Presented at the Thai Medical Informatics Association Annual Conference and The National Conference on Medical Informatics (TMI-NCMedInfo 2016) on November 25, 2016.
Health Information Privacy and Security (November 8, 2021)
Thai Informatics Year In Review 2016 (November 25, 2016)
1. Thai Informatics Year in Review
2016
Boonchai Kijsanayotin, M.D., Ph.D.
Nawanan Theera-Ampornpunt, M.D., Ph.D.
SlideShare.net/Nawanan1
2. Disclaimers
• All views, opinions & comments are
the presenters’ own and do not
represent those of Thai Medical
Informatics Association, employers
or affiliated organizations
2
4. Informatics Year in Review
• Origin: American Medical Informatics
Association (AMIA) Annual Symposium
• Born: October, 2005
• Father: Daniel R. Masys, MD
Formerly at Vanderbilt University
Now at University of Washington
• Modeled on: American College of Physicians
“Update” sessions
4
5. Informatics Year in Review
• Session at every AMIA
Annual Symposium since
2005
• To review notable
publications and events in
informatics in the past year
AMIA 2011
Flickr: AMIAInformatix
5
7. Informatics Year in Review: Expansion
• Original “Informatics Year in Review” in its 10th
year at AMIA 2014 (Alternating speakers)
• AMIA Clinical Research Informatics
(CRI) Year in Review, 2012-2014 (Dr. Peter Embi)
• HIMSS Nursing Informatics Year in Review,
since 2012
• AMIA Public & Global Health Informatics
Year in Reviews, since 2012
• AMIA Informatics in the Media
Year in Review, 2013-2014
(Dr. Danny Sands)
http://yir.drdannysands.com/
7
9. Purpose
• To review & feature noteworthy informatics-
related topics, issues, events, progress updates
that happened in Thailand & elsewhere in the
past year
9
10. 2016 Format & Sources
• Selected updates, progress, events in
informatics
• Contents are at presenters’ discretion,
not relying on extensive search
strategies
• Opinions of presenters, may be biased
and different from audience’s
10
13. eHealth strategy as the base of the
national eHealth roadmap
WHO-ITU National eHealth
Strategy Toolkit (2012)
WHA 58.28 resolution 2005: urged member countries to
draw a long-term eHealth strategic plan
develop eHealth infrastructure and
build closer collaborate between public and private
sector on eHealth.
WHA 66.24 resolution 2013: urged member states to
draw up a road map for implementation of eHealth and
health data standards
develop policies and legislative mechanisms linked to
an overall national eHealth strategy
16. Status of Implementation of National eHealth
component in Asia Pacific
From: P.Marcelo et. al , Status of Implementation of National eHealth Strategy
(In process of publishing please do not cite )
eHealth related activities of the 21 participating AeHIN member countries
Survey and systematic review
17. Status of Implementation of National eHealth
component in Asia Pacific
From: P.Marcelo et. al , Status of Implementation of National eHealth Strategy
(In process of publishing please do not cite )
Low Income
Economies
• Afghanistan
• Cambodia
• Nepal
Lower Middle
Income Economies
• Bangladesh
• Bhutan
• India
• Indonesia
• Lao PDR
• Myanmar
• Philippines
• Samoa
• Sri Lanka
• Timor-Leste
• Viet Nam
Upper Middle
Income Economies
• Fiji
• Malaysia
• Maldives
• Mongolia
• Thailand
High Income
Ecoomies
• Hong Kong SAR
• Singapore
18. Legend in the following updates:
Legend (Shade) Legend (Digit)
Ongoing initiative 1 Source from Key Informant
Indicated as an action plan 2 Source from Systematic
Review
No activities found
Not existing as indicated by
respondent
Not relevant as indicated by
respondent
PLEASE NOTE THAT RESULTS FROM THE COUNTRY
EHEALTH UPDATES ARE NOT YET PUBLISHED. DO NOT
CITE IN PAPERS.
19. Status of Implementation of National eHealth
component in Asia Pacific
Legend (Shade): Legend (Digit)
Indicated as an ongoing initiative 1 Source from Key Informant
Indicated as an action plan 2 Source from Systematic Review
No activities found
Indicated as not existing
Indicated as not relevant
From: P.Marcelo et. al , Status of Implementation of National eHealth Strategy
(In process of publishing please do not cite )
20. Thailand
LEADERSHIP AND GOVERNANCE
Program Execution
Stakeholder
Engagement Architecture Clinical Safety
Management and
Operation
Outcomes
Management
1,2 1,2 1,2 1 1 1,2
STRATEGY AND INVESTMENT
Strategy and Planning Funding Investment Management
1,2 1,2 1
LEGISLATION, POLICY, AND COMPLIANCE
Legislation Policy Compliance
1,2 1,2 1
WORKFORCE
Health Workforce Health ICT Workforce
1 1,2
INFRASTRUCTURE
High Speed Data
and Connectivity
Computing
Infrastructure
ID and
authentication
services
Directory
services
Health-care
provider
systems
Individual
EHR Repository
Health
information
datasets
1,2 1,2 1,2 1,2 1,2 1 1,2
STANDARDS AND INTEROPERABILITY
Data Structure Standards
Clinical and Medical
Terminologies Messaging Standards
Security Messaging
Standards
Software Accreditation
Standards
1,2 1,2 2 1,2 2
SERVICES AND APPLICATION
Individual Electronic
Health Information
Healthcare
Communication and
Collaborations
Healthcare Service
Delivery Tools
Health Information and
Knowledge
Healthcare Management
and Administration
2 1,2 1,2 2 1,2
21. ระบบข้อมูลสุขภาพของประเทศไทย
21
eHealth/HIS Applications
Enabling Policies
and Strategies
Foundation
Policies and
Strategies
eHealth/HIS
Application
Enabling Policies
and Strategies
Foundation Policies and
Strategies
• Services
Applications
Software
• Standards &
Interoperability
• Capability Building
• Leadership & Governance
• Legislation & Policy
• Strategy & Investment
• Infrastructure
WHO-ITU HIS Modelไทยเราสร้าง eHealth/HIS จากยอด
22. Results
• 12 of the 21 countries have been taking steps in
implementing their national eHealth strategies in
all aspects of the seven eHealth components.
• 9 of 21 countries needed to plan and/or
implement more e-Health related agenda across
these eHealth components. (Bangladesh,
Bhutan, Fiji, India, Lao PDR, Mongolia,
Myanmar, Samoa, and Timor Leste)
23. Shared problems since 2011
We did not have interoperability
even within Ministries of Health
We own our country’s health information & eHealth
When we help friends. Friends will help us.
http://aehin.org
24. AeHIN 4 Strategic Area
Build capacity for eHealth, Health Information Systems,
and Civil Registration and Vital Statistics (CRVS)
Increase peer assistance and knowledge exchange and
sharing through effective networking
Promote standards and interoperability within and
across countries
Enhance leadership and sustainable governance, and
monitoring and evaluation
25. National eHealth Capacity Roadmap
How can we best implement the
eHealth strategy/National HIS?
What are the current, planned,
and needed capacities?
Where do we begin?
Who can help?
26. National eHealth Capacity Roadmap
for
Leaders
for
Planners
for
Implementers
for general
public
National
eHealth
Strategy, IT
Governance
Framework
Policies,
eHealth,
blueprint,
standards,
information
exchange
Executive
Dashboards
Expected
Output
32. Our AeHIN Timeline
Bangkok,
Apr. 2016
AeHIN
visionary
Workshop
Kuala Lumpur,
April 25, 2016
ArchiMate :
notation for
enterprise
architecture
Dhaka,
April 26-28,
2016
MA4Health/H
ealth Data
Collaborative
Naypyidaw
5th AeHIN
GM 6 – 10
March 2016
33. Membership
As of June 2016, there are 908 members
in AeHIN representing 58 countries.
34. Membership
Country No. of Members
Afghanistan 4
Africa (South) 3
Albania 2
Australia 18
Bangladesh 61
Belgium 1
Bhutan 9
Cambodia 36
Canada 7
China 11
China-Hong Kong 6
Denmark 1
Egypt 2
Fiji 1
France 1
Geneva 2
Germany 2
Ghana 1
India 72
Indonesia 113
Japan 4
Kenya 2
Kiribati 3
Korea 7
Lao PDR 11
Malaysia 21
Maldives 8
Mali 1
Mongolia 26
Myanmar 30
Country No. of Members
Nepal 31
Netherlands 2
New Zealand 2
Nigeria 2
No country 15
Norway 6
Pakistan 28
Partner 12
Philippines 141
Portugal 2
Qatar 1
Russia 1
Samoa 2
Singapore 8
Somaliland 1
Sri Lanka 41
Switzerland 4
Taiwan 9
Tajikistan 1
Tanzania 1
Tasmania 1
Thailand 52
Timor Leste 3
Tonga 1
UK 1
USA 36
Viet Nam 30
WHO 7
Zambia 1
35. Development Partners
At present, AeHIN membership represents over 40 countries and 20 development partners. Its
secretariat is the National Telehealth Center, University of the Philippines Manila, supported by
the WHO Western Pacific Regional Office.
39. eHealth Leadership & Governance
•ความเดิมตอนที่แล้ว
▫ Change in Minister of Public Health
▫ Still no leadership & national body on eHealth yet..
39 Image Source: http://www.hfocus.org/content/2015/08/10692
40. eHealth Leadership & Governance
•ความเดิมตอนที่แล้ว
▫ Change in Economics Deputy
Prime Minister
▫ Change in Minister of ICT
▫ MICT’s Digital Economy Policy
continued but not central to
economic policy?
40
Image Sources: http://thaipublica.org/2015/08/somkid-economic-policy-1/
http://www.prachachat.net/news_detail.php?newsid=1440056161
42. eHealth Leadership & Governance In The News
42
http://www.hfocus.org/content/2016/02/11783
43. Health and the Sustainable
Development Goals (SDGs)
• Total: 17 goals, 169 targets, 200+ indicators
• Health: 1 goal, 13 targets, 26 indicators
44. Health in other SDGs
Target 1.3:
Implement social
protection systems
for all
Target 6.1: achieve
universal and
equitable access to
safe and affordable
drinking water
Target 2.2: End
malnutrition, achieve
targets for reductions
child stunting and
wasting
Target 16.1: reduce all
forms of violence and
related death rates
everywhere
Target 5.2: End all
forms of violence
against all women and
girls ….
Target 4.2: ensure
access to early
childhood
development, care
and pre-primary
education
54. Source: Courtesy of นพ.พลวรรธน์ วิทูรกลชิต ผู้อำนวยกำรศูนย์เทคโนโลยีสำรสนเทศและกำรสื่อสำร
สำนักงำนปลัดกระทรวงสำธำรณสุข
Health 4.0 as eHealth Vision
55. Source: Courtesy of นพ.พลวรรธน์ วิทูรกลชิต ผู้อำนวยกำรศูนย์เทคโนโลยีสำรสนเทศและกำรสื่อสำร
สำนักงำนปลัดกระทรวงสำธำรณสุข
Health 4.0 & Digital Economy (DE) Roadmap
56. Source: Courtesy of นพ.พลวรรธน์ วิทูรกลชิต ผู้อำนวยกำรศูนย์เทคโนโลยีสำรสนเทศและกำรสื่อสำร
สำนักงำนปลัดกระทรวงสำธำรณสุข
DE, MoPH’s 4 Excellence & eHealth
57. eHealth Strategy & Investment In The News
57
https://www.hfocus.org/content/2016/06/12331
58. eHealth Strategy & Investment In The News
58
https://www.hfocus.org/content/2016/06/12342
59. eHealth Strategy & Investment In The News
59
http://www.hfocus.org/content/2015/12/11393
“5.จัดทำระบบข้อมูล เป็นฐำนข้องมูลแก่ประชำชน ติดตำมประเมินผลและเพิ่ม
ประสิทธิภำพของระบบข้อมูลข่ำวสำรเพื่อกำรดูแลตนเอง”
http://www.hfocus.org/content/2015/12/11393
https://www.hfocus.org/content/2016/08/12532
60. eHealth Strategy & Investment In The News
60
http://www.naewna.com/local/231992
https://www.hfocus.org/content/2016/08/12614
http://pr.moph.go.th/iprg/include/admin_hotnew/show_hotnew.php?id
Hot_new=86137
https://www.hfocus.org/content/2016/08/12576
https://www.hfocus.org/content/2016/09/12656
61. eHealth Strategy & Investment In The News
61
https://www.hfocus.org/content/2016/08/12627
https://www.hfocus.org/content/2016/09/12671
https://www.blognone.com/node/85480
62. eHealth Strategy & Investment In The News
62
http://www.hfocus.org/content/2016/02/11680
https://www.blognone.com/node/77805
https://www.hfocus.org/content/2016/05/12169
Sustainability, Adequacy, Fairness, Efficiency
http://www.hfocus.org/content/2015/12/11440
63. eHealth Strategy & Investment In The News
63
http://www.hfocus.org/content/2015/11/11318
67. eHealth Infrastructure In The News
67
https://www.blognone.com/node/79473
http://www.csoonline.com/article/3048784/internet/thailands-immigration-system-
suffers-data-breach.html?utm_source=dlvr.it&utm_medium=twitter#tk.rss_all
http://www.hfocus.org/content/2016/03/11969
68. eHealth Infrastructure In The News
68
https://www.blognone.com/node/79670
https://www.techtalkthai.com/tips-for-preventing-ransomware-in-
healthcare-enviroment/
https://www.thaicert.or.th/newsbite/2016-05-16-01.html#2016-05-16-01
69. eHealth Infrastructure In The News
69
https://www.helpnetsecurity.com/2016/05/13/healthcare-attack/
https://www.blognone.com/node/81321
https://www.thaicert.or.th/newsbite/2016-06-29-02.html#2016-06-29-02
70. eHealth Infrastructure In The News
70
https://www.blognone.com/node/84932
https://www.hfocus.org/content/2016/09/12703
74. Thai Health Information Standards
Standards National
1. Core data set standards 12 & 18 files standards
2. Semantic standards Personal ID, Provider ID
ICD 10 TM, ICD 9 CM
3. Syntactic standards X
4. Security and privacy standards X
Standards & Interoperability
74
75. Thai Health Data Standards: Developing
Standards National
1. Core data set standards 43 Files Standards, Referral,
Chronic Diseases
2. Semantic standards
Drug Terminology (TMT), SNOMED-CT
Lab. Code (LOINC)
Providers IDs
3. Syntactic standards HL7 messaging, CDA
4. Security and privacy standards X
83. เวลาเบิกจ่าย รพ.ทาข้อมูลอย่างไร
Hospital Information
System (HIS)- EMR
ระบบข้อมูลการเบิกจ่าย กรมบัญชีกลาง
Local Lab. codes
รหัสกรมบัญชีกลาง
Laboratory
Information
System (LIS)
? Lab Codes
Laboratory Modalities
คำสั่งตรวจ
ORDER
รำยกำรตรวจ +
ผลกำรตรวจ
Observation +
Result
ORDER
97. eHealth Law & Policy In The News
http://dmsic.moph.go.th/dmsic/index.php?&p=1&type=3
&t=3&id=24&n_id=4843&sec=2
98. eHealth Law & Policy In The News
http://www.hfocus.org/content/2016/02/11779
https://www.hfocus.org/content/2016/06/12255
https://www.hfocus.org/content/2016/08/12514
99. Law, Policy & Ethics on Health Information Privacy
99 ได้รับกำรสนับสนุนทุนจำกสำนักงำนคณะกรรมกำรสุขภำพแห่งชำติ (สช.)
http://www.hfocus.org/content/2015/09/11000
https://www.hfocus.org/content/2016/09/12807
105. Digital Health Knowledge Products
Co-authored by AeHIN and WHO
ADB Briefs:
Universal Health
Coverage by Design
ADB Briefs: The
Geography of
Universal Health
Coverage
Working Paper:
Monitoring Universal
Health Coverage in
the Western Pacific
Region
ADB Brief:
On the Road to
Universal Health
Coverage: Every
Person Matters (on
unique identifiers)
http://www.adb.org/publications/universal-health-coverage-by-design
http://blogs.adb.org/archive/subject/37