eHealth Updates

(Philippines)

Jovita Aragona

Department of Health, Philippines

e-Health Updates Philippines

Jovita V. Aragona Information Technology Officer

Department of Health

Department of Health, Philippines

Governance

Establishment of a Joint Department of Health and Department of Science and Technology National Governance Steering Committee and Technical Working Group on e-Health Membership Expansion of the Philippine Network for Injury Data Management System (from 10 to 20 members) Started Works: Establishment of the National Health Data Committee to manage the updates and implementation of health data standards.

Foundations

Standards and Interoperability Development of Health Enterprise Architecture version 1.0 Development of e-Health Framework and Development Plan 2013-2017 Development of Administrative Orders

2013-0025 - National Implementation of Health Data Standards for e-Health Standardization and Interoperability (eHSI Release 001) 2013-0005 - National Policy on the Unified Registry Systems of the Department of Health (Chronic Non-Communicable Diseases, Injury Related Cases, Persons with Disabilities and Violence Against Women and Children Registry System) Institutionalizing the National Telehealth Services under the Department of Health Implementation of Software Data Compliance to National Health Data Reporting

Department of Health, Philippines

Infrastructure

Renovation & upgrading of Central Office Data Center Upgrading of connectivity speed Distribution of computers to DOH hospitals and computer units to rural health units for the implementation of HOMIS & ClinicSys (EMR), Field Health Services Programs, and other DOH national systems

e-Health Solutions

Online Systems

Kalusugan Pangkahalatan Dashboard Maternal and Neonatal Death Reporting System Integrated Tuberculosis Information System Health Facility Enhancement Program Tracking National Online Stock Inventory Reporting System HIV/AIDS Registry Event Surveillance and Response Reporting Prototype System of the Health Information Exchange

Mobile Health Applications

[m-Health] Watching Over Mothers & Babies (WOMB) linked with Department of Social Welfare and Development – Sustaining Interventions in Poverty Alleviation & Governance (SIPAG) and Philhealth Strengthening & Guaranteeing Insurance for the Poor (SAGIP) Maternal and Neonatal Death Reporting System

Department of Health, Philippines

Enhancement of Online Systems

Clinic Information System (ClinicSys) - EMR Electronic Field Health Services Information System National Blood Bank Network System National Health Data Dictionary National Health Facility Registry Online National Electronic Injury Surveillance System Philippine Health Atlas Philippine Registry of Persons with Disabilities Unified Health Management Information System

Integration / Harmonization / Interoperability of Systems

ClinicSys + Field Health Services Programs + Tuberculosis System + Maternal and Neonatal Death Reporting System + WOMB Hospital Operations and Management Information System + Philhealth eClaims Systems + Unified Registry Disease Registry Systems Unified Registry Systems for Non-communicable Diseases (Cancer, COPD, Stroke, Diabetes, Mental Health, Blindness, Coronary Artery Diseases

Philhealth Systems

Establishment of web portal for the access of health facilities to PhilHealth services such as eligibility checking and pre-authorization for cataract surgery Development of Philhealth eClaims Systems

DOST Research

RxBox – Biomedical devices with sensors that measure physiologic signals such as blood pressure, dissolved oxygen, uterine contraction, and fetal heart rate. The device will interface with EMR system.

Department of Health, Philippines

Change and Adoption

Collaboration and Engagement Activities

Health Information System - Sub-national Levels Health Information Technology / Health Information System Fora - Collaboration/Networking, and Health Data Standards for e-Health Standardization and Interoperability - multi-sectoral Consultation Meeting with Private Hospitals on Health Information Exchange (HIE) (NCR – 28 Private Hospitals, 3 Specialty Hospitals, and 4 government hospitals – Identification of Minimum Data Sets for HIE Collaboration/Harmonization with Makati City – Harmonized Information System – Data Standards and Interoperability Makati City Information System Roadmap

Systems Implementation

eFHSIS, Kalusugan Pangkahalatan Dashboard, Integrated Tuberculosis Information System (169 sites), Health Facility Enhancement Program Tracking System, National Online Stock Inventory Reporting System, HIV/AIDS Registry, Event Surveillance and Response Reporting System Telemedicine Services in Geographically Isolated and Disadvantaged Areas – 389 Hospital Operations and Management Information System (57 Hospitals = 27 DOH Hospitals + 30 Local Government Hospitals) ClinicSys (EMR) – Trained 1,000 rural health units

Department of Health, Philippines

Philhealth Systems

Pilot implementation of Philhealth eClaims Systems Pilot implementation of Point-of-Care Enrollment for the enrollment of indigents being admitted to hospitals who are not yet covered by health insurance (PhilHealth) Implementation of PhilHealth Customer Assistance, Relations and Empowerment Staff System (iCares) at health facilities to facilitate the availment of benefits by PhilHealth members and dependents

Monitoring & Evaluation

Systems’ Implementation / Operations

Department of Health, Philippines

Governance

Establishment of Software Data Compliance Body to implement the compliance process - support to national health data reporting and health information exchange. Strengthening of the Philippine Health Information Network

Expansion of Membership Creation of Sub-groups like Health Information Exchange, National Telehealth Steering Committee, among others

Foundations

Standards and Interoperability Development of Administrative Order on the National Implementation of Health Information Exchange Updating of e-Health Standards for e-Health Standardization and Interoperability – Inclusions & Exclusions (E.g. Policies on Privacy, Access, Sharing, and others) Updating of Health Enterprise Architecture & e-Health Plan

Governance Foundations e-Health Solutions Change & Adoption Monitoring & Evaluation

Department of Health, Philippines

e-Health Solutions

Medium-term Information and Communications Technology Harmonization Initiative (MITHI) Projects:

Philippine Health Enterprise Data Warehouse Philippine Health Information Exchange Hospital Operations and Management Information System Expansion Integrated Health Goods Licensing Information System National Disease Registry Enhancement

KOICA Project (If approved) - Interoperable Health Information System for CHD 4A – CALABARZON Information Sources: Updating of the Health Portal Health Service Delivery Systems and/or Tools (Mobile Health Applications, Referral System, Alerts, Telehealth, and others) Philhealth eClaims Systems

Governance Foundations e-Health Solutions Change & Adoption Monitoring & Evaluation

Department of Health, Philippines

Change and Adoption

Collaboration and Engagement Activities (HIS Sub-national Levels, HIT/HIS for e-Heath Standardization and Interoperability, Consultation Meetings) System Implementation - MITHI Projects Implementation of Health Information Exchange:

Implementation of ClinicSys – EMR (2,700 Sites) and Expansion of Hospital Operations and Management Information System (37 Hospitals = 24 DOH Hospitals + 13 Local Government Units) | 1,903 ITIS sites

Watching Over Mothers and Babies (From 6 sites to full implementation) Maternal and Neonatal Death Reporting System (Online + mHealth) Field Health Services Programs Reporting + Integrated Tuberculosis Program Unified Disease Registries

Adoption of Health Data Standards and Software Data Compliance – Private and locally developed hospital and EMR systems

Expansion of Telemedicine in GIDA – 450 sites Operation of software data compliance process Education / Training / Capability Building

Department of Health, Philippines

Implementation of Philhealth e-Claims Systems

Accreditation of Health Information Technology Providers ) to enable them to provide system, infrastructure and services to health facilities to improve the processing of their health insurance claims Implementation of All Case Rates Scheme (fixed rate for specific illness/case) to improve administrative efficiency and reduce turnaround time for processing health insurance claims Rollout of the Point-of-Care Enrollment System for the enrollment of indigents being admitted to hospitals who are not yet covered by health insurance (PhilHealth) immediate availment of benefits Implementation of the Primary Care Benefit (PCB) System for outpatients benefit package intended for sponsored (indigent) members

Monitoring & Evaluation of Systems

Adoption of Health Standards for Interoperability Software Data Compliance Desired Outputs/Outcomes

Department of Health, Philippines

Need

Connectivity Robust and secured infrastructure to enable interoperability between PhilHealth and health facilities for provision of services Analysis of large volumes of claims data for formulation of health insurance policy and improvement of claims processing Continuous funds for upgrading and/or sustaining the required resources like ICT infrastructure, technical support personnel, and others Implementation /Operational Support to roll-out DOH standard systems to support Health Information Exchange

Major Challenges

Protection of Patient’s Privacy and Confidentiality Implementing Rules and Regulations – Data Privacy Act Security like Digital Certificate, Public Key Infrastructure, and others

E-Health Acceptance: Usability of Systems: Benefits to Users and Utilization of Data Adoption of e-Health Standards and Software Data Compliance Capability Building - Health Workforce

Availability of Computing Devices Government Enterprise Architecture Model | Enterprise Service Bus | Interoperability Framework

Department of Health, Philippines