shine aim 30_april2012
DESCRIPTION
This is a presentation on the state of ICT in Healthcare in the Philippines at the Asian Institute of Management last April 30, 2012TRANSCRIPT
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FOR INTERNAL USE ONLY. NOT FOR EXTERNAL DISTRIBUTION.
Secured Health Information Network and Exchange (SHINE)
mHealth Innovation30 April 2012
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Enterprise Architecture
Standards and Interoperability
Capacity Building Compliance
ICT4HEalth TWG
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• Overview • Implementing Partners • Brief History of the Project • Healthcare System Context • Scope and Initial Focus• Accomplishments to Date • A Project Poised for Scaling Up
Outline
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Overview - SHINE
• SHINE is a hosted, internet-accessible Electronic Health Information and Referral System.
• SHINE is accessible using Java enabled mobile phones and computers connected to the internet.
• Readily deployable in any area with wireless broadband, 3G and GPRS connectivity.
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Overview - SHINE
• Integrated mHealth solution for recording, reminding, referring and reporting for doctors, nurses, and midwives.
• Caters to a wide range of health conditions and work roles in the health ecosystem.
• Combines mobile and internet technologies in one platform.• Software as a Service bundled with wireless broadband and
mobile connectivity, utilizing widely available and affordable hardware.
• Users find it easy to use in their day to day work and in helping them comply with government mandated reports.
• Mainly serves public primary, secondary, and tertiary public health facilities that cater to the underserved rural and urban poor communities.
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Smart’s eHealth/mHealth Vision
• We envision more ubiquitous and better healthcare services for all, specially the underserved members of the population.
• We will enable this by creating an ecosystem of healthcare stakeholders connected and coordinated through technology.
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Partners
SHINE is built on a public-private partnership with:• Department of Health• Local Government Units• NGOs
– PBSP/TBLINC– Zuellig FamilyFoundation– PBSP/Global Fund– Molave Development Foundation
Inc.
• Nursing Schools
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The SHINE Service
SHINE Platform
Patients
Patients
Health Worker
Health Centers;
School Clinics
Pharmacies and Diagnostic Laboratories
Medical Specialist
HospitalDOH, LGUPhilHealth
• Receive and Transmit Accurate Health Data
• Send Diagnosis and Treatment Plan
• Receive Accurate Health Data
• Collect Data for Claims Processing• Input to Policies
• Collect Health Data• Input to Policies
• Send Referrals and Pertinent Health Data
• Receive Timely Feedback
• Perform more specialized /complex procedures
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Wireless Technology Utilized
Wireless Broadband Connectivity
SMART Bro Canopy & SMART Bro Plug – it for health facilities.
3G and GPRS Technology
Java enabled phones for health workers in the field.SMS for reminders and notifications to patients and health workers.
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Value Proposition
• Reduced burden of creating, retrieving, and updating paper records.
• Minimized errors encountered due to incomprehensible or incomplete health records.
• Improved compliance of patients through SMS reminders• Effective referrals among facilities.• Automated generation of reports from day to day recording.• More time freed up for actual patient care.
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Innovative Features of SHINE – The 4 Rs
One integrated system for doctor, nurses and midwives to handle:• RECORDING• REMINDING• REFERRING• REPORTINGSupporting a wide range of conditions and health services
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Record
Perceived Problems• Overwhelming number of
health records• Misplaced records• Unrecognizable records• Loss of records in times of
disaster
Value Proposition• Register patients and would-be
patients electronically• Easily retrieve patient records
online.• Record patient consultations
and services at the point of care
• Familiar forms and processes were referenced to minimize the learning curve
• Capture discrete data that can be utilized for a wide range of conditions.
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Creating a New Health Record
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Recording Using The Mobile App
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Remind
Perceived Problems• Patients do not come back for
follow up.• Non-compliance to
medications
Value Proposition• Easily set appointments• Send notifications and
reminders to patients via– SMS – E-mail
• Improve patient compliance to follow ups and medication
• Disseminate health information to targeted individuals for disease prevention and wellness to change health behavior
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Setting a SMS Reminder
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Refer
Perceived Problems• Delayed and error-prone
referral information• Lack of feedback to referring
doctor• Inconvenience and costly for
patients when referrals are not well coordinated
Value Proposition• Ensure that the patient is
accommodated by the receiving facility
• Send patient’s complete medical history ensuring continuity of care
• Receive feedback from receiving facility for the referral to learn how was the patient was treated, thereby, enhancing the primary care physician skills to tend to similar cases
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Creating a Referral in The Web
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Creating a Referral Using The Mobile App
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Report
Perceived Problems• Several DOH programs
requiring reports• Time consuming and delayed
paper reports• Error prone paper reports
Value Proposition• Auto – generate reports based
on data inputted at point-of-care
• Reports– FHSIS– NTP– PIDSR– Philhealth OPB Forms
• Potential to customize reports for the needs of other agencies
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Generated Reports
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Generated Reports
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Testimonials on Usability
“It’s easier now to retrieve patient records, refer patients to other health facilities and schedule follow ups...“ - Dr. Mimi Bondoc, M.D.
“SHINE is user friendly”.- Rafael Camus, R.N.
“It was easy to learn how to use SHINE for our work in the field.”
- Mary Grace Soloma and Salvacion Naldoza, R.M.
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Usability Drivers
• Minimal ICT literacy required to learn how to use the web and mobile application.
• Use of mobile devices with java application that is easy to use and able to capture essential health data.
• Iterative process with end-users deliver a system that matches their needs, considering their current work and information management context.
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User BaseCURRENT AREAS
• Iloilo• 13 Rural Health Units• 11 Health Centers• 4 District Hospitals• 2 Tertiary Hospitals
• Quezon City• 10 Health Centers• 13 Hospitals
• Davao • 2 Hospitals• 8 Clinic
INDICATED INTEREST BYMultiple cities/provinces in:• Luzon e.g.
– Metro Manila– Mimaropa– Ilocos Region– Southern Tagalog
• Visayas – Neg. Occ.– Cebu
• Mindanao – Davao Region– Caraga– Socsargen
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9/14
/201
1
10/4
/201
1
10/2
4/20
11
11/1
3/20
11
12/3
/201
1
12/2
3/20
11
1/12
/201
2
2/1/
2012
2/21
/201
2
3/12
/201
20
2000
4000
6000
8000
10000
12000
14000
SHINE Patient Records September 2011 - March 2012
Dates
Patie
nt R
ecor
ds
20,300 health records as of 30 April2012
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Digress to mUTZ here.
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SHINE will continue to scale and evolve.
To better serve patients and ensure continuity of care, SHINE will interoperate with other health information systems or enable interoperability among health information systems.
=> Ecosystem, behavioral view
Is there scope for us to work together?
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Thank You!