Digital Health for Patient Retention (Neno District, Malawi)
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Presentation given at the February Call for the Data Use Community (https://ohie.org/duc/). What Partners In Health is doing in collaboration with the Ministry of Health.
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This document discusses the implementation of a "one stop shop" screening service for diabetic patients in South Tyneside. It aims to provide patients' preferred annual diabetic assessments and tests in a single appointment, including foot and eye screening, BMI, blood pressure, HbA1c, cholesterol and more. Test results will be recorded in an existing diabetes registry and shared with GPs. Challenges may include some patients refusing certain tests and integrating the eye screening program's requirements. The service aims to improve outcomes by coordinating care and increasing the uptake of annual diabetic reviews.
Dr Derek Thompson: Building a caring future
In this slideshow, Dr Derek Thompson, GP and Medical Director at Northumbria Healthcare Foundation Trust, on reducing the length of hospital stay and building a caring future.
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Digital Health for Patient Retention (Neno District, Malawi)
- 1. Digital health for patient retention (Neno District, Malawi) February 9th 2021 Limbani Thengo
- 2. Outline • Background • Integrated Chronic Care Clinic (IC3) • Present day • Appointment report • TRACE • Integration with Medic Mobile (YendaNafe)
- 3. Background • 2007: PIH and started customizing OpenMRS for Neno District HIV program • 2015: Integrated Chronic Care Clinic launched (Combining HIV & NCD care) • 2018: Advanced NCD clinic open • 2019: Point of Care screening application implemented
- 5. 2021 - TODAY HIV PATIENTS active in care 8,531 NCD PATIENTS active in care 4,412 FACILITIES supported by OpenMRS 14
- 7. Tracking Retention and Client Enrollment (TRACE) • Two weeks report Two weeks report CHWs alert HIV and NCD clients who • recently missed an appointment • have urgent lab results • need a lab test IC3 TRACE team follows • HIV clients who have not made it back into care 6w after missed appointment or urgent lab results • NCD clients who have been out of care more than 6 weeks and are high priority, (e.g. Stage 3 HTN clients or diabetic client on insulin) • Six weeks report
- 8. Tracking Retention and Client Enrollment (TRACE)
- 9. Tracking Retention and Client Enrollment (TRACE)
- 10. OpenMRS - Medic Mobile Integration