HEALTH INFORMATION SYSTEMS LABORATORY

LABORATORY MANUAL: Ethics, Privacy and Security

GROUP LEADER:
Cabanit, Marichris S.
GROUP MEMBERS:
Arenas, Atasha Denise
Austria, Alleah Cristelle
Cabreros, Sky Fiona
Carino, Angel Mhae
Carino, Sheena Maye
Carvajal, Raizza Eloisse
DATE OF SUBMISSION: January 3, 2023
INSTRUCTOR: Mr. Mark Ericson B. Baladad
RATING:

Benchmark on a telehealth or telemedicine program that is being implemented

in other developing countries and discuss how this program can be applied in
Philippine setting.

Through telehealth, you can communicate with a medical professional through

phone or video call. To protect the safety of patients and healthcare
professionals during the COVID-19 pandemic, telehealth was expanded in March
2020. Many of these services are currently being kept on a continuous basis.
Telehealth has transformed Medicare, Australia's national healthcare service.
Thousands of Australian patients have benefited greatly as a result of its
crucial contribution to treatment continuity. With telehealth, you can receive
the medical treatment you require whenever and wherever you need it.
Australians who live in rural and isolated places frequently have to travel long
distances to see their doctor. Telehealth consultations not only make it
convenient, but they also protect others by preventing the spread of disease.
This is important in situations where you must quarantine or self-isolate as a
result of COVID-19 public health orders. Telehealth has become more popular
in the Philippines as a result of broader access to information and
communication technology over time. Due to the pandemic, COVID-19 hotlines,
websites, and mobile apps can now be used for teleconsultations. This program
can help improve patient health care by providing access to timely services.
Services provided through telehealth may include prevention, diagnosis, and
treatment. During the pandemic, the telehealth program ensures that the
public is at ease, secure, and offers a safer healthcare option. Therefore, it is
essential that telehealth services are standardized and implemented as soon as
possible in the Philippines. When there are not enough doctors to care for a
population, when specialists are not readily available, and when people living in
remote areas have trouble accessing medical treatment, developing nations
have a pressing need for telemedicine apps that can aid them. The
effectiveness of telemedicine in underdeveloped nations depends on addressing
additional social, organizational, and technical factors. The Telemedicine
Benchmark (TMB) is a set of guidelines for evaluating the security and
efficacy of telemedicine data transmissions using standardized methods,
protocols, and measuring procedures. As such, we have been concentrating on
medically-relevant forms of originality, such as the use of 3D manipulations,
joint viewing and editing, and digital photographs. The TMB allows us to
evaluate the resilience of different video conferencing systems used in
telemedicine against the impact of different network technologies. Evaluation
calls for current information and full functionality. For the TMB's
implementation, a dataset of radiological images and medical records was
compiled. If a patient needs and can benefit from it, telemedicine can give
them access to high-quality medical treatment. By scheduling a same-day
appointment with a doctor, urgent medical issues can be resolved in a matter
of minutes. Better outcomes and lower costs can be achieved through early
diagnosis and treatment. An examination of the current state of the
telehealth industry is warranted by the requirement to find supplementary
healthcare delivery methods to be used throughout the quarantine period,
brought on by the proliferation of telemedicine systems. As the COVID-19
pandemic persists, it is time to take stock of current telemedicine programs.
Understanding the factors that allow telemedicine implementations to function
during the COVID-19 pandemic is important for those who are currently using
or are considering using telehealth services, as well as for other hospitals and
institutions across the Philippines that are considering implementing or
developing their telemedicine system.

Highlight the advantages of implementing such program in the context of the

Philippine health care landscape.

Connections to ePrescription: The shutdown was the impetus for the

Philippine government to approve ePrescription and the delivery of medications.
With teleconsultation, the clinic doctor may collaborate with the pharmacist
to meet the patient's pharmaceutical needs.
More convenient appointment times and shorter wait times at the outpatient
clinic: Long waits at the front desk are a common complaint from visitors.
Not only is this a waste of time and resources, but it also causes a major
reduction in productivity. New health care scheduling and management apps
are cropping up all over the country.
Possibility of Integration with Electronic Health Records
Health care gaps must be filled and referral mechanisms must be improved.
fragmentation: The technology may also be used to link a single expert with
several primary care physicians so that patients receive the best possible
treatment.
Promoting New Ideas
In terms of capacity building, telehealth can serve as a low-cost, high-quality
medium for pursuing post-graduate study in fields like medicine, nursing, and
pharmacy.

In addition to the activity given, kindly answer the following questions as well.

1. In relation to change management, how has the landscape of medicine

changed in response to the pandemic? Cite some examples and discuss

Healthcare operations during the COVID-19 pandemic have been affected by

the threat of the disease. One of these is the impact on healthcare delivery,
which makes people develop long-term health problems, decreased
immunization rates, delayed organ transplants and operations, financial
challenges in the healthcare system, etc. Despite these disadvantages that it
brings, in response to the COVID-19 pandemic, health sectors and
organizations adopted changes in their healthcare system to cater to people
who need health assistance in the middle of the threats of the coronavirus
disease. One of these is the increased use of telehealth, which provides health
care to patients while minimizing the transmission of SARS-CoV-2. An
example of telehealth is telemedicine. Prior to the pandemic, telemedicine was
focused on case scenarios or specialty care before the pandemic, but after, it
changed because of the interference of the coronavirus infection. Telemedicine
has been utilized inside and outside the hospital, and technologies have been
greatly involved. According to the Centers for Disease and Control and
Prevention or CDC, some of the potential uses of telemedicine during the
COVID-19 pandemic include; triaging/screening for COVID-19 symptoms,
contact tracing, monitoring COVID-19 symptoms, providing specialized care for
hospitalized COVID-19 patients, providing access to essential healthcare for
non-COVID-19 patients, and monitoring recovering COVID-19 patients. It
means that the landscape of medicine has changed in a way that benefits us
because we can improve the use of existing health programs wherever we are.
Moreover, the COVID-19 pandemic didn't only bring telehealth but also
brought healthcare at home by doing clinical trials at home (Whyte, 2021).
This means that patients didn't need to pay physical infrastructure of the
hospitals, which may lessen the cost of healthcare services. Whyte (2021)
also added that the pandemic taught people to learn digital knowledge about
their health. People have learned how to monitor their vital signs through
digital vital sign equipment. However, the pandemic somehow prevents the
diagnosis of various types of cancer and different health-related conditions.
This is why some health professionals and organizations hope their patients
effectively learn how to use technology to catch up with their health
providers about digital care.

2. Give an example of telemedicine or any adaptations of this that is available

in our country. Interview anyone who have tried the service and discuss how
was the experience, if there is no available individual to interview just research
on the internet how this service is provided and describe the process.

It has been almost three years since the pandemic entered our lives which
resulted in a negative impact towards not only the society, but also
government, and other aspects of our day-to-day life. This turn of events
happened when the government ordered all establishments to temporarily be
closed or shut down to prevent the transmission of the Coronavirus disease;
and as an inevitable result, employees who were working with these
establishments were terminated and laid off. Due to the pandemic, we were
isolated and hospitals made an intervention for people who wish to consult
despite the deadly disease. Eventually, virtual consultation or telemedicine was
made by utilizing wifi and gadgets to acquire their necessary medical needs.
One of them is Aling Delfina Riñopa, a senior citizen who suffers from diabete
from Victoria, Luna, La Union. According to her, it was hard during those
times to acquire her medicines since they were not allowed to go out due to
their vulnerability. But since she lives with an extended family, it made things
lighter for her because they know how to use technology, unlike her, she did
not grow up having a cellphone. “Nakakausap ko ‘yung doctor sa cellphone
tsaka maganda naman ‘yung serbisyo nila kasi dahil sa kanila gumaling ako.”
According also to Aling Delfina, she consults in Lorma Medical Center and they
give the best services that they could offer because the doctors are
approachable, sympathetic, and flexible. Her sister-in-law would sit next to
her to assist her during the consultation period and she is also the one who
buys the medicines she needs. Unfortunately, due to her excessive smoking
while taking her medication, her left leg was later amputated. Now, Aling
Delfine uses a wheelchair. In this way, she can go wherever she wants.

Interview anyone who have tried the service and discuss how was the
experience, if there is no available individual to interview just research on the
internet how this service is provided and describe the process.

Through hotlines, webpages, and mobile applications created by various

organizations and enterprises, telemedicines or teleconsultations are offered.
Users can video-call a qualified healthcare professional instead of waiting in line
at a medical facility. In-app purchases include a cashless doctor's consultation,
medical prescriptions, and referral letters. Additionally, individuals can use an
app to speak with a qualified counselor and sign up for mental health wellness
counseling. A phone number or an internet account might be used for
telemedicine services. By providing some basic information about their illness, a
patient can request a visit, which the doctor can then accept, deny, or book
for the future if the patient agrees.
References:
Combi, C., Pozzani, G., & Pozzi, G. (2016, November 2). Telemedicine for
developing countries. A survey and some design issues. Applied clinical
informatics. Retrieved December 19, 2022, from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5228142/ Implementing a
hospital and community-based telemedicine program in selected areas within
the National Capital Region as part of the Philippine Health System Response
to the COVID-19 pandemic. UP Resilience Institute. (n.d.). Retrieved
December 19, 2022, from https://resilience.up.edu.ph/projects/implementing-
a-hospital-and-community-based-telemedicine-program-in-selected-areas-within-
the-national-capital-region-as-part-of-the-philippine-health-system-response-to-
the-covid-19-pandemic/ Australian Government Department of Health and
Aged Care. (2022, April 13). Telehealth. Retrieved from:
https://www.health.gov.au/topics/health-technologies-and-digital-
health/about/telehealth \

Telehealth in Low Resource Settings (2022, May 19). Centers for Disease
Control and Prevention. Retrieved from
https://www.cdc.gov/coronavirus/2019-ncov/global-covid-19/telehealth-covid19-
nonUS.html

Special Report: Coronavirus in Context with John Whyte: A Look at the

Post-COVID-19 Health Care Landscape. (2021, April 9). WebMD. Retrieved
from https://www.webmd.com/coronavirus-in-context/video/lloyd-minor
COVID-19 and the Changing Healthcare Delivery Landscape. (n.d.) Assistant
Secretary For Preparedness and Response. Retrieved from
https://files.asprtracie.hhs.gov/documents/healthcare-operations-series-covid-
19-and-changing-healthcare-delivery-landscape-ppt.pdf
Hani, A. (2021, September 29). Rapid Development of Telehealth Services in
the Philippines. Retrieved January 2, 2023, from
https://opengovasia.com/rapid-development-of-telehealth-services-in-the-
philippines/
Contribution:
Arenas, Atasha Denise (Benchmark on a telehealth or telemedicine program
that is being implemented in other developing countries and discuss how
this program can be applied in Philippine setting)
Austria, Alleah Cristelle (In relation to change management, how has the
landscape of medicine changed in response to the pandemic? Cite some
examples and discuss)
Cabanit, Marichris (Highlight the advantages of implementing such program in
the context of the Philippine health care landscape.)
Cabreros, Sky Fiona (Benchmark on a telehealth or telemedicine program that
is being implemented in other developing countries and discuss how this
program can be applied in Philippine setting)
Carino, Angel Mhae (Interview anyone who have tried the service and discuss
how was the experience, if there is no available individual to interview
just research on the internet how this service is provided and describe
the process.)
Carino, Sheena Maye (Interview anyone who have tried the service and discuss
how was the experience, if there is no available individual to interview
just research on the internet how this service is provided and describe
the process.)
Carvajal, Raizza Eloisse (Give an example of telemedicine or any adaptations of
this that is available in our country)