The Government of the Cook Islands

TE MARAE ORATE MARAE ORAMINISTRY OF HEALTH

TOFINGA AISAKETOFINGA AISAKESenior ICT Officer

“To provide accessible and affordable health care of the highest quality, by and for all in order to improve the health status of the

people of the Cook Islands”

Å Cook Islands Health Strategy 2006 – 2010§ 12. To strengthen the infrastructure of the

health system to ensure it has sufficient capacity to meet the health needs of the population.

Å Te Marae Ora Management Review 2007§ 1.14 The continued rollout of the Information Technology

Programme, with particular emphasis on the hospital information system in all hospitals and health centers

“e-Health is the use, in the HEALTH sector, of digital data transmitted, stored and retrieved

electronically, in support of healthcare, both at the local site and at a distance”

- WHO Essential Health Technologies Strategy 2004 - 2007

1. TONIQ 2. TELEHEALTH3. POLHN4. MEDTECH325. GIS

Å Network Architecture§ Ethernet based WAN

? Rarotonga Hospital, Health Administration Facilities

§ WORKGROUP? Outer Island Hospitals

Å Connectivity§ 1024Kbps Leased Line

§ 256Kbps DSL Modem§ 1Gbps Network Backbone Switches

§ 100/10Mbps Hubs§ 1 Wi-Fi Access Point

Å Hardware§ 6 Servers§ 50 Workstations

§ 20 Thin Client Terminals§ 15 Laptops

§ 15 Network Printers§ 30 Desktop Printers

ÅHuman Resources§ 2 System Administrators

Å Software§ Operating Systems

? Windows 2003 Server? Windows XP? Linux (IPCop Firewall)? Apple

§ MS Office Products

§ Quickbooks§ MS Exchange 2003 STD

§ Symantec Antivirus§ IHR Payroll & Visual HR

Package

Å 2001Å Pharmaceutical

Information SystemÅ Coverage§ Rarotonga

§ Aitutaki

Å Primary Focus§ Electronic Dispensing

§ Patient Medication History? Concurrent Medicines? Changing Medication

Patterns

§ Caution/Advisory Label & Commonly Used Directions

§ Monitor stock levels of Drugs/Medications

§ Improves Financial Reporting

Å 2003Å Web Based Application§ www.telehealth.gov.ck

Å Sponsors§ WHO

§ Telecom Cook Islands (TCI)

ÅCoverage§ Rarotonga & All Outer

Island Hospitals

Å Primary Focus§ Electronic Clinical

Consultation Requests§ Public Health Electronic

Referral Requests

§ Surveillance Notices§ Internet Links to reputable

external Medical Websites

ÅCurrent Status§ ABOLISHED

Å 2003Å Online Learning§ www.polhn.com

Å Sponsors§ WHO

§ JICA

ÅCoverage§ Rarotonga & All Outer

Island Hospitals

Å Primary Focus§ Continuous Health

Education? Internet Health Resources

§ E-Learning to Improve Quality & Standards of Practice

? Work & Study

§ Distribution of Digital & Print products to Learning Centers Nurses Undergoing ICT Training

Å 2005Å Electronic Patient

Management SystemÅ Coverage§ Rarotonga & All Outer

Islands with High Speed Internet

? All Southern Group Hospitals

? 2 Northern Group Hospitals

Å Primary Focus§ Demographics

§ Clinical Notes§ Recall & Screening

§ Prescribing§ Accounts

§ Attachment Management§ Query Building

§ Drawing Tool for Anatomical Reference

§ Lab Referral

Lab Technician – Mata Iroa

Dr. Teariki Faireka, using Medtech32 for patient consultation

APRIL 2008

Å 2006Å Geographic PerspectiveÅ Data Sources§ Ministry of Works

? Spatial Data

§ Medtech32? Demographic Data

Å Uses of GIS in Health§ Determining Geographic

Distribution of Diseases § Mapping Populations at

Risk

§ Assessing Resource Allocation

§ Planning & Targeting Interventions

§ Monitoring Diseases and Interventions over Time

AUGUST 08

Å Operating Environment§ Speed of Telecommunications Infrastructure§ Access to Reliable Power Supply

Å Legal§ Outdated Health Act

Å Organizational§ Changing healthcare systems to accommodate Community

Health Initiatives

§ Policies to reflect current health system and service priorities

Å Financial§ High Costs of Maintaining Connectivity of Outer Islands§ Limited Resources

Å Integration§ Manual VS Electronic

§ Provide ICT Training§ Foster Positive Attitudes towards Technology

Å Security§ Safeguarding the Integrity of Patient Information

? Authorized Access? Audit Trail? Securing Transmission between Health Networks

§ Urgent Need for the Cook Islands to adopt Legislation relating to Electronic Data & Information

? Electronic Criminal Activity

Å Comprehensive Patient DatabaseÅ Connectivity to Rural and Remote AreasÅ Continuous Professional DevelopmentÅ Cost Effectiveness

The Government of the Cook Islands

TE MARAE ORATE MARAE ORAMINISTRY OF HEALTH