1. eHealth at the Pan American Health Organization Regional office for the Americas of the World Health Organization Knowledge Management and Communications Deputy Directors Office Rockefeller Foundation, New York City, 10 July, 2012

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4. Pan American Health Organization, Regional Office for the Americas of the World Health Organization eHealth in the Americas July 2012 The oldest international health agency committed to providing technical support and leadership to Member States as they pursue their goal of Health for All 4 A catalyst for ensuring that all the peoples of the Americas enjoy optimal health and contribute to the well being of their families and communities. Vision Mission To lead strategic collaborative efforts among Member States and other partners to promote equity in health, to combat disease, and to improve the quality of, and lengthen, the lives of the peoples of the Americas.

5. Pan American Health Organization, Regional Office for the Americas of the World Health Organization eHealth in the Americas July 2012 5 A catalyst for ensuring that all the peoples of the Americas enjoy optimal health and contribute to the well being of their families and communities. Vision Mission To lead strategic collaborative efforts among Member States and other partners to promote equity in health, to combat disease, and to improve the quality of, and lengthen, the lives of the peoples of the Americas.

6. eHealth in the Americas July 2012 PAHO Director’s vision related with eHealth and knowledge management “This will be the century of networks, connectivity and interdependency, which will allow us to overcome barriers of space and time and will open possibilities that were unimaginable to humankind. If we encourage those networks to exponentially multiply the available share capital in order to link people and institutions within a large supportive and inclusive mesh of all the inhabitants of the continent, we will have taken a fundamental step towards eliciting knowledge and experience in new ways of exchanging technical cooperation for sustainable human development”. Dr. Mirta Roses Periago’s Inauguration Speech as Pan American Health Organization Director, Regional Director for the Americas, January 31st, 2003

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8. Situation Analysis eHealth in the Americas July 2012 eGovernment policy eHealth Strategy Telemedicine policy 82% 45% 36% Electronic medical records mHealth initiatives Investing in technology and software 8 54% 91% 82% * Argentina, Belize, Brazil, Canada, Colombia, El Salvador, Mexico, Panama, Paraguay, Peru, USA Member States that participated in WHO’s Second Global Survey on eHealth (2010) indicated:

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10. Needs ICT Solutions AdoptionTrainingUse Lessons learned Partners people Institutions Data base Research Access to informationAccess to trainingInteractions (2.0) 2.0 PAHO H E ALTH Program - ICT tools to improve Public Health in the Americas Region ICT tools and methodologies to improve Public Health in the Americas Region

11. Needs ICT Solutions AdoptionTrainingUse Lessons learned Partners people Institutions Data base Research Access to informationAccess to trainingInteractions (2.0) 2.0 PAHO H E ALTH Program - ICT tools to improve Public Health in the Americas Region ICT tools and methodologies to improve Public Health in the Americas Region People-centered Health & Patient Empowerment

12. Needs ICT Solutions AdoptionTrainingUse Lessons learned Access to informationAccess to trainingInteractions (2.0) PAHO/WHO content; Public Health (Certified and open access) content; Other (certified) content – GHL – VHL HINARI – AGORA – OARE; Other (relevant) content. Trainings; Learning objects; Web Conferences; Lectures; Open content for educational resources. Tele-consulting; Telemedicine; Web Conferences & lectures; Content aggregators (Blogs, Wikis, etc); Social networks ICT tools and methodologies to improve Public Health in the Americas Region

13. Needs ICT Solutions AdoptionTrainingUse Lessons learned Partners people Institutions Data base Research Access to informationAccess to trainingInteractions (2.0) 2.0 PAHO H E ALTH Program - ICT tools to improve Public Health in the Americas Region INNOVATION ICT tools and methodologies to improve Public Health in the Americas Region People-centered Health & Patient Empowerment

14. Needs ICT Solutions AdoptionTrainingUse Lessons learned Access to informationAccess to trainingInteractions (2.0) PAHO/WHO content; Public Health (Certified and open access) content; Other (certified) content – GHL –VHL HINARI – AGORA – OARE; Other (relevant) content. Trainings; Learning objects; Web Conferences; Lectures; Open content for educational resources. Teleconsulting; Telemedicine; Web Conferences & lectures; Content aggregators (Blogs, Wikis, etc); Social networks Telemedicine PC Mobile (mHealth) WWW ICT tools and methodologies to improve Public Health in the Americas Region

15. Needs ICT Solutions AdoptionTrainingUse Lessons learned Access to informationAccess to trainingInteractions (2.0) PAHO/WHO content; Public Health (Certified and open access) content; Other (certified) content – GHL –VHL HINARI – AGORA – OARE; Other (relevant) content. Trainings; Learning objects; Web Conferences; Lectures; Open content for educational resources. Teleconsulting; Telemedicine; Web Conferences & lectures; Content aggregators (Blogs, Wikis, etc); Social networks - Differences in legislation - Language barriers - Multitude of technical systems Interoperability (Political/Legal, Organisational, Semantic and Technical) ICT tools and methodologies to improve Public Health in the Americas Region Main purposes: > Freedom of circulation of personal data > Protection of personal data

16. Needs ICT Solutions AdoptionTrainingUse Lessons learned Access to informationAccess to trainingInteractions (2.0) PAHO/WHO content; Public Health (Certified and open access) content; Other (certified) content – GHL –VHL - HINARI – AGORA – OARE; Other (relevant) content. Trainings; Learning objects; Web Conferences; Lectures; Open content for educational resources. Teleconsulting; Telemedicine; Web Conferences & lectures; Content aggregators (Blogs, Wikis, etc); Social networks people PAHO/WHOInstitutions INNOVATION ICT tools and methodologies to improve Public Health in the Americas Region People-centered Health & Patient Empowerment

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18. eHealth Strategy eHealth in the Americas July 2012 18 Improve health services access and quality in the Americas through the use of innovative ICT tools and methodologies Strategic Area #1 Policies Strategic Area #2 Tools and Methodologies Strategic Area #3 Horizontal Cooperation Strategic Area #4 Knowledge Management, Digital Literacy, Education in ICTs

19. eHealth Strategy eHealth in the Americas July 2012 19 Improve health services access and quality in the Americas through the use of innovative ICT tools and methodologies Strategic Area #1 Policies Strategic Area #2 Tools and Methodologies Strategic Area #3 Horizontal Cooperation Strategic Area #4 Knowledge Management, Digital Literacy, Education in ICTs “Health in all policies ” eHealth can be an important tool for ensuring health in all policies

20. eHealth Strategy eHealth in the Americas July 2012 20 Improve health services access and quality in the Americas through the use of innovative ICT tools and methodologies Strategic Area #1 Policies Strategic Area #2 Tools and Methodologies Strategic Area #3 Horizontal Cooperation Strategic Area #4 Knowledge Management, Digital Literacy, Education in ICTs Standards Information sharing Legislations Inter-operability Standards (such as Dublin core, HL7, etc) Semantic Methodologies Concepts

21. Our mandate eHealth in the Americas July 2012 21 The Pan American Sanitary Bureau recommends: Technical Consultation on eHealth Technical Advisory Group Regional eHealth Laboratory

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23. Some Projects in the Region eHealth in the Americas July 2012 23 Technical Cooperation Argentina, Aruba, Brazil, Canada, Chile, Colombia, Costa Rica, Cuba, Dominican Republic, Haiti, Guatemala, Mexico, Panama, Peru Publications Strategy and Plan of Action on eHealth for the Americas Strategy on the Use of Social Networks in PAHO Conceptual model of PAHO/WHO in the British Medical Journal Highlight of the PAHO eHealth Strategy in final report of the Second Regional Seminar on eHealth (SELA) Guide: “Preventing HIV through new information and communication technologies” Projects eSac (IDRC) Teleworking Virtual platform for the exchange of solutions to health problems in developing technologies Text4Baby (US State Dep, VOXIVA, and others) mHealth (Mhealth Alliance and others) WHO-ITU National eHealth Strategy Toolkit

24. Some Projects in the Region eHealth in the Americas July 2012 24 EVENTS Participated in International Seminar “Social policies and the information society: gaps, opportunities and rights” Participated in Workshop “Challenges of eHealth for a new regional agenda” Participated in mHealth Summit 2010 and 2011 Held event “New approaches to eHealth between PAHO and the National Library of Medicine” Participated in Workshop: Pan Amazon Network for Science, Technology and Innovation in Health Participated in IDB Project Workshop II: Regional Protocols on Telehealth Public Policy PAHO celebrates World Internet Day Participated in the Global Health Council Participated in Conference “Telemedicine in the framework of the eHealth Strategy for the Region of the Americas” for SELA Participated in International Seminar on eHealth: a regional perspective Participated in event “Opportunity for the use of new technologies in healthcare” Organized event “Improving health information systems” in Peru Tweetchar on eHealth Strategy with Health Care and Social Media in Latin America (#HCSMLA) OAS introduces technology as part of the dialogue of the Americas Forum for a National Strategy on eHealth in Dominican Republic Held eHealth Workshop and Panel at the Pan American Conference on Obesity II in Aruba Participated in the International Seminary on Telemedicine for the Americas, held in Mexico

25. Current Partners eHealth in the Americas July 2012 25 WELCOME !!!

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27. Challenges eHealth in the Americas July 2012 Chaos in the web

28. Challenges eHealth in the Americas July 2012 “some abuse” in the social networks

29. Challenges eHealth in the Americas July 2012 Digital convergence

30. Challenges eHealth in the Americas July 2012 eHealth eSalud eSaude ePublic Health eCare ePacientes ePrescripciones eHomeCare eDiagnostico mHealth TeleHealth Telemedicine Telebaby eDiseaseManagement Teleconsulta eMedicalRecords Text4Baby “very creative people”

31. Challenges eHealth in the Americas July 2012 El Paso (US Mexico Border) Pakistan Colombia Inglaterra Colombia Bolivia Colombia Uruguay Honduras Peru Guyana Guatemala USA Brasil Canada Francia Canada Nicaragua Argentina Multicultural and multilingual convergence

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33. Opportunities & Space for Collaboration eHealth in the Americas July 2012 33 Technologies are everywhere

34. Opportunities & Space for Collaboration eHealth in the Americas July 2012 34 Use of mobile technology in Haiti after the earthquake Mobile technologies are growing and growing

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36. Opportunities & Space for Collaboration eHealth in the Americas July 2012 The power of new generations

37. Opportunities & Space for Collaboration eHealth in the Americas July 2012 New ways of teaching and learning

38. Opportunities & Space for Collaboration eHealth in the Americas July 2012 No limits for technologies

39. Opportunities & Space for Collaboration eHealth in the Americas July 2012 Worldwide use of technologies

40. Opportunities & Space for Collaboration Development and adoption of policies to support the use of ICTs in health ( eHealth on Health policies & Health in all policies ); Help the countries to define eHealth policies & priorities; Standards for information exchange among systems; Telemedicine ( ex: Canada + Haiti ); mHealth for epidemiological surveillance and more.. ( text4baby, “La hora de la vida” in Peru, Social Networks for Urban Security, among others ); Develop and build capacities on Virtual health libraries ( open access to scientific and technical information ); Capacity building – training plan for universities and new skills and competencies for health workers; Framework for unique patient identification; Social networks in health promotion & knowledge sharing; Sharing of lessons learned in the Americas Region; One virtual space for “ehealth connections and convergence” ( eHealth regional laboratory ) Innovation eHealth in the Americas July 2012 40

41. Thank You and let's celebrate together !! eHealth in the Americas July 2012 41