Wed 16 Sept 2009
Mobile fair - demo after dinner - 8:15pm
- Not all care takes place in clinic - broadening to household care
- Distributing care within the community
- Create cohorts (lists) and people go out and visit the people on the list
- Maybe use sms's to notify responsible care worker
- Mobile health workers
- Follow up care
- patient assigned to healthcare worker
- healthcare worker assigned to catchment area
- Lab sample collection
- Demographic surveillance
- Kenya scenario
- Android phones
- Wireless sync instead of cable
- Camera on phone used to scan barcodes
- GPS on phone
- OpenMRS module to provide service to send sms messages
- Standard protocal for communicating with sms systems (xforms)
- messaging standard - message delivery acknowledgements etc
- workflow issues - notifications, acknowledgements
- Where does the trigger logic lie, in OpenMRS of in messaging system
- Patients interact with OpenMRS directly
- When is my next appointment?
- Patient submit blood glucose reading for diabetes management.
- Security issues
- Patients access to their own patient data.
- Experience from US is that can create anxiety in patients due to misinterpretation of their data.
- Need both personal health care records as well as clinician records.
- Messages to the patient - alerts, appointment reminders
- Based on the state of the patient in the DB
- e.g. Immunizations and health service delivery
- Model the state of the patient in an interesting way
- e.g. A mother gets visited - can calculate when the next visit should be
- Send message to mother to inform her of the next visit date
- If mother doesn't come, when do you respond, what message to send to the community health worker?
- How do you deal with out of service numbers?
- Mobile health workers
- Use cases driven by cost, policies, needs of communities.
- Interaction of healthcare worker with eachother
- Interaction of healthcare worker with patients
- Simple forms (20 fields)
- Data Collection - gather info at point of care - simple to complex data
- What is the point at which you need a more sophisticated device e.g. netbook?
- View data at point of care - Look at data to make decision at point of care
- Patient ID's
- Laminated barcoded card give to patients - use camera on phone to scan
- What about new patients / patients that don't have a card?
- Do background patient matching to look for possible similar patients
- In mobile, you are disconnected from OpenMRS database
Venue: Tree Tops