Planning the Development of the Singapore National Health Portal [4 Cr3 1330 Amin]
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Transcript of Planning the Development of the Singapore National Health Portal [4 Cr3 1330 Amin]
Amin, H. et al.:Planning the Development of the Singapore National Health Portal
• This slideshow, presented at Medicine 2.0’08, Sept 4/5th, 2008, in Toronto, was uploaded on behalf of the presenter by the Medicine 2.0 team
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PLANNING THE DEVELOPMENT OF THE SINGAPORE NATIONAL HEALTH PORTAL
04 September 2008MEDICINE 2.0 CONGRESS
Handy Amin, Active Health ManagementDr Shyamala Thilagaratnam, Active Health Management
Dr Andy Tan, Active Health Management Low Sau Chan, Chief Information Officer's OfficeTan Ping Ping, Chief Information Officer's Office
All About Singapore
An island city-state in Southeast Asia
>15,000 km from Toronto
Land area of 700 km2
Maps courtesy of The World Factbook
Geographic Location
The People of Singapore
Vibrant global city; thriving centre of commerce
Multi-ethnic resident population of >3.6 million Chinese 76.8%
Malay 13.9%
Indian 7.9%
Others 1.4%
Total population of <4.6 million
Images courtesy of the Singapore Tourism Board
Things to do in Singapore
Images courtesy of the Singapore Tourism Board
Reasons for a National Health Portal
Health Promotion Board (HPB) Established on April 1, 2001
Vision
A nation of healthy and fit Singaporeans
Mission Statement
We will be a centre of excellence for health promotion. With our partners, we create a supportive environment, and provide health education and preventive health services to empower every Singaporean to attain the best possible health throughout life.
The Health Promotion Board
The HPB Strategic Framework
Unhealthy & aware of health conditions
(patients)
Unhealthy & not aware of health conditions
NutritionSmoking ControlPhysical Activity
Positive Mental HealthTargeted Interventions
Early detectionChronic Disease Management
Patient Education/EmpowermentBuilding Bridges to our Partners
Exploit IT MaximallyResearch & Strategic Planning
ADOLESCENTS
AD
ULTS
ELDERLY
CH
ILD
REN
At-risk groups
People of Singapore
Healthy Unhealthy
Schools
Healthcare
Workplaces
Community
Industry
Web
The Chronic Disease Challenge
Promote the concept of Active (& Individualised) Health Management (AHM)
Empower Singaporeans to actively manage their own health
Provide relevant resources and tools to support AHM
Active Health Management
Reduce medical costs
Change medical encounters from episodic to continuous
Enable prevention and early detection of illnesses
Enable provision of quality healthcare services based on individual needs and requirements
Objectives of AHM
Exploiting IT, Enabling AHM
National Health Portal (NHP)
Personal Health Record (PHR)
Health education resources
Personalised health management tools Health Risk Assessment (HRA)
Behavioural Health Intervention Programmes (BHIP)
Health Trackers
Collaborative disease management between patient and care providers
Exploiting IT, Enabling AHM
The National Health Portal Project
The NHP Taskforce
Drive development and implementation of NHP
Comprising of representatives from various stakeholders:
HPB
Health Clusters (SingHealth, NHG)
Ministry of Health (MOH)
Healthcare professional organisations (e.g.. College of Family Physicians of Singapore)
Infocomm Development Authority (IDA) Healthcare Cluster
Feasibility study
Global review of health portals
Dialogues / focus groups with stakeholder representatives
Conceptualising the NHP
“A unified web portal for empowering individuals and their care-givers with health/medical information and preventive/monitoring tools for personalised health management so as to achieve better health outcomes.”
The NHP Vision
NHP Project – Phase 1
Phase 1- 2008 to 2009
Internet
National Health PortalHPB User
Public
Clinicians
Laboratories
MSB
Personal Health Info Health
Screening Results
Self-entered Personal Health Info
Laboratory Systems
Hospital Systems
Functionalities / Features:
PHR Self-entered records; no integration with Electronic Health Records (EHR)
Lab results from Integrated Screening Programme (ISP)
Drug allergies from Critical Medical Information Store (CMIS)
Health management tools HRA
Weight Management BHIP
Smoking Cessation BHIP
Diabetes Management BHIP
Health Trackers
Clinician Access to PHR Public healthcare sector
Interfaces Interface with clusters’ events calendar & eventshub.sg
Interface with CPF for Medisave / Medishield / Eldershield information
Phase 1- 2008 to 2009
Conditions
Family history
Allergies Food
Environmental
Drug (Critical Medical Information Store, CMIS)
Lab tests Results from Integrated Screening Programme (ISP)
Contact information
Print PHR Summary
Print In Case of Emergency (ICE) Card
Phase 1 PHR Features
Concept of tailoring More tailored, more engaging, more effective
HRA
BHIPs Weight Management
Smoking Cessation
Diabetes Management
Health Trackers
Phase 1 Health Management Tools
Low Tailored Story
Tailoring Variable Used In This Case:+ Gender
Phase 1 Health Management Tools
High Tailored Story
Tailoring Variables Used In This Case:+ Age+ Gender+ Ethnicity+ Marital status+ Smoking status of spouse+ Child in home+ Physically active+ Number of cigarettes smoked+ Job status+ Barrier+ Social support
Phase 1 Health Management Tools
Health Trackers Weight / BMI
Blood Pressure
Blood Sugar (fasting and non-fasting)
Smoking
Nutrition
Physical Activity
Hemoglobin A1c
Phase 1 Health Management Tools
Appointment Booking Interface with clusters’ appointment systems
Calendar of events Interface with clusters’ events calendar & eventshub.sg
Health education resources Content from HPB Online (e.g. articles, RSS feeds,
podcasts)
Search function
Health expenditures Interface with CPF for Medisave / Medishield / Eldershield
information
Health insurance & coverage
Phase 1 Other Portal Features
Beyond Phase 3, the NHP shall be operated via a Public Private Partnership (PPP) model
Outreach Strategy
Year
Phases
Cumulative Number of Users
Outreach For Recruitment Of Users
2009 1 10,000 Polyclinic and government specialist clinics patients
2010 2 50,000 Civil service workplace
2011 3a 100,000 Private clinics and hospitals patients
Selected private workplaces
2012 3b 200,000 More workplaces
Insurance policyholders
NHP Project - Beyond Phase 1
Additional Functionalities / Features:
Evaluation of Phase 1
PHR Integration with GPs’ Clinical Management Systems (CMS)
Health management tools Mental Wellness BHIP
Clinician Access to PHR Private GPs
Interfaces National Immunisation Registry (NIR)
Student Health Assessment Programme (SHAPE)
Integrated Dental Electronic Assessment for Students (IDEAS)
Phase 2 - 2009 to 2010
Additional Functionalities / Features:
Evaluation of Phase 2
PHR Full integration with EHR
Health management tools Other BHIPs (e.g. Nutrition BHIP)
Clinician Access to PHR Private hospitals
Community hospitals & nursing homes
Phase 3 - 2010 to 2012
Additional Functionalities / Features:
Additional languages
Remote monitoring devices
Extend mobile / non-web access
Social networking tools
In the Pipeline
Standardization of data entry, sharing, and interoperability No common national standard across all healthcare providers currently
MOH holdings (MOHH) has been set up to co-ordinate efforts
Legal & ethical concerns - data privacy & security Policy on EHR data yet to be determined
Managing users’ expectation
Concerns about healthcare providers’ responsibility and legal liability
Engaging relevant stakeholders Co-ordination of stakeholders’ involvement; garnering their full support
Minimising disruption to existing systems & workflows
Increasing user adoption Marketing the NHP to the different target audiences
Incentivising participation, while maintaining sustainability
Critical Success Factors
Thank [email protected]