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Group 4

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

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  1. Group 4 Members: Irene - DOD Marystella - FHI Winnie - EGPAF Steven - ITECH Tom – CDC

  2. 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

  3. 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

  4. 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

  5. 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.

  6. 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

  7. 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

  8. Strengthening EMR Coordination • Est multi-sectoral… - Now! (Nov 2009) – HIS/NASCOP • Facilitate a formal… - Jan 2010 (ensure guidelines are ready) – ITECH/NASCOP/HIS/HS2020

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. EMR Supervision and Performance Audits • Development and pre-test…- should also be integrated into already existing supervisory structures • Conduct DHMT/PHMT…-

  15. 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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