Transcript MHIS * Port Elizabeth , SA

MHIS – Port Elizabeth
a collaborative project to extend
health information to the point of care
Mobile Health Information System
1. identify need
2. identify content to meet need
3. identify delivery device
4. identify delivery service
5. train users
6. train support system
7. evaluate impact
Study questions:
does access to quality health and medical information at the point
of care improve practice?
can we make the provision of quality information at the point of
care affordable, accessible and relevant?
do cell phones provide a viable option for the delivery of content
for use at the point of care ?
will nurses use information on a cell phone to improve their work?
Put a mobile library of local and
international content on a cell phone and
update that content regularly; allow nurses
to access other content via the web and
email; cap monthly usage (costs).
Needs assessment conducted – over 700 responses – top issues:
•
extreme multiple drug resistant tuberculosis (TB) (76.4%)
•
HIV/AIDS (72.8%)
•
multiple drug resistant TB (72.1%)
•
ARV (71.2%)
•
PMTCT (53%)
•
non-communicable diseases/ chronic diseases of lifestyle (52.2%)
•
STIs (43.4%), Malaria (42.6%), public health legislation (40.4%)
nurses access:
content
web
email
sms
voice
guide server
•
Clinical content
identified,
packaged (GUIDE)
•
50 PEHC nurses
trained
•
IT dept staff trained
•
Refresher training
•
Tech/User Support - 3-tier model (peer-to-peer, weekly meetings, IT support, MTN and ADE-SATELLIFE)
Content converted to mobile
format and organized for ease of
use
Evaluation
(Conducted by NMMU, Nursing Sciences Department –Dr. Ricks et al)
73% of nurses aged 45-60 years
68% with little or no computer
training
70.00%
60.00%
50.00%
40.00%
30.00%
20.00%
10.00%
0.00%
Yes
No
No response
Internet MS
MS
Explorer Outlook Power
Point
MS
Excel
Note
Pad
89% reported improved nursing practice
through information access
100.00%
90.00%
80.00%
70.00%
60.00%
50.00%
40.00%
Yes
30.00%
No
20.00%
No Response
10.00%
0.00%
Update
Provide Provide up Provide Empower Enhance
knowledge relevant
to date
correct
patients knowledge
on patient information information information
with
of drug side
care
to patients to patients to patients knowledge effects
of illness
81% found it extremely easy to easy to find and read content on
the mobile device
60%
50%
40%
30%
20%
10%
0%
Essential drug list
Eastern Cape Disease
Directory
Standard treatment
guidelines
Medical calculator
cost elements:
smart phone
air time
training
content conversion
local server and internet
access
evaluation
program management
100% will continue to use cell phone post
project
92% said it was helpful to carry the phone to
access content while at work
92% would be willing to buy their own phone
82% felt their practice improved
Partners:
•AED-SATELLIFE
•Port Elizabeth Hospital Complex
•South Africa Partners
•Qualcomm
•Department of Health for the Eastern Cape
•Nelson Mandela Metropolitan University
•MTN-South Africa
Health care workers want and use content to improve decision
making
Cell phones are viable delivery tools and the cell network can
deliver customized content
Next Steps:
1. Expand to the full province
2. Use cell phones to collect data and provide continuing
education, job aids and reference tools
[email protected]