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)

Conference title | Conference date

Thank You

jguiney@ippf.orgamckinley@ippf.org