In 2016 Vecna Cares was a recipient of Human Development Innovation Fund (HDIF) Round 2 cycle of funding to implement a Portable Health records project at Mnazi Mmoja Hospital, Zanzibar.
The objective of the project was to develop a patient-centered eRecord’s system that will be created from the integration of the CliniPAK EHR onsite digital records system at Mnazi Mmoja Hospital (MMH) with a mobile platform that allows patients to readily access their health record securely through their mobile phone. In this way the project planned to close the loop between the health data collected and curated at hospitals and the actual patients allowing easier personal care management, escalation and referral. The partnership was aimed at creating a new value proposition that embeds the concept of an electronic patient health record and other health services data into the growing mobile consumer market in Zanzibar.
The eRecords Project had a two-step plan: the first step was to have an in facility deployment that allows the migration of all capture and storage of patient records to the CliniPAK EHR. The pilot phase for this was designed to cover the Maternity Department with an option to expand to the Ante Natal Clinic and the post-natal and the MCH clinic and pediatric care clinic (serving children up to the age of 5).
Step two was then to create an online database that is accessible via a mobile platform making it possible for patients to view their care information, schedule appointments and share their own patient record with other caregivers as needed in the wider Zanzibar healthcare ecosystem. This database was to be updated in real time via a secure link to the CliniPAK EHR making care data available to patients as soon as they leave the facility.
In this way patients were given greater control of their care decision making and elevated the EHR from an exclusively provider facing tool to a patient facing care management platform.
Semi-Autonomous. Part of the United
Republic of Tanzania
IMPACT ON HOSPITAL PROCESS
Overall, Hospital policy has been adjusted to allow digital data capture and data management which has increased the potential for accuracy and reliability of data. Additionally,
The frequency of report preparation as increased from monthly to bi-monthly
The data capture and data management workload of the front line staff has greatly reduced
The potential for more accurate data capture and recall at the point of care has been increased significantly
The potential for data driven decision making in the process of care-giving has been increased exponentially
IMPACT ON HOSPITAL STAFF
MMH staff have identified the following as specific ways in which the CliniPAK has improved their work:
Increased ability to identify and align on areas where clinical protocol is not being fully applied
Searchable, easy retrieval of data captured makes it easy to escalate as necessary
Handover between shifts can be conducted much faster and with less need for long post-shift meetings
The workflow based design, has allowed the front line care givers to become more familiar with medical terminology (written in English/latin) and can better communicate with Doctors and specialists when transitioning patient data
Report preparation time has been reduced from a multiple day task (upwards of 24 man hours) to less than 1hr.