Na1onal ehealth Strategy Development

Transcription

1 Na1onal ehealth Strategy Development Asia ehealth Informa1on Network Workshop Dr Joan Dzenowagis, WHO 7 10 August 2012 Bangkok, Thailand

2 Context of ehealth in countries A landscape of isolated islands of small scale applica1ons unable to effec1vely communicate and share informa1on with other systems or across geographies, technologies or programs Barriers to scale up to support a larger pa1ent and care provider base Difficult for decision makers to understand the current health situa1on, for meaningful planning and policy formula1on Duplica1on of efforts, leading to waste and inability to integrate solu1ons 2

3 Changing the landscape Joint WHO and ITU commitment to develop systema1c guidance for countries Process must be thorough, comprehensive and credible Should be broadly applicable and available in all UN languages

4 Na1onal ehealth Strategy Development Objec&ves of the session To introduce the joint WHO ITU Na6onal ehealth Strategy Toolkit To discuss its use and how to get started To demonstrate our joint commitment to mul6 sector collabora6on for ehealth

5 Why a na1onal strategy? What are the top reasons your country has developed a strategy, or plans to do so?

6 Need for a na1onal ehealth strategy The e Health strategy is pragma6c, balances different priori6es and will help to lead Australia towards the delivery of a safer, be5er connected and more sustainable health care system. Australia Na:onal e Health Strategy, 2008 There is a compelling need to devise ways and means of closing the gap between [health sector] vision and reality. This e Health strategy seeks to close this gap. Kenya Na:onal e Health Strategy,

7 Need for a na1onal ehealth strategy Today, as we take stock of the current state reali6es, it increasingly emerges how ineffec6ve piecemeal efforts can be. Failure to define an overarching na:onal level strategy, in which the different ICT components must belong, robs ini:a:ves any sectoral ownership and leaves them at the hands of individual organisa:ons. This na6onal level e Health strategy with almost a sector wide par6cipa6on and ownership is an effort to fill this gap. Na:onal e Health Strategy, Mauri:us,

8 Role of a na1onal strategy Serves as an umbrella for planning and coordina6ng different na6onal e Health efforts while considering fundamental elements in terms of regulatory, governance, standards, human capacity, financing and policy contexts.

9 Examples of na1onal ehealth strategies Country Australia 2008 Denmark 2003 Finland 2007 Ghana 2011 Kenya 2011 Mauri1us 2010 Saudi Arabia 2011 Sweden 2006 Published Switzerland

10 Na1onal context for ehealth Development Strengthening ehealth enabling environment, create foundations Established ICT environment Mainstreaming Scaling-up and integration, costeffectiveness, policies for privacy, security and innovation Developing and Building up Scaling up Emerging enabling environment for ehealth Established enabling environment for ehealth Early adoption Strengthening infrastructure, make the case for ehealth Experimentation Emerging ICT environment Source:

11 Na1onal ehealth strategy toolkit A resource for developing or revitalizing a country s ehealth strategy From countries just se]ng out to those that have already invested in ehealth A framework and method for the development of a vision, ac1on plan and monitoring framework

12 Part 1: Establishing a na1onal ehealth vision and strategy

13 Part 1: Establishing a na1onal ehealth vision and strategy Method for developing a national ehealth vision

14 Part 1: Establishing a na1onal ehealth vision and strategy How to manage the vision development process

15 Part 1: Establishing a na1onal ehealth vision and strategy How to work with stakeholders

16 The strategic context for a na1onal ehealth vision: Ra1onale for ehealth Health sector Strategic goals and challenges: Common areas

17 Construct an ini1al vision: Ra1onale for ehealth Sample links between ehealth outcomes and health system goals

18 Iden1fy the required ehealth components: Founda1ons for change Building blocks of a na1onal ehealth environment that allow the ehealth outcomes to be achieved. They describe what is introduced or strengthened to achieve the ehealth vision.

19 Iden1fy ehealth components: Founda1ons for change Examples of common ehealth service and application components

20 Iden1fy the required ehealth components: Founda1ons for change Linking an ehealth service and application component to an ehealth outcome

21 Develop ehealth strategic architecture models: Founda1ons for change

22 How ehealth benefits stakeholders High-level stakeholder perspectives model. This model describes what a national ehealth environment would enable different stakeholders (e.g. consumers, healthcare providers, etc) to do, which through doing so, should overcome the strategic health system challenges identified in earlier stages.

23 ehealth activity area Develop an integrated Ac1on Plan Year 0 Year 3 Year 6 Year 10 F oundations UHI Implement service Operate UHI service Year 0 NAS H Implement service Year 3 Operate NAS H service NHIR F E Health S tandards P hysical Infrastructure Agree and adopt the NHIR F Define high priority E Health solution standards Implement consistent standards process S et S tate/territory F unds Allocation S et accreditation requirements E xtend broadband coverage E stablish and refresh infrastructure Implement accreditation requirements Implement and enhance standards Develop new standards Year 10 Maintain infrastructure E Health S olutions Development fund C ompliance E stablish compliance function Operate certification process E mbed compliance into existing health sector regime S olutions Infrastructure High P riority S olutions E stablish fund E stablish portals R ationalise and validate sources P rescriptions service E lectronic information sharing solutions F oster development of high priority solutions Information sources S ervice delivery tools C hange and Adoption Awareness C ampaigns Incentive P rograms P rofessional Accreditation E ducation and Training Define awareness programs Define incentive regime P rofessional practice standards S et accreditation requirements Define professional development programs R ollout incentives Agree and implement new accreditation requirements Implement changes to education and training programs R ollout awareness programs Accredit care providers and care provider organisations against new requirements E nhance education and training programs E ngagement F orums E stablish reference groups C onsult with reference and working groups G overnance National E Health E ntity E Health R egulation E stablish national E Health entity E stablish E Health regulatory function Source: Australia National E-Health Strategy, 2008

24 Who can use the Toolkit? Countries seeking to build on promising results of pilot projects with high level statements of intent seeking to turn these into ac1on beginning comprehensive planning and scaling up with experience in ehealth, upda1ng strategies to respond to changing environments

25 Ini1a1ng a na1onal ehealth strategic planning process 1.Confirm health sector leadership. Na1onal planning requires sustained leadership and commitment from senior government officials and health sector leaders. Development of a na1onal ehealth plan oden launches a country s formal program in ehealth. 2.Establish governance mechanisms to provide improved visibility, coordina1on and control of planning ac1vi1es. This includes the forma1on of a steering commieee and an ehealth strategy team. 3.Iden:fy key health and non health sector stakeholders to be involved in the development of a na1onal vision and plan and its subsequent implementa1on. 25

26 Ini1a1ng a na1onal ehealth strategic planning process 4.Establish the strategic context for ehealth. This provides the founda1on for ehealth vision and planning, and enables the government to assess and make informed decisions on how to beeer harness ICT for health system strengthening and improved health outcomes. 5.Forming an understanding of the current ehealth environment in terms of the ehealth components that already exist as well as exis1ng programmes or projects that will deliver ehealth capabili1es. 26