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IPPF’s Clinical Management Information System (CMIS). Knowledge & Information Systems Unit Organizational Effectiveness and Governance Division. Why.

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Ippf s clinical management information system cmis

IPPF’s Clinical Management Information System (CMIS)

Knowledge & Information Systems Unit

Organizational Effectiveness and Governance Division


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


Openemr
OpenEMR

  • After a thorough evaluation process, IPPF invested in OpenEMRin 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 client’s socio-demographic profile, clinical history, appointment scheduling, referrals, billing and inventory control


The visit cycle concept

Services vsClients (actually Visits)

The Visit Cycle concept

Ultrasound

Doctor/nurse

Lab

Counselor

Reception

Registration

Pre Payment

0

1

Clients

Client

Cashier

1

2

0

4

Services

3



Client based clinical and demographic data: vital statistics, medical history, medications, referrals, contraceptive history...

Referrals

And beyond

Global donor reports,

publications

CLIENTS

Service delivery from clinics

MA HQ

RO

CO

Service statistics, clinic management, inventory, finances, donor reporting requirements, progress against indicators...

Client flow, reduced waiting times, more efficient use of service providers’ time...

Non-clinic based SDPs

eg. CBDs, mobile outreach


Openemr dissemination
OpenEMR dissemination statistics, medical history, medications, referrals, contraceptive history...


Challenges
Challenges statistics, medical history, medications, referrals, contraceptive history...

  • 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


Thank you
Thank You statistics, medical history, medications, referrals, contraceptive history...

[email protected]

[email protected]


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