Slide 1

Ministry of Health
E-Health Initiatives in
Trinidad and Tobago
presented by
Minister of Health, Senator the Honourable Jerry Narace
Commonwealth Business Forum
Innovative Solutions to Healthcare
Health Sector in TT
 The Ministry of Health leads the Health
sector by setting the national health
agenda, developing legislation,
regulation and financing
 Health care at public institutions is
provided free of charge at the point of
contact (primary, secondary and tertiary
health care facilities)
Health sector in TT
Vision 2020 for Health
A Nation empowered to live long,
healthy, happy and productive lives
New Model of Health Care
Management needed to
realize vision
MoH’s 3 Strategic Objectives
1. To foster a healthy and productive population
through preventive care.
2. To create and maintain a First World health
care delivery system; and
3. To develop and manage a comprehensive
population based public health system.
Transformational Strategies
1. MOH Institutional Reform
2. Strengthen Vertical Services
3. Upgrade Services and Infrastructure
4. Skills Development and Availability
5. Quality Service
6. Information and Communication Technology
7. Health Financing
8. Strengthen RHAs and other bodies
9. Continuous Improvement
Health Care Business
 Health is the third largest public sector expenditure
item in Trinidad and Tobago.
 For fiscal year 2010, government’s recurrent expenditure
allocated to the health sector is $TT 3.34 billion. Total
recurrent spending on health (public and private) is
estimated at $TT 6 billion.
 5 year transformational business plan (2008-2013) -$TT 30 billion
 The health care business is a large, complex industry
comprising diverse service providers and hundreds of
patient encounters daily.
Health Care
Business (cont.)
Effective management requires:
Collection of information for decision-making process.
Monitoring productivity, cost of services to improve
Improving the assignment of human and technical
Quality control using international standards
E-Health in the
Source: Massiah, E. (2008) Progress on eHealth in
the Commonwealth, in ehealth in the
Commonwealth. London: CBC
E-Health transition in T&T
“One patient, one record, anywhere, anytime”
From this:
To this:
Civil Registry
Local Pharmacy
Insurance companies
Regional Hospitals, Health centres & Diagnostics centres
GP Practices
Current E-Health Projects
 Surveillance system
– Stage 1: A web enabled platform to capture treatment data in all HIV
facilities, featuring:
• Central Lab Information System
• Clinical Management System,
• Business Intelligence package
• Data Export Systems
(it will feature e-health records, CM, a central database and on target for a
2012 date of completion)
– Stage 2: extend the functionalities to all CNDC’s
 In all facilities and Chronic Disease Patients
 In operations: On-line system with private Pharmacies to deliver
Chronic patients drugs
 (training, 70 million Illuminat contract on target for a 2010 competion
 CDEMS (Chronic Disease Electronic Management System)
 Implemented in some RHAs and will roll-out to all
Current E-Health
Projects (cont.)
 Tele-medicine
 Tele-radiology (being implemented in ERHA to be expanded to
other RHAs)
 Tele-medicine for paediatrics
 Tele-pathology
 E-Health Initiative (planning pilot sites implementation)
 E-Health Card
 Web based on-line patient eligibility and service validation
 Patient’s basic EMR access and Transaction data capture
 General Patient’s Appointment system
 Drugs Prescription registration and local pharmacy dispensing.
General Appointment System
Patient calls
NHIS Call Center
Requests an appointment
with a Health Care
Professional (GP, Health
Center, Hospital, etc)
Appointment Data :
 Patient’s ID
 HC Facility’s ID
 Doctor’s ID
 HC Service Code
 Date & Time
The operator assigns an
appointment with the
required professional at the
most convenient location
(Health Care Facility)
System validates
the Patient’s
eligibility and :
Appointment is
registered in the
Patient Administration
The clerk validates the
patient’s identity and
confirms the appointment
(if any). Co pay is
determined if applicable
Patient arrives
and shows ehealth card
EMR are retrieved
from the system
and handed to the
The Patient’s Healthcare
Service Process
Diagnostic Service
Coded Data
Medical Records are
updated and HC
Services are
HC Service
Patient’s ID
HC Services ID
Doctor’s ID
 Improved healthcare services
Decrease in waiting time
Better tools for doctor’s review and diagnosis
System guarantees confidentiality
Access to E-Health portal - customized information and health
 Improved cost-efficiency
 Eliminate duplication of services
 Improve provider productivity
 Improved quality
 Assess compliance with established medical protocols
 Identification of patient risk-groups for improved management
 Control expenditure patterns
 Reduce adverse events
E-Health & NHS
E-Health is a KEY enabler of NHS
The National Health Service (NHS) will be a
health care system of the Government of
Trinidad and Tobago that will provide an
Essential Package of health care services to all
eligible persons at any public or private health
institution of their choice.
E-Health & NHS (cont.)
Registration of provider and beneficiaries
Payment of claims to providers for services
Collection of contributions from employers,
employees and the self employed
Auditing collections and claims processing system
and ensuring efficiency
Provide information for Actuarial Reviews of the
NHS Fund
• Synergistic and integrated health care IT
– Ease of use
– Comfort with experience
– Confidence in outcome
• Bringing us closer to first world status
Thank you

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