Jo-Anna Wood WHO Global Observatory for ehealth: research and resources for use in Australia HIC 2016

Transcription

1 Jo-Anna Wood B.Comm, MA, CHIA Chair HISA Victoria Committee WHO Global Observatory for ehealth: research and resources for use in Australia Prepared by The Checkley Group

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3 INTRODUCTION Outline the WHO Global Observatory for ehealth products and programs A brief overview of the resources available Outline how we can use this information to better inform our work and policy decisions here in Australia How we can incorporate and learn from their research and apply it to our work here

4 WHO At the 58 th World Health Assembly in Geneva, May 2005, a resolution was adopted establishing an ehealth strategy for WHO The resolution urged Member States to plan for appropriate ehealth services in their countries That same year, WHO launched the Global Observatory for ehealth (GOe), an initiative dedicated to the study of ehealth its evolution and impact on health

5 World Health Assembly - Resolutions on ehealth The 2013 World Health Assembly recognized the need for health data standardization, and the importance of proper governance and operation of health-related global top-level Internet domain names, including.health. Resolution WHA66.24 The 2005 World Health Assembly resolution recognized the potential of ehealth to strengthen health systems and to improve quality, safety and access to care, and encouraged Member States to take action to incorporate ehealth. Resolution WHA58.28 World Health Organization in 1998 recognized the increasing importance of the Internet and its potential to impact health Resolution EB101.R3 WHO ehealth definition ehealth is the use of information and communication technologies (ICT) for health

6 The Global Observatory for ehealth (GOe) is an initiative dedicated to the study of ehealth its evolution and impact on health in countries. Global Observatory for ehealth Toolkits International Policy Directory Global Surveys In country workshops Country Atlas Reports The Observatory s mission is to improve health by providing Member States with strategic information and guidance on effective practices and standards in ehealth Recognizing that the field of ehealth is rapidly transforming the delivery of health services and systems around the world, WHO is playing a central role in shaping and monitoring its future, especially in low- and middleincome countries.

7 WHO National ehealth Strategy Toolkit An expert, practical guide, published 2012 Provides governments, ministries and stakeholders with a solid foundation and method for the development of National ehealth strategies Provides advice on developing the ehealth vision, an action plan and a monitoring and evaluation framework Part 1 develops a national ehealth vision that responds to health and development goals. Part 2 lays outs an implementation roadmap that reflects country priorities and the ehealth context. Part 3 establishes a plan to monitor implementation and manage associated risks.

8 WHO National ehealth Strategy Toolkit A vision for national ehealth A key element of the Toolkit is a national ehealth vision. Why this is the strategic context for ehealth What this is the role ehealth will play in the achievement of health sector goals How this gives the various ehealth components that must be in place to realize the national ehealth vision. It serves as a high-level message for policy-makers that answers the question of where does our country want to go with health and how will ehealth help us get there?

9 WHO National ehealth Strategy Toolkit

10 WHO National ehealth Strategy Toolkit Countries are starting to assess their strategies against the toolkit, for example: Foster, R. (2013). Assessing the development process of the ehealth strategy for South Africa against the recommendations of the WHO/ITU National ehealth Strategy Toolkit.. Journal Of The International Society For Telemedicine And EHealth, 1(2), Purpose: to establish the extent to which processes followed in the development of the South African ehealth Strategy conform to the recommendations provided in the National ehealth Strategy Toolkit published by the World Health Organisation (WHO) and the International Telecommunication Union (ITU) in Method: the processes followed in the development of the South African ehealth Strategy are rated against the recommended processes in the toolkit. Results: Overall, the processes followed in the development of the South African ehealth Strategy conform well to the recommended processes. Retrieved from

11 Global ehealth Strategy Directory 115/194 Member Country national ehealth policies or strategies are currently housed in the directory An additional 21 countries have useful supplementary information about the state of ehealth in their country A useful resource for countries embarking on developing a national ehealth or telehealth strategy Australia could assess the top 20 strategies and learn from their different approaches 1b. Description (Score): Y = Yes N = No The strategy is owned and endorsed by key decision makers. The strategy contains a strategic vision statement. The strategy is easily readable and understood by diverse stakeholders. The strategy is accessible to all stakeholders and interested parties. The strategy spans a definite timeframe. The strategy document includes goals. The strategy includes an action plan for achieving the goals. ehealth Strategy Evaluation: DENMARK Y 5 1. Strongly disagree. 2. Disagree. 3. Neutral. 4. Agree. 5. Strongly agree. Reviewer's comments Y 5 There is a clear vision statement. Y 5 Y 5 Y 5 TOTAL 7 Y Scored 35 Y 5 There are key short term goals articulated. In addition there are five focus areas that each have targeted goals or initiatives. Y 5 The initiatives describe the action plan.

12 Global ehealth Strategy Directory

13 ehealth and innovation in women s and children s health: a baseline review A 40,000 word report reviewing the effect of ehealth and innovation in women and children s health, as requested by the UN 64/75 countries responded to the survey (85%) Focussed on initiatives to improve women s and children s health through the use of ehealth Published jointly by ITU and WHO in January 2014

14 Global ehealth Survey 2015 The third global survey on ehealth conducted by the GOe in 2015 has a special focus the use of ehealth in support of Universal Health Coverage. ehealth plays a vital role in supporting Universal Health Coverage in a variety of ways relating to cost, access and quality of services. The survey was undertaken between April and August 2015 and represents the most current information on the use of ehealth in member countries.

15 ehealth Country Atlas 2015 Atlas showcasing 125 member countries response to the 2015 Global Survey The survey was undertaken between April and August 2015 and represents the most current information on the use of ehealth in these countries. The Atlas is a useful and unique reference tool for policy makers, ehealth planners and professionals. A 64% response rate, which is the highest response rate for any GOe survey to date. The survey responses were based on selfreporting by a selected group of ehealth experts for each participating country. / 1 ehealth foundations 2 Legal frameworks for ehealth 3 Telehealth 4 Electronic health records 5 Use of elearning in health sciences 6 mhealth 7 Social media 8 Big data

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17 ehealth Country Atlas 2015

18 Global ehealth Report 2016

19 Global ehealth Report 2016

20 Global Directory of ehealth Projects Database A repository of projects jointly managed and funded by WHO and ITU Initially the focus was on projects related to women and children s health Recently updated to include 120 new projects from around the world predominantly lower and middle income countries (LMIC) Inclusion criteria included: must be recent, not purely commercial, have longevity (no pilots etc), if no longer running they must be evaluated, in English, website at minimum This initiative aims to collect and make available information on validated, operational ehealth projects that demonstrate the effective use of ICT for health WHO invite you to submit ehealth projects that are evaluated and supported by government Contribution to this resource will make a wealth of ehealth projects visible and enable mutual learning through the sharing of experiences and good practice. Your submission will be made available online, once validated, through ITU and WHO websites to a global audience.

21 WHO/ITU ehealth projects database

22 Summary Working for WHO can sometimes be challenging without another language, I m working on that! (slowly ) Dr Margaret Chan WHO DG Australia s ehealth program is viewed favourably, and we are seen as an international leader in ehealth UN views ehealth as a key driver to reduce inequities in health Working with WHO has opened my eyes to opportunities to work in ehealth in developing countries

23 OUR APPROACH Questions? Jo-Anna Wood