health describes the agency's approach to integrating family planning services with HIV health services and provides country examples of integration practices.
International Conference on Infrastructure Needs For a Food Control System: Roadmap For Regional Harmonization” - organised by International Life Sciences Institute - India Chapter, 9 & 10 December, 2014 in Hotel Royal Plaza, New Delhi.
Driving Quality Health Care: Lessons from the Ideal Clinics Initiative in Sou...HFG Project
"An Ideal Clinic is defined as a clinic with good infrastructure, adequate staff, adequate medicine and supplies, good administrative processes, and sufficient adequate bulk supplies. It uses applicable clinical policies, protocols and guidelines, and it harnesses partner and stakeholder support. An Ideal Clinic collaborates with other government departments, the private sector and non-governmental organisations to address the social determinants of health. Integrated Clinical Services Management is a key focus.” – Ideal Clinic, South Africa.
Hear how the Ideal Clinic Programme, implemented by South Africa's National Department of Health, is systematically improving the quality of care provided in primary health care facilities.
Electronic health (e-health) is an emerging research field that focuses on healthcare based in emerging information and communication technologies. Researchers on e-health have been working on database management systems to store and retrieve electronically the health records, conducting e-referral of the patients, e-transferring of the patient information and helping several other sectors of a hospital management system (e.g. finance, pharmacy, etc.). The presentation will overview the problem of e-Health strategies, emphasizing key principles that decision - makers should follow, so that the selection of activities, technologies and applications for e-health respond to national and international health priorities in the most efficient manner. Evidence – based suicidal scenarios are analyzed using statistical modeling to mine knowledge. Finally the performance of the DSS will be test on some test data.
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Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Mike B. Ndimurukundo, MBA
Program Manager of Tulane University, Rwanda
More info at: vsee.com/conference
Kickoff webinar slides from the Spring 2016 RHINO forum on health worker information systems, presented by Carl Leitner and Amanda Puckett BenDor from Intrahealth
Presentation by medicines registration harmonisation in the SADC made at the Euro-Africa Health Investment Conference, March 26 - 27, 2013, London, United Kingdom.
Jennifer Mason, Senior Advisor for FP/HIV Integration for USAID's Office of Population and Reproductive Health describes the agency's approach to integrating family planning services with HIV health services and provides country examples of integration practices.
International Conference on Infrastructure Needs For a Food Control System: Roadmap For Regional Harmonization” - organised by International Life Sciences Institute - India Chapter, 9 & 10 December, 2014 in Hotel Royal Plaza, New Delhi.
Driving Quality Health Care: Lessons from the Ideal Clinics Initiative in Sou...HFG Project
"An Ideal Clinic is defined as a clinic with good infrastructure, adequate staff, adequate medicine and supplies, good administrative processes, and sufficient adequate bulk supplies. It uses applicable clinical policies, protocols and guidelines, and it harnesses partner and stakeholder support. An Ideal Clinic collaborates with other government departments, the private sector and non-governmental organisations to address the social determinants of health. Integrated Clinical Services Management is a key focus.” – Ideal Clinic, South Africa.
Hear how the Ideal Clinic Programme, implemented by South Africa's National Department of Health, is systematically improving the quality of care provided in primary health care facilities.
Electronic health (e-health) is an emerging research field that focuses on healthcare based in emerging information and communication technologies. Researchers on e-health have been working on database management systems to store and retrieve electronically the health records, conducting e-referral of the patients, e-transferring of the patient information and helping several other sectors of a hospital management system (e.g. finance, pharmacy, etc.). The presentation will overview the problem of e-Health strategies, emphasizing key principles that decision - makers should follow, so that the selection of activities, technologies and applications for e-health respond to national and international health priorities in the most efficient manner. Evidence – based suicidal scenarios are analyzed using statistical modeling to mine knowledge. Finally the performance of the DSS will be test on some test data.
Telehealth in Rwanda - Training the next-gen of health professionalsVSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Mike B. Ndimurukundo, MBA
Program Manager of Tulane University, Rwanda
More info at: vsee.com/conference
Kickoff webinar slides from the Spring 2016 RHINO forum on health worker information systems, presented by Carl Leitner and Amanda Puckett BenDor from Intrahealth
Presentation by medicines registration harmonisation in the SADC made at the Euro-Africa Health Investment Conference, March 26 - 27, 2013, London, United Kingdom.
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“Internet of People”: Elements of Trust and Risk, Eva Turk, DNVGL.
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ANEC VIII
National Information Platforms to strengthen
Nutrition Policy & Programs decisions
Authors
Youssouf Keita, Melinda Munos, Rebecca
Heidkamp, Johns Hopkins University
module-8-ppt-session-1 for ehealth (1).pptxssuser2714fe
Explain key eHealth and mHealth concepts
Define commonly used eHealth and mHealth terms
Illustrate eHealth and mHealth applications
Describe limitations and considerations for eHealth and mHealth
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
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One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
4. 4
Leadership and governance
National eHealth
Steering
Committee
National eHealth
TWG
National eHealth
Program
Management Office
Health data
standards expert
group
Health data privacy
expert group
Sec Ona
Sec Montejo
USec Herbosa
USec Casambre
PCEO Padilla
CIO Cabrera
Dir Montoya
Comm Licuanan
Chancellor Agulto
5. eHealth Philippines: Goals
By 2015
• Patients' PhilHealth eligibility can be determined upon
presentation in an accredited health facility
• Availability of smart healthcare systems that recognizes risks and
prevents progression into adverse events
- Providers are alerted of high-risk patients
- Data sets are mined for new risk parameters
• Academe and professional organizations are able to equip
professionals with eHealth knowledge and skills
• All health facilities will have access to relevant information for
decision-making
6. 6
WHO-ITU National eHealth
Strategy Toolkit
» Prescribes 7 key components for
successful national eHealth
development
» Framework is also used for
monitoring progress
7. Status: Philippine eHealth Strategic Framework
and Plan (May 15, 2014)
LEGEND:
DOH/PhilHealth
DOST
TWG / PMO
TWG / PMO TWG / PMO
SC / TWG
TWG / PMO
MITHI,
Standards,
Privacy Experts
PHIE
MITHI
iGovPhil
Warehouse
NCD registry
HCI Portal
Green – task is in control
Yellow – task is experiencing delay but in control by TWG
Red – task is delayed and requires Steering Committee intervention
Capacity-
building,
competency
standards
8. Traffic Light System for Tracking
Progress
Green – task is in control
Yellow – task is delayed but in control by TWG;
targets can still be met
Red – task is delayed; targets will be missed;
requires Steering Committee intervention
9. 11
Leadership and governance
» As of May 15, 2014:
» Added UP Manila to Steering Comm
» Added an advisory board from private sector (4)
10. 12
Leadership and governance
» Oct 9, 2013: approved adoption of an IT
Governance Framework (COBIT)
» May 7-9, 2014: 12 participants completed
COBIT training
» DOH will proceed with rapid COBIT self-
assessment
12. Benefits Realisation (set Oct 2013)
• Maternal death < 52/100,000
• Universal Health Coverage
> 95%
• Health Facilities Enhancement Program
completion
• IT enabled in all government facilities
• Non-Communicable Disease registry (added
Jan 2014)
13. Leadership and Governance
• Goals:
– Ensure transparency of governance through broader
stakeholder engagement
– Ramp up activities through a PMO Team Leader
supported by staff
– Update the index policy document: Philippine eHealth
Strategic Framework and Plan (2013-2017) care of Dr
Alvin Marcelo/WHO
14. Leadership and Governance
Latest actions
1. Creation of advisory board from stakeholders
2.Activation of MITHI Program Management Office and
appointment of PMO Team Leader
3.Creation of Health Data Expert Group
4.Creation of Health Privacy Expert Group
5.Updating of the Philippine eHealth Strategic Framework
and Plan
15. What has been done
•Identification of interoperability standards (HL7)
•Identification and extraction of “Use Cases” (WOMB, Maternal and
Neonatal Death Reporting System, NCD Registry, PHIC Members
Verification, eClaims, PCB – TSEKAP, Maternal Risk Profiling, &
Breast Cancer Profiling)
•PHIE Updates (c/o DOH, PHIC, and ASTI)
•Draft MITHI Proposal for 2014
– System Enhancement and Implementation of the Philippine Health
Information Exchange Phase 1 (PhP 41.4M)
Standards and Interoperability
Goal: Operationalize PHIE by Dec 2014
16. Standards and Interoperability
• Latest actions:
– Appointment of a PMO Team Leader
– Commissioning of
• Health Data Standards Expert Group
• Health Data Privacy Expert Group
– Creation of eHealth Knowledge Management System/portal
(www.ehealth.ph as portal, managed by DOST-PCHRD through
Ateneo de Manila University - IPC)
– Approval for the creation of R&D Experts Group, Policy Experts
Group, mHealth experts group
– Accept offers of international consultants (at no cost to GoP)
and in compliance with existing guidelines for international
support
17. Standards and Interoperability
• Agreement
– Prioritize the implementation of the Philippine Health
Information Exchange because this enables all the
other subsequent projects (PHIE Product Team led by
PMO)
The PHIE will create a better (and cheaper) operational
environment for all the other eHealth projects (data warehouse,
mHealth, NCD registry, iClinicSys, iHOMIS, etc)
18. What has been done
•Identified experts members (w/ names) from
stakeholders for health data standards and privacy
expert groups.
•AO on Health Data Standards (Part I) has been released
by DOH
Legislation, policy, and compliance
Goal: AO on Health Data Standards & Privacy
19. What has been done
•Draft MITHI Proposal for 2014
– Standards Training & Change Management (PhP 24.7M)
Goal: Create Committee on Capacity Building
Workforce
20. Workforce
• Latest actions:
– Appointment of a PMO Team Leader
– Commission a situationer and a development plan on
knowledge and skills needed for eHealth to be fully
operational (with CHED; DOST-PCHRD can fund)
21. Infrastructure
What has been done
•Draft MITHI Proposal for 2014
– Setting up of ICT Infrastructure for the Food and
Drug Administration (PhP 7 M)
Goals:
1.Connectivity in place (TV White Space, fiber optic
connection)
2.Data Center (use of government cloud)
22. Services and Applications
Goals (2014)
1.70 DOH Hospitals with eClaims (51 HOMIS)
2.450 RHUs with iClinicSys / EMR
3.140 RHUs / CHOs with RxBox
23. Services and Applications
• Latest action:
• Prioritize the Philippine Health Information Exchange
to enable all private and public sector applications to
submit standards-based data to DOH
24. Summary of Recommended Actions
• Activate and commission the MITHI eHealth
Program Management Office with an Experienced
Team Leader and staff members
• Prioritize the Philippine Health Information
Exchange
• Ensure transparency of eHealth governance
through broader stakeholder
engagement/knowledge management
• Accept support from international/local partners