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ICT tools and methodologies to improve Public Health in the Americas Region
PAHO HEALTH PROGRAMICT tools and methodologies to improve Public Health in the Americas Region
Knowledge Management and Communication Area (KMC)g g ( )Deputy Directors Office (DD)
ICT tools and methodologies to improve Public Health in the Americas Region
PAHO Di ’ i iPAHO Di ’ i iPAHO Director’s visionPAHO Director’s vision
The contextThe contextThe contextThe context
Challenges and opportunitiesChallenges and opportunities
PAHO HEALTHPROGRAM
Contribution to PHCContribution to PHC
PROGRAMConceptual modelConceptual model
PAHO ProjectPAHO Project
ICT tools and methodologies to improve Public Health in the Americas Region
PAHO HEALTH Program
PAHO DIRECTOR’S VISIONg
PAHO Director’s visionICT tools and methodologies to improve Public Health in the Americas Region
PAHO Director s vision“This will be the century of networks, connectivity and interdependency, which will allow us to overcome barriers of space and time and will open possibilities that were unimaginable to humankind. If we encourage those networks to exponentially multiply the available share capital in order to link people and institutions within a large supportive and inclusive mesh of all the inhabitants of the continent, we will have taken a fundamental step t d li iti k l d d i i ftowards eliciting knowledge and experience in new ways of exchanging technical cooperation for sustainable human development”.
Dr. Mirta Roses Periago’s Inauguration Speech as Pan American Health Organization Director, Regional Director for the Americas, January 31st, 2003
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
ICT tools and methodologies to improve Public Health in the Americas Region
Health for all
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Information and knowledge
Human rights
PAHO HEALTH Program
g
THE CONTEXTg
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
ICT tools and methodologies to improve Public Health in the Americas Region
The context• Primary Health Care is a commitment to
equitable and affordable care for all people, ensuring citizen‐centered services needed to liveensuring citizen‐centered services needed to live a healthy and productive life.
WHO id i h lth "• WHO considers primary health care as "an essential approach to organizing health systems."
• Information and communication technologies are transforming health services and systems, providing solutions that were unthinkable 30 years ago.
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
ICT tools and methodologies to improve Public Health in the Americas Region
PAHO HEALTH Program
CHALLENGES AND OPPORTUNITIESg
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
Challenges and OpportunitiesICT tools and methodologies to improve Public Health in the Americas Region
g pp
• Universal Access to Health Services with improved quality of care;
• Extension of Social Protection in Health through PHC‐Based Health Systems;
• Available, competent and motivated Health Workforce;
• Real Time Qualified Information Sources for Decision Making;
• Knowledge and Information Sharing within and among disperse populations;
• Monitoring and Surveillance Systems using mobile and wireless communication devices (i.e., Expanded Program on Immunization);
• Real Time Learning Objectives for eLearning and Training to developReal Time Learning Objectives for eLearning and Training to develop competencies and motivation of PHC teams;
• Social networking tools and methodologies for disasters and Emergency Situations;
• Access to open access and certified public health content; and
• Access to Specialized Clinical Services for increased capacity at first level of care.
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
Challenges and OpportunitiesICT tools and methodologies to improve Public Health in the Americas Region
g pp
•Convergence of eHealth initiatives worldwide;
•Web mobile‐based applications for healthcare management;
•Fast Technology Changes;
•New role of Digital Government;
•New models of technical cooperation in the context of “National i i l d ” d “ G i i i i ”Digital Agendas” and “eGoverment initiatives;”
•Active participation in the world summit on the information society with emphasis in Health;
•Investments in connectivity by National Governments with support from Development Banks;
• Increased interest in Public/Private Partnerships.
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
ICT tools and methodologies to improve Public Health in the Americas Region
PAHO HEALTH Program
CONCEPTUAL MODELg
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
ICT tools and methodologies to improve Public Health in the Americas Region
PartnersResearch
N d ICT Ad ti T i i U Lessons Needs Solutions Adoption Training Use learned
people Institutions Data
Access to information
2.0p p Data baseAccess to training
Interactions (2.0)
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
ICT tools and methodologies to improve Public Health in the Americas Region
PartnersResearch
N d ICT Ad ti T i i U Lessons Needs Solutions Adoption Training Use learned
people Institutions Data
Access to information
2.0p p Data baseAccess to training
Interactions (2.0)
People‐centered Health & Patient Empowerment
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
Patient Empowerment
ICT tools and methodologies to improve Public Health in the Americas Region
PartnersResearch
INNOVATION
N d ICT Ad ti T i i U Lessons Needs Solutions Adoption Training Use learned
people Institutions Data
Access to information
2.0p p Data baseAccess to training
Interactions (2.0)
People‐centered Health & Patient Empowerment
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
Patient Empowerment
ICT tools and methodologies to improve Public Health in the Americas Region
N d ICT Ad ti T i i U Lessons Needs Solutions Adoption Training Use learned
Access to information•PAHO/WHO content;
Access to training
content;
•Public Health (Certified and open access) content;
•Trainings;
•Learning objects;•Tele‐consulting;
Interactions (2.0) •Other (certified) content – GHL – VHL HINARI – AGORA –OARE;
•Web Conferences;
•Lectures;
•Open content for
•Telemedicine;
•Web Conferences & lectures;
•Other (relevant) content.
educational resources.
•Content aggregators (Blogs, Wikis, etc);
•Social networks
Telemedicine
PCMobile
(mHealth)WWW
ICT tools and methodologies to improve Public Health in the Americas Region
N d ICT Ad ti T i i U Lessons Needs Solutions Adoption Training Use learned
Access to information•PAHO/WHO content;
Access to training
content;
•Public Health (Certified and open access) content;
•Trainings;
•Learning objects;•Teleconsulting;
Interactions (2.0) •Other (certified) content – GHL –VHL HINARI – AGORA –OARE;
•Web Conferences;
•Lectures;
•Open content for
•Telemedicine;
•Web Conferences & lectures;
•Other (relevant) content.
educational resources.
•Content aggregators (Blogs, Wikis, etc);
•Social networks
INNOVATION
ICT tools and methodologies to improve Public Health in the Americas Region
PartnersResearch
N d ICT Ad ti T i i U Lessons Needs Solutions Adoption Training Use learned
Access to information•PAHO/WHO content;
Access to training
content;
•Public Health (Certified and open access) content;
•Trainings;
•Learning objects;•Teleconsulting;
Interactions (2.0) •Other (certified) content – GHL –VHL HINARI – AGORA –OARE;
•Web Conferences;
•Lectures;
•Open content for
•Telemedicine;
•Web Conferences & lectures;
•Other (relevant) content.
educational resources.
•Content aggregators (Blogs, Wikis, etc);
•Social networks
‐ Differences in legislationInteroperability
ICT tools and methodologies to improve Public Health in the Americas Region
g‐ Language barriers‐Multitude of technical systems
Interoperability (Political/Legal, Organisational,
Semantic and Technical)
N d ICT Ad ti T i i U Lessons
Main purposes:> Freedom of circulation ofNeeds Solutions Adoption Training Use learnedcirculation of personal data> Protection of personal data
Access to information•PAHO/WHO content;
Access to training
content;
•Public Health (Certified and open access) content;
•Trainings;
•Learning objects;•Teleconsulting;
Interactions (2.0) •Other (certified) content – GHL –VHL HINARI – AGORA –OARE;
•Web Conferences;
•Lectures;
•Open content for
•Telemedicine;
•Web Conferences & lectures;
•Other (relevant) content.
educational resources.
•Content aggregators (Blogs, Wikis, etc);
•Social networks
ICT tools and methodologies to improve Public Health in the Americas Region
people PAHO/WHOInstitutions
N d ICT Ad ti T i i U Lessons
INNOVATION
Needs Solutions Adoption Training Use learned
Access to information•PAHO/WHO content;
Access to training
content;
•Public Health (Certified and open access) content;
•Trainings;
•Learning objects;•Teleconsulting;
Interactions (2.0) •Other (certified) content – GHL –VHL ‐ HINARI – AGORA –OARE;
•Web Conferences;
•Lectures;
•Open content for
•Telemedicine;
•Web Conferences & lectures;
•Other (relevant) content.
educational resources.
•Content aggregators (Blogs, Wikis, etc);
•Social networks
People‐centered Health & Patient Empowerment
ICT tools and methodologies to improve Public Health in the Americas Region
eHealth
VisionVision
llGoalGoal
E d lE d l
PAHO PROJECTPAHO HEALTH Program
Expected resultsExpected results
I diI diPAHO PROJECTPAHO PROJECT IndicatorsIndicators
C i i i iC i i i i
PAHO PROJECT
Corporate initiativesCorporate initiatives
PAHO PROJECT
eHealtheHealthProjects, ICT Developments, Health
Professionals, Patients and Population
PROGRAM HEALTH PAHO – ICT for improving public health in the region of the AmericasPAHO HEALTH PROGRAM – ICTs for improving public health in the region of the Americas
For Population and
ICT tools and methodologies for improving public health in the Region of the Americas
Project ICT Development For Healthcare WorkersFor Population and
Patients
Common database for h l h d
> Access to clinical i f i f
> Unequivocal id ifi i i h
P l
health card information from any site where it has been stored> M i
identification in the entire health system
Personal Health Card (PHC)
> Measuring incidence/prevalence of certain diseases as well as risk factors whichas risk factors which enable evaluating the effect of specific interventionsinterventions
PAHO HEALTH PROGRAM – ICTs for improving public health in the region of the Americas
For Population and
ICT tools and methodologies for improving public health in the Region of the Americas
Project ICT Development For Healthcare WorkersFor Population and
Patients
Set of clinical data hi h h h
> To access a set of l d d
> To access personal li i l dwhich gather the
relevant healthcare information, ensuring
it fid ti lit
personal data and images from a patient (assistive use)> T t d i i
clinical reports and observe who is having access> I d
Digital Clinical History
security, confidentiality and control
> To support decision making in clinical practice> Improved coordination
> Improved healthcare delivery outside their usual geographical setting> Improved coordination
among different healthcare levels> To improve the access
geographical setting> To select a set of data inaccessible for other regions> To improve the access
to retrievalother regions
PAHO HEALTH PROGRAM– ICTs for improving public health in the region of the Americas
Project ICT Development For Healthcare WorkersFor Population and
P i
ICT tools and methodologies for improving public health in the Region of the Americas
j pPatients
Data repository available from any
> Drug prescription using ICTs
> Medication delivery using ICTs
Electronic
national pharmacy > Less bureaucratic areas> More time for
> Reduced visits to healthcare facilities
Electronic prescription
healthcare delivery> Rational use of medicationF ilit t> Facilitates
epidemiological data analysis
i
Service to schedule an appointment using the Internet
> More agile service for making an appointmentC f hAppointment
via Internet> Confer other programmed appointments> R ti f> Reception of messages via SMS
PAHO HEALTH PROGRAM – ICTs for improving public health in the region of the Americas
ICT tools and methodologies for improving public health in the Region of the Americas
Project ICT Development For Healthcare WorkersFor Population and
Patients
> Blogs health > New role as author of > To facilitate
Health portals and
> Blogs, health portals and collaboration in forums
> New role as author of information> New opportunity to guarantee the access to
> To facilitate informed decision making> Population and
social webforums guarantee the access to
reliable health information
> Population and patient empowerment
Risk management and patient
> Databases which gather adverse effects
> Reduction of medication mistakes> More accurate
> Improved health care delivery> Reduction of
security
(1/2)
effects > More accurate measurement of interventions at sanitary and economic level
> Reduction of adverse effects
and economic level
PAHO HEALTH PROGRAM – ICTs for improving public health in the region of the AmericasPAHO HEALTH PROGRAM – ICTs for improving public health in the region of the Americas
ICT tools and methodologies for improving public health in the Region of the Americas
Project ICT Development For Healthcare WorkersFor Population and
Patients
Risk management > Improved prioritizationRisk management and patient security
(2/2)
> Improved prioritization of available resources> More time for complex decision making(2/2) decision making
Development of personal portable
t d th
> To guarantee that patient benefits will
i l t
> Improved access to specialists> L it ti
Telemedicine
systems and other ICT tools
remain equal to conventional healthcare> More time for healthcare delivery
> Less wait time
healthcare delivery> To deliver a more personalized healthcare> Best use of> Best use of geographical limitations
PAHO HEALTH PROGRAM – ICTs for improving public health in the region of the AmericasPAHO HEALTH PROGRAM – ICTs for improving public health in the region of the Americas
Tools and methodologies for improving public health in the Region of the Americas
Project ICT Development For Healthcare WorkersFor Population and
Patients
> Call Centre > Improved time > To improve
Regional Call Centre
> Call Centre > Improved time effectiveness
> To improve information access of individuals to healthcare serviceshealthcare services
Digitalization of li i l d
> Clinical d t ti
> To improve efficacy d ff ti f
> To ease the access d t i l fclinical and
administrative documentation
documentation database
and effectiveness of processes
and retrieval of clinical documentation
PAHO HEALTH PROGRAM – ICTs for improving public health in the region of the AmericasPAHO HEALTH PROGRAM – ICTs for improving public health in the region of the Americas
PAHO PROJECT
VisionVisionUniversal Access to Health Services in the
Information Age
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
PAHO PROJECT
GoalGoalTo improve Public Health in the Americas o p o e ub c ea t t e e casthrough the use of innovative ICT tools and
methodologiesg
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
PAHO PROJECT
Expected Results•Web‐based data base of “ICT solutions for Public Health” and “Healthcare Management” implemented in the context of PAHO Web 2.0 Strategy;
•eHealth, Web and Mobile Strategies implemented in “Health Care Organizations” and in “Public Health Institutions” of the Americas Region;
l d d f h h d d d/•Knowledge and Information Sharing within and among disperse and/or disadvantaged populations, people and public health institutions; and
P ti t d l d th h th f ICT t l•Patients and people empowered through the use of ICT tools.
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
PAHO PROJECT
Expected results
•Public and Private Partnerships established as part of PAHO/WHO t h i l ti j ttechnical cooperation projects;
•People, public health workers and public health institutions from disperse and/or disadvantage populations more connected;disperse and/or disadvantage populations more connected;
•“eHealth Technical cooperation projects” established within member states;
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
PAHO PROJECT
Indicators•PAHO/WHO eHealth portal with access to a Web‐based data base of “ICT solutions for Public Health” and for “Healthcare Management;”
•Model of eHealth, Web and Mobile Strategies for “Health Care Organizations” and for “Public Health Institutions” developed;
•Communities of practices to improve Knowledge and Information Sharing within and among disperse and/or disadvantaged populations,
l d bl h l h dpeople and public health institutions; and
•Metrics on the use of ICT tools in Patients.
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
PAHO PROJECT
Indicators
•Terms of collaboration in eHealth with Public and Private institutions;
•Metrics on the use of Web‐based Collaboration tools by People, public health workers and public health institutions from disperse and/or disadvantaged populations; anddisadvantaged populations; and
•eHealth Technical cooperation projects.
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
PAHO PROJECT
Corporate Initiatives
PAHO Corporate Initiatives
Virtual Campus
Web conferenceRegional
Observatory of Health
Web 2 0
Intra‐extranet
S i l di
Virtual Health Library
PAHO Institutional
Pan American Journal of Public
Health
Desktops Virtual CampusWeb 2.0 Social mediaRepository
Desktops
Gl b l Ob t Global Health
WHO Corporate Initiatives
Gl b l I tit ti lGlobal Observatory of Health Web 2.0
Global Health Library
MultilinguismGlobal Institutional
Repository
PAHO HEALTH Program ‐ ICT tools to improve Public Health in the Americas Region
Web conferenceRegional Observatory
of Health Intra‐extranetVirtual Health
Library
PAHO Institutional
Pan American Journal of Public Health
PAHO Corporate Initiatives
Global Observatory of Health
Web 2.0
Global Health Library
Multilinguism
WHO Corporate Initiatives
Global Institutional
Reposito
Virtual CampusWeb 2.0 Social media PAHO Institutional Repository
DesktopsHealth y
ry
N d ICT Ad ti T i i U Lessons INNOVATION
Needs Solutions Adoption Training Use learned
Access to information•PAHO/WHO content;
Access to training
content;
•Public Health (Certified and open access) content;
•Trainings;
•Learning objects;•Teleconsulting;
Interactions (2.0) •Other (certified) content – GHL –VHL ‐ HINARI – AGORA –OARE;
•Web Conferences;
•Lectures;
•Open content for
•Telemedicine;
•Web Conferences & lectures;
•Other (relevant) content.
educational resources.
•Content aggregators (Blogs, Wikis, etc);
•Social networks
People‐centered Health &Patient Empowerment