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Agenda
Minutes
Attendees
- Stephen Musoke Senkomango
Agenda
- Uganda Implementation (Smusoke, jmpango)
Notes
Uganda Implementation
- Introduced to OpenMRS in 2005, running 1.6.3 in 20 health facilities in WHO-related project
- In 2011, the Ministry officially adopted OpenMRS as a health care system. At the time, OpenMRS was used only for HIV care.
- By 2015, additional versions were introduced, including 1.9, etc.
- During OMRS15, the decision was made to implement OpenMRS Platform 1.11.6 in hospitals
- Most sites are doing transcription (providers interact with patient & record data on paper, transcribed into OpenMRS later)
- Had a training of trainers workshop recently (in May 2016)
- Implementing partners are responsible for supporting and maintaining implementations
- Planning upgrade process for >400 sites throughout Uganda (awaiting official notification from the Ministry, which just was released)
- Targetting having 1000 facilities running OpenMRS throughout Uganda by end of 2017
- Actively upgrading systems in Kampala
- Active development Uganda EMR is managed centrally through Makarere University
- Introduced in MCH (mother child health), laboratory, HIV
- Discussing implementation of OpenMRS in the national hospital. Goal is POC (point of care).
- Is Uganda EMR a distribution of OpenMRS – i.e., a specific set of content, modules, etc. ?
- Yes. Have developed a customized module to give a customized feel to OpenMRS
- What role does Makarere University serve in terms of development and capacity building/training?
- 5 developers have been hired to support implementation
- Provides technical assistance with troubleshooting
- Have CDC funding to assist with procuring equipment (e.g., solar panels, servers, etc.)
- Is there any documentation for sharing on lab information system? How is it integrated to Orders?
- Using a separate LIS ("LMS") in most locations
- Link to LIS info website?
- Planning on integration with existing LIS
- Have created forms within OpenMRS to capture lab information directly into OpenMRS
- What factors have contributed to the decision for national rollout to 1000 facilities?
- Reporting to ministry (DHIS2) using DHI2 integration module
- Making it easier for sites to extract data from the system
- Has Uganda Team reached out to the KenyaEMR Team about lessons learnt? For example, some sites in KenyaEMR don't have supports after the rollout and system is not being used.
- Yes. Have been in conversation with Steven Wanyee and Nicolas Ingosi
- Have also spoken with folks in Rwanda (Bailly Rurangirwa)
- Have benefited from OpenMRS Community (e.g., OpenMRS Talk)
- How are terminologies/metadata managed?
- All implementations use a distribution managed centrally.
- This includes central management of concepts and other metadata
- Plan is to manage concepts centrally and push them out to implementations
- Sites manage their own users & permissions.
- What are the pros & cons of working with OpenMRS software and community?
- Software has steep learning curve
- Community has been great in providing support
- Keep finding "gems" along the way that make things easier
- Local problems need to be solved locally
- What are the top three things you would change in OpenMRS software or community that would help improve the Uganda rollout?
- Automation of implementation management (e.g., automatically rolling out forms, metadata, etc.)
- More overlap with OpenMRS community developers
Biometrics with OpenMRS
- Discussion deferred due to technical difficulties on Uberconference
Transcripts
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