To complete development of the Fast Healthcare Interoperability Resources (FHIR) implementation guidelines for Indonesia
Description
As part one, important components of ANCS, building a highly interoperable system utilizing FHIR standard is the key. This system is also crucial to address emergent pandemic and nutrition needs, and maintain alignment with the deployment of new FHWs, and with the requirement for facilities and doctors to be directly engaged with a pregnant woman earlier in pregnancy, and to make the interoperability fully FHIR-based. The FHIR migration will also enable interoperability with all other app systems in the future. At the same time, we improve the capacity of health workers to utilize data for decision making processes via the new health worker training processes.
We note this initiative has received interest and support from the Digital Transformation Office (DTO) of the Ministry of Health (MoH), the National Family Planning Coordinating Agency (NFPCA), the the Ministry of Village, Development of Disadvantaged Regions and Transmigration (MoVDDRT), and the Ministry of Education (MoE). The current SID collaboration with DTO also strengthens and accelerates the pathway to adopt the FHIR system in Indonesia, in order to enhance pregnancy and newborn care through joint team-based care that is well supported and connected with a highly interoperable FHW information system. This mutual collaboration between SID and DTO also strengthens the SID collaboration with HL7, the global body overseeing the FHIR standard.
Specifically, SID can facilitate more Indonesians to actively participate in attending FHIR courses through scholarships and to continue working collaboratively with partners and FHIR course alumni to build FHIR implementation guides for Indonesia and further expand the use of the guideline to other LMICs.
Action plans:
1. SID collaborates with HL7 International to provide 40 scholarships for Indonesians to attend 2-round FHIR Fundamentals Courses by December 2021
2. Involved 40 FHIR course alumni to be involved in FHIR Indonesia working group
Create working groups for developing FHIR implementation guide for Indonesia by January 2022
3. Piloting interoperable system in the context of ANC by utilizing team based care approaches in one of OpenSRP distincts in Indonesia, by December 2022
Provide evidence for a highly interoperable system in Indonesia utilizing the HL7 FHIR standard by publishing at least 1 paper and 1 scientific article by December 2022.
4. Develop a developer curriculum on FHIR Adaptation in Indonesia by December 2022.
5. Develop a non-developer curriculum on FHIR standard for global and local use by May 2022.
Overarching commitment (for commitments submitted pre-2025)
Title
Adaptive Networks for Care at Scale/ANCS
Description
SID commits to overcome bottlenecks for maternal and neonatal care and nutrition utilizing 5 core components that include: (1) coordinated data-driven maternal and newborn care and nutrition by FHW teams through active use of routine client data on the Open Smart Register Platform (OpenSRP) mobile information system to ensure complete coverage and continuity of care. OpenSRP is currently deployed with the aim to enhance maternal care including COVID-19 screening, vaccination, and multiple micronutrient supplementation during pregnancy, blood pressure and diabetes monitoring and management, and for maternal, newborn and infant tracking for COVID-19 according to government schedules, and promotion of breastfeeding; (2) enhanced Frontline Health Workers (FHWs) knowledge/skills and accountability through the proctored Knowledge Ggateway (KG), online proctored assessment platform for targeted training i.e interprofessional collaboration, for workers to attain professional society certification and public sector human resource performance requirements, and provide coaching for the continuous improvement; (3) Universal Health Coverage provider incentivization by real- time verification of service completeness and quality by OpenSRP, and linked with accelerated provider claim payments; (4) client demand-side incentives that promote improved quality of care as clients’ feedback on care completeness and quality; (5) completion of app migration to the Fast Healthcare Interoperability Resources (FHIR) standard for a ‘One Data’ system according to the Presidential Regulation No. 39 Year 2019.
Components #1 to #4 are together to be achieved through deployment of OpenSRP, Knowledge Gateway, and coaching activities. Meanwhile, and component #5 is an effort to create a highly interoperable system for a unified data system across FHWs. Therefore, all components are integrated, to improve the quality to improve the quality of human resources in health and improve quality of maternal and child health and nutrition by improving the quality of human resources and the use of digital tools for health.
GNR assessment
| Verification status |
Verified
Find out more
|
|---|---|
| SMARTness index |
High
Find out more
|
Details
| Global nutrition target(s) |
Anaemia
Low birth weight
Exclusive breastfeeding
Childhood stunting
Childhood wasting
Adult diabetes
Raised blood pressure
|
|---|---|
| Nutrition Action Classification(s) |
Enabling >
Research, monitoring and data
Find out more
|
| Linked event(s) |
|
| N4G Summit theme(s) |
|
Measurement
| Key indicator | Development of FHIR implementation guidelines |
|---|
| Value | Measurement date | |
|---|---|---|
| Baseline | No | 2021 |
| Target | Yes |
