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E-health in the Cook Islands by Tofiga Aisake at the National Auditorium Rarotonga Cook Islands September 2008 for PacINET2008
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The Government of the Cook Islands
TE MARAE ORATE MARAE ORAMINISTRY OF HEALTH
TOFINGA AISAKETOFINGA AISAKESenior ICT Officer
“To provide accessible and affordable health care of the highest quality, by and for all in order to improve the health status of the
people of the Cook Islands”
Å Cook Islands Health Strategy 2006 – 2010§ 12. To strengthen the infrastructure of the
health system to ensure it has sufficient capacity to meet the health needs of the population.
Å Te Marae Ora Management Review 2007§ 1.14 The continued rollout of the Information Technology
Programme, with particular emphasis on the hospital information system in all hospitals and health centers
“e-Health is the use, in the HEALTH sector, of digital data transmitted, stored and retrieved
electronically, in support of healthcare, both at the local site and at a distance”
- WHO Essential Health Technologies Strategy 2004 - 2007
1. TONIQ 2. TELEHEALTH3. POLHN4. MEDTECH325. GIS
Å Network Architecture§ Ethernet based WAN
? Rarotonga Hospital, Health Administration Facilities
§ WORKGROUP? Outer Island Hospitals
Å Connectivity§ 1024Kbps Leased Line
§ 256Kbps DSL Modem§ 1Gbps Network Backbone Switches
§ 100/10Mbps Hubs§ 1 Wi-Fi Access Point
Å Hardware§ 6 Servers§ 50 Workstations
§ 20 Thin Client Terminals§ 15 Laptops
§ 15 Network Printers§ 30 Desktop Printers
ÅHuman Resources§ 2 System Administrators
Å Software§ Operating Systems
? Windows 2003 Server? Windows XP? Linux (IPCop Firewall)? Apple
§ MS Office Products
§ Quickbooks§ MS Exchange 2003 STD
§ Symantec Antivirus§ IHR Payroll & Visual HR
Package
Å 2001Å Pharmaceutical
Information SystemÅ Coverage§ Rarotonga
§ Aitutaki
Å Primary Focus§ Electronic Dispensing
§ Patient Medication History? Concurrent Medicines? Changing Medication
Patterns
§ Caution/Advisory Label & Commonly Used Directions
§ Monitor stock levels of Drugs/Medications
§ Improves Financial Reporting
Å 2003Å Web Based Application§ www.telehealth.gov.ck
Å Sponsors§ WHO
§ Telecom Cook Islands (TCI)
ÅCoverage§ Rarotonga & All Outer
Island Hospitals
Å Primary Focus§ Electronic Clinical
Consultation Requests§ Public Health Electronic
Referral Requests
§ Surveillance Notices§ Internet Links to reputable
external Medical Websites
ÅCurrent Status§ ABOLISHED
Å 2003Å Online Learning§ www.polhn.com
Å Sponsors§ WHO
§ JICA
ÅCoverage§ Rarotonga & All Outer
Island Hospitals
Å Primary Focus§ Continuous Health
Education? Internet Health Resources
§ E-Learning to Improve Quality & Standards of Practice
? Work & Study
§ Distribution of Digital & Print products to Learning Centers Nurses Undergoing ICT Training
Å 2005Å Electronic Patient
Management SystemÅ Coverage§ Rarotonga & All Outer
Islands with High Speed Internet
? All Southern Group Hospitals
? 2 Northern Group Hospitals
Å Primary Focus§ Demographics
§ Clinical Notes§ Recall & Screening
§ Prescribing§ Accounts
§ Attachment Management§ Query Building
§ Drawing Tool for Anatomical Reference
§ Lab Referral
Lab Technician – Mata Iroa
Dr. Teariki Faireka, using Medtech32 for patient consultation
APRIL 2008
Å 2006Å Geographic PerspectiveÅ Data Sources§ Ministry of Works
? Spatial Data
§ Medtech32? Demographic Data
Å Uses of GIS in Health§ Determining Geographic
Distribution of Diseases § Mapping Populations at
Risk
§ Assessing Resource Allocation
§ Planning & Targeting Interventions
§ Monitoring Diseases and Interventions over Time
AUGUST 08
Å Operating Environment§ Speed of Telecommunications Infrastructure§ Access to Reliable Power Supply
Å Legal§ Outdated Health Act
Å Organizational§ Changing healthcare systems to accommodate Community
Health Initiatives
§ Policies to reflect current health system and service priorities
Å Financial§ High Costs of Maintaining Connectivity of Outer Islands§ Limited Resources
Å Integration§ Manual VS Electronic
§ Provide ICT Training§ Foster Positive Attitudes towards Technology
Å Security§ Safeguarding the Integrity of Patient Information
? Authorized Access? Audit Trail? Securing Transmission between Health Networks
§ Urgent Need for the Cook Islands to adopt Legislation relating to Electronic Data & Information
? Electronic Criminal Activity
Å Comprehensive Patient DatabaseÅ Connectivity to Rural and Remote AreasÅ Continuous Professional DevelopmentÅ Cost Effectiveness
The Government of the Cook Islands
TE MARAE ORATE MARAE ORAMINISTRY OF HEALTH