Readiness to Execute

Things that may seem common sensical like lighting a fuse may still need us to follow a methodical check to be sure we are doing them right. The second part of the checklist is intended to provide a report documenting the activities that were completed and the ones that are pending for this purpose. The checklist is divided in the following sections:

Normative Map

The following map presents the legal framework in digital health of 26 countries in Latin America and the Caribbean. It is organized into 7 categories: i) Law of creation of Electronic Health Record (EHR), ii) Digital signature, iii) Interoperability, iv) Digital strategies, v) Digital health strategies, vi) Access to patient information, vii ) Personal data protection.

To use the map, please follow these 3 simple steps:

Readiness To Initiate

The checklist is intended to provide an idea of the key elements that are necessary for a digital transformation component. The elements identified have been considered as essential by specialists in the field. A filled-out report at the time of preparing a project profile will give us an idea of the known unknowns and unknown unknowns for the preparation of the project and will provide recommendations regarding the steps needed for project preparation. Links for sample Terms of Reference or guides whenever a product is deemed necessary before approval are included within the tool.

Design Thinking

You need to design a project. And of course, you need to cost it. The standard approach to costing a component is to hire a consultant and cost whatever you will buy. However, depending on your choices the structure and value of the total cost of ownership may change. A Health Ministry usually does not have its own builders to build a health center, however it is very common that it will have its own developers to build a software solution from scratch.

CETIC and Mapping of Systems

Before starting a digital transformation project, it is important to know what is the current state of IT systems in the health sector. For this, we propose two tools that you can use depending on the time and budget you have. The CETIC tool proposes a detailed diagnosis of IT systems while the system mapping tool proposes a more general and high level diagnosis.

Future State/ Critical Success Factor

A Future State/Critical Success Factor FS/CSF exercise is needed as part of the design of every project with a Digital Health  Transformation component. In fact, the only reason why this   exercise should not be done is if an equivalent exercise was done previously (this does not include a project planning document, or a system design prepared by a consultant. It needs to   be similar in the dynamics to prepare the project). If done well, FS/CSF will provide you with key inputs for your POD, PEP, Risk Matrix and PMR.