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Software Based Systems for ART Program and Patient Monitoring

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Software Based Systems for ART Program and Patient Monitoring – PowerPoint PPT presentation

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Title: Software Based Systems for ART Program and Patient Monitoring


1
Software Based Systems for ART Program and
Patient Monitoring
2
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.

3
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.

4
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

5
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

6
How
  • Need prototype systems that are 90 functional
    and can be easily customized to meet local needs
  • RHI register (DHIS)
  • PMTCT register
  • ART EMR

7
Issues
  • Architecture
  • Disease Management
  • Free open source model is the most Development
    Friendly
  • Standards

8
Client Server Networks
9
Disease Management
10
Data Standards
  • Indicator definitions
  • Data standards
  • Data communication standards
  • Data flow

11
Country / International Data Warehouse
12
Sustainability
  • Software systems require constant maintenance
  • Imported systems suffer the same fate as other
    high tech equipment
  • It 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

13
Software Inventory
14
Key Criteria for ART Software
  • Thin client - server
  • Open source
  • Basic ART data set
  • Disease management

15
The Envelope Please
  • We do not have a winner.
  • We are close.
  • Next steps...

16
Current Systems
  • Proprietary Systems
  • TherapyEdge
  • Systems Built on EpiInfo/Access
  • CareWare
  • Thin Client Server Open Source
  • OpenEMR, Care 2x

17
Inventory Project
  • Collaborative Workgroup
  • Clearinghouse for information on
  • software systems
  • implementation
  • customization
  • metadata
  • Feedback on systems
  • This is an open system - we want your feedback

18
Future Work for the Inventory
  • Logistics Systems
  • Information synergies with patient systems
  • Laboratory Systems
  • Innovative Technologies (smart cards, cell
    phones, PDAs, etc)
  • Paper systems interface
  • Metadata repository
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