Making the eHealth Connection Weeks 1-4 Key Findings/Recommendations

2 Making the eHealth Connection Conferences Overview Conference highlights Themes – overarching and integration Call to Action Moving forward and next steps

3 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

4 Conference Fast Facts Weeks 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)

5 Global Conference Participation Rwanda Tanzania Zambia Sierra Leone Syria Cambodia Nigeria Ghana Mobile Health Electronic Health Records Access to Information Capacity Building Interoperability Public Health Informatics (PHI) Policy Unlocking the Market South Africa India Chile Guinea- Bissau Liberia Malawi Pakistan Tajikistan Thailand Uruguay Zimbabwe Korea Philippines Vietnam Brazil Peru Week 1 Week 2 Week 3 Week 4 Kenya China Uganda Argentina Cameroon Malaysia Tunisia Mexico Ethiopia

6 Overarching Themes and Recommendations 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.

7 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

8 Overarching Themes and Recommendations Broad Diversity of Recommended eHealth Innovation, Partnership and Support Models 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

9 Week One “If you want to go fast, go alone; if you want to go far, go together” African Proverb

10 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

11 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

12 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

13 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

14 National Readiness Assessment Instrument; other tool kits PhD; Masters Informatics ____________________________ Clinician / Public Health Champions ________________________________ 20/20 “Bits &Bytes” Knowledge & Skills Offerings Executive Seminars; Leadership ID, Training & Advocacy Global ‘ South ’ Components of Needs & 20/20 Vision for Assuring eHealth Capacity Policy & Leadership Human Capital (eHealth Workforce Capacity) State of ICT Technology Infrastructure ComponentsVision for eHealth Workforce

15 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

16 Week Three “WE-CAN!”

17 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

18 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)

19 Week Four “Do or do not. There is no try.”

20 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)

21 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

22 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 (we- can) 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)

23 Thank you!