Health Information Technologies: Opportunity for Nigerian Innovation

November 21, 2012

Outline

The Impact of Technology1

Health Information Technologies3

Opportunity for Nigerian Innovation4

2 Nigeria’s Health Profile

Conclusion5

2

3

The Impact of Technology1

4

The Impact of IT on Modern Life

Education Banking & eCommerce

5

The Growth in Nigeria’s Teledensity

2002 2012

0

20,000,000

40,000,000

60,000,000

80,000,000

100,000,000

120,000,000

140,000,000

160,000,000

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

1.89%

76.69%

Number of Subscribers

Teledensity

Subs

crip

tions

(in

mill

ions

)

6

2 Nigeria’s Health Profile

7

Nigeria’s Health Profile

Nigeria has one of the worst records in the world

Second to India, Nigeria is the most hazardous place in the world for expectant mothers and children

Incidences of morbidity are equally high

8

The Challenges of Healthcare

Lack of Information

Lack of Access to Quality Care

Systemic Failures

Resource constraints

Gaps in care

9

Health Information Technologies3

10

Health Information Technologies

The application of Information and Communication Technologies to Health:

Planning Management Financing Delivery Improvement

Electronic Health Records

Electronic Prescription Health Information

Exchange Analytics Clinical Decision Support

11

Health Information Technology cont’d

The potential to make a difference in Nigeria depends on certain key considerations:

The value of health information Patient Present illness Available therapies

Appreciation of the impact on the quality and appropriateness of care that is dispensed

Commitment to improve the quality of healthcare services

12

Engaging patients and their families Education and awareness Community mobilization Reminders for Appointments and medication Treatment compliance

Data collection and dissemination Biographical and health information Providing relevant information at the point-of-

care Quality reporting

Use Cases of Health IT

13

Clinical collaboration Remote delivery of care – frontline workers and

urban-based specialists Care coordination and management

Surveillance Syndromic (preventive epidemiological

applications) Disease (to aid evidence-based disease-

focused interventions)

Use Cases of Health IT cont’d

14

Use Cases of Health IT cont’dAnalytics & Clinical/Business

Intelligence

15

Use Cases of Health IT cont’d

16

Opportunity for Nigerian Innovation4

17

Health Information Systems

The Patient-Centered Paradigm

18

Nigerian Innovation

Multidisciplinary Collaboration Comprehensive Pathways of care Clinical workflows that foster the care team

approach Sound business case and clinical value Information-oriented architectures

Regulatory & Policy Enablement The National Health Bill Issue an Innovation Challenge Incentivize the creation, adoption and

meaningful use of Nigerian Health Information Systems

19

Potential Impacts

Transformation of Healthcare Coordinate care across the continuum Improve quality, safety, and effectiveness Leverage existing infrastructure to engage

patients Promote Public and Population Health

Growth of Nigeria’s Knowledge-based Economy Disrupt consumption and import-oriented trade Provide training and employment opportunities Position Nigeria to become a reliable

outsourcing destination

20

Conclusion5

21

Recognize the value of health information

Punctuate the equilibrium of suboptimal and declining health outcomes

Leverage the inherent efficiencies of health information technology to innovate

Make Nigeria an outsourcing destination

Foster sound clinical and economic health

22

“The secret to getting ahead is getting started…”

- Mark Twain

23

Charles NwasorCharles is the Principal & Chief Health Information Technologist at Xcellent Technologies.

A consummate health information technologist, Charles is currently involved in executing the Michigan Center for Effective IT Adoption project, a federal initiative for providing technical assistance in the adoption and Meaningful use of health IT to Primary Care Providers in the State of Michigan.

He can be reached at: charles.nwasor@xcellenttechnologies.com