Making the eHealth ConnectionWeeks 1-4
Key Findings/Recommendations
2
Making the eHealth Connection Conferences
Overview
Conference highlights
Themes – overarching and integration
Call to Action
Moving forward and next steps
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Making the eHealth Connection Conferences
July 13–18 National Health Information Systems– Public Health Informatics – The Path to Interoperability
July 20–25 Knowledge and Capacity for eHealth– Access to Information– eHealth Capacity Building
July 27–Aug 1 Core eHealth Technologies– Electronic Health Records– Mobile Health and Telemedicine
Aug 3–8 Policy and Markets for eHealth– Unlocking the Market for eHealth– National eHealth policies
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Conference Fast Facts
Weeks 1-4 34 South countries representatives 32 donors 10 media (traditional and on-line) 100 participant perspective video shorts posted on conference
website Active conference wiki discussion 30 media stories related to conference filed (print, bogs and
radio)
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Global Conference Participation
RwandaTanzania
Zambia
SierraLeone
Syria
Cambodia
Nigeria
Ghana
Mobile HealthElectronic Health Records
Access to InformationCapacity Building
InteroperabilityPublic Health Informatics (PHI)
PolicyUnlocking the Market
South Africa
India
Chile
Guinea-Bissau
Liberia
Malawi
Pakistan
Tajikistan
Thailand
Uruguay
Zimbabwe
Korea
Philippines
Vietnam
BrazilPeru
Week 1
Week 2
Week 3
Week 4
Kenya
China
Uganda
ArgentinaCameroon
Malaysia
Tunisia
Mexico
Ethiopia
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Overarching Themes and Recommendations
From silos to systemsPerson centered, user driven, integrated, collaborative,
sustainable, scalable, reusable, demand-driven by in-country organizations Information is care – need to document impact on access,
affordability and quality of health services Be daring in eHealth and technology visions for the Global South –
much can be done with limited resources and a lot of ingenuity Ultimate goals of eHealth should be to strengthen health systems and
improve people’s health Support Collaboration and Innovation Across Resource Constrained
Countries and South to South Learning - Equator is NOT the dividing line for innovation.
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Overarching Themes and Recommendations
Donors and StakeholdersReduce donor fragmentation Harmonize donor requirementsConsolidated reporting structures across donorsDevelop ICT “business case” for ICT to increase donor
and stakeholder involvementStrengthen stakeholder collaboration (private sector and
university involvement both important and growing)Provide funding for pilot/greenfield projects, reference
implementations and adequate evaluation
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Overarching Themes and Recommendations
Broad Diversity of Recommended eHealth Innovation,Partnership and Support Models
Centers of Excellence Collaborative Action Networks Internet-based portals for knowledge and information-sharing Taskforces Association models eHealth promotion networks Strategic alliances Enhanced university programs and partnerships
*Supported by leveraging existing efforts and institutions
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Week One
“If you want to go fast, go alone; if you want to go far, go together”
African Proverb
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Call To Action - PHI
Capacity for Today and TomorrowBuild Centers of Excellence network based in resource
constrained countries (6 to 10) with a 10 year
funded program of public health informatics work.
Requires a new partnership and program of work
that does not exist today Architecture is required for a national health
information systems Latest science, engineering and R&D from the public & private sectors
has great potential and must be captured, similar to successful programs for vaccines, micro-nutrition, and medical technology partnerships
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Call to Action - Interoperability
Governments should be encouraged to adopt a
culture of interoperability and standards in relation to eHealth
To encourage interoperability, open standards and
open source software should be made freely available
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Week Two
“If you talk to a man in a language he understands, it goes to his head. If you speak to him in his language, it
will go to his heart.”Nelson Mandela
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Call to Action – A2I
Create an environment (common space)to enable producers, intermediaries and users to develop and share content, methods and technologies
Establish a task force with representatives from key stakeholders and donors to establish a plan of action for the implementation
Priority should be given to settings with weak production of and access to information and knowledge
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National Readiness Assessment Instrument; other tool kits
PhD; Masters Informatics____________________________Clinician / Public Health Champions
________________________________20/20 “Bits &Bytes” Knowledge & Skills
Offerings
Executive Seminars;Leadership ID,
Training & Advocacy
Global ‘South’ Components of Needs &20/20 Vision for Assuring eHealth Capacity
Policy &Leadership
Human Capital
(eHealth Workforce Capacity)
State of ICT Technology Infrastructure
Components Vision for eHealth Workforce
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Call to Action - Informatics & Capacity Building
20/20 eHealth Capacity Building: from Multiple Silos to Integrated Systems
Assure local sustained informatics
expertise: skilled eHealth workforce in
informatics/ICT for care, education,
leadership, advocacy, & research
Develop environments to support
ICT: assessment and relevant complex
systems development
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Week Three
“WE-CAN!”
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Call to Action - eHR
we-can: Support the further growth and development of collaborative action networks by the creation of the WE-CAN organization
do it: Follow these thoughts with action. - Design systems and architectures to support patient care in challenging environments with focus on reuse, collaboration, interoperability and scalability - Create tools to guide on-the-ground baseline assessment, implementation, scaling and evaluation of information systems- Create eHealth centers of excellence and build a national scale reference implementation of patient level record systems in select LMICs such as Rwanda.- Formative meeting of we-can taskforce September PHI2008- Seattle WAhttp://www.we-can-doit.org
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Call to Action - mHealth
mHealth Alliance Create the mHealth alliance in next six months Work to bring other partners to the conversation Goal launch: Announce mHealth alliance in
February 2009
Through the mHealth Alliance incubate the initial
mHealth projects developed at Bellagio
Bellagio Projects
mDoc: "a hospital in your hands"
mHealth for Positive Living: HIV treatment, wellness and support
CommCare: tools for community health workers
Breakout: Ending the cycle of outbreaks (information collection system)
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Week Four
“Do or do not. There is no try.”
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Call To Action - Policy
Convene a Convention on global eHealth (intergovernmental endorsement)
Create eHealth policy toolkit
Craft integrated advocacy, communications and marketing plans that make the case for eHealth
Foster the establishment and support of national eHealth Councils, beginning with a landscape of current activities
Identify and appoint eHealth ambassadors (local, regional, national)
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Call to Action - Markets
Develop eHealth promotion and entrepreneur network Training Project vetting Incubate and accelerate fundable business plans
Create Internet-based portals forknowledge/information-sharing and idea clearinghouse
Align stakeholders strategically Philanthropy to innovation Donors to entrepreneurs Entrepreneurs to eHealth information SMEs to solution value chain
Develop open source platform to facilitate business model development
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Putting Thought Into ActionNotable Conference Developments
Framework strategy for integrated eHealth systems (initial focus in Africa)
Established plan for Global eHealth Convention Draft resolution on governments and interoperability HINARI-like platform for free standards initiative September 2008 launch of World eHealth Collaborative Network (we-
can) Formation of mHealth Alliance Seeding eHealth promotion and entrepreneur network Takeaways and action steps reported and discussed at meetings of high
level influencers: G8, HL7, AMIA, Global Partners in Public Health Informatics and Global Ministerial Forum on Research for Health (Bamako, Mali)
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Thank you!