Ehealth Strategy Development And Implementation

Worldwide the application of information and communication technologies to support national health-care services is rapidly expanding and increasingly important. This is especially so at a time when all health systems face stringent economic challenges and greater demands to provide more and better care especially to those most in need. The National eHealth Strategy Toolkit is an expert practical guide that provides governments their ministries and stakeholders with a solid foundation and method for the development and implementation of a national eHealth vision action plan and monitoring fram.

BACKGROUND: New Zealand has a long history of developing and disseminating national plans and strategies to implement information technology (IT) in the healthcare sector. Health reforms post-2008 resulted in the creation of the National Health IT Board. In their new role, they published an influential iteration of an eHealth strategy in 2010 - the National Health Information Technology Plan. The district distribution of healthcare provision and responsibility in New Zealand increased the likelihood of disparate uptake of eHealth initiatives throughout the country. The National Health IT Plan was implemented with the goal of reducing that disparity to enable a national integrated healthcare model. AIM This inductive, interpretive research study identifies major factors impacting the implementation of the National Health IT Plan in New Zealand by examining stakeholder perceptions of issues that facilitated and/or hindered the implementation process, with the aim of generating a theory in the substantive area. METHOD: An iterative grounded theory methodology was used to guide data collection, analysis, and reporting. Data was collected from two sources: first, from a public online discussion forum created to garner stakeholder feedback from the draft National Health IT Plan prior to its release. The data collected and analysed from the first phase was used to inform the interview schedule employed in the second phase of data collection. In the second phase, data was collected from interviews with 30 health sector stakeholders over a 10-month period. Analysis methods utilising the grounded theory process resulted in the emergence of a substantive theory grounded in the empirical data. FINDINGS: Through the inductive grounded theory analytical process, four final categories (combined to form the mnemonic GEAR) emerged indicating the interrelationship between key factors that impacted implementation of the National Health IT Plan - Government and Leadership, Engagement of Stakeholders, Aligning the Plan in Context, and Regionalisation to Sustain Implementation. The Government and Leadership category relates to the impact of the direction, control and leadership at central level. The Engagement of Stakeholders category represents the process and methods by which stakeholders were targeted to influence buy-in to implementation. The Aligning the Plan in Context category outlines the impact of the national health sector context and culture. The Regionalisation to Sustain Implementation category reflects the impact of the existing District Health Board structure on implementation and the move for regional collaboration to promote long-term sustainability of eHealth initiatives. CONCLUSIONS: The similarities and contentions that existed between the differing perspectives of the interviewees wove the relationship between the concepts within the categories. This interrelationship, grounded in the data, forms the substantive theory on the influencing factors on eHealth strategy implementation in New Zealand. The presence of the four categories together contributed to influencing the implementation of the National Health IT Plan. Leadership at central level played a facilitating role in its implementation, and forward steps were taken in propagation and uptake of eHealth initiatives in the healthcare sector. However, issues of regional collaboration and resource allocation bound to a lack of governance structures hindered aspects of forward movement. Nonetheless, a significant artefact in catalysing progressive changes and engaging stakeholders was the use of strategic tools, used to frame a scope of parameters and to disseminate key aspects during each phase of implementation. As a tenet of grounded theory, these findings were extended with the literature to produce theoretical and conceptual links. It is suggested that a multi-level approach to eHealth strategy implementation requires at least four operative elements: a national leading organisation with a clear strategic vision and responsibilities, targeted tools to influence stakeholder buy-in, contextual alignment with the wider health sector, and clear governance structures to support collaboration at local and national level. KEYWORDS: eHealth, health information technology, health policy, health plan implementation.

Worldwide, the application of information and communication technologies to support national health-care services is rapidly expanding and increasingly important. This is especially so at a time when all health systems face stringent economic challenges and greater demands to provide more and better care, especially to those most in need. The National eHealth Strategy Toolkit is an expert, practical guide that provides governments, their ministries and stakeholders with a solid foundation and method for the development and implementation of a national eHealth vision, action plan and monitoring framework. All countries, whatever their level of development, can adapt the Toolkit to suit their own circumstances. Representing one of the most significant collaborations in recent years between the World Health Organization and the International Telecommunication Union, the Toolkit is a landmark in understanding what eHealth is, what it can do, and why and how it should be applied to health care today.

"The principal authors were Carrie Beth Peterson (Consultant in eHealth and Innovation, WHO Regional Office for Europe), Clayton Hamilton (Editor-in-chief and Unit Leader, eHealth and Innovation in the Division of Information, Evidence, Research and Innovation, WHO Regional Office for Europe) and Per Hasvold (WHO Collaborating Centre for eHealth and Telemedicine at the Norwegian Centre for Integrated Care and Telemedicine, Troms, Norway)."--Page viii.

Roadmap to Successful Digital Health Ecosystems: A Global Perspective presents evidence-based solutions found on adopting open platforms, standard information models, technology neutral data repositories, and computable clinical data and knowledge (ontologies, terminologies, content models, process models, and guidelines), resulting in improved patient, organizational, and global health outcomes. The book helps engaging countries and stakeholders take action and commit to a digital health strategy, create a global environment and processes that will facilitate and induce collaboration, develop processes for monitoring and evaluating national digital health strategies, and enable learnings to be shared in support of WHO’s global strategy for digital health. The book explains different perspectives and local environments for digital health implementation, including data/information and technology governance, secondary data use, need for effective data interpretation, costly adverse events, models of care, HR management, workforce planning, system connectivity, data sharing and linking, small and big data, change management, and future vision. All proposed solutions are based on real-world scientific, social, and political evidence. Provides a roadmap, based on examples already in place, to develop and implement digital health systems on a large-scale that are easily reproducible in different environments Addresses World Health Organization (WHO)-identified research gaps associated with the feasibility and effectiveness of various digital health interventions Helps readers improve future decision-making within a digital environment by detailing insights into the complexities of the health system Presents evidence from real-world case studies from multiple countries to discuss new skills that suit new paradigms

This third global survey of the WHO Global Observatory for eHealth (GOe) investigated how eHealth can support universal health coverage(UHC) in Member States. A total of 125 countries participated in the survey ? a clear reflection of the growing interest in this area. The report considers eHealth foundations built through policy development funding approaches and capacity building in eHealth through the training of students and professionals. It then observes specific eHealth applications such as mHealth telehealth electronic health records systems and eLearning and how these contribute to the goals of UHC. Of interest is the extent to which legal frameworks protect patient privacy in EHRs as health care systems move towards to delivering safer more efficient and more accessible health care. Finally the rapidly emerging areas of social media for health care as well as big data for research and planning are reported.

This is the first book to provide a comprehensive overview of the social and technological context from which eHealth applications have arisen, the psychological principles on which they are based, and the key development and evaluation issues relevant to their successful intervention. Integrating how eHealth applications can be used for both mental and physical health issues, it presents a complete guide to what eHealth means in theory, as well as how it can be used in practice. Inspired by the principles and structure of the CeHRes Roadmap, a multidisciplinary framework that combines and uses aspects from approaches such as human-centred design, persuasive technology and business modelling, the book first examines the theoretical foundations of eHealth and then assesses its practical application and assessment. Including case studies, a glossary of key terms, and end of chapter summaries, this ground-breaking book provides a holistic overview of one of the most important recent developments in healthcare. It will be essential reading for students, researchers and professionals across the fields of health psychology, public health and design technology.

The World Health Organization's (WHO) strategy on eHealth focuses on strengthening health systems in countries; fostering public-private partnerships in ICT research and development for health; supporting capacity building for eHealth application in member states; and the development and use of norms and standards. Success in these areas is predicated on a fifth strategic direction: investigating, documenting and analyzing the impact of eHealth and promoting better understanding by disseminating information. To that end, WHO undertook a global survey on eHealth with which to garner baseline data on the current state of eHealth. Executed between mid-2005 and mid-2006, it represents the first attempt to examine eHealth from a regional as well as global perspective. Developed and implemented by the Global Observatory for eHealth (GOe), the survey focused on processes and outcomes in key eHealth action lines previously identified by the World Summit for the Information Society (WSIS), which are supported by WHO as an overall framework for action.--Publisher's description.

Key concepts, frameworks, examples, and lessons learned in designing and implementing health information and communication technology systems in the developing world. The widespread usage of mobile phones that bring computational power and data to our fingertips has enabled new models for tracking and battling disease. The developing world in particular has become a proving ground for innovation in eHealth (using communication and technology tools in healthcare) and mHealth (using the affordances of mobile technology in eHealth systems). In this book, experts from a variety of disciplines—among them computer science, medicine, public health, policy, and business—discuss key concepts, frameworks, examples, and lessons learned in designing and implementing digital health systems in the developing world. The contributors consider such topics as global health disparities and quality of care; aligning eHealth strategies with government policy; the role of monitoring and evaluation in improving care; databases, patient registries, and electronic health records; the lifecycle of a digital health system project; software project management; privacy and security; and evaluating health technology systems.