overview of ict policies and strategies in other sectors and … policies... · ·...

Overview of ICT Policies and Strategies in Other Sectors and a Case Study of Heallth

ICT Sector Stakeholders Consultative Workshop

(Digital Uganda Vision)by

Fredrick E. Kitoogo (PhD)

20/07/2017

2

1. Introduction

2. General Trend

3. Case Study - eHealth

4. Take-away Thoughts

5. Discussions

Presentation Outline

• To present an overview/ general trend of the ICT aspirations, plans, programs, priorities and initiatives by MDAs/LGs;

• To present a Case Study of the Health Sector (eHealth);

• To present learnings and recommendations from the Health Sector to facilitate development of the DUV.

The Digital Uganda Vision needs to be informed by amongst others, Input from MDAs/LGS ICT aspirations

to support Service Delivery

Introduction

Objective of this Presentation

General Trends

This following have been identified as the major blocks and focus areas for utilization of ICT in

delivery of Government Services

Categories

• e-Government Services

• Information Security

• Skills and Capacity Development

• Private Sector Developmen

E-Government Services

Improvements in service provision and delivery by simplifying

G2C services to improve the social and governance clusters,

G2B services to improve the economic cluster, and G2G

processes to continuously improve government efficiency.

1Improvement of Government Communication through the use of ICT

2 Core Business Service and Process Automation

3Generic Institutional Management and Resource Planning and Shared Services (HCM, IFMS, ERP, etc)

4 Infrastructure

5 Business Process Improvement6 Standardization

Information Security

Ensures secure management of all deployed ICT assets that

support all Business Functions.

1 Develop cyber security awareness

2 Build Cyber-security capabilities

3Ensure Uganda’s critical infrastructure and systems protection from cyber attacks

4 Foster national and international cooperation to handle cyber-crimes and threats

5 Improve legal and regulatory environment to ensure and support cyber security

Skills and Capacity Development

This targets to develop required skills for a knowledge-

based society.

1Foster Research & Development (R&D) to spur innovation

2

e-Government Training internally and in collaboration with partners (Civil Service College, UMI, Universities, etc.)

3Specific training for ICT Projects/Initiatives

4 Improve access to education and training through ICT

Private Sector Development Support

Specific focus on growing and strengthening the ICT

sector and other ICT enabled sectors.

1 Support to IT Innovation

2Certification of IT Service Providers and Products

3Development of the BPO Industry

4 Buy Uganda Build Uganda – support the procurement of ICTs by local providers

Rationale

ScopeVision

Mission

To transform the health of the

people of Uganda by promoting

effective utilization of e-Health

SDGs

Vision 2040

NDP II

National Health Policy

HSSIP II

National ICT Policy & SIP

Health Sector Players Plans

Public & Private Sector

Development Partners

Clients

Full Range of Healthcare

Services

Effective use of e-Health for better

health outcomes of the Ugandan

population

Challen

ges

eHealth Policy & Strategic Framework

e-Health is a cost-effective and secure use of information and communication technology (ICT) in support of

health and health-related fields, including healthcare services; health surveillance; health literature; and health

education, knowledge, and research.

Health Challenges

Shortage of Health Professionals

Inadequate knowledge & its management and insufficient sharing

Lack of Interoperability of systems and information

Inadequate funding

Limited access to health facilities and to health professionals due to poor infrastructure

Inefficiencies of the healthcare system

Poverty, Ignorance and Disease burden

Impro

ve

Pe

rform

ance

Impro

ve

Su

pply

Ca

pacity

eHealth seeks to Mitigate

What eHealth Seeks to AchieveInteroperable

Electronic Health Record (iEHR) for

All Patients

Patient Health Information Available to

Clinicians in All Health Facilities

Efficient System to Transfer Patients Between Health

Facilities

Access to Health Services through electronic means

Improved Health Research,

knowledge & practice sharing and information

management

Improved capacity and capability of

health professionals

eHealth Pillars

Strategic

Objectives

No. Strategic Objectives

1 Establish and institutionalize an eHealth

governance structures

2 Establish relationship and governance

interactions with relevant Bodies

3 Mechanisms for compliance of national

eHealth regulatory frameworks shall be

established and implemented taking into

account relationships and interactions with

existing regulatory bodies and functions

(MoICT, NITA-U, UCC, MoLG, etc.)

Leadership and Governance

Strategic

Objectives


1 Plan, design and develop an eHealth

Enterprise Architecture and Interoperability

Framework

2 Develop and Implement an eHealth

Enterprise Architecture and Interoperability

Framework Compliance and review

mechanism

e-Health Enterprise Architecture

Strategic

Objectives


1 Establish a unique, standardized,

comprehensive and comprehensible EMR,

EHR) and PHR

2 Establish comprehensive health facility,

provider, and client registries

3 Electronic healthcare planning and

financial management

4 Strengthen healthcare professional’s HRM

5 National electronic Logistics and Supplies

Management Information System (LSMIS)

e-Health Services and Data Management

Strategic

Objectives


5 Enable a to ensure adequate quality and

quantities of health commodities are always

available at the point of service to meet

patient demand -

6 Enable electronic delivery and interventions

of health services to in line with the

universal access to the Uganda National

Minimum Health Care Package (UNMHCP)

which includes promotive, preventative,

curative, rehabilitative and palliative care

7 Strengthen the electronic health

management information system (HMIS) to

support evidence-based health care and

decision making.

Strategic

Objectives


8 Establish telehealth services

9 Establish mHealth services

10 Electronic Referral system (Health Centres

to Referral Hospitals)

11 Strengthen disease early warning,

prevention, surveillance, and control by

using a hybrid ICT solutions

12 Establish Intelligent and integrated Health

facility management systems that monitors

and manages diverse building systems in a

Health Facility in real time

13 Establish an eHealth Data Management and

Utilization System

Strategic

Objectives


1 Enhance Core ICT infrastructure and

affordability to improve communication and

information sharing across the health

systems and at all levels – NBI, Data

Centre, etc.

2 Ensure green and affordable Power for

eHealth

3 Ensure eHealth ready Medical Facility

Building Infrastructure

4 Utilize Appropriate Mature and Emerging

Technologies to enhance core eHealth

Services

Infrastructure

Strategic

Objectives No. Strategic Objectives

1 Enhance Information Security to ensure

confidentiality, integrity and availability of

information when designing, procuring,

implementing, maintaining and retiring

eHealth Infrastructure and Solutions. NISF

2 Enhance Information Protection and

Privacy to ensure electronic Health

information is protected and privacy

maintained

3 Ensure Business Continuity and Disaster

Recovery when utilizing eHealth

eHealth Information Assurance

Strategic

Objectives No. Strategic Objectives

1 Evaluate the current readiness of the

Health Worker to embrace and support the

implementation of eHealth

2 Enable healthcare workers to have access

to continuous professional development

through e-learning and digital resources

Human Resources and Capacity Building

Strategic

Objectives


1 Enhance Access to, Acceptance and

Utilization of eHealth by Special Interest

Groups

Mainstreaming SIGs

Strategic

Objectives


1 Enhance HealthCare Research and

Innovation using Information and

Communications Technology.

2 Establish an open multidisciplinary

approach to Research, Innovation

Development, Translation and

Commercialisation of eHealth for clinicians,

teachers, educators, and the general public

3 Promote Research, Innovation

Development, Translation and

Commercialisation of eHealth for

innovators, clinicians, teachers, educators,

and the general public

Research and Innovation

Strategic

Objectives


1 Rationalize and Integrate eHealth into the

national health plans and budgets.

2 Promote public-private-partnerships (PPP)

and pooling of resources by all partners

3 Develop and implement eHealth

investment plan

4 Reform the Development Partner Support

and Project Implementation Methods

eHealth Investment

Strategic

Objectives


1 Identify and engage all eHealth

Stakeholders and Partners at National,

Regional and International level

2 Create awareness for eHealth

Stakeholder Engagement

Strategic

Objectives


1 Establish a comprehensive change and

adoption strategy to promote and enforce

the development and use of eHealth

solutions for both public and private

institutions at all levels

2 Establish a comprehensive Business

Process Re-Engineering strategy to

facilitate the uptake of eHealth

3 Establish a comprehensive eHealth

Transitioning strategy to take care of rapid

changes in technology.

Change, Adoption, BPR, Transitioning

Strategic

Objective SO1: Establish and operationalize a Legal and Regulatory Function for

eHealth.

Strategic

Initiatives

(a) Establish a legal and regulatory function in the MOH to

oversee the legal and regulatory role, enforcement, audit,

compliance assessment and review working closely the

Ministry of Justice and other regulatory bodies.

(b) Review all the existing legal and regulatory framework

related to eHealth and make recommendations on requisite

improvements.

• Privacy

• Intellectual Property and Patents

• Sharing of information for the public good, research, and

care purposes

Legal and Regulatory Function

Implementation Guiding PrinciplesAlign eHealth Projects to

Health Sector Business

Needs

• Enable Business

Transformation with eHealth

• Prioritize and sequence

eHealth Projects

• Establish standard phases,

gates and standard

mechanisms for individual

projects

Identify and implement

Quick Win eHealth Projects

• Create a solid foundation that

meets current and future

business requirements

• Quickly deploy high health

value to stakeholder

• At onset provide basic

Electronic Health Record

(EHR) at point of service

Protect eHealth Investments

• Where possible build on

existing platforms

• Share services components

and expertise

• Accommodate standards

complaint standalone existing

solutions

• Buy proven. Build when buy

not available. Anticipate

advanced future technology

Manage Change and reduce

Adoption Risks

• Imbed change management in

every project

• Stagger implementation of new

functionality and adoption of

new platforms

• Bundle services and

incrementally add advanced

functionality

Provide Flexibility. Reduce

Total Cost of Ownership

• Standards components,

provide options when needed

• Common Business

Requirements will drive

implementation Models

• Deploy shared services on

standards based platforms

• Joint planning

Develop Capability and Core

Competencies

• Create a learning Culture.

Reward Skills Development

• Create resource pools for

standardized components

• Cannot execute everything at

once, align skills development

with needs.

Phase I - eHealth Foundations and Governance Phase II – Implement eHealth Enterprise Architecture

1. Governance Structures

2. eHealth Regulatory function development

3. Stakeholder Engagement Plan

4. eHealth Enterprise Architecture (EA) and Health

Information Exchange (HIE) Development

5. Electronic Health Record (EHR) development

6. Health Provider, Facility and Client Registry

Development

7. Strengthen existing eHealth Initiatives

8. Workforce, Skills and Training

Phase IV - Evaluate and continuous improvement

& Review

Phase III – Continue Implementation

Phased Implementation

1. Electronic Health Record (EHR) implementation

2. Health Provider, Facility and Client Registry

implementation

3. Implement eHealth EA and HIE

4. Develop guidelines for developing, planning and

implementing eHealth

5. Workforce, Skills and Training assessment for

eHealth

6. eHealth Regulatory Function Implementation

7. Stakeholder Engagement

0

2

4

6

0 1 2 3 4

1. Continue Implementation of EA

2. eHealth Regulatory function review


4. Workforce, Skills and Training

5. Continues monitoring


7. Sustainability measurement

Immediate Strategy Implementation Areas (Phase I)

Setup, strengthen and operationalize eHealth Governance Structures

eHealth Regulatory function development

Stakeholder Engagement Plan Development

eHealth Enterprise Architecture (EA) and Health Information Exchange (HIE) Development

Electronic Health Record (EHR) development

Health Provider, Facility and Client Registry Development

Strengthen existing eHealth Initiatives DHIS, HMIS, HRHIS, e-Recruitment, etc.

Workforce, Skills and Training

Monitoring & Evaluation

Sustainability Planning

Learnings and Recommendations

No Identified Area Recommendation

Strategic and Governance

1 Need for development and

implementation of Sector and

Institutional ICT Strategies/Policies

The MoICT & NG should provide

guidance on the ICT Strategies &

Policies:

• Sector aligned to the National

Level

• Institutional aligned to the Sector

Level

2 Governance of Implementation of

ICT Policies/Strategies

The MoICT & NG should provide

guidance on Governance (especially

with representation from different

stakeholders across Government)

3 Enterprise Architecture (EA) to

provide a blueprint for

implementation of ICT in Government

Sector and Institutional EAs need to

be developed and implemented in

alignment with the Government EA &

e-Government Interoperability

Framework

Learnings and RecommendationsNo Identified Area Recommendation

e-Government Systems and Infrastructure

3 Prioritization of e-Government

Systems

• The e-Government Systems need

to be aligned to the National, Sector

and Institutional Strategies/Policies

• Quick Wins

4 Integration of Systems to improve

Government Service Delivery and

Information Sharing

• MoICT & NG to identify priorities for

Integration

• Integration could also begin at

Sector Level in alignment with the

national direction

5 Shared and Common Infrastructure

and services (e.g. NBI, Cloud, ERP,

HRM, Emerging Technologies, etc.)

The MoICT & NG should identify all

those shareable Infrastructure and

Services and guide Government

accordingly



Enabling Factors

6 Strategic Partnerships and

Stakeholder Engagement in relation

to ICT

The MoICT & NG to provide

Government-Wide guidance and

coordination

7 Change Management, Adoption and

Transition

The MoICT & NG to provide

Government-Wide guidance and

cordination

8 Business Process Re-engineering • MoICT & NG and MoPS should

undertake a Business Process

Mapping in Government

• The MoICT & NG to MoPS to identify

Business Process Flaws and embark

on a Business Process Re-

Engineering Process

9 Research and Innovation The MoICT & NG should identify all

planned and existing Initiatives and

rationalize and integrate into the current

ICT Innovation programme



Implementation Mechanism

10 Funding • Funding Mechanisms need to be established

• Integration of all Development Partner Support

into the National Planning and Funding

Framework

• Bring together all development partners to fund

according to Sector and National Prorates

11 Coordinated & Phased

Implementations

• There is need for proper implementation plans

(preferably phased and National coordinated)

with clear milestones

• Bulk Procurement of common ICT

Infrastructure and Services

12 Monitoring and Evaluation A clear mechanism for monitoring and evaluation

has to be put in place for ICT Strategies and

Policies

13 Sustainability A clear sustainability plan for all ICT Initiatives

needs to be put in place. MoICT & NG to provide

guidance.

THANK YOU

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