Post on 31-Mar-2015
transcript
From choice, a world of possibilities
IPPF’s Clinical Management Information System (CMIS)
Knowledge & Information Systems Unit
Organizational Effectiveness and Governance Division
Why IPPF started investing into clinical
management systems almost two decades ago, but limited financial support and expensive bespoke systems were unsustainable to maintain. Open Source became an option to ensure affordability and long term development through the economies of scale
With stakeholders demanding accurate client related data and IPPF moving towards performance based funding – clinic systems needed to be state of the art supporting providers in managing client flow and quality of care
OpenEMR After a thorough evaluation process, IPPF
invested in OpenEMR in 2007 OpenEMR is an open source medical practice
management system featuring electronic medical records (EMR)
OpenEMR is client-centred with a visit-orientated approach
Clinic management using OpenEMR includes client’s socio-demographic profile, clinical history, appointment scheduling, referrals, billing and inventory control
4321
The Visit Cycle concept
Services vs Clients (actually Visits)The Client circuit
Client
ReceptionRegistration
Pre Payment
Counselor
Cashier
Lab
Doctor/nurse
UltrasoundClients
Services
1
0
0
Reports
Service delivery
from clinics
And beyond
Global donor
reports,publicatio
ns
Non-clinic based SDPs
eg. CBDs, mobile
outreach
MA HQ RO CO
Referrals
CLIENTS
Service statistics, clinic management, inventory, finances, donor reporting requirements, progress against indicators...
Client based clinical and demographic data: vital statistics, medical history, medications, referrals, contraceptive history...
Client flow, reduced waiting times, more efficient use of service providers’ time...
OpenEMR disseminationeIMS integration
Challenges
Service provider training and interaction with system
Data from non-static clinic service delivery points
Slow culture change to data use (difference between service providers and management)
Infrastructure (IT facilities, power supplies, back-up)
Maintenance costs of infrastructure (and related funding commitments and sustainability issues)
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