e Health Trends and the Use of St Standards and Guidelines d d d - - PowerPoint PPT Presentation
e Health Trends and the Use of St Standards and Guidelines d d d G id li Mr Mark Landry Health Information Technical Officer World Health Organization, Regional Office of the Western Pacific 1 | Asia-Pacific Advanced Network (APAN) 31st
Mr Mark Landry Health Information Technical Officer World Health Organization, Regional Office of the Western Pacific
Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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Health and eHealth are inseparable due to the fact that health is an information intensive sector. Health is a global concern that is trans-border by definition and g y affects the world population. Information technology and telecommunications (ICT) is a global Information technology and telecommunications (ICT) is a global issue especially with the emergence of the knowledge economy and the information society. This has required WHO to adopt global approaches to eHealth.
Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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Health systems unable to deliver high-quality, affordable services with universal access affordable services with universal access Increasing time and effort needed for acquiring information and data as well as for information and data as well as for administration and documentation Critical health information buried in thick medical files and unsystematic data storage and retrieval system Specialisation & Sub specialisation Specialisation & Sub-specialisation New Diseases Increasing support to eHealth…the next breakthrough in health systems improvement
Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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mHealt h Apps: Hospita ls:
h Apps: 9,000 Phone Apps: 270,00 Midwives: 1.9 pp 400,000 + Tablets: 12 million + million + Hospital Beds: 20.9 million Smartphones: 90 million Health Workers: 40 million+ Feature Phones: 4.4 billion Households: 1.7 billion Mobile Subscriptions: 5.3 billion Population: 6.7 billion
Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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Source: Courtesy to the mHealth Alliance for allowing WHO to reuse this graphic
Adoption of the World Health Assembly Resolution on eHealth (WHA58.21) i 2005 b WHO M b St t in 2005 by WHO Member States The eHealth resolution gave legitimacy to the concept itself but also defined: defined:
– the scope of eHealth – the potential stakeholders – the role of governments and the private sector the role of governments and the private sector – the need for legal, ethical and regulatory frameworks for its implementation
Catalyzed recognition of the role of eHealth in:
– strengthening health systems – improving health services – reaching out to remote communities – enhancing the capacity of health workforce – health promotion
Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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eHealth Intelligence Report:
WHO Global Observatory of eHealth: http://www.who.int/goe/en/ First Global eHealth survey, 2005:
– Benchmarking, country comparisons, evidence on progress
S d Gl b l H lth 2009 Second Global eHealth survey, 2009:
– More in-depth analysis: – Eight thematic areas: mHealth; Telemedicine; g Management of patient information; Legal and ethical frameworks for eHealth; eHealth policies; eHealth foundation actions; eLearning and country profiles.
Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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Transformation Expert Systems
Integration Decision Support Systems Expert Systems
Intelligent cross‐platform solutions
Transaction Management Systems Decision Support Systems
Enhanced health, clinical and administrative decision‐making
Interaction Information Systems g y
Identity, security, audit; payments; health systems management
Information Communication Systems
Health and wellness content; messaging Bi‐directional communication
Health and wellness content; messaging Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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Source: mHealth Alliance
Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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Disasters HIS
e-Surveillance
Emergencies Disasters HIS IHR
eHealth
Dermatology Dermatology Obstetrics/ Obstetrics/ Gynaecology Gynaecology Patients Society Research Journals
e-Learning
Training
e-
Care
eHealth Governance
Radiology Radiology Pathology Pathology Nurses Websites Health Training Course Radiology Radiology Pathology Pathology Professionals Referral Referral Systems Systems Electronic Electronic Health Health Records Records
e-
Management
Records Records Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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Their understanding of it comes late in their career.
p y g with little orientation on biomedical applications.
Need for more in service training, short courses in the area of health informatics.
countries: countries:
– International Medical Informatics Association (IMIA):
http://www.imia-medinfo.org
Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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Analyze Design Develop Deploy
Environment Needs Specifications Standards Iterative approach Development tools Testing Installation Needs Users Processes Requirements Standards Data model Hardware/software Interfaces Development tools Network Databases Road maps Installation User training Budget and staff Maintenance
Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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Health Level 7 (HL7) ( )
– Data exchange/messaging standard primarily for patient-based transactional systems within a health system EMR Laboratory Rx Billing Immunization – EMR, Laboratory, Rx, Billing, Immunization, maternal health, others
Statistical Data and Metadata Exchange— Health Domain (SDMX-HD)
– Intended to be part of national HIS and M&E infrastructure strengthening strategy, facilitating seamless flow of information from facility to district, national, and international levels – Contains a data structure definition (DSD), which defines concepts, dimensions, attributes, code-lists and other artefacts necessary to describe the structure of data the structure of data – Defines attributes of a data items, which reduces the negotiation required to exchange data between information systems
Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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– Hand-held ultrasound connected to phone – Holograms of blood cells using phone camera for malaria, HIV- AIDS, anaemia, clean water Phones that listen to heart and lung sounds cough – Phones that listen to heart and lung sounds, cough – Transfer of images: cervical cancer diagnosis – “Serious games” via handsets for training CHW Serious games via handsets for training CHW
– Connect families – Assist emergency relief workers
Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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network, which allows individual computers to function as both server and client without central administrator
real-time medical consultations
human genome, storing and i t ti ti t ti d interpreting genetic testing and evaluating treatment options
Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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Could be directly could be indirectly to the individual and to Could be directly, could be indirectly, to the individual and to the society.
– Citizens, patients – Healthcare professionals, providers – Governments
– To improve the quality and efficiency of healthcare; p q y y ; – To expand access and contribute to equity/universal access; and – To contribute to reduction of cost of health services.
Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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Mark Landry Mark Landry World Health Organization, Regional Office of the Western Pacific
Asia-Pacific Advanced Network (APAN) 31st Meeting | February 23, 2011
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