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Group 4. Members: Irene - DOD Marystella - FHI Winnie - EGPAF Steven - ITECH Tom – CDC. To do. Review conclusions and recommendations and confirm if all activities have been captured in draft implementation plan. How should the proposed functions be implemented? Serially or concurrently.

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group 4

Group 4

Members:

Irene - DOD

Marystella - FHI

Winnie - EGPAF

Steven - ITECH

Tom – CDC

to do
To do
  • Review conclusions and recommendations and confirm if all activities have been captured in draft implementation plan.
  • How should the proposed functions be implemented? Serially or concurrently.
  • Suggest implementation timeline starting Jan 2010.
  • ID lead agencies to take up responsibilities for proposed activities.
  • Challenges that may hamper implementation of any of the activities
  • Additional comments
situation analysis for emr
Situation analysis for EMR
  • Inventory – completed
  • Mapping – completed.
  • Summary of basic specs – completed.
  • Drafting basic specs – lead agencies NASCOP/HMIS/HS20/20/I-TECH – Jan 2010
  • Facilitate a workshop and finalize report – can be done concurrently Feb 2010 - NASCOP/HMIS/HS20/20/I-TECH
upgrade of emr s w h w hrm clinical care processes
Upgrade of EMR S/W, H/W, HRM, Clinical Care Processes
  • Analysis and development of plan for upgrade/new installation if necessary of existing ART/EMR – Start in Mar 2010 – NASCOP/HMIS/I-TECH/TWG.
  • Facilitate a w/shop to review upgrade plan – Mar-Apr 2010 – NASCOP/HMIS/ITECH/HS2020
  • Finalize and submit EMR eval. report… - Apr 2010 – May 2010
  • Facilitate upgrade… - May – Oct 2010 – ITECH/NASCOP/HMIS
upgrade of emr s w h w hrm clinical care processes1
Upgrade of EMR S/W, H/W, HRM, Clinical Care Processes
  • Facilitate w/shop to review stds – Mar-Apr 2010
  • Facilitate a w/shop to adapt HRM processes… - May – Oct 2010 (due to gaps identified) – NASCOP/HMIS/ITECH/HS2020

Assumptions and remarks: Due to lack of specific work activities, broad gestimatesesp on time have been made.

Due to multiple systems, the support mechanisms esp from a central gov agency will have to be thought out very clearly.

upgrade of emr s w h w hrm clinical care processes2
Upgrade of EMR S/W, H/W, HRM, Clinical Care Processes
  • Facilitate a w/shop to develop mechanism for alignment… - (clinical should be reviewed in concurrence with set EMR stds) – change the activity to read “alignment of EMR stds with GCP or clinical care procedures” – Jan – Feb 2010 – NASCOP/HMIS/KMA/ART-Tech Team
  • Facilitate a w/shop to review HR… - integrated with bullet 5
strengthening emr coordination
Strengthening EMR Coordination
  • Facilitate TC meetings… - Feb 2010 (should happen before stakeholders meeting)
  • Facilitate a w/shop to draft nat policy… - engage a consultant to draft this policy that should be then be reviewed in a w/shop. – Apr – Jun 2010
  • Facilitate a nat stakeholder w/shop… - Feb 2010 – NASCOP/HMIS/HS2020/ITECH
strengthening emr coordination1
Strengthening EMR Coordination
  • Est multi-sectoral… - Now! (Nov 2009) – HIS/NASCOP
  • Facilitate a formal… - Jan 2010 (ensure guidelines are ready) – ITECH/NASCOP/HIS/HS2020
emr readiness for decentralized levels
EMR Readiness for Decentralized Levels
  • Facilitate regional sensitization… - Oct – Nov 2010 – HIS/ITECH/NASCOP
  • Facilitate regional w/shops to develop plans… - Oct – Nov 2010 (should be combined with above)
  • Facilitate annual regional w/shops to review progress… - Oct 2011 – NASCOP/HIS/Partners
  • Facilitate district planning w/shop for change… Oct-Nov 2010 – PASCO/HIS/ITECH/P/DHMT/partners
emr readiness for decentralized levels1
EMR Readiness for Decentralized Levels
  • Facilitate procurement for EMR as per…- there should be a clearly stated activity for assessment of infrastructure readiness – should start as soon as EMR standards are approved.
  • Facilitate site based planning… - Nov 2010 – HIS/ITECH/p/dHMT/partners
  • Facilitate quarterly district meetings…- integrate into quarterly meetings – dHMTs/partners
human resource capacity building
Human Resource Capacity Building
  • Evaluation of national training curricula…- Jan 2010, ITECH/HS2020
  • Facilitate a w/shop…-Apr 2010 – MOMS, MOPHS/ITECH/HS2020
  • Develop EMR procedures… - Start May 2010 - Nov 2010 – ITECH/HIS/HS2020
  • Facilitate consultation w/shop…- Nov 2010 – HIS/ITECH/HS2020
  • Finalize and print EMR…- Jan-Feb 2011
human resource capacity building1
Human Resource Capacity Building
  • Upgrade, pre-test…- Mar 2011 HIS/ITECH
  • Develop user/health…- Jan-Feb 2011 – HIS/ITECH
  • Facilitate consultation w/shop…- Jan-Feb 2011 – HIS/ITECH/HS2020
  • Finalize and print EMR…- Mar-Apr 2011 – HIS/ITECH/NASCOP/HS2020
  • Train TOTs on EMR…- May-Jul 2011 – ITECH/HIS/HS2020
human resource capacity building2
Human Resource Capacity Building
  • Facilitate refresher training… - after annual progress review 2011 – Nov d/pHMTs/Partners/ITECH/HIS/NASCOP
  • Facilitate quarterly mentorship…- continuous
  • Facilitate EMR initial training – should happen after TOT training in May-Aug 2011
  • Facilitate monthly mentorship…- continuous process
emr supervision and performance audits
EMR Supervision and Performance Audits
  • Development and pre-test…- should also be integrated into already existing supervisory structures
  • Conduct DHMT/PHMT…-
challenges
Challenges
  • Time estimation without very clear and specific WBS.
  • Assigning very specific roles and responsibilities – we are doing that now, but there also needs to be a clear coordinating mechanism.
  • Format of the draft implementation plan as categorized by function makes it difficult to plan – should preferably done in MS Project or OWB
  • What should the END DATE be?
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