Wed 16 Sept 2009

Mobile fair - demo after dinner - 8:15pm

Usage Scenarios

• 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

Technology needs

• 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

Use Cases

• 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
    • Use sms for coordination
  • 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

Issues

• 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