New

Technologies
Related to
Public Health
Electronic
Information
eHealth
in the
Community
Setting
Information and Communication
Technology (ICT)
 “Diverse set of
technological tools
and resources used
to communicate,
and to create,
disseminate, store,
and manage
information.”
Given the extensive capabilities of ICT, eHealth can be
considered in any of, but not limited to, the following:

1 2 3
Communicating with a Recording, retrieving, Providing patient
patient through a and mining data in an teachings with aid of
teleconference, electronic medical electronic tools such
electronic mail (e- record (EMR). as radio, television,
mail), short message computers,
service (SMS). smartphones, and
tablets.
 “Data are the fundamental elements
of cognition” (Gudea, 2005).

Data vs. “Data are unanalyzed raw facts that

do not imply meaning
Information
“ When meaning is attributed to data
and when data are processed and
analyzed, then data become
information.
Good Data Qualities
 Accuracy- Ensures that documentation reflects the event
as it happened.
 Accessibility- ensures that data is available whenever the
patient and any member of the family needs it.
 Comprehensiveness- Data inputted should be complete.
 Consistency/Reliability- Having no discrepancies in data
recorded makes it consistent
 Currency- Data must be up-to-date and timely.
 Definition- Data should be properly labeled and clearly
defined.
Using eHealth in the Community
 1. Financial risk protection through
expansion in National Health Insurance.
Administrative order
No. 2010-0036 2. Improved access to quality hospitals and
[Kalusugan health care facilities.
Pangkalahatan (KP)] 3. Attainment of the health-related
priority health Millennium Development Goals (MDGs)
directions: One of the aims of KP is to attain efficiency
by using IT in all aspects of health care.
Electronic Medical Records (EMR)
 EMRs are comprehensive patient records that are stored
and accessed from a computer or server.
 Community health centers have the capacity to rapidly
adapt EMRs because they utilize a standard process
nationwide.
 EMRs are vital to community health centers because each
patient record is usually used more frequently.
 Community health nurses should be aware of health
patterns and health indicators within their catchment
area.
 Vital statistics indicators such as mortality and morbidity
rates must come from reliable data, which can be derived
from accurate and thorough EMRs.
Community Health Information Tracking System
(CHITS)

Started on 2004 and was funded by the International

Development Research Centre (IDRC).

Created by Dr. Herman Tolentino of the UP-Medical

Informatics Unit (UP-MIU).

Currently implemented at health centers in Pasay, Navotas,

Quezon City, and several municipalities nationwide.
COMMUNITY HEALTH INFORMATION TRACKING
SYSTEM (CHITS) VIDEO
 Definition: Telemedicine

 WHO(World Health Organization)

defines telemedicine as “the delivery
of health care services, where distance
is a critical factor, by all health care
professionals using information and
communications technologies for the
exchange of valid information for
diagnosis, treatment and prevention of
disease and injuries, research and
evaluation, and for the continuing
education of health care providers, all
in the interests advancing the health of
individuals and their communities.”
 Its purpose is to provide clinical support.

It is intended to overcome geographical

WHO: Four barriers, connecting users who are not in the
same physical location.

elements of It involves the use of various types of

Telemedicine Information and Communication Technologies
(ICT).

Its goal is to improve health outcomes

 UP Manila- National Telehealth Center
(UPM-NThC) in partnership with DOH in
the Doctors of the Barios program.
 Enabled municipal health officers to
teleconsult difficult cases with trained
telehealth medical specialists via SMS or
e-mail.
 The teleconsults, which are received by a
server, are then triaged by NThC
telehealth nurses to appropriate medical
specialists.
 Achievements in the
implementation of telehealth

 Discovery of a rare (has only

been reported in the Philippines
3 times since 1789) skin disease
called Tinea imbricata locally
termed as “Blekes” or “Blekis”
in a tribe from Kiamba,
Sarranggani in Mindanao.
 “Telemedicine has the
capacity to bridge the
gaps in the health
referral system. The
goal of a patient
receiving the best care
as soon as possible
despite an unfavorable
location or other
adverse circumstances
may be reached through
telemedicine.”
Telemedicine: RxBox
eLearning

 The use of electronic tools to aid in

teaching.
 This can be in the form of simple
instructional videos and information
textblasts to social network help
groups and interactive simulations.
NThC eLearning videos
Roles of Community Health Nurse in
eHealth
Data and Records Manager

Monitor the trends of diseases through the EMR, allowing for targeted
interventions for health promotion, disease prevention, curative
services, or rehabilitation.

Maintains the quality of data inputs in the EMRs, making sure that
information is accurate, complete, consistent, correct and current.

Participates in regular data audits.

Change agent

Working closely with the community and implementing e-health with them and not for
them.

Change agents do not force technology on the community, but inform and guide the
community in selecting and applying appropriate ICT tools.

Collaborate with health leaders, policy makers, stakeholders, and other community
health professionals to determine their knowledge and awareness on e-health and
appropriate ICT tools.

Help develop appropriate e-Health tools for the community.

Educator

Nurses provide health education to individuals and families through

ICT tools.

Participate in making eLearning videos on specific diseases, which the

patients can watch during their waiting time at health centers.

Nurses may also use scheduled text messages to patients among the
catchment population to send important health information,
reminder, etc.
 Telepresenter
 Nurse may need to present the
patient’s case to a remote medical
specialist, noting salient points for
case assessment, evaluation, and
treatment. This occurs via
teleconference.
Client Advocate
 Must safeguard patient records, ensuring that security,
confidentiality, and privacy of all patients information are
being upheld.
 Must ensure that clients know the benefits and challenges
of EMR.
 Must ensure that personal and health information handling
through ehealth is well explained.
 Clients must sign an informed consent.
 Must guarantee that all e-health interventions are
performed in a safe and ethical manner, making sure that
personnel involved in e-health are competent and have
received ehealth training/certification.
Researcher

Pursues continuing nursing

Responsible for identifying
informatics education,
possible points for research
with the goal of developing
and developing a
a researcher framework
framework, based on data
which will be beneficial to
aggregated by the system.
the community.
Summary

Fundamental to technological development is the establishment of

human, political, and economic arrangements that ensures the
efficient use and application of technology.
The perception that technologically competent nurse is a person who
demonstrates less caring to the patient, it should be emphasized that
technology was never meant to replace the nurse to provide quality
and holistic care, but rather to make each caring situations
meaningful both for the nurse and for the patient.

The purpose of technology is to make our lives easier.

Nursing Core Values in Community Setting
Core Values: Definition

 Core values are the

fundamental beliefs of a
person or organization.
These guiding principles
dictate behavior and can help
people understand the
difference between right and
wrong.
Caring

PROMOTING 6 “CS” OF CARING:

HEALTH, HEALING, COMPASSION,
AND HOPE IN COMPETENCE,
RESPONSE TO THE CONFIDENCE,
HUMAN CONSCIENCE,
CONDITION COMMITMENT,
COMPORTMENT
 Integrity
 Respecting the dignity and moral wholeness of
every person without conditions or limitation;
 “Adherence to moral and ethical principles;
soundness of moral character; honesty." To be a
person of integrity is to stand for something, even
if that stance comes at a cost.

“Stand for the right though the heaven’s fall”

-E.G. White
Respect for
Diversity
 Affirming the uniqueness
of and differences among
persons, ideas, values,
and ethnicities.
 It means understanding
that each individual is
unique, and recognizing
our individual
differences.
Social Justice and Health Equity
 Social justice is foundational to health equity and central to
community health nursing practice.
 Equity is the idea that everyone should have some stake in
the things that make life meaningful.
 Health equity as an ideal state marked by fairness and the
achievement of optimal health and wellbeing for all
populations, where disparities in health status are
eliminated across populations by race, ethnicity, gender,
geography, disability, religion, sexual preference and mental
status.
 Health equity may be viewed as an equal and fair
distribution of health and wellbeing.
Equality means giving everyone the
same thing. (Sameness)
Equity means giving people what
they need to reach their best health.
(Fairness)
Access to same opportunities.

The picture describes three people of

different heights are trying to reach
the fruit on the tree. (The fruit
symbolizes good health)

We must ensure equity before we can

enjoy equality.
 Analisa L. Pepito, RN,MN

Should you have any clarification you may contact me thru:

MS Teams
Messenger: Leizl Lacorte Pepito
email: [email protected]