CHN MIDTERM .1

➢ to get people to work together in order to address problem or concerns affecting them.

PARTNERSHIP and COLLABORATION

➢ It gives people the opportunity to learn skills in group relationship, interpersonal relations, critical analysis and most importantly decision making

PARTNERSHIP and COLLABORATION

DIFFERENT WAYS TO WORK TOGETHER

❑ NETWORKING

❑ COORDINATION

❑ COOPERATION

❑ COLLABORATION

❑ COALITION OR MULTI-SECTOR COLLABORATION

➢relationship among organization that consists exchanging information about each other’s goals and objectives

❑ NETWORKING

➢relationship where organization modify their activities in order to provide better service to the target beneficiary.

❑ COORDINATION

➢relationship where organization share information and resources and make adjustments in one’s own agenda to accommodate other organization’s agenda.

❑ COOPERATION

➢The level of organization relationship where organization help each other enhance their capacities in performing their tasks as well as in the provision of services.

❑ COLLABORATION

➢Level of relationship where organizations and citizens form partnership. All parties give priority to the good of community.

❑ COALITION OR MULTI-SECTOR COLLABORATION

- also known as INFORMATION AND COMMUNICATION TECHNOLOGY (ICT) in the health system

□ DIGITAL HEALTH

- the field of theory and practice associated with any aspect of adopting digital technologies to improve health from its conceptualization to application or operation (WHO, 2019)

□ DIGITAL HEALTH

-involves the use of different healthcare technologies in administering healthcare services to improve patient’s health and wellbeing.

□ DIGITAL HEALTH

-broader and focuses on smart devices, huge data storage, and big data analytics.

DIGITAL HEALTH

have been used over the last decades, depending on the available advancement of technologies and their respective local environments.

eHealth,

• Ultimate objective: Enable health system to use ICT to improve achievement of health and wellness, in line with the national health strategies and plans as well as with the global objectives such as (Universal Health Coverage (UHC) and Sustainable Development Goals (SDGs).

USES OF DIGITAL HEALTH INTERVENTION

In many countries, digital health is utilized to improve gaps in health systems such as:

1. Digital disease surveillance systems

2. Electronic medical records

3. Social health insurance payment processes

4. health education and interventions

overcomes geographic barriers and supports the delivery of healthcare and health-related information to communities situated in remote, isolated, resource-constrained, and physically insecure conflict- affected areas.

Digital health

❑Refers to both the hardware and software that are used to convert, store, protect, process, transmit and securely retrieve information

What is an Information Technology?

❑Is being used and is available and accessible at all levels of community

What is an Information Technology?

in health care is continuously introduced

Innovation

apply best practices from latest research and use appropriate tools to enhance the quality of health care delivery

Health care providers

❑And patients appear to become more engaged in their care, through information available on the internet, on the radio and even television

What is an Information Technology?

❑And communication problems between patients and health care providers, brought about by the differences are easily solved by mobile phones

What is an Information Technology?

-is an emerging field in the intersection of medical informatics, public health services, enhanced and delivered via internet and related technologies

e-health

❑ is the delivery of health care using modern electronic information and communication technologies when health care providers and patients are not directly in contact, and their interaction is mediated by electronic means.

e-health

provides or delivers safer, more efficient, and better-quality healthcare

e-health

❑ It provides quick access to patient records and information for efficient health care.

e-health

Among other things, the services that are provided include physical and psychological diagnosis and treatment, telepathology, vital signs monitoring, electronic prescribing, teleconsultation, etc.

eHealth

benefits patient care by providing new ways of managing health information and the delivery of healthcare online, making it more accessible regardless of where you live.

e-health

❑reduces staff stress. makes an efficient and accessible patient record.

e-health

❑Time saving and reducing indirect works, that leads to more direct care delivery.

e-health

users to communicate with health care professionals by e-mail, to access medical records, to research health information, and to engage in person-to-person exchange of text, audio, video, and other data.

e-health

eHealth encompasses three main areas.

❑ The delivery of the health information, for health professionals and health consumers, through the internet and communications.

❑ Using the power of information technology and e-commerce to improve public health services.

Ex. Through education and training of health workers.

❑ The use of e-commerce and e-business practice in health systems management.

Storage

Retrieval

Transmittal

The use of e-commerce and e-business practice in health systems management

Storage

Retrieval

Transmittal

in Healthcare means Efficient Electronic Medical Record-Keeping.

Storage

❑ It retains data even when power is off.

Storage

are stored in the processes and updated by physicians, nurses, and other healthcare providers.

Electronic health records

is a mechanism that enables a computer to retain data, either temporarily or permanently.

Storage

refers to the use of recording media to retain data using computers or other devices.

Data storage

How long are electronic medical records and health information are kept?

❑It is most likely five to ten years after a patient's last treatment, last discharge, or death.

is the process of identifying and extracting data from a database, based on a query provided by the user or application.

Data retrieval

means obtaining data from a database management system.

Data retrieval

is a complex set of processes to request, retrieve, organize, and deliver medical records and other documentation necessary to process claims

Records retrieva

allows health care providers and facilities immediate access to vital patient and demographic information.

The retrieval of medical records

the act of sending a message.

Transmittal

is a "packing slip" for a document or collection of documents that are transferred from one company to another.

transmittal document is

may improve patients' ability to look after themselves and improve care provided by healthcare services.

Transmission of Electronic health interventions

Extensive capabilities of eHealth

▪Communicating with a patient through a teleconference, electronic mail (email), short message service.

▪Providing patient teaching with aid of electronic tools such as radio, television, computers, smartphones, and tablets

▪Recording, retrieving, and mining data in an electronic medical record

the National Telehealth Center (NTHC) in the University of Philippines Manila was established.

1988

• 1988- ________in the University of Philippines Manila was established.

the National Telehealth Center (NTHC)

• Initiated the design and development of ICT cost-effective tools especially for the remote, rural and underserved communities in the Philippines.

1988

the NTHC has its first breakthrough when it conducted a telemedicine research and service in remote and underserved areas in the Philippines through partnership with the Commission on Information and Communications Technology and DOST. –Philippine Council for Health Research and Development.

2004-2008

• 2004-2008-the NTHC has its first breakthrough when it conducted a telemedicine research and service in remote and underserved areas in the Philippines through partnership with the

Commission on Information and Communications Technology and DOST. –Philippine Council for Health Research and Development.

with goals to develop user- friendly ICT solutions in order to accelerate the gathering and processing of health, and to deliver quality health care services, the National Unified Health Research Agenda (NUHRA) recognized ICT in the health sector as priority research focus.

2011-2016-

the Philippine eHealth Strategic Framework and Plan (PeHSFP) for 2014-2020 was released.

2013-

• It was the first official document that serves as the roadmap on how the country will use IT to support health care service delivery.

•2013- the Philippine eHealth Strategic Framework and Plan (PeHSFP) for 2014-2020 was released.

“By 2020 Ehealth will enable widespread access to health care services, health information, and securely share and exchange patient’s information in support to a safer, quality health care, more equitable and responsive to health systems for all the Filipino people by transforming the way information is used to plan, manage, deliver and monitor health services.”

The eHealth national vision is stated as:

NATIONAL EHEALTH PROGRAM IMPLEMENTATION STRATEGIES

THREE PHASES:

STANDARDIZE AND CONNECT

2. TRANSFORM

3. MAINTAIN AND MEASURE-

- the key focus is on the establishment of governance and foundations and provide basic connections to start information sharing across the health sector.

STANDARDIZE AND CONNECT

This phase started in 2014 and was concluded in 2016.

STANDARDIZE AND CONNECT

- involves continuing innovations to develop and implement defined national eHealth solutions

TRANSFORM-

This phase started in 2016 and is expected to conclude in 2019 and beyond.

TRANSFORM-

eHealth is expected to be established at this point and there is a need to maintain, sustain, continuously measure in terms of performance, and ongoing innovations and updates need to be managed

MAINTAIN AND MEASURE

. This phase is set to commence in 2020.

MAINTAIN AND MEASURE

-Key stakeholders

: DOH, DOST, DBM, PHILHEALTH, and NEDA

Factor affecting e-Health in the country

1. Limited health budget

2. The emergence of free and open source software

3. Decentralized government

4. Target users are unfamiliar with the technology

5. Surplus of “digital native” registered nurses.

describes a person who grew up and is familiar with digital technologies and who uses them in daily living.

Digital native

Major goal of community health nursing is to

preserve the health of the community

▪It is best achieved by focusing on health promotion and maintenance of individuals, families and groups within the community.

Using e-health in the community.

▪Major goal of community health nursing is to preserve the health of the community.

Using e-health in the community.

outlined the policy directions of Universal health care (UHC).

DOH Administrative Order No. 2010-0036,

). Known as Kalusugan Pangkalahatan this reform agenda has three priority health directions:

1. Financial risk protection through program enrolment and benefit delivery.

2. Improved access to quality hospitals and health care facilities.

3. Attainment of the health- related Millennium Development Goals

DOH Administrative Order No. 2010-0036,

DOH Administrative Order No. 2010-0036, outlined the policy directions of Universal health care (UHC). Known as Kalusugan Pangkalahatan this reform agenda has three priority health directions

1. Financial risk protection through program enrolment and benefit delivery.

2. Improved access to quality hospitals and health care facilities.

3. Attainment of the health- related Millennium Development Goals

is basically comprehensive patient records that are stored and accessed from a computer or server.

A. Electronic medical records

– WHO define _______ as, “the delivery of health care services, where distance is a critical factor, by all health care professionals using information and communications technologies

telemedicine

FOUR elements of Telemedicine

1. Its purpose is to provide clinical support.

2. It is intended to overcome geographical barriers, connecting users who are not in the physical location.

3. It involves the use of various types of ICT.

4. Its goal is to improve health outcomes.

is basically the use of electronic tools to aid in teaching

❑ E learning

Can also be used to educate fellow health professionals

❑ E learning

is a process of sharing patient-level electronic health information across different health facilities, practitioners and organizations.

Health Information Exchange(HEI)-

Not only addresses the portability of the patient data information to health care providers and government agencies such as health insurance providers, but the integration of different of different health information system (HIS) addresses the need for better information for decision making.

Health Information Exchange(HEI)-

the power of data is to improve health and social care services

Harnessing

❑Using data well can be a powerful tool in health and social care.

Harnessing

❑It can be used to develop new services, influence strategies, inform budget decisions and optimize processes and policy

Harnessing

are knowledge managers

Nurses

They constantly process raw patient data into valuable information to deliver evidence-based and individualized data

Nurses

When meaning is attributed to data and when data is processed and analyzed, then data become

information

builds heavily on accurate recording of obtained data.

Health Care System

may bring inconvenience when it comes on interoperability of health services, information backup and instant data access.

Paper based methods

Paper based methods may bring inconvenience when it comes on interoperability of health services, information backup and instant data access.

Problems may also emerge like

1. Continuity and inter-operability of care stops in the unlikely event that a record gets misplaced.

2. Illegible handwriting poses misinterpretation of data.

3. Patient privacy is compromised.

4. Data are difficult to aggregate.

5. Actual time for patient care gets limited.

The overall impact of the problems on both clinical and community settings related to manual/traditional data-gathering is as follows :

1. The ability to manipulate large amounts of data.

2. The ability to relate data to cohorts of people who shares similar health problems

3. The ability to link to genomic data.

A WELL-MANAGED PATIENT INFORMATION SYSTEM CAN HAVE THE FOLLOWING BENEFITS:

1. Data are readily mapped, enabling more targeted interventions and feedback.

2. Data can be easily retrieved and recovered.

3. Redundancy of data is minimized

4. Data for clinical research becomes more available.

5. Resources are used efficiently

Three ways to classify the use of eHealth in the public Health sectors:

1. To improve access to health information and services

2. To improve public health surveillance for data-informed decision- making

3. To support health promotion efforts

the use of telecommunications and virtual technology to deliver health care outside of traditional health-care facilities.

▪ Telehealth-

component of health promotion

Empowerment-

Roles of the community health nurse in e-health

Data and records manager.

Change agent

Educator

Tele-presenter.

Client Advocate.

Researcher.

Maintain the quality of data inputs in the EMRS, making sure that information is accurate, complete, consistent, correct and current.

Data and records manager

Working closely with community and implementing eHealth with them and not for them.

❑ Change agent.

Nurses provide health education to individual and families through ICT tools.

Educator

Needs may need to present the patient’s case to a remote medical specialist.

❑ Tele-presenter

Nurse must safeguard patient records, ensuring that security, confidentiality, and privacy of all patient information are being upheld

Client Advocate.

Responsible for identifying possible points for research and developing a framework, based on data aggregated by the system.

Researcher