24/18/2014 ICAAP 11 Bangkok, Thailand 22 November 2013

Transcription

1 Implementing WHO ehealth standards with peer support through the Asia ehealth Information Network Mr Mark Landry Team Leader Health Information, Evidence & Research World Health Organization Western Pacific Regional Office Three Key Points Architectural Approach to ehealth: Adequate planning leads to expected results ehealth Standardization and Interoperability: Long-term sustainability and maximizing returns on ehealth investments Asia ehealth Information Network: Peer-to-peer sharing, learning, technical transfer enhances ehealth standardization success 1 ICAAP 11 Bangkok, Thailand 24/18/2014 ICAAP 11 Bangkok, Thailand 2 National ehealth Strategy Toolkit Enterprise Architectural Approach A resource for developing or renewing a country s ehealth strategy From countries just setting out to those that have already invested in ehealth A framework and method for the development of a vision, action plan and monitoring framework 3 ICAAP 11 Bangkok, Thailand 4 ICAAP 11 Bangkok, Thailand

2 What are a health data standards? An informatic health data standard is a computer protocol which allows health information to extracted from one system and transported to another enabling interoperability. There are two broad categories, syntactic and semantic Syntactic standards such as HL7 describe what the information is but not what it means. These standards function like a grammar for inter-system communication. Semantic standards such as LOINC describe the meaning of the information. These standards function like a dictionary for inter-system communication. 5 ICAAP 11 Bangkok, Thailand Health Information Exchange (HIE) Health Data Standardization and Interoperability Provider Registry Patient Registry Facility Registry Who did what to who when and where? Terminology Services ICD-10 SNOMED LOINC HL7 6 ICAAP 11 Bangkok, Thailand Shared Health Record International Classification of Diseases and how will anyone know? Systematic Nomenclature of Medicine Logical Observation Identifiers Names & Codes Health Level 7 Health Information Exchange Philippines Health Information Exchange Diagram courtesy of OpenHIE 7 ICAAP 11 Bangkok, Thailand 8 ICAAP 11 Bangkok, Thailand

3 WHO Handbook on ehealth Standardization and Interoperability Four sections ehealth and Health Services Healthcare and the Relevance of Standards Adoption of Standards Steps in Implementation of Standards Pivotal choices for countries right now? Coming Soon! Standards-based vs. interoperability profile-based approach ehealth Collaborative Communities Focus: advocacy, analysis and use of reliable health information, governance, capacity building Asia ehealth Information Network Focus: governance, strategies and policies, standards-based architectural approaches, capacity building Health Level 7 9 ICAAP 11 Bangkok, Thailand ISO 13606/OpenEHR Integrating the Healthcare Enterprise Membership: HIS and ehealth professionals from 17 Pacific island countries and territories Membership: 320+ ehealth and HIS professionals from 25 countries in South and Southeast Asia Member States Technical ITU, UNICEF, UN ESCAP, universities, other Programs Commissions on Information and Accountability (CoIA)and Life-Saving Commodities (CoLSC) Civil registration & vital statistics (CRVS) Regional approach to country impacts: Provide better technical support Operationalize global norms and standards Enhance leadership, strategies, plans, and M&E Increase knowledge exchange and sharing

4 Processes Accessible ehealth standards in low/middle income countries Implementation support Standards stacks, HIEs Informatics HL7, IHE, ISO TC215, IHTSDO, IMIA, other Development ADB, AusAID, GIZ, GF, Norad, PEPFAR, USAID, WB Principles Country ownership & leadership Strategic reuse Openness Open architecture and standards Monitoring and evaluation Technical ITU, UNICEF, UN ESCAP, universities, other Informatics HL7, IHE, ISO TC215, IHTSDO, IMIA, other Member States People Network of networks Technical transfer Resource portal & repository (aehin.hingx.org) Architectural approaches Communities aiwg, APAMI, HMN, JLN, mha, HingX, OpenHIE Development ADB, AusAID, GIZ, GF, Norad, PEPFAR, USAID, WB Communities aiwg, APAMI, HMN, JLN, mha, HingX, OpenHIE

5 How Does AeHIN Do It? Through: peer-to-peer assistance knowledge and resource sharing Leadership, governance in the region to achieve country level impacts AeHIN Aim Four Strategic Areas: 1. Enhance leadership, sustainable governance, and monitoring and evaluation. 2. Capacity building for ehealth, Health Information Systems, and Civil Registration and Vital Statistics (CRVS). 3. Peer networking, knowledge and resource sharing 4. Promote standards and interoperability within and across countries. 17 ICAAP 11 Bangkok, Thailand 18 ICAAP 11 Bangkok, Thailand AeHIN Reach 320+ ehealth, HIS, CRVS professionals 23 countries 14 development partners AeHIN Annual Meetings Bangkok, August 2012 Manila, September 2013 AeHIN Meetings China, September 2014 (TBC) Cisco WebEx Webinars AeHIN Hour presented 2 nd Wednesday and 4 th Friday every month participants, 5-10 countries Technical experts and topics 19 ICAAP 11 Bangkok, Thailand 20 ICAAP 11 Bangkok, Thailand

6 Knowledge Exchange AeHIN Participant Support and Scholarships Available WHO-ITU ehealth Strategy Toolkit Implementation HL7 Fundamentals Course TOGAF Training and Certification DHIS2 Academy Use of Online Repository of Technical Resources Health Ingenuity Exchange (HingX) Peer Assistance Working Council for Capacity Building Harmonizing and aligning university course curriculum in HMIS, health informatics Study Tours National ehealth Meetings Multi-country Adaptive Technical Assistance (ATA) Participation in and Support for International Conferences Tech Transfer of Reusable Artefacts (software, technical documentation, data and metadata dictionaries, use cases and requirements, etc) 21 ICAAP 11 Bangkok, Thailand 22 ICAAP 11 Bangkok, Thailand Additional ehealth Technical Support Thank You 23 ICAAP 11 Bangkok, Thailand 24 ICAAP 11 Bangkok, Thailand