2nd summit of the americas (chile 1998) health informatics paho proposal

8/2/2019 2nd Summit of the Americas (Chile 1998) Health Informatics PAHO Proposal

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necessary, and projects have been started with the participation of the two major financinginstitutions in the Region, the Inter American Development Bank and the World Bank.

d. Partnerships with the informatics industry are absolutely fundamental and, in the case ofgeneral informatics tools, the industry practically drives the solutions. A concerted effort isneeded to secure a clearly defined and specified partnership with the informatics industry at

the global and national levels aimed at application development at acceptable cost.

e. Consistent to these objectives, the mission of the Pan American Health Organization to itsconstituency -- the public health sector of Latin America and the Caribbean Regions -- inthe area of information systems, technology, and information systems management,primarily involves the transfer of knowledge, technical support, facilitation of the

exchange of experiences between countries, and fostering the use of appropriatetechnology and knowledge assets.

2. Health Informatics Development ScenarioHealth Informatics is appropriate for the Region,

National priorities and capabilities will determine Health Informatics

deployment,

Appropriate strategy will ensure the success of project development,

Deployment and operational costs and obsolescence will be minimized, and

Interaction with the all the stakeholders will be promoted

3. Policy and Technology Objectives

a. Develop telecommunications infrastructure that is comprehensive, reliable,ubiquitous, and compatible across applications

b. Provide technological interfaces that facilitate effective use of the infrastructure andits components

c. Promote changes in policies, regulation, and legislation in the area of

telecommunications and informatics equipment and shape the legal and regulatoryinfrastructure in ways that will facilitate clinical and administrative communications

d. Develop rational, technologically neutral policies for public and private payers

e.Develop technical guidelines, norms, and standards for mission critical projects

f. Develop infrastructure through core systems development and incorporating informaticsinto existing multilateral projects, supported by a combination of funding programs,

incentive grant programs, and prototype application development funding programs

g. Provide appropriate content to consumers, patients, and providers that will enhancehealthcare outcomes

h.Establish education and training programs


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C. Collaborative Work Realized with the Inter-American Development Bank

1. PAHO and the IADB Health Component of the Informatics 2000 InitiativeA set of recommendations regarding strategies, priorities, and areas for immediate action

emerged from the Expert Consultation Meeting on Telecommunications in Health and Healthcare,held in November 1996 in Washington, and from five technical meetings of the Informatics 2000Health Task Force, held during the year of 1997 and 1998 in Miami, Mexico City, Washington,Santiago, and Washington organized in collaboration with PAHO. The recommendations reflectthe experience of over 300 professionals of the Region. They were reiterated at the SectorLeaders Roundtable and at the Fourth Health Task Force Session, held on April 17

th, in Santiago,

Chile, on the occasion of the Second Presidential Summit of the Americas. This consultativegroup, known as the Regional Health Informatics Initiative, is coordinated by the IADB andtechnical orientation of PAHO.

2. Proposed Area for Immediate Action

Discussions held with leaders in the area of application of telecommunications in health andhealthcare, regional intergovernmental agencies, and the industry indicated the:

Priority of promoting the development and implementation of core health

applications.

Need for the rapid definition of specifications for core applications

prototypes that considers:

Health service requirementsHealth information infrastructureData processing infrastructureTelecommunications infrastructure

Interest in developing application packages that will facilitate procurement,

financing, and implementation of core applications.

3. Program Proposeda. Promoting Core Health Information Systems

Use of Core Systems should be widespread because of :

Address generalized user needs

Standardized packages of solutionsSignificant cost savingsSignificant improvements in quality of care and outreach

Examples of possible Core Systems:

Distant Education of Health ProfessionalsElectronic Patient Health RecordEpidemiological Reporting SystemsCall Centers


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Interactive Health Promotion ApplicationsSpecialized Applications (e.g., radiology, pathology)Small Clinic Management and Operation SystemsSmall Hospital Management and Operation SystemsEmergency Services SystemsDrug/Cosmetics/Food Registration, Management and Control Systems

b. Investment Profile of Core Systems

Definitely neededGeneric solutions - individual site needs little or no requirement analysisSpectrum of solutions packages for same application area (low-end to high-end)Although solutions are generic, some customization must be possibleSolution packages options consider existing health service requirements and infrastructure(health information, data processing, and telecommunications)Relatively small price tags $5,000 to $1,000,000Financing decision is largely one of financial capacity of buyer

3. Solution Packages Components

a. Project Development and Management

Support to Project FormulationSupport to Project ImplementationTrainingProject EvaluationDissemination and Promotion of Experiences

b. Telecommunications Infrastructure

Analysis of Communications Services and Technology Requirements for each

Application AreaConnectivity StandardsData Communication Equipment and Components

c. Technology

Analysis of Technological Requirements for each Specific Application AreaHardware

General Equipment (computers, basic workstations, teleconferencingequipment, scanners)Specialized Medical Equipment

Software

Procurement, Selection and AcquisitionInstallationUser TrainingMaintenance


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4. Proposal for Multilateral Collaboration

Justification

Why This New Business Model is Important to Healthcare in the Region:

Enables rapid deploymentNo lengthy, redundant, and expensive needs assessmentsSignificant price advantage from economies of scaleExpected to result in immediate demonstrable health benefitsImplemented sites serve as reference for other deployments

Strategy

Build on existing experiences giving preference to countries and institutions that reached adegree of organization and decision making maturity, that will maximize the successfuldeployment of technology.

Justification that contemplates the national priorities, infrastructure, and commitment.

Accurately defined users requirements consolidated in technically appropriate

recommendations.

Application solutions that optimize the provision of care, health surveillance, resourcemanagement, the development of human resources, and health promotion, prioritizinginterventions at the primary care level.

Implementation of partnerships with centers of excellence, academic and research institutions,multilateral and technical cooperation agencies, and the industry.

Designate project implementation sites as reference sites for telehealth applications. It is

expected that approaches and methodologies in use at the site will serve as prototype forgeneralized utilization by developing countries.

Tasks and Responsibilities

Regional Health Informatics Initiative (Stakeholders)

Prioritize core systemsIdentify generic user requirements for core systemsIdentify functional requirements for applications categorized according to specificarea of application and technological complexityDefine medical or technical expertise needed for operation and training required for

each professional categoryDefine indicators of achievement of expected results and impactValidate that solution provider proposed solution packages meet specifications

Solution Providers

Analyze the options regarding hardware and software under generic scenariosidentified by the participants of the Regional Health Informatics InitiativeDevelops solution packages for each application area and level of technological

complexity


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Assemble market validated system packagesRegularly update package componentsDefine approximate cost by component

Inter American Development Bank

Establishes loan program to support purchases of preferred and recommendedsolution packages

PAHO and other International and Multilateral Technical Agencies

Contribute to the Regional Health Informatics Initiative technical recommendationsthrough the following activities:

Consultation meetings with participation of key PWRs and nationalauthorities

Consultation with external organizations and agencies

Preparation of concept paper, coordinated by HSI and with the collaboration

of HSP/HSR, HCP, HDP, HPP, DBI, and PED

Establishment of four Consultative Groups of External Experts to draft actionplans for the following areas:

(a) Policies, Regulation and Legislation(b) Core Projects(c) Technical Guidelines and Norms(d) Education and Training of Health Professional

Promote the use of recommended solution packages by the public and privatesectorsSupport users in initial stage of project formulationPromote exchange of experiences among users

Conduct independent evaluation studies

Users

Develop project proposalsApply for financingImplement projects

Project Financial Management

Separate entity handles financing and execution

R.J.RodriguesPAHO/HISSep15, 98

2nd summit of the americas (chile 1998) health informatics paho proposal

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