1. Secured Health
Information Network
and Exchange (SHINE)
mHealth Innovation
30 April 2012
FOR INTERNAL USE ONLY. NOT FOR EXTERNAL DISTRIBUTION. Page 1
2. ICT4HEalth TWG
Enterprise Standards and
Architecture Interoperability
Capacity Building
Compliance
Page 2
3. Outline
• Overview
• Implementing Partners
• Brief History of the Project
• Healthcare System Context
• Scope and Initial Focus
• Accomplishments to Date
• A Project Poised for Scaling Up
Page 3
4. Overview - SHINE
• SHINE is a hosted, internet-
accessible Electronic Health
Information and Referral
System.
• SHINE is accessible using Java
enabled mobile phones and
computers connected to the
internet.
• Readily deployable in any area
with wireless broadband, 3G
and GPRS connectivity.
Page 4
5. Overview - SHINE
• Integrated mHealth solution for recording, reminding,
referring and reporting for doctors, nurses, and midwives.
• Caters to a wide range of health conditions and work roles in
the health ecosystem.
• Combines mobile and internet technologies in one platform.
• Software as a Service bundled with wireless broadband and
mobile connectivity, utilizing widely available and affordable
hardware.
• Users find it easy to use in their day to day work and in helping
them comply with government mandated reports.
• Mainly serves public primary, secondary, and tertiary public
health facilities that cater to the underserved rural and urban
poor communities.
Page 5
6. Smart’s eHealth/mHealth Vision
• We envision more ubiquitous and better healthcare
services for all, specially the underserved members
of the population.
• We will enable this by creating an ecosystem of
healthcare stakeholders connected and coordinated
through technology.
Page 6
7. Partners
SHINE is built on a public-private
partnership with:
• Department of Health
• Local Government Units
• NGOs
– PBSP/TBLINC
– Zuellig FamilyFoundation
– PBSP/Global Fund
– Molave Development Foundation
Inc.
• Nursing Schools
Page 7
8. The SHINE Service
PhilHealth DOH, LGU
Hospital
Health • Collect Data for
Worker • Collect Health Data
Patients Claims Processing
• Input to Policies
• Input to Policies
• Receive Accurate
Health Data
• Send Diagnosis
• Send Referrals and
and Treatment Plan
Pertinent Health Data
• Perform more specialized
• Receive Timely
/complex procedures
Feedback
• Receive and Transmit
Accurate Health Data
Medical Specialist
Patients
Health
Centers;
School Clinics
Pharmacies and
Diagnostic Laboratories
Page 8
9. Wireless Technology Utilized
Wireless Broadband Connectivity 3G and GPRS Technology
SMART Bro Canopy & SMART Bro Java enabled phones for health
Plug – it for health facilities. workers in the field.
SMS for reminders and
notifications to patients and
health workers.
Page 9
10. Value Proposition
• Reduced burden of creating, retrieving, and updating paper
records.
• Minimized errors encountered due to incomprehensible or
incomplete health records.
• Improved compliance of patients through SMS reminders
• Effective referrals among facilities.
• Automated generation of reports from day to day recording.
• More time freed up for actual patient care.
Page 10
11. Innovative Features of SHINE – The 4 Rs
One integrated system for doctor, nurses and
midwives to handle:
• RECORDING
• REMINDING
• REFERRING
• REPORTING
Supporting a wide range of conditions and
health services
Page 11
12. Record
Perceived Problems Value Proposition
• Overwhelming number of • Register patients and would-
health records be patients electronically
• Misplaced records • Easily retrieve patient records
• Unrecognizable records online.
• Loss of records in times of • Record patient consultations
disaster and services at the point of
care
• Familiar forms and processes
were referenced to minimize
the learning curve
• Capture discrete data that can
be utilized for a wide range of
conditions.
Page 12
15. Remind
Perceived Problems Value Proposition
• Patients do not come back for • Easily set appointments
follow up. • Send notifications and
• Non-compliance to reminders to patients via
medications – SMS
– E-mail
• Improve patient compliance to
follow ups and medication
• Disseminate health
information to targeted
individuals for disease
prevention and wellness to
change health behavior
Page 15
17. Refer
Perceived Problems Value Proposition
• Delayed and error-prone • Ensure that the patient is
referral information accommodated by the
receiving facility
• Lack of feedback to referring
doctor • Send patient’s complete
medical history ensuring
• Inconvenience and costly for continuity of care
patients when referrals are not • Receive feedback from
well coordinated receiving facility for the
referral to learn how was the
patient was treated, thereby,
enhancing the primary care
physician skills to tend to
similar cases
Page 17
20. Report
Perceived Problems Value Proposition
• Several DOH programs • Auto – generate reports based
requiring reports on data inputted at point-of-
care
• Time consuming and delayed
paper reports • Reports
– FHSIS
• Error prone paper reports
– NTP
– PIDSR
– Philhealth OPB Forms
• Potential to customize reports
for the needs of other
agencies
Page 20
23. Testimonials on Usability
“It’s easier now to retrieve patient
records, refer patients to other
health facilities and schedule
follow ups...“
- Dr. Mimi Bondoc, M.D.
“SHINE is user friendly”.
- Rafael Camus, R.N.
“It was easy to learn how to use
SHINE for our work in the field.”
- Mary Grace Soloma and
Salvacion Naldoza, R.M.
Page 23
24. Usability Drivers
• Minimal ICT literacy required to learn how to use the web and
mobile application.
• Use of mobile devices with java application that is easy to use
and able to capture essential health data.
• Iterative process with end-users deliver a system that matches
their needs, considering their current work and information
management context.
Page 24
25. User Base
CURRENT AREAS INDICATED INTEREST BY
• Iloilo Multiple cities/provinces in:
• 13 Rural Health Units • Luzon e.g.
• 11 Health Centers – Metro Manila
• 4 District Hospitals – Mimaropa
• 2 Tertiary Hospitals – Ilocos Region
• Quezon City – Southern Tagalog
• Visayas
• 10 Health Centers
– Neg. Occ.
• 13 Hospitals
– Cebu
• Davao • Mindanao
• 2 Hospitals – Davao Region
• 8 Clinic – Caraga
– Socsargen
Page 25
26. SHINE Patient Records September 2011 - March 2012
14000
12000
20,300 health records
10000 as of 30 April2012
Patient Records
8000
6000
4000
2000
0
2/1/2012
12/3/2011
1/12/2012
9/14/2011
10/4/2011
2/21/2012
3/12/2012
10/24/2011
11/13/2011
12/23/2011
Dates
Page 26
28. SHINE will continue to scale and evolve.
To better serve patients and ensure continuity of
care, SHINE will interoperate with other health
information systems or enable interoperability
among health information systems.
=> Ecosystem, behavioral view
Is there scope for us to work together?
Page 28
