2012 Annual Meeting “Towards Public Health Sector Transformation and Section Unity” Public...

2012 Annual Meeting“Towards Public Health Sector Transformation

and Section Unity”

Public Health in Health IT

Standardization and Strategic

Partnerships

Walter Suarez, MD, MPH

Executive Director, Health IT Strategy and Policy

Kaiser Permanente

Hyattsville, MD - November 14-15, 2012

www.phdsc.org

Ten Global eHealth Trends (1)

Electronic Health Records – increase in the adoption of EHRs with more mature, robust applications, including Clinical Decision Support

Health Information Exchanges – expansion of information exchange technologies, tools, applications to support clinical care, administrative processes, public health and research

Big Data – significant increase in the volume, velocity, and variety (the 3 ‘V’s) of health information

Virtualization of Health Information – advances in use of virtualized hardware, software and networks

www.phdsc.org


Mobile Health – explosion of advanced mobile devices that creates an opportunity to true anywhere, anytime, real-time health interactions

Telehealth – significant growth in the use of ICTs to support remote health encounters, including telediagnostics, teleradiology, teleconsultation, telemonitoring, etc

Genomics – revolution in the ability to map, analyze and use personal genetic information to assist in disease prevention, diagnosis and treatment

www.phdsc.org


Learning Health Systems – maturity in technology, science and medicine are allowing the development of true ‘learning health systems’ in which progress in science, informatics and care culture align to generate new knowledge as an ongoing, iterative process, and to seamlessly refine and deliver best practices for continuous improvement in health

Personalized medicine – assessing each person’s unique genetic, clinical, history, and environmental information and applying that data, information and knowledge to tailor the care and services to an individual

www.phdsc.org


Health Social Media – Social media has transformed the way we communicate and interact locally, regionally and globally; and it is transforming the way we understand health and interact with health care

----------

Privacy and Security – as more granular information is being collected about an individual, and more information is being exchanged and maintained in larger number of big databases and systems, there are increased global concerns about privacy and security of health information

www.phdsc.org

World Health Organization’s Global Initiative on Health Data Standardization and Interoperability

The Landscape:

Unprecedented level of activity across the world towards eHealth, EHRs, HIEs, other

Many countries have passed laws, regulations and executive orders to direct industry towards standardization and interoperability

These efforts vary significant from country to county in terms of focus, scope, timeline, resources

‘Digital divide’ effect more pronounced in eHealth, between and across wealthier and poorer countries

www.phdsc.org


The Challenges: Advancing the global (country-specific) adoption and use

of international standards for eHealth

Access to eHealth standards by low and middle income countries (LMICs)

Participation in the standards development process

Availability of infrastructure and trained resources to support eHealth at country and local level

Level of commitments by governments, industry, SDOs, and others

Importance of engaging public health globally

www.phdsc.org


Policy Barriers: Inconsistent understanding of need for HIT

standardization and interoperability

Lack of understanding of the essential health data standards need for health system performance

Lack of national policies for eHealth

Lack of overarching legal framework

Standards Development Barriers: Insufficient involvement of stakeholders

Lack of informational and educational resources

www.phdsc.org


Standards Adoption Barriers: Limitations in access to international standards

Use of proprietary country-specific standards

Lack of interoperable information systems

Incomplete or inconsistent adoption of existing standards

Lack of adoption of standards-based EHRs

Lack of adoption of standards-bases systems in government; requirements by government to use ‘their’ standard

www.phdsc.org


Workforce Barriers: Need for a trained, informatics-savvy workforce in health

care and government

Availability and access to education/training resources, tools and programs

Funding-related Barriers: Absences of sustainable national and international

approaches to funding eHealth and the adoption and implementation of standards

Competing priorities in countries and lack of a clear ‘business case’ for the value of eHealth

www.phdsc.org


The Opportunity – Building a Global Health Data Standardization Initiative

A Global WHO Coordinated Initiative to ensure countries identify, adopt and implement health information standards

Support through multi-lateral WHO Coordinating Centers to assist countries with models, approaches and technical resources in implementing health information standards

A Global SDO Coordinating Initiative to support education, outreach and provide subject-matter expertise and technical resources to countries

Need to charter a global vision for eHealth and Health IT Standardization and interoperability

www.phdsc.org


Who needs to participate: National health system leadership and decision makers National ICT leadership and decision makers International and national HIT standards organizations International and national health professional associations Academia and researchers Consumers Private sector Foundations and donor organizations

Coordinating entities: WHO, SDOs (through Joint Initiative Council) PHDSC exploring partnership with WHO to assist with

initiative

www.phdsc.org


Next Steps:

WHO Global Forum on Health Data Standardization and Interoperability

WHO Headquarters, Geneva, Switzerland, Dec 3-4, 2012

Attended by health ministers, country delegates, SDO representatives

PHDSC assisting with developing background paper

www.phdsc.org


Global Forum to focus on:

Essentials on Health Data Standards for Care

Access to Standards

Adoption and Implementation of Standards

Innovative Funding Models to Support Improved Access, Adoption and Use

Human Capacity Building

In-Country Policy and Governance Mechanisms

Definition of next steps and 2013-2014 strategy

www.phdsc.org


A number of resources available… WHO

Health Metrics Network Country Health Information Systems WHO eHealth Atlas WHO-ITU Health Strategy Toolkit

ITU ICT Indicators Database ITU- T Technology Watch Reports (eHealth

Standards and Interoperability) ITU ICT Report – Implementing eHealth in

Developing Countries

www.phdsc.org


A number of resources available… (cont.) Health Informatics Standards Knowledge Resource WIKI Joint Initiatives Council (ISO, HL7, GS1, CEN, CDISC,

others) ISO

Country delegations ISO TR 14639-1 and 14639-2 (Capacity-based

eHealth Architecture Roadmap and Maturity Model) Public Health Task Force

HL7 Country Affiliates International mentoring committee

www.phdsc.org


A number of resources available… (cont.) IHE Collaborative Research for Effective Diagnostics (CRED –

Canada) International Medical Informatics Association Others

-------------------------

PHDSC expected to play a key role in this global initiative!

2012 Annual Meeting “Towards Public Health Sector Transformation and Section Unity” Public...

Documents

Transcript of 2012 Annual Meeting “Towards Public Health Sector Transformation and Section Unity” Public...