2012 annual meeting “towards public health sector transformation and section unity”
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2012 Annual Meeting “Towards Public Health Sector Transformation and Section Unity”. Public Health in Health IT Standardization and Strategic Partnerships Walter Suarez, MD, MPH Executive Director, Health IT Strategy and Policy Kaiser Permanente Hyattsville, MD - November 14-15, 2012. - PowerPoint PPT PresentationTRANSCRIPT
2012 Annual Meeting“Towards Public Health Sector Transformation
and Section Unity”
Public Health in Health IT Standardization and Strategic Partnerships
Walter Suarez, MD, MPHExecutive Director, Health IT Strategy and PolicyKaiser Permanente
Hyattsville, MD - November 14-15, 2012
www.phdsc.org
Ten Global eHealth Trends (1)
Electronic Health Records – increase in the adoption of EHRs with more mature, robust applications, including Clinical Decision Support
Health Information Exchanges – expansion of information exchange technologies, tools, applications to support clinical care, administrative processes, public health and research
Big Data – significant increase in the volume, velocity, and variety (the 3 ‘V’s) of health information
Virtualization of Health Information – advances in use of virtualized hardware, software and networks
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Ten Global eHealth Trends (2)
Mobile Health – explosion of advanced mobile devices that creates an opportunity to true anywhere, anytime, real-time health interactions
Telehealth – significant growth in the use of ICTs to support remote health encounters, including telediagnostics, teleradiology, teleconsultation, telemonitoring, etc
Genomics – revolution in the ability to map, analyze and use personal genetic information to assist in disease prevention, diagnosis and treatment
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Ten Global eHealth Trends (3)
Learning Health Systems – maturity in technology, science and medicine are allowing the development of true ‘learning health systems’ in which progress in science, informatics and care culture align to generate new knowledge as an ongoing, iterative process, and to seamlessly refine and deliver best practices for continuous improvement in health
Personalized medicine – assessing each person’s unique genetic, clinical, history, and environmental information and applying that data, information and knowledge to tailor the care and services to an individual
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Ten Global eHealth Trends (4)
Health Social Media – Social media has transformed the way we communicate and interact locally, regionally and globally; and it is transforming the way we understand health and interact with health care
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Privacy and Security – as more granular information is being collected about an individual, and more information is being exchanged and maintained in larger number of big databases and systems, there are increased global concerns about privacy and security of health information
www.phdsc.org
World Health Organization’s Global Initiative on Health Data Standardization and Interoperability
The Landscape:
Unprecedented level of activity across the world towards eHealth, EHRs, HIEs, other
Many countries have passed laws, regulations and executive orders to direct industry towards standardization and interoperability
These efforts vary significant from country to county in terms of focus, scope, timeline, resources
‘Digital divide’ effect more pronounced in eHealth, between and across wealthier and poorer countries
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World Health Organization’s Global Initiative on Health Data Standardization and Interoperability
The Challenges: Advancing the global (country-specific) adoption and use
of international standards for eHealth
Access to eHealth standards by low and middle income countries (LMICs)
Participation in the standards development process
Availability of infrastructure and trained resources to support eHealth at country and local level
Level of commitments by governments, industry, SDOs, and others
Importance of engaging public health globally
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World Health Organization’s Global Initiative on Health Data Standardization and Interoperability
Policy Barriers: Inconsistent understanding of need for HIT
standardization and interoperability
Lack of understanding of the essential health data standards need for health system performance
Lack of national policies for eHealth
Lack of overarching legal framework
Standards Development Barriers: Insufficient involvement of stakeholders
Lack of informational and educational resources
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World Health Organization’s Global Initiative on Health Data Standardization and Interoperability
Standards Adoption Barriers: Limitations in access to international standards
Use of proprietary country-specific standards
Lack of interoperable information systems
Incomplete or inconsistent adoption of existing standards
Lack of adoption of standards-based EHRs
Lack of adoption of standards-bases systems in government; requirements by government to use ‘their’ standard
www.phdsc.org
World Health Organization’s Global Initiative on Health Data Standardization and Interoperability
Workforce Barriers: Need for a trained, informatics-savvy workforce in health
care and government
Availability and access to education/training resources, tools and programs
Funding-related Barriers: Absences of sustainable national and international
approaches to funding eHealth and the adoption and implementation of standards
Competing priorities in countries and lack of a clear ‘business case’ for the value of eHealth
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World Health Organization’s Global Initiative on Health Data Standardization and Interoperability
The Opportunity – Building a Global Health Data Standardization Initiative
A Global WHO Coordinated Initiative to ensure countries identify, adopt and implement health information standards
Support through multi-lateral WHO Coordinating Centers to assist countries with models, approaches and technical resources in implementing health information standards
A Global SDO Coordinating Initiative to support education, outreach and provide subject-matter expertise and technical resources to countries
Need to charter a global vision for eHealth and Health IT Standardization and interoperability
www.phdsc.org
World Health Organization’s Global Initiative on Health Data Standardization and Interoperability
Who needs to participate: National health system leadership and decision makers National ICT leadership and decision makers International and national HIT standards organizations International and national health professional associations Academia and researchers Consumers Private sector Foundations and donor organizations
Coordinating entities: WHO, SDOs (through Joint Initiative Council) PHDSC exploring partnership with WHO to assist with
initiative
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World Health Organization’s Global Initiative on Health Data Standardization and Interoperability
Next Steps:
WHO Global Forum on Health Data Standardization and Interoperability
WHO Headquarters, Geneva, Switzerland, Dec 3-4, 2012
Attended by health ministers, country delegates, SDO representatives
PHDSC assisting with developing background paper
www.phdsc.org
World Health Organization’s Global Initiative on Health Data Standardization and Interoperability
Global Forum to focus on:
Essentials on Health Data Standards for Care
Access to Standards
Adoption and Implementation of Standards
Innovative Funding Models to Support Improved Access, Adoption and Use
Human Capacity Building
In-Country Policy and Governance Mechanisms
Definition of next steps and 2013-2014 strategy
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World Health Organization’s Global Initiative on Health Data Standardization and Interoperability
A number of resources available… WHO
Health Metrics Network Country Health Information Systems WHO eHealth Atlas WHO-ITU Health Strategy Toolkit
ITU ICT Indicators Database ITU- T Technology Watch Reports (eHealth
Standards and Interoperability) ITU ICT Report – Implementing eHealth in
Developing Countries
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World Health Organization’s Global Initiative on Health Data Standardization and Interoperability
A number of resources available… (cont.) Health Informatics Standards Knowledge Resource WIKI Joint Initiatives Council (ISO, HL7, GS1, CEN, CDISC,
others) ISO
Country delegations ISO TR 14639-1 and 14639-2 (Capacity-based
eHealth Architecture Roadmap and Maturity Model) Public Health Task Force
HL7 Country Affiliates International mentoring committee
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World Health Organization’s Global Initiative on Health Data Standardization and Interoperability
A number of resources available… (cont.) IHE Collaborative Research for Effective Diagnostics (CRED –
Canada) International Medical Informatics Association Others
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PHDSC expected to play a key role in this global initiative!