Agenda

• History

• Customers

• Products

• Challenges

• Organization

• Releases

Progress!!!!! Success!!!!!

0

5

10

15

20

25

2005-5 2005-7 2005-92005-11

2006-1 2006-3 2006-5 2006-7 2006-92006-11

2007-1 2007-3 2007-5

Number of Clinics

Progress!!!!! Success!!!!!Patient Registrations/Intakes

(Four largest clinics now running their own servers)

0

500

1000

1500

2000

2500

***Hôpital Justinien

***Hôpital Grace Children

***Sanatorium

***Hopital St Michel

Beraca

Hôpital Saint Antoine

La Providence

Immaculée Conception***Institut Fame Pereo

Alma MaterN.D la Paix

Hôpital Notre Dame

Hôpital Sainte Thérèse

Hôpital de carrefour

Port SalutCS Aquin

CAL de Pilate

CAL Sacre Coeur

Hôpital de Fort Liberté

HUEH

Hôpital Food for the Poor

Hôpital Sainte-Croix

***CAL de BéthelFond des Blancs

In-Country Server Locations (June ’07)

Message from Ricardo:

“

Since Wednesday June 13th 2007 Bethel use the EMR real time on local server the care people and the administration like the system at now we have 60 patients chart fully and 100 partially integrated on the EMR. The system works well except for the ldap services we have to restart sometimes. Due to the conversion from the Aids reliefs forms to that on the EMR the time for finish the backlog will be higher than Cayes or Jeremie and the commitment is to have all the patients chart on the EMR before August.

Nevertheless to be sure the EMR will be successfully integrated to Bethel we have to provide fast1) A backup generator because there is no public electricity company at

fond des negres 2) A more reliable internet connection for  troubleshooting the system  3) Computer for care people using the system

”

Progress!!!!! Success!!!!!

050

100150200250300350400450

2005-52005-72005-92005-11

2006-12006-32006-52006-72006-92006-11

2007-12007-32007-5

Transactions/Day

Customers

• PEPFAR

• Clinics (Grace, Les Cayes, etc.)

• 3rd Parties (Nastad, MESI, CRS, etc.)

• I-TECH (Nancy, Rachel, Rogès)

• CDC (Solon, Nicasky, Ricardo, etc.)

• Bill

Products

Challenges: Forms

• Backlog

• Point of Care (POC)

• Lab Information System (LIM)

• Maintenance/enhancement

Challenges: Reports

• Patient Profile Report (PPR)

• Pediatric reporting

• Report definitions

• Reporting code

• Jasper

• Schema changes

Challenges: Infrastructure

• Improved communications• In-country site support• Replication• Data interfaces (NASTAD/MESI)• Platform (WAMP, KISS release)• Schema changes• LDAP (move/copy authentication)

Organization Matrix

Forms Christina Cecilia, Jessica

Claire, Jim, Jun, Steve

Reports Jim Steve, Jun, Claire, Ken

Infrastructure Steve Eric, Jim, Svend, Jun

Proposed Major Releases

• October 1, 2007:– Community Building /Communication– Backlog Management– Reporting and Data Transfer Interfaces – System Architecture

• January 1, 2007:– Provider Electronic Medical Record

• April 1, 2008:– Laboratory Information System (LIS) and Interface to EMR

• Other/Miscellaneous (will be added to the above releases whenever possible or appropriate):– Forms Changes – Data Entry/Manipulation Tools & Utilities– Pharmacy Data Interface