Supporting National eHealth Roadmaps WHOITUWB joint effort WSIS

Supporting National e-Health Roadmaps WHO-ITU-WB joint effort WSIS C 7 e-Health Facilitation Meeting 13 th May 2010 Hani Eskandar ICT Applications, ITU

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. 1. Convene different stakeholders and facilitate coordination 2. Ensuring interoperability among national systems and their conformity with international standards; 3. Securing funding for these programmes; 4. Establishing e. Health/telemedicine strategies in accordance with national legislation; 5. Enhancing the skills of medical personnel. 2

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

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

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

Components of a National e-Health Roadmap Governance Activities – Implementation Plan Human Capacity and Awareness Health Information infrastructure ICT Infrastructure • Mobile and Broadband Infrastructure • Computing 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 e. Health Priority Solutions

Components of a National e-Health Roadmap Governance Activities – Implementation Plan 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 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 e. Health Priority Solutions

Components of a National e-Health Roadmap Governance Activities – Implementation Plan 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 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 e. Health Priority Solutions

Components of a National e-Health Roadmap Governance Activities – Implementation Plan 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 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 e. Health Priority Solutions

Components of a National e-Health Roadmap Governance • Setting National Strategies (Multi stakeholders) • Setting e. Health Standards • Systems Compliance • Managing Investments Human Capacity and Awareness Health Information infrastructure ICT Infrastructure -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 e. Health Priority Solutions

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

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

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 e. Health strategic documents or the update of existing plans to reflect experience or emerging challenges in the domain of e. Health. • Approaches will ensure country ownership of the process and therefore sustainability The Guidelines 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 e. Health targets, benefits and Key Performance Indicators § Detailed background information on each of the technical areas 13

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