Principles, policy and advocacy of national e-health

1. National E-health
PRESENTED: XIAOQING ZHUANG
STEVE IDUYE

2. National eHealth
WHO defines "eHealth as the use of information
and communication technologies (ICT) for
health"(2015)
-Intesectoral Collaboration brings expertise from both
sides(WHO & ITU)
-The collaboration produces result that is health centric.

3. National eHealth Products

4. eHealth and PHC Principles
PHC principle:
1. Access
2.Equity
3.Essentiality
4.Appropriate technology
5.Multi-sectoral collaboration
6.Community participation and empowerment

5. WHO Objectives on National eHealth
--To make appropriate use of information and communication technologies in order to improve
care
- To increase the level of patients engagement in their own care as appropriate.
- Through standardized electronic data: health workers can gain access to fuller
and more accurate information in electronic form on patients at the point of care.
-Recognizing that the secure, effective and timely transmission of personal data or population
data across information systems requires adherence to standards on health data and related
technology

6. WHO Strategy for Implementing eHealth

7. Germany Microprocessor eHealth Card
2007, Germany launched microprocessor card-based health care
initiatives.
80million patients can have mobile access to their EHR

8. Germany Microprocessor eHealth Card
Security: Can patients' information be read by provider?
Based on Patient consent!
Security Features: prevents fraud
, increase privacy
, reduce paper documentation.

9. In the medical industry…
to achieve medical information sharing and interoperability
, to establish E-health systems
EHR has become the consensus of governments.
Countries: Canada, Australia, United States, Nordic (set their EHR system)
Inevitable trend of the future development of health…

10. E-health in Canada
Since 2001, Canada invested $1.6 Billion in Canada Health
Infoway.
Returns Required By Canada Government:
1. Improve health care quality & Reduce medical errors
2. Improve patients care, public health and reduce the risk of the
patient, the public health services more readily available

11. Returns Required By Canada Government:
3. Improve the efficiency and effectiveness of medical and health
institutions, the establishment of an electronic information system in
line with national and government policies and regulations.
4. In-depth study of the effectiveness of such a national information
technology investment generated.

12. In 2009, E-health in Canada
More than 579 Canadian hospitals have digitized most aspects of
the core clinical and administrative processes.
Core clinical systems: Laboratory and Pharmacy systems
, PACS
, Radiology Information systems
, Order Communications

13. Infoway Achieved Successin System
Implementation.
Most success factors: National EHR strategy and an integrated EHR
deployment model.
Developed an E-resolution: architecture serves as a reference model
for Infoway investments.
Interoperable PACS substantially cover all health care sectors
completely
Different vendors
Realized the inter-provincial patient registration and management

14. Infoway Achieved Successin System
Implementation.
Long-term support and leadership of Canada’s government.
Funded by the federal government since 2001
Work with the provinces and territories to co-fund health projects
throughout Canada.
Canadian support electronic records and believe it will enable health
care providers to deliver better quality of care.
EHR Blueprint defined the privacy and security conceptual
architecture.

15. Other advantages along with Canada
nation E-health
Reduced wait time
Increased patient participation
Efficient chronic disease management
Few adverse drug interactions
Better prescribing practices

16. Canada E-health Problems
Cross-system and inter-provincial medical information sharing
Interoperable PACS share across provinces
Budget
Not implemented information technology in primary care

17. E-health in Australia
Consistently strong support from health care sector
Stakeholders believe: information technology can improve health
care delivery efficiently and effectively.
Consumers are able to access and share personal health information
in an electronic form

18. E-health activities across the areas of
Australia
Governance (National E-health and Information Principal
Committee)
Standards development
IT capability development (Unique Health Identifier Service for
NEHTA)
Adoption programs and network access

19. Changes from E-health Implementation
Transform the way using information to plan, manage and deliver
healthcare services.
Australians can achieve a safer, high quality, equitable and
sustainable health system from E-health.
Consumers with E-health can access care easily and remotely.
Information provided from E-health systems are accessible and
reliable.
Care provider can make more informed decisions at the point of
care.

20. Changes from E-health Implementation
Sharing information and coordinating easily achieved.
For health care managers: Australian health outcomes
prioritizing clinical
administrative investment decisions
undertaking targeted research programs
driving policy directions
Can be effectively monitored with e-health

21. Require incremental investment
Foundations
E-health solutions
Change and Adoption
Governance work streams

22. E-health in Australia
Currently, stakeholders expressed approaches are too fragmented
and lack coherent eHealth vision.
Lacking of core infrastructural building blocks

23. Canada vs. Australia(National E-health)
Canada has not implemented primary health care information
technology.
Australia government provide special funds to support the use of
electronic medical records for the family doctors.

24. Canada vs. Australia(National E-health)
Funding issues is serious in Canada E-health development.
-Absence of funding in 2008 puts the 2010 goal at risk.
-Infoway has a special investment model
-Implemented a collaborative risk assessment approach
Australia E-health was invested from Commonwealth, State and
Territory governments
From year 1998 to 2008, the amount of dollars is about $ 5 Billion

25. Canada vs. Australia(National E-health)
Canada’s Infoway standards collaborative is a single national group
for standards development, support and maintenance.
Australia developed a NESAF (National E-health Security and Access
Framework): supports organizations engaged in national E-health to
adopt a consistent approach and application of health information
security standards and provide practice guidance .

26. Thank you!