1. OneHEALTH - CHITS
Electronic Health Records for
Local Health Centers
Dr. Raymond Sarmiento
Coordinator for R&D
UP Manila - National Telehealth Center

2. Overview
• Introduction to ONeHEALTH
• ONeHEALTH vis-a-vis DOH F1 and
MDGs
• OneHEALTH's 3Es
• eRecords Features
• Requirements
• Next Steps

3. ONeHEALTH
• UP Manila's contribution to DOH
Fourmula ONE Program
– Good Governance
– Health Financing
– Service delivery
– Health Regulation
• Millenium Development Goals
– maternal and child health

4. OneHEALTH Components
• electronic health records (or eRecords)
• eLearning
• telemedicine (or eMedicine)

5. OneHEALTH eRecords
• Community Health Information Tracking
System (CHITS)
• an open source, web-based patient
tracking system custom designed for
government health centers
• committed to comply with current and
future DOH requirements (eg. FHSIS
2008, PHIC OPB reports, etc)

6. CHITS
• Developed by Dr. Herman Tolentino
• Composed of the following parts
– infrastructure (hardware and network)
– software
– training and certification

7. CHITS Features
• Master patient index
• Consult history
• Special modules
– Maternal care
– Child care (including EPI)
– National Tuberculosis Programme
– General services
• Generate reports required by FHSIS

8. Vertical Programs
Disintegrating at Philhealth
the Health Center
Maternal Care
Level
Child Care
Family
Planning
Leprosy
Overworked,
underpaid, Filariasis
demoralized
government Schisto
health worker
Patient
Family
Barangay
What quality of data will we get? Will it be good enough for decision making?

9. Benefits of CHITS
• faster record retrieval
• less record loss
• more efficient data entry/storage
• data analysis/mining
• helps with completeness
• can streamline workflow
• resource management
• time management (appointment system)

10. Integrating health
information
through data CORE MODULES
modeling and PhilHealth
business process Maternal Care
re-engineering Immunization
Child Care Maternal and
DOTS Child Health
CHITS
CONSULTS TODAY
Immunization
DEMOGRAPHICS
Notifiable
Patient
Diseases
Family
Barangay
REPORTS
Immunization
Notifiable Diseases
USER MODULES VERTICAL
INTERFACE PROGRAMS

11. CHITS Requirements
• Infrastructure
• Training and certification
• Software

12. CHITS Components
• Infrastructure
– 3 computers [P 50,000]
– local networking [P 5000]
– Internet connection [P 36,000 per year]

13. CHITS Components
• Training and Certification
– 15,000 per 5 pax

18. CHITS Components
• Subscription
– P 2000 per facility per month
– includes back-up and restore services
– email support
– free updates

19. Costs
• First year: P 115,000 to 150,000
(depending on number of trainees)
• Subsequent year: P 60,000 (Internet
and subscription)

20. More Benefits
• Data for decision making
– Quick access to patient records
– Integrated view for frontliners (TB,
vaccination, maternal care, etc)
– Vertical view for program managers
• Especially PhilHealth (important for
reimbursement and possible source of funds for
sustainability)

21. Registration page
Fig. 1: Consults Page

22. SCREENSHOTS
Individual
Treatment Record
Fig. 2: Patient Record

23. SCREENSHOTS
National
Tuberculosis
Program
Fig. 3: NTP Module

24. SCREENSHOTS
Maternal Care
Fig. 4: Maternal Care Module

25. SCREENSHOTS
Expanded
Program on
Immunization
Fig. 5: Child Care Development Module

26. SCREENSHOTS
PhilHealth
Fig. 6: PhilHealth Module

27. SCREENSHOTS
Appointments
Fig. 7: Appointments Page

28. SCREENSHOTS
Appointments
Fig. 8: Appointment Per Patient

29. SCREENSHOTS
Standard Daily
Reports
Fig. 9: Daily Service Report

30. SCREENSHOTS
Special Program
Reports (EPI)
Fig. 10: EPI Weekly Monitoring Report

31. SCREENSHOTS
Target Client List
Fig. 11: EPI Target Client List (TCL)

32. CHITS Ideal Set-up
LCE DOH
CHO/PHO
RHU/ RHU/ RHU/
CHITS CHITS CHITS

33. Pasay - 2004
Marikina - 2005
Alabat Island - 2006
Capiz - 2007
Cavite, Zamboanga and
Batanes - 2008

34. CHITS is a Finalist in the 2006
Stockholm Challenge!!!
The only Filipino entry in the
health category
www.stockholmchallenge.se

35. Next Steps:
Try out the demo at http://demo.chits.ph
Show your local health center/mayor the benefits
of eHealth and/or telemedicine (and see if they
would like to use CHITS)
Help them if they decide to proceed

36. Contact Info
Dr. Alvin B. Marcelo
CHITS Project Manager
National Telehealth Center
PGH, Taft Avenue, Manila
Tel: 525-6502
Email: alvin.marcelo@telehealth.ph
http://demo.chits.ph (user1/user1)

37. Salamat po!
Pangkaraniwang Araw sa Lagrosa
Health Center, Pasay City