The Partners In Health (PIH) program in Haiti, known locally as Zanmi Lasante (ZL), operates clinics and hospitals at 12 sites across the Central Plateau and the lower Artibonite, two of the country's poorest regions.
Zanmi Lasante connects vulnerable people in Haiti to comprehensive primary care services and HIV prevention while working in support of the Ministry of Health’s goal of universal treatment coverage. Across all of our sites, PIH/ZL is prioritizing investing in systems that support high-quality, longitudinal care for our patients.
...
This timeline describes the various ZL EMR systems since 2001:
Goals
Identify and register all patients at a facility, regardless of program.
Enable clinicians to enter data directly at the point-of-care, leading to reduced data backlogs, higher quality data and improved access to data for patient care. This is accomplished through local server installations that eliminate previous barriers due to internet access.
In the future, leverage this base platform to support our clinical programs by providing timely, accurate, complete data on patients enrolled in HIV, TB, Nutrition, Maternal & Child Health, and other strategic clinical areas. Assist programs with referrals into care, eliminate loss to followup, and evaluate clinical outcomes. Understand the burden of disease along with expanding universal health coverage (UHC).
ZL EMR – The System
The ZL EMR systems will both enable clinicians and impact patients at all points of the care continuum, from recording diagnosis to mapping treatment plans and retaining HIV patients in our care. Through implementing upgrades, our goals are to identify and register all primary care patients, enable clinicians to enter patient data at the point-of-care, and eventually leverage these systems to provide comprehensive and complete data on all patients. This point-of-care system is used by clinicians and data archivists: Clinicians capture medical information; Archivists capture patient registration and workflow. The ZL EMR primary care functionality includes patient registration, check-in, vital signs, and primary care visit information, including history, vaccinations, allergies, physical exam, diagnoses, and treatment plan.
...
The Thomonde EMR started capturing patient registration and visit notes in October 2016, after a training program of registration staff and clinicians. (As of February 2017, 1,200 patients were registered in the EMR along with 2,100 encounters.)
The Lacolline EMR (V2) started on December 5, 2016. 60K patient demographics records were migrated from the Lacolline EMR V1. These were patients who were seen at the Lacolline outpatient clinic between 2012 and 2015. In the first 2 months, over 2,500 patients visited the clinic.
...
Zanmi Lasante (ZL) IT (L-R) Wesly Official, Peterson, Dupuy Rony Charles, Claude, Pierre Charles Mingot, Edwenson Raphael, Jean Baptiste Prince, |  Partners In Health (PIH) Boston Medical Informatics (L-R) Mike Seaton, James Mbabazi, Ellen Ball, Mark Goodrich, Cosmin Ioan, and Dave DeSimone |
|---|
...
Technical specifications
The ZL EMR is built with the OpenMRS Reference Application and Platform 1.10 along with customized of workflow, htmlforms, and reports. The ZL EMR is available in Haitian Kreyol, French, and English.
...