ICTC - Celebrating our ten year anniversary in 2014 eHealth Working Group Co Chairs: Philip Downs...
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Transcript of ICTC - Celebrating our ten year anniversary in 2014 eHealth Working Group Co Chairs: Philip Downs...
ICTC - Celebrating our ten year anniversary in 2014
eHealth Working GroupCo Chairs: Philip Downs (RTI), Alex Pavluck (Task Force),
Members: Dr. Sangchul Yoon (Yonsei University), Andrew Bastawrous (LSHTM), Kurt Dreger (JHU), Benedict Hoefnagels (LFTW), Stewart Jordan (LSHTM), Michael Bailey (JHU), Aisha Stewart (TCC), Whitney Goldman (HKI), Geordie Woods (Sightsavers),
E-Health is the application of Information Communication Technologies (ICT) to promote healthcare services support, delivery and education. mHealth (Healthcare based on mobile phones technology) provides an additional tool to promote ICT.
ICTC - Celebrating our ten year anniversary in 2014
SCOPE Support ICTC working groups by translating
program goals into ICT system functional requirements for review and approval
Provide a forum for developers and system implementers to engage with ICTC and related organizations in a coordinated fashion
Ensure that Monitoring and Evolution indicators are a component of new ICT system design and implementation
Provide guidance on issues of data ownership, access, and storage
ICTC - Celebrating our ten year anniversary in 2014
eHealth support will be in 3 phasesPhase 1: Planning/System requesti. ICTC WGs will provide a system request via a logic model so we can understand the goals of the systemii. ICTC WGs will describe the scope of the project and any constraintsPhase 2: Analysis phasei. Feasibility assessment - can we build it? should we? will it be used?ii. Translate the logic model into functional requirements of the systemiii. Provide this analysis back to the ICTC WG for approvalPhase 3: Designi. Recommend existing system or design/implementation partnerii. Support implementation?
ICTC - Celebrating our ten year anniversary in 2014
mHealth Pilot Projects• Kiwi prints – mobile system to track de-identified
data about an individual’s receipt of services (e.g., vaccines, nutritional supplements, TT surgeries), Pilot test in Mozambique, Kenya
• Project BOM - mHealth comprehensive eye-care initiative, Pilot test in Malawi
ICTC - Celebrating our ten year anniversary in 2014
Kiwi PrintsOverview
Data transfer
Kiwi Server/ Database
Image Sources: Maxim-LIS, SecuGen Scanner, Wikimedia Commons, and RTI’s Kiwi App screenshot
Confirm fingerprint identity
Records of inputs/interventions
received by an individual
Outputs produced for clients
Application
Open Source Fingerprint ID Software
Kiwi Data Collection Software
Tablet or Smartphone
Fingerprint Scanner
+
Hardware
+
Kiwi
ICTC - Celebrating our ten year anniversary in 2014
Mozambique PilotTT Surgical Reporting
Queen Elizabeth Diamond Jubilee Trust – Start-up workshop• Need for real time data for reporting, monitoring , and decision making. • National reporting systems need to be respected• A simple mHealth solution is needed to report on de-identified data (place and
time of surgery, gender, age, type of surgery, details on follow-ups, details on outcomes, # of refusals, # epilating).
Kiwi Prints Pilot• Incorporate data entry for TT surgeries• Possibility of piloting Kiwi prints platform (Nov 2014) for registration and
monitoring surgical frequency and surgical/patient outcome. • A more comprehensive Mhealth system will require coordination with reporting
requirements of MISAU
ICTC - Celebrating our ten year anniversary in 2014 8
Registering an Individual/Record Entry
Scanning and registration process for an individual with screen prompt for services being provided through the intervention.
ICTC - Celebrating our ten year anniversary in 2014
Trachoma AppOverview
WiFi / 3G
Access provided to - Ministry of health- Country manager (Sight savers)- Official NGO partners - Supervisor of OCO’s- mHealth IT support group
District level
• Captured data are temporarily saved on each mobile device
National level
• Patient data sent to the central server computer in the ministry of health
ICTC - Celebrating our ten year anniversary in 2014
Context of App
Preoperative evaluation
Operation record
Postoperative follow up
Additional:- Calendar - Mapping - Inventory
ICTC - Celebrating our ten year anniversary in 2014
Pilot test in Severance hospital (July 2014)• Trichiasis diagnosis using mobile App • Performed by non-medical college students• Making training protocols & manuals
Malawi implementation (Current) • Application is dissemination in Malawi along with
the National inception timeline• Including a training curriculum for the OCO’s• Launched on October 16th
ICTC - Celebrating our ten year anniversary in 2014
Advantages andChallenges
Advantages• Integration with previous back-log into HMIS • Verification for operated patients • Comprehensive management from preoperative evaluation to post-operative follow up• Surgical quality control• Counseling and education • Monitoring and evaluation• Efficient chain support Challenges• WiFi/3G connection • Cost and sustainable financing• Training and technical support• Lack of a consensus on regulatory framework for mHealth • Partnership