Electronic Health Records

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PATIENTS’ REACTIONS ABOUT HEALTH CARE SYSTEM, HOSPITAL MANAGEMENT INFORMATION SYSTEM (HMIS) IN UGANDA.

“Last year I had all my Antenantal Care(ANC) services at a Nyakibale hospital found in Rukungiri district since it was a referral hospital for our district.

The first time I visited this hospital, the records officer registered my details in a computer, I don’t know how this was done but all I know is that my details were captured including my names, next of keen, HIV status,MUAC and other minor information .

Now what excited m was that I wasn’t bothered by with any paper based material, I was told to proceed and pay for my consultation fee I just told a cashier my name and I was cleared to proceed to the clinician for checkup and prescription, now after prescription , I proceeded to pay for my medication without any prescription form, what was required of me was to tell my name and my prescription drugs were populated for the cashier to bill , I paid for my medicine and still no receipt was issued to me to present to the pharmacist.

I proceeded to the to the pharmacist to pick my drugs, I was surprised when the pharmacist just issued medicine to me without asking me whether I had paid or not .

Now the real excitement happened when I went back for my next visit , when my name was entered in the computer and my details were populated without telling her any thing, I was just told “your encounter has been updated please proceed to the next step”

I proceeded to the clinician for checkup since I had paid for consultation at my first visit. I went through the same process and within the very short time I was done, I did this for all my ANC visit till delivery.

I surely did not understand how these people did that, as in every step is streamlined and no congestion at all, every time I want to have my body check up even though am not in rukungiri I all ways want to go back home to and use the same hospital simply because that system does not waste patients’ time.”

WINNIE T SAID.

The funny side was that Winnie never knew it was me who installed Helecare2x at Nyakibale Hospital and even trained hospital staff on how to use Helecare2x.

The pleasure I had about how Winnie felt about how Helecare2x has significantly improved the hospital operations prompted me to write about Helecare2x.

It would not be fair it I don’t recognize the team behind Helecare2x development

CUSTOMIZED HEALTH MANAGEMENT INFORMATION SYSTEM (HMIS) FOR UGANDAN HOSPITALS HELECARE2X.

For the first time in history of Uganda there is now a fully customized health Management information t system to be used in hospitals based in Uganda and other African countries that have the same medic setting.

Thanks to Helecare2x team for good job done, Helecare2x comes with different modules that are commonly used in health facilities in Uganda, look at registration module under Out Patient Department ,HMIS Reporting module, Billing module ,Dispensing module among others .

Helecare2x is currently available for free since it was developed from care2x which is an open source platform, for as long as there is a competent IT person, Helecare2x is very easy and cheaper to use in-terms of installation and machine requirements.

The cases where Hospitals do not have a competent IT management, then Helecare2x team charges for installation and support. Helecare2x provides for different sizes of health facilities including clinics, center IV, III and referral hospitals. Helecare2x is a master at managing patient data, billing, lab management and keeping all forms of clinical records

Helecare2x is not trial system, its is a stable HMIS that is under use by a number of health facilities in Ugandan Hospitals.

It may be true that some hospitals have no time for Helecare2x training due to limited staff or may not have capacity to pay Helecare2x team to provide training and support ,Helecare2x has a manual that one can download for free and follow step by step to install and use the system, the manual is currently available for free in PDF format however the team is working on an online manual that is more professional and easy to access .

This Health Management Information System (HMIS) is not theoretical (not on paper), acouple of Health facilities from different districts in ugandan are currently and happily using the system .

For those who would to see Helecare2x in action , you will need to visit health facilities that are using it, below are some of the Hospital samples that are currently using Helecare2x.

Zia Angelina Health Center in Namugongo
Benedict Medical Center in Kampala
Ryna Medical Center
St Joseph’s Hospital in Nothern Uganda , among others.

Information Communication Technology Specialist Roots for Helecare2x

This is a true personal experience in Uganda from an independent software specialist of which I believe some one else may have experienced the same especially in Africa. There is this common inborn mind about the doubts in technology especially when it comes to health related date security in African Health Facilities.

I tried searching for an HMIS that would perfectly fit the African health facility setting particularly Ugandan after being tasked by a Hospital that I was working for at that time as an Information Technology Specialist, It took me a couple for months searching online for a better option but all in vain, I tried to share my havoc with a friend within the same field of Information Technology who referred me to a certain private company that fully customized an international open source Health Management Information System (HMIS) to be used In African Countries Hospital Setting , thanks to DecimalWorks , That’s’ how I was introduced to HeleCare2X.

Helecare2 was built from an international Open Source Health Information Management System (HMIS) called Care2X by a group of software developers thanks to DecimalWorks to work perfectly in African countries’ Hospital setting. To be honest I was hesitant to introducing Helecare2x to my place of work because I was still doubting the potential of Africans to fully customize international Open Source Health Information Management System (HMIS) and then apply it to our hospitals in African particularly Uganda till we moved to a number to Health facilities that were happily using Helecare2x. I am not advertising Helecare2x neither is I advertising DecimalWorks but trying to share my personal experience and thanking Helecare2x developers for the good job done. I can’t fail to acknowledge these health facilities that were actively using Helecare2x that allowed me to take a look and ask number of questions.

• Benedict Medical Center in Kampala
• St Josephs Hospital Kitgum from Kitgum District
• Benedictine Eye Hospital from Tororo
• St Mary’s Kagongo Hospital
• Nyakibale Hospital,

And other hospitals that are actively using Helecare2x that I dint get opportunity to visit, I truly and trusty introduced Helecare2x as my assignment to my place of work (currently my previous work place) and are happily appreciating my contribution to the smooth running of the Facility.

HARD COPY REPORTS HUSTLES IN HOSPITALS AND HELECARE2X SOLUTION

The common nightmare that hospital administrators have is when it comes time to submit the compulsory reports to ministry of health. In Uganda, the ministry directive is that the Health Management Information System Reports (HMIS) must always submitted be every after six months and after one year. Practically summing up such reports after every year is one major cause of sleepless nights to hospital administrators just because they lack an easy and simple way to electronically generate reports

The practice is that hospital administrators have to go though a pile of papers in order to come up with a combined report after a couple of days if not months. Consequently, some time they submit poor reports due to misplacement of some papers or some written documents being destroyed by rodents.

Gone are the days when such hustles used to happen, Helecare2x (http:helecare.com), a product of decimalworks ltd was introduced to solve paper relate data storage and retrieval problems. Imagine a patient returning to hospital after six months for check up and then a pile of files have to be checked in such of a single patient, think about the time spent on single patient, yet there other 100s of patients waiting.

Helecare2x does this in a couple of seconds, for as long as a patient visited the hospital once and his information captured, its easier to retrieve his details by just performing a search of the patient’s name.

Helecare2x does not only stop at just searching of patients’ details but also the total number of patients that visited the facility, assessing the performance of doctors, that is number of patients that a doctor has worked on in a certain month, its true that @HeleCare2X does all this in a minute for as long as some know exactly what should be done and how to do it.

Apart from reporting, Helecare2x solves the problem of doctors having to write prescriptions for patients to present to pharmacists, most doctors use a handwriting that is always almost impossible for pharmacists to understand, this is solved since prescription is done electronically.

Helecare2x with its easy to use interface is a truly revolutionary system for managing electronic patient records.

Hospitals re-arrange patient flow order to cut down on Stationary costs and minimize waiting time

Medical Information Systems form an essential part of health care services because they collect process and store medical data. They support decision making process by medical workers.
Functions within Health Facilities are dependent on collected information on performance indicators. This information is used for patient care, decision making for the facility and feeds into monitoring systems at the District, Diocesan Health office, UCMB and at the National level.

In the past all UCMB facilities had all patient records handled manually on paper and as you can imagine, the bulk of patient records are generated at the patient level and there is duplication of records because each time a patient visits a hospital, a new set of paper based record is generated. This makes reference to these records very cumbersome and failure to get accurate patient history by medical workers could lead to misdiagnosis and administration of wrong medicines leave alone the fact that the amount of time a patient spends at the facility increases in addition to material resources used like paper forms.

Under the C4C health systems strengthening project, 14 hospitals comprising of 43.7% of all the hospitals in the UCMB network have been supported to Automate Patient Records Management which would ease data managed and support decision making and timely access to patient records. The system in use is Care2x an open source product. It was customized to emulate the typical data flow in a hospital setting.

Helecare’ rolls out New Look for Patient Measurements

As a standard practice, whenever a patient visits a health facility for medical treatment, one of the first activities to be carried out on a patient is to take measurements. The measurements that are taken from the patient include,:- Height, Weight, Blood Pressure, Temperature, Head Circumference, Respiration, Pulse, RBS, MUAC and oxygen circulation among others. The height and weight measurements are used to calculate the Body Mass Index (BMI) of the patient being worked on.

The new helecare design allows several measurements to be taken whenever necessary. It also allows quick and faster navigation from one set of measurements to another.

The drug distribution framework in Helecare – care2x

Management of drugs is one of the core challenges faced by health service providers. They need to know the current stock of drugs in the facility when they are to expire, the cost, batches and balances.

It is not common for clinicians to prescribe drugs that do not exist in their dispensaries. Whereas such a prescription may be out of a serious necessity, several alternative drugs with the same effect may be available in the facility. When such a scenario happens they dispenser usually sends back the patient for the clinician to make adjustments. With helecare, we have made it very easy for clinicians to know in real-time the currently available drugs in the system.

This functionality has greatly reduced on movement of patients back and forth within the hospital facilities.

Helecare2 extends to Electronic Medical Records (EMR) to Anti Natal Clinic (ANC)

The delivery of health care for many hospital service providers includes services that deal with expecting mothers. In most hospital facilities, expectant mothers are not considered as patients as explained by a medical doctor that pregnancy is temporary conditions. So pregnant mothers attend Ante Natal Clinic where they get a services related to the pregnancy, therefore use Electronic Health Records help in cases .with the use Electronic Health Records this will easy the work of healthy workers to work on pregnant mothers as faster as possible to save life.this method of Electronic Health Records has been adapted by many hospital facilities using Helecare. why not try this Electronic Health Records and experience easy work flow

In the Helecare system pregnant mother can record details about the current pregnancy as well as obstetric history. In line with the ministry of Health, the current system complies the standard ANC card including details about the family members, HIV status among others. The ANC module is currently in use at several facilities and we have been told of increase in patient follow up and compliance

HELPING HOSPITALS TO REPORT TO THE MINISTRY OF HEALTH

If you have ever noticed, hospitals and health centers in Uganda and keen at taking your records whenever you go for treatment.

Part of this information is intended for reporting the district and headquarters. The ministry has provided a set of forms and reports described in the Health Information Management System manual (HMIS).

Most hospitals and heath centers generate these reports by manually going through these reports and tallying. This is very time consuming, error prone and a above all a boring brainless task.
hmis

Helecare2x a product provided by decimal works ltd helps to auto generated these reports for submission to relevant authorities.