Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Implementing Electronic Medical Record Systems in Rural Haiti

1,693 views

Published on

Partners In Health has been building communities through service, training, advocacy, and research. Great systems are invaluable tools for providing healthcare for all patients. At PIH, EMR systems have been in use since 2000. A free and open software EMR (OpenMRS) built by a large global health community has been used since 2006 and continues to grow at our health care centers around the world.

Published in: Healthcare
  • DOWNLOAD FULL BOOKS, INTO AVAILABLE FORMAT ......................................................................................................................... ......................................................................................................................... ,DOWNLOAD FULL. PDF EBOOK here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ,DOWNLOAD FULL. EPUB Ebook here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ,DOWNLOAD FULL. doc Ebook here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ,DOWNLOAD FULL. PDF EBOOK here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ,DOWNLOAD FULL. EPUB Ebook here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ,DOWNLOAD FULL. doc Ebook here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ......................................................................................................................... ......................................................................................................................... .............. Browse by Genre Available eBooks ......................................................................................................................... Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult,
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

Implementing Electronic Medical Record Systems in Rural Haiti

  1. 1. Implementing Electronic Medical Record Systems in Rural Haiti Ellen Ball & Michael Seaton Partners In Health Medical Informatics Boston, Massachusetts USA LibrePlanet March 22, 2015
  2. 2. 2 Partners In Health
  3. 3. Our Mission 3
  4. 4. Our Model 4 Service Training Advocacy Research
  5. 5. Building a movement 5
  6. 6. Where PIH works 6
  7. 7. Why technology? 7 Information systems are a key component in PIH’s model of care. To replicate the model of care, it is fundamental that open, scalable, maintainable, and high-quality information systems are available that meet the unique challenges found in resource poor settings
  8. 8. Why technology? 8 Clinical Decision Support View trends that would be difficult or impossible to see otherwise Alert clinicians to potentially dangerous situations (allergies, contraindications)
  9. 9. Why technology? 9 Disease Surveillance Patients Conditions Improving access
  10. 10. Why technology? 10 Monitoring, Evaluation, and Quality Improvement Analyze cohorts of patients. Find patient groups in need of follow-up or further analysis. Identify areas of improvement (in what percentage of patient visits was a weight recorded) Perform routine reporting to health ministries, funders, and program managers
  11. 11. Why technology? 11 Support Advanced Treatment
  12. 12. 12 Challenges: Infrastructure Unreliable Internet and power Remote facilities
  13. 13. 13 Challenges: Human resources Few trained staff High patient volume.
  14. 14. 14 Challenges: Funding No cost recovery from facilities Low eHealth budgets
  15. 15. 15 2000 PIH and Harvard Medical School win $44.7 million Gates Foundation grant to fight drug-resistant TB in Peru. In Haiti, Zanmi Lasante's HIV Equity Initiative is one of the first in the world to provide antiretroviral therapy in resource-poor settings.
  16. 16. 16 2001 PIH creates drug- resistant TB EMR for Peru and HIV EMR for Haiti.
  17. 17. 17 2005 PIH expands to sub- Saharan Africa, bringing community-based HIV treatment and primary care to two districts in rural Rwanda.
  18. 18. 18 2005: Why OpenMRS? PIH begins collaboration with Regenstrief Institute to create OpenMRS. • global health community • free & open • collaboration • replication • cost benefits
  19. 19. 19 Why OpenMRS? Free and open Client (Browser, Integrated Applications) Server OS: Flexible MySQL PostgreSQL Database OpenMRS JVM (OpenJDK, Oracle JDK) MariaDB Web Container (Tomcat, Jetty, JBoss…) Hibernate Liquibase OpenMRS Platform Spring MVC REST API Modules Configuration and Content H T T P
  20. 20. 20 OpenMRS Core Why OpenMRS? Modular REST Web Services Framework idgen emrapi metadata deploy paper record app html form entry app framework metadata sharing registration app name phonetics address hierarchy reporting framework core apps radiology app allergy api atom feed appointment scheduling dispensing provider mgmt ui library ui commons style guide ui framework Shared Dictionary REST client apps calculation allergy api event messaging Distributions Configuration Content Integrations
  21. 21. 21 Why OpenMRS? Flexible Name Weight Height John Doe 150 65 Flat Model New data points require new columns Name Weight Height Temp John Doe 150 65 99 Concept Units Weight lbs Height in EAV Model New data points require new rows. Metadata dictionary enables associating more information describing each data point (eg. units, value ranges) Name Concept Value John Doe Weight 150 John Doe Height 150 Concept Units Weight lbs Height in Temp f Name Concept Value John Doe Weight 150 John Doe Height 150 John Doe Temp 99
  22. 22. 22 Why OpenMRS? Configurable Configurable and shareable metadata, including forms Configurable components via editable settings Customizable functionality, including overriding core pages, styles, logos via modules
  23. 23. 23 Why OpenMRS? Community Active forums #OpenMRS on irc.freenode.net Developers list: dev@openmrs.org https://talk.openmrs.org/ https://wiki.openmrs.org Many contributors with broad expertise Regular (un)conferences Building the movement ● Not reliant on any one organization ● Evolving regional communities ● Supports scaling and replicating
  24. 24. 24 2006 AMPATH starts using OpenMRS in Kenya. PIH Rwanda begins using OpenMRS in Rwanda.
  25. 25. 25 2007 PIH begins work in Lesotho and Malawi, launching testing and treatment programs for HIV and TB. PIH Lesotho and Malawi uses OpenMRS.
  26. 26. 26 2009 PIH develops OpenMRS MDRTB module for many countries and organization including Haiti, Pakistan, Nepal, and South Africa.
  27. 27. 27 2009 PIH trains computer science graduates in Java and OpenMRS in Rwanda. 34 graduates in 3 years.
  28. 28. 28 2010 PIH responds to a 7.0 earthquake in Haiti with lifesaving emergency care and a plan to strengthen Haiti's public health system. PIH provides treatment and vaccination in response to cholera outbreak.
  29. 29. 29
  30. 30. 30 2013 Clinical care Point of care Registration Appointments Vitals Medications Surgery
  31. 31. 31 2013 PIH develops OpenMRS for University Hospital which becomes the basis of the OpenMRS 2.0 Reference Application.
  32. 32. 32 2013
  33. 33. 2015: HUM by the numbers 33 Since March 2013: 150K unique patients 480K visits 1.3M encounters 6.7M observations 400+ users
  34. 34. 34 2015 PIH continues ebola response work in Sierra Leone and Liberia, but transitioning to health care strengthening.
  35. 35. Where next? 35
  36. 36. Distributions 36 OpenMRS 1.x Mirebalais KenyaEMR OpenMRS 2.x Bahmni MDR-TB
  37. 37. 37 ● Partners In Health (pih.org) ○ Medical Informatics positions ■ Boston ■ Lesotho ■ Malawi ○ http://www.pih.org/pages/employment ○ PIH Engage ○ Donate ● OpenMRS community ○ Sprints / Bug fixes / Documentation ○ Google Summer of Code Opportunities

×