Global Partners United
E-Health: Telehealth, Telerehab, and Harnessing ICT for Health Services Development Evelyn Cherow, Founder and CEO ŠGlobalPartnersUnited
globalpartnersunited@gmail.com 1-301-807-1247
Report: The Challenge of Global Health (2007)
“Thanks to a recent extraordinary rise in public and private giving, today more money is being directed toward the world's poor and sick than ever before. But unless these efforts start tackling public health in general instead of narrow, disease-specific problems -and unless the brain drain from the developing world can be stopped -- poor countries could be pushed even further into trouble, in yet another tale of well-intended foreign meddling gone awry.”
Laurie Garrett Senior Fellow for Global Health Council on Foreign Relations Foreign Affairs, January/February 2007
©GlobalPartnersUnited
GlobalPartnersUnited A social enterprise organization building public-private alliances devoted to applying ICT technologies for….
E-learning for ‘brain gain’ to meet capacity building, healthcare access, and systems strengthening challenges of low- and middleresourced countries, and
Telehealth, telerehabilitation, & telepractices service delivery ©GlobalPartnersUnited
E-Health? What’s in a name?
A variety of terms are used to describe providing consultation, resources and service delivery through ICT tools.
Professional associations, WHO, and the US government have defined terms to foster understanding of the range of practices associated with ‘telepractices, telehealth, telerehabilitation, and telemedicine’. ©GlobalPartnersUnited
World Health Organization “Today, eHealth can support the different functions of the health system, providing a unique opportunity for strengthening its information, intelligence and knowledge processes…. eHealth should be an essential component of any plans and strategies for health system reform in the 21st century.” ©GlobalPartnersUnited
WHO Strategies for eHealth
The World Health Assembly in May 2005 adopted resolution WHA58.28…. serves as a basis for WHO's activities on eHealth, urging Member States to consider drawing up long term strategic plans for developing and implementing eHealth services...., and requesting WHO to provide technical support to Member States, and facilitate integration of eHealth in health systems and services, including in training. ©GlobalPartnersUnited
Telepractice…. Telepractice — the application of telecommunications technology to delivery of professional services at a distance by linking clinician to client, or clinician to clinician, for assessment, intervention, and/or consultation. Monitoring of patients in homes is a growing application.
©GlobalPartnersUnited
Telehealth (US Gov’t/HRSA)
Telehealth— the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional healthrelated education, public health, and health administration.
Telehealth technologies
©GlobalPartnersUnited
Videoconferencing, the Internet, store-and-forward imaging, streaming media, and terrestrial and wireless communications.
E-Health…. Telemed, telehealth, telepractices “Telemedicine has become standard medical
practice and is in daily use across dozens of countries. Over 10,000 peer review papers have been published over the past 20 years supporting the clinical effectiveness and cost savings of telemedicine.” http://www.amdtelemedicine.com/ telemedicine-resources/ telemedicine-defined.html ©GlobalPartnersUnited
Global Forum on Telemedicine: Int’l Roadmap for Action (March, 2008)
Sponsored by the American Telemedicine Association and the Telemedicine and Advanced Technology Research Center (US Army) 6 categories of recommendations
Educate grantmakers on the value of telemedicine as
©GlobalPartnersUnited
An enabler of medical outreach programs To expand training programs, and Build competency in the healthcare workforce
M-health Summit (Oct 2009) First Annual (Foundation for the NIH)
Program Focus
Goals
Mobile Technologies as a Platform for Health Research and Healthcare Delivery
Assess policies regarding m-health applications to reduce health disparities Build bridges between scientific community and mobile tech developers Highlight public health opportunities and challenges Craft a vision for future applications
©GlobalPartnersUnited
THE M-HEALTH MOMENT from the mHealth Alliance ‘The use of mobile devices
in health solutions -- is revolutionizing healthcare delivery in much of the developing world.’
EVIDENCE: THE MHEALTH MOMENT
Today there are approximately 5 billion mobile devices in use around the world
From the mHealth Alliance©
Close to two-thirds of them
are in the hands of people living in emerging market economies. •Mobile phones have the
ability to dramatically change the lives of those who use them, including healthcare providers.
Photos © Datadyne
mHealth and E-learning: Impact
Photos © Datadyne
Innovative mHealth projects are powering…. the collection of health data, supporting diagnosis and treatment, and advancing education and research in even the most remote and resource-poor environments. ©GlobalPartnersUnited (mHealth Alliance©)
Easy Seva Last Mile Initiative
Goal: Broadband Capacity for Sri Lanka
State Department declares SSG Sri Lanka Partnership a 'Game Changer.’
In its recently published brochure, "Partnering with the US Government," the Global Partnership Initiative of the US Department of State highlights SSG's Easy Seva project as a model partnership for USAID.
©GlobalPartnersUnited
SSG Advisors Easy Seva Last Mile Initiative (2007-09)
In Sri Lanka, QUALCOMM and Dialog Telecom partnered with USAID to develop a franchise business model to bring Internet to rural communities.
By providing local entrepreneurs with “telecenters-in-a box”, partners were able to create a sustainable business model that has expanded to reach more than 400 villages across Sri Lanka.
©GlobalPartnersUnited
Easy Seva Centers
….provide customers with personal computer usage, and broadband telephone services such as Skype.
In addition, some centers will provide online training opportunities and a place where residents can receive microloans and other banking services . ©GlobalPartnersUnited
Easy Seva Project
Easy Seva, a Base of the Pyramid (BoP) micro-franchise enterprise that delivers wireless broadband Internet service to more than 50 rural communities by mobilizing the talent and energy of local entrepreneurs.
In 2007, Easy Seva nominated for GSM Association’s ‘Bridging the Digital Divide’ Award. ©GlobalPartnersUnited
ATA Evidence-Based Practice for Te
A consensus best practice reference based on clinical empirical experience. a companion document to ATA’s Practice Guidelines for Videoconferencing-Based Telemental Health, an educational tool to aid practitioners in meeting the practice guidelines set forth in the guidelines document for providing appropriate mental health services via telehealth technologies.
An analysis of current published litera documents qualitative and quantitativ provides reference and support for dec
©GlobalPartnersUnited
American Telemedicine Association Telemental Health Standards and Guidelines Working Group Practice Guidelines for Videoconferencingbased Telemental Health (Oct, 2009) ‘Telemental health … is the practice of mental health specialties at a distance… The purpose of these guidelines is to assist practitioners in pursuing a sound course of action to provide effective and safe medical care that is founded on current information, available resources, and patient needs. ©GlobalPartnersUnited
Why ICT for Capacity Building…
To interlink and connect the multiple, often disconnected entities and individuals for knowledge sharing in a sustainable and scalable milieu
To inculcate learning and new skills for individuals, organizations, agencies, or governments to meet shared goals and attain desired outcomes
Secondary outcome: To grow computer literacy and literacy ©GlobalPartnersUnited
STRATEGY: 21st Century Online and Mobile Learning and Telepractices
To apply virtual, telepractice, and distance education applications coupled with capacity building mechanisms to deliver educational curricula, healthrelated information, clinical service consultation and services, and public health consultation to enhance:
Individual’s and country’s technological capacity for expediting learning and mentoring
Rehabilitation generalist workforce development via design and dissemination of certificate programs for personnel preparation in education, health, public service, and a wide range of knowledge and skill domains ©GlobalPartnersUnited
Virtual Education and Telepractices: Benefits
Reduction of barriers to access for specialized expertise
Program delivery quality verified
Online course content replication and updating in a cost-effective manner/data analytics
Ongoing training and mentoring anytime, ©GlobalPartnersUnited anywhere with mobile/Internet accessibility
Capacity Building via Technology: Benefits Disseminating timely, replicable evidence-based practices for addressing health disparities
Systems strengthening and change
Quality public health, education, civic, and related human and social capital resource ©GlobalPartnersUnited growth
Cisco©
Capacity Building via Technology: Benefits Creating effective
Creating effective partnerships and virtual communities of practice to improve:
Knowledge exchange Capacity building across geographic ‘north-south’ and ‘south-south’ boundaries Improve global/regional understanding by twinning ‘centers of excellence’
©GlobalPartnersUnited
IMPACT: Capacity Building through e- and Mobile Applications for Program & Policy Development ď Ž
To build Virtual Communities of Practice, Leadership, & Advocacy: qualified health, education, rehabilitation, and PWDs leadership, & civic personnel
ŠGlobalPartnersUnited
Communities of Practice (CoPs), Mentoring & Advocacy “CoPs form as groups of people with common spheres of interests join in, across, or within sector(s), peer-to-peer, creating learning networks designed for collaborative knowledge sharing, problem solving, and a myriad of evolving purposes over time. “
©GlobalPartnersUnited
From Etienne Wegner
Virtual Program Evaluation and Outcomes Accountability
GPU builds in online Evaluation Component constructed to: Track individual and group processes and outcomes Measure program efficiency and effectiveness
©GlobalPartnersUnited
Virtual Program Evaluation and Outcomes Accountability
GPU constructs essential evaluations for:
Self-correction Accountability Transparency ©GlobalPartnersUnited
Mobile Technologies Access “ A networked world is redefining health care…but effective partnerships are needed to help individual users and worldwide organizations deal with new technologies” Joan Dzenowagis, PhD WHO e-Health Governance ©GlobalPartnersUnited
The United Nations Millennium Development Goals (2003) and Disability Under Discussion at the UN & WB
Eradicate extreme poverty and hunger Achieve universal primary education Promote gender equality and empower women Reduce child mortality
©GlobalPartnersUnited
The United Nations Millennium Development Goals (2003)
Improve maternal health Combat HIV/AIDS, malaria and other diseases Ensure environmental sustainability Develop a global partnership for development
©GlobalPartnersUnited
GlobalPartnersUnited Consortium Alliance Cross-Sectoral Expertise Domains
Telemedicine, Telerehabilitation, and Telepractices Disability Program, Policy, and (Re)Habilitation Community-based Health Care Systems Strengthening Universal Design
©GlobalPartnersUnited
Early Childhood, Primary, Special Education Maternal and Child Health/Public Health Mental Health Youth Development Leadership, Advocacy &Public Policy
GlobalPartnersUnited Consortium Alliance Cross-Sectoral Expertise Domains
Rights-based Governance and Societal Inclusion
Transition & Vocational Training and Employment for Persons with Disabilities (PWDs)
Instructional Design, Eand Adult Learning, and Web Portal Development
The Arts and Social Change
Persons with Disabilities/Activists ©GlobalPartnersUnited
GPU Alliance Partnerships Growing Rapidly New MOU: Global VSAT Forum (GVF) Satellite Communications Industry Association Swinfen Charitable Trust UK Telemedicine Focused Charity Rehabilitation International Whirlwind Wheelchair-UCSF
©GlobalPartnersUnited
GPU Program Focus
650 million people– 10% of the world’s population–have a disability and are excluded from society 80% live in developing countries Considered “the poorest of the poor”
©GlobalPartnersUnited
UN Convention on the Rights of Persons with Disabilities (CRPD, 2007) The first comprehensive international
human rights treaty of the 21st century Currently 144 state are signatories and 85 countries have ratified the treaty. The Challenge: Implementation ©GlobalPartnersUnited
CRPD Societal Inclusion Tenets Article 25: Health
States Parties recognize that persons with disabilities have the right to the enjoyment of the highest attainable standard of health without discrimination on the basis of disability. States Parties shall take all appropriate measures to ensure access for persons with disabilities to health services that are gendersensitive, including health-related rehabilitation.
Problem Qualified workforce shortage for….
Identifying, providing appropriate interdisciplinary habilitation and rehabilitation, and educating children and employing adults with disabilities looms large, and Establishing the appropriate legal framework and civil society organizations needed for appropriate implementation of the Convention’s tenets. ©GlobalPartnersUnited
RESOLUTION: Mainstreaming disability in the development agenda; Adopted by UN Commission on Social Development (February 12, 2010)
“Recognizing that the achievement of mainstreaming of disability at all levels remains a major challenge, therefore further efforts are required to give practical meaning to the concept of mainstreaming and its realization in United Nations activities in the development agenda…. ©GlobalPartnersUnited
GPUs Global teleRehabilitation Institute (GtRI): Services, Consultation & Specialty Education
ŠGlobalPartnersUnited
The eHealth Connection: ICT and the Developing World Interview with Rockefeller Foundation President, Judith Rodin (Journal of Health Affairs, Nov-Dec’08)
“ This is not about a few pilots…but about galvanizing transformationa l change…. This is going to take big ideas
©GlobalPartnersUnited
The eHealth Connection: ICT and the Developing World Interview with Rwanda President, Paul Kagame (Journal of Health Affairs, Nov-Dec’08)
Sophisticated ICT in health care … is no longer a futuristic fantasy for the developing world...there’s growing use ..from electronic health records to mobile phonebased systems The challenge is to optimize the use of the technologies …. ©GlobalPartnersUnited
Global Partners United
Evelyn Cherow, Founder and CEO globalpartnersunited@gmail.com 1-301-807-1247 ŠGlobalPartnersUnited