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AeHIN, with the help of the Thai Health Information Standards Development Center (THIS), conducted a three-day Knowledge Exchange Program for the staff of Jigme Dorji Wangchuck National Referral Hospital (JDWRH) in Bangkok, Thailand last September 23-25, 2019.
JDWRH is having difficulties in managing increased patient visits in their Emergency Department and monitoring the availability of beds in real-time. To resolve this, they plan to establish a Central Admission Unit (CAU) in their Medical Record Office to manage registration, admission discharge and transfer (ADT) processes within and between hospitals.
AeHIN and THIS conducted the program to help JDWRH staff initiate the CAU. The program exhibited how hospitals in other countries organize patient registration, admission, discharge and transfer functions, as well as hospital medical record processes.
Topics covered in the program included Central Admission Unit Information Management, Bed Management System, Emergency Crowd & Information Management, and Digital Health Transformation Management.
Other academic exchanges with institutions such as the University of Colombo and the Health Informatics Society of Sri Lanka are also underway.
As part of the openIMIS initiative, AeHIN is leading the formation of an openIMIS Community of Practice (CoP) in Asia.
Advancing the 2030 Agenda through openIMIS
The openIMIS initiative works to include excluded populations into social (health) protection schemes by improving the schemes’ data and information management capacities through openIMIS.
openIMIS is the first open-source software for the linking of beneficiary, provider and payer data.
It benefits the management of the social health protection system by optimizing process flows, promoting transparency, enhancing financial management, and providing a means for beneficiary identification and tracking.
openIMIS Community of Practice in Asia
As part of this initiative, AeHIN is leading the formation of an openIMIS Community of Practice (CoP) in Asia.
This community engages with ministries, health education institutions, medical student associations, interoperability labs, and related groups to explore possible use cases for openIMIS implementation in Asia, particularly in the academic setting.
To support the application of ICT solutions for social health protection, the openIMIS CoP in Asia works on contextualizing capacity-building strategies and supplementary knowledge materials with the specific needs of countries.
These insights are also expected to refine knowledge products on ICT solutions for social (health) protection at the global level.
openIMIS ToT Workshop in Manila
In the Philippines, openIMIS will be used as a tool to learn about health insurance at the clinical skills lab.
On September 12, the openIMIS Country Hub Philippines will conduct its first openIMIS Training-of-Trainers (ToT) workshop with the University of the Philippines Manila.
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During the 6th AeHIN General Meeting held in Colombo, Sri Lanka in October 2018, AeHIN and Pierre Fabre Foundation had signed a partnership agreement. In FPF's 2018 annual report, AeHIN's contributions, especially in the Observatory, were highlighted.
AeHIN leader Mr. Jai Ganesh Udayasankaran had been a speaker in the panel “Capacity building, from strategy to action” hosted by the Foundation on 1 July 2019. This panel was part of the proceedings of the 4th conference of the Global South eHealth Observatory held in Lavaur, France.
Following this conference, AeHIN together with the USAID-MEASURE Evaluation project had organized a workshop on 'Health Information Systems (HIS) Stages of Continuous Improvement Assessment (SoCI)' on 4 July 2019 at the Foundation's headquarters.
Mr. Manish Kumar from MEASURE Evaluation and Mr. Jai Ganesh Udayasankaran from AeHIN conducted this workshop.
The HIS SoCI toolkit developed by the USAID-MEASURE Evaluation project, the Centers for Disease Control and Prevention and the Digital Health and Interoperability working group of the Health Data Collaborative is now available now as a digital health global good.
The Observatory's award-winning laureates from Burkina Faso, India, Mali, Mongolia, Tanzania as well as delegates from Cote D' Ivoire, Guinea, Senegal and the Foundation's staff were the participants of this workshop. The participants worked in small groups to understand the 5 domains, 39 sub-components and 5 stages of the HIS SoCI toolkit.
They reviewed the HIS stages measurement scale, the data collection tool, and completed the group work with an aim to simulate the assessment process in their own organizational and project settings.
In the plenary discussion, the participants shared their experiences and analyzed the importance of HIS assessment and continuous improvement in the context of their own healthcare projects. The discussion emphasized the necessity of contextualizing HIS improvement efforts and engaging local stakeholders to plan, design and conduct HIS improvement activities at the national or sub-national levels.
Videos: Conference Highlights,
AeHIN leaders highlighted the Mind the GAPS Framework in a panel at the 17th World Congress of Medical and Health Informatics (MedInfo) last August 27 in Lyon, France.
Dr. Boonchai Kijsanayotin, Dr. Alvin Marcelo, Mr. Jai Ganesh Udayasankaran, and Dr. Anis Fuad led the panel called "Mind the GAPS: A Systematic Approach to Developing eHealth in Developing Countries" together with key AeHIN members Prof. Vajira Dissanayake, Dr. Portia Marcelo, Prof. Shinji Kobayashi, and Prof. Siaw Teng Liaw.
Technology has been continuously developing yet fragmentation and silos continued to persist in health information systems. To address these, AeHIN has committed to find solutions by learning and exchanging knowledge as well as collaborating with ministries of health, development partners, and peer networks.
The interventions made since the inception of AeHIN has led to the development of the Mind the GAPS framework. The framework encourages governments and other sectors to work on their governance, architecture, program management, and standards to enable and sustain health information systems interoperability.
AeHIN talked about its national Convergence Workshops that promote "people interoperability," a critical aspect in implementing national strategic plans.
In the next five years, AeHIN will strengthen the network by forging stronger ties with peer networks like the Pacific Health Information Network (PHIN) of the Pacific Island Countries, African Alliance for Digital Health Networks (AANDH), African Centre for eHealth Excellence (Acfee) from Africa as well as Red Americana de Cooperación en Salud Electrónica (RACSEL) and Central American Health Informatics Network (RECAINSA) from Americas.
AeHIN will also enhance peer-to-peer knowledge exchange through trainings and promoting co-creation of knowledge products and publications focusing on critical data analytics for SDG and UHC, blockchain architecture for PHR, Big Data of healthcare and AI applications in healthcare.
Kuala Lumpur, Malaysia - AeHIN hosted the ‘PRINCE (PRojects IN Controlled Environments) 2 Foundation and Practitioner Training’, through CC and C Solutions trainer Manikandan Mohanakrishnan, on 22-26 July 2019 at Aloft Kuala Lumpur Sentral hotel. Special sessions on the openIMIS (Open Source Insurance Management Information System) and the DHA (Digital Health Atlas) were also organized along the sidelines of the training.
Thirty participants from Bangladesh, Bhutan, Cambodia, Indonesia, Lao PDR, Malaysia, Maldives, Myanmar, Nepal, Pakistan, Philippines, Sri Lanka, Thailand, and Viet Nam attended the training and the side-meetings in Kuala Lumpur.
The PRINCE 2 training is part of ‘AeHIN's Mind the GAPS (Governance, Architecture, People and Program Management, and Standards and Interoperability) Playbook’, which promotes capacity-building in IT Governance (COBIT5), enterprise architecture (TOGAF), program management (PRINCE2), and standards and interoperability (HL7/IHE).
As a leading project management method, PRINCE2 is being applied by many companies and government organizations to deliver change and to develop new products or services. It helps organizations better manage their projects by providing a universal language for defining goals, rationale, and benefits. It is grounded in interrelated principles, themes, and processes that enable proper management of accountabilities, responsibilities, and deliverables in a controlled project environment.
For the openIMIS side-session, Nirmal Dhakal of GIZ Nepal introduced the openIMIS initiative and shared Nepal’s story on how they implemented openIMIS for managing the national health insurance scheme. After the training, members of the openIMIS community of practice in Asia came up with a draft project plan for openIMIS implementation using PRINCE2 as a project management framework.
For the DHA side-session, Maeghan Orton of the World Health Organization introduced the DHA initiative as a platform to match existing digital health applications in a country with the corresponding health system challenge/s they can help address (via a specific digital functionality). Dr Chaminda Weerabaddana of the Sri Lanka Minsitry of Health, Nutrition, and Indigenous Medicine also shared Sri Lanka’s journey in implementing DHA.
The overall training was supported by the Patrick J. McGovern Foundation. The Patrick J. McGovern Foundation supports pioneering neuroscience research and explores the ways in which advances in information and technology can improve the quality of life on Earth.
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Dr Boonchai Kijsanayotin
Health System Research Institute
National Health Building
88/39 Tiwanon 14 Road,
AeHIN Executive Director
Dr Alvin Marcelo
Medical Informatics Unit
University of the Philippines Manila
547 Pedro Gil St., Ermita
Ms Kristin Chloe Pascual,
Ms Charisse Orjalo
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