ℹ This tool estimates the 5-year total cost of ownership for a Regional Health Information Exchange. Data is collected from three stakeholder levels: facility, province, and region. All data is stored locally in your browser.
Methodology
TBM v5.0.1
Technology Business Management taxonomy for cost classification
Readiness
ADB DH Tool
University of Calgary eHealth readiness assessment (sub-national)
Investment
WB Blueprint
World Bank 10-year digital health cost model (adapted for regional)
Architecture
OpenHIE
FHIR R4 · IHE profiles · OpenHIM mediator
TBM Cost Pool Structure
How HIE costs are classified per TBM v5.0.1
📦 Software & SaaS — OpenHIM, HAPI FHIR, DHIS2, OpenMRS licensing
🖥 Cloud Services — IaaS/PaaS for HIE hosting (ILO or PhilCloud)
👤 Staffing — Regional HIE team, provincial CIO, analysts
🔧 Outside Services — Implementation partner, integration consulting
🌐 Telecom — MPLS/VPN, last-mile connectivity to facilities
🏗 Data Center — Co-lo or government IGN node
📋 Cross Charges — DOH, DICT, PhilHealth shared services
OpenHIE Components
What you are estimating the cost for
🔗 Interoperability Layer — OpenHIM mediator & routing
👤 Client Registry (MPI) — Patient master index
🏥 Facility Registry — ILR-FR (from DHIS2)
👩⚕️ Health Worker Registry — ILR-HWR
📋 Shared Health Record — FHIR repository
📊 HMIS / Analytics — DHIS2 aggregate & surveillance
📚 Terminology Services — SNOMED-CT, ICD-10, LOINC
Who fills in what
Multi-stakeholder data collection guide
🏥 Facility Level
Current EMR/LIS systems
Internet connectivity type
Device inventory
IT staff count
ADB readiness scores
Internet connectivity type
Device inventory
IT staff count
ADB readiness scores
🗺 Province Level
Province-wide facility count
Health worker numbers
Connectivity coverage %
Existing ICT budget
PITO/CIO designation
Health worker numbers
Connectivity coverage %
Existing ICT budget
PITO/CIO designation
🌐 Region Level
HIE governance structure
Data center options
Regional ICT budget
DOH/DICT allocations
Implementation timeline
Data center options
Regional ICT budget
DOH/DICT allocations
Implementation timeline
Basic Information
Region-level context
Health System Scale
Aggregate facility and workforce data
Economic Parameters
Used in TBM cost modeling — adapt to Philippine context
Existing Digital Health Systems
What is already deployed in the region
ℹ Enter representative facilities from each cost tier. The World Bank Blueprint model uses 4 facility types by cost; this tool maps them to the Philippine health system hierarchy. For large regions, enter aggregate counts rather than individual facilities.
Facility
Type
Province
Connectivity
EMR
Actions
No facilities added yet. Click "+ Add Facility" to begin.
Facility Summary
⚠ Connectivity is the single highest-risk cost variable for regional HIE in the Philippines. Last-mile connectivity to RHUs and BHS drives both capital and recurring telecom costs significantly.
Current Connectivity State
Per facility type — TBM Telecom cost pool
Required HIE Connectivity Standards
What must be procured / upgraded
✓ Adapted from University of Calgary's eHealth Readiness Assessment Tool (Khoja et al., 2007), validated in Pakistan, Botswana, and Uganda. Score each statement 1–5 or DK (Don't Know = 0). Complete per province or as a regional aggregate.
Core Readiness
—
/ 50
Technological
—
/ 35
Learning
—
/ 15
Societal
—
/ 60
Core Readiness
Technological
Learning
Societal
Core Readiness
Organisational will and planning capacity
TBM: Data Center Cost Pool
Facilities, power, cooling, physical security
FOSS Stack Licensing (TBM: Software & SaaS)
OpenHIE-aligned open source stack — license costs are typically $0 but implementation costs apply
Client Registry (Master Patient Index)
WB Blueprint: CR Tab — adapted for regional scale
Facility Registry (ILR-FR)
WB Blueprint: ILR-FR Tab
Health Worker Registry (ILR-HWR)
WB Blueprint: ILR-HWR Tab
Point-of-Service Integration (FHIR Endpoints)
WB Blueprint: SHR Tab — cost per facility connection
Implementation Cost per Facility Type
Rollout Phasing
Pre-Launch Activities (One-Time)
WB Blueprint: Governance Tab — Pre-Launch column
Annual Governance Running Costs (OpEx)
WB Blueprint: Annual governance operating cost
TBM Staffing Cost Pool — Regional HIE Team
Internal labor + staff augmentation for the regional HIE operations team
| Position | FTE | Monthly Salary (PHP) | Source |
|---|---|---|---|
| Regional HIE Coordinator (CIO delegate) | |||
| FHIR / Interoperability Engineer | |||
| Data Governance Officer | |||
| System Administrator / DevOps | |||
| Health Informatician / Analyst | |||
| Training / Change Management Officer | |||
| Help Desk / Support Staff |
Capacity Building (WB Blueprint: HHR Tab)
Training investments across facility staff
5-yr Total (PHP)
—
All TBM cost pools combined
Year 1 (PHP)
—
Including pre-launch + setup
Annual OpEx (PHP)
—
From Year 2 onwards
Per Capita (PHP/yr)
—
Regional population
TBM Cost Pool Breakdown
5-year total by cost pool
HIE Component Breakdown
Year 1 cost by OpenHIE component
Detailed Cost Table
TBM taxonomy aligned — 5-year projection with inflation
| TBM Category | Component | Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | 5-yr Total | % Total |
|---|---|---|---|---|---|---|---|---|
| Click "Recalculate" to generate estimate | ||||||||
Reasonableness Check
Benchmark against WB Blueprint norms
Estimate not yet calculated.
ℹ The PHIRI score determines whether a province qualifies to operate its own HIE sub-node (≥7.5) or connects directly to the regional HIE. Scores are derived from data already entered in this tool.
PHIRI Scoring — Five Domains
Click "Calculate PHIRI" to generate scores from your entered data.
ℹ Workforce numbers are drawn from the Region Profile. Use this section to document cadre breakdown and training needs per facility type.
Workforce Summary
Auto-populated from Region Profile