Improving the child’s clinical information and treatment follow-up with electronic patient management at the point-of-care in Mozambique.
The Child at Risk Clinic is where children with risk factors like HIV, malnourishment, and TB are tracked to ensure they receive and support they need to thrive during the fragile early years. The patients, their treatments, and diagnostics are all tracked in paper-based patient files and registries. The nurse is overburdened with updating files and has little time to review the history. This has a negative impact on the quality of care, patient management and follow-up, the supply chain for medicines and supplies, and the national view of services. The CCR Kiosk would provide a user-friendly method of collecting program information whilst aiding the nurse with workflow and patient history in order to conduct a thorough consultation.
The CCR (Consultation for Child at Risk) Kiosk and Patient Management System will enable electronic patient management at the point-of-care. The touchscreen kiosk will house all the forms the nurse is required to complete during the course of the consultation. The interface will provide the nurse with a user-friendly experience such as removing the need need to do double-entry and it will integrate to the nurse’s work flow and guide the consultation to ensure consistent and complete service. The data will be housed locally, on the hard drive of the kiosk and synchronize with a national server. The national server will ensure a back-up of the patient records and also provide timely national reporting.
The CCR Kiosk is a robust touchscreen tablet which houses the CCR Patient Records, receives EID results directly from the lab, and generates reports. A local database contains the local patient records and the system replicates with a national cloud service, aggregating information from all the clinics for web-based access by national health officials.
The kiosk will generate required national reporting, thus reducing the need for the nurse to aggregate patient records on a weekly basis, thus freeing up nurse time for consultations. Reporting will also include a list of patients who have not returned for follow-up consultation, so those patients can be contacted and urged to return to the health facility. The system will integrate to the lab databases to allow direct delivery of test results to the patient record. It will also integrate with electronic patient management systems at treatment, enabling patients to be tracked from diagnosis to treatment.
The CCR Kiosk and Patient Management System will comprise of:
I.A touchscreen tablet, which captures the patient and consultation information, to be used during the course of the consultation by the nurse.
II.Local and national reporting to ease the burden on the health system to manually aggregate the data from patient files.
III.A cloud database and web portal allowing approved users to access data and reports globally.
Who will benefit from this idea and where are they located?
At-risk Children and their Mothers
I. Receive a more consistent and complete consultation and better quality service.
Nurses and Healthcare workers
I. Better visibility over a patient history
II. Reduced burden to compete various disparate forms and registries during the course of the consultation
III. Guidance on their work flow and the protocols for treatment
IV. Automated reporting
Health Officials, Supporting Partners, and other Stakeholders
I. Better visibility over programs and supply chain
II. Timely information about patients and their status, enabling them to influence outcomes
III. Integration to other Maternal Child Health systems, allowing patients to be systematically followed through the system.
How could you test this idea in a quick and low-cost way right now?
This concept is being piloted with a small set of health facilities. The hardware and software solution is currently being evolved for changing protocols, work flows, and with feedback from the users.
What kind of help would you need to make your idea real?
Technology partner expert in:
o User-centric design in software and hardware
o The design and development of touchscreen patient management systems at the point-of-care
o Data management
Is this an idea that you or your organization would like to take forward?
Yes. I am ready and interested in testing this idea and making it real in my community.