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Health Information Technologies: Opportunity for Nigerian Innovation
November 21, 2012
Outline
The Impact of Technology1
Health Information Technologies3
Opportunity for Nigerian Innovation4
2 Nigeria’s Health Profile
Conclusion5
2
3
The Impact of Technology1
4
The Impact of IT on Modern Life
Education Banking & eCommerce
5
The Growth in Nigeria’s Teledensity
2002 2012
0
20,000,000
40,000,000
60,000,000
80,000,000
100,000,000
120,000,000
140,000,000
160,000,000
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
1.89%
76.69%
Number of Subscribers
Teledensity
Subs
crip
tions
(in
mill
ions
)
6
2 Nigeria’s Health Profile
7
Nigeria’s Health Profile
Nigeria has one of the worst records in the world
Second to India, Nigeria is the most hazardous place in the world for expectant mothers and children
Incidences of morbidity are equally high
8
The Challenges of Healthcare
Lack of Information
Lack of Access to Quality Care
Systemic Failures
Resource constraints
Gaps in care
9
Health Information Technologies3
10
Health Information Technologies
The application of Information and Communication Technologies to Health:
Planning Management Financing Delivery Improvement
Electronic Health Records
Electronic Prescription Health Information
Exchange Analytics Clinical Decision Support
11
Health Information Technology cont’d
The potential to make a difference in Nigeria depends on certain key considerations:
The value of health information Patient Present illness Available therapies
Appreciation of the impact on the quality and appropriateness of care that is dispensed
Commitment to improve the quality of healthcare services
12
Engaging patients and their families Education and awareness Community mobilization Reminders for Appointments and medication Treatment compliance
Data collection and dissemination Biographical and health information Providing relevant information at the point-of-
care Quality reporting
Use Cases of Health IT
13
Clinical collaboration Remote delivery of care – frontline workers and
urban-based specialists Care coordination and management
Surveillance Syndromic (preventive epidemiological
applications) Disease (to aid evidence-based disease-
focused interventions)
Use Cases of Health IT cont’d
14
Use Cases of Health IT cont’dAnalytics & Clinical/Business
Intelligence
15
Use Cases of Health IT cont’d
16
Opportunity for Nigerian Innovation4
17
Health Information Systems
The Patient-Centered Paradigm
18
Nigerian Innovation
Multidisciplinary Collaboration Comprehensive Pathways of care Clinical workflows that foster the care team
approach Sound business case and clinical value Information-oriented architectures
Regulatory & Policy Enablement The National Health Bill Issue an Innovation Challenge Incentivize the creation, adoption and
meaningful use of Nigerian Health Information Systems
19
Potential Impacts
Transformation of Healthcare Coordinate care across the continuum Improve quality, safety, and effectiveness Leverage existing infrastructure to engage
patients Promote Public and Population Health
Growth of Nigeria’s Knowledge-based Economy Disrupt consumption and import-oriented trade Provide training and employment opportunities Position Nigeria to become a reliable
outsourcing destination
20
Conclusion5
21
Recognize the value of health information
Punctuate the equilibrium of suboptimal and declining health outcomes
Leverage the inherent efficiencies of health information technology to innovate
Make Nigeria an outsourcing destination
Foster sound clinical and economic health
22
“The secret to getting ahead is getting started…”
- Mark Twain
23
Charles NwasorCharles is the Principal & Chief Health Information Technologist at Xcellent Technologies.
A consummate health information technologist, Charles is currently involved in executing the Michigan Center for Effective IT Adoption project, a federal initiative for providing technical assistance in the adoption and Meaningful use of health IT to Primary Care Providers in the State of Michigan.
He can be reached at: [email protected]
