Transcript Unlocking the eHealth Market: Innovative Business and

Making the eHealth Connection
Weeks 1-4
Key Findings/Recommendations
Making the eHealth Connection Conferences
Overview
 Conference highlights
 Themes – overarching and integration
 Call to Action
 Moving forward and next steps
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Making the eHealth Connection Conferences
July 13–18 National Health Information Systems
– Public Health Informatics
– The Path to Interoperability
July 20–25 Knowledge and Capacity for eHealth
– Access to Information
– eHealth Capacity Building
July 27–Aug 1 Core eHealth Technologies
– Electronic Health Records
– Mobile Health and Telemedicine
Aug 3–8 Policy and Markets for eHealth
– Unlocking the Market for eHealth
– National eHealth policies
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Conference Fast Facts
Weeks 1-4
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34 South countries representatives
32 donors
10 media (traditional and on-line)
100 participant perspective video shorts posted on conference
website
 Active conference wiki discussion
 30 media stories related to conference filed (print, bogs and
radio)
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Global Conference Participation
Mexico
Tunisia
Peru
Brazil
Tajikistan
Korea
China
India
Syria
GuineaBissau
Chile
Sierra
Leone
Argentina
Uruguay
Pakistan
Nigeria
Liberia
Ghana
Ethiopia
Uganda
Vietnam
Philippines
Thailand
Cambodia
Kenya
Malaysia
Cameroon
Tanzania
Rwanda
Malawi
Week 1
Zambia
Zimbabwe
South
Africa
Week 2
Week 3
Week 4
Public Health Informatics (PHI)
Interoperability
Capacity Building
Access to Information
Electronic Health Records
Mobile Health
Policy
Unlocking the Market
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Overarching Themes and Recommendations
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From silos to systems
Person centered, user driven, integrated, collaborative, sustainable,
scalable, reusable, demand-driven by in-country organizations
Information is care – need to document impact on access,
affordability and quality of health services
Be daring in eHealth and technology visions for the Global South –
much can be done with limited resources and a lot of ingenuity
Ultimate goals of eHealth should be to strengthen health systems and
improve people’s health
Support Collaboration and Innovation Across Resource Constrained
Countries and South to South Learning - Equator is NOT the dividing
line for innovation.
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Overarching Themes and Recommendations
Donors and Stakeholders
 Reduce donor fragmentation
 Harmonize donor requirements
 Consolidated reporting structures across donors
 Develop ICT “business case” for ICT to increase donor
and stakeholder involvement
 Strengthen stakeholder collaboration (private sector and
university involvement both important and growing)
 Provide funding for pilot/greenfield projects, reference
implementations and adequate evaluation
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Overarching Themes and Recommendations
Broad Diversity of Recommended eHealth Innovation,
Partnership and Support Models
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Centers of Excellence
Collaborative Action Networks
Internet-based portals for knowledge and information-sharing
Taskforces
Association models
eHealth promotion networks
Strategic alliances
Enhanced university programs and partnerships
 *Supported by leveraging existing efforts and institutions
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Week One
“If you want to go fast, go alone; if
you want to go far, go together”
African Proverb
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Call To Action - PHI
Capacity for Today and Tomorrow
Build Centers of Excellence network based in resource
constrained countries (6 to 10) with a 10 year
funded program of public health informatics work.
 Requires a new partnership and program of work
that does not exist today
 Architecture is required for a national health
information systems
 Latest science, engineering and R&D from the public & private sectors
has great potential and must be captured, similar to successful programs
for vaccines, micro-nutrition, and medical technology partnerships
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Call to Action - Interoperability
 Governments should be encouraged to adopt a
culture of interoperability and standards in relation to
eHealth
 To encourage interoperability, open standards and
open source software should be made freely available
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Week Two
“If you talk to a man in a language he
understands, it goes to his head. If
you speak to him in his language, it
will go to his heart.”
Nelson Mandela
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Call to Action – A2I
 Create an environment (common space)
to enable producers, intermediaries and
users to develop and share content, methods
and technologies
 Establish a task force with representatives
from key stakeholders and donors
to establish a plan of action for the
implementation
 Priority should be given to settings with weak
production of and access to information and knowledge
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Global ‘South’ Components of Needs &
20/20 Vision for Assuring eHealth Capacity
Policy &
Leadership
Human Capital
(eHealth Workforce Capacity)
State of ICT
Technology Infrastructure
Components
Executive Seminars;
Leadership ID,
Training & Advocacy
PhD; Masters Informatics
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Clinician / Public Health Champions
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20/20 “Bits &Bytes” Knowledge & Skills
Offerings
National Readiness Assessment
Instrument; other tool kits
Vision for eHealth Workforce
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Call to Action - Informatics & Capacity Building
20/20 eHealth Capacity Building: from
Multiple Silos to Integrated Systems
 Assure local sustained informatics
expertise: skilled eHealth workforce in
informatics/ICT for care, education,
leadership, advocacy, & research
 Develop environments to support
ICT: assessment and relevant complex
systems development
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Week Three
“WE-CAN!”
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Call to Action - eHR
 we-can: Support the further growth and development of
collaborative action networks by the creation of the
WE-CAN organization
 do it: Follow these thoughts with action.
- Design systems and architectures to support patient
care in challenging environments with focus on reuse,
collaboration, interoperability and scalability
- Create tools to guide on-the-ground baseline assessment,
implementation, scaling and evaluation of information
systems
- Create eHealth centers of excellence and build a national
scale reference implementation of patient level record
systems in select LMICs such as Rwanda.
- Formative meeting of we-can taskforce September PHI2008- Seattle WA
http://www.we-can-doit.org
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Call to Action - mHealth
mHealth Alliance
 Create the mHealth alliance in next six months
 Work to bring other partners to the conversation
 Goal launch: Announce mHealth alliance in
February 2009
 Through the mHealth Alliance incubate the initial
mHealth projects developed at Bellagio
Bellagio Projects
mDoc: "a hospital in your hands"
mHealth for Positive Living: HIV treatment, wellness and support
CommCare: tools for community health workers
Breakout: Ending the cycle of outbreaks (information collection system)
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Week Four
“Do or do not. There is no try.”
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Call To Action - Policy
 Convene a Convention on global eHealth
(intergovernmental endorsement)
 Create eHealth policy toolkit
 Craft integrated advocacy, communications
and marketing plans that make the case for eHealth
 Foster the establishment and support of national eHealth
Councils, beginning with a landscape of current activities
 Identify and appoint eHealth ambassadors
(local, regional, national)
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Call to Action - Markets
Develop eHealth promotion and entrepreneur network
 Training
 Project vetting
 Incubate and accelerate fundable business plans
Create Internet-based portals for
knowledge/information-sharing and idea clearinghouse
Align stakeholders strategically
 Philanthropy to innovation
 Donors to entrepreneurs
 Entrepreneurs to eHealth information
 SMEs to solution value chain
Develop open source platform to facilitate business model development
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Putting Thought Into Action
Notable Conference Developments
 Framework strategy for integrated eHealth systems
(initial focus in Africa)
 Established plan for Global eHealth Convention
 Draft resolution on governments and interoperability
 HINARI-like platform for free standards initiative
 September 2008 launch of World eHealth Collaborative Network (wecan)
 Formation of mHealth Alliance
 Seeding eHealth promotion and entrepreneur network
 Takeaways and action steps reported and discussed at meetings of high
level influencers: G8, HL7, AMIA, Global Partners in Public Health
Informatics and Global Ministerial Forum on Research for Health
(Bamako, Mali)
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Thank you!
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