Republic of the Philippines ATTIT Department of Health DEPARTMENT or INFORMATION OFFICE OF THE SECRETlA lmMUNICATIONS TECHNOLOGY ’ 4ZW60 EVALUATED BY: / "M260H. Woman:L/g REVIEWED “fl7 I INFORMATION SYSTEMS STRATEGIC PLAN for the Period 2018- 2020 DEPARTMENT OF HEALTH Name of Department/Agency Scope: Agency-Wide With Central Offices, Regional Offices, Sixty Six DOH Hospitals and Medical Centers, Treatment and Rehabilitation Centers & the Philippine Institute of Traditional and Alternative Health Care RECOMMENDING APPROVAL: R0via/L4RT S. MANUEL Mix” Chief Chief Division Knowledge Management Division Database & Network Management & Technology Knowledge Management & Information Knowledge Management Information Technology Service Service EMILY FRA CES LOURDES A. RAZAL Chief ”wwiimDirec & Information Technology Systems &Software Development Division Knowledge Management Knowledge Management & Information Service Technology Service Designated IS Planner APPROVED BY: Secretaryof Health AND 004, Bythe Authorityof \\NO“ ho ENDORSED "’c, ¢ 2 V. MPA (I) HERMINIGILD VALLE, MD, V Unders reta ry of Health Office for Field I plementation Management ‘@ DOH Information Systems Strategic Plan, 2018 — 2020 EXECUTIVE SUM MARY , This three—year Department of Health’s (DOH) Information Systems Strategic Plan (ISSP) for 2018—2020 is an updated version of the DOH ISSP, 2015-2017. It indicates the continues development for some systems while maintaining and deploying others to cover remaining health facilities, and developing new priority and critical information systems and ICT applications in support to the Philippine Health Agenda (PHA) of 2016—2022. This plan supports the goals of ensuring better health outcomes for all, promoting health and delivering health care through means that respect, value and empower clients and patients as they interact with the health system, and protect all families most especially the poor, marginalized and vulnerable against the high costs of health care. The use of information and communication technology (ICT) in health or eHealth in this planning period will continue to address two challenges in the health sector, namely, equitable access to health care services most especially those in in geographically isdlated and disadvantaged areas (GIDA), and access to quality real-time information for informed decision-making. It will cover priority areas in health information systems, electronic medical record in various health facilities, and use telemedicine. The focus is on supporting one of the guarantees indicated in the PHA which is ‘access to health intervention throughfunctlonal Service Delivery Networks which emphasize the utilization of telemedicine to expand specialty services. Moreover, in the PHA _ strategy, ACHIEVE, “I” is to ‘Invest in eHealth and data for decision making.’ It specifically mandates the use of electronic medical records(EMR) in all health facilities; require the electronic submission'of clinical, drug dispensing and administrative and financial records; streamlining of information systems and administrative ' data collection systems and supporting collection of vital statistics; and automating major and mission critical processes and putting up a data warehouse and using business intelligence software. Thus, the emphasis of this plan is in these endeavors, and will continue what has been formally started the past years, which are aligned in the PHA. The undertakings of DOH Monitoring and Evaluation and Data Governance Group, and Inter-agency Governance Structure of the National eHealth Program and current data harmonization activities with the Philippine Health Insurance Corporation (Philhealth) bring about implementation of similar or comparable systems that address the commitments to the PHA and more specifically the implementation of systems interoperability of various eHealth applications and health information systems, and addresses the data needs of the DOH, Philhealth and other stakeholders. The emphasis is the implementation of and electronic medical records in all primary care facilities and government hospitals which one of the promised DOH 12 legacies and DOH3O for Municipal/City Health Officers. A Philippine health information exchange (PHIE)which is system and infrastructure for secured patient data exchange among providers, for insurers and for production of service statistics will also be further established. Thus, expanding coverage of the EMR and health information system for primary care facilities in particular iCIinicSys, and for hospitals, IHOMIS or IHIS is given importance. The EMRs at the point of care feed to the PHIE with an initial use case of Primary Care Benefit of PhilHealth but other use cases soon. Additional Philhealth benefit packages will be incorporated and the disease registries that are currently vertically implemented if not included in the iCIinicSys or iHOMIS. The integration of telehealth device(s) to iClinicSys or IHOMIS shall also be prioritized. The other direct health service delivery systems are e the expanded implementation of the blood banking systems in blood centers, and treatment and rehabilitation centers’ health record. For regulatory services, these will include integration of existing modules or systems and development of an expanded system on health facilities and services licensing, revision of drug testing operations and 'management information system, expansion of the drug price monitoring and quarantine services and international health regulation. The health emergency management service system will be enhanced and deployed further to regional offices and hospitals. There will be also expansion and scaling up of implementation of the disease surveillance systems, and applications on environmental health services, organ donation, HHR and telemedicine. Support to operations systems implementation will be continued in the areas of financial, procurement, logistics and personnel management and international health coordination activities and information management. Key works are strengthening data capture, processing/ aggregation and sharing to improve completeness, accuracy and timeliness of data and data utilization. The definition and implementation adoption of national' health data standards to help establish interoperable systems, and ensuring data protection and security will be emphasized. A health enterprise data warehouse will be completely established. Use of social media and providing better access and interaction of the public with DOH anywhere and anytime given proper measures to protect personal'data are planned. Equally important to be able to implement the abdve systems is a better ICT infrastructure in health facilities and connectivity, and related information and communication technologies and human resource ehealth maturity. Some of these will be coordinated with the relevant agencies or the private sector which can do them better. These systems will be guided by the priorities of the PHA, the enterprise architecture and ehealth frameWork. ‘9‘ ENDORSED”% Page 2 of 365 is 9% 2{a . a j DOH Information Systems Strategic Plan, 2018 - 2020 TABLE OF CONTENTS VLAJ PROFILE PART I. ORGANIZATIONAL ........ ................ ............ ......4 A. DEPARTMENT OF HEALTH'S MISSION STATEMENT .............. 4 A.1 MANDATE ‘ 4 ............................................................................. ................................................‘ A2 VISION STATEMENT 7 (by 2030) ..................‘ . .............................................................. ........... A.3 MISSION STATEMENT.......................................................................................................... 7 A.4 MAJOR FINAL OUTPUTS ....................................................................................................... 7 ' B. DEPARTMENT/AGENCY PROFILE ...................................................................._............. 14 3.1 DESIGNATED IS .......................................................... 14 B.2 CURRENT ANNUALPLANNERICT BUDGET (2016) .............................................................................. 15 B.3 ORGANIZATIONAL STRUCTURE..................................................... .................................... 16 C. THE DEPARTMENT/AGENCY AND ITS ENVIRONMENT ....................................29' D. PRESENT ICT SITUATION (STRATEGIC CHALLENGES).................................................32 0.1 MISSION CRITICAL/FRONTLINE SERVICES ....................................................................... 32 D.2 OFFICE AUTOMATIONAND_WEB PRESENCE ....................................................................... 45 E. STRATEGIC CONCERNS FOR ICT USE ...........................................................................47 PART II. INFORMATION SYSTEMS STRATEGY A. CONCEPTUAL FRAMEWORKFOR INFORMATION SYSTEMS(Diagramof IS Interface) ................. 66 B. DETAILED DESCRIPTION OF PROPOSED INFORMATION SYSTEMS..........................................81 C. DATABASES REQUIRED ..............................................................................................122 D. NETWORK LAYOUT ................................................................. ...................................139 PART III. DETAILED DESCRIPTION OF ICT PROJECTS66............ ......... 147 A. INTERNAL ICT PROJECTS ..............................................................147 I B. CROSS-AGENCY ICT PROJECTS ............... ...................................................................173 C.