Supporting National e-Health Roadmaps WHO-ITU-WB joint effort

1. Supporting National e-Health Roadmaps WHO-ITU-WB joint effort WSIS C7 e-Health Facilitation Meeting 13th May 2010 Hani Eskandar ICT Applications, ITU

2. Context and need for Roadmap A landscape of isolated islands of small scale applications unable to effectively communicate and to share information with other health systems or across geographies, technologies or programs. Barriers to scale up to support a larger patient and care provider base. Lack of ability of decision makers to understand the actual health situation, to drive meaningful planning and to guide policy formulation. Pressure due to ageing population and infectious and Chronic diseases Duplication of efforts, may lead to impossibility to integrate solutions. • E-Health Roadmaps can serve as an umbrella for planning and coordinating • different national e-Health efforts while considering fundamental elements • in terms of regulatory, governance, financing and policy contexts. • Convene different stakeholders and facilitate coordination • Ensuring interoperability among national systems and their conformity • with international standards; • 3. Securing funding for these programmes; • 4. Establishing eHealth/telemedicine strategies in accordance • with national legislation; • 5. Enhancing the skills of medical personnel. 2

3. Example: Remote Patient monitoring system Governance Identification and Authentication Information Security and Privacy $$$ eHealth Information Standards Human Capacity & Awareness Computing Infrastructure Networking Infrastructure

4. Components of a National e-Health Roadmap • eHealth Priority Solutions • Improving Health information sharing • HIS, HMIS, EMR, Referrals, etc. • Improving Health care Delivery • Telehealth, eLearning, Decision Support Systems, • Medication Compliance, etc. • Improving Health awareness and Education • Patient health records, Health Education and Awareness campaigns, • Health Knowledge Bases, etc. Founding elements Activities – Implementation Plan • Governance • Setting National Strategies (Multi stakeholders) • Setting eHealth Standards • Systems Compliance • Managing Investments Expected Health Outcomes and Implementation targets (consumers, Health Providers, Health System) Needs and Readiness Assessment and Action Priorities National Vision (consumers, Health Providers, Health System) • Human Capacity and Awareness • Capacity Building • eHealth Awareness raising Mid term - 5 years Long term - 10 years Short term - 3 years • Health Information Exchange • Information Protection and Confidentiality Regulations • Identification and authentication Rules and Protocols • Health Informatics and Standards • Information Quality Performance Indicators • ICT Infrastructure • Mobile and Broadband Infrastructure • Computing Infrastructure

5. Components of a National e-Health Roadmap eHealth Priority Solutions Activities – Implementation Plan Computing Infrastructure Governance Establish mechanisms to deploy and maintain acceptable baseline of computing infrastructure Expected Health Outcomes Needs and Readiness Assessment and Action Priorities National Vision Human Capacity and Awareness Health Information infrastructure • ICT Infrastructure • Mobile and Broadband Infrastructure • Computing Infrastructure

6. Components of a National e-Health Roadmap eHealth Priority Solutions Activities – Implementation Plan Governance Mobile and Broadband Infrastructure Coordinate the rollout of appropriate national mobile and/or broadband services to all care providers Expected Health Outcomes Needs and Readiness Assessment and Action Priorities National Vision Human Capacity and Awareness Health Information infrastructure • ICT Infrastructure • Mobile and Broadband Infrastructure • Computing Infrastructure

7. Components of a National e-Health Roadmap eHealth Priority Solutions Activities – Implementation Plan Governance Information Protection and Privacy Develop national legislative framework for information protection, privacy and consent processes for access and use of health information Expected Health Outcomes Needs and Readiness Assessment and Action Priorities National Vision Human Capacity and Awareness • Health Information infrastructure • Information Protection and Privacy Regulations • Identification and authentication Rules and Protocols • Health Informatics and Standards • Information Quality ICT Infrastructure

8. Components of a National e-Health Roadmap eHealth Priority Solutions Activities – Implementation Plan Governance Identification and Authentication Develop a national solution to enable the unique identification and authentication of consumers and care providers Expected Health Outcomes Needs and Readiness Assessment and Action Priorities National Vision Human Capacity and Awareness • Health Information infrastructure • Information Protection and Confidentiality Regulations • Identification and authentication Rules and Protocols • Health Informatics and Standards • Information Quality ICT Infrastructure

9. Components of a National e-Health Roadmap eHealth Priority Solutions Activities – Implementation Plan Governance Information Standards Design and implement national e-Health information standards for data storage and message structures, coding and medical terminologies Expected Health Outcomes Needs and Readiness Assessment and Action Priorities National Vision Human Capacity and Awareness • Health Information infrastructure • Information Protection and Confidentiality Regulations • Identification and authentication Rules and Protocols • Health Informatics and Standards • Information Quality ICT Infrastructure

10. Components of a National e-Health Roadmap eHealth Priority Solutions • Governance • Setting National Strategies (Multi stakeholders) • Setting eHealth Standards • Systems Compliance • Managing Investments Governance • Establish a national e-Health governance body to set strategies, manage investment, implement work program, oversee standards development and compliance. • - Establish an independent national e-Health regulation function to implement and • enforce national e-Health policy and regulatory frameworks. Expected Health Outcomes Needs and Readiness Assessment and Action Priorities National Vision Human Capacity and Awareness Health Information infrastructure ICT Infrastructure

11. Components of a National e-Health Roadmap • eHealth Priority Solutions • Improving Health information sharing • HIS, HMIS, EHR, Referrals, etc. • Improving Health care Delivery • Telehealth, eLearning, Decision Support Systems, • Medication Compliance, etc. • Improving Health awareness and Education • Patient health records, Health Education and Awareness campaigns, • Health Knowledge Bases, etc. Governance E-Healthpriority solutions • - Identify priority solutions with tangible outcomes • Mobilize investments in high priority solutions • Approach to develop individual electronic health record IEHR. Expected Health Outcomes Needs and Readiness Assessment and Action Priorities National Vision Human Capacity and Awareness Health Information infrastructure ICT Infrastructure

12. Components of a National e-Health Roadmap Australia National e-Health Strategy, 2008

13. WHO-ITU-WB effort to support National e-Health Roadmaps The health care, telecommunication and finance sectors have to work together in developing national e-Health strategies. Develop resource materials building on relative competencies of each of the three organisations. Deploy approaches to support the development of new national eHealth strategic documents or the update of existing plans to reflect experience or emerging challenges in the domain of eHealth. Approaches will ensure country ownership of the process and therefore sustainability TheGuidelines for National e-Health Strategies will provide : • Methodology to assess actual Health System Status, Needs and Action Priorities • An integrated Action Framework covering: Infrastructure, Applications, Financing, • Governance, Legal and policy, Human Capacity, Information quality • Guidance on how to set eHealth targets, benefits and Key Performance Indicators • Detailed background information on each of the technical areas 13

14. Supporting National e-Health Roadmaps WHO-ITU-WB joint effort THANK YOU