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Disease Management Services. Patient-Centered Health Management Information System.
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Disease Management Services Patient-Centered Health Management Information System Health Management Information Systems, the Private Sector and HIV/AIDS: a discussion of implementation and outcomes. World Bank, Washington, D.C.Wednesday, January 18th, 2006
Western Europe 720 000 Eastern Europe & Central Asia 1.6 million North America 1.2million North Africa & Middle East 510 000 East Asia & Pacific 870 000 Caribbean 300 000 South & South-East Asia 7.4 million Sub-Saharan Africa 25.8 million Latin America 1.8 million Oceania 74 000 HIV/AIDS Pandemic – 40 Million World-WideAdults and children living with HIV/AIDSestimated as of end 2005 (UNAIDS/WHO) “…our only limiting factor is staff…” * Total: 40.3 million * Eric Goemaere, Medecins Sans Frontieres, South Africa
that uses algorithmsto assist health care professionalsat all levels with the comprehensive management of people living with HIV/AIDS Patient-Care Centered HMIS
The challenge – maintaining quality and consistency as need for care increases New patients Month 1 10 minutes per patient Month 2 5 minutes per patient Month 3 3.3 minutes per patient Follow-up patients
Central Clinic New patients + Patients flagged by system or nurse Peripheral Clinics Follow-up patients A Patient-Centered Solution • Algorithm-based system enables non-specialist providers to give guideline standard of care • Patients outside of set parameters flagged for referral • Timetable of appointments and labs per guidelines • Efficient use of human resources • Care consistent across geographic areas • Rapid implementation of regimen changes • Medical • Guideline evaluation • Pharmaco-vigilance • Local genetic responses to therapy • Management • Quality Assurance • Clinic performance • Staffing needs • Reporting • Drug logistics
Enable a local solution Local customization essential Sophisticated centrally - simple peripherally Flexible input/output Tool for training and education Mobile populations – National ID number Quickly assess adverse drug reactions Monitor regimen effectiveness Manage inventories of ARV’s Effective Resource Management Allocations Properties of a Patient-Centered HMIS