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Developing eHealth Strategy for India

Need of the hour


Prof. S. K. Mishra, MS, FACS
Dept. of Endocrine Surgery
&
School of Telemedicine & Biomedical Informatics
SGPGIMS, Lucknow

3rd International Conference on Transforming Healthcare with IT


Aug.-1st Sep. 2012

31 st

Agenda
Introduction
Need and Justification of developing
ehealth policy
Global Scenario
Indian Scenario
Standardization of IT infrastructure of health
National Task Force

WHO/ITU National Strategy Toolkit

3rd International Conference on Transforming Healthcare with IT


Aug.-1st Sep. 2012

31 st

Introduction
eHealth an important tool having
potiental in achieving the goal of
health for all.
eHealth reduces healthcare cost
ehealth expanded services to unserved region
eHealth needs to be integrated in
healthcare system both in practical
and policy sense

Source: Telehealth policy: Looking for global commentary;Richart E Scott et. al.; J. Telemedicine and Telecare
2002; 8 (suppl. 3): s3.55-57

3rd International Conference on Transforming Healthcare with IT


Aug.-1st Sep. 2012

31 st

eHealth Policy
eHealth policy is concerned with solutions that
support capacity building and provide services
that improve health outcomes.
It is a set of statements, directives,
regulations, laws, and judicial interpretations
that direct and manage the life cycle of
eHealth
Socio-economic,
financial
&
cultural,
Institutional conditions, Human and material
resources, Organizational and managerial
models defines policy boundaries
Source: Telehealth policy: Looking for global commentary;Richart E Scott et. al.; J. Telemedicine and Telecare
2002; 8 (suppl. 3): s3.55-57
3rd International Conference on Transforming Healthcare with IT
Aug.-1st Sep. 2012

31 st

Need and Justification of developing


policy
ehealth
Advances in ICT continue to outpace

the
development of supportive policies, infrastructure &
user acceptance of eHealth
Successful pilot projects have not translated into
adoption in health system
Government expenditure and business rules are
dictated through policies
Industry growth is heavily dependent on
government policy
Barriers like Interoperability, legal, security & ethical
issues can only be addressed by a set of rules and
standards at national level
Need of development of National eHealth Policy in
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Context
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Status of eHealth around the


world

Source: http://www.who.int/goe/publications/goe_telemedicine_2010.pdf
3rd International Conference on Transforming Healthcare with IT
Aug.-1st Sep. 2012

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Policy Document
Malaysia; 1997 Telemedicine Act1
Malaysia; 2000 Telehealth policy
statement
Well defined e-health policy or clear policy
activity : Australia, Canada, China, Croatia,
Denmark, Finland, Iran, Malaysia, Malta,
New Zealand, Russia, Singapore, South
Korea, Sweden, Taiwan, Tanzania,
Thailand, UK, USA and Vietnam etc.2
1. http://unpan1.un.org/intradoc/groups/public/documents/APCITY/UNPAN025631.pdf
2. Source: Telehealth policy: Looking for global commentary;Richart E Scott et. al.; J. Telemedicine and Telecare
2002; 8 (suppl. 3): s3.55-57
3rd International Conference on Transforming Healthcare with IT
Aug.-1st Sep. 2012

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Adoption of eHealth policy

Source: http://www.who.int/goe/publications/goe_telemedicine_2010.p
3rd International Conference on Transforming Healthcare with IT
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The Rockefeller Foundation


The initiative would improve the quality,
equity, and cost-effectiveness of health
care in the "Global South"a term for
developing countries.
It would do this by using information and
communication technologies (ICT) to
improve
and
expand
diagnostic,
treatment, preventive, and monitoring
Source: www.ehealth-connection.org/
capabilities, as well as user awareness and
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PAHO Pan African Health Organisation


Argentina takes steps in establishing a national eHealth Strategy

Experts from the Ministry of Health of Argentina,


Hospital Italiano and universities, among others,
stressed the need to establish an eHealth plan for
the country, during a meeting organized by the
Pan American Health Organization in Buenos
Aires.
The discussion highlighted the need of eHealth
experts in the nation and public policies that
support the sustainability and viability of projects,
such as the creation of a unique electronic
medical records and telemedicine.
Source: http://new.paho.org/index.php
3rd International Conference on Transforming Healthcare with IT
Aug.-1st Sep. 2012

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UGANDA eHealth Policy


Widely consultative and participatory with
involvement of all stakeholders to ensure
ownership, shared responsibility successful
implementation.
Provides
a
framework
for
eHealth
implementation
by
all
stakeholders
in
collaboration with other Sectors
eHealth is in line with existing policies eg
Poverty Eradication Action Plan (PEAP),
National health Policy, Health Sector strategic
Plan I & II and National ICT policy

http://www.who.int/workforcealliance/forum/SBW_eHEALTH%20POLICY%20AND%20eLEARNIN

3rd International Conference on Transforming Healthcare with IT


Aug.-1st Sep. 2012

31 st

COCIR eHealth Toolkit for an accelerated deployment and


better use of eHealth

European Coordination Committee of the


Radiological,
Electromedical
and
Healthcare IT Industry
In 2007, COCIR developed 10
recommendations to accelerate the
deployment of eHealth

Three priorities for deployment

Develop an innovative sustainable


business model
Foster standards and interoperability
Source: http://www.cocir.or
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National E-Health Strategy


Australia's Policy

Source: www.ahmac.gov.au
3rd International Conference on Transforming Healthcare with IT
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CUBA
National health telematics network - INFOMED (
www.sld.cu)
Building a National eHealth Capacity Additional
eHealth applications already functioning include
specialized networks in nephrology, intensive
care, cardiology, and pharmacies, and there is a
growing electronic publishing capacity.
Future applications include a national health
economy management system and a hospitallevel management system (digital diagnostic
results, inventories, accounting, etc.)

Source: www.medicc.org/mediccreview/articles/mr_42.pd

3rd International Conference on Transforming Healthcare with IT


Aug.-1st Sep. 2012

31 st

WHO/ITU eHealth Strategy Toolkit

Source: www.who.int/entity/ehealth/brochure.pd
3rd International Conference on Transforming Healthcare with IT
Aug.-1st Sep. 2012

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WHO-ITU effort to support National e-Health


Roadmaps
The health care, telecommunication and finance
sectors have to work together in developing
national e-Health strategies.
Develop resource materials building on relative
competencies of each of the two organisations.
Deploy approaches to support the development of
new national eHealth strategies or the update of
existing plans to reflect experience or emerging
challenges in the domain of eHealth.
Approaches will ensure country ownership of the
process
and therefore sustainability
Source: http://www.itu.int/ITU-D/cyb/events/2011/Telecom11/e-health/Presentations
/tuesday1-%20WHO&ITU%20eHealth%20National%20Strategy%20Toolkit.pdf
3rd International Conference on Transforming Healthcare with IT
Aug.-1st Sep. 2012

31 st

National eHealth Strategy ToolKit


Methodology to assess actual Health
System Status, Needs and Action Priorities
An integrated Action Framework covering:
Infrastructure, Applications, Funding,
Governance, Legal and policy, Workforce,
Standards and interoperability, etc.
Guidance on how to set eHealth targets,
benefits and Performance Indicators

Source: http://www.itu.int/ITU-D/cyb/events/2011/Telecom11/e-health/Presentati
/tuesday1-%20WHO&ITU%20eHealth%20National%20Strategy%20Toolkit.
3rd International Conference on Transforming Healthcare with IT
Aug.-1st Sep. 2012

31 st

eHealth Policy Issues


Policy Objectives
Coordination and Collaboration,
Connectivity and Infra-structure,
Human Resource Development,
Content
Provision of Health Information and Services
Financing Mechanism and Sustainability
Research

Organizational Structures Institutional Framework


Expected Cost and Benefits of the Policy
Monitoring
and evaluation
Source: http://www.itu.int/ITU-D/cyb/events/2011/Telecom11/e-health/Presentat

/tuesday1-%20WHO&ITU%20eHealth%20National%20Strategy%20Toolkit
3rd International Conference on Transforming Healthcare with IT
Aug.-1st Sep. 2012

31 st

Global Elements
Network
Inter-Jurisdictional Practice
Diffusion of ehealth addressing the digital
divide
Integration into existing system
Handling innovation at different levels
Policy Goal Setting
Evaluation & Research
Investment
Scope
Ethical
of PolicyIssues
Issues for eHealth: Results from a Structured Review; Shariq Khoja
et. al. Bellagio, Italy, July 13-Aug, 8, 2008

source: www.ehealth-connect.org

3rd International Conference on Transforming Healthcare with IT


Aug.-1st Sep. 2012

31 st

Planning for eHealth Policy


Success
Global eHealth Convention
eHealth Policy Toolkit
eHealth Education
National eHealth Councils
Stake Holders

Source: ww.who.int/ehealth
3rd International Conference on Transforming Healthcare with IT
Aug.-1st Sep. 2012

31 st

eHealth Challenges -I
Coordination is not easy due to
fragmented donor driven projects leading
to duplication, equipment incompatibility
Integration of ICT into budgets of the
service delivery programs in the health
system affecting sustainability
Connectivity available even in remote
areas but very expensive.
Hardware like computers limited.

Source: http://www.who.int/workforcealliance/forum/SBW_eHEALTH%20POLICY%20AND%20eLEARNING
3rd International Conference on Transforming Healthcare with IT
Aug.-1st Sep. 2012

31 st

eHealth Challenges - II
Very few ICT professionals/Technicians to
maintain equipment and support/ train the
users.
Inadequate band width and irregular power
supply or lack of it.
Regulatory framework to ensure
confidentiality and win the trust of patients
Embracing ICT is a process of cultural
transformation which takes place very
slowly

Source: http://www.who.int/workforcealliance/forum/SBW_eHEALTH%20POLICY%20AND%20eLEARNING
3rd International Conference on Transforming Healthcare with IT
Aug.-1st Sep. 2012

31 st

National Resource Center

School of Telemedicine & Biomedical Informatics,


Lucknow, India

Thank You

Contact: skmishra_1956@yahoo.com
www.sgpgi-telemedicine.org | www.nrct.in | www.stbmi.ac.in
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