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Software Based Systems for ART Program and Patient Monitoring

Software Based Systems for ART Program and Patient Monitoring. 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.

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Software Based Systems for ART Program and Patient Monitoring

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  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. Indicator definitions Data standards Data communication standards Data flow Data Standards

  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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