2. Takle GxAlert - Stop TB GxAlert.pdf · 2014. 12. 22. · Takle GxAlert. GxAlert. Open-source...
Transcript of 2. Takle GxAlert - Stop TB GxAlert.pdf · 2014. 12. 22. · Takle GxAlert. GxAlert. Open-source...
GxAlertOpen-source data connectivity
for the GeneXpert
6th Annual WHO GLI Conference, Geneva
Jeff Takle, Dir. of Innovation @Abt Associates
May 2nd, 2014
Abt Associates
The Value of GxAlert
GxAlert rapidly moves test results from the lab back into the health system.
� Open source software + USB modem + Security software = 15min install
� Configurable alerts and dashboards (web-based, SMS text, and email)
� Focused on program-level and NTP-level management
� Our development roadmap is trying to answer 4 Big Questions (4BQ)
Abt Associates
Can GxAlert get patients
into appropriate
treatment faster?
Big Questions
Can we get
better quality
data, faster?
Does it lead to
NTP action?
Do results get
to patients?
Many more
steps in here…
Simple Questions
1
"GxAlert has revolutionized the TB
control program in Nigeria with faster
diagnostic results (with better
accuracy) in real time. It has further
made patients’ enrollment in
treatment centers much easier."
— Elom Emeka
Chief Medical Laboratory Scientist,
Nigerian Federal Ministry of Health
“
Abt Associates
Can we get
better quality
data, faster?
Does it lead to
NTP action?
Do results get
to patients?
Working on
“Clinician Referral”
“We saw 10x the
level of MDR we
expected!”
1Can GxAlert get patients
into appropriate
treatment faster?
Abt Associates
Can errors be
better managed?Can stockouts
be prevented?Can site selection
be optimized?
Build training specifically
around reducing 2008, 5006,
and 5007 errors
Set up 5011 SMS text alert to
contact Cepheid tech support
2Can GxAlert demonstrate
“Value for Money”?
Abt Associates
Can errors be
better managed?Can stockouts
be prevented?
Failing pressure sensor led to
5-week increase in error rates
Errors 2008, 2011
2Can GxAlert demonstrate
“Value for Money”?Can site selection
be optimized?
Abt Associates
Can GxAlert demonstrate
“Value for Money”?
Can errors be
better managed?Can stockouts
be prevented?
Good news is that better training
leads to fewer errors!
2Can site selection
be optimized?
Abt Associates
Can GxAlert demonstrate
“Value for Money”?
Can errors be
better managed?Can stockouts
be prevented?
Needs cartridges
Has more cartridges on
hand than they can use
before expiration
2Can site selection
be optimized?
Abt Associates
Can GxAlert demonstrate
“Value for Money”?
Can errors be
better managed?Can stockouts
be prevented? 2Can site selection
be optimized?
Abt Associates
Can GxAlert protect
MOH data ownership
and patient privacy?
Can an open
source software
be built?
Train in 1
hourEach install
<15 min
Hosted in-
country
June
2nd
3
Abt Associates
Can GxAlert be a proxy
for measuring disease
burden?
Can we report
WHO indicators
automatically?
Self-configure
new indicators
GeneXpert Test Results
� By MTB
� By Rif
� By Age
� By Sex
� By DR Suspect
� By HIV status
� Custom…
4
Abt Associates
Costs Related to GxAlert Pilot
Pilot
Installation 1hr Skype, free
Software Free
Hosting Free @ GxAlert
Security* Free
Modems** $20 ea
Connectivity** $5/mo/ea
*Assumes you already have anti-virus and firewall installed
**Paid directly to a local mobile operator of your choice
Abt Associates
Costs Related to National Rollout
National Scale
Installation Depends
Software Free
Hosting Free @ GxAlert, or
hosted in country
Security* See below
Modems** See below
Connectivity** $15,000/yr up to
300 GeneXperts
*Assumes you already have anti-virus and firewall installed
**Paid directly to a local mobile operator of your choice
Abt Associates
Acknowledgements
� Nigeria FMOH
� CHAI
� PATH
� MSH
� USAID
� CDC
� Gates Foundation
� Cepheid
Open-source
MOH-owned data
Appropriate treatment, faster
Value for MoneySecure, patient privacy
Proxy for disease burden
QUESTIONS?
www.GxAlert.com