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Teodoro Herbosa MD FPCS COBIT 5 (F) National Telehealth Center University of the Philippines, Manila

Beyond Strategic Frameworks: Projects for ICT Deployment in the Philippines

Beyond Strategic Frameworks: Projects for ICT Deployment in the Philippines

Teodoro Javier Herbosa MD FPCS COBIT 5 (F) A/Professor 6, College of Medicine

National Telehealth Center Institute for Health Policy and Development Studies

University of the Philippines, Manila Former Undersecretary of Health

National eHealth Steering Committee

Outline

National eHealth Strategic Framework UHC Implementation National Telehealth Center Projects Telemedicine Social Media and Medicine Summary Recommendations

Teodoro J. Herbosa MD FPCS COBIT 5

WHO-ITU National eHealth Strategy Toolkit

Development Framework


Leadership and Governance

WHO-ITU Toolkit Recommendation


National eHealth Steering Committee !Sec Ona

Sec Montejo PCEO Padilla

USec Herbosa/Bayugo USec Casambre CIO PhilHealth

Exec. Director Montoya Chairperson Licuanan

National eHealth TWG Dir Valdez DOH

Dir Villorente DOST-ASTI Dir Opena DOST-PCHRD

Ms Aragona DOH Ms Tan DOH

Mr Crisostomo PHIC Mr Bernolia PHIC Dr Alcantara PHIC

Philippine Health

Information Network

Health Data Standards Experts Group

Health Data Security and Privacy Experts Group

Leadership and Governance - DOH-DOST


Standards and Interoperability - DOH-DOST

DOH and DOST (with support from MITHI) will build the Philippine Health Information Exchange.


Services and Applications DOH-DOST

Interoperability Layer

Client registry

Providerregistry

Facility registry

Terminology services

Philippine Health Information Exchange

Electronic Medical Records for RHUs

Hospital Informatio

n Systems

NCD Registries

National Health Data

Warehouse

RxBOX

Standards

Info exchange

Info systems

* these are only the MITHI funded projects. There are other projects that are ongoing at DOH.


Universal Health Care / Kalusugan Pangkalahatan

Improved Health especially for the

Poor and Vulnerable

Secure access to quality care

at facilities

Achieve the public health

MDGs

Provide financial risk

protection

INTERVENTIONS OF CARE

Prim

ary P

reve

ntio

n

and

Health

Prom

otio

n

Curative

Health Care

Secondary Prevention and Primary Care


SUBSTANTIAL INCREASE IN THE DEPARTMENT OF HEALTH BUDGET

Budget (in billion pesos)

Billi

on P

esos

0

22.5

45

67.5

90

Year

2008 2009 2010 2011 2012 2013 2014

Budget (in billion pesos)

18.91 23.67 24.65 31.83 42.08 50.44 89.7Teodoro J. Herbosa MD FPCS COBIT 5

23 Case Rates (No balance billing for Sponsored Program beneficiaries in

government hospitals)


IMPROVED ACCESS TO QUALITY HOSPITALS AND FACILITIES

3,576:Total health facilities upgraded and rehabilitated as of Feb 2013

1,049 hospitals

Another 2,487 health facilities will be upgraded this 2013.

2,751 (91%) came from the 609 priority municipalities listed by the National Anti-Poverty Commission

Result: Increase in deliveries of mothers in hospitals. 719,552 mothers (38.8%) (2009) vs 1,014,613 mothers (57.1%) (2011) Teodoro J. Herbosa MD FPCS COBIT 5

Current SituationData/health information comes from disparate systems and locations. Problems are: Different Data Formats Lack Data Harmonization

Data Quality Problems in terms of reliability, timeliness, accuracy, and completeness

Patient Health Facility 1

New Patient - Recording of Patient’s Master/Demographic Data - Recording of Past Medical Histories - Taking of Vital Signs - Doctor’s Orders - Observations,Assessment- Findings / Diagnosis Recording of Patient’s Master/Demographic Data and Recording of Past Medical Histories are repeated.

Health Facility 2 Teodoro J. Herbosa MD FPCS COBIT 5

Performance Comparison: Existing & MPOC

EXISTING POC

MODERNIZED POC

534 beds utilized out

of 700 sanctioned

beds, sub capacity

operation at 55%

-60% levels

Ideal Staff to Bed

Ratio not being

effectively achieved

Lower than average

period of Avg. Length

of Stay (ALOS) &

discharge times for

admitted patients

Only primary and

secondary medical

services, Limited allied

services, medical tourism

& private patients due to

poor competitive

advantage

Private sector

efficiency in

operations to ensure

atleast 70% capacity

utilization

Expected Ideal

Staff to Bed Ratio

of 2.25 persons/

bed

Possible reduction

in ALOS, discharge

period to reduce

from 22 days to 8

days

Super specialty tertiary care

with increased private

patients, medical tourists,

allied medicine due to

internationally competitive

services & facilitiesTeodoro J. Herbosa MD FPCS COBIT 5

SOCIAL MEDIA COMPUTER-MEDIATED TOOLS THAT ALLOW PEOPLE TO CREATE, SHARE OR EXCHANGE INFORMATION, IDEAS, AND PICTURES/VIDEOS IN VIRTUAL COMMUNITIES AND NETWORKS. SOCIAL MEDIA IS DEFINED AS "A GROUP OF INTERNET-BASED APPLICATIONS THAT BUILD ON THE IDEOLOGICAL AND TECHNOLOGICAL FOUNDATIONS OF WEB 2.0, AND THAT ALLOW THE CREATION AND EXCHANGE OF USER-GENERATED CONTENT."[1]


NEW STANDARDS


NEW FRAMEWORKS: "SMAC"SMAC: Social Mobile, Analytics and Cloud

SoMe "sharing culture" vs confidentiality & privacy

Do the old rules apply? HIPAA

DISRUPTIVE TECHNOLGY?

What would the future rules look like?

Continue to talks and WILL evolve Teodoro J. Herbosa MD FPCS COBIT 5

Summary• Universal Health Care or Kalusugan Pangkalahatan • Health Financing • National eHealth Strategic and Implementation Plan • Philippine Health Information Exchange • National Telehealth Center, University of the Philippines,

Manila • Telemedicine CHITS, rCHITS2, RXBox, NTSP ,

PIEMEDS • Regional Collaboration: Asia eHealth Information

Network AeHIN • SoMe #HealthXPh, Social Media Use Manifesto


Recommendations• Learn about UHC and Health System Reform • Monitoring of Evaluation of Sin Taxes and UHC

Implementation • ICT as a tool for efficiency, quality and access to the health

system • Social Medial and Healthcare will collide • Apps • Analytics and Big Data, Dash boards and realtime

information • Cloud computing (SMAC, IoT) • Standards, Privacy and security, Risk Management


Randy Pausch, The Last Lecture“The brick walls are there for a reason. The brick walls

are not there to keep us out. The brick walls are there to give us a chance to show how badly we want

something. Because the brick walls are there to stop the people who don't want it badly enough. They’re there to

stop the other people.”


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