mini university presents a basic operational framework for ehealth and telemedicine: how to get...

Mini University Presents

A Basic Operational Framework for eHealth and Telemedicine:

How to Get Started

Stephen SettimiSr. Fellow & Technical Advisor -USAID Global Health,

ICT/Knowledge [email protected]

http://www.usaid.gov/our_work/global_health/United States Agency for International Development

1300 Pennsylvania Avenue, NW 3.6.35Washington, DC 20523-3600

Tel. (202) 712-1292 Fax: (202) 216-3485Cell: 619-507-8311

"We are today where we planned to be yesterday."

05 Oct 2007

A Basic Operational Framework for eHealth and Telemedicine: How to Get Started

Vocabulary for Discussion

• eHealth• Telemedicine• ICT (Information & Communication Technology)• Informatics• Databases• Resources• Stakeholders• Intellectual Capital• Capacity Building• Public Goods• Frameworks

Getting the Right Framework to Fit Right


Country Focus

How do we put into place a Framework within the context of Country Z?


Steps to Developing a Framework…

STEP #1 Identify opportunity inroads

STEP #2 Determine Probability of Success Identify the StakeholdersDetermine interest level of stakeholders

STEP #3 Assess the resource base

STEP #4 Develop tactics and strategy for success


Identify Opportunity Inroads-or the Working Ecology

• Resource challenged environments– Low Doctor to Client ratio (e.g., 1: 1555 Pakistan)– High Rural Populations Levels (50% to 75%)– Low educational Level– Lack of Infrastructure

• Policy Supportive• Civil Society Supportive• Population Supportive• Private Sector Support


Determine Probability of Success > Identify Stakeholders

> Assess the strength of the working relationship

ARBEF

CAMERWA

CHK

CNJ

CNLS

CPLS

FHI

GTZ

HIS -SISIntraHe

althMIGEPROF

MINALOC

MINEDUC

UNFPA

USAID

WHO

FP Priority Closest Entities

Wider gap = Under Utilization:HIS-SIS = high importanceHIS-SIS = low closeness

Narrower gap = High reliance factor:USAID = high importanceUSAID = high closeness

Assess likelihood of success by using Social Network Mapping for any given initiative: e.g., an eHealth Telemedicine program.


Update:Status Report

STEP #1 Identify opportunity inroads STEP #2 Determine Probability of Success

Identify the StakeholdersDetermine interest level of stakeholders

STEP #3 Assess the resource base

STEP #4 Develop strategy and tactics for success

Stop


4 Requisite Resources

Material

Capital

Human

Informational


Remember these 4 Requisite ResourcesRemember Resources are interdependent

4 Requisite Resources

Material

Capital

Human

Informational

Material

Human Capital

Information


Information Resources

• Evidence that supports eHealth and Telemedicine programs

• Data that can drive processes• Social Networks• Other informational resources?

Resource challenged environmentsLow Doctor to Client ratio (e.g., 1: 1555 Pakistan)High Rural Populations Levels (50% to 75%)Low educational LevelLack of InfrastructureCOUPLED WITH….•High infant mortality •High maternal mortality •Low vaccination rates•Malnutrition•Frequent or extreme Epidemiological events

What processes can we drive with these data? Mother’s DOB and Natal Status Child’s DOB Location of Client (Patient) to nearest servicesWhat are Social Networks? Why are they informational

resources?


Challenges toAcquiring Information Resource


Human Capital Resource

ARBEF

CAMERWA

CHK

CNJ

CNLS

CPLS

FHI

GTZ

HIS -SISIntraHe

althMIGEPROF

MINALOC

MINEDUC

UNFPA

USAID

WHOKey Stakeholders

MIGEPROF CAMERWAARBEFHSIMINALOCMOHMINEDUC

* A hypothetical listing


Challenges toAcquiring Human Capital

• Educational attainment level• Money for salaries• “Brain Drain” (attrition / retention)• Competing industries• Other?




Identify the StakeholdersDetermine strength of relationship

STEP #3 Assess the resource baseInformationHumanCapitalMaterial


Stop


Capital Resource$

• Is Public Health a “Public Good”?• Who’s the public?• Does the public pay for this good?• Will those who pay for the good get value for the

good?• What if you can’t pay for the good?• What sources of finance are available to pay for

public goods?


Material Resources

What physical resources would be required to implement eHealth or telemedicine programs?

a facility (building or virtual) computer telephones (land-lines or cell phones) electricity other devices



Stop






One Tactic: Create a Task Force from Stakeholders (both Current and Desired)

TASK FORCE

ARBEF

CAMERWAC

HK

CNJ CNLSCPLS

FHI

GTZ

HIS -SIS

IntraHealth

MIGEPROF

MINALOC

MINEDUC

UNFPA

USAID

WHO


Tactic: Create a Task Force from Stakeholders (Current and Desired)

Task Force

ARBEF

CAMERWAC

HK

CNJ CNLSCPLS

FHI

GTZ

HIS -SIS

IntraHealth

MIGEPROF

MINALOC

MINEDUC

UNFPA

USAID

WHO


Tactic: Create a Task Force from Stakeholders (Current and Desired)

TASK FORCE

ARBEF

CAMERWAC

HK

CNJ CNLSCPLS

FHI

GTZ

HIS -SIS

IntraHealth

MIGEPROF

MINALOC

MINEDUC

UNFPA

USAID

WHO


Task Force Models

POLICY-MAKERS

CLINIC OR

HOSPITAL

DR or NURSE

PATIENT or

CLIENT

POLICY-MAKERS

CLINIC OR HOSPITAL

DR or NURSE

PATIENT or CLIENT

POLICY-MAKERS

CLINIC OR HOSPITAL

DR or NURSE

PATIENT or CLIENTPOLIC

Y-MAKE

RS

CLINIC OR

HOSPITAL

DR or NURSE

PATIENT or CLIEN

T





STEP #4 Develop tactics for success

SUMMARY Steps toward an eHealth Telemedicine Framework

Develop a tactics and strategy for success


Stephen SettimiSr. Fellow & Technical Advisor -USAID Global Health,

ICT/Knowledge [email protected]

http://www.usaid.gov/our_work/global_health/United States Agency for International Development

1300 Pennsylvania Avenue, NW 3.6.35Washington, DC 20523-3600

Tel. (202) 712-1292 Fax: (202) 216-3485Cell: 619-507-8311

"We are today where we planned to be yesterday."

mini university presents a basic operational framework for ehealth and telemedicine: how to get...

Documents

basic operational framework

framework step

success slide

ehealth telemedicine

right framework

right slide

level of stakeholders

started vocabulary