Transcript Summary of software based systems - Mark Spohr (JSI

Software Based Systems
for ART Program and
Patient Monitoring
Situation
We are working in an environment where
capacity is weak in all areas.
 We have poor infrastructure in transport,
communication, resources, human
resources, training, health care skills,
supplies, equipment, medications.
 We do know that without good information,
the initiative will fail.
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MEASURE Evaluation
AIDS
AIDS is a multi-faceted disease that
touches on all areas of health care and
many areas of culture and society.
 AIDS is challenging since it will require
continuous lifetime medical care and
treatment.
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Principles:
AIDS care integrated into country health
system
 HIS is absolutely essential for the Initiative
to work
 Must build local capacity for sustainability
 Keep it simple
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MEASURE Evaluation
Plan:
Plan for strengthening capacity of existing
HIS
 We will need to build patient longitudinal
medical records
 We will need to build ties with laboratory
and logistics
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MEASURE Evaluation
How:

Need prototype
systems that are 90%
functional and can be
easily customized to
meet local needs
 RHI
register (DHIS)
 PMTCT register
 ART EMR
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Issues
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Architecture
Disease Management
Free open source model is the most
“Development Friendly”
Standards
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Client Server Networks
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Disease Management
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Data Standards
Indicator definitions
 Data standards
 Data communication standards
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 Data
flow
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Country / International Data
Warehouse
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Sustainability
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Software systems require constant maintenance
Imported systems suffer the same fate as other
high tech equipment
 It
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breaks and nobody knows how to fix it
Must have open systems that can be maintained
locally
Must build local capacity to maintain the systems
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Software Inventory
Care2X
Care Ware
DHIS
EpiInfo
ESTHER (ESOPE)
FUCHIA
GAP Zimbabwe
Haiti Partners in Health
MMRS
MTCT+
NHIS Decision Support System
OpenEMR
TherapyEdge
World Vista
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Type
Modify? FOSS Network PMTCT
EMR
Y
Y
WAN
N
DM
N
N
LAN
Y
Register
Y
Y
LAN
N
Register
Y
N
LAN
Y
DM
N
N
LAN
Y
DM
N
N
LAN
Y
DM
N
N
LAN
Y
DM
N
N
WAN
N
DM
N
N
LAN
Y
DM
N
N
LAN
Y
Register
N
N
LAN
N
EMR
Y
Y
WAN
N
DM
N
N
WAN
N
EMR
N
Y
LAN
N
ART
N
Y
N
Y
Y
Y
Y
Y
Y
Y
N
N
Y
N
TB
N
Y
N
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
Cllinical Adv. DMOperating system
Database
Y
N
Any
SQL
N
Y
Windows Access
N
N
Windows Access
N
N
Windows Access
Y
Y
Windows Access
N
Y
Windows Access
N
Y
Windows Access
N
Y
Any
SQL
N
Y
Windows Access
N
Y
Windows Access
N
N
Windows Access
Y
N
Any
SQL
N
Y
Windows Proprietary
Y
N
Any
M
Key Criteria for ART Software
Thin client - server
 Open source
 Basic ART data set
 Disease management
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The Envelope Please
We do not have a winner.
 We are close.
 Next steps...
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Current Systems
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Proprietary Systems
 TherapyEdge
Systems Built on EpiInfo/Access
 CareWare
 Thin Client Server Open Source
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 OpenEMR,
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Care 2x
Inventory Project
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Collaborative Workgroup
Clearinghouse for information on:
 software
systems
 implementation
 customization
 metadata
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Feedback on systems
This is an open system - we want your feedback
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MEASURE Evaluation
Future Work for the Inventory
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Logistics Systems
 Information
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synergies with patient systems
Laboratory Systems
Innovative Technologies (smart cards, cell
phones, PDAs, etc)
Paper systems interface
Metadata repository
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MEASURE Evaluation