The following questions had been left without response as we wrapped up the DUC meeting earlier this week. We have tagged those who asked the questions as well as those who may be able to provide a response on our discussion forum.
For all presenters:
What is the the systems centralized or stand alone? If the system is stand alone how do you manage the upgrades and patient duplication?
Do you have any process or SOP focusing on security issues, both hardware, software and data? - @CiceroN
For all presenters:
Can the presenters explain how systems are used to predict risk for treatment interruptions and share data to be used by HCWs to screen/target with additional engagement support? Eg. if there are sub populations (age, sex, characteristics) that are less likely to stay engaged on treatment in the first 90 days, how does the EMR help to define this and cue a HCW response? And if not happening, is there interest to do this?
Also which EMR platforms have existing research protocols in place to analyze data and describe client behaviors? We are also curious to understand within facilities with higher numbers of client interruptions in treatment (LTFU), who are these clients? Are these the same clients who are cyclically churning in and out of treatment, different clients using services at multiple facilities over time, or some other type of barrier to treatment continuity - eg. migration/internal displacement. - @ombijam
For all presenters: For the patients who have experienced their data being managed by both paper registers and electronic systems (EMR), have you experienced any concerns from patients when they learn that their information is managed electronically? - @SamW
For Malawi Team @limbani: Thanks for the presentation! great work. How does the system integrate with the national malawi EMRS? Is there connectivity with MOH to a national database? and any connectivity to LMS? - @ewetzel
For Malawi Team @limbani: For Malawi, was it difficult to implement the chronic care information system for both HIV and NCDs? Usually funding is considerably less for NCDs compared to HIV. How was buy in achieved from the government and other major stakeholders? Do you have any customer satisfaction data to show that the patients are welcoming of being contacted when they miss appointments? - Italia Rolle
For all presenters: I want to ask all presenters if the respective governments are willing and ready to invest in HMIS/EMR? This is because most of the presenters referredto donors supported EMR/HMIS intervention. - Ochonye Bartholomew Boniface