National E-healthPRESENTED: XIAOQING ZHUANG STEVE IDUYE

National eHealth WHO defines "eHealth as the use of information and communication technologies (ICT) for health"(2015)

-Intesectoral Collaboration brings expertise from both sides(WHO & ITU) -The collaboration produces result that is health centric.

National eHealth Products

eHealth and PHC Principles PHC principle: 1. Access 2.Equity 3.Essentiality 4.Appropriate technology 5.Multi-sectoral collaboration 6.Community participation and empowerment

WHO Objectives on National eHealth

--To make appropriate use of information and communication technologies in order to improve care

- To increase the level of patients engagement in their own care as appropriate.

- Through standardized electronic data: health workers can gain access to fuller

and more accurate information in electronic form on patients at the point of care.

-Recognizing that the secure, effective and timely transmission of personal data or population

data across information systems requires adherence to standards on health data and related technology

WHO Strategy for Implementing eHealth

Germany Microprocessor eHealth Card

2007, Germany launched microprocessor card-based health care initiatives.

80 million patients can have mobile access to their EHR

Germany Microprocessor eHealth Card

Security: Can patients' information be read by provider? Based on Patient consent! Security Features: prevents fraud , increase privacy , reduce paper documentation.

In the medical industry… to achieve medical information sharing and interoperability

, to establish E-health systems EHR has become the consensus of governments.Countries: Canada, Australia, United States, Nordic (set their EHR system)

Inevitable trend of the future development of health…

E-health in Canada Since 2001, Canada invested $1.6 Billion in Canada Health Infoway.

Returns Required By Canada Government: 1. Improve health care quality & Reduce medical errors 2. Improve patients care, public health and reduce the risk of the patient, the public health services more readily available

Returns Required By Canada Government:

3. Improve the efficiency and effectiveness of medical and health institutions, the establishment of an electronic information system in line with national and government policies and regulations.

4. In-depth study of the effectiveness of such a national information technology investment generated.

In 2009, E-health in Canada More than 579 Canadian hospitals have digitized most aspects of the core clinical and administrative processes.

Core clinical systems: Laboratory and Pharmacy systems , PACS , Radiology Information systems , Order Communications

Infoway Achieved Success in System Implementation.

Most success factors: National EHR strategy and an integrated EHR deployment model.

Developed an E-resolution: architecture serves as a reference model for Infoway investments.

Interoperable PACS substantially cover all health care sectors completely

Different vendors Realized the inter-provincial patient registration and management

Infoway Achieved Success in System Implementation.

Long-term support and leadership of Canada’s government. Funded by the federal government since 2001 Work with the provinces and territories to co-fund health projects throughout Canada.

Canadian support electronic records and believe it will enable health care providers to deliver better quality of care.

EHR Blueprint defined the privacy and security conceptual architecture.

Other advantages along with Canada nation E-health

Reduced wait time Increased patient participation Efficient chronic disease management Few adverse drug interactions Better prescribing practices

Canada E-health Problems Cross-system and inter-provincial medical information sharing

Interoperable PACS share across provinces

Budget

Not implemented information technology in primary care

E-health in Australia Consistently strong support from health care sector Stakeholders believe: information technology can improve health care delivery efficiently and effectively.

Consumers are able to access and share personal health information in an electronic form

E-health activities across the areas of Australia

Governance (National E-health and Information Principal Committee) Standards development IT capability development (Unique Health Identifier Service for NEHTA)

Adoption programs and network access

Changes from E-health Implementation

Transform the way using information to plan, manage and deliver healthcare services.

Australians can achieve a safer, high quality, equitable and sustainable health system from E-health.

Consumers with E-health can access care easily and remotely. Information provided from E-health systems are accessible and reliable.

Care provider can make more informed decisions at the point of care.

Changes from E-health Implementation

Sharing information and coordinating easily achieved. For health care managers: Australian health outcomes prioritizing clinical administrative investment decisions undertaking targeted research programs driving policy directions Can be effectively monitored with e-health

Require incremental investment Foundations E-health solutions Change and Adoption Governance work streams

E-health in Australia Currently, stakeholders expressed approaches are too fragmented and lack coherent eHealth vision.

Lacking of core infrastructural building blocks

Canada vs. Australia(National E-health)

Canada has not implemented primary health care information technology.

Australia government provide special funds to support the use of electronic medical records for the family doctors.

Canada vs. Australia(National E-health)

Funding issues is serious in Canada E-health development. -Absence of funding in 2008 puts the 2010 goal at risk. -Infoway has a special investment model -Implemented a collaborative risk assessment approach

Australia E-health was invested from Commonwealth, State and Territory governments

From year 1998 to 2008, the amount of dollars is about $ 5 Billion

Canada vs. Australia(National E-health)

Canada’s Infoway standards collaborative is a single national group for standards development, support and maintenance.

Australia developed a NESAF (National E-health Security and Access Framework): supports organizations engaged in national E-health to adopt a consistent approach and application of health information security standards and provide practice guidance .

Thank you!