iSantePlus vs 3.x Demo: Gap Analysis

Owned by Grace Potma
Last updated: Sep 29, 2023 by Jan Flowers
6 min read

 

Participants involved creating this Gap Analysis:

Kemar Celestin, @Dupuy Rony Charles, @Jean Daboul MAXY Max @Christina White, @Jan Flowers, @Jennifer Antilla, @Grace Potma 

 

Currently already working to switch sites from iSante to iSantePlus. (Workflow modifications; iSante wasn't OMRS based). (~150 sites; 64 sites using plus; 23 switching in March; 100 sites using iSantePlus by Feb end)

Users' reactions to the changes: Not that hard. If already familiar w iSante, really easy to switch. Rare complaints. 2-3 days of in person training with them, then they call for assistance as needed. Complaints more often about "we used to have this, now we don't". Or it was there, they just couldn't find it. 

Reference Demos (videos or demo environments)

 

 

Next Steps

Initial Gap Analysis
2022-01-27 session - First session: Sample workflow walkthrough
2022-02-03 session - Second session: Sample 3.x workflow walkthrough
2022-02-10 session - continue 3.x workflow with sample patient flow
____ - I.d. Gaps and add Priority levels for gaps
Confirm: Any role-based customization? (e.g. Nurse can only see X, Clinician, etc; certain people can only see certain forms?)
Look at sample Test Results
OCL and OMRS (Maxy talking to PIH)
Dev Onboarding & Capacity Building planning
Mozzy & Piotr to set up 3.x frontend on existing DB (cc Xina, Rony, Jan, Kemar & Maxy)
Peer support options
ID a first project
ID a pilot goal / scope

 

New Work Item: Emergency Functionality (ER & Inpatient)

CDC Haiti has added resources into TAP to do this with CHARESS. Scope not yet totally clear. 

Current CHARESS priority is the rollout of iSantePlus. Some new dev'mpt assistance from 

 

 

 

 

 

Gap Analysis

 

 

 

 

 

Theme

Feature

Current State in iSantePlus

Future State (with 3.x)

Status

Priority

Notes/Comments

Theme

Feature

Current State in iSantePlus

Future State (with 3.x)

Status

Priority

Notes/Comments

 

 

Flows: 

  • Must create Visit to create Encounters. No defined visit "types". 

  • Each form = an Encounter

  • Multiple forms/encounters can be included in a Visit

  • Enrollment not so much used in iSantePlus. 

  • Gender & Age configures the fields in the form (e.g. don't ask men if pregnant)

 

 

 

 

 

 

Ready

 

 

Home

Home page

Ready

 

 

 

Pt Search

 

Ready

 

 

 

Pt Dashboard

Patient Flags for Pt Alerts:

  • Missed Appointment

Permissioning: Based on permissions granted to the user, only certain actions possible.

Archivist or Receptionist example: After creating patient, can go to pt dashboard, but can only see some things. 

 

 

Gap

Patient Flags

 

 

Patient Flags

 

Where would "missed appointment" & other flags go? → Expect to see at top of patient chart, not necessarily in Header, but at top of patient summary. 

Gap

GAP & NICE 3.x IDEA → see timeline idea

 

 

Vital Signs

 

 

 

Can't save vitals form

Vitals Form buggy:

Grey'd out not clear why

 

 

Registration

 

To Config

 

 

 

 

Fingerprint

 

Gap

 

 

 

Registration Summary

Used after registering to edit pt information

Ready

BUG

Clicking "Cancel" in Edit form brings you back home instead of into pt chart

Chan't save pt edits; get null message

 

 

Address Hierarchy

 

 

Gap

GAP

 

 

Fingerprint registration

Adaptation of a fingerprint in core modules AND integration with M2Sys (app that captures the print and provides an additional unique Identifier)

 

Gap

GAP 

 

 

 

Reports

 

Ready (no change)

 

 

 

 

Shows any problems with outgoing data

 

Ready (no change)

 

 

 

 

 

To Config

 

 

 

 

 

 

 

To Config

 

 

 

Vaccinations

 

Gap

GAP

 

 

Growth Chart

 

Gap

 

 

 

Lab Orders

Done through Lab Order form:

Large effort to mimic the paper form structure - most important when first adopting system. Along the way, modified a bit to have more electronic-friendly functionality. But recognition that designing just like paper form can even be annoying for Point of Care use. 

 

To Config

 

 

 

Labs

 

Lab History: 

 

 

 

 

 

 

Separate Viral Load History: 

 

To Config

 

 

 

Medication Orders

Rx Form

 

To Config

 

 

 

Med History

 

Gap

 

 

 

 

Clinicians review Forms history when seeing pt to see what has happened in pt's past

 

Ready

 

 

 

Pt Summary

Users use dashboard to review case. 

 

Gap

 

 

 

Diagnosis History

 

 

 

 

 

 

Gap Status: Ready To Config Gap

Gap Priority: LOW Medium High

Link to Jira Issues for Gaps

key summary type created updated due assignee reporter priority status resolution

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