INFORMATION

TECHNOLOGY &
COMMUNITY
HEALTH
CHN2
At the end of this unit, students are
expected to:

1. Discuss the quality of good eHealth data.

2. Differentiate the different eHealth
Projects already existing in the Philippines.
3. Synthesize the roles of Public health
Nurse in eHealth implementation in
community setting.
Definition of eHealth?
01 02

use of ICT for Recognized by WHO as

cost-effective way of
health using ICT in : health care
services, health
surveillance, health
literature, health
education
& research.
 Power of
data &
information
 1. Continuity of
interoperability of
care stops in 2. Illegible
unlikely event handwriting
that record gets poses
misplaced. misinterpretation
of data
 3. Patient
privacy is
compromised
4. Data are
difficult to 5. Actual time
aggregate. for patient care
gets limited
eHealth Situations in
the Philippines:
01 ✓2001, 2.5% had internet access
in 10 yrs, to 29% cellphone rate of
80%, 73 M subscribers (2009)

Ranked 1st in SMS use worldwide

02
• Two Main Challenges Of Today’s Health
System:

1)Access to health care services

2)Access to real time information for
decision making.
 o 70% population in rural - no or limited access to
03 quality inpatient /outpatient care services.

Health demographics - segmented distribution

of health facilities, healthcare providers.

Only 13% healthcare providers, 40% tertiary

hospitals - situated in non-urban areas; average
travel to local health facility is 39 minutes
 • Mobile technologies & availability of internet services
04 in country, DOH introduced health information
systems.
Aim: improve access of health data.
Ex:
eFHSIS
Online National Electronic Injury Surveillance System (ONEISS)
Philippine Health Atlas
United Health Management Information System
.

USING eHEALTH
IN THE
COMMUNITY
 Universal
Health Care
and ICT
 • Known as the KP or Kalusugang
Pangkalahatan aims to attain
efficiency by using IT in all agencies
Universal of health care

Health Care • Three priority health directions of KP

and ICT are 1) Financial risk protection
• 2) Improved access to quality
hospital and health care facility
• 3) Attainment of health related MDG
Telemedicine
 ● One of the five goals of the
DOH’s National eHealth
Strategic Framework for 2010
– 2016 is to capitalize on ICT.
Telemedicine
● Aimed to provide better health
services to geographically
isolated and disadvantaged
areas (GIDAs).
 4 elements of telemedicine (WHO)
2. Overcome
1. Purpose is geographical
provide barriers, connect
clinical users not in same
support physical location

3. Involves use 4. Goal is to

of various types improve health
of ICT outcomes.
 Electronic
Medical Record
(EMR)
 • collection of medical
information about a person
that is stored on a
Electronic Medical Record computer
(EMR)

• EMR replaces the paper

version of a patient’s
medical history
eLearning
 ● The use of electronic tools to
aid in teaching.
eLearning ● Can be done synchronously,
asynchronously, or in a
combination of both.
 eHealth
projects in
Philippines
used in
community
health practice
01

eFHSIS (Electric Field

Health Service Information
System)

TYPE: Health Information System and

Electronic Reporting
 eFHSIS (Electric Field Health Service
Information System)

Developed by DOH
Online version of FHSIS
03
Where FHSIS can be uploaded data
eFHSIS (Electric Field Health Service Information System)

03
 eFHSIS (Electric Field Health Service Information System)

03

eFHSIS System Model

eFHSIS (Electric Field Health Service Information System)

System
Scope: Data
processing and
reporting at the
Municipal, City,
Provincial and
03 Regional Levels
eFHSIS (Electric Field Health Service Information System)

Health Geographic
information systems (Health
GIS)
a combined computer
mapping with additional
03
database management & data
analysis where spatial pattern
of diseases in population
for public health analysts
and decision making to
understand causes, to plan
interventions, to findi solutions
02
eIMCI
(Electronic Integrated
Management of Childhood
. Illness)
TYPE: eLearning
02
eIMCI

Developed in 2009 by
Ateneo Innovation
Center

Electronic version of IMCI

Accessible in mobile
device
 eIMCI (Electronic Integrated
Management of Childhood Illness)
03

*NTHC Learning
videos
*National Telehealth Center

TYPE: eLearning
 NTHC Learning videos

Funded by USAID (United State Agency for

International Development)
Developed by UP MLA – NTHC

Created elearning videos for TB, stroke, bird

flu & child poisoning
 NTHC Learning videos

03
 NTHC Learning videos

03

Image of Learning Video

created for TB
04

SPASMS (Synchronized
Patient Alert via SMS)
TYPE: Alert System
SPASMS (Synchronized Patient Alert via SMS)
04

Add on to WAH (Wireless Access System)

Reminder for patient on due for ff - up
SPASMS (Synchronized Patient Alert via
SMS)

04
05

SPEED (Surveillance in Post

Extreme Emergencies &
Disasters)

TYPE: Disaster Management & SMS Reporting

05
SPEED (Surveillance in
Post Extreme
Emergencies &
Disasters)
 SPEED (Surveillance in Post Extreme Emergencies &
05
Disasters)

Objectives:
•Detect early unusual increase in CD & NONCOM
health conditions
•Monitor health trends – determine. effectiveness of
intervention
•Enable identification of response to handle
emergency
 SPEED (Surveillance in Post Extreme Emergencies &
05
Disasters)

Target Beneficiaries:
•Ultimate beneficiaries: disaster-affected populations
•Immediate beneficiaries: health emergency
managers & decision-makers
05
SPEED (Surveillance in Post Extreme
Emergencies & Disasters)

Project of World Health Organization (WHO)

and DOH-Health Emergency Management
Staff (DOH-HEMS)
05
SPEED (Surveillance in Post Extreme
Emergencies & Disasters)

Allow CH Nurse submit daily reports of

prevalent diseases STAT after disaster via
SMS, e-mail & other ICT

Sends Immediate Notification Alerts (INAs) to

CH Nurses for possible outbreaks based on
available data
05
SPEED (Surveillance in Post Extreme
Emergencies & Disasters)

Allow CH Nurse submit daily reports of

prevalent diseases STAT after disaster via
SMS, e-mail & other ICT
05 SPEED (Surveillance in Post Extreme
Emergencies & Disasters)

Legal Framework:
Republic Act 10121: Phil Disaster Risk
Reduction and Mgt Act of 2010

DOH Admin Order 2004-168: National Policy

on Health Emergency and Disasters
06

RxBox
.

TYPE: Telemedicine
06
RxBox
.

.
.

.
.

Image of Zamboanga region ‘RxBox’

devices May 2016
06
RxBox
.

.
Multi-component
.
device comprising: BP
monitor, pulse oxymeter, ECG, fetal heart rate
monitor, maternal tocometer & temperature
.
sensor
.

provide better access to life-saving health care

service in isolated & disadvantaged areas.
06
RxBox
.

telemedicine
.
.
device:
.
➢ capturing medical signals through built-in
medical sensors,
➢ stores data in EMR & transmits health info via
.
internet to clinical specialist in PGH for expert
advice.
(National Telehealth Center)
06
RxBox
.

improved
. local
.
referral system by facilitating
.
teleconsultations (audio- video conferences)
within National Telehealth Service Program.
.
Reduce overall cost of healthcare - enables health
workers to diagnose, monitor & treat patients within
rural health facility,
06
RxBox
.

Funded by DOST-PCHRD
. (Dept of Science &
Technology
.
– Phil Council for Health
Research)
Develop
.
.
by UP-Mla EEIE (UP Electrical &
Electronics Engineering Institute), UP-
National Institute of Physics & UPM-NTHC
06
RxBox
.

Since 2014, total of 143

.

. units of RxBox had been

.
deployed in the country.
*DOST
07

Buddyworks
TYPE: Telemedicine and eLearning
 Buddyworks
Implemented in 2004 by UP Mla NTHC (National
Telehealth Center funded by eGovernment of
Commission of information communication
Technology
01

Allow those in GIDA to send referrals to medical

specialist of UP-PGH via SMS & eMail.
Buddyworks

07
08

SEGRIS (Sergworks Rural

Health Information
System)

TYPE: Electronic Medical Record

08
SEGRIS (Sergworks Rural Health
Information System)

Electronic Medical Record developed

for RHU

Developed by Sergworks, a local

software company in Davao
09
SHINE (Secure Health Information
Network Exchange)

TYPE: Electronic Medical Record and

SMS Reporting
09
SHINE (Secure Health
Information Network
. Exchange)
.
.

.
09

SHINE (Secure Health Information Network

Exchange)

Electronic Medical Record developed by

SMART Communication

http:// shine.ph
09
SHINE (Secure Health
Information Network
Exchange)
10

Wireless Access for Health

(WAH)

TYPE: Electronic Medical Record and Health

Information System
 WAH (Wireless Access for Health)
10
Augmented the existing CHITS
by connecting health center in
BROADBAND internet
access
 WAH (Wireless Access for Health)

11

Implemented in 2010 in Tarlac

Done by Private- public partnership (PPP) of Qualcomm, UPM-NTHC,USAID,

SMART, DOH-IMS, Center for Health Devp. (CHD), Region III, RTI
International, National Epidemiological Center (NEC), Tarlac State University &
local government
 11

CHITS (Community Health

Information Tracking System)
TYPE: Electronic Medical Record
11 CHITS (Community Health Information Tracking System)

.
Developed in 2004 by Dr.
. Herman Tolentino, by UP Mla
. College of Medicine, Medical
Informatics Units.

. Began in Pasay Health Center,

. then applied in more than 48
health centers.
11 CHITS (Community Health Information Tracking System)

. • Program divided in diff module

depending on health program
.
such as EPI, NTP
.

• Free and Open Source

Software
.
. • https://demo2010.chit.ph for
demo
11
CHITS
11 CHITS (Community Health Information Tracking System)

.
.

.
.
GOOD DATA
QUALITIES
 1. Accuracy

documentation reflects
event as it happened. computer can be
instructed to check fields
for validity. Alert user to
potential data collection
error
2. Accessibility

ascertains data availability

should patient or any health
care staff needs it.
3. Comprehensiveness

Data inputted should be complete.

Making sure all required fields in
patient’s record properly filled up.
4. Consistency/Reliability

no discrepancies in
data recorded
makes it consistent.
5. Currency 6. Definition
All data must be up-to- Data properly labelled &
date & timely. CH Nurse clearly defined. Ex: 36
records data at point-of-
is just an ordinary
care or when it
happened number unless it is
labelled as an age of a
person.
 Roles of
Community
Health Nurses in
eHealth
 1. Data & records manager

• Monitors trend of diseases through

EMR, for targeted interventions for
health promotion, disease prevention
curative services, or rehab.
• Quality of data in EMRs maintained,
sure everything is up-to-date.
 2. Change Agent

Working closely with community & implementing

eHealth with them and not for them.
Collaborate with leaders, policy makers, stakeholders
other community health professionals to determine
knowledge & awareness on eHealth & appropriate ICT
tools.
Build baseline eHealth knowledge & help develop
appropriate eHealth tools for community.
 3. Educator

Provide health education to indv &

families through ICT tools, participate on
making eLearning videos on a specific
disease - patients watch during waiting
time at health center.
 4. Telepresenter

When pt. needs to refer to remote medical

specialist through telemedicine, nurses function
as Telepresenter.
i.e., nurse present patient’s case to remote
medical specialist.
 5. Client Advocate

safeguard patient records, ensure

confidentiality & privacy of pt
info. are being upheld.
 6. Researcher

identify points for research & develop

framework, based on data aggregated by
system; pursues continued nursing
informatics
educ., with goal of developing research
framework.
 FACTORS AFFECTING
EHEALTH IN THE COUNTRY
FACTORS AFFECTING EHEALTH IN THE COUNTRY

1. Limited Health Budget

2. Emergence of Free & Open Source

Software
"open source" makes source code free,
available for everyone, cuts cost in
developing software
FACTORS AFFECTING EHEALTH IN THE COUNTRY

3. Decentralized government
Diverse & unrelated eHealth projects all
over country. Needs to connect with
each other, having EMR system for all
health centers
FACTORS AFFECTING EHEALTH IN THE COUNTRY

4. Target Users are Unfamiliar with

Technology
Requires training of personnel on basic
computer skills, use of software &
maintenance of equipment
Limited Health Budget
 FACTORS AFFECTING EHEALTH IN THE COUNTRY

5) Surplus of "Digital Native" Registered Nurses

"Digital Nurses" is a person who grew up & is
famililar with digital technologies ( Prensky,
2001)
RN Heals (Registered Nurses for
Enhancement & Local Systems) provide
nurses in a underserved, remote area for one
year.
References:
Efhsis accessed Nov 02, 2020 at https://www.itu.int/en/ITU-
D/Regional-Presence/AsiaPacific/Documents/Events/2015/Sept-
DSDS2015/Presentations/Day%202/Breakout%203B-
%20Elizabeth%20Tabasa.pdf

eHealth at www.doh.gov.ph

Famorca, Z. 2013. Nursing Care of the Community, a comprehensive

text on community and public health nursing in the Philippines,
2013, 357 – 370.

World Health Organization, 2003, Improving Data Quality from

www.phinetwork.org
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