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With 21 years of HIV data at ZL, another major priority was preserving all the data and migrating all to the new HIV EMR (version 2). This included over 28 million observations for 50,000 unique patients.
| Version 1 | Version 2 |
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| Clinician-facing dashboard provides a summary of most recent information (ie. HIV and TB status, HIV intake+follow-up, HIV dispensing, viral load, and more). |
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| HIV Dispensing records the medication dispensed to the patient or CHW. It could provide enough medicine for multiple months. Dispensing could be in the health facility or the community. |
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Reporting
With the new HIV EMR we also introduced data warehousing and automation of PEPFAR reporting. This option, when implementation is complete, will eliminate manual data management steps, improving data quality and reducing the time burden for completing this extensive reporting. A dashboard calculating the required indicators is provided in PowerBI, and is automatically updated via a daily ETL.
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PIH would like to have consistent EMR systems at all our ZL and other PIH health facilities. It is imperative to integrate HIV EMR patient data with other clinical EMRs with reliable power and network and interoperability.
References
- PIH EMR (Haiti) Case Study
- University Hospital in Mirebalais (Haiti) EMR Case Study
- Open-source EMR: A New Model for Evidence-based Health Care in Haiti
- Bill & Melinda Gates Foundation Awards $44.7 Million To Harvard Medical School To Control Multidrug-Resistant Tuberculosis Worldwide
- Using the ArsDigita Community System
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Gratitude to past and present colleagues at Zanmi Lasante and PIH who have contributed to the success of Version 1 and 2 (leadership, clinicians, Monitoring/Evaluation/Quality (MEQi), IT, and HIS). OpenMRS community members include Mike Seaton Darius Jazayeri Hamish Fraser Ellen Ball Mark Goodrich Dupuy Rony Charles Cosmin Ioan David DeSimone James Mbabazi Louidor Jean-Paul Mulry Joe Davessenn Louis-Jeune Andrew Kanter
Financial support by PEPFAR and CDC, and the audacious vision of Paul Farmer.
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