1. From choice, a world of possibilities IPPFs Clinical Management Information System (CMIS) Knowledge & Information Systems Unit Organizational Effectiveness and Governance Division

2. Why IPPF started investing into clinical management systems almost two decades ago, but limited financial support and expensive bespoke systems were unsustainable to maintain. Open Source became an option to ensure affordability and long term development through the economies of scale With stakeholders demanding accurate client related data and IPPF moving towards performance based funding – clinic systems needed to be state of the art supporting providers in managing client flow and quality of care

3. OpenEMR After a thorough evaluation process, IPPF invested in OpenEMR in 2007 OpenEMR is an open source medical practice management system featuring electronic medical records (EMR) OpenEMR is client-centred with a visit-orientated approach Clinic management using OpenEMR includes clients socio-demographic profile, clinical history, appointment scheduling, referrals, billing and inventory control

4. 4 3 21 The Visit Cycle concept Services vs Clients (actually Visits) Client Reception Registration Pre Payment Counselor Cashier Lab Doctor/nurse Ultrasound Clients Services 1 0 0

9. Reports

11. Service delivery from clinics And beyond Global donor reports, publications Non-clinic based SDPs eg. CBDs, mobile outreach MA HQ ROCO Referrals CLIENTS Service statistics, clinic management, inventory, finances, donor reporting requirements, progress against indicators... Client based clinical and demographic data: vital statistics, medical history, medications, referrals, contraceptive history... Client flow, reduced waiting times, more efficient use of service providers time...

12. OpenEMR dissemination

13. Challenges Service provider training and interaction with system Data from non-static clinic service delivery points Slow culture change to data use (difference between service providers and management) Infrastructure (IT facilities, power supplies, back- up) Maintenance costs of infrastructure (and related funding commitments and sustainability issues) Conference title | Conference date

14. Thank You jguiney@ippf.org amckinley@ippf.org