Module 5 - Department of Health Ehealth System

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10/14/21, 9:56 AM Module 5: Department of Health eHealth System

Module 5: Department of Health eHealth System

Site: New Era University Printed by: Zuriel P. San Pedro


MTHI11L-18 - Health Information System for Med Lab Date: Thursday, 14 October 2021, 9:56 AM
Course:
Science Lab
Book: Module 5: Department of Health eHealth System

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Description

Lesson 1: Title

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10/14/21, 9:56 AM Module 5: Department of Health eHealth System

Table of contents

1. Introduction/Overview

2. Learning Outcomes

3. eHealth Philippines by Dr. Crispina Valdez


3.1. Attainment of eHealth Vision
3.2. eHealth Milestones

4. Activity

5. Laboratory Activity

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1. Introduction/Overview

Despite the benefits promised by eHealth advocates, concerns have been raised regarding the introduction and implementation of such a
system in the Philippines. The country's emerging data privacy and cybersecurity regulatory framework, coupled with the limited IT capabilities
and geographic landscape, makes rolling out an eHealth system difficult. To overcome these, the Philippine government must think of a way to
systemically implement the changes while maintain the integrity of the system (Mundin, 2015)

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2. Learning Outcomes

At the end of this session, the students will be able to:

1. Trace the previous practices in Health Reporting System.

2. Identify the existing problems and challenges in Health System, Data Reporting and Referrals.

3. Define the concepts of Health Information and Management Systems and Society.

4. Identify the eHealth vision

5. Discuss the eHealth Context Setting, Strategic Guiding Principles, Components, Phases, and Targets.

6. Discuss the eHealth Milestones thru the help of DOH and DOST.

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3. eHealth Philippines by Dr. Crispina Valdez

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Health Information and Management Systems Society (HIMSS):

“the application of Internet and other related technologies in the healthcare industry to improve the access, efficiency, effectiveness, and
quality of clinical and business processes utilized by healthcare organizations, practitioners, patients, and consumers in an effort to improve
the health status of patients”

Challenges of today’s health system

–Access to health care services

–Access to real-time information for decision-making

eHealth provide solutions to achieve the goals, and hurdle the challenges of Kalusugang Pangkalahatan (KP)

National eHealth System

By 2020, eHealth will enable widespread access to health care services, health information, and securely share and exchange patients’
information in support to a safer, quality health care, more equitable and responsive health system for all the Filipino people by transforming
the way information is used to plan, manage, deliver and monitor health services.

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3.1. Attainment of eHealth Vision

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Philippine eHealth Strategic Framework and Plan (PeHSFP)

The PeHSFP is the result of comprehending what the Philippines needs to achieve in order to address its health goals and challenges.

Philippine eHealth Strategic Guiding Principles

Client-focus or person centered information


Collaboration and/or partnerships with different stakeholders
Users’ Involvement
Strategic approach in phases
Harmonization and Independence
Recognize the presence of entities that have already started eHealth
Availability of human resource
Compliance to laws and regulations
Optimize use of resources

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Philippine eHealth Components

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Philippine eHealth Targets

Phase I: 2013-2014

GOVERNANCE

Signed Joint Department of Health and Department of Science and Technology Department Memorandum on the Creation of National
Governance Steering Committee and Technical Working Group on eHealth.

Department Order on the National Health Data Committee and its Implementing Policies, Procedures, and/or Guidelines.

Department Order on Software Data Compliance Body for National Health Data Reporting and its Implementing Policies, Procedures, and/or
Guidelines.

Administrative Order on Institutionalizing the National Telehealth Services under the Department of Health

Draft Executive on Philippine eHealth.

 FOUNDATIONS

Administrative Order on the National Implementation of Health Data Standards for eHealth Standardization and Interoperability (eHSI
Release 001).

Administrative Order on the Implementation of Software Data Compliance to National Health Data Reporting.

Philippine Health Enterprise Architecture version 2.0.

Minimum Data Sets for the Philippine Health Information Exchange Registries.

Operational Infrastructure

eHEALTH SOLUTIONS

Telemedicine Pilot I, implemented in GIDA in the Philippines

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Developed and Implemented Philippine Health Information Exchange System Phase 1 (Identified Sites)

Philippine Health Information Exchange System software version 1.0

Integrated Clinic Information System (iClinicSys) software of the Department of Health

Integrated Hospital Operations and Management Information System (iHOMIS) software of the Department of Health

Implemented Philhealth Electronic Claims Systems in Identified Sites

Almost complete RxBox2 Research

Conducted eHealth Researches.

Developed and implemented in phases the eHealth projects under the Department of Budget and Management’s Medium-Term Information
and Communication Technology Harmonization Initiative

Developed and implemented in phases the Interoperable Health Information System for CHD4A – CALABARZON of the Korea International
Cooperation Agency.

CHANGE AND ADOPTION

Conduct of Awareness Activities

Phase II: 2015-2016


GOVERNANCE
Working National Health Data Committee.
Working Software Data Compliance Body for National Health Data Reporting.
Experts Commitees on various concerns such as data security and privacy, standards etc.

FOUNDATIONS

Philippine Health Enterprise Architecture version 3.0


National Health Data Dictionary version 3.0
Administrative Order on Information Protection

 eHEALTH SOLUTIONS

Enhancement and Implementation of the Philippine Health Information Exchange System Phase 2 (Replication to Identified Sites)
Implemented Philhealth Electronic Claims Systems in Expansion Sites
Implemented RxBox2
Conducted eHealth Researches.
Developed and implemented proposed projects under the Department of Budget and Management’s Medium-Term Information and
Communication Technology Harmonization Initiative.

Information and Communication Technology Harmonization Initiative


Continuing implementation of the Interoperable Health Information System for CHD4A – CALABARZON of the Korea International
Cooperation Agency.

Change and Adoption

Conduct of Awareness Activities. Enhanced Health Care Provider Licensing or Accreditation.

Phase III: 2017-2020


GOVERNANCE

Working National Health Data Committee

Working Software Data Compliance Body for National Health Data Reporting 

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FOUNDATIONS

Updated National Health Data Standards for eHealth Standardization and Interoperability

Operations, Maintenance and Monitoring of DOH, Philhealth and DOST Systems.

 eHEALTH SOLUTIONS

Continuous eHealth Innovations 

CHANGE AND ADOPTION

Conduct of Awareness Activities

Continuing Implementation of Health Care Provider Licensing or Accreditation

Education and Training

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3.2. eHealth Milestones

?eHealth Milestones
Milestones

Consensus-building

Output: Minimum data sets and standard format disseminated to hospitals clinics, community centers by March 2014

Patient Registry : DOH, PhilHealth

Provider Registry : DOH, PhilHealth

Facility Registry : DOH

Shared Record : DOH, PhilHealth

Terminologies : DOH, PhilHealth

Health Interoperability Layer : DOH, PhilHealth

Content building (Registries)

Outputs:

70 DOH Hospitals inputting by Dec 2014 [with e-claims] (53 DOH Hospitals using iHOMIS)
651 public hospitals inputting by Dec 2015 [with e-claims]
3,600 Rural Health Units/City Health Offices by Dec 2015 [with e-claims]
RxBox deployed in 140 RHUs/CHOs by Dec 2014 and 1,000 RHUs/CHOs by Dec 2015
2,500 rural health units using iClinicSys of the DOH by 2015
Philhealth e-claims are deployed in all hospitals and clinics by Dec 2016 (85 Million Filipinos covered by e-claims)

Note: Total number of hospitals, 1,796 [Public hospitals, 721]

PHIE Infrastructure operational by Dec 2014

DOST-ICTO

Data Warehouse (e.g. cloud computing)


Connectivity down to the barangays

DOST-ASTI

Registry Database Infrastructure (client, provider, facility, terminologies, shared record)


Interoperability Layer Infrastructure

DOST-PCHRD

eHealth Researches 
eHealth applications: tele-parasitology and tele-dermatology by 2014 
Smart diagnostic devices by Dec 2015

Policies (Administrative, Legal, Ethics, Research and Finance) to achieve compliance and enhance benefits from eHealth

–Policy Guidelines: Department Circulars, Executive Orders 


e.g. , facility or professional licensing tied up to inputting to registries; ethics incorporated in Philippine Health Research Ethics Board
Guidelines

–Legislation

e.g., revise content of earlier Telehealth Bill filed in Congress

?️eHealth Milestones
MITHI (Health, 2014)

Philippine Health Information Exchange (integrating/harmonizing health data coming from different electronic medical record systems and
hospital information systems).

Development and Implementation of the Health Enterprise Data Warehouse

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Integrated Health Goods Licensing Information System

Standards Training and Change Management

Implementation of DOHs Integrated Clinic Information System

Expansion of the DOHs Integrated Hospital Information System

System Enhancement and Implementation of the National Disease Registry

KOICA – Interoperable Health Information System for CHD4A – CALABARZON (5 years)

Health Information Exchange

Implementation the DOHs Integrated Clinic Information System

Upgrading and Implementation of the Integrated Hospital Operations and Management Information System

Data Warehousing

PCHRD Funds

1. Devices to gather and transmit data, e.g., RxBox, mobile phones, tablets, diagnostic devices

2. Applications, e.g. tele-referrals, tele-consultations

DOH and PhilHealth

1.Universal Coverage (85 M Filipinos)

2. System Development, Implementation, and Maintenance of iClinicSys, iHOMIS, Philhealth eClaims Systems, and Philippine Health
Information Exchange System

3. Operational Support to Systems

4. Interoperability Standards Setting (National Health Data Committee & Software Certification to National Health Data Reporting)

5. Training/Capability Building

6. Legislations/Policies

Funding for 2015, 2016, and beyond to sustain eHealth

Operational Support (including Manpower, Technical support)

System Maintenance

Infrastructure Upgrade

Capability Building

System Monitoring and Evaluation

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4. Activity

FINAL eHealth Video 2014

 Forums: Please
do not forget to join the online forums for your recitation:

1. https://collvle.neu.edu.ph/mod/forum/view.php?id=33083

The best forum software for membership websites |


2. https://collvle.neu.edu.ph/mod/forum/view.php?
White Fuse
id=33084

3. https://collvle.neu.edu.ph/mod/forum/view.php?
id=33085&forceview=1

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5. Laboratory Activity

Laboratory Activity:

PLEASE ANSWER THE LINK BELOW

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