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Government or Private Sector:
The Future of Asia’s Healthcare Infrastructure
HPAIR 2015
Iris Thiele Isip Tan MD, MSc
Professor, College of Medicine
Chief, Medical Informatics Unit
University of the Philippines
UP-PGH by Bro. Jeffrey Pioquinto, SJ
https://flic.kr/p/wkBNJG
Tuesday, August 25, 15
“We are drowning in information
and starving for knowledge.”
Rutherford D. Rogers
http://www.infogineering.net/data-information-knowledge.htm
Tuesday, August 25, 15
Building a Health
Information Infrastructure
Why electronic health records? by
InfowayInfoRoute https://youtu.be/Lo_3qOejQzI
Tuesday, August 25, 15
National eHealth Vision Philippines
Photo by Doun, https://flic.kr/p/b5WFRK
By 2020, eHealth will enable widespread access to health care services,
health information and securely share and exchange patient information in
support of safer, quality health care, more equitable and responsive health
system for all the Filipino people by transforming the way information is used to
plan, manage, deliver and monitor health services.
Tuesday, August 25, 15
IT-enabled
health services
By 2020
Philippine Health Information Exchange
(PHIE) implementation
EMR certification
IT in all public
health facilities
National eHealth Vision
Tuesday, August 25, 15
Development Framework
WHO-ITU National eHealth Strategy Toolkit
Governance
Directs and coordinates eHealth activities at all
levels like hospitals and health care providers
Tuesday, August 25, 15
Governance
Legislation,
Policy and
Compliance
Formulation of the required legislations, policies
and compliance to support the attainment
of the eHealth vision
Development Framework
WHO-ITU National eHealth Strategy Toolkit
Tuesday, August 25, 15
Governance
Legislation,
Policy and
Compliance
eHealth Solutions
(Services and Applications)
Required services and applications to enable widespread access
to health care services, health information, health reports, health
care activities and securely share and exchange patient’s
information in support to health system goals
Development Framework
WHO-ITU National eHealth Strategy Toolkit
Tuesday, August 25, 15
Governance
Legislation,
Policy and
Compliance
eHealth Solutions
(Services and Applications)
Strategy
and
Investment
Develops, operates and sustains the
national eHealth vision
Development Framework
WHO-ITU National eHealth Strategy Toolkit
Tuesday, August 25, 15
Governance
Legislation,
Policy and
Compliance
eHealth Solutions
(Services and Applications)
Strategy
and
Investment
Infrastructure
Establishes and supports
health information
exchange and
implementation of
innovative ways to deliver
health services and
information.
Development Framework
WHO-ITU National eHealth Strategy Toolkit
Tuesday, August 25, 15
Governance
Legislation,
Policy and
Compliance
eHealth Solutions
(Services and Applications)
Strategy
and
Investment
Infrastructure
Human
Resources
Workforce or manpower to develop, operate or
implement the national eHealth environment
Development Framework
WHO-ITU National eHealth Strategy Toolkit
Tuesday, August 25, 15
Governance
Legislation,
Policy and
Compliance
eHealth Solutions
(Services and Applications)
Strategy
and
Investment
Infrastructure
Human
Resources
Standards and
Interoperability
Promotes and enables exchange of health information across
geographical and health sector boundaries through use of common
standards on data structure, terminologies and messaging
Development Framework
WHO-ITU National eHealth Strategy Toolkit
Tuesday, August 25, 15
GOVERNANCE
Management of the
eHealth Agenda
Operations
Management
Monitoring
& Evaluation
Policy
Oversight
Network &
Collaboration
Strategic
Architecture
Clinical
Safety
LEGISLATION,
POLICY &
COMPLIANCE
Laws, Policies
& other
Issuances
National Health
Identifier
Health Data
Standards for
Interoperability
Software
Certification
STANDARDS &
INTEROPERABILITY
Data Structures
Messaging
Terminologies
Software
Certification
Research &
Development
eHEALTH SOLUTIONS
(Services & Applications)
Information
Sources
Health Reports
Researches
Health
Knowledge
Portals
Electronic
Health Record
Delivery of Services
Telehealth Services
Electronic
Consultation
Philhealth Electronic
Claims Systems
Decision Support for
Medications
Test ordering
Disease Management
STRATEGY &
INVESTMENT
Strategic
Planning
Sustained
Financing
Fund
Management
INFRASTRUCTURE
Connectivity
Storage
Security
Standards
Computing
Infrastructure
Databases
Directory
Services
Information Flows
Health Information
Exchange
(Referrals,
Prescriptions, Test
orders & Results,
Health Profile,
Demographics, Care
Plans, others
HUMAN
RESOURCES
Education &
Training
e-Maturity &
Capacity Building
Philippine eHealth Strategic Framework and Plan
Tuesday, August 25, 15
Role of government
Convening groups
for development of
standards
Tuesday, August 25, 15
eHealth Leadership
and Governance
Philippines
Health Data Standards
Expert Group
Health Data Security &
Privacy Expert Group
Advisers Group
Capacity-building
Task Force
EMR Committee
Health Sector
Leadership
National eHealth
Governance Steering
Committee
National eHealth
Governance Technical
Working Group
National
eHealth Program
Management Office
] Clinical & Business
Process Group
(DOH-Philhealth)
IT Working Group
[
Tuesday, August 25, 15
Output of Health Data
Standards Group
Standards catalog
bit.ly/ehealthstandardscatalog
Standards Change Management Manual
bit.ly/ehealthstandardschange
National Health Facility Registry
nhfr.doh.gov.ph
Tuesday, August 25, 15
Philippine Health Atlas
healthmaps.doh.gov.ph
Health Facilities
Tuesday, August 25, 15
Role of government
Convening groups
for development of
standards
Providing funding for
research and development
Tuesday, August 25, 15
Medium-term Information and
Communications Technology
Harmonization Initiative
MITHI
mithi.gov.ph
an e-Government & ICT support
initiative to harmonize and ensure
interoperability among ICT-related
resources, programs and projects
across the government
Department of Budget & Management (DBM)
Department of Science & Technology (DOST)
National Economic Development Authority (NEDA)
Tuesday, August 25, 15
2014 Projects
Philippine Health Information
Exchange (PHIE)
Philippine Health Enterprise
Data Warehouse
National Disease Registry
Enhancement
Integrated Health Goods
Licensing Information System
(HG-LIS) Phase 3
Standards (SNOMED, HL7,
LOINC etc) Training,
Change Management
Provision for interconnecting
RHUs/Regional Hospitals
CHITS & HOMIS
partial expansion
Tuesday, August 25, 15
Role of government
Convening groups
for development of
standards
Providing funding for
research and development
Ensuring equitable
distribution of resources
Tuesday, August 25, 15
Launched July 24 at National
Science & Technology Week
High speed wifi up to 50 MB/day
Tuesday, August 25, 15
Juan, Konek! Public-private partnership
Tuesday, August 25, 15
Aiming for 99% connectivity
by 3rd quarter 2015
Quezon Memorial Circle
Rizal Park
Tuesday, August 25, 15
Juan, Konek!
National Telehealth Center
University of the Philippines
Tuesday, August 25, 15
RxBox 2
Sphygmomanometer
Pulse
oximeter
Tocometer
ECG
Doppler fetal heart monitor
National Telehealth Center
University of the Philippines
Tuesday, August 25, 15
Tuesday, August 25, 15
Tuesday, August 25, 15
Tuesday, August 25, 15
Role of government
Convening groups
for development of
standards
Providing funding for
research and development
Ensuring equitable
distribution of resources
Protecting rights of
privacy, intellectual
property and security
Tuesday, August 25, 15
Cybercrime Prevention Act of 2012
RA 10175
IRR signed 12 Aug 2015
Tuesday, August 25, 15
Data Privacy Act of 2012
RA 10173
Tuesday, August 25, 15
Role of government
Convening groups
for development of
standards
Providing funding for
research and development
Ensuring equitable
distribution of resources
Protecting rights of
privacy, intellectual
property and security
Overcoming
jurisdictional
barriers to cooperation
Tuesday, August 25, 15
House Bill 4199
Telehealth Act of 2014
Previous bills 2009 & 2012
Tuesday, August 25, 15
Government or Private Sector:
The Future of Asia’s Healthcare Infrastructure
HPAIR 2015
Iris Thiele Isip Tan MD, MSc
@endocrine_witch
icisiptan@up.edu.ph
UP-PGH by Bro. Jeffrey Pioquinto, SJ
https://flic.kr/p/wkBNJG
Tuesday, August 25, 15

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Government or Private Sector: The Future of Asia's Healthcare Infrastructure

  • 1. Government or Private Sector: The Future of Asia’s Healthcare Infrastructure HPAIR 2015 Iris Thiele Isip Tan MD, MSc Professor, College of Medicine Chief, Medical Informatics Unit University of the Philippines UP-PGH by Bro. Jeffrey Pioquinto, SJ https://flic.kr/p/wkBNJG Tuesday, August 25, 15
  • 2. “We are drowning in information and starving for knowledge.” Rutherford D. Rogers http://www.infogineering.net/data-information-knowledge.htm Tuesday, August 25, 15
  • 3. Building a Health Information Infrastructure Why electronic health records? by InfowayInfoRoute https://youtu.be/Lo_3qOejQzI Tuesday, August 25, 15
  • 4. National eHealth Vision Philippines Photo by Doun, https://flic.kr/p/b5WFRK By 2020, eHealth will enable widespread access to health care services, health information and securely share and exchange patient information in support of safer, quality health care, more equitable and responsive health system for all the Filipino people by transforming the way information is used to plan, manage, deliver and monitor health services. Tuesday, August 25, 15
  • 5. IT-enabled health services By 2020 Philippine Health Information Exchange (PHIE) implementation EMR certification IT in all public health facilities National eHealth Vision Tuesday, August 25, 15
  • 6. Development Framework WHO-ITU National eHealth Strategy Toolkit Governance Directs and coordinates eHealth activities at all levels like hospitals and health care providers Tuesday, August 25, 15
  • 7. Governance Legislation, Policy and Compliance Formulation of the required legislations, policies and compliance to support the attainment of the eHealth vision Development Framework WHO-ITU National eHealth Strategy Toolkit Tuesday, August 25, 15
  • 8. Governance Legislation, Policy and Compliance eHealth Solutions (Services and Applications) Required services and applications to enable widespread access to health care services, health information, health reports, health care activities and securely share and exchange patient’s information in support to health system goals Development Framework WHO-ITU National eHealth Strategy Toolkit Tuesday, August 25, 15
  • 9. Governance Legislation, Policy and Compliance eHealth Solutions (Services and Applications) Strategy and Investment Develops, operates and sustains the national eHealth vision Development Framework WHO-ITU National eHealth Strategy Toolkit Tuesday, August 25, 15
  • 10. Governance Legislation, Policy and Compliance eHealth Solutions (Services and Applications) Strategy and Investment Infrastructure Establishes and supports health information exchange and implementation of innovative ways to deliver health services and information. Development Framework WHO-ITU National eHealth Strategy Toolkit Tuesday, August 25, 15
  • 11. Governance Legislation, Policy and Compliance eHealth Solutions (Services and Applications) Strategy and Investment Infrastructure Human Resources Workforce or manpower to develop, operate or implement the national eHealth environment Development Framework WHO-ITU National eHealth Strategy Toolkit Tuesday, August 25, 15
  • 12. Governance Legislation, Policy and Compliance eHealth Solutions (Services and Applications) Strategy and Investment Infrastructure Human Resources Standards and Interoperability Promotes and enables exchange of health information across geographical and health sector boundaries through use of common standards on data structure, terminologies and messaging Development Framework WHO-ITU National eHealth Strategy Toolkit Tuesday, August 25, 15
  • 13. GOVERNANCE Management of the eHealth Agenda Operations Management Monitoring & Evaluation Policy Oversight Network & Collaboration Strategic Architecture Clinical Safety LEGISLATION, POLICY & COMPLIANCE Laws, Policies & other Issuances National Health Identifier Health Data Standards for Interoperability Software Certification STANDARDS & INTEROPERABILITY Data Structures Messaging Terminologies Software Certification Research & Development eHEALTH SOLUTIONS (Services & Applications) Information Sources Health Reports Researches Health Knowledge Portals Electronic Health Record Delivery of Services Telehealth Services Electronic Consultation Philhealth Electronic Claims Systems Decision Support for Medications Test ordering Disease Management STRATEGY & INVESTMENT Strategic Planning Sustained Financing Fund Management INFRASTRUCTURE Connectivity Storage Security Standards Computing Infrastructure Databases Directory Services Information Flows Health Information Exchange (Referrals, Prescriptions, Test orders & Results, Health Profile, Demographics, Care Plans, others HUMAN RESOURCES Education & Training e-Maturity & Capacity Building Philippine eHealth Strategic Framework and Plan Tuesday, August 25, 15
  • 14. Role of government Convening groups for development of standards Tuesday, August 25, 15
  • 15. eHealth Leadership and Governance Philippines Health Data Standards Expert Group Health Data Security & Privacy Expert Group Advisers Group Capacity-building Task Force EMR Committee Health Sector Leadership National eHealth Governance Steering Committee National eHealth Governance Technical Working Group National eHealth Program Management Office ] Clinical & Business Process Group (DOH-Philhealth) IT Working Group [ Tuesday, August 25, 15
  • 16. Output of Health Data Standards Group Standards catalog bit.ly/ehealthstandardscatalog Standards Change Management Manual bit.ly/ehealthstandardschange National Health Facility Registry nhfr.doh.gov.ph Tuesday, August 25, 15
  • 17. Philippine Health Atlas healthmaps.doh.gov.ph Health Facilities Tuesday, August 25, 15
  • 18. Role of government Convening groups for development of standards Providing funding for research and development Tuesday, August 25, 15
  • 19. Medium-term Information and Communications Technology Harmonization Initiative MITHI mithi.gov.ph an e-Government & ICT support initiative to harmonize and ensure interoperability among ICT-related resources, programs and projects across the government Department of Budget & Management (DBM) Department of Science & Technology (DOST) National Economic Development Authority (NEDA) Tuesday, August 25, 15
  • 20. 2014 Projects Philippine Health Information Exchange (PHIE) Philippine Health Enterprise Data Warehouse National Disease Registry Enhancement Integrated Health Goods Licensing Information System (HG-LIS) Phase 3 Standards (SNOMED, HL7, LOINC etc) Training, Change Management Provision for interconnecting RHUs/Regional Hospitals CHITS & HOMIS partial expansion Tuesday, August 25, 15
  • 21. Role of government Convening groups for development of standards Providing funding for research and development Ensuring equitable distribution of resources Tuesday, August 25, 15
  • 22. Launched July 24 at National Science & Technology Week High speed wifi up to 50 MB/day Tuesday, August 25, 15
  • 23. Juan, Konek! Public-private partnership Tuesday, August 25, 15
  • 24. Aiming for 99% connectivity by 3rd quarter 2015 Quezon Memorial Circle Rizal Park Tuesday, August 25, 15
  • 25. Juan, Konek! National Telehealth Center University of the Philippines Tuesday, August 25, 15
  • 26. RxBox 2 Sphygmomanometer Pulse oximeter Tocometer ECG Doppler fetal heart monitor National Telehealth Center University of the Philippines Tuesday, August 25, 15
  • 30. Role of government Convening groups for development of standards Providing funding for research and development Ensuring equitable distribution of resources Protecting rights of privacy, intellectual property and security Tuesday, August 25, 15
  • 31. Cybercrime Prevention Act of 2012 RA 10175 IRR signed 12 Aug 2015 Tuesday, August 25, 15
  • 32. Data Privacy Act of 2012 RA 10173 Tuesday, August 25, 15
  • 33. Role of government Convening groups for development of standards Providing funding for research and development Ensuring equitable distribution of resources Protecting rights of privacy, intellectual property and security Overcoming jurisdictional barriers to cooperation Tuesday, August 25, 15
  • 34. House Bill 4199 Telehealth Act of 2014 Previous bills 2009 & 2012 Tuesday, August 25, 15
  • 35. Government or Private Sector: The Future of Asia’s Healthcare Infrastructure HPAIR 2015 Iris Thiele Isip Tan MD, MSc @endocrine_witch icisiptan@up.edu.ph UP-PGH by Bro. Jeffrey Pioquinto, SJ https://flic.kr/p/wkBNJG Tuesday, August 25, 15