m Health Alliance Doc

7/30/2019 m Health Alliance Doc

1/15

Mobilizing Standards:!Aligning eHealth Standards to Accelerate theIntegration of Mobile Health Systems into GlobalHealth Practice

JonathanPayne,MSStandards&InteroperabilityConsultant,[email protected]

JointITU-WHOWorkshopone-HealthStandards&Interoperability,Geneva,Switzerland

26-27April2012

Photo courtesy of Kiwanja


2/15

DefinionofmHealth

Mobile health, or mHealth, can be defined as:

Medical and public health practice supported by mobile devices, such asmobile phones, patient monitoring devices, tablets, personal digital assistants

(PDAs), and other wireless devices.


3/15

ProgressionofmHealth

Withtherisein

mobilesubscripons

worldwide.

comes a rise in mHealthinitiatives in countries

around the world.

Source: Barriers and Gaps Affecting mHealth in Low and Middle IncomeCountries: Policy White Paper, mHealth Alliance, The Earth Institute, 2010.


4/15


5/15

WorldHealthOrganizaon.mHealth:Newhorizonsforhealththroughmobiletechnologies.

h\p://www.who.int/goe/publicaons/goe_mhealth_web.pdf.

AdoponofmHealthbyProjectType

mHealthIni,a,ves

(orderedby%ofcountriesadopted)

Healthcallcenters Tollfreeemergency Emergencies Mobiletelemedicine Appointmentreminders Communitymobilizaon Treatmentcompliance Paentrecords Informaon Paentmonitoring Healthsurveys Awarenessraising Decisionsupportsystems


6/15

BarrierstoScaleofmHealth

(1) LackofrigorousevidencelinkingmHealthsoluonstoimprovedhealthanddemonstratedcost-effecveness

(2) LackofsustainablesourcesoffinancingformHealth(3) Lackofcapacitythroughoutthehealthcommunitytodesignanddeploy

mobilehealth

(4) Lackofanenablingenvironmentinwhichnaonalorregionalpoliciessupporttheuseofmobileforhealth

(5)Lackofsystema,callyappliedtechnologicalstandardsandinteroperabilitybetweensystems

- Lackofalignmentonstandards- Limitedopportuniesforcollaboraon- LimitedcollaboraonorcommunicaonacrossmServices- Limitedguidancefromdonorsandgovernmentsonwhichstandardsto

useSource:mHealthAllianceStrategy.CreatedbythemHealthAllianceandDalbergGlobalDevelopmentAdvisors.January2012.


7/15

NeedforStandardsDevelopment

1.Standardizaongap 2.Massiveshitocommunies

3.Remotediagnoscs,telemedicine 4.Integraonatscale

Source:www.WorldMapper.org.Accessed23Apr2012.

Source:CellScope

Source:DataDyne


8/15

2010GreentreePrinciples

1. Coordinang,HarmonizingandSharing2. CountryLeadershipandOwnership3. CapacityDevelopment4. Openness5. StrategicReuse6. ResearchandEvaluaon

DeclaraontoImproveHealthOutcomeswithICTs


9/15

meHealthMNCHArchitecturedocumentonHUB

h\p://www.healthunbound.org/content/mehealth-framework-documents-link

meHealthArchitecture

meHealthEnterpriseArchitecture

ImageSource:Wikipedia.h\p://en.wikipedia.org/wiki/RM-ODP

Community

Health

Worker

LocalClinic

(e.g.VCT)

Community

Hospital

SharedInfrastructure


10/15

Proposed2-yearindicators:

#countriesadoptedstandards-based,naonalelectronicregistries

#implemenngorganizaonsadoptedopenstandardsatdistrictlevelorgreater

#strategicmHealthstandardsgapstargetedwithcatalycfunding

#countriesadoptedatleast1openstandardintoNaonaleHealthStrategyorsimilardeclaraon

Standards&InteroperabilityWorkingGroup


11/15


12/15

FRED

OpenFacilityRegistryExpansionDevelopmentProject Deployedin5countriesin2years LaunchingpointforanopenNaonalHealthInformaon

System(NHIS)


13/15

RHEA

RwandaHealthEnterpriseArchitecture

Sharedelectronicrecordforallmaternalhealthpaents

Informaonstandards,transportlayer,soware

specificaons,userequirements Source:rhea.Jembi.org.Accessed23Apr2012.


14/15


15/15

Thankyou!

Thank you!

Jonathan Payne, MS

Standards and Interoperability Consultant, mHealth AllianceDirector, Maternal Concept Lab

mHealth Coordinator, Partners in Health

[email protected]

www.mhealthalliance.org; www.healthunbound.org

The mHealth Alliance is hosted by the United Nations

Foundation: www.unfoundation.org

m Health Alliance Doc

Documents

Transcript of m Health Alliance Doc