National EHealth Dec14

8/16/2019 National EHealth Dec14

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NATIONAL eHEALTH:“Moving Towards Efcient

Healthcare”

By:Dr. Fazilah Shaik Allaudin

Deputy DirectorTelehealth Division

Ministry of Health MALA S!A


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IntroductionHealth System TransformationMOH’s DirectionProposed eHealth Strategy" Challenges" Action Plan" RM !"" initiati#es" $e% strategiesSummary

Presentation Outline

#


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&

E ecutive !u""ar#

eHealth in Malaysia 'egan acti#ely %ith the era of MSC( )e had an

era o$ ra%id &uild'u% and POCs and pilots* %hich today* is 'eingha"%ered &udget constraints (

Today in healthcare facilities* %e ha#e manysystems and thenum'ers continue to gro% due to functional needs* 'ut %econtinue to have a large ga% on %atient care s#ste"s

despite its o'#ious 'ene+ts(Healthcare is poised for its 'iggest sha,e up e#er as itstrans$or"ation to a more 'etter* e-cient and e.uita'lehealthcare re(uires )(uic* wins+ in I,T to &e addressed-

Today* MOH ha#e %ro"ising %atient care s#ste" /TPC* OHCIS

0 SPP1 that re.uires scaling ()e need to ta,e healthcare to the ne t level * one thatem'races the need $or changes and uses I,T as an ena&ler (

The con2uence of 3ig Data* Cloud* Managed and Shared Ser#icescom'ined %ith uncertain 'udgets compels us to rethin* our&usiness "odel-


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)ellness focus Person focus Informed persons Self!helpCare pro#ided athome4close to

home

Malaysia is to 'e a nationof healthy indi#iduals*families and

communities55((

6

Mala#sia+s .ision $or Health / eight 012Health 3oals

Seamless* continuouscare

Ser#ices tailored asmuch as possi'le78ecti#e* e-cient anda8orda'le ser#ices


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$

96: ; : ; ?":

HCDA study

$HMS


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Pri"ar# health care is thethrust o$ Mala#sianhealth care s#ste"4

su%%orted

secondar# care serviceswhich are devolved /

regionali5ed tertiar# care services

NationalReferralSystem

Greaterequity,

accessibility& better

utilizationof resources

'

MOH+s Health Policies


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(

ri"ar# Health ,are as thrust o$ the Health !#ste"

(

Mother 0 childBamily planning

Outpatient7n#ironmental

SchoolDental

Pharmacya'

Child %ith Special $eedReproducti#e Clinic

7lderly ClinicDia'etic Clinic

AdolescentOccupational Health

7mergencyHealth Informatics

H#%ertension6eha&ilitation !ervices

HP.Needle !tic* E change

Progra""eMethodone

!TI7vicePL8N

Pen9ara

8 M;T!

2010



SchoolDental

Pharmacya'

,hild with !%ecial

Need6e%roductive ,linicElderl# ,linic;ia&etic ,linic

AdolescentOccu%ational

HealthE"ergenc#

Health In$or"atics

2000



School;ental

Phar"ac#La&

1980



School

1960


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)

3rowing !co%e: !econdar# / Tertiar# ,arein MOH

MOH Hos%itals 0as o$ ?2


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*

;istri&ution o$ Health @acilities in Mala#sia

Distri'ution of o#ernment Health

Clinics

Distri'ution of Pri#ate Health Clinics

Distri'ution of MOH Hospitals Distri'ution of Pri#ate Hospitals

Source : Mapping Study of Health Facilities & Services,IKU MOH, 2 !"


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"@

Mala#sia+s health in$or"atics "ulti %lat$or"s


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""

A new era o$ %olitical co""it"enttowards digital econo"#

Source ; MAMPE


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+#

NKEA projects offer …The +# ,ational -ey cono%ic Areas /,- As0 are at the core of the T1. A ,- A is

defined as a driver of econo%ic activity that has the potential to directly and %ateriallycontri2ute a 3uantifia2le a%ount of econo%ic &ro4th to the Malaysian econo%y

e Nation =>=>: B growth thru =>=>C ;ou&le 3NI and reach %er ca%ita 3;P

+#Source : PEMANDU EPP Preso Pack

ETP as a %lat$or" $or I,T in healthcare


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Towards Health

!#ste"Trans$or"ation

+5


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And "an#"oreG-

,hallenges in Health


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+$

National Health !#ste" Trans$or"ationAgenda

A restructured national health system that isres%onsive and pro#ides choice o$ (ualit#

health care* ensuring universal coverage forhealth care needs of population 'ased on

solidarit# and e(uit#-

!ervice;eliver#

Organisational

@inancing

@ull# i"%le"ented trans$or"ation

Hos%ital re$or"

PH, re$or"

Pu&lic @acilit# autono"#

!trengthening o$ the current health s#ste"

, o " % o n e

n t s

P h a s e s


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+'

MOH+s Polic# ;irection => '=>


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@ocusArea7!trategies

"( StrengtheningPrimaryHealthcare

'=>=>2


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Pro%osed eHealth !trateg#

+)


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">

I,T ,hallenges in MOH

Standardisation

Healthcare information sharingo#ernance

o#ernanceStandardisationHealthcare information sharing

- A6 AS T7 B ADD6 SS D

Signi+cant 'udgetconstraintG ICT ?: of

total MOH CAP7


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#$t$%e&

Jhat is the ena&ler o$ MOH visionK

Integrated Healthcare ;eliver#

Integrated Healthcare IT !#ste" 7,onnected Health

8e#Ena&ler

A &'t$o& of (e')t(* $&+$,$+-')s. f'/$)$es '&+ co//-&$t$es…


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Action Plan $or I,T

eadership 0 o#ernance

egal Brame%or, 0 Policy

S t a n d a r d s

0

I n t e r o p e

r a ' i l i t y

I C T I n f r a s t r u c t u r e

0

C o n n e c t

i # i t y

A p p

l i c a

t i o n s

0 S y s t e m s

H e a

l t h I n f o r m a

t i o n

7 J c h a n g e

/ H I 7 1

P e o p

l e / S , i l l s 0 7 J p e r t

i s e G

C h a n g e

0 A d o p

t i o n

1

M o n

i t o r i n g 0

7 # a

l u a

t i o n

S u s t a i n a

' i l i t y

Health System Transformation

Foundation

Pillars

GOAL

7nterprise Architecture

$ational eHealth Policy 0 Strategy


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#5

De,e)op N't$o&')

@ive initiatives in 6M8' 0=> '=>=>2

"

<

&

6

?


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The activities $or each initiatives 0=> '=>=>2


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-t-re I#" Arc($tect-re O,er,$e3 4#o&cept-')5

#o//-&$t*

P('r/'c*

6e&istration 1rescription8ie4li&i2ility9heck Dispensin&

!nteraction Aller&y9lai% Adverse

Pro,$+er 4P- )$c 7

Pr$,'te5

6e&istration Schedulin&

li&i2ility9heck

8isitSu%%ary

1rescription 6eferral9lai%ellness

1#'re Access L'*er I&for/'t$o& E c('& e I&fr'str-ct-re :er,$ces

4;IE5

#)$e&tRe $str*

Pro,$+erRe $str*

'c$)$t*Re $str*

"er/$&o)o *:er,$ces

Pr$,'c*M'&' e/e&t

:ec-r$t*M'&' e/e&t

:('re+Recor+s

4L;R5

We))&ess:er,$ces

4Perso&')$%e+5

Pro,$+er P'*/e&t

nrol%ent 8erification

Fin ; Acct


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A$ APP ICATIO$S

Hospitals

Health Clinics)A$

"

Note 1: WAN #onnectivity is underta$en %y M M'U under!(ov)*et

Note 2: SPP develop+ent roll-out for MOH hospitals co++enced

PhIS develop+ent roll-out for MOH facilities co++encedNote 3: TPC OHCIS develo +ent & roll-out co++enced

$ote"

MOH; >B %ith HIS

system

D7 IC7S< &

MOH; >B %ith TPC

Dental Clinics

MOH; FB %ith OHCIS

Supporting Bacilities

A$ and D7 IC7Sre.uired

$ote <

$ote&

$ote &


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MO;>NetMyLoca Data

9entre9y2er=aya

I&ter&et

M7H H< StateHealth

Dept

Health 7ffice>Health 9linics>

; DentalLa2s ;

!nstitution

Hospitals

P-tr'j'*'#'/p-sNet3or?

4P#N5

#)

,ote:

+. M7H?,et in finalsta&es of %i&rationto +@ov?,et

#. Mana&ed services2y MAM1

5. MyLoca Data9entre to 2e%i&rated to 1u2licSector Data 9entre

. (C facilitiesconnected to+@ov?,et

$. Tar&et ofconnectivity +CC2y #C+$

#CM2ps

#CM2ps 'M2ps +CE5C M2ps

/Monitored via,- A 99!0

3ov Net

In$rastructure / ,onnectivit#


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In !u""ar#GG--

N CapeJ

TIM7

Illustrati#e

9MP to >MP "@MP ""MP

6 MSC pilot pro ects$umerousachie#ements

3usy 0 rich’ times Turn,ey pro ectsDirect negotiationsQSiloimplementations THIS 3ig 'ang’approach

Telehealth ser#ices re#ie%edMyHI

TPC pilot 0 roll!outs

MultimediaSuper Corridor TP 0 7TP STP 0 Digital 7conomy


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THA$ OEdr faLilahUmoh(go#(my

&@

Documents

National EHealth Dec14