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e-Readiness Assessment - A Health Perspective -

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Title: e-Readiness Assessment - A Health Perspective -


1
e-Readiness Assessment- A Health Perspective -
Global e-Health Research and Training
Program  Health Telematics Unit
www.ucalgary.ca/telehealth
  • Dr. Shariq Khoja MD, MS, PhD Student
  • Global e-Health Research and Training Program
  • Health Telematics Unit, University of Calgary,
  • Calgary, Alberta, Canada

2
e-Readiness- Definition -
  • e-Readiness
  • The degree to which a community is prepared to
    participate in the networked world.
  • Measured by assessing the communitys relative
    advancement in the areas that are most critical
    for Information and Communications Technology
    (ICT) adoption and most important applications of
    ICT.
  • Source Center of International Developments
    Readiness for the networked world

3
e-Readiness- e-Readiness Assessment -
  • A method to assess if a community or institution
    is prepared to respond to a pre-identified
    problem, through ICT.
  • It is NOT classical needs-assessment which
    identifies the issues or problems.
  • A strategy to identify gaps in the ability of a
    community or institution to implement an
    e-health solution to its problems.

4
e-Readiness- Importance -
  • Has high value
  • For both the planners of an activity and the
    participating communities.
  • Avoids delays and disappointments
  • Identifies any lack of preparedness of a
    community to implement a virtual response at an
    early stage.
  • Avoids huge losses in time, money and effort.
  • Can prepare remote communities in developing
    countries, in order to reduce the digital divide.

5
e-Readiness- Importance -
  • Readiness is
  • An integral and preliminary step in successful
    adoption of an innovation.
  • (CANARIE report, 2002).
  • Required to successfully initiate a change
    process

Pre- contemplation
Contemplation
Preparation
Action
Maintenance
Readiness
Transtheoretical model of Behavioral Change
(Richard W Scholl, 2002)
6
e-Readiness- Tools for e-Readiness Assessment -
  • 22 e-readiness tools available on
    www.bridges.org.
  • Some important ones are
  • Computer Systems Policy Project (CSPPs) -
    Readiness Guide for Living in a Networked World.
  • Crenshaw and Robinsons Cyber-space and Post
    Industrial Transformations Cross-network
    Analysis of Internet.
  • Center of International Development (CIDs)
    Readiness for the Networked World A Guide for
    Developing Countries.

7
e-Readiness- CIDs Guide for Developing
Countries -
  • Creator Center of International Development
    (CID) at Harvard University - 2000
    (www.readinessguide.org)
  • Goal To systemically organize the assessment of
    factors determining the network readiness of a
    community in the developing world.
  • Standards e-Ready society has
  • Necessary physical infrastructure.
  • Integrated current ICTs throughout communities
    and government
  • Strong telecommunications competition
  • Independent regulations with commitment to
    universal access
  • No limits on trade or foreign investments in ICT

8
e-Readiness- CIDs Developing Country Guide -
  • Measures
  • 19 different categories covering availability,
    speed, and quality of network access use of ICT
    in schools, the workplace, economy, government
    and everyday life ICT policies ICT training
    programs and the diversity of organizations.
  • Results
  • CIDs grid
  • 5 groupings Access, Learning, Society, Economy
    and Policies).
  • 4 stages of advancement in each of 19 categories

9
e-Health Readiness- Definition -
  • e-Health Readiness
  • Related to, but different from, e-readiness
  • Defined as The degree to which users, health
    care organizations, and the health system itself,
    are prepared to participate and succeed with
    e-health implementation.
  • (CANARIE- report, 2002)
  • Current activity
  • Efforts underway to develop assessment tools for
    e-health / telehealth readiness.

10
e-Health Readiness- Current Tools -
  • Lead organization
  • Health Telematics Unit, University of Calgary
  • Activity
  • Development of Telehealth Readiness assessment
    tools for organizations and practitioners in the
    developed world. (Jennett P, 2003).
  • Key Components
  • a) Organizations Core-readiness
  • b) Organizations engagement / planning
    readiness
  • c) Workplace environment readiness

11
e-Health Readiness- Tool for Developing
Countries -
  • Issue
  • At this time there are no e-health readiness
    tools for developing countries
  • Study Goal
  • Develop tools appropriate for developing
    countries
  • Study Team
  • Collaboration of HTU, Supercourse and
    Institutions in Pakistan.
  • Setting
  • To be tested in Pakistan using Supercourse

12
e-Health Readiness- Assessment in Pakistan -
13
e-Health Readiness- Assessment in Pakistan -
  • Process
  • Building partnerships with the medical colleges
    and universities in Pakistan.
  • Collectively develop an e-health readiness
    assessment tool for Supercourse.
  • Test the tool in various medical colleges in
    Pakistan.
  • Finalize a culturally sensitive tool for e-health
    readiness that can be used by participating
    institutions and Supercourse for other programs.

14
e-Health Readiness- Proposed Tool for Developing
Countries -
  • 5 Components will be assessed
  • Core readiness
  • Cultural readiness (Access)
  • Learning (Training in Media)
  • Society (Internet use and interaction)
  • Policy (at institutional and government levels)

15
Core Readiness- Component I -
  • Intended to measure basic characteristics of the
    target population
  • Identification of need
  • Dissatisfaction with the status quo
  • Awareness
  • Comfort with language, and
  • Comfort with technology

16
Cultural Readiness - Component II -
  • Intended to measure the minimum necessary access
    to adequate network infrastructure
  • Speed (bandwidth) and quality of Internet
  • Service and support
  • Hardware and software
  • Internet availability and affordability
  • Regular usage of computer and internet

17
Learning Readiness- Component III -
  • Intended to measure the minimum required
    knowledge and training in the community to use
    ICT
  • An institutions access to ICT
  • Use of ICT to enhance education
  • The ICT workforce in the community

18
Society Readiness- Component IV -
  • Intended to measure the Communitys use of ICT in
    regular activities
  • Online communication
  • Availability of locally relevant content
  • Use of ICT in everyday life

19
Policy Readiness- Component V -
  • Intended to measure creation of an enabling
    environment and culture at institutional and
    government levels
  • ICT (telecommunications) regulations
  • Ethics
  • Mandatory courses and increasing availability
  • Influence of HFA over use of technology

20
References
  • Bridges.org Spanning the International Digital
    Divide. www.bridges.org.
  • CIDs Readiness for the Networked World A Guide
    for Developing Countrieswww.readinessguide.org.
  • CANARIE report Framework for Rural and Remote
    Readiness in Telehealth. June 2002.

21
Acknowledgements
  • Dr. Richard Scott. Associate Professor and
    Harkness Associate. Global e-Health Research and
    Training Program, University of Calgary, Calgary,
    Alberta, Canada.
  • Ronald E. LaPorte. Director, Disease Monitoring
    and Telecommunications. WHO Collaborating Center.
    University of Pittsburgh, Pittsburgh, PA., USA
  • Dr Sunita Dodani. Department of Epidemiology,
    Graduate School of Public Health. Pittsburgh,
    PA., USA
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