Governance and Management of National Telehealth Programs in Asia
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1 Governance and Management of National Telehealth Programs in Asia Alvin B. Marcelo University of the Philippines Manila Asia ehealth Information Network
2 Outline About the Asia ehealth Information Network Rationale for the study Survey of national telehealth programs in Asia Insights
3 The Asia ehealth Information Network An informal network created by the World Health Organization in 2011 Focused on the peer-to-peer learning approach to build capacity to support national ehealth strategies Comprised of members from ministries of health, ministries of information technology, academe, non-government organizations (including private)
4 The Asia ehealth Information Network From 7 people in 6 countries, now with more than 500 over 21 countries Meets annually (Bangkok 2012, Manila 2013 and 2014) Offers capacity-building opportunities (ehealth strategy, standards, enterprise architecture, IT governance, other application-specific training) Supports national health informatics conferences and network meetings
5 WHO-ITU National ehealth Strategy Toolkit 5
6 ISO Health Informatics Capacity-based ehealth Architecture Roadmap
7 7
8 8 Operations Program Mgt Standards Architecture Governance Strategy
9 National Telehealth Programs in Asia Released a request for information in an international mailing list with members from ministries of health of 21 Asian countries Received responses from 7 countries 9 telehealth programs (India is federated)
10 Conceptual Framework Governance and management Presence of a website Type of interaction provider-to-provider provider-to-patient patient self-service Mobile component
11 Bangladesh Governance: Ministry of Health Management: MIS, MOH Website: yes Interaction: provider-to-provider Delivery: mobile
12 India: Indian Space Research Organization (ISRO) Governance: ISRO Management: Development and Education Communication Unit Website: yes Interaction: state-defined Delivery: satellite (network layer)
13 India: SankaraNethralaya Governance: Sankara Nehtralaya Foundation Management: Department of Teleophthalmology Website: yes Interaction: provider-to-provider Delivery: satellite
14 India: Maharasthra Governance: College of Medicine and General Hospital Management: Department of Telemedicine Website: yes Interaction: provider-to-provider Delivery: satellite
15 Indonesia: Telekesihatan Governance: Ministry of Health Managment: Directorate of Ancillary Services, MOH Website: yes Interaction: provider-to-provider Delivery: web
16 Indonesia: National Telemedicine Program Governance: Ministry of Health Management: Directorate of Ancillary Services, MOH Website: yes Interaction: provider-to-provider (teleradiology) Delivery: web
17 Malaysia: Telekesihatan Governance: Ministry of Health Management: Telehealth Division, MOH Website: yes Interaction: provider-to-provider Delivery: web
18 Maldives: Telemedicine Kiosks Project Governance: National ehealth Steering Committee Management: Ministry of Health Website: none Interaction: self-service Delivery: web
19 Philippines: National Telehealth Service Program Governance: National ehealth Steering Committee Management: UP Manila National Telehealth Center Website: yes Interaction: provider-to-provider Delivery: mobile
20 Sri Lanka: Suwasariya Governance: Ministry of Health Management: Health Education Bureau, MOH Website: yes Interaction: provider-to-provider, provider-to-patient, self-service Delivery: web
21 Observations Suwasariya(Sri Lanka) has the most extensive national telehealth program with published protocols for responding to s, sms, skype, voice calls. It also offers routine provider-to-patient services. Other national telehealth programs are in varying stages of maturity, sophistication, and geographic coverage. Not all countries have clear national ehealth strategies to sustain their telehealth programs.
22 Summary Presence of a strategy enables a sustainable national telehealth program. Alignment of good governance with effective management ensure implementation of the strategy. There is significant opportunity for ehealth capacity-building through peer learning from other national telehealth programs. Our network, AeHIN, aims to support our member countries align their ehealth strategy with governance, architecture, standards, management, and operations.
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