1. Ministries of Health SELECTING EMR SYSTEM(S) Dr. Davies O. Kimanga For the Oversight team

2. Ministries of Health Oversight team composition NASCOP HIS WHO UNAIDS CDC USAID

3. Ministries of Health Rationale Based on the processes of standardization and review, the objective was to select one or more EMR systems that the Ministry can focus on and implement to larger scale Due to limited resources, the MoH can only develop support around few select systems The selected systems shall be upgraded, training around them developed, and support mechanisms established

4. Ministries of Health Criteria for selection Meeting MOH standards: Cut off for this was 60% Training: Availability of training materials targeting IT programmers, Managers, Users, linkages with local training institutions Open Source: Source code available, community of support, local support Database: Free data base systems that enabled HL 7 messaging preffered

5. Ministries of Health Criteria ….. Scalability: Ability to scale up to being HER, Linkages to pharmacy, Labs, Financial management systems, primary care/acute care Available support: Local support for the system Total cost of Ownership: Arbitrary, data limited on this Health facilities using the system

6. Ministries of Health System checklist and weights Ranking Parameters 1.Least important 2.Somewhat Important 3.Important 4.Very important Individual Ranking 1.Least Satisfactory 2.Somewhat Satisfactory 3.Satisfactory 4.Very Satisfactory Weights 1.MOH Standard- 4 2.Availability of support-3 3.Training-3 4.Open/closed-4 5.Database-3 6.Total cost of ownership-4 7.Health facilities -2 8.Scalability-4

7. Ministries of Health Overall Scores MoH Standards Available Support Traini ng Open/Cl osed Datab ase TC O HFs Using EMR Scalabi lity TOT AL RAN K Open MRS44344324921 Funsoft12212242484 CPAD22222232543 IQCARE43223233692

8. Ministries of Health Recommendations All four systems recommended for implementation One has full recommendation while others have provisional recommendation All other systems still being implemented shall continue being implemented but will have to be upgraded to meet the standards

9. Ministries of Health Open MRS Full recommendation based on the score across the eight parameters Comments System owners will have to develop a prototype that fully meets the standard and deposit at MOH Need to improve on its installation process: develop an executable file or turn key for installation Time lines: Within 3 months

10. Ministries of Health IQ Care Scored well, Provisional recommendation Comments Develop a prototype that completely meets the standards and deposit with MOH Fully meet the open source definitions as defined earlier Ensure availability of training materials Timeline: 3 months

11. Ministries of Health C-Pad Scored fairly: Provisional recommendation Comments Develop a prototype that completely meets the standards and deposit with MOH Upgrade back end to be My SQL Avail prototype and source code Develop and implement a sustainable approach Timeline: 6 months

12. Ministries of Health Fun soft Noted to have been built for financial MX but with a fairly good clinical component Provisional approval Comments Upgrade the patient management module to conform to the standards Consider availing the system to MOH as open source Build extensive local capacity to support the system

13. Ministries of Health Additional notes Free technical support available for all of the recommended systems GOK Sites wanting to install these systems will be supported for installation, infrastructure and technical support by the national EMR partners together with regional implementing partners

14. Ministries of Health All other systems Developers encouraged to upgrade the systems to meet the standards Conduct self assessment and request for external assessments If cannot meet the standards in 6 months, then MOH will strongly recommend migration that will be supported Minimal technical assistance may be provided upon request

15. Ministries of Health Thank You

16. Ministries of Health Model sites 30 model sites in the entire country Will benefit from infrastructure support, technical support and training support Site criteria: High volume HIV facilities Geographically: conveniently located to enable other sites to learn from them No EMR or suboptimal EMR implementation Preference to GOK systems, but private and Mission can also be included