Making the eHealth Connection Weeks 1-4 Key Findings/Recommendations

1. Making the eHealth ConnectionWeeks 1-4Key Findings/Recommendations

2. Making the eHealth Connection Conferences Overview • Conference highlights • Themes – overarching and integration • Call to Action • Moving forward and next steps

3. Making the eHealth Connection Conferences July 13–18 National Health Information Systems • Public Health Informatics • The Path to Interoperability July 20–25 Knowledge and Capacity for eHealth • Access to Information • eHealth Capacity Building July 27–Aug 1 Core eHealth Technologies • Electronic Health Records • Mobile Health and Telemedicine Aug 3–8 Policy and Markets for eHealth • Unlocking the Market for eHealth • National eHealth policies

4. Conference Fast Facts Weeks 1-4 • 34 South countries representatives • 32 donors • 10 media (traditional and on-line) • 100 participant perspective video shorts posted on conference website • Active conference wiki discussion • 30 media stories related to conference filed (print, bogs and radio)

5. Peru Global Conference Participation Mexico Tunisia Brazil Tajikistan Korea China India Vietnam Syria Pakistan Philippines Nigeria Guinea-Bissau Ethiopia Thailand SierraLeone Ghana Uganda Cambodia Malaysia Kenya Argentina Chile Liberia Cameroon Uruguay Tanzania Rwanda Public Health Informatics (PHI) Malawi Week 1 Zambia Interoperability Zimbabwe Capacity Building Week 2 Access to Information Electronic Health Records Week 3 South Africa Mobile Health Policy Week 4 Unlocking the Market

6. Overarching Themes and Recommendations • From silos to systems Person centered, user driven, integrated, collaborative, sustainable, scalable, reusable, demand-driven by in-country organizations • Information is care – need to document impact on access, affordability and quality of health services • Be daring in eHealth and technology visions for the Global South – much can be done with limited resources and a lot of ingenuity • Ultimate goals of eHealth should be to strengthen health systems and improve people’s health • Support Collaboration and Innovation Across Resource Constrained Countries and South to South Learning - Equator is NOT the dividing line for innovation.

7. Overarching Themes and Recommendations Donors and Stakeholders • Reduce donor fragmentation • Harmonize donor requirements • Consolidated reporting structures across donors • Develop ICT “business case” for ICT to increase donor and stakeholder involvement • Strengthen stakeholder collaboration (private sector and university involvement both important and growing) • Provide funding for pilot/greenfield projects, reference implementations and adequate evaluation

8. Overarching Themes and Recommendations Broad Diversity of Recommended eHealth Innovation, Partnership and Support Models Centers of Excellence Collaborative Action Networks Internet-based portals for knowledge and information-sharing Taskforces Association models eHealth promotion networks Strategic alliances Enhanced university programs and partnerships *Supported by leveraging existing efforts and institutions

9. Week One “If you want to go fast, go alone; if you want to go far, go together” African Proverb

10. Call To Action - PHI Capacity for Today and Tomorrow Build Centers of Excellence network based in resource constrained countries (6 to 10) with a 10 year funded program of public health informatics work. • Requires a new partnership and program of work that does not exist today • Architecture is required for a national health information systems • Latest science, engineering and R&D from the public & private sectors has great potential and must be captured, similar to successful programs for vaccines, micro-nutrition, and medical technology partnerships

11. Call to Action - Interoperability • Governments should be encouraged to adopt a culture of interoperability and standards in relation to eHealth • To encourage interoperability, open standards and open source software should be made freely available

12. Week Two “If you talk to a man in a language he understands, it goes to his head. If you speak to him in his language, it will go to his heart.” Nelson Mandela

13. Call to Action – A2I Create an environment (common space) to enable producers, intermediaries and users to develop and share content, methods and technologies Establish a task force with representatives from key stakeholders and donors to establish a plan of action for the implementation Priority should be given to settings with weak production of and access to information and knowledge

14. Global ‘South’ Components of Needs &20/20 Vision for Assuring eHealth Capacity Policy & Leadership Executive Seminars; Leadership ID, Training & Advocacy PhD; Masters Informatics ____________________________ Clinician / Public Health Champions ________________________________ 20/20 “Bits &Bytes” Knowledge & Skills Offerings Human Capital (eHealth Workforce Capacity) State of ICT Technology Infrastructure National Readiness Assessment Instrument; other tool kits Components Vision for eHealth Workforce

15. Call to Action - Informatics & Capacity Building 20/20 eHealth Capacity Building: from Multiple Silos to Integrated Systems Assure local sustained informatics expertise: skilled eHealth workforce in informatics/ICT for care, education, leadership, advocacy, & research Develop environments to support ICT: assessment and relevant complex systems development

16. Week Three “WE-CAN!”

17. Call to Action - eHR we-can: Support the further growth and development of collaborative action networks by the creation of the WE-CAN organization do it: Follow these thoughts with action. - Design systems and architectures to support patient care in challenging environments with focus on reuse, collaboration, interoperability and scalability - Create tools to guide on-the-ground baseline assessment, implementation, scaling and evaluation of information systems - Create eHealth centers of excellence and build a national scale reference implementation of patient level record systems in select LMICs such as Rwanda.- Formative meeting of we-can taskforce September PHI2008- Seattle WA http://www.we-can-doit.org

18. Call to Action - mHealth mHealth Alliance Create the mHealth alliance in next six months Work to bring other partners to the conversation Goal launch: Announce mHealth alliance in February 2009 Through the mHealth Alliance incubate the initial mHealth projects developed at Bellagio Bellagio Projects mDoc: "a hospital in your hands" mHealth for Positive Living: HIV treatment, wellness and support CommCare: tools for community health workers Breakout: Ending the cycle of outbreaks (information collection system)

19. Week Four “Do or do not. There is no try.”

20. Call To Action - Policy • Convene a Convention on global eHealth (intergovernmental endorsement) • Create eHealth policy toolkit • Craft integrated advocacy, communications and marketing plans that make the case for eHealth • Foster the establishment and support of national eHealth Councils, beginning with a landscape of current activities • Identify and appoint eHealth ambassadors (local, regional, national)

21. Call to Action - Markets Develop eHealth promotion and entrepreneur network • Training • Project vetting • Incubate and accelerate fundable business plans Create Internet-based portals for knowledge/information-sharing and idea clearinghouse Align stakeholders strategically • Philanthropy to innovation • Donors to entrepreneurs • Entrepreneurs to eHealth information • SMEs to solution value chain Develop open source platform to facilitate business model development

22. Putting Thought Into Action Notable Conference Developments • Framework strategy for integrated eHealth systems (initial focus in Africa) • Established plan for Global eHealth Convention • Draft resolution on governments and interoperability • HINARI-like platform for free standards initiative • September 2008 launch of World eHealth Collaborative Network (we-can) • Formation of mHealth Alliance • Seeding eHealth promotion and entrepreneur network • Takeaways and action steps reported and discussed at meetings of high level influencers: G8, HL7, AMIA, Global Partners in Public Health Informatics and Global Ministerial Forum on Research for Health (Bamako, Mali)

23. Thank you!