2016-07-21 Developers Forum

2016-07-21 Developers Forum

How to Join

 

Agenda

  • Quickly review previous meeting minutes (5 min)

  • Uganda Implementation (@Stephen Senkomago Musoke@Mpango Jonathan)

  • Biometrics (@Simon Peter Muwanga)

  • Review next meeting agenda

Minutes

 

Attendees

  • Burke

  • Wyclif

  • Wila

  • Ada

  • Simon Peter Muwanga

  • Jonathan Mpango

  • Stephen Musoke Senkomango

  • Michael J. Healy

  • Darius

Agenda

  • Uganda Implementation (Smusoke, jmpango)

  • Biometrics (smuwanga)

Notes

Uganda Implementation

  • History

  • Introduced to OpenMRS in 2005, running 1.6.3 in 20 health facilities in WHO-related project

  • In 2011, the Ministry officially adopted OpenMRS as a health care system. At the time, OpenMRS was used only for HIV care.

  • By 2015, additional versions were introduced, including 1.9, etc.

  • During OMRS15, the decision was made to implement OpenMRS Platform 1.11.6 in hospitals

  • Most sites are doing transcription (providers interact with patient & record data on paper, transcribed into OpenMRS later)

  • Starting a rollout plan

  • Had a training of trainers workshop recently (in May 2016)

  • Implementing partners are responsible for supporting and maintaining implementations

  • Planning upgrade process for >400 sites throughout Uganda (awaiting official notification from the Ministry, which just was released)

  • Targetting having 1000 facilities running OpenMRS throughout Uganda by end of 2017

  • Actively upgrading systems in Kampala

  • Active development Uganda EMR is managed centrally through Makarere University

  • Introduced in MCH (mother child health), laboratory, HIV

  • Discussing implementation of OpenMRS in the national hospital. Goal is POC (point of care).

  • Questions

  • Is Uganda EMR a distribution of OpenMRS – i.e., a specific set of content, modules, etc. ?

  • Yes. Have developed a customized module to give a customized feel to OpenMRS

  • Aijar (means "health")

  • Uganda OpenMRS demo

  • What role does Makarere University serve in terms of development and capacity building/training?

  • 5 developers have been hired to support implementation

  • Provides technical assistance with troubleshooting

  • Have CDC funding to assist with procuring equipment (e.g., solar panels, servers, etc.)

  • Is there any documentation for sharing on lab information system?  How is it integrated to Orders?

  • Using a separate LIS ("LMS") in most locations

  • Link to LIS info website? 

  • Planning on integration with existing LIS

  • Have created forms within OpenMRS to capture lab information directly into OpenMRS

  • What factors have contributed to the decision for national rollout to 1000 facilities?

  • Driven by Uganda eHealth

  • Data quality

  • Reporting to ministry (DHIS2) using DHI2 integration module

  • Making it easier for sites to extract data from the system

  • Has Uganda Team reached out to the KenyaEMR Team about lessons learnt?  For example, some sites in KenyaEMR don't have supports after the rollout and system is not being used.

  • Yes. Have been in conversation with Steven Wanyee and Nicolas Ingosi

  • Have also spoken with folks in Rwanda (Bailly Rurangirwa)

  • Have benefited from OpenMRS Community (e.g., OpenMRS Talk)

  • How are terminologies/metadata managed?

  • All implementations use a distribution managed centrally.

  • This includes central management of concepts and other metadata

  • Plan is to manage concepts centrally and push them out to implementations

  • Sites manage their own users & permissions.

  • What are the pros & cons of working with OpenMRS software and community?

  • Software has steep learning curve

  • Community has been great in providing support

  • Keep finding "gems" along the way that make things easier

  • Local problems need to be solved locally

  • What are the top three things you would change in OpenMRS software or community that would help improve the Uganda rollout?

  • Automation of implementation management (e.g., automatically rolling out forms, metadata, etc.)

  • More overlap with OpenMRS community developers

Biometrics with OpenMRS

  • Discussion deferred due to technical difficulties on Uberconference

 

Transcripts