links to the RF Initiative Prof. S. Yunkap Kwankam Executive Director International Society for Telemedicine and

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1 Global ehealth activities of the ISfTeH: links to the RF Initiative Prof. S. Yunkap Kwankam Executive Director International Society for Telemedicine and ehealth (ISfTeH)

2 1. National structures Three key thrusts National professional associations National ehealth Councils 2.Global ehealth convention 3.WE-

3 National ehealth Councils Promotion of evidence-based and ethical ehealth advocacy positions in countries Promotion of National ehealth Councils in countries Patterned after National AIDS Councils

4 A global ehealth convention -1 Study on the feasibility of a global ehealth convention, upon which the decision for further work on the process will be based detailed analysis of the process adopted in relation to the WHO's Framework Tobacco Convention (including discussions with former and current WHO officials) i analysis of previous attempts to create an ehealth convention (e.g. the International Bar Association's 1999 draft)

to the WHO's Framework Tobacco Convention (including discussions with former and current WHO officials) i

5 A global ehealth convention -2 analysis of pros and cons of using a Convention (i.e. legally binding international treaty) as the legal vehicle for enhancing legal and regulatory certainty for global ehealth (e.g. as opposed to a Code of Practice or resolutions) recommendations as to the optimum process to adopt in order to avoid delay in the drafting, negotiation, signature and ratification of the ehealth Convention recommendations as to the public hearing aspects of the ehealth Convention process including recommendations as to appropriate types of invitees and the timing of the public hearings within the overall process

signature and ratification of the ehealth Convention recommendations as to the public hearing aspects of the ehealth Convention process including

6 A global ehealth convention -3 identification of issues potentially susceptible to inclusion in the ehealth Convention (e.g. licensing of medical practitioners, confidentiality of patient records, cross border data transfer, electronic health records, liability, insurance, commitments on establishing communications infrastructure via e-health focused universal service/access license obligations) liaison with the World Bank, the European Bank for Reconstruction and Development and the African Development Bank in relation to the issue of establishing communications infrastructure via ehealth focused universal service/access license obligations (with financing from e-health focused universal service/access fund)

universal service/access license obligations) liaison with the World Bank, the European Bank for Reconstruction and Development and the African Development Bank in relation to the

7 A global ehealth convention - 4 analysis of the benefits of including each potential issue in the ehealth Convention analysis y of the potential legal, practical and political obstacles and resistance to including each potential issue in the ehealth Convention recommendations as to the entities to be involved in the preparation, negotiation and implementation of the ehealth Convention (e.g. technical working group, intergovernmental negotiation body) including recommendations concerning the general composition of such entities recommendations as to the optimum role for ISfTeH in relation to the ehealth Convention process universal service/access fund)

8 Google Regenstrief Institute Individual Developer Millennium Villages Company X Partners In Health Medical Research Council UCC / Tanzania Makerere University Project Level Collaborative Action Network OpenMRS

Medical Research Council UCC / Tanzania Makerere

9 OpenMRS Siga Saude EMR OpenEHR Epic EMR Careware OpenVista EMRs Component Level Collaborative Action Network

10 Pharmacy Laboratory EMR Radiology ADT Telemedicine System Level Collaborative Action Network Patient Level Record

11 Supply Chain Management Patient Level National Reporting Public Health Admin Technical Collaborative Action Network ehealth Technical Architecture

12 Resource Policy Technical Capacity Assessment / Research World ehealth Collaborative Action Network

13 Resource Policy we can Technical Capacity Assessment / Research World ehealth Collaborative Action Network

14 MANY THANKS for YOUR COMMENTS and SUGGESTIONS

Using the OpenMRS. system to strengthen health care delivery in Rwanda

Using the OpenMRS. system to strengthen health care delivery in Rwanda Using the OpenMRS electronic medical record system to strengthen health care delivery in Rwanda Dr Hamish SF Fraser Partners In Health Division of Global Health Equity, BWH Harvard Medical School Overview