Transcript Slide 1

Francis Muma, BSc.N, MPH.
• Fellow, University of Nairobi Institute of
Tropical and Infectious Diseases (UNITID).
• HIV Programme Management and Policy Track
Project Title
Electronic Health Record(EHR) for Patient
Follow-Up and Chronic Management of
HIV: A Case for Starehe District, Nairobi.
Patient information Baseline survey
undertaken
Findings:
• Data capture in Comprehensive Care Centers manual.
• 335 ARV pts estimated to be lost to follow-up in 5 yrs (2
centers) though number thought to be more than this.
• No solid tracing mechanism for clients on ARVs in place.
• Multiple registration for ARVs clients rampant.
Recommendation by District Health Management Team
(DHMT) as a priority need.
• An urgent need to improve patient data quality and
documentation system, hence conceptualization of an
Electronic Health Record (EHR) system.
Project Goal (Long term change or impact)
To demonstrate how an electronic medical database
can be used in an antiretroviral therapy (ART)
programme to maintain and improve data quality and
reduce default rates and the loss of patients to followup in view to improving health outcomes in the scaleup of treatment for HIV.
Specific Objectives of the project
• Improve quality of patient information within the City
Council’s health care facilities.
• Evaluate whether an e-health patient tracking system is
safe, feasible and beneficial and not a waste of scant
resources.
• Assess the potential impact of an e-health patient
tracking strategy.
• Guide future implementation and evaluation of ehealth tracking strategies.
In every Clinician-Patient
contact,
Internet
connection
to central
server
Monitored &
coordinated pt
care
EXPECTED OUTCOMES
A web-based electronic medical record (EMR)
system to improve quality of patient data with
following capabilities:
i. The ability to track patient identities and detect
duplicate records;
ii. The ability to accurately track patient outcomes;
iii. The enablement of more effective patient followup (by allowing health workers access to prior
patient data);
iv. The ability to store and avail laboratory results;
v. The provision of decision support to assist clinical
staff in prescribing medications and administering
patient care;
vi. Improved drug supply management/accountability;
and
vii. The ability to generate reports for project
management and funding agencies
Thank you!