HPAd 201 4th

Individual
Assignment
CHUA, DIANA BETH
May 26, 2023
Philippine Health Information Exchange
+a component of the eHealth strategy of the government
towards its ultimate goal of universal health care
+aims for a responsive, efficient, cost-effective, and integrated
delivery of health care services using real-time medical data
+operates under the supervision of the DOH, PhilHealth and
DOST
o Together with CHED and the UP-Manila-core implementation team
providing overall direction, technical guidance, and resource-
support to the System

Source: https://www.fma.ph/wp-content/uploads/2019/09/DIS-PHIE.pdf
Philippine Health Information Exchange
+PHIE serves the following purposes:
o Ease the unification and integration of health data and processes across
different health facilities employing disparate electronic medical record
systems;
o Promote interoperability by providing means for communication and
coordination of electronic health data among the various health domains (i.e.
disparate clinic information systems, and applications) without loss of
semantics;
o Increase accountability for the proper management of health information;
o Harmonize and optimize eHealth processes and workflows;
o Serve as reference in the development of integrated information systems
o Promote the implementation and use of interoperability standards.

Source: http://ehealth.doh.gov.ph/index.php/phie/overview/50-objectivesofphie
Philippine Health Information Exchange
+aims to achieve integrated healthcare services and delivery that is
also seamlessly responsive, efficient, cost-effective, and real-time.
o Enabling secured data sharing between authorized healthcare providers and
consequently,
+ supporting protected access to clients health data record across providers in many
geographic areas of the country;
o Providing a single unified view of clients health data record across health
facilities whether a hospital or clinic through an interface that is accessible
anywhere and anytime; thereby, enhancing client care collaboration;
o Facilitating aggregation of health data into a longitudinal electronic medical
record
o Generating accurate and real-time health statistical reports for monitoring and
evaluation, with subsequent development of appropriate interventions,
policies, and protocols

Source: http://ehealth.doh.gov.ph/index.php/phie/overview/50-objectivesofphie
PHIE 6 interacting components
+Client Registry manages the unique identification of citizens receiving
healthcare services.
+Provider Registry - manages the unique identification of healthcare
providers.
+Health Facility Registry manages the unique identification of places
where health services are administered.
+Standards Terminology Service manages the unique identification of
clinical activities, standard health data sets, terminologies and formats.
+Shared Health Record a repository of clients records with information in
the exchange.
+Interoperability Layer receives communication from various application
systems being used by the health facilities, and orchestrates message
processing.

Source: http://ehealth.doh.gov.ph/index.php/phie/overview/50-objectivesofphie
Philippine Health Information Exchange

http://ehealth.doh.gov.ph/index.php/phie/strategies-and-investment#openModal6
Philippine Health Information Exchange

http://ehealth.doh.gov.ph/index.php/phie/strategies-and-investment#openModal6
Philippine Health Information Exchange

http://ehealth.doh.gov.ph/index.php/phie/milestones
Salisi et al. 2016
Challenges
+privacy issue- implementation of the PHIE, which relies heavily on
technology and the capacity of its users
+no credible assurance that the government is more equipped
today and better prepared to handle large amounts of personal
data
o DOH may already have a Data Protection Officer (DPO), but its privacy
management program is not yet in place
o agency’s lack of manpower to enforce its policies is also a problem

+there must be adequate security measures in place that ensure

the stability of the PHIE system
o Data Privacy Act of 2012
o Health Privacy Code

Source: https://www.fma.ph/wp-content/uploads/2019/09/DIS-PHIE.pdf
Sustainability
+regular review of all applicable laws and policies to facilitate
the identification of policy gaps
+inclusion of data protection and information security in the
validation of EMR systems and in the accreditation of health
care institutions and service providers
+close coordination with the NPC and other regulatory bodies
+consistent and effective consultation with all stakeholders

Source: https://www.fma.ph/wp-content/uploads/2019/09/DIS-PHIE.pdf
Sources:
+ Health information exchanges and data-intensive systems September 2019.
https://www.fma.ph/wp-content/uploads/2019/09/DIS-PHIE.pdf
+ The Philippine Policy Context for eHealt. James A. Salisi, Jay Pee Z. Cruz, Sophia
Francesca DP. Lu, Portia H. Fernandez-Marcel. Acta Medica Philippina. 2016.
https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/download/754/664/
+ http://ehealth.doh.gov.ph/index.php/phie/strategies-and-investment#openModal6