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IPPF’s Clinical Management Information System (CMIS)

IPPF’s Clinical Management Information System (CMIS). Knowledge & Information Systems Unit Organizational Effectiveness and Governance Division. Why.

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IPPF’s Clinical Management Information System (CMIS)

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  1. IPPF’s Clinical Management Information System (CMIS) Knowledge & Information Systems Unit Organizational Effectiveness and Governance Division

  2. 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

  3. OpenEMR • After a thorough evaluation process, IPPF invested in OpenEMRin 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

  4. Services vsClients (actually Visits) The Visit Cycle concept Ultrasound Doctor/nurse Lab Counselor Reception Registration Pre Payment 0 1 Clients Client Cashier 1 2 0 4 Services 3

  5. Reports

  6. Client based clinical and demographic data: vital statistics, medical history, medications, referrals, contraceptive history... Referrals And beyond Global donor reports, publications CLIENTS Service delivery from clinics MA HQ RO CO Service statistics, clinic management, inventory, finances, donor reporting requirements, progress against indicators... Client flow, reduced waiting times, more efficient use of service providers’ time... Non-clinic based SDPs eg. CBDs, mobile outreach

  7. OpenEMR dissemination

  8. 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

  9. Thank You jguiney@ippf.org amckinley@ippf.org

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