A systematic review of ehealth systems in developing countries and practical examples
|
|
- Toby Osborne
- 8 years ago
- Views:
Transcription
1 A systematic review of ehealth systems in developing countries and practical examples Hamish SF Fraser MBChB, MRCP, MSc Director of Informatics and Telemedicine, Partners In Health Assistant Professor, Division of Global Health Equity, Brigham and Womens Hospital and Harvard Medical School
2 Summary Motivation for EMR systems in developing countries Systematic review of Global ehealth Key studies addressing questions in delivery of care for HIV and MDR-TB Some lessons learned and next steps
3 Partners In Health Model of Care Access to health care for all people Creation of long-term development by partnering with local people and communities Use of community health workers to grow a local and sustainable work force Addressing the effects of poverty including poor nutrition, water, and housing Drawing on the resources of the world s elite medical and academic institutions and on the lived experience of the world s poorest and sickest communities
4 Directly observed therapy in Haiti PIH photo
5 Status of Global ehealth Rapid development over the last 3 years Bellagio meeting on e-health in July 2008 Driven by the coincidence of: need for better Global Health Delivery increased resources for health system strengthening such as the Global Fund, PEPFAR more effective, robust, low-cost technologies massive growth of mobile phone use and mhealth
6 Systematic review of evaluation studies Surveyed 2043 articles and reports Used 45 in final analysis Completed summer 2009 Blaya, Fraser, Holt, Health Affairs 2010, 29;2:
7 Summary of the Key Studies ehealth Category Qualitative Quantitative Descriptive Studies Controlled Studies Electronic Health Record (EHR) Laboratory Information Management Systems (LIMS) Pharmacy Information Systems Patient Registration or Scheduling Systems Monitoring, Evaluation and Patient Tracking Systems Clinical Decision Support Systems (CDSS) Patient Reminder Systems Research or Data Collection Systems TOTAL
8 Findings of the Review Key functions supported by initial evidence: Tracking patients through treatment initiation, monitoring adherence, and detecting those at risk for loss to follow-up Decreasing time to create administrative reports Tools to label or register samples and patients Collection of clinical or research data using PDAs Reduction in errors in laboratory and medication data Reminding patients of health care actions
9 Ongoing reviews Role of ehealth and mhealth in HIV care Review of broader Global ehealth literature Small number of more rigorous studies have been published in last two years Growing interest in mhealth
10 Building the evidence base for decision makers How do we answer the question why should we invest in ehealth rather than medical staff, clinics, drugs or training? When does ehealth become important or essential rather than an option? What are the best ways to deliver, support and sustain ehealth? What is not useful or not ready?
11 Some examples Supporting HIV and MDR-TB care
12 Original challenge: Can care for HIV and MDR-TB be delivered: 1. In settings with limited or absent infrastructure? 2. To thousands or tens of thousands of patients? 3. Over long periods of time? 4. With outcomes equivalent to treatment in the developed world? 5. At a manageable cost?
13 Key processes in HIV care Case finding and VCT Registration in pre-art care Monitoring clinical & lab status Starting on ART Drug supply management Ensuring adherence to Rx Monitoring side effects and opportunistic infections
14 Key processes in HIV care Case finding and VCT Patient numbers? Registration in pre-art care Monitoring clinical & lab status Starting on ART Drug supply management Ensuring adherence to Rx Monitoring side effects and opportunistic infections
15 Key processes in HIV care Case finding and VCT Registration in pre-art care Monitoring clinical & lab status Starting on ART Drug supply management Ensuring adherence to Rx Monitoring side effects and opportunistic infections Home based care, AMPATH mhealth Registry/EMR CD4 alert and tracking Registry, EMR system Inventory / dispensary and shipping systems CHW, mhealth/sms Paper flowsheets, EMR alerts, CHW
16 OpenMRS: a modular, open source, EMR platform Developed as a collaboration of PIH, the Regenstrief Institute and South African MRC Uses concept dictionary for data storage Modular design simplifies adding new functions and linking to other systems Released with open source license (April 2007) Core of paid programmers with growing community support Clinical use in over 40 developing countries Secure logins and auditing of access and data changes Partners In Health Regenstrief Institute Medical reseach council SA
17 OpenMRS at PIH sites in Rwanda Currently used for 24 PIH supported MOH health centers HIV, TB, primary care and heart failure care 20,000 patients tracked (approx) Rwandan data officers, data managers, and programmers Many sites have their own server and maintain a synchronized copy of the entire database Using laptop servers and cellular GPRS network
18 Rwinkwavu Infectious Disease clinic
19 Evaluating access to CD4 counts We evaluated whether the ID physicians had access to the latest CD4 count for their patients in Rwinkwavu, Rwanda The physicians record their belief of the correct CD4 on the follow-up form based on paper lab result forms We checked if CD4 was current before and after a new lab component was added to the EMR to ensure up to date results
20 Clinical Alerts (Rwinkwavu, Rwanda)
21 Results Access to CD4 counts The proportion of CD4 counts conducted within the past 60 days but unknown to the clinician at the time of consultation was: 24.7% in the pre-intervention period 16.7% in the post intervention period 32.4% reduction in CD4 loss (p=.002) We are now extending direct clinician access to the EMR Amoroso et al, Stud Health Technol Inform. 2010;160:337-41
22 Physician looking up ARV patients Photo Rockefeller Foundation
23 Impact of OpenMRS patient summaries at AMPATH The OpenMRS EMR system at AMPATH in Western Kenya was used to generate printed patient summaries including reminders for ordering repeat CD4 counts The computerized reminder system identified 717 encounters (21%) with overdue CD4 counts In the intervention clinic with computer-generated reminders, CD4 order rates were significantly higher compared to the control clinic: 53% vs 38%, OR =1.80, CI 1.34 to 2.42, p< Order rates in intervention clinic were even higher (63%) in cases where the summary was actually printed. Were MC, et al. J Am Med Inform Assoc (2011).doi: / jamia
24 HIV Treatment Adherence Reminders (Lester) RCT of weekly SMS reminders for ART adherence in Kenya with follow-up by phone if no response Outcomes: self-reported ART adherence (>95% of prescribed doses in the past 30 days at both 6 and 12 month follow-up visits) Plasma HIV-1 viral RNA load suppression Lester et al, Lancet Vol 376 November 27, 2010
25 SMS reminders: outcome Adherence to ART was reported in 168 of 273 (61.5%) patients receiving the SMS intervention compared with 132 of 265 (49.8%) in the control group ( [RR] 0 81, 95% CI ; p=0 006) Suppressed viral loads were reported in 156 of 273 patients in the SMS group and 128 of 265 in the control group, (RR for virologic failure 0 84, 95% CI ; p=0 04) Loss to follow up rate 6% intervention, 11% control P=0.094
26 HIV Treatment Adherence Reminders (Pop-Eleches) RCT of four SMS reminder interventions 431 adults randomized to control of one of 4 interventions Short or long SMS reminders daily or weekly MEMS pharmacy monitor used for adherence Outcome: adherence >90% for 48 weeks in 53% with weekly reminder, and 40% in controls Short and weekly SMS were much better Loss to follow-up rates: 10 22% no change Pop-Eleches et al, AIDS 2011, 25:
27 Other important studies SMS for Life: a pilot project to improve antimalarial drug supply management in rural Tanzania using standard technology. (Barrington et al) Evaluation of computerized health management Information system for primary health care in rural India (Krishnan et al) The effect of mobile phone text-message reminders on Kenyan health workers adherence to malaria treatment guidelines: a cluster randomised trial. (Zurovac, et al Lancet 2011)
28 echasqui, Lima
29 Example: MDR-TB in Lima, Peru Highest incidence of TB in South America 40,000 patients treated with DOTS per year > 3% have MDR-TB DOTS = directly observed therapy short course
30 echasqui System, Peru Transportation - Mototaxi Mean time 6 months Blaya J et al, Int J Tuberc Lung Dis Aug;14(8):
31 Outcomes of Interest Turn-around-times (TAT) Proportion of Late DST Results (Lab TAT > 60 days) Number of communication errors JA Blaya
32 echasqui Results (delays) Intervention health centers took significantly less time to receive: - DST results (median 11 vs. 17 days, p<0.001) - culture results (5 vs. 8 days, p<0.001) - 47% fewer DSTs took over 60 days to arrive (p=0.12). No change in time to start or modify treatment Patients in intervention health centers had a 20% reduction in time to culture conversion (p=0.047).
33 echasqui results (errors) Results reported in intervention HCs compared to control HCs had respectively: 82% less errors for drug susceptibility tests (2.1% vs. 11.9%, P < 0.001, OR 0.17, 95% CI ) 87% less errors for cultures (2.0% vs. 15.1%, P <0.001, OR 0.13, 95%CI ), Preventing missing results through online viewing accounted for at least 72% of all errors.
34 DST Lab TAT Randomized Trial Results Intervention HCs have significantly lower 1. DST Lab TAT (p<0.001) - 11 vs 17 days (median) 17.7% 7.9% 60 JA Blaya 34/21
35 Some success and failure factors
36 Impact of health care investments Impact Operating room Teaching Hospital 70 Medical training New hospital Supply chain CHWs Nurse training Mobile clinics Vaccines Investment
37 Impact 100 Impact of Ehealth Investment? Power, Hardware, Networking, Staffing, Software, Training, Leadership 10 0 Investment
38 Impact 100 Impact of Ehealth Investment? Power, Hardware, Networking, Staffing, Software, Training, Leadership 10 0 Investment
39 Impact 100 Impact of Ehealth Investment? Power, Hardware, Networking, Staffing, Software, Training, Leadership 10 0 Investment
40 Impact 100 Impact of Ehealth Investment? Power, Hardware, Networking, Staffing, Software, Training, Leadership 10 0 Investment
41 The importance of local data use MOH Dist Clinic Village CHW
42 The importance of local data use Avoid systems that just suck! MOH District Clinic Village CHW
43 Call to Action on Global ehealth Evaluation Consensus Statement of the WHO Global ehealth Evaluation Meeting, Bellagio, September 2011 To improve health and reduce health inequalities, rigorous evaluation of ehealth is necessary to generate evidence and promote the appropriate integration and use of technologies.
44 Bellagio Call to Action Develop repository of tools, studies, frameworks, teaching materials Refine frameworks GEP-HI, PRISM, KDS, etc. Create training course in developing countries Advocate to funders require evaluation in ehealth projects Follow up meeting in SF last week
45 Observations Large investment in ehealth to date - $Billions!! Particular need to monitor day to day performance and activities: down time, forms entered, usage, data quality and completeness Measuring impact of ehealth, what are the alternatives ans control groups?
46 Conclusion The evidence base is improving slowly There is still much to do - even the most rigorous studies have many unknowns Important questions of how role of e/mhealth differs in resource poor environments
47 Collaborators and Funders Partners In Health Regenstrief institute Medical Research Council, South Africa World Health Organization US Centers for Disease Control Brigham and Women hospital Harvard Medical School University of KwaZulu-Natal Millennium Villages Project International Development Research Centre, Ottawa Rockefeller Foundation Google Inc
48
Using the OpenMRS. system to strengthen health care delivery in Rwanda
Using the OpenMRS electronic medical record system to strengthen health care delivery in Rwanda Dr Hamish SF Fraser Partners In Health Division of Global Health Equity, BWH Harvard Medical School Overview
More informationOpportunities for mhealth in the Developing World: OpenMRS
Opportunities for mhealth in the Developing World: OpenMRS Hamish SF Fraser MBChB, MSc, FACMI Assistant Professor, Division of Global Health Equity, Brigham and Womens Hospital and Harvard Medical School
More informationcountries: A nine-year history and its future
Electronic medical records in developing Joaquin A. Blaya (on behalf of OpenMRS) Decision Systems Group, Brigham & Women s Hospital Partners In Health countries: A nine-year history and its future Outline
More informationKnowledge Management (IT): What do we need and what do we have? Part 2. Hamish S F Fraser
Knowledge Management (IT): What do we need and what do we have? Part 2 Hamish S F Fraser Director of Informatics and Telemedicine, Partners in Health Assistant Professor, Division of Global Health Equity,
More informationRolling out OpenMRS in Rwanda
Rolling out OpenMRS in Rwanda Hamish Fraser, Patrick Manyika, Darius Jazayeri, Neal Lesh, Sharon Choi Partners in Health / Inshuti Mu Buzima Division of Social Medicine and Health Inequalities, Brigham
More informationImplementing medical information systems in developing countries, what works and what doesn t
Implementing medical information systems in developing countries, what works and what doesn t 1,2 Hamish SF Fraser MBChB, MSc, 2 Joaquin Blaya PhD 1 Partners In Health, 2 Brigham and Women s Hospital,
More informationImplementing Electronic Medical Record Systems in Rural Haiti
Implementing Electronic Medical Record Systems in Rural Haiti LibrePlanet March 22, 2015 Ellen Ball & Michael Seaton Partners In Health Medical Informatics Boston, Massachusetts USA Partners In Health
More informationEMR Benefits, Challenges and Uses
EMR Benefits, Challenges and Uses Benefits Our work has greatly benefited from using the PIH-EMR: it has simplified many tasks essential to high quality patient care, and has allowed us to perform important
More informationIntegrating surveillance and program intervention the promise of mhealth
Integrating surveillance and program intervention the promise of mhealth Innovation in Epidemiology: Reframing Approaches to Research Questions Sheana S. Bull, PhD, MPH UNIVERSITY OF COLORADO COLORADO
More informationAdvancing public health through information technology. A developing African country perspective
Advancing public health through information technology A developing African country perspective Deshen Moodley UKZN/CSIR-Meraka Centre for Artificial Intelligence Research Health Enterprise Architecture
More informationThe Open Medical Record System (OpenMRS)
The Open Medical Record System (OpenMRS) Christopher Seebregts CEO, Jembi Health Systems NPC Hon Assoc Prof, Discipline of Computer Science, UKZN OpenMRS Partnerships Lead Pascal Brandt Lead Developer,
More informationConnected Diagnostics
Connected Diagnostics Interoperability through Standards Tobias Broger, FIND, 2nd May 2014 6th Global Laboratory Partners Meeting, Geneva Status Quo: Today s ecosystem 2 MANY SUCCESsFUL PROJECTS DEMONSTRATE
More informationInformation Systems for TB: Patients Diagnosis & Follow-up Forecasting, Quantification, and Early Warning Tool for TB Medicines supply & Logistics
Information Systems for TB: Patients Diagnosis & Follow-up Forecasting, Quantification, and Early Warning Tool for TB Medicines supply & Logistics Support Joel Keravec Results Chain Framework- Information
More informationScreening and preventive therapy for MDR/XDR-TB exposed/infected children (and adults)
Screening and preventive therapy for MDR/XDR-TB exposed/infected children (and adults) H S Schaaf Department of Paediatrics and Child Health, and Desmond Tutu TB Centre Stellenbosch University, and Tygerberg
More informationElectronic Patient Management System epms Zimbabwe
Electronic Patient Management System epms Zimbabwe Collecting and Managing Data at the Patient Level for Better Treatment and Care Having access to patient health information enables medical professionals
More informationThe Role of the Health Service Administrator in TB Control. National Tuberculosis Control Programme
The Role of the Health Service Administrator in TB Control Goal/Objectives of NTP Mandate: To provide leadership for the health sector response to combat Tuberculosis in Ghana. Goal: To reduce the burden
More informationImplementation and Initial Evaluation of a Web-based Nurse Order Entry System for Multidrug-Resistant Tuberculosis Patients in Peru
MEDINFO 2004 M. Fieschi et al. (Eds) Amsterdam: IOS Press 2004 IMIA. All rights reserved Implementation and Initial Evaluation of a Web-based Nurse Order Entry System for Multidrug-Resistant Tuberculosis
More informationImproving Care Improving Access: The Use of Electronic Decision Support with AIDS patients in South Africa
Improving Care Improving Access: The Use of Electronic Decision Support with AIDS patients in South Africa Marc Mitchell, MD., MS., Neal Lesh, PhD, MPH, Hilarie Cranmer, MD., MPH, Hamish Fraser, MBChB,
More informationDEMYSTIFYING ELECTRONIC HEALTH Presented to Central East LHIN Board of Directors. January 22, 2014
DEMYSTIFYING ELECTRONIC HEALTH Presented to Central East LHIN Board of Directors January 22, 2014 What is ehealth? What is an Electronic Health System? EHR, EMR and PHR / CIS/HIS Where does the electronic
More informationSmart Linkage to Care (Smart LtC) App. Michelle Moorhouse 01 June 2016
Smart Linkage to Care (Smart LtC) App Michelle Moorhouse 01 June 2016 Background Research shows smartphone applications (apps) improve adherence through engagement Perera et al. (New Zealand, 2014) found
More informationOpenMRS is a global community of volunteers from many different backgrounds including technology, health care, and international development.
OpenMRS is a global community of volunteers from many different backgrounds including technology, health care, and international development. ANNUAL REPORT 2015 Together, we re working to build the world
More informationElectronic Health Records - An Overview - Martin C. Were, MD MS March 24, 2010
Electronic Health Records - An Overview - Martin C. Were, MD MS March 24, 2010 Why Electronic Health Records (EHRs) EHRs vs. Paper Components of EHRs Characteristics of a good EHRs A Kenyan EHRs implementation
More informationHIS Assessment Survey
HIS Assessment Survey Photocopy this sheet and complete the form for each health information system or strengthening activity found. Append the completed form to the appropriate business domain section.
More informationEMR Adoption Survey. Instructions. This survey contains a series of multiple-choice questions corresponding to the 5-stage EMR Adoption Model.
EMR Adoption Survey Instructions This survey contains a series of multiple-choice questions corresponding to the -stage EMR Adoption Model. If the respondent is a physician, ask all questions. If the respondent
More informationPharmacovigilance in Public Health Programmes
Pharmacovigilance in Public Health Programmes Shanthi Pal Essential Medicines and Health Products 1 Public Health Programs (PHP) Objective promote, protect, and restore health Components education, environment,
More informationTUBERCULOSIS CONTROL INDIA
TUBERCULOSIS CONTROL INDIA In terms of population coverage, India now has the second largest DOTS (Directly Observed Treatment, Short course) programme in the world. However, India's DOTS programme is
More informationPaula Braitstein, PhD,* Robert M. Einterz, MD,* John E. Sidle, MD, MS,* Sylvester Kimaiyo, MD, and William Tierney, MD*
SUPPLEMENT ARTICLE Talkin About a Revolution : How Electronic Health Records Can Facilitate the Scale-Up of HIV Care and Treatment and Catalyze Primary Care in Resource-Constrained Settings Paula Braitstein,
More informationHealth Care 2.0: How Technology is Transforming Health Care
Health Care 2.0: How Technology is Transforming Health Care Matthew Kaiser, CEBS, SPHR Director, HR Technology and Outsourcing Lockton Kansas City, Missouri The opinions expressed in this presentation
More informationClinical Decision Support in Nursing
School of Healthcare FACULTY OF MEDICINE AND HEALTH Clinical Decision Support in Nursing Dawn Dowding Professor of Applied Health Research d.dowding@leeds.ac.uk or 0113 343 1199 Overview What is Clinical
More informationTB preventive therapy in children. Introduction
TB preventive therapy in children H S Schaaf Department of Paediatrics and Child Health, and Desmond Tutu TB Centre Stellenbosch University, and Tygerberg Children s Hospital Introduction Children are
More informationClinical Health Informatics: An Overview for Nurses Chapter 4
Clinical Health Informatics: An Overview for Nurses Chapter 4 W R I T T E N B Y D O N N A O V E N S, C M A A, C T T, H I T P R O E D I T E D B Y : V A L E R I E F I S H E R, R N, M A H E A L T H W O R
More informationehealth, HIS, etc ehealth All information about health HMIS mhealth HIS Statistical IS Credited: Karl Brown, Rockefeller Foundation
ehealth, HIS, etc Statistical IS Health Informatics: Formal discipline that studies use of information in health All information about health HIS HMIS ehealth mhealth Tele-medicine Enterprise architecture:
More informationElectronic medical records and same day patient tracing improves clinic efficiency and adherence to appointments
Electronic medical records and same day patient tracing improves clinic efficiency and adherence to appointments S Alamo, G Wagner, P Sunday, R Wanyenze, J Ouma, M Kamya, R Colebunders, F Wabwire AIDS
More information- % of participation - % of compliance. % trained Number of identified personnel per intervention
Fighting Disease, Fighting Poverty, Giving Hope KEY OBJECTIVE 1 : HUMAN RESOURCE MANAGEMENT KEY RESULT AREA : HUMAN RESOURCE ACTIVITIES OUTPUT KEY ACTIVITIES INDICATOR TARGET RESOURCE/ENABLERS Have adequate
More informationFogarty International Center LET S NOT REINVENT THE WHEEL*: RESPONDING TO NCDS WITH LESSONS FROM HIV
Fogarty International Center LET S NOT REINVENT THE WHEEL*: RESPONDING TO NCDS WITH LESSONS FROM HIV Linda Kupfer, Ph.D. Senior Scientist, Center for Global Health Studies Columbia University, Mailman
More informationELECTRONIC MEDICAL RECORDS (EMR)
ELECTRONIC MEDICAL RECORDS (EMR) SAUDI BOARD FOR COMMUNITY MEDICINE FIRST PART - FIRST SEMESTER (FALL 2010) COURSE SBCM 002: MEDICAL INFORMATICS Osama Alswailem MD MA Medical Record function 1. It s a
More informationUp to $402,000. Insight HIV. Drug Class. 1.2 million people in the United States were living with HIV at the end of 2011 (most recent data).
HIV Background, new developments, key strategies Drug Class Insight INTRODUCTION Human Immunodeficiency Virus (HIV) is the virus that can lead to Acquired Immunodeficiency Syndrome, or AIDS. No safe and
More informationHIV/AIDS Prevention and Care
HIV/AIDS Prevention and Care Nancy S. Padian, PhD, MPH Professor, Obstetrics, Gynecology & Reproductive Sciences Associate Director for Research, Global Health Sciences and AIDS Research Institute: University
More informationHealth Care System. Troyen Brennan, M.D., M.P.H. Executive Vice President & Chief Medical Officer
Creating a More Connected Health Care System Troyen Brennan, M.D., M.P.H. Executive Vice President & Chief Medical Officer Agenda Our Role in the Changing Health Care System CVS/minuteclinic: Growth and
More informationlinks to the RF Initiative Prof. S. Yunkap Kwankam Executive Director International Society for Telemedicine and
Global ehealth activities of the ISfTeH: links to the RF Initiative Prof. S. Yunkap Kwankam Executive Director International Society for Telemedicine and ehealth (ISfTeH) 1. National structures Three key
More informationVIRTUAL CONSULTATION PLATFORM
ewave MD First Primary Care\ Remote Consultation in Rural Areas: The New Health Delivery Channel - From Theory to Practice VIRTUAL CONSULTATION PLATFORM Med@Tel April 2011 Roberto Schliesser VP Telemedicine
More informationLaboratory Information for Public Health Excellence
Laboratory Information for Public Health Excellence Dale Nordenberg, MD LIPHE Initiative A Public-Private Partnership Eli Lilly, Fondation Merieux and RESAOLAB Partners, CDC and CDC Foundation, and GLI
More informationMAS.965 / 6.976 / SP.716 NextLab I: Designing Mobile Technologies for the Next Billion Users Fall 2008
MIT OpenCourseWare http://ocw.mit.edu MAS.965 / 6.976 / SP.716 NextLab I: Designing Mobile Technologies for the Next Billion Users Fall 2008 For information about citing these materials or our Terms of
More informationCall Me Maybe? Text Messaging to Strengthen ART Adherence and Retention in Care in Global Settings. Richard T Lester, MD, FRCPC
Call Me Maybe? Text Messaging to Strengthen ART Adherence and Retention in Care in Global Settings Richard T Lester, MD, FRCPC BC Centre for Disease Control, University of British Columbia WelTel Disclosures
More informationTitle: Strengthening Health Information Systems to Support Post-Disaster Healthcare in Haiti
Title: Strengthening Health Information Systems to Support Post-Disaster Healthcare in Haiti Prepared By: Dr. Hamish Fraser, Dr. William Lober, Nancy Puttkammer, Elissa Holmes, Louise Sécordel Report Type
More informationWhy Community Engagement?
Why Community Engagement? Community engagement as a community-based or driven empowerment model is seen as more effective than topdown approaches Multi-level sociological interventions with empirically
More information14.74 Lecture 4: Health Esther Duflo February 17, 2004
14.74 Lecture 4: Health Esther Duflo February 17, 2004 1 The burden of disease The burden of disease is large, and very unequally distributed: See table 2 in page 1 of the handout: In 1990, 50 million
More informationRemote Monitoring. Remote Monitoring. Project 21: The Cell-Life Project. Credit: Mobiles in Malawi/Josh Nesbit. 50 Compendium of mhealth Projects
Remote Monitoring Project 21: The Cell-Life Project Country: South Africa Sponsoring Organization and Partners: The University of Cape Town, the Cape Peninsula University of Technology and Cell-Life Providing
More informationThe Louisiana Public Health Information Exchange
The Louisiana Public Health Information Exchange An Overview A collaborative initiative between the Louisiana Office of Public Health, the Louisiana State University Health Care Services Division and the
More informationBenefits and Risks of Electronic Health Records
Benefits and Risks of Electronic Health Records Rainu Kaushal, MD, MPH Director, Center for Informatics and Health Systems Improvement Weill Cornell Medical College and Graduate School Chief, Division
More informationTechnical guidance note for Global Fund HIV proposals in Round 11
Technical guidance note for Global Fund HIV proposals in Round 11 UNAIDS I World Health Organization I August 2011 Rationale for including the development of a system in the proposal With the global momentum
More informationOutbreaks of epidemic diseases pose serious public
Effectiveness of a Mobile Short-Message- Service Based Disease Outbreak Alert System in Kenya Mitsuru Toda, Ian Njeru, Dejan Zurovac, Shikanga O-Tipo, David Kareko, Matilu Mwau, Kouichi Morita We conducted
More informationMILLENNIUM VILLAGES PROJECT, HEALTH SECTOR TRAVEL INTERNSHIP APPLICATION
MILLENNIUM VILLAGES PROJECT, HEALTH SECTOR TRAVEL INTERNSHIP APPLICATION PUBLIC HEALTH INTERNSHIPS IN THE MILLENNIUM VILLAGES The Millennium Villages Project (MVP) Health Sector Internship provides an
More informationUsing Telemedicine in HIV Care Possibilities and Limits
Using Telemedicine in HIV Care Possibilities and Limits Steve McCrosky, FNP, AAHIVS Swiss HIV Nurses Symposium Bern, Switzerland January 30 th, 2015 Arizona Northern Counties Arizona Northern Counties
More informationDiagnostic and Treatment Support. Diagnostic and Treatment Support
Diagnostic and Treatment Support Project 43: Cell Phone Applications for Clinical Diagnostic Therapeutic and Public Health Use by Front Line Healthcare Workers Country: Mozambique Sponsoring Organization
More informationTELEMEDICINE IN DEVELOPING COUNTRIES. Norm Archer, Ph.D. Information Systems Dept. and ehealth Program McMaster University
TELEMEDICINE IN DEVELOPING COUNTRIES Norm Archer, Ph.D. Information Systems Dept. and ehealth Program McMaster University INTRODUCTION Telemedicine in developing countries is a tool of Global Health Global
More informationBorderless Diseases By Sunny Thai
Borderless Diseases By Sunny Thai Millennium Development Goal #6 6. Combat HIV/AIDS, malaria and other borderless diseases. A. Halt and begin reversing spread of HIV by 2015. B. Achieve universal access
More informationBig Data Analytics in Healthcare In pursuit of the Triple Aim with Analytics. David Wiggin, Director, Industry Marketing, Teradata 20 November, 2014
Big Data Analytics in Healthcare In pursuit of the Triple Aim with Analytics David Wiggin, Director, Industry Marketing, Teradata 20 November, 2014 Agenda The Triple Aim Population Health in Russia The
More informationFULL COVERAGE FOR PREVENTIVE MEDICATIONS AFTER MYOCARDIAL INFARCTION IMPACT ON RACIAL AND ETHNIC DISPARITIES
FULL COVERAGE FOR PREVENTIVE MEDICATIONS AFTER MYOCARDIAL INFARCTION IMPACT ON RACIAL AND ETHNIC DISPARITIES Niteesh K. Choudhry, MD, PhD Harvard Medical School Division of Pharmacoepidemiology and Pharmacoeconomics
More informationTB at Edendale Hospital: Operational Guidelines for Doctors and Nurses. Dr. Michael Clark Medical Officer Edendale Hospital
TB at Edendale Hospital: Operational Guidelines for Doctors and Nurses Dr. Michael Clark Medical Officer Edendale Hospital The Burden What? Tuberculosis (TB) HIV/TB co-infection Drug resistance Where?
More informationComputer Decision Support for Antimicrobial Prescribing: Form Follows Function. Matthew Samore, MD University of Utah
Computer Decision Support for Antimicrobial Prescribing: Form Follows Function Matthew Samore, MD University of Utah And it was so typically brilliant of you to have invited an epidemiologist Outline
More informationQuantifying the effects of electronic health record systems in hospitals
Quantifying the effects of electronic health record systems in hospitals Prof Johanna Westbrook Health Informatics Research & Evaluation Unit The University of Sydney Approaches to answer four research
More informationEarly Infant Diagnosis Data Transmission System Using Mobile Phones in Zimbabwe
Early Infant Diagnosis Data Transmission System Using Mobile Phones in Zimbabwe 5-7 May, 2015 9th INTEREST Workshop Harare, Zimbabwe Henry Chidawanyika, MSc hchidawanyika@zimhisp.rti.org Rita Sembajwe,
More informationDrivers of Electronic Medical Record Adoption Among Physician Organizations
Drivers of Electronic Medical Record Adoption Among Physician Organizations Thomas G. Rundall, PhD Henry J. Kaiser Professor of Organized Health Systems Chair, Center for Health Research University of
More informationBig data, e health and the Farr Institute
Big data, e health and the Farr Institute Liam Smeeth London School of Hygiene and Tropical Medicine Thanks to: Harry Hemingway, Emily Herrett, Harriet Forbes, Ian Douglas, Krishnan Bhaskaran, Tjeerd van
More informationPharmacist Support For Antiretroviral Adherence
Pharmacist Support For Antiretroviral Adherence Jennifer Cocohoba, Pharm.D.,MAS, AAHIVP Associate Clinical Professor University of California San Francisco School of Pharmacy Clinical Pharmacist, UCSF
More informationAssoc. Prof. Dr. Nguyễn Hoàng Phương,
Assoc. Prof. Dr. Nguyễn Hoàng Phương, Director of Cabinet, Steering Commitee of IT of application, MOH of Vietnam Deputy Director (IT responsible), Dept of Science and Training, MOH of Vietnam Email: nhphuong2008@gmail.com,
More informationHIV EMR Proposal. Report prepared by: Dr John Haskew, Director Uamuzi Bora
HIV EMR Proposal Report prepared by: Dr John Haskew, Director Uamuzi Bora November 2013 ABSTRACT Uamuzi Bora is a medical project that supports the Ministry of Health (MoH) and partners in Kenya to implement
More informationThe effect of electronic medical record-based clinical decision support on HIV care in resource-constrained settings: A systematic review
i n t e r n a t i o n a l j o u r n a l o f m e d i c a l i n f o r m a t i c s 8 1 ( 2 0 1 2 ) e83 e92 j ourna l homepage: www.ijmijournal.com The effect of electronic medical record-based clinical decision
More informationLaboratory Information Management Systems in Resource-Limited Environments
Laboratory Information Management Systems in Resource-Limited Environments Robert Martin, MPH, Dr.PH Ralph Timperi Ramesh Krishnamurthy Ph.D., MPH Summary Electronic laboratory information management systems
More informationInnovative Mobile Technologies improving health in developing countries. Professor Kristin Braa Department of Informatics University of Oslo
Innovative Mobile Technologies improving health in developing countries Professor Kristin Braa Department of Informatics University of Oslo The importance of mobile technology for developing countries
More informationElectronic Prescribing
Electronic Prescribing Objectives: Describe Electronic Prescribing Discuss tools and information system needed Evaluate the Nurse Informaticist role in EMR/Electronic Prescribing Discuss safety, ethical
More informationAids Fonds funding for programmes to prevent HIV drug resistance
funding for programmes to prevent HIV drug resistance Call for proposals July 2012 Page 1 van 10 grants@aidsfonds.nl Documentnumber 20120719/JKA/RAP Universal Access Lifting barriers to universal access
More informationSession 4: The Drug Management Cycle: Selection. David Peters
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this
More informationHow To Improve Patient Adherence To Artemether Lumefantrine
Enhancing adherence to ACTs purchased from drug shops: results from four intervention studies Mon 7 Oct, 17:00 18:30 Chairs: Catherine Goodman and Kathleen Maloney OVERVIEW Patient adherence, the extent
More informationRoutine HIV Monitoring
Routine HIV Monitoring Guideline of the HIV/AIDS Division at San Francisco General Hospital Statement of Guideline: Patients will be routinely evaluated and monitored for HIV parameters, antiretroviral
More informationCreating a national electronic health record: The Canada Health Infoway experience
Creating a national electronic health record: The Canada Health Infoway experience Presentation by Dennis Giokas Chief Technology Officer, Canada Health Infoway October 11, 2007 Overview The need for EHR
More informationDriving Higher Rates of Influenza Vaccine Administration: Education, Intervention and Impact at Central Texas VA Healthcare System
Office of Continuing Medical Education Center for Collaborative and Interactive Technologies In partnership with: The Central Texas VA Healthcare System Twine Clinical, LLC Medical Impact Ventures Driving
More informatione-tb Manager: A Comprehensive Web-Based Tool for Programmatic Management
e-tb Manager: A Comprehensive Web-Based Tool for Programmatic Management of TB and Drug-Resistant TB Management Sciences for Health Facts about TB* TB is contagious and airborne; each untreated person
More informationCase Finding for Hepatitis B and Hepatitis C
Case Finding for Hepatitis B and Hepatitis C John W. Ward, M.D. Division of Viral Hepatitis Centers for Disease Control and Prevention Atlanta, Georgia, USA Division of Viral Hepatitis National Center
More informationThe Botswana Combination Prevention Project (BCPP)
The Botswana Combination Prevention Project (BCPP) The Next Phase of HIV Prevention in Botswana A collaboration between MoH CDC-Botswana, HSPH-BHP Presenter: M.J. Makhema NAC 4 th September 2012 Mashi
More informationUsing Health Information Technology to Improve Quality of Care: Clinical Decision Support
Using Health Information Technology to Improve Quality of Care: Clinical Decision Support Vince Fonseca, MD, MPH Director of Medical Informatics Intellica Corporation Objectives Describe the 5 health priorities
More informationDr Malgosia Grzemska Global TB programme, WHO/HQ Meeting of manufacturers Copenhagen, Denmark, 23-26 November 2015
TB burden and treatment guidelines Dr Malgosia Grzemska Global TB programme, WHO/HQ Meeting of manufacturers Copenhagen, Denmark, 23-26 November 2015 Outline Latest epidemiological data Global programme
More informationInternational HL7 Interoperability Conference - IHIC 2010
International HL7 Interoperability Conference - IHIC 2010 National ehealth Initiatives: Global Health Information Technology Standards Serving Local Needs Building Interoperability across many localities
More informatione-health Initiative Lina Abou Mrad MBA, PMP Director, National E-Health Program Health Insight 4 -March 2014
e-health Initiative Lina Abou Mrad MBA, PMP Director, National E-Health Program Health Insight 4 -March 2014 What is E-Health? The term e-health was barely in use before 1999 Terms such as medical informatics,
More informationRichard H. Needle, PhD, MPH Lin Zhao, PhD candidate (UCSF School of Nursing) CSIS Africa Program Roundtable June 10, 2010
Richard H. Needle, PhD, MPH Lin Zhao, PhD candidate (UCSF School of Nursing) CSIS Africa Program Roundtable June 10, 2010 Reference Group to the United Nations on HIV and Injecting Drug Use 2010 Mathers:
More informationHealth IT - the African Approach
Health IT - the African Approach Chris Seebregts, PhD Executive Director, Jembi Health Systems SOUTH AFRICA HIMSS Asia-Pacific, Sep 2012 Outline Challenges and opportunities associated with low resource
More informationClinical Decision Support
Goals and Objectives Clinical Decision Support What Is It? Where Is It? Where Is It Going? Name the different types of clinical decision support Recall the Five Rights of clinical decision support Identify
More informationHIV DRUG RESISTANCE EARLY WARNING INDICATORS
HIV DRUG RESISTANCE EARLY WARNING INDICATORS World Health Organization indicators to monitor HIV drug resistance prevention at antiretroviral treatment sites June 2010 Update ACKNOWLEDGEMENTS The preparation
More informationELECTRONIC MEDICAL RECORDS. Selecting and Utilizing an Electronic Medical Records Solution. A WHITE PAPER by CureMD.
ELECTRONIC MEDICAL RECORDS Selecting and Utilizing an Electronic Medical Records Solution A WHITE PAPER by CureMD CureMD Healthcare 55 Broad Street New York, NY 10004 Overview United States of America
More informationTREATING DRUG-SENSITIVE TB IN INDIA: IMPLEMENTATION OF DAILY THERAPY WITH FIXED DOSE COMBINATIONS
TREATING DRUG-SENSITIVE TB IN INDIA: IMPLEMENTATION OF DAILY THERAPY WITH FIXED DOSE COMBINATIONS Policy brief, March 2015 Tuberculosis (TB), a communicable disease that affects 9 million people worldwide,
More informationIn Tanzania, ARVs were introduced free-of-charge by the government in 2004 and, by July 2008, almost 170,000 people were receiving the drugs.
ANTIRETROVIRAL TREATMENT What is ART and ARV? ART is a short form for Antiretroviral Therapy (or Treatment). Antiretroviral therapy is a treatment consisting of a combination of drugs which work against
More informationHEALTH INFORMATICS TALK ICT4D RESEARCH
HEALTH INFORMATICS TALK ICT4D RESEARCH PRESENTERS PROFILE SALOME IRERI LECTURER LAIKIPIA UNIVERSITY FORMER MSC APPLIED COMPUTING-HEALTH INFORMATICS (2013-2014) PROSPECTIVE PHD STUDENT-HEALTH INFORMATICS
More informationData Management. Shanna M. Morgan, MD Department of Laboratory Medicine and Pathology University of Minnesota
Data Management Shanna M. Morgan, MD Department of Laboratory Medicine and Pathology University of Minnesota None Disclosures Objectives History of data management in medicine Review of data management
More information5/6/2014. Physiologic Monitoring Tools & Use with Patients with Chronic Health Conditions. Objectives. The Issue at Hand
Physiologic Monitoring Tools & Use with Patients with Chronic Health Conditions Kelly Brittain, PhD, RN Assistant Professor MCRH-Nursing Grand Rounds May 8, 2014 Objectives 1. Summarize previous research
More informationPlease describe the laboratory facilities available in your research institute, including the items listed below (if applicable):
Institution: Makerere University College of Health Sciences [MakCHS] and Makerere School of Public Health [MakSPH] Kampala, Uganda http://chs.mak.ac.ug/ Contact: Jacinta Oyella [MakCHS] Physician oyella1@yahoo.com
More informationCooking Up An Open Source EMR For Developing Countries: OpenMRS A Recipe For Successful Collaboration
Cooking Up An Open Source EMR For Developing Countries: OpenMRS A Recipe For Successful Collaboration Burke W. Mamlin, M.D., Paul G. Biondich, M.D., M.S., Ben A. Wolfe, Hamish Fraser, M.B. Ch.B., M.Sc.,
More informationThe Burgeoning Public Health Crisis: Demand Analysis and Market Opportunity for Advanced Trauma Systems in the Developing World
The Burgeoning Public Health Crisis: Demand Analysis and Market Opportunity for Advanced Trauma Systems in the Developing World Globally, the causes of mortality will experience significant shifts over
More informationORGANIZATIONS. Organization Programmatic Areas of Focus Notes Interviewed? Yes. Averting Maternal Death and Disability (AMDD)
Averting Maternal Death and Disability (AMDD) Bixby Center for Global Reproductive Health (UCSF) Global advocacy, human rights, strengthening health systems (conducting needs assessments for EmOC, strengthening
More information2008 Wisconsin Ambulatory Health Information Technology Survey
2008 Wisconsin Ambulatory Health Information Technology Survey March 31, 2009 State of Wisconsin Governor s ehealth Care Quality and Patient Safety Board Department of Health Services P-00831 (03/09) -
More information