HIMSS roadshow at the Asian Hospital and Medical Center

1. Teodoro Herbosa MD FPCS COBIT 5 (F)
National Telehealth Center
University of the Philippines, Manila
Beyond Strategic
Frameworks:
Projects for ICT
Deployment in
the Philippines

2. Beyond Strategic Frameworks:
Projects for ICT Deployment in the
Philippines
Teodoro Javier Herbosa MD FPCS COBIT 5 (F)
A/Professor 6, College of Medicine
National Telehealth Center
Institute for Health Policy and Development Studies
University of the Philippines, Manila
Former Undersecretary of Health
National eHealth Steering Committee

3. Outline
National eHealth Strategic Framework
UHC Implementation
National Telehealth Center Projects
Telemedicine
Social Media and Medicine
Summary
Recommendations
Teodoro J. Herbosa MD FPCS COBIT 5

4. WHO-ITU National eHealth Strategy Toolkit
Development Framework
Teodoro J. Herbosa MD FPCS COBIT 5

5. Leadership and Governance
WHO-ITU Toolkit Recommendation
Teodoro J. Herbosa MD FPCS COBIT 5

6. National eHealth Steering Committee
! Sec Ona
Sec Montejo
PCEO Padilla
USec Herbosa/Bayugo
USec Casambre
CIO PhilHealth
Exec. Director Montoya
Chairperson Licuanan
National eHealth TWG
Dir Valdez DOH
Dir Villorente DOST-ASTI
Dir Opena DOST-PCHRD
Ms Aragona DOH
Ms Tan DOH
Mr Crisostomo PHIC
Mr Bernolia PHIC
Dr Alcantara PHIC
Philippine
Health
Information
Network
Health Data Standards
Experts Group
Health Data Security and
Privacy Experts Group
Leadership and Governance - DOH-DOST
Teodoro J. Herbosa MD FPCS COBIT 5

7. Standards and Interoperability - DOH-DOST
DOH and DOST
(with support
from MITHI) will
build the
Philippine Health
Information
Exchange.
Teodoro J. Herbosa MD FPCS COBIT 5

8. Teodoro J. Herbosa MD FPCS COBIT 5

9. Services and Applications DOH-DOST
Interoperability Layer
Client
registr
y
Provid
erregis
try
Facility
registr
y
Terminology
services
Philippine Health Information Exchange
Electronic
Medical
Records
for RHUs
Hospital
Informatio
n
Systems
NCD
Registries
National
Health
Data
Warehous
e
RxBO
X
Standards
Info exchange
Info
systems
* these are only the MITHI funded projects.
There are other projects that are ongoing at
DOH.
Teodoro J. Herbosa MD FPCS COBIT 5

10. Universal Health Care / Kalusugan Pangkalahatan
Improved Health
especially for the
Poor and
Vulnerable
Secure access
to quality care
at facilities
Achieve the
public health
MDGs
Provide
financial risk
protection
INTERVENTIONS OF
CARE
Prim
ary
Prevention
and
H
ealth
Prom
otion
Curative
H
ealth
Care
Secondary Prevention
and Primary Care
Teodoro J. Herbosa MD FPCS COBIT 5

11. SUBSTANTIAL INCREASE IN THE
DEPARTMENT OF HEALTH BUDGET
Budget (in billion pesos)
BillionPesos
0
22.5
45
67.5
90
Year
2008 2009 2010 2011 2012 2013 2014
Budget (in billion pesos)
18.91 23.67 24.65 31.83 42.08 50.44 89.7
Teodoro J. Herbosa MD FPCS COBIT 5

12. 23 Case Rates (No balance billing for
Sponsored Program beneficiaries in
government hospitals)
Teodoro J. Herbosa MD FPCS COBIT 5

13. IMPROVED ACCESS TO QUALITY
HOSPITALS AND FACILITIES
3,576:Total health
facilities upgraded and
rehabilitated as of Feb
2013
1,049 hospitals
Another 2,487 health facilities will be
upgraded this 2013.
2,751 (91%) came from the 609 priority
municipalities listed by the National
Anti-Poverty Commission
Result: Increase in deliveries of
mothers in hospitals. 719,552 mothers
(38.8%) (2009) vs 1,014,613 mothers
(57.1%) (2011)
Teodoro J. Herbosa MD FPCS COBIT 5

14. Current Situation
Data/health information comes from disparate systems and locations.
Problems are:
Different Data Formats Lack Data Harmonization
Data Quality Problems in terms of reliability, timeliness, accuracy, and completeness
Patient Health Facility 1
New Patient
- Recording of Patient’s Master/Demographic Data - Recording of Past Medical Histories
- Taking of Vital Signs
- Doctor’s Orders
- Observations,Assessment
- Findings / Diagnosis
Recording of Patient’s Master/Demographic Data and Recording of Past Medical Histories
are repeated.
Health Facility 2
Teodoro J. Herbosa MD FPCS COBIT 5

15. Performance Comparison: Existing & MPOC
EXISTING POC
MODERNIZED POC
534 beds utilized out
of 700 sanctioned
beds, sub capacity
operation at 55%
-60% levels
Ideal Staff to Bed
Ratio not being
effectively achieved
Lower than average
period of Avg. Length
of Stay (ALOS) &
discharge times for
admitted patients
Only primary and
secondary medical
services, Limited allied
services, medical tourism
& private patients due to
poor competitive
advantage
Private sector
efficiency in
operations to ensure
atleast 70% capacity
utilization
Expected Ideal
Staff to Bed Ratio
of 2.25 persons/
bed
Possible reduction
in ALOS, discharge
period to reduce
from 22 days to 8
days
Super specialty tertiary care
with increased private
patients, medical tourists,
allied medicine due to
internationally competitive
services & facilities
Teodoro J. Herbosa MD FPCS COBIT 5

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25. Teodoro J. Herbosa MD FPCS COBIT 5

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27. Teodoro J. Herbosa MD FPCS COBIT 5

28. SOCIAL MEDIA
COMPUTER-
MEDIATEDTOOLS
THAT ALLOW PEOPLE
TO CREATE, SHARE
OR EXCHANGE
INFORMATION, IDEAS,
AND PICTURES/
VIDEOS INVIRTUAL
COMMUNITIES AND
NETWORKS. SOCIAL
MEDIA IS DEFINED AS
"A GROUP OF
INTERNET-BASED
APPLICATIONSTHAT
BUILD ONTHE
IDEOLOGICAL AND
TECHNOLOGICAL
FOUNDATIONS OF
WEB 2.0,ANDTHAT
ALLOWTHE
CREATION AND
EXCHANGE OF USER-
GENERATED
CONTENT."[1]
Teodoro J. Herbosa MD FPCS COBIT 5

29. NEW
STANDARDS
Teodoro J. Herbosa MD FPCS COBIT 5

30. Teodoro J. Herbosa MD FPCS COBIT 5

31. Teodoro J. Herbosa MD FPCS COBIT 5

32. NEW FRAMEWORKS: "SMAC"
SMAC: Social Mobile,Analytics and
Cloud
SoMe "sharing culture" vs
confidentiality & privacy
Do the old rules apply? HIPAA
DISRUPTIVE TECHNOLGY?
What would the future rules look
like?
Continue to talks and WILL evolve Teodoro J. Herbosa MD FPCS COBIT 5

33. Summary
• Universal Health Care or Kalusugan Pangkalahatan
• Health Financing
• National eHealth Strategic and Implementation Plan
• Philippine Health Information Exchange
• National Telehealth Center, University of the Philippines,
Manila
• Telemedicine CHITS, rCHITS2, RXBox, NTSP ,
PIEMEDS
• Regional Collaboration: Asia eHealth Information
Network AeHIN
• SoMe #HealthXPh, Social Media Use Manifesto
Teodoro J. Herbosa MD FPCS COBIT 5

34. Recommendations
• Learn about UHC and Health System Reform
• Monitoring of Evaluation of Sin Taxes and UHC
Implementation
• ICT as a tool for efficiency, quality and access to the health
system
• Social Medial and Healthcare will collide
• Apps
• Analytics and Big Data, Dash boards and realtime
information
• Cloud computing (SMAC, IoT)
• Standards, Privacy and security, Risk Management
Teodoro J. Herbosa MD FPCS COBIT 5

35. Randy Pausch, The Last Lecture
“The brick walls are there for a reason. The brick walls
are not there to keep us out. The brick walls are there to
give us a chance to show how badly we want
something. Because the brick walls are there to stop the
people who don't want it badly enough. They’re there to
stop the other people.”
Teodoro J. Herbosa MD FPCS COBIT 5