Professional Documents
Culture Documents
Presentation Outline
Introduction
Health System Transformation
MOHs Direction
Proposed eHealth Strategy
Challenges
Action Plan
RMK-11 initiatives
New strategies
Summary
Executive Summary
eHealth in Malaysia began actively with the era of MSC. We had an
era of rapid build-up and POCs and pilots, which today, is being
hampered by budget constraints.
Today in healthcare facilities, we have manysystems and the
numbers continue to grow due to functional needs, but we
continue to have a large gap on patient care systems
despite its obvious benefits.
Healthcare is poised for its biggest shake up ever as its
transformation to a more better, efficient and equitable
healthcare requires quick wins in ICT to be addressed.
Today, MOH have promising patient care system (TPC, OHCIS
& SPP) that requires scaling.
We need to take healthcare to the next level, one that
embraces the need for changes and uses ICT as an enabler.
The confluence of Big Data, Cloud, Managed and Shared Services
combined with uncertain budgets compels us to rethink our
3
business model.
Wellnessfocus
focus
Wellness
Personfocus
focus
Person
Informedpersons
persons
Informed
Self-help
Self-help
Careprovided
providedat
at
Care
home/close
to
home/close
to
home
home
Seamless,continuous
continuous
Seamless,
care
care
Servicestailored
tailoredas
as
Services
muchas
as possible
possible
much
Effective,efficient
efficientand
and
Effective,
affordableservices
services
affordable
4
Payment
Mechanis
m
74%
49%
NHMS2011
only medical
visit)
:
:
HCDA study
26%
51%
National
Referral
System
Greater
equity,
accessibility
& better
utilization
of resources
2000
1980
1960
Mother & child
Family planning
Outpatient
Environmental
School
10
Source : MAMPU
11
me Nation by 2020: 6% growth thru 2020; Double GNI and reach per capita GDP
12
12
Towards Health
System
Transformation
13
Challenges in Health
And many
more.
e
pon
Com ts
n
Service
Delivery
Hospital reform
PHC reform
Financi
ng
Organisatio
nal
15
Ph
a
es s
16
Strengthening
Primary
Healthcare
2.
Health System
Delivery and
Work Process
Reengineering
3.
Human Resource
and
Organisational
Capacity
Development
4.
Infrastructure
Planning and
Development
5.
ICT
Transformation
for Health
6.
PublicPrivate/Interagency
Collaboration
7.
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8.
Enhancing
Healthcare
Financing
Mechanism
Creating a
IMPROVED
WELL BEING
OUTCOME
1. Quality,
responsive
and
sustainable
healthcare
system;
2. Reduction on
disease
burden and
risk factors
3. Healthy
environment
and food
18
Significant budget
constraint; ICT ~5% of
total MOH CAPEX
KEY AREAS TO BE ADDRESSED
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To be addressed in RMK-11
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Citizen
Sustainability
Health Information
Exchange (HIE)
Standards &
Interoperability
Pillars
Enterprise Architecture
Foundation
Develop National
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Client/
Citizen
Patient
Management
Health Portals
eScheduling/
eScheduling/
eAppointment
eFollow-up/
eConsultation
Personalized
Lifetime
Health
Health Plan
Self
Self
Monitoring
Monitoring
Medical
Record
Management
PhI
S
LIS
Patient
Health
Care/
Population
Care
Ward/Clinic
Manageme
nt
Order
Management
Billing &
Payment
Diet &
Catering
BBI
S
CSS
D
Information System
Staff
Managemen
t
(Rostering)
CLINICAL DOCUMENTATION
General Specialties
Sub-Specialties
MyHIX/LHR
RIS
Administrat
ors Tool
FMI
S
OTM
S
Nation
al
Clinical
Decision
Support
System
Case Mix
eGov Apps
(Adm/HR/Fin)
(Adm/HR/Fin)
PACS
Cardio
MS
BI/EIS
LDR
CCIS
OIS/R
T
Institutional systems
Health
Health Apps
PRIMARY CARE
Patient
Clinical Notes
Management
& Dental
System &
Note:
Charting
Billing
Integration
1.
Order
Personnel
Management
Management
2. Integration to external
Schoo
systems is also required;
Health
l
however not reflected
EIS
Education
&
Healt
here
25
Counselling
h
Teleconsultati
on
& Remote
Monitoring
Regulation/
Enforcement
Enforcement
Population
Health
Surveillance/
Surveillance/
Monitoring
Monitoring
Monitoring/
Evaluation
(inc QA)
Disease/Patien
t
Registries
Registries
HIMS
HIMS
Health
Financing
Professional
Professional
Registries
Registries
Licensing/
Credentialing
HR
Development
/ Training
N
a
tt
i
o
n
a
l
D
a
tt
a
W
a
r
e
h
o
u
s
e
DATA JP
SOURCEN
MOH
Client
Registry
Shared
Records
(LHR)
Provider
Registry
Wellness
Services
(Personalized)
Monitoring &
Evaluation
Patient
Portal
Regulation/
Enforcement
Facility
Registry
Promotion/
Surveillance
Terminology
Services
QUIC
K
WINS
Registration
Scheduling
Enrolment
Eligibility
Check
Visit
Summary
Capitation &
Risk Adjustment
Prescription
Wellness
Referral
Claim
Quality
Incentive
s
Verification
Fin & Acct
Penalty
Claim
Security
Management
Privacy
Management
Prescription
Registration
View
Eligibility
Dispensing
Check
Interaction
Adverse
Provider Payment
Allergy
Claim
Community
Pharmacy
Note 2
Hospitals
MOH:
MOH: <10%
<10% with
with TPC
TPC
Note3
Note1
WAN
Health Clinics
MOH:
MOH: <5%
<5% with
with OHCIS
OHCIS
Note 3
Dental Clinics
LAN
LAN and
and DEVICES
DEVICES
required
required
Note 3
Supporting Facilities
1
LAN
DEVICES
APPLICATIONS
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MyLoca Data
Centre
Cyberjaya
MOH*Net
2. Managed services
by MAMPU
1Gov*Net
3. MyLoca Data
Centre to be
migrated to Public
Sector Data Centre
(Monitored via
NKEA CCI)
Putrajaya
Campus
Network
(PCN)
4. 70% facilities
connected to
1Gov*Net
20Mbps
Hospitals
20Mbps
5. Target of
connectivity 100%
by 2015
MOH HQ
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State
Health
Dept
6Mbps
10-30 Mbps
Health Office/
Labs &
Health Clinics/
Institution
& Dental
In Summary..
Illustrative
$ Capex
Multimedia
Super Corridor
7MP to 9MP
Connectivity
Ongoing O&M
9MP projects
Lull
2010
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THANK YOU
dr_fazilah@moh.gov.my
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