1 / 19

Web-Based Tools to Maximize a National Investment in the GeneXpert Jeff Takle , Dir. of Innovation @Abt Associates

“. Rapid diagnosis must lead to the rapid initiation of an appropriate treatment. Web-Based Tools to Maximize a National Investment in the GeneXpert Jeff Takle , Dir. of Innovation @Abt Associates 2 nd African Regional Training Workshop on Xpert MTB/RIF July 24, 2013.

wren
Download Presentation

Web-Based Tools to Maximize a National Investment in the GeneXpert Jeff Takle , Dir. of Innovation @Abt Associates

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. “ Rapid diagnosis must lead to the rapid initiation of an appropriate treatment Web-Based Tools to Maximize a National Investment in the GeneXpert Jeff Takle, Dir. of Innovation @Abt Associates 2nd African Regional Training Workshop on Xpert MTB/RIF July 24, 2013

  2. How Does it Work? Targeted alert messages eTB Manager or M&E tools USB modem, Wifi, Mobile phone, Manual upload Web database Electronic patient records

  3. There Are Four Stable, Scaling-up Data Services Around the GeneXpert • GxAlert • Open source, dev in 2012 by Abt Associates • Incorporates diagnostics for TB and flu (GeneXpert) and HIV (PIMA) • Active in India and Nigeria; early stage in 5 countries • TBGxMonitor • Developed in 2011 by Univ. of Witwatersandin South Africa • Active in South Africa; early stage in 13 countries • XpertSMS • Open source, devin 2011 by IRD Pakistan • Active in Pakistan, Nepal, Kenya, Zimbabwe; early stage in 5 countries • RemoteXpert • Being developed by Cepheid, estimated launch December 2013 • Pilot tested in South Africa

  4. What Does Each Software Do? • MOH • Case+Population level Management • Indicator reporting • MDR treatment • Drug demand / supply • Integration into existing National Health Information Systems (eTB*) • MOH messaging • Clinic / lab messaging • Patient messaging GxAlert XpertSMS • Labs • External Quality Assurance (EQA) • Instrument Verification • Pre-analytical, analytical and post-analytical evaluation • Errors and error rate (by user, module, and machine) • Providers • Cartridge expirations • Stockout management • Utilization vs. disease load • Deployment planning • Procurement, warranty, and service planning GxAlert TBGxMonitor RemoteXpert*

  5. A Look Inside…GxAlert

  6. HIV Devices (PIMA) Can Report Directly into GxAlert

  7. Tracking Co-Infection Indicators at the Patient Level

  8. MOH Can Forecast Cartridge Needs By Observing Consumption Trends Avg. # tests/yr per device 438 Avg. Utilization per device 18% Est. Overpurchase in Year 1 -$103,114

  9. MOH Can Identify Malfunctions Earlier and Reduce Patient Re-visits Number of Error Results, by Module A serious outlier Possible alert threshold Error Codes

  10. MOH Can Set Thresholds for Errors: Above = Alert to Supervisor Focus attention where needed most Opportunity to identify “best practices” Possible alert threshold

  11. A Look Inside…XpertSMS

  12. A Look Inside…XpertSMS

  13. A Look Inside…TBGxMonitor

  14. Each is Relatively Inexpensive to Bring to National Scale • GxAlert ~$25,000 Yr1 to roll out nationwide and tech support existing software; Yr2 ~$10,000 • XpertSMS ~$25,000 Yr1 to roll out nationwide and tech support existing software; Yr2 ~$10,000 • TBGxMonitor available to complement NHLS/Wits DCS EQA program. Independent use cost TBD. • Cepheid’s RemoteXpert, cost TBD, Dec 2013 Each of these software is capable of being connected with the others so installing a mix of software is possible

  15. Ways To Extend This Capability • Connect to an EMR (OpenMRS) • Connect to an M&E system • Connect to a case management tool (eTB Manager) • Connect to drug logistics program • Connect other diagnostic devices (Hain, MGIT, PIMA) • Automate portions of your indicator reporting

  16. Challenges • Stable nationwide connectivity • Security • Stakeholder coordination

  17. Why Include These Tools in Your GeneXpert Implementation? • Patient benefits: start treatment faster, reduce spread of drug resistant disease, recover sooner • Identify and track population drug resistance patterns of TB cases • Shorten diagnostic response time from months to minutes, getting patients into treatment faster • Reduce wasteand avoid stockouts through real-time forecasts • Dramatically improve data quality • Measure program adherence to the TB treatment protocols

  18. Acknowledgements • MSH • KNCV • Nigeria NTP • India private sector labs • CHAI • IRD Pakistan • NHLS South Africa • USAID • CDC

  19. Better patient treatment Faster response to MDR-TB More efficient TB logistics Prepared by: Martha Benezet martha_benezet@abtassoc.com Jeff Taklejeff_takle@abtassoc.com Download slide deck @ www.GxAlert.com

More Related