between organizations and at different organizational levels
issues at various levels
high (national)
attitudes toward IT and resources for IT
"other prerequisites that should be prioritized ahead of IT"
lack of a proven methodology
enterprise architecture: people are tentative on implementing because there isn't a good
lack of buy-in from necessary stakeholders
private organizations
donors
government
attrition & brain drain
investing in staff and then seeing them go to better paid assignments
medium (organizational)
managing change
autonomy or organization
absence of leadership to support such initiatives
policies
lack of buy-in
infrastructure that can support an EMR
need reliable telephone, network, power
past failures
negative bias resulting from failed implementations
expectations not properly set
overpromising and underdelivering
trying to deliver everything all at once
low (personal)
lack of a value proposition to users
incentives
work reduction
skills and training
lack of basic computer skills
solutions
high (national)
resources
government support
blue prints
provide evidence to governments, organizations
ministries of health, ministries of finance
baseline assessment before an implemention is done
applicability assessment to see if successful implementations map to your own problems
communication
best practices
medium (organizational)
setting expectations properly
using a phased approach for implementation (planning)
eliminate pain points
do things that would be impossible to report via paper
reduce redundancy
low (personal)
improving skill sets through training
games
community champion to spread the word
incentives
eliminate pain points
make it easier for the users (time)
get feedback from users on their experience
but simple feedback, just like skype does after every call
action items
write up of using the MVP concepts
(evelyn will be putting up a wiki)
best practices / lessons learned
(evan will talk to m. downey to get a placeholder)
mentor area for matchmaking newcomers (dawn and nareesa)
(gabou will be interested in doing something for west africa)
video demos
(evelyn will get a placeholder setup)
form repository
(alvin will get a placeholder setup)
Alvin: the goal was to make available a URL where people can view forms made by other people and be able to copy their htmlformentry code. Thinking that the best way to do this is through an actual OpenMRS installation (called OpenMRS-FORMS) and allowing users to create their forms using their own namespace (eg, amarcelo_diabetes_encounter_form). Ideas anyone?