Support for EMRs in developing countries

[Naomi Kimuyu]

Hi all,
I am trying to find out what it really takes to support a successful implementation of an open source EMR/EHR in a developing country.

Assuming we use OpenMRS as an example....

What does it take in terms of human resources-qualifications??

Roughly how much time would one need to invest in terms of support?

How would you manage system upgrades/updates?? Presuming the system is not a pilot hence the need to preserve its life

If you have a system running across several facilities and envisage support from a central location how would that work out?

Our setting is of a devolved government so there are counties in place. So ideas on how you would work it out between national and county government assuming the EMR/EHR is to be implemented in a county/several counties.

Would also like ideas on possible sources of long term funding given the resource constraints that hospitals in developing countries are already faced with.

Any pointers to publications/documents/discussions of how others have done this would be great.

Regards,

Naomi

[NICHOLAS INGOSI]

Naomi,

We have already done some work that is closer to what you are describing. Check it here https://sites.google.com/site/kenyahealthinformatics/home. And if you have any questions please contact I-TECH Kenya for clarification.

Thanks

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Nicholas Ingosi M

Implementation & Interoperability Coordinator(Development), I-TECH Kenya

International Training and Education Center for Health (I-TECH)

Department of Global Health, University of Washington

Mobile: 0727223254
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[Hannan, Terry J (DHHS)]

VARUN, this reply is c.c. with the OpenMRS Implementers and Developers emails. Also go the the site www.openmrs.org and look for becoming a Registrant and where you can post queries.Terry

Sent from my iPad

On 19 Feb 2015, at 6:25 pm, Varun Verma via GHDonline <te...@ghdonline.org> wrote:

Varun Verma replied to a discussion in Health IT:

Prof Terry- would appreciate your help posting it here (I'm new on here, and still figuring out what is what).

Naomi- yes, all using it at the point of care.
In our Emergency Room - we have a desktop (and at patient registration/lab/pharmacy/xray)
For the outpatient department and inpatient unit we purchased around 15 cheap chromebooks to run the software (since it is web-based all you need is a browser).
No mobile device access at this point (ie. smartphone/tablet)

We are three weeks in.

So far it's gone like this:
1/ Register all patients in EMR - eliminate rosters/registers
2/ Perform all lab reporting in EMR - eliminate all paper write outs of lab results
3/ Enter all diagnosis in EMR (which we collect for government reporting - eliminate rosters/registers)

So now we're at the point where we're trying force people to ditch paper documentation completely and put everything in the EMR.
ie. vitals, examination and their assessment/plan

Won't be happening until a few months from now:
-EMR ordering of prescriptions
-EMR ordering of labs
So far we're still having providers write orders on slips of paper, hand it to the patient & they take it either to lab or pharmacy

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