Latin American e-Health Programs and WHO/PAHO Planning Toolkit AMIA 2017 Annual Meeting Session Chair: Yuri Quintana, PhD Division of Clinical Informatics, BIDMC and Harvard Medical School

Panelists David Novillo, PhD -Pan American Health Organization, Washington, DC, USA The PAHO/WHO National e-health strategic planning toolkit, WHO Third Global Survey on eHealth ( Region of the Americas), and e-health Initiatives and strategies in Latin America, Heimar Marin, RN, PhD - Alumni Professor, Federal University of São Paulo, Brazil E-Health Strategies in Brazil, Fernando Plazzotta, MD and Paula Otero, MD – Hospital Italiano de Buenos Aires, Buenos Aires, Argentina Clinical Informatics Training Programs Marcelo Lopetegui, MD, MS - Clínica Alemana de Santiago, Santiago, Chile Digital Strategy at Clinica Alemana, Santiago Chile, Mario Ruiz Cubillo, MD - Hospital San Vicente de Paul de Heredia, Heredia, Costa Rica, Hospital Digital Strategies in Costa Rica and RACSEL Red Americana de Cooperación para el desarrollo de la Salud Electronica,

Learning Objectives Provide an overview major e-health initiatives in Latin America Provide an overview of the World Health Organization (WHO) national e-health strategic planning toolkit Describe the priority areas for e-health development and informatics training Discuss challenges in deployment and support of informatics systems in clinical and public health sectors Central America achieved an increase from 20% to over 50% for common childhood cancers.

Why this topic is important Latin America has a growing e-health sector and academic informatics programs There are synergies and common experiences that can be shared among these programs There is an opportunity for AMIA members to be more involved in Latin America via informal networks and formal collaborations

Questions What are the priorities in each country and institution? What process was used to define the priorities? What role can national and international informatics organizations can have in the training and development of informatics in the region? What opportunities are there for AMIA members to collaborate in Latin America?

Highlights of eHealth in Latin America National Level Informatics Associations (Brazil, Chile, Argentina, Mexico) 61% of Latin Countries have a nation plan National level strategic plans 31% of Latin Countries have privacy policy Growing number of graduate level informatics programs (Chile, Argentina, Brazil, Mexico) Regional Telemedicine has been deployed in many countries Open Source Implementations (OpenMRS) Shared terminology servers (Hospital Italiano de Buenos Aires) Cooperative Groups (RacSEL) – Interoperabiltiy

Latin American Organizations Federación de Informática Médica para América Latina y el Caribe (IMIA-LAC) http://www.imialac.org/ Grupo de Enfermería en Informática de América Latina y el Caribe http://wgni-imia-lac.blogspot.com/ Red de Enfermería Informática (REDENFI) http://www.sld.cu/sitios/redenfermeria/ Asociación Argentina de Informática Médica (AAIM) http://www.aaim.com.ar Sociedade Brasileira de Informática em Saúde (SBIS) http://www.sbis.org.br/ Asociación Chilena de Informática en Salud (ACHISA) https://www.achisa.cl/ Asociación Colombiana de Informática en Salud (ACIESA) http://www.aciesa.org/ (currently being updated) Asociación Colombiana de Informática en Salud (ACIESA) http://www.aciesa.org/ (currently being updated)   Centro de Telemedicina de Colombia http://www.colombiantelemed.org/ Sociedad Cubana de Informática Médica http://www.socim.sld.cu/ Sociedad Uruguaya de Informática en la Salud (SUIS) http://www.suis.org.uy/ Asociación Venezolana de Informática en Salud http://wwwavisorgve.blogspot.com/

Medical Informatics Research Publications from Latin America

References National eHealth Strategy Toolkit http://www.who.int/ehealth/ Country Profiles from PAHO http://www.paho.org/ict4health/ Twitter https://twitter.com/ehealthpaho

www.hmfpinformatics.org Yuri Quintana, PhD yquintan@bidmc.harvard.edu Assistant Professor of Medicine, Harvard Medical School www.hmfpinformatics.org