Wed 16 Sept 2009

Mobile fair - demo after dinner - 8:15pm

Usage Scenarios

• Not all care takes place in clinic - broadening to household care

• Distributing care within the community

• Create cohorts (lists) and people go out and visit the people on the list

  • Maybe use sms's to notify responsible care worker

• Mobile health workers

  • Follow up care

    • patient assigned to healthcare worker

    • healthcare worker assigned to catchment area

• Lab sample collection

• Demographic surveillance

• Kenya scenario

  • Android phones

    • Wireless sync instead of cable

    • Camera on phone used to scan barcodes

    • GPS on phone

Technology needs

• OpenMRS module to provide service to send sms messages

  • Standard protocal for communicating with sms systems (xforms)

    • messaging standard - message delivery acknowledgements etc

    • workflow issues - notifications, acknowledgements

    • Where does the trigger logic lie, in OpenMRS of in messaging system

Use Cases

• Patients interact with OpenMRS directly

  • When is my next appointment?

  • Patient submit blood glucose reading for diabetes management.

  • Security issues

  • Patients access to their own patient data.

    • Experience from US is that can create anxiety in patients due to misinterpretation of their data.

    • Need both personal health care records as well as clinician records.

• Messages to the patient - alerts, appointment reminders

  • Based on the state of the patient in the DB

  • e.g. Immunizations and health service delivery

  • Model the state of the patient in an interesting way

    • e.g. A mother gets visited - can calculate when the next visit should be

      • Send message to mother to inform her of the next visit date

      • If mother doesn't come, when do you respond, what message to send to the community health worker?

      • How do you deal with out of service numbers?

• Mobile health workers

  • Use cases driven by cost, policies, needs of communities.

  • Interaction of healthcare worker with eachother

    • Use sms for coordination

  • Interaction of healthcare worker with patients

    • Simple forms (20 fields)

    • Data Collection - gather info at point of care - simple to complex data

      • What is the point at which you need a more sophisticated device e.g. netbook?

    • View data at point of care - Look at data to make decision at point of care

Issues

• Patient ID's

  • Laminated barcoded card give to patients - use camera on phone to scan

  • What about new patients / patients that don't have a card?

    • Do background patient matching to look for possible similar patients

• In mobile, you are disconnected from OpenMRS database

Venue: Tree Tops