GlobalPartnersUnited Presentation April 2010

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

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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.

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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 

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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.

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Telehealth technologies   

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©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) 

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Sponsored by the American Telemedicine Association and the Telemedicine and Advanced Technology Research Center (US Army) 6 categories of recommendations

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Educate grantmakers on the value of telemedicine as 

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©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 

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Mobile Technologies as a Platform for Health Research and Healthcare Delivery

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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

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State Department declares SSG Sri Lanka Partnership a 'Game Changer.’

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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)

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In Sri Lanka, QUALCOMM and Dialog Telecom partnered with USAID to develop a franchise business model to bring Internet to rural communities.

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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. 

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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.

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In 2007, Easy Seva nominated for GSM Association’s ‘Bridging the Digital Divide’ Award. ©GlobalPartnersUnited

ATA Evidence-Based Practice for Te 

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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.

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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

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To inculcate learning and new skills for individuals, organizations, agencies, or governments to meet shared goals and attain desired outcomes

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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

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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

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Program delivery quality verified

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Online course content replication and updating in a cost-effective manner/data analytics

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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

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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:  

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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. “ 

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©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

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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)  

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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 

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Telemedicine, Telerehabilitation, and Telepractices Disability Program, Policy, and (Re)Habilitation Community-based Health Care Systems Strengthening Universal Design

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©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

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Transition & Vocational Training and Employment for Persons with Disabilities (PWDs)

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Instructional Design, Eand Adult Learning, and Web Portal Development

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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 

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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

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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…. 

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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) 

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“ 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)

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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