e health in the

Community
Setting

ROSELLE B.BANIEL, R.N.

 Explain the importance of

1 Information and
Communications Technology
for public health

Describe the existing

LEARNING
OBJECTIVES 2 implementation of ICT for
public health in the
Philippines

List the various roles

the community health
3 nurses have in
implementing ICT for
public health
 KEY TERMS
Information and Telemedicine
Communications
Technology
(ICT)
Health
e Health Informatics e Learning

Electronic Geographic
Medical Information
Records Systems
 INTRODUCTION
E-health is an evolving field in the juncture
of medical informatics, public health, and
business, stating to the health services and
information distributed or heightened
through the Internet and associated
technologies

A technical progress along with

state-of-mind, an approach of thinking and
an attitude for networked, global thinking, to
expand health care locally, countywide,Neptune
and
universal by using information and
communication technology

What is e Health? COMPONENTS
( WHO definition 2012)

e health
COMMUNICATING WITH A PATIENTT
THROUGH A TELECONFERENCE

Is the use of
ICT
RECORDING, RETRIEVING AND
Saturn is a gas giant and has
MINING DATA IN AN ELECTRONIC
several ring around it
MEDICAL RECORD (EMR)
for health

PROVIDING PATIENT TEACHINGS WITH

THE AID OF ELECTRONIC TOOLS SUCH
AS RADIO , TELEVISION, COMPUTERS,
SMARTPHONES, AND TABLETS
Three Core Areas of eHealth
Delivery of health
information, for health
professionals and health
consumers, through the
Internet and
telecommunications.
er
Using the power of IT and
e-commerce to improve
public health services, e.g.
through the education and
training of health workers.

The use of e-commerce and

e-business practices in health
systems management
Information and Communications Technology (ICT)

internet
diverse set of
technological
tools and computers
resources used to
communicate , Broadcasting
network
create,
disseminate,
manage
information
 Uses of e Health
HEALTH Literature

HEALTH CARE SERVICES

HEALTH
EDUCATION
Health Surveillance

RESEARC
H
 The Power of DATA and
INFORMATION
DATA
are unanalyzed raw facts that do not imply meaning

INFORMATION
are raw data which were given a meaning, after being processed and
analyzed
e health vs. paper- based Data Record
Continuity and interoperability of care
1 stops in the unlikely event that a record
gets misplaced

Illegible handwriting poses misinterpretation

2 of data

Patient privacy is compromised in

3 traditional paper-based records

4 Data are difficult to aggregate

Actual time for patient care gets limited in

5 searching for paper-based redords
INTERNAL and EXTERNAL CHANGES AFFECTING
INFORMATICS

The ability to Neptune

relate data to
The ability to
cohorts of The ability to
manipulate
people who link to genomic
large amounts
share similar data
of data
health
problems
 BENEFITS of eLECTRONIC PATIENT
INFORMATION SYSTEM

Data can Data for

Redundancy clinical
be readily
of data is research
retrieved
minimized becomes
Data are readily and Resources
mapped , recovered more
are used
enabling more available
efficiently
targeted
interventions and
feedback
 Ensuring a GOOD DATA QUALITY

ACCURACY ACCESSIBILIT
Y

COMPREHENSIVENES CONSISTENCY
S / RELIABILITY

CURRENCY DEFINITION
 e health SITUATION IN THE PHILIPPINES

73 MILLION 80% MOBILE

SUBSCRIBERS PENETRATION
AVAILABILITY
OF INTERNET
SERVICES UBIQUITY OF
MOBILE
EASY AND ADVANCED TECHNOLOGIES
ACCESS TO
INFORMATION

EMERGENCE OF RANKED 1ST IN SMS MESSAGES

FREE AND OPEN
SOURCE SOFTWARE LGUS have AUTONOMY TO CONTROL BASIC
HEALTH SERVICES
 Pitfalls
❖ TRAINING AND MAINTENANCE

❖ DIFFERENT CULTURAL ASPECTS IN AVERSION TO

MODERNIZATION

❖ UNFAMILIARITY OF THE TARGET USERS WITH THE

TECHNOLOGY

❖ LACK OF ASSESSMENT OF NEEDS OF THE

PROFESSIONALS

❖ ACCEPTANCE TO THE NEW TECHNOLOGY

 The CHALLENGES

❖ Lack of reliable Internet

Connection in remote areas

❖ Inappropriate technology for

some users

❖ Surplus of “ digital native”

nurses

❖ Logistic limitations
 UNIVERSAL HEALTH CARE AND ICT
KALUSUGAN PANGKALAHATAN ( KP) reform agenda in 3 priority
health directions

1. Financial Risk protection through expansion in

National Health Insurance program enrolment
and benefit delivery

2. Improved access to quality

hospitals and health care
facilities

3. Attainment of the health-related

Millenium Development Goals (MDG’s)
 Using e health in the Community
1 3 5

ELECTRONIC
TELEMEDICINE MEDICAL e Learning
RECORDS

2 4 6
Roles of COMMUNITY HEALTH NURSES in e health
DATA and
RECORDS TELEPRESENTER
manager

CHANGE CLIENT
AGENT ADVOCATE

EDUCATOR RESEARCHER
 e health projects in the Philippines used in
community health service
Name Type Key Information

Buddy Works Telemedicine and e learning • Implemented in 2004 by the

University of the Philippines
Manila National Telehealth
center (UPM-NHTC) through
the eGovernment fundof the
Commision on Information
and Communications
Technology (CICT)
• Allowed RHU physicians in
GIDAs to send telereferrals
to medical specialists at
Philippine General Hospital
(PGH) via Short Message
Service (SMS) and email
 e health projects in the Philippines used in
community health service
Name Type Key Information

CHITS (Community Electronic Medical Record Developed in 2004 by Dr. Herman

Health Information Tolentino of the UPM College Medicine
Tracking System) – Medical Informatics Unit (MIU) .
Project initially began in Pasay health
centers and has been implemented in
more than 48 health centers since
then.

Program is divided into different

modules based on existing DOH
programs (EPI, NTP, etc) and is a Free
and Open Source Software (FOSS).

A demo of CHITS can be accessed

online at https://demo2010.chit.ph
(username: user, password: user)
(UPM-NHTC 2010)
 e health projects in the Philippines used in
community health service
Name Type Key Information

eFHSIS (Electronic Field Health Information System and An online version of the FHSIS
Health Service electronic reporting developed by the DOH where you can
Information System) upload FHSIS data
eIMCI (Electronic eLearning Developed in 2009in the Ateneo
Integrated Innovation center
Management of
Childhood Illnesses An electronic version of IMCI
accessible in mobile devices
NTHC e Learning videos E Learning Funded by the United States Agency
for International Development (USAID)
and developed by UPM-NTHC

Created e Learning videos on ,

tuberculosis, stroke, bird flu, and child
poisoning
 e health projects in the Philippines used in
community health service
Name Type Key Information

RxBox Telemedicine Funded by the DOST-PCHRD and developed

through the collaborative efforts of the
University of the Philippines Manila- Electrical
and Electronics Engineering Institute (UPM-
EEEI) University of the Philippines Manila –
National Institute of Physics (UP-NIP) and
UPM-NTHC

It is a mobile computer connected with

medical devices such as ECG , pulse
oximeter and electronic blood pressure and
heart rate monitors that is intended for mobile
deployment to rural health centers.

It is also able to store and send patient

information and allow video and chat
conferencing with a medical specialist.
 e health projects in the Philippines used in community
health service
Name Type Key Information

SEGRHIS ( Segworks Electronic Medical Record An electronic medical record created for
Rural Health Rural Health Units
Information System)
Developed by Segworks , a local software
company based in Davao

SHINE (Secure Health Electronic Medical Record An electronic Medical Record developed by
Information Network and SMS reporting Smart Communications
Exchange)
A demo can be accessed online at
https://shine.ph

SPASMS (Synchronized SMS Alert System Add-on to WAH (Wireless Access to Health),
Patient Alert via SMS SPASMS is an SMS reminder system for
patients who are due for follow-up
 e health projects in the Philippines used in community
health service
Name Type Key Information

SPEED (Surveillance of Disaster Mangement and A project of the World Health Organization
Post Extreme SMS reporting (WHO) and the Department of Health – Health
Emergencies and Emergency Management Staff (DOH-HEMS).
Disasters)
l Allows community health nurses to submit
daily reports of prevalent diseases
immediately after disasters via SMS, email
and other information and communication
technologies.

SPEED also sends immediate notification alerts

(INAs) to community health nurses for
possible outbreaks based on available data.
 e health projects in the Philippines used in community
health service
Name Type Key Information

WAH (Wireless Access Health Information System Implemented in 2010in the Tarlac province
for Health) and Electronic Medical through the Public-Private partnership (PPP) of
Record Qualcomm, UPM –NTHC, USAID, Smart,
DOH-IMS, Center for Health Development
(CHD) Region III, RTI International , National
Epidemiological Center (NEC) , Tarlac State
University and the local government.

WAH augmented the existing CHITS , by

connecting health centers through
broadband internet access

WAH website: sites.google.com/site/wahphil.

 SUMMARY

Technology was never meant to

replace the nurse to provide quality
and holistic care , but rather to make
each caring situations meaningful
both for the nurse and for the
patient. The purpose of technology is
to make our lives easier and improve
community health by empowering its
workers with e Learning and
bridging the gaps of communication.
 “Fundamental to
technological
development is the
establishment of human,
political and economic
arrangement that ensures
the efficient use and
application of
technology”.

(Locsin, 2005)
THANK YOU!