Parallel Session Health Information and ehealth Health Intelligence and Innovation Unit Division of Health Systems, WPRO November 2016 1
Objectives Introductions core functions of the institutions to which you belong Stocktaking share progress since the first forum, including opportunities, challenges and good practices Discussion: Better communication, networking and implementation around informatics and information to improve health services and system development Understanding of SDG development agenda SDG/UHC monitoring, innovation on health services Identify common priority actions and topics for WHO CCs (country supports, capacity development, normative, best practice, etc.) Seek other suggestions and recommendations from WHO CCs 2
Total: 7 CCs 3 on ehealth (WPR), 4 on ICD (HQ) Participation Participants 4 on ehealth/icd (Australia 2, China 1, Japan 1) Institution name City Country Originating Office University of New South Wales, Sydney AUSTRALIA HQ International Laboratory for Air Quality and Health Australian Institute for Health & Welfare (AIHW) Canberra AUSTRALIA WPRO University of Queensland, School of Population Health National Health and Family Planning Commission of the People's Republic of China, Center for Health Statistics and Information (CHSI) Brisbane AUSTRALIA WPRO Beijing CHINA WPRO Peking Union Medical College Hospital (PUMCH), Chinese Academy of Beijing CHINA HQ Medical Sciences (CAMS) Ministry of Health, Labour and Welfare Tokyo JAPAN HQ Korea Health and Welfare Information Service Jung-gu, Seoul REPUBLIC OF KOREA HQ 3
Recommendations from first Forum in 2014 Recommendation/points agreed Status of implementation (June 2016) 1. The two WHO-FIC network Collaborating Centres and the Collaborating Centre for health information systems discussed a potential joint collaboration with WHO for piloting the new ICD-10 code short list for morbidity and mortality and potential linkages with overall CRVS implementation plans in Cambodia, Lao PDR, and Viet Nam. This will be linked to the Asia-Pacific WHO-FIC Network planned activities. The simplified version of ICD 10 (including morbidity and mortality) tested in Cambodia, and application in Lao is under the discussion with APN- WHOFIC, and HQ. 2. The Collaborating Centres for e-health and for health information systems both based in Australia discussed new efforts to strengthen overall use of information and communications technology (ICT) in the health sector to improve reliability, analysis, and use of health data. Some researches have been conducted by WHO CC in Australia on better use ICT for information generation and use. 3. The Collaborating Centre for e-health discussed new opportunities in 2015 to collaborate with WPRO in use of e-health in line with the new ageing agenda for the region. 4. Planned meetings co-organized by WPRO on HIS and e-health in 2015 and 2016 will extend invitations to these Collaborating Centres for participation and contribution to the programme to improve knowledge exchange and learning. Research on aging and ehealth conducted by the WHO CC. The linkage of aging agenda for the region need to be further identified. The planned meeting co-organized by WPRO, AeHIN and China CC will invite the participants from other CCs. 4
What were the successes; what did not work? Analysis of progress against stated objectives Inventory of activities implemented, including evolution and adaptations Analysis of lessons learned, including success factors, opportunities, challenges Action planning for imbedding SDG and UHC in workplans 5
6 The 2030 Agenda for Sustainable Development The SDG are "integrated and indivisible, global in nature and universally applicable": they are applicable to all countries they are about addressing the needs of the poor or otherwise disadvantaged groups wherever they may live (not just in poor countries) The SDG are "unprecedented in scope and significance" The MDGs were about a limited set of human development targets The SDGs cover the economic, environmental and social pillars of sustainable development with a strong focus on equity The wide range of SDG goals more closely reflect the range of issues with which a government has to contend in reality
From MDGs to SDGs MDGs 2000 Human development UN agencies-led process Developing country focus: poverty reduction and social development (health, education, gender) 8 goals (3 for health) 21 targets (6 for health) 60 indicators (21 for health) SDGs 2015 Economic, environmental, social sustainable development, with equity Intergovernmental process, UN in technical advisory role All-country focus: economic, social and environmental pillars of development 17 goals (1 for health) 169 targets (13 for health) Many indicators 7
Place of Health Health is Goal 3 ++ Goal 3: to ensure healthy lives and promote well-being for all at all ages. Much broader agenda than MDGs Health also sits in Goals 2,4 5, 6, 8, 10, 11, 13 and 16 (2016 EB draft resolution) Health is influenced by many other SDGs The SDG agenda includes a broader range of determinants of health (poverty reduction, reducing inequality, climate action, migration) Bringing it together: Universal Health Coverage Declaration states to promote physical and mental health and well being and to extend life expectancy for all we must achieve universal health coverage and access to quality health care. No-one must be left behind. (para 26) 8
How information and ehealth fits in the BIG picture Progress towards SDGs and UHC TARGET ICD and health information Country Centered (sustained) ehealth and mhealth 9
How health information and ehealth can contribute to SDG and UHC agenda Interoperability (to support SDG 3) Sustainability and strengthening health information systems (SDG 12) especially with proliferation of pilots etc. Evaluation and how it can be translated to support SDG 3 Role of social media SDG 3 (which also relates to people centered care, awareness etc.) Appropriate ehealth/mhealth architectures and workflows and what strategies/implementation mechanisms can be translated in supporting countries 10
Cross-cutting themes Informatics e.g. NCDs and health promotion, continuity and coordination of care People-centered care EHRs/EMRs, information sharing across multidisciplinary teams, self-care, reminders Last unit section Comments /feedback from CC about the forum and cross-cutting section Review the output of first unit section Further comments/suggestion based on the first meeting Recommendation for WHO on CC works Work with other units and network 11