OpenMRS Implementations

AMPATH (AMRS)

• Site
  Eldoret, Kenya

• Organisation
  AMPATH Project

What is the scope of the implementation?

• How many patients?
  45,000

• How many users?
  Over 350

• What are the users roles?
  Providers (physicians, clinical officers, nurses), data managers, data assistants, system managers

• What tasks do users perform?
  Patient care, data export and reporting, data entry, and system maintenance

• Are data used in an interactive way or is it mainly based on a standard flow from paper form to openmrs to standard reports?
  Paper forms are completed in the clinics and transferred to a central site for data entry. The paper forms along with reports are returned to the clinics.

• What would you like to add in terms of capabilities and uses?
  Remote data entry, synchronization, better reporting tools

What is the primary goal and benefit of the implementation?
; Clinical care

; Reporting to funders

; Management/logistics e.g. drug supply

; Research studies

• What are the main challenges to making it work?
  Overseeing large amounts of data entry

• What systems do you have in place for data management and quality control?
  The data managers are charged with generating exports and turning them into necessary reports

  Africa Centre-PCIS

• Site
  Africa Centre-PCIS

• Organisation
  UKZN

What is the scope of the implementation?

• How many users?
  Prototype is 2 clinics with 6 users, the target is 6 clinics.

• What are the users roles?
  Admin, nurse, supervisor

• What tasks do users perform?
  Admin, consultations, patient registration

• Are data used in an interactive way or is it mainly based on a standard flow from paper form to openmrs to standard reports?
  Interactive and form to OpenMRS

• What would you like to add in terms of capabilities and uses?

What is the primary goal and benefit of the implementation?
; Clinical care

; Reporting to funders

; Management/logistics e.g. drug supply

; Research studies

• What are the main challenges to making it work?
  Biometrics, decentralized data and sites

Millenium Village Project-Sauri, Kenya

• Site
  Sauri, Kenya

• Organisation
  Millennium Villages Project, Earth Institute, Columbia University

What is the scope of the implementation?

• How many patients?
  ~500 with 100-150 visits/day

• How many users?
  3-5

• Primary Language?
  English

• What are the users roles?
  Registration, data entry, reporting

• What tasks do users perform?
  Registration, data entry, reporting

• Are data used in an interactive way or is it mainly based on a standard flow from paper form to openmrs to standard reports?
  It's mainly based on a standard flow. Separate forms for Adult, Pediatric and Antenatal visits (general medicine) with same form for diagnoses, lab orders/results, medication prescribing.

What is the primary goal and benefit of the implementation?
; Clinical care

; Reporting to funders

; Management/logistics e.g. drug supply

; Research studies

• What are the main challenges to making it work?
  Power, connectivity, enough trained data entry-personnel

• What systems do you have in place for data management and quality control?
  Training, regular exports to evaluate and aggregate data, centralized concept management, terminology service bureau

Millenium Village Project-Mayange, Rwanda

• Site
  Mayange, Rwanda

• Organisation
  Millennium Villages Project, Earth Institute, Columbia University

What is the scope of the implementation?

• How many patients?
  Just starting implementation (forms complete), expect 100-150 visits/day

• How many users?
  3-5

• Primary Language?
  French

• What are the users roles?
  Registration, data entry, reporting

• What tasks do users perform?
  Registration, data entry, reporting

• Are data used in an interactive way or is it mainly based on a standard flow from paper form to openmrs to standard reports?
  It's mainly based on a standard flow, separate forms for Adult, Pediatric general medicine visit along with separate form for medication entry.

What is the primary goal and benefit of the implementation?
; Clinical care

; Reporting to funders

; Management/logistics e.g. drug supply

; Research studies

• What are the main challenges to making it work?
  Power, connectivity, enough trained data entry-personnel

• What systems do you have in place for data management and quality control?
  Training, regular exports to evaluate and aggregate data, centralized concept management, terminology service bureau

Partners in Health - Lesotho

• Site
  Lesotho (Mohana, Bobete)

• Organisation
  Partners in Health

What is the scope of the implementation?

• How many patients?
  400 patients in EMR, 50 with complete data entered

• How many users?
  3

• What are the users roles?
  System developer(1), data entry(2)

• Are data used in an interactive way or is it mainly based on a standard flow from paper form to openmrs to standard reports?
  standard flow

• What would you like to add in terms of capabilities and uses?
  Synchronization tool, user-editable reporting tool

What is the primary goal and benefit of the implementation?
; Clinical care

; Reporting to funders

; Management/logistics e.g. drug supply

; Research studies

; Reporting to local MOH

• What are the main challenges to making it work?
  Lack of power, lack of internet access at sites, program bugs, lack of features, getting clinical staff to properly use forms, clunky interface, explaining to staff why paper is entered through forms eg. what is directly entered and why

• What systems do you have in place for data management and quality control?
  Daily back-ups (X3), No quality control system yet,

National AIDS Control Programme / University Computing Centre - Tanzania

• Sites
  Morogoro Regional Hospital (live), Tumbi Hospital Kibaha (in preparations), Ocean Road Cancer Institute (in preparations)

• Organisation
  National AIDS Control Programme / University Computing Centre

What is the scope of the implementation?

• How many users?
  At each clinic 1-2 data entry, 1-2 IT/data manager, 1-2 clinicians

• What are the users roles?
  data entry, IT/data manager, clinician

• Are data used in an interactive way or is it mainly based on a standard flow from paper form to openmrs to standard reports?
  standard flow

• What would you like to add in terms of capabilities and uses?
  better tools for implementers to set up user-friendly report and analysis features within OpenMRS itself as at the moment we are relying on an external specially designed "report and export tool" to talk" to the OpenMRS back end to produce reports

What is the primary goal and benefit of the implementation?
; Clinical care

; Reporting to funders

; Management/logistics e.g. drug supply

; Research studies

• What are the main challenges to making it work?
  it works/will work at these heavily supported sites but scaling to other sites without the same capacity in IT personnel and hardware would be a challenge

• What systems do you have in place for data management and quality control?
  Data check printout in the "report and export tool" allows user to tick various checks they wish to do and a printout is produced of the records violating those checks.

WHO - Uganda

• Site
  Masaka, Mbarara(up and running), Mbule

• Organisation
  World Health Organization

What is the scope of the implementation?

• How many patients?
  4,000 in Mbarara

• How many users?
  4

• What are the users roles?
  1 developer, 3 data managers

• What tasks do users perform?
  Developer and data managers develop the forms, clinicians design and fill out the paper forms

• Are data used in an interactive way or is it mainly based on a standard flow from paper form to openmrs to standard reports?
  A little interactive, no standard reports yet

• What would you like to add in terms of capabilities and uses?
  Enable grouping for analysis in cohort builder between periods

What is the primary goal and benefit of the implementation?
; Clinical care

; Reporting to funders

; Management/logistics e.g. drug supply

; Research studies

• What are the main challenges to making it work?
  Infrastructure--the sites have to get hardware and hire data clerks to handle the data

• What systems do you have in place for data management and quality control?
  Purely paper-based system for all the government aided sites and PEPFAR/CDC supported EMR for CDC/PEPFAR supported sites

Baobob Health Partnership

• Site
  Malawi

• Organisation
  Baobob Health Partnership

What is the scope of the implementation?

• How many patients?
  about 1500

• How many users?
  25

• What are the users roles?
  Registration clerk, vitals clerk, nurse, clinician, pharmacist, admin

• What tasks do users perform?
  Real time data entry

• Are data used in an interactive way or is it mainly based on a standard flow from paper form to openmrs to standard reports?
  Interactive

• What would you like to add in terms of capabilities and uses?
  More real time dashboard-like reporting

What is the primary goal and benefit of the implementation?
; Clinical care

; Reporting to funders

; Management/logistics e.g. drug supply

; Research studies

• What are the main challenges to making it work?
  Funding, human resources (programmers)

• What systems do you have in place for data management and quality control?
  Quarterly reports to ministry, lots of data validation in real time

  Desmond Tutu HIV Center

• Site
  Cape Town, South Africa

• Organisation
  Desmond Tutu HIV Foundation and Cell-Life

What is the scope of the implementation?

• How many patients?
  4000

• How many users?
  20

• What are the users roles?
  Data Captureres, Data Managers, Doctors, Researchers

• What tasks do users perform?
  Data capture, data export, reporting

• Are data used in an interactive way or is it mainly based on a standard flow from paper form to openmrs to standard reports?
  Mainly based on flow from paper to OpenMRS to reports but data also used for research purposes.

• What would you like to add in terms of capabilities and uses?
  Customized reports.

What is the primary goal and benefit of the implementation?
; Clinical care

; Reporting to funders

; Management/logistics e.g. drug supply

; Research studies

• What are the main challenges to making it work?
  Fulfilling reporting requirements, retrospective data import, connectivity for distributed data capture.

• What systems do you have in place for data management and quality control?
  Not very much at the moment (watch this space. . .)

PARTNERS IN HEALTH - RWANDA

• Site
  Partners In Health-Eastern Rwanda

• Organisation
  Partners In Health

What is the scope of the implementation?

• How many patients?
  5842

• How many users?
  184

• What are the users roles?
  System developers, Data Manager, Data assistant, Data entry, clinicians and providers.

• What tasks do users perform?
  Data entry, data quality and accuracy review, reporting, clinical summaries view and alerting suspicious values.

• Are data used in an interactive way or is it mainly based on a standard flow from paper form to openmrs to standard reports?
  In interactive way, initial and encounter forms are filled by clinicians and entered in OpenMRS. As feedback, patient summaries e-patient summaries are printed to be used during patients visits.

• What would you like to add in terms of capabilities and uses?
  Synchronization tool to allow offline/remote data entry, make reporting tools easier to use.
  What is the primary goal and benefit of the implementation?
  ; Clinical care

  Yes

; Reporting to funders

; Management/logistics e.g. drug supply

; Research studies

• What are the main challenges to making it work?
  IT infrastructure and clinical team interaction with new technologies.

• What systems do you have in place for data management and quality control?
  Evaluation of EMR data vs paper chart and automated reports of alerts or exceptions generated from EMR system.

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