Country eHealth Updates

Philippines

Dr Alvin B. MarceloFebruary 26, 2016

Disclosures• Associate Professor of Surgery and Health Informatics, University of

the Philippines Manila• Director, Technology Transfer and Business Development Office, UP

Manila• Executive director, Asia eHealth Information Network• Member, National eHealth Technical Working Group• Chair, eHealth Risk Management Expert Group

Disclaimers• This is my perspective on how the story of Philippine eHealth

unfolded.• Based on policy documents and proceedings of meetings.• Where basis is subjective, I will highlight.

February 2012• WHO and ITU invite country representatives to Geneva• Launched the National eHealth Strategy Toolkit• Message: to get eHealth done right, health and ICT sector need to

work together

WHO-ITU eHealth Strategy Toolkit

August 2012• Asia eHealth Information Network holds first general meeting in

Bangkok• Regional launch of the WHO-ITU National eHealth Strategy Toolkit

July 2013• DOH and DOST issues joint department memorandum on the National

eHealth Governance Structure and Technical Working Group• Joint presentation of the Philippines eHealth Strategic Framework and

Plan Organizational structure is patterned after the Toolkit

WHO-ITU Toolkit PeHSFP

October 2013• National eHealth Steering Committee meets for the first time.• Key decisions:• add UP Manila and Commission on Higher Education to Steering Committee• set initial priorities: decrease maternal deaths, increase PhilHealth coverage,

complete health facility enhancements, use IT in all public health facilities• approve the Philippine eHealth Strategic Framework and Plan (PeHSFP)

WHO-ITU and PeHSFP

November 7, 2013• Typhoon Haiyan makes landfall in the Visayas region of the Philippines

January 29, 2014• Second Steering Committee

Meeting• Adopt IT Governance framework

(COBIT5) to guide the multi-sector-led eHealth initiatives

April 2014• 12 participants from the

Philippines undergo certification on COBIT5 Foundation (with AeHIN, WHO and NORAD support)

May 27, 2014• eHealth Steering Committee approves the Philippine Health

Information Exchange as the key project for eHealth interoperability• Directs TWG to start crafting the Data Sharing Agreement for the PHIE

July 2014• Steering Committee directs TWG to comply with the Data Privacy Act

of 2012

OpenHIE

TS – terminology serviceCR – client registrySHR – shared health recordHMIS – health management information systemFR – facility registryHWR – health worker registry

Current Updates• Public issuance of Administrative Order on the Implementation of the

Philippine Health Information Exchange

Current Updates• Public issuance of the Administrative Order for the Health Data

Privacy Guidelines

Standards Catalog v1

Standards Change Management Manual v1.35

ehealth.doh.gov.ph

Lessons Learned• eHealth is complex. No single sector can do it alone. It needs stakeholders

to collaborate under the leadership of the Ministry of Health.• IT governance frameworks like COBIT5 help in managing this complexity.

Without a framework, it is easy to get lost. With IT governance, stakeholders can refer to a guide as they move along.• Good governance is key to progress. Good governance can be as simple as

keeping meetings regular as scheduled and deciding together as a group.• Consensus-building may take longer but is more sustainable. Stakeholder

ownership of eHealth will ensure its adoption.

• Structured (limited) data for sharing – eases implied consent (can be withdrawn) - Canada• Does not work in other places• HI Custodian (manager of databases) vs HI network provider (convey

the information to another facility) • Prof Michio Kimura – SSMix-HD (also limited in data types and

collection) (We had Dr Kimura in a previous AeHIN Hour)

Next Country eHealth Update: Thailand