e-government and e-health strategies by mrs. veronica boateng
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ECOSOC Africa Regional Ministerial Meeting on e-Health:
E-Government and E-Health Strategies
Accra, Ghana 10-11 June 2009
Presentation by Mrs Veronica Boateng,
Director, Application Systems
Ghana Information and Communications Technology Directorate (GICTeD)
• Background• E-Government Developments in Ghana• E-Health Strategies and Applications• Conclusion
Content
Background
• National e-Health strategy should define the common threads that binds the National health and National ICT strategies
• Ghana’s National ICT Policy document - ICT4AD
• A policy statement for the realization of the vision to transform Ghana into an information-rich knowledge-based society and Economy through the development, deployment and exploitation of ICTs within the economy and society.
• It takes into account provisions of key socio-economic development framework documents including:
Vision 2020 –Achievement of middle income status Ghana Poverty Reduction Strategy (GPRS 2002 -2004)
Co-coordinated Program for Economic and Social Development of Ghana (2003-2012).
Ghana ICT4AD Policy
Focus Areas of Policy14 Pillars of ICT4AD
Accelerated Human development Promoting ICT’s in Education
Developing a globally competitive value-added services sector
Rapid ICT and enabling physical infrastructure Development
Promoting E-Government and Governance Promotion of National Health
Facilitating the development of the Private Sector
Promoting local and foreign direct investment drive in ICTs
Developing an Export-Oriented ICT products and Services Industry
Facilitating National security and law and order
Modernization of Agriculture and the Development of an Agro-business Industry
Research and Development, Science and Industrial Capacity Research Development
Legal, Regulatory and Institutional Framework provisions
Development and spread of ICTs in the Community
ICT4AD - National Health
Policy Statement
• Implementation of initiatives aimed at facilitating the widespread deployment of ICT to support the operations of health delivery systems .
Objectives
To promote the implementation of telemedicine applications within the health delivery system
To integrate and deploy the use of ICT in health program delivery with target for health education, training and preventive detection
To utilize ICT as a tool for collecting community information; linking health care professionals and enhancing health administration, remote diagnostics and distribution of medical supplies
E-Government Developments in GhanaE-Government Developments in Ghana
7
E-Government means the use by Government of web-based Internet applications and other information technologies, combined with processes that implement these technologies, to enhance the access to and delivery of Government information and services to the public, other agencies, and other Government entities;
E-Government means the use by Government of web-based Internet applications and other information technologies, combined with processes that implement these technologies, to enhance the access to and delivery of Government information and services to the public, other agencies, and other Government entities;
E-Government Strategies - Strategic Goals • Strategic Goal 1: Establish Institutional Framework to oversee the
implementation of E-Government.• Strategic Goal 2: Establish a component-based Ghana Government
Enterprise Architecture to facilitate efficient and effective citizen to government, government to government, and government to business interaction.
• Strategic Goal 3: Implement a secure, robust, and interoperable E-Government Infrastructure.
• Strategic Goal 4: Ensure the Legal and Regulatory Framework that supports the adoption and implementation of E-Government.
• Strategic Goal 5: Leverage the use of ICT, within an effective E-Government Environment, to meet vital socio-economic development goals (e-Services).
• Strategic Goal 6: Seek active and direct participation of the private sector in the implementation of E-Government
E-Government Implementation Timeline
Government Portal,MDA Websites,Web Standard Guidelines
Establish Enterprise Architecture
Establish Interoperability Framework
Change Management and Capacity Building
Create a Metadata Repository and a Data Warehouse
Build Data Center, Infrastructure for Communications, Server, VPN, Middleware, Security, Knowledge,
Create Disaster Recovery Sites
Deploy Electronic Procurement
Integrate Service Delivery and Governmental Processes
Customize Information and Services needs of individuals and businesses
Identify Service integration possibilities and Develop Business Process Techniques
Enable MDA Independent Single Point of Contact for Access to Information and Services
Deploy Common and Specific Applications
Governance and Legal framework Council
Phase 12 Years
Phase 23 Years
Phase 34 Years
Phase 43 Years
Phase 53 Years
Governance and Legal Framework for e-Government
• GICTeD was established in 2006 in anticipation of the formation of National Information Technology Agency (NITA)
• NITA bill was passed in December 2008
NITA - Agency to regulate the provision of Information Communications Technology under the Electronic Transactions
• Electronic Transaction Bill passed in December 2008
Includes Digital Signature, Consumer protection and Protected Computers and Critical Database
Ghana Information & Communication Technology Directorate
• Established as a result of the ICT4AD policy• Operational arm of the Ministry of Communications• Develop, implement and maintain a coordinated
National plan for information technology• Develop innovative technologies, standards,
guidelines, and practices, among government agencies within the national and local governments and the private sector.
e-Government Applications and Communications
Ghana Government Enterprise Architecture
Government Interoperability Framework
Government Wide Area Network
Government Portal/Gateway National Data Center ICT Training and Capacity
Building
• Shared GIS Services
• Messaging and Collaboration
• Appointment and Scheduling
• IT Scheme of Service • MDA Specific Applications -
Public Private Partnerships for Revenue Generating Agencies (IRS, VATS,RGD, RAGB, LTU)
e-Government Applications and Communications
Enterprise Architecture (EA)
Framework for the implementation of the different architecture perspectives (business, applications, data and technical) across government to improve technology decision making.
Pilot Implementation of EA – Ghana Health Service, Internal Revenue Service and Ministry of Communications
GGEA – Logical Architecture
MDAApplication
Services
ChannelsWork Portalse-Gov Portal
Collaboration
SharedApplication
InfrastructureServices
BusinessManagement
Business ProcessOrchestration
Data(XSD)
Messaging
Kiosks
Identity Management
WebPortal
EnterpriseDirectory Services
Shared Back OfficeServices
Registration Authentication Enrolment
Digital Asset Services
SSO
FaxContactCentre E-Mail PostPDAMobile
PhoneCIC Face2Face
Support Services
Security Systems Management Standards & Policies GovernanceArchitecture Process
Citizens Businesses Other GovernmentsUsers
SOAP/HTTPS
Communities
Forms e-FormsServices
Intermediaries
PaymentGateway
PaymentsServices
InteractiveTV
CRM
Business Intelligence & Analytics
Data Marts
BPMBusiness Process
Management& BPEL Engine
BAMBusiness Activity
Monitoring Reference
Data
BusinessRulesEngine
Workflow
ETLExtract, Transform &
Load
EIIEnterprise Information
Integration
Meta-DataRepository
GovernmentInformationManagement
Transformation RoutingService Registry
Web Services
WSDL
OperationalData Stores
Bulk Printing
Imaging
JCA JMS FTP TCP/IPEDISOAP O/JDBCAdapters/APIs Vendor Supplied
Device Integration
Business Layer
Integration Layer
EnterpriseService
Bus
Training
GIS
Shared Services
CRM
Data Warehouse
MDM
RevenueCollection
Health JusticeBenefits
& PensionsElectoralRegister
NaturalResources
LandsRegistration
EnvironmentDefence
ForeignAffairs
Sports
Licensing
Permits Disaster Mgt
Planning &Budgeting
Case Mgt
CollectionsMgt
Tourism Correspond.Mgt
Legislation
RegulatoryCompliance
ManpowerLaw
Enforcement PostalSocial
Services Transport AgriculturePublic Utility
Local Govt
Others
KnowledgeMgt
RecordsMgt
ContentMgt
Document Mgt
StatisticalMgt Fleet &
Asset MgtHR &
Payroll
Supply Chain Mgt
Finance
Employees
Enterprise Architecture – Health Service Architecture
Government Interoperability Framework
Definition
A set of policies, technical standards, as well as
guidelines covering ways to achieve interoperability
among MDAs and other Government organizations.
Guiding Principles
• Working groups to manage e-GIF
• MDAs in the public/civil sectors must comply with the e-GIF• Public/civil sector information systems must be accessible through
browser-based technology• Framework to be vendor-neutral and open standards-based .
E-GIF – Policy Guidelines
• Use Internet and World Wide Web standards for all public sector systems
• Use XML as the key standard for data interchange
• Make the browser the key interface for access and
manipulation of all information
• Assign metadata to government information resources• Adopts open, international standards that are well
supported by the market• Internet based implementation strategy through e-Gif
website
E-GIF Scope
e-Government Applications and Communications
Government Wide Area Network
Establishment of a shared government-wide network connecting key MDAs. This will help MDAs to better secure their databases and provide them with high speed connectivity for sharing information and applications
e-Government Applications and Communications
• Government Portal
An interface between
government and
citizens, media and
civil society, to
Promote transparency and
encourage feedback
on public policy programmes.
PCs
Kiosk /café
Mobile Device
e-Government Applications and Communications
National Data Center
A tier-3 data center that will serve as the main source of information storage for the MDAs. This will include a Network Operating Centre, Security Operating Centre and a Storage Area Network.
e-Government Applications and Communications
ICT Training and Capacity Building• CIO training• Training the ICT technical staff• Training for legislators and
judicial officers
e-Government Applications
• Shared GIS Services – A Web service used by applications for mapping of geospatial data.
e-Government Applications
• Messaging and Collaboration
Messaging facility introduced to enhance the communication between the various MDAs and will facilitate dissemination of information and improve the efficiency within the MDAs
e-Government Applications
Appointment and Scheduling
This application will track and manage the scheduling and appointments between the Government agencies and citizens
e-Government Applications
• IT Scheme of Service
With the e-Government project rolling out, more skilled IT personnel will be needed to maintain the system of MDAs. An IT scheme of service has been developed to attract and maintain the best brains in the IT industry
e-Government Applications
MDA Specific Applications • PPP (Public Private Partnership) arrangement in
developing electronic applications and services for Internal Revenue Service, Revenue Agencies Governing Board, Value Added Tax Agency, Large Tax Payers Unit and the Registrar General Department.
E-HEALTH Strategy and Applications
E-Health (defined) • Application of the Internet and other related technologies in
the healthcare industry to improve the access, efficiency, effectiveness and quality of clinical and business processes utilized by healthcare organizations, practitioners, patients and consumers to improve the health status of patients.
• Conducting health business electronically
• ICT in Health Sector
• ICTs provide opportunities for individuals, medical professionals and healthcare providers to – obtain information, – communicate with professionals, – deliver first-line support especially where distance is a
critical factor and – promote preventive medicine programmes.
ROLE OF ICT IN HEALTH
APPLICATION OF ICT IN HEALTH• At Referral Hospitals/Regional Hospitals/
District/Sub-district/ Health Centres & delivery units, ICT enable:– more effective planning, decision-making and monitoring– improved shared service operations– more effective resource management
• At service providers level, ICT can enable:– efficient movement of necessary data to clinicians
• integration of clinical information across the health system
• consistent and shared views of patient data– matching of resources to activity levels through relevant
up-to-date information;– reliable and timely evidence-based decision-making;
APPLICATION OF ICT IN HEALTH (Continued)
E-health is about modernizing health system methods and technologies to increase the quality, safety, timeliness, and efficiency of health service to citizens. The Strategy, therefore is to deal with e-health as a long term project requiring clarity, ownership of direction, strong collaboration and accountability among all key stakeholders, and attention to specific achievable deliverables.
STRATEGY
Strategies Continued
• Strong leadership required to solve conflicts between and within organizations.
• Skill development and adoption of new practices• Need to create ICT Portals in order to:• Improve patient-provider communication
– Contain cost– Provide reliable health information– Reduce medical errors– Enhance efficiency; access, utilization and collaboration
Strategies (continued)
Awareness and Training• Build ICT Awareness and Skills on the potentials of ICTs for
E-Health in the sector through introduction of ICT curriculum in all health training institutions including medical and research institutions, nurses training institutions, medical technologists schools.
Budgets for Sustainability• Ensure integration of ICT in all budgetary processes and
approach to health management to ensure sustainability
Strategies (continued)
Internet Protocol (IP)• Harnessing the potentials of IP by developing
policies for sharing of patient medical information through the use of ICT while taking into consideration issues of trust, confidentiality and security of patient information and ensuring its timely delivery as it affects life or death situation of the individual.
E-Environment• Promoting the establishment of favourable legal
and policy environment for e-Health.
Conclusion
• E-health (ICTs) present many potential benefits for growth in health delivery service
• Human resource development related to ICT in health is a huge area that is critical to the successful application of ICT in the sector.
• Skills in information systems design and implementation are critical to successful application of ICT in the sector.
• ICT Backbone infrastructure is being implemented in Ghana the stakeholders must take advantage
• Time to develop a National e-Health strategy in Ghana
THANK YOU
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