Transforming Health

Information to Knowledge: One

Datapoint at a Time
Maria Regina Justina E. Estuar, Ph.D.

Health Sector Group Brownbag Seminar,

Asian Development Bank
April 2, 2019
 The Philippine eHealth Agenda

Source: http://ehealth.doh.gov.ph
 The Philippine eHealth Agenda

Source: http://ehealth.doh.gov.ph
Phases of the National eHealth Program
Phase Time Frame Description

Phase 1 Short-Term
2013 – 2014 Standardize and Connect
Focus is on the establishment of governance and foundations, and provide basic connections to start
information sharing across the health sector.

Phase 2 Medium-Term
2015 - 2016 Transform
Continuing innovations to develop and implement defined national eHealth solutions.

Phase 3 Long-Term
2017 - 2020 Maintain and Measure
By this time eHealth has been established and need to be maintained and sustained, continuously measured
in terms of performance, and ongoing innovations and updates need to be managed.
Phases of the National eHealth Program
Phase Time Frame Description

Phase 1 Short-Term
2013 – 2014 Standardize and Connect
Focus is on the establishment of governance and foundations, and provide basic connections to start
information sharing across the health sector.

Phase 2 Medium-Term
2015 - 2016 Transform
Continuing innovations to develop and implement defined national eHealth solutions.

Phase 3 Long-Term
2017 - 2020 Maintain and Measure
By this time eHealth has been established and need to be maintained and sustained, continuously measured
in terms of performance, and ongoing innovations and updates need to be managed.
Total RHU's with EMR : 1,682
Total RHU's without EMR: 2,002
AMPUTEE SCREENING THROUGH CELLULAR NETWORK 2010
OPERATION SMILE ON JAVA PHONES 2010
OPERATION SMILE ON ANDROID AND IOS 2017
SHINE - 2011
SHINEOS+ Releases
▪ 2013 – Shine v1.0
▪ 2015 – ShineOS+ v2.0
▪ Cloud (SAAS)
▪ Community Edition (Offline)
▪ 2016 – ShineOS+ v3.0
▪ Mobile
▪ Developer Platform
▪ 2016 – ShineOS+ v3.1
▪ Patch Release
▪ mySHINE Alpha
▪ 2017 – ShineOS+ v4.1
▪ PHIE Lite
▪ eClaims

Releases
SHINEOS+ Core Functions
▪ Record
▪ Remind
▪ Refer
▪ Report
▪ Rx
SHINEOS+ Mandated Features
▪ PCB via PHIE Lite
▪ eClaims*
▪ Universal PCB*

*work in progress
 SHINEOS+ 2017

2016

2016 – Finalist at the MEFFYs Award

2017 – Award of Merit (15th Philippine Quill Awards)
Silver Anvil (Anvil Awards – Public Relations Program Category)
Grand Prize: UNDP RISK Award (Cancun, Mexico)
Winner: Healthcare Category (Golden World Awards – Bulgaria)
Winner: Social Contribution Award (World Communications Award – London)
Feasibility Analysis of Syndromic Surveillance using a Spatio-Temporal Epidemiological
ModeleR for Early Detection of Diseases

Ateneo Center for Computing Competence and Research (ACCCRe)

Ateneo de Manila University
Early detection of disease spread: Story of
FASSSTER
• Monitoring diseases is a critical
public health concern in PH
• Diseases spread quickly,
especially during disasters and
emergencies
• Limited human, medical
resources
 What are the gaps?

Difficulty in disease Lacking in real-time Sparse application of

monitoring health information disease modeling
 aims to address these gaps through:

Localized disease Real-time disease Integrated GIS

modeling and surveillance and mapping and reports
simulation platform forecasting generation
Disease surveillance can be improved.
● Department of Health (DOH)
employs with PIDSR system.
○ Philippine Integrated Disease
Surveillance and Response

● It uses little to no prediction or

forecasting measures.
○ Mainly used for reporting

PIDSR Conceptual Framework

DOH, 2014. Manual of Procedures for the PIDSR.

29
Monitoring can be faster with FASSSTER.
● We can create epidemics models.
a. Vast amounts of historical data is
available

● FASSSTER is a web-based
syndromic surveillance system FASSSTER is a national
that integrates health data disease monitoring tool.
sources for:
a. Designing disease models
b. Predicting the spreading
c. Visualizing epidemic progression

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Health data is crucial to disease modeling.
FASSSTER accesses anonymized health data from electronic medical
records and the Philippine Integrated Disease Surveillance and Response
system.

EMRs PIDSR
Patient health information Disease incident reports

31
Current system
framework
Twitter (Infodemiology)
• Collect tweets in real time through
compiled keywords of symptoms and
related terms
• Algorithmically select health-related
tweets
• Visualization, Correlation, and
Regression
An SMS service is now
available.
• The service is built on Tugon, an SMS
reporting system.
• Can be used on any phone that can send
SMS.
• Allows users to send commands to a
service number for:
• Registration
• Reporting cases
• Receiving information
The online dashboard for the SMS reporting service. The SMS service uses
disease codes based on SPEED shortcodes.
SMS Reporting
● To report via SMS use the code:
○ POST <DISEASE CODE> <COUNT>
● To search for the available disease
keywords, send:
○ FASSSTER DISEASE
SMS Reporting
SMS Reporting
Important (data) points to ponder:
• Contribution of eHealth Systems in Big Data and Data Science
• Balance between continuing service amidst transition and change
• Policies
• Workflow
• Leadership
• Team
• Constant innovation
• Greater need for PPP
• Coverage
• Need CHAMPIONS
• Success stories start with SMALL (not BIG)