Alvin B. Marcelo, MD Philippine Health Insurance Corporation

ICT4H: Multi-sectoral Approach to eHealth Promotion in the Philippines

Outline

Introduction to the Philippine Health Governance System The Aquino Health Agenda: Universal Health Coverage DOH Technical Working Group on ICT4H Expanded ICT4H Consultative Group

Philippine Health System Governance

Department of Health – Secretary (1) Regional Centers for Health Development (20) Provincial Health Offices (80) Municipality/City Health Offices (1650) - municipal/city health officer - public health nurses - public health midwives

Aquino Health Agenda

  Declared by President Benigno S. Aquino, July 2010 • Universal Health Coverage

Health Policy Directions

1)  A roadmap towards universal health care through a refocused PhilHealth; 2)  Particular attention to the construction, rehabilitation, and support of health facilities 3)  Attainment of Millennium Development Goals 4, 5, and 6 4)  Attain efficiency by using information technology (IT) in all aspects of health care 5)  Increased attention to trauma, the 4th leading cause of death 6)  More aggressive promotion of healthy lifestyle to prevent NCD 7)  Attention to emerging diseases 8)  Improve the access to quality affordable medicines 9)  Continuing efforts in improving governance and regulation to eliminate graft and corruption in all areas of health care 10)  Improve the plight of health workers through interventions in health education, placement, compensation, among others

Ona, E (2010). The Aquino Health Agenda: Delivering Universal Health Care (from presentation slides delivered on October 22, 2010 at the 2nd Philippine Health Outlook Forum, AIM, Makati City

National eHealth Strategic

Framework, Oct 2010

October 2010

Consultation meetings by the Secretary/Minister with private sector, non-governmental organizations, academe. Agreement: Support the DOH by creating an ICT4H technical working group

October 2010

Consultation meetings by the Secretary/Minister with private sector, non-governmental organizations, academe. Agreement: Support the DOH by creating an ICT4H technical working group

ICT4H Structure

Mandate: through a Department Personnel Order from the Secretary Composition: DOH, academe, NGO, Govt Science and Technology, telecommunications company, IT professionals association, private sector health IT

ICT4H Activities

Preliminary meetings Agreement: expand the committee through monthly consultations (open to public), venues offered by rotation by ICT4H TWG

Expanded ICT4H Consultative Meetings: Themes

Unclear directions Lack of standards Lack of capacity How to align the healthcare with IT Security, privacy, and confidentiality

Four Key Areas

Enterprise architecture (health sector-wide) Standards and interoperability Capability building Compliance

Status Final report/recommendation given to the Secretary February 7th, 2012 International consultant hired to review the ICT4H output Local consultant to craft action plan to move forward

Lessons Gathering a wide audience provides an array of different ideas and expertise Spending time on consultations is worth it Governance is key to forging ahead. The leadership must be visible at all steps of the process.

How PhilHealth Benefited from ICT4H

Convinced Board to undertake Enterprise Architecture activity Enterprise architecture defined standards (eg, enterprise service bus) Standards informs content for capability building programs.