Global Health Digital Forum (GHDF) in December 2017. Real world case studies of approaches and challenges in Kenya, Mozambique, and Haiti. Panel discussion with Jan Flowers, Valério João, Jonathan Dick, and Ellen Ball.

1. OPENMRS IN POINT OF CARE
Real World Case Studies of Approaches and Challenges
in Kenya, Mozambique, and Haiti

2. www.openmrs.org
• Electronic Medical Records System Platform
• 64 countries, 2000+ Implementations, 6.5 million patients
• 1200 community members, 170 developers
• Traditionally used retrospective, maturing landscape in countries leading to
Point of Care
• Distributions Program and Service Provider Programs

3. Mozambique Point of Care
Valério João |
valerio.joao@ucglobalprograms.org
Global Digital Health Forum
December 4, 2017

4. UCSF GLOBAL PROGRAMS
Kenya
2 Offices
17 Projects
49 Employees
Mozambique
2 Offices
10 Projects
24 Employees
Namibia
2 Offices
5 Projects
93 Employees
Uganda
3 Projects
4 Employees
Tanzania
2 Projects
2 Employees

6. ADDRESSING CHALLENGES
• Paper based record system
• A lot of handwriting info by clinicians
• Patients still followed on monthly basis
• Missing informations
• Lost of files
• False LTFU, files duplication
• Long drug pickup queues
• Silent transferts
• Discrepancies information completeness
files Vs ePTS
• Huge workload at each periodical
Programme report
• Data accuracy challengies
• Data Discrepancies with MoH

7. POINT OF CARE FOR HIV CLINIC CONSULTATION
● Touch screen for
tablet/kiosk devices
●
● Real time patient record
●
● Decision support tools
●
● Flexible and
configurable workflow
●
● Completely aligned with
MoH tools

8. PHARMACY MODULE FOR POC

9. OBRIGADO!
System to demo: http://test.esaude.org
username: admin, password: eSaude123
Visit us: http://www.esaude.org

10. Point of Care in
western Kenya:
Ellen Ball | eball@pih.org
Global Digital Health Forum
December 4, 2017

11. AMPATH
Ellen Ball | eball@pih.org
Global Digital Health Forum
December 4, 2017

12. Where we work
Ellen Ball | eball@pih.org
Global Digital Health Forum
December 4, 2017● 27 Outpatient Sites
● 1500 - 2000 Patients per
day;
● 400,000 visits per year
● > 300 Users
● HIV, Oncology and CDM

13. POC Modules - Patient Dashboard
Ellen Ball | eball@pih.org
Global Digital Health Forum
December 4, 2017

14. POC Modules - Clinic Dashboard
Ellen Ball | eball@pih.org
Global Digital Health Forum
December 4, 2017

15. POC Modules - Clinic Dashboard
Ellen Ball | eball@pih.org
Global Digital Health Forum
December 4, 2017

16. Point of Care in Haiti:
Emergency Triage
Ellen Ball | eball@pih.org
Global Digital Health Forum
December 4, 2017

17. Partners In Health

18. University Hospital in Mirebalais
❖ 310K patients
❖ 480K patient visits (2016)
❖ 14K Emergency patient per year

19. University Hospital Mirebalais EMR
Since UHM opening (2013):
❖Registration and check-in
❖ID cards and wristbands
❖Scheduling
❖Vitals and Clinical note
❖Primary care, Surgery, Oncology
❖Radiology / PACS
❖Dispensing

20. Patient Triage
❖Reduce wait time
❖Improve patient care
❖South African Triage System (SATS)
designed for resource limited
settings
❖Combines vitals and chief complaint
❖Does not require significant training
❖Color coded status

21. Paper Form Triage

22. Triage queue

23. Thank you!
Online Demo
https://humdemo.pih-emr.org
username: Demo17
password: Demo2017