1. Health care is a service business
What clinicians deliver…
advice
medication
devices
surgery
physical therapy
19 November 2018

2. Health care is an information business
19 November 2018

3. Health care is an information business
What clinicians actually do…
find information (prior records)
gather information (history, physical, lab)
record information (notes, reports, etc.)
process information (risks/benefits → decisions)
transmit information (advice, orders, letters)
The quality, efficiency, and effectiveness of care depend on our ability to manage information
“There is no healthcare without management, and there is no management without information.”
Gonzalo Vecina Neto
Head, Brazilian National Health
Regulatory Agency
→ Electronic Health Records
19 November 2018

4. 1/2 filled Nsaline to be used on the next patient

5. Clinical Information Management-
the report that changed HIV/AIDS in Africa!
Use of OpenMRS (MMRS was precursor) allowed us to manage care in a timely manner

6. Clinical Information Management-
the report that changed HIV/AIDS in Africa!
Collecting this clinical information allowed effective measurement of the AIDS epidemic and therefore the ability to manage it in the future.
Use of OpenMRS (MMRS was precursor) allowed us to manage care in a timely manner

7. Clinical Information Management-
the report that changed HIV/AIDS in Africa!
Collecting this clinical information allowed effective measurement of the AIDS epidemic and therefore the ability to manage it in the future.
Use of OpenMRS (MMRS was precursor) allowed us to manage care in a timely manner
WHAT IS MISSING?

8. HIV and TB = 0 Not measured!
Clinical Information Management-
the report that changed HIV/AIDS in Africa!
HIV and TB = 0
Not measured!
Collecting this clinical information allowed effective measurement of the AIDS epidemic and therefore the ability to manage it in the future.
Use of OpenMRS (MMRS precursor) allowed us to manage care in a timely manner

9. END USER INVOLVEMENT CRITICAL TO SUCCESS-
INNOVATION-EARLY MOBILE TECHNOLOGIES
An innovative home-care program using hand-held computers being piloted in the region. Monica Korir, who is living with HIV and is trained as an outreach worker
Outreach workers download completed forms into Mosoriot clinic's data management system daily. Automated alerts flag any alarming new symptoms/missed appointments/medication compliance.
WHO/Evelyn Hockstein
19 November 2018

10. Early Patient Held (Health) Records Education/Self management/Access
19 November 2018